Permit •
`' n CITY OF TIGARD
PERMIT
6 COMMUNITY DEVELOPMENT Permit #: PLM2013 -00057
T I CARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/20/2013
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 17003 SW 72ND AVE
Project: Twig's Bistro & Martini Bar Subdivision: COUNCIL VIEW ACRES (LOTS 1 -20) Lot: 18
Project Description: Adding (1) 2" floor sink and replacing (4) 2" floor drains
Contractor: APEX PLUMBING Owner: BV CENTERCAL LLC
501 S 2ND AVE ATTN: FRED BRUNING
YAKIMA, WA 98902 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 509 - 575 -0148 PHONE:
FAX: 509 -469 -1162
FEES
Quantity Description Date Amount .
5 ea Floor Drain/Floor Sink/Hub 02/19/2013 $125.10
Specifics: 1 12% State Surcharge - 02/19/2013 $15.01
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
' • Total $140.11
Required Items and Reports (Conditions) ,
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct • • e OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue = / I Permittee Signatur =. " - ` i , J;
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Apex Plumbing 509 -469 -1162 p.1
Plumbin Permit A licatio CEIVED
Building Fixtures FOR orrlt:•I_ 1 ONLY
III City of Tigard • FEB 14 2013 Da RT � 1 005%)
• 13125 SW Hall Blvd., Tigard, OR 97223 � n Re v -� 1 � I1 3 Permi N o.: Pa 3 -
Phone: 503.718.2439 Fax: 503.598. Plan ericw
C OFTIGA Date/By. Other Permit No. '11)...6 a3„�' 4) PP
Inspection Line: 503.639.4175
T i G ,� It ,,,�, t wRRV.[Igard•or.gov Ri iI],DING DIVISION Date Ready /By: Lair: 13 See Page 2 for
Notified/Mc hod 'rl f o Supplemental information
TY OF WO RK FEE* SCHEDULE
❑ New construction ❑Demolition For special information use checklist
F
jg Description I Qty. I Ea. I Total
Addition /alteration/replacement ❑ Other New I -2- family dwellings (includes 100 ft- for each utility_ connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
El 1- and 2- family dwelling IN Commercial/industrial SFR (2) bath 437.78 _
V
El Accessory building 1:1 Multi-family SFR (3) bath 50032
❑ Maier builder Each additional bathikitchen 25.02 t
❑ Fire sprinkler ( sq. ft) Page 2 p.
JOB SITE INFORMATION AND LOCATION Site utilities: p
Job site address: `-'1 dt 51+..) 7Z�• � Catch basin or area drain 18.76 tij
r • � t Drywell, leach line, or trench drain 18.76 �.i
City /State; ZIP: Al ^ 0,1 "
�ll � 2 Footing drain (no, linear ti.: ) Page 2
Suite/bldgJapt. no.: ?Poke/ name: -
\ l+al OA Manufactured home utilities 50.03
Cross street/directions to job site: J Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft: ) Page 2
Subdivision: I Lot no.:
Fixture or item:
Tax map/parcel no.: Backllow preventer 31.27
DESCRIPTION OF WORK Backwater valve 1 2.51
4 9 \ubS (A Clothes washer 25.02
_..) Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap A
� f}D Vr i.-25.02 10
Address: Floor drain/ floor sinlehub�_ : rG t/ 25.02 1A5
Garbage disposal ( / 25.02
City/State/ZIP: Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12.51
.XL-APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: \ \ � N b " ` _.-� � Medical gas (value: S _ ) Page 2
Contact name: '� 0.,� ` (o t_.C.1 /M�t_ r,� l y a t_i Roof drain 12.51
'N"} � l�W � Roofdram (commercial) 12.51
Address: D 3 . 23rd t9-krft- i Sink/basin/lavatory 25.02
• City /State/ZIP: \ 1� (� �t Q ` Solar units otable water �^-"' t - 1, V t-�. �. (P 62.54
Phone: (l) `404.4)mok
014, y Fax: : ( "� qi � wq (1 .1 Ka, Tub /shower /shower pan 12.51
E -mail: 9-34p ra0C t�]f X vk 6,COn,1 1 1 �f1 (0
Urinal
el rinal 25.02
J" . CONTRACTOR 0 . 1 osct 25.02
Water heats 37.52
Business name: r Water i >n WV
Address: A 5 40 ,- P P F/D 5629
Other: 25.02
e /ZIP: D
City/State/ZIP: /2.7
f
Phone. Fax: Minimum permit fee: $72.50 .�
CCB Lie.: /%6 Plumbing Lic. no.• Ptis� 7- /� Plan review (25 %of permit fee) ■ �� dr •
_ - ` State surcharge (12% of permit foc) f e .S , O ( �
Authorized 5
��► at . \ ► t\�.� TOTAL PERMIT FEE N
��",�",1�� Date: This permit application expires Ira permit is not obtained within 150 days 040
�1� after it has beet accepted as complete. "
"Ice methodology at by Tri County Building Industry Service Board.
r:n l i.. u 5 rmtstPU 11r r,npy.a°° t aor.r>9 <sa�seer(taraz.tohtnvEe) 0 ' °rte
Apex Plumbing 509 -469 -1162 p.1
r
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total ^ Square Footage:
Footing drain - I° 100' - 50.03 Permit Fee:
0 to 2000 $121.90
Footing drain - each additional 100' 37.52 2.001 to 3,600 $169.69
Bearer - I s1 100' - 62.54 3,601 to 7 ,200 $233.20
Sewer -each additional 100' 7,201 and greater $327.54
37.52
Water Service - 1st 100' 62.54
Water Service - each additional WO' 37.52 Medical Gas Systems:
Storm &Rain Drain - 1st 100' Valuation: Permit Fee:
Storm & Rain Drain - each additional 100' 37.52 $1.00 to $5,000.00 Minimum fee $72.50
$5,001.00 to S10,000.00 $72.50 for the first 55,000.00 and $1.52 for
Other Inspections or Fees • Qty. Fee (ea) Total each additional $100.00 or fraction tltereot to
Inspection of existing plumbing or for and including $10,000.00.
which no fee is specifically indicated 90.00/hr $10.001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
(minimum charge - 1/2 hour) each additional $100.00 or fraction thereof, to
Inspections outside of normal business 90.00/hr and including $25,000.00.
hours (minimum charge -2 hours) $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1 for
Reinspection Fees 90.00lhr each additional $100.00 or fraction thereof to
and including $50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the fuss $50,000.00 and $1.20 for
(minimum charge - 1/2 hour) each additional $100.00 or fraction thereof
Subtotal:
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? If "yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees *.
Fixture Quanil by mature Type
ype for �mh�7 Plan Review for Plumbing Installation§
. Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath Tub/Shower
r ❑ Any new commercial building with water service 2" and
Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
- Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor /Water Aspirator as defined in OAR918- 780 - 0040.
Dishwasher - Commercial ❑ Medical
-Domestic gas and vacuum systems for health care facilities.
Drinking Fountain ❑ Any multipurpose fire sprinkler system
Eye Wash ❑ Any complex structure as defined in OAR918- 780 -0040,
Floor Drainisink it/ ,
"l Submit 2 sets of plans with any of the above.
- 4"
Car Wash Drain Isometric or Riser Diagram
Garbage - Domestic - non - food ❑ Isometric or riser diagram is required for new buildings
•
Disposal - Domestic-food related that meet the qualifications above.
- Commercial -food related
- Industrial -food related
Ice MadtiRefrig. Drains
Oil Rec. Vehicle (Gas Station) Comments regarding fixture work:
Rec. Vehicle le Dump Station
Shower -Gang
-Stall
Sink/Lay - Non -food related
- Bradley
- Commercial -food related
- Service
Pool P
g Swimmin Filter
Washer Swimming Pool - - J *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EDUs, a sewer permit will be issued and
Water Closet - Toilet
fees assessed for the sewer increase must be paid before the
urinal
Other Fixtures: plumbing permit can be issued.
tap : / /www.tigard- or.govicity_ hall/ departmentsiedidocs /PLMF- PermitApedoc
11111 Accumulative Sewer Tally
2 : I I , Ten ant Name: Twigs Bistro and Martini Bar SWR # 2013 -00037
TIGiARD Site Address: 17003 SW 72nd Ave., Tigard, OR 97224 Pl.\1 # 2013 -00057
Parcel #: 2S 113AC01201
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped #s value count added # added value total #s total values
Baptistry/Font 4 0 0 0 0 0
Bath: - Tub/Shower 4 0 0 0 0 0
- Jacuzzi /Whirlpool 4 0 0 0 0 0
Car Wash: - Each Stall 6 0 0 0 0 0
- Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher: - Commercial 4 0 0 0 0 0
- Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain /Sink: - 2 inch 2 0 0 1 2 1 2
- 3 inch 5 0 0 0 0 0
- 4 inch 6 0 0 0 0 0
- Car Wash 6 0 0 0 0 0
Garbage Disposal:
- Domestic (to 3/4 HP) 16 0 0 0 0 0
- Commercial (to 5 1 -IP) 32 0 0 0 0 0
- Industrial (over 5 HP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 0
Oil Sep (Gas Station) 6 0 0 0 0 0
Rec. Vehicle Dump station 16 0 0 0 0 0
Shower: - Gang (per head) 1 0 0 0 0 0
- Stall 2 0 0 0 0 0
Sink:
- Lav /Bar - Non -Food Related 2 0 0 0 0 0
- Bradley 5 0 0 0 0 0
- Com /Serv/Util - Food Related 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 0 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
•
TOTALS 0 0 0 0 1 2 1 2
Current Fixture Value 2 divided by 16 = 0.125 Current EDU 1 EDU = $4,665.00
Previous Fixture Value 0 divided by 16 = 0.000 Previous EDU
Change 2 divided by 16 = 0.125 over (under) S 606.45
Enter EDU Change Here 0.130
Notes:
Authorized Name /Signature: Shirley Treat Date: 2 /14/2013
Building Division
N ote: The property owner shall retain the ORIGINAL, sewer tally record. If credits exist, this document will serve as a voucher which must be
( s ubmitted to the City of Tigard Building Division to redeem credits towards future system development charges.
1:A Building \Sewer Tally ASewcr'I'allvSheet- 4665.xls 07/01/12
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
17003 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
03/25/2013 00:00
PLM2013-00057
PASS - No C of O
Violation Summary:
Inspector Contractor