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Permit C ITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2009 - 00012 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/21/2009 PARCEL: 1 S 135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 150 ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG PROJECT: PASTO'S ITALIAN BISTRO Project Description: Install residential grade garbage disposal. CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES SHORENSTEIN REALTY SERVICES ONE SW COLUMBIA ST #300 Description Date Amount PORTLAND, OR 97258 [PLUMB] Permit Fee 1/21/2009 $72.50 [TAX] 12% State Surcha 1/21/2009 $8.70 Phone : 503- 412 -4800 Total $81.20 Contractor: PORTLAND MECHANICAL CONTRACTOR PLUMBING & MECHANICAL CONTRACT 2000 SE HANNA HARVESTER DR REQUIRED ITEMS AND REPORTS MILWAUKIE, OR 97222 Contact # : PRI 503- 656 -7400 FAX 503- 655 -0620 Reg #: LIC 151807 PLM 3 -425PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OU NC by callin. 503.246.6699 or 1.800.332.2344. Issue B :' / %� - Permittee Signature: c Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , Plumbing. Permit Application Building Fixtures FOR OFhlr LISI':'1) ° ' . , City of Tigard Received I 2.0 • G 9 1.3125 SW Hall Blvd., Tigard, RE3CEiVE Da t By' • n 1 Phone: 503.639.4171 Fax: 503.598. M N 0 1 l D Permit No. a ena Other Permit No.:g( g 3 m.nr 7 - c Reedy/By: d /Meth N Ea 5ce Pone 2 fnr d l ^ � ' A , C VIIIII iVOP;fred/Merh nd, Su Pt¢mvntstl InformnUon ..: Inspection L1nc 503 - 639.41 i5 Tl�1RIfCJ Mit Intettigard org . .: .. : . . ... ..u �jl , ,i ; , ,9111 !'{ ' sl )0 � 1 ( f n „l a a ' dR. l T .f4' 1 � tat ,,: ,a „ {d "''+i ;, {,!I ' a ' `r li' Ir.; , r ; !' ,,,111;';''.: ; ;". ; , . ,:, } ,. ....II:J'1. - " ? ., ? , y !,, F J.. ,,, t , a<,, .. )(��, , ;l '1,,.. I ': 1 ,,(,,, ) I li , I . ,�1 a.., d:: . : .. ,x7�nr., -,., ,,,.,,1 „uo-,..,l, ,111: .e ,,. , f., , r� rvl d i j l (� , ,;,1181 �11i ji�ll( llllil�l (11!l J,lll li�I'S„v��l �����, 11 11 d n, f11116A1t� a „i, „11 �� „ll ��, I ����I 1' ' , . ,.}�� � , � ... , U � 1)....11 6l�I,l a L Jmll4d l , „ ❑ New construction 1fA For ecihd in ormarinn use chr Description Q ry Total ® Addltio rr /a.lteration /replacement ['Other: New 1 - 2 - family dwellings (includes 100.. , or each utility connection) 1 1 ” i,l SFR (1) bath 249.20 0 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00 0 Accessory building ❑ Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder D Other: Fire sprinkler ' S t ; -' n,�,,.r,y.�yW, W�1Sy r�Y17 yJI t1�1 Wp { spri sq. ft.) Page 2 J(I'1 (' .1(111 '1 l,i, '1,' +f,V�lf`,7;4W�1 1! 1W(( .. i yr� . ��.il i'I` f�r{i{'�. :,r .., .. )y� I t ; . ,7 C il, ,} fi ,'.� ! �!{ ,; 1 1, iW )) uULy(�f� �i�GE17�lW1N(Ill 1 d '1 1 ( 1 j 1 . 1 � „� ' I ' ... x.�l6.L.lu� w,,,N� rll�re:!� "1�I(v���' �tl�ldl � , f, "'�l� � -� "(1 ! "' � .. , ,I(�i;�lll {i� �1L1�,� ';�I . � Site utilities Job site address: 10260 S%V Greenburg Road Catch basin or area drain 16.60 City/State /ZIP: Portland, OR 97223 Drywall, leach line, or trench drain 16.60 ” ^! `. F drain (no. linear ft,: _) Page 2 ' 4 Suite/bldg. /apt, no.; '', J Project pasto'sl�eli Dalian $��.!(� 8 w Cross street/directions to job site: Manufactured home utilities 110,00 Manholes 16.60 Rain drain connector 16.60 Sanitary server (no. linear ft.: ) pa s o 2 r Storm sewer (no. linear ft.: ) Page 2 Subdivision: Q / ob I ]Lot no,: Water service (no, linear ft.: _) Page 2 — Tax map / 4 parcel no.: S > 19.6 '634/ Fixture Oi item 99;` i';�i':I {{'' ll) 1 �Iilk.;:,yt -.:, , �} J }yy ,�ii�. p "11i i(I pug; ) j; � I,I.;, Absorption valve 16.60 Jhi�3rq�� }�,Iliil�lil1111 , l,llll�lilini(Il, ill% $1..�J'rr,'un «...p,M,„,,,,,{!., .r „A,,tr. o ,', 6fs��Gmrl� i�� Ill l i!il:l l �r:`' ” Backflow preventer Page 2 ' ( ,,, l l , ' .'';i'i Install residential grade garbage disposal in deli kitchen. Backwater valve 16,60 Clothes'.vasher 16,60 Dishwasher 16.60 r'q 1 , 41tW ,y ! Drinking fountain 16.60 ,; >;� !dill.. q 0011N WOIN�I ( Ilil1�!��I� Jl+ 1 I J �� II ('�� � � � 111 t 1 JP -' >,�� , mr,,�...t,l�. „�., g. �,,,,,, �,, ,,, „�,'�,;�.,,,,,'�:�:,,.,��,I. 11. � .,. ,, . '. „illlflll ��, ( Name: Pasto's Deli ) jeerers /sump 16.60 Expansion tank 16.60 Address: 10260 SW Greenburg Road Fixture /sewer cap 16,60 City /State /ZIP: Portland, OR 97223 Floor drain /floor sink/huh_ 16.60 Phone: ( ) Fax: ( ) Garbage disposal 1 16.60 ] 6.60 ., 111Ili(II1111111411111` 91 )1, erg .. I i9 Bill ginill Ili jlilN111(109.9 M01I ; ,10,1 111 iili?11 : maker Business name: Plumbing & Mechanical Contractors Croup Interceptor/grease trap 16,60 Contact name: Kevin Miller Medical gas (value: $ ) Page 2 . , Addra5s: 2000 SE Xdanna Harvester Drive Primer 16.60 City /State/ZIP: Milwnukie, OR 97222 Rocf. drain (commercial) 16.60 Phone: (S03) 656 - 7400 Fax:: (503) 655-0620 Sink/basin /lavatory 16,60 Tub /shower /shower pan 1.6,60 B -mail: kevinm@pmc-g.com ;;cM's > ,, ; , a 9 '''{ .:,, , Urinal 16.60 ,., ,'w. i'�! it { t S I ” `� i I .t ( � Ill' ?I'lllf °• "t ,' II ti .la ilil11111 V I V 3 V111111111' I�' 11RO li 11 I l,l !1 Il�11 ,,,J,. ;, ,;' !i� Water closet 1� i "I R l �, '1 ,� ,,�.. ><�w.. . ,. ,,,,,, ,., „,,,.�,i r;'.,A�It 1�i111''� li { � '11 'I l;li'i�ifll it �iEllllll'Il�I P'j. -.,.. � ! 16.60 Business name: Same as above. Water heater 16.00 Address: Other: City / State/ZIP: „_, , Subtotal 16.60 Minimum permit fcc: S'72.50 Phone: ( ) Fax; ( ) Residential bnckilow minimum permit fcc: $3$36.25 72,50 / 0 — CCD Lie.: 151807 G// 3 / Plumbing Lie. no.: 3-425 1'13 Plan review (25% of permit fee) 1 State surcharge (12% of permit fcc) 13.70 Authorized signature: 7 ! ll -- TOTAL PERMIT PEE 81,20 Print name: Kevin Mi 0r Datc: 1/20/09 Tltis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • -- i *Fee methodology set by Tri County Building Industry Service Board.'`;] r:\ Eairtling \Pcrn111R \PLMF- PccmitApp,doc 12/27/06 44n /07 /COM/w68) ! 1 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: "S i'' �) ' I I v 4 f i' 1J P ( I r r , : '1" r'. i ' fq r p 1r I, �1 '�p''1 y y ^ �(7{ 51.1 ".i i 1 "iii‘ r of t0i a . 'rEit i I r u i •..,,i`i f {iW l Yr A/. ..i,i �.;j i �' 1 "/ '1 ,. '�'L '� I re �W {W WL' V�Vi` �yM G� j��,'M 7� U' W , 1 k , . ,. I I , I „ �t a( t M I tli;l,,,), d',� i� z . h .v' 11':;1t1,1� Y Po� "IU;ii,h •.,li „(Ill��jfl'1'i • Footing drain - 1" 100' 55.00 0 to 2,000 $115.00 . Footing drain - each additional 100' 46,40 2,001 to 3,600 $160.00 Sewer - 1st 1.00' 55.00 3,601 to 7,200 $220.00 - 7,201 and greater $309.00 Sewer - each additional 100' 46.40 - Water Service - 1st 100' 55.00 Medical Gas Systems' Water Service - each additional 100' 46.40p { ! I 1(I Stone & Rain Drain - 1st. 100' 55.00 ` �' +' �'i "'' , °:'•'I ri,i,• $1.00 to $5,000.00 Minimum fcc $72.50 . Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $ 72.50 for the first $5,000.00 and $1.52 for each , ' ' �`�;ifi+ "'''i?',' +( +;i ?C. `siii � , 11 ',. ' ', , f . srr,;' iifpl'l additional $100.00 or fraction thereof, to and it," r "l( If�IId,S�: J;l;r:':;,'' 11 ',n _ including $10,000.00. Commercial Back Flow Prevention Device 46A0 $10,041.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to minimum permit (be $36.25) 27.55 • and including $25,000.00. Rain Drain, single family dwelling 65.25 525,001,00 to $50,000.00 $379.50 for the first $25,000,00 and 51,45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. s. eciell rc. ucsted in •cctiona - . cr hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. i • Commercial Fixture Work: 1: " ;, - Iliit,>,.;i r. (.�. � � ,� ��1�� �'�'��,.,,��'�f11'�Ii�,�, �i' ' !) ) 1 i I ! a 4.. , ,,, ,,f .,,,.,,,,,, it f �, r,.,,, r •. Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following, please indicate work performed by fixture. Failure to Please cheek all that apply. • aciuratel re 1 ort fixtures could result in increased sewer fees *. l] Any new commercial building with water service 2" and IV"'' ., ,l r .• , u •Y il,tf i w , • ,I P9 .; • I greater, except systems designed and stamped by licensed ( , 1►� I � ] �',' d � 1y`� � , g �..ti yu i , . +t ` (I i! ( '�� {I! engineer. ,1e ' i c i r l ?H'f. � 1 1 v 7l( s ,7 ';' �''` �i {1 11L41111' I � �l � h 911 II � �1P ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 7800040. ' Bath - Tub /Shower © Medical gas and vacuum systems for health care thcilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system, Car Wash -Each Stall _ ❑ Any complex structure as defined in QAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic ���� VV ffI II ` ++ II11II`` !!ryrye� j� �� II , n r r,. {{ Drinking Fountain I ��I� N 1 1 1l 1 111 l l l 11 .l 11 fll1 f1 1, % 1 _11 1 1* ' t O , _ , i ^ , i 11 . i i 1 il . ' Eye Wash ❑ Isometric or riser diagram is required for new buildings • Floor Drain /sink - 2" that meet the qualifications above. , -4" Car Wash Drain Garbage - Domestic I Comments regarding fixture work: Disposal - Commercial - Industrial , lee MachfRcfrig, Drains - OitSeparator (Otis Station) Rec. Vehicle Dump Station Shower -G -Stall • Sink - Bar/Lavatory _ - Bradley - *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter - plumbing permit can be issued. Washer - Clothes • Water Extractor . Water Closet - Toilet Urinal • Other Fixtures: is iBn ildingIPcteniltV 'LM- PernhilApp,doc 12/27/n6 • • r . ,IN 1q CITY OF TIGARD PLUMBING PERMIT .,. COMMUNITY DEVELOPMENT PERMIT #: PLM2009 -00012 2 r c. n ti DATE ISSUED: 1/21/2009 13 125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB - 03400 SITE ADDRESS: 10260 SW GREENBURG RD 150 ZONING: C - P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG PROJECT: PASTO'S ITALIAN BISTRO Project Description: Install residential grade garbage disposal. • CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft • • • Owner: FEES SHORENSTEIN REALTY SERVICES Description Date Amount ONE SW COLUMBIA ST #300 PORTLAND, OR 97258 [PLUMB] Permit Fee 1/21/2009 $72.50 [TAX] 12% State Surcha 1/21/2009 $8.70 • Phone : 503- 412 -4800 Total $81.20 Contractor: PORTLAND MECHANICAL CONTRACTOR PLUMBING & MECHANICAL CONTRACT R 2000 SE HANNA HARVESTER DR REQUIRED ITEMS AND REPORTS MILWAUKIE, OR 97222 • Contact # : PRI 503- 656 -7400 FAX 503- 655 -0620 • Reg #: LIC 151807 • PLM 3 -425PB • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. / • Issue B : ! / 1 Permiftee Signature: /‘,--________ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • • INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: I'LH 9,e09_ 6100/, REQUIRED ON GREEN INSPECTION CARD. j ✓ Code Inspection'Description •, PASS Date By ✓ Code Inspection Description `.PASS Date , By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service • 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit • 225 Post /beam structural 150 I-Iot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in • 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper _ 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 . Sanitary sewer 405 Excavation 1 345 Culvert /catch basin • 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I:\ Building \ Forms \InspCard- AOP- Blank.doc 02 /02/07