Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2013 00131
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/24/2013
Parcel: 1 S136AD04301
Jurisdiction: Tigard
Site address: 11475 SW PACIFIC HWY
Project: Gator's Pub & Eatery Subdivision: VILLA RIDGE Lot: 2
Project Description: Approx. 15' interior waste replacement from P -Trap to existing floor sink & replacement of P -Trap
Contractor: JACK HOWK PLUMBING /RESCUE ROOTER Owner: SEE YOU LATER PROPERTIES LLC
PO BOX 2830 11475 SW PACIFIC HWY
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503 - 235 -8784 PHONE:
FAX: 503 - 491 -2932
FEES
Quantity Description Date Amount
56 Plumbing Permit 04/24/2013 $56.29
Specifics: 16 Minimum Fee Adjustment - 04/24/2013 $16.21
Plumbing
Type of Use: COM g 12% State Surcharge - 04/24/2013 $8.70
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /� �
Issued By: J' tl-edr Permittee Signature: OA A oio ep /► / io i
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. r C�
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.
Plumbin„ Permit Application
Building Fixtures • RECEIVED .: , FOR OFFICE USE ONLY
City of Tigard Received ( �f I 3 `'�
13125 SW Flail Blvd... Tigard, OR 97223 APR 2 4 2013 DatcBy: permit No • 9 � 3f� 3 U00 3
� Plan Review
31 4 A Phone: 503.718.2439 Fax: 503.598.1 6 _/ �t+ D� Date/k Other Pernut No (, ViQ- J(3. coa ct.
- Inspection Line; 503.639.4175 1111 OF ►GARD DateRead B - !�
T t �. n R D Ready /By: Sys, See Page for
Internet: lvww Ilbard or bov I i a DIVISI Notified/Method: lei IC Supplemental Information
tt1�PF OF
- � -« , �, ,:: � •c is v � , �. �p� ,
r .. .tip. .. '. � ; �'t 1W. ... ' ri .. . }� w ... '.; I
❑ New construction 0 Demolition For special information use cheekli t
Description f_Qty. 1 Ea. 1 Total
10 Addition /alteration /replacement ❑ Other; New 1- 2- family dwellings (includes 100 ft. for each utility connection)
, rWoi %i C c Ta `: , 4 , . . ^,11 sFIt (1) both 312.70
- 1:3 1- and 2- family dwelling 12 Commercial/industrial Sett (2) bath 437.78
0 Accessory building ❑ Multi - family SFR (3) bath 500.32
Each additional bath/kitchen 25.02
❑ Muster builder 0 Other: Fire sprinkler ( sq. ft.) Page 2
' "'' CtB1G, 1'1 ,:"l lr(71 TIO LO ,lal0 it' " ''"If 4
+ w,,; ,, Site utilities:
Job site address: 11475 SW PACIFIC IIWY Catch basin or area drain 18.76
City/StatePZTP: TIGARD, OR 97223 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear R.: ) Page 2
Suite/bldg. /apt. no.: I Project name: GATOR'S PUB & EATERY Manufactured home utilities 50.03
Cross street/directions to joh site: Manholes 18.76
Rain drain connector 18.76
Subdivision:
Sanitary sewer (no. linear ft.: -� Page 2
Lot n0.:
-" Page sewer (no. linear ft.: ) Page 2
Page 2
31.27
12.51
25.02
25.02
25.02
Water service (no. linear ft.: _} _
Fixture nr Item:
Tax map/parcel no l
� / 3( p d� 30 ( Bat kAaw preventer
'
�}
y } /t ' Backwater valve
"*t8 1 � ...... �l Ol'! O� A :'� f ti
Y.* eau►- _: '►_ _.: at e ..t.: Clothes washer
APPRO-X 15 r F INTERIOR WASTE REPLACEMENT FROM P -TRAP TO Dishwasher
le FLOOR SINK & REPLACEMENT OF P -TRAP Drinking fountain
25.02
12.51
E jest o
a,1'ROP kw . ` .° >~ry ; 1 t 1* Expansion tank
Name: GATOR'S PUB &EATERY' Fixture/sewer I up .25.02 ,
Addrews: 11475 SW PACIFIC HWY Floor drain ( b �r. 2582 �1At ,
Garbage disposal • 25 -02
City/State/ZIP: TI(ARD, OR 71223 Hose bib 25,02
Phone: (503)293 -0356 Fax: ( ) • Ice maker 12.51
Y
P , ,,. .
ilt� � " ' . ' � "` ' ' Interceptor/grease Inc
�I _ •
� „ X�$1 ,A� 11']lIA . ': 'rte '1fiI�C� !�rr �� �:
,.. , ,ON trap 25.02
Business name: ARS dba Jack Howk Plumbing/Rescue Rooter Medical gas (value; S ) Page 2
Primer 12.51
Contact name: JOYCE DENNIS
Roof drain (commercial) 12.51
Address: P.O. BOX 2830 Sink/basin /lavatory 25.02
City/State/ZIP: CLACKAMAS, OR 97015 Solar units (potable water) 62.54
Phone: (503) 850 -3100 Fax:: (503) 491 -2932 Tub /shower /shower pan 12.51
E -mail: • - • Urinal 25.02
f47.-37-7 rrrr -rl r W Water closet 25.02
�� '1''' � Water heater 37.52
Business name: ARS dila Jack Rowk Plumbing/Rescue Rooter Water piping/DWV / 56.29 56 en
Address: P.O. BOX 2830 Other 25.02
City/State/ZIP: CLACKAMAS, OR 97015 Subtotal -8736
Phone: (503) 850-.3100 Fax: (503) 491 -2932 Minimum permit fee: 572.50
CCB Lie.: 127325 12 i PI g Lie. no.: 34 -168PB Plan review (25% of permit fee)
State surcharge (12% of permit fee) 1.11r50
Authorized signature: I TOTAL PERMIT FEE 06 115
Print name JOYCE DENNIS Date 04/24/2013 I1,u, permit applicatlon expires if a permit la not obtained within 180 days
lifter It has been accepted as complete.
"Fee ii th diiliigy iiet by Tri - oouaty'BuildinH Industry Service Board �(
t: to "Jl$InulPermiuiSLMU- Permi1App.Joc 10/01/09 4404019T(nvn: /COM/WE6) SI.."
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Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information .
Fee Schedule: Residential Fire Suppression Sstems:
_;SiEllIIfil itie -_ .': _.'_ (t�):_ ` .. c7u e. oats a ;= ermiiV c = _ .- ;' :.
Footing drain -1' 100' 50.03 0 it) 2,000 $121.90
Footing drain - each additional 100' 37.52 2,001 to 3,600 $169,69
3,601 to 7,200 $233.20
Sewer - 1st 100' 15 62.54 62.54 7,201 and greater $327,54
Sewer -each additional 100' 37,52
Water Service - 1st 100' 62.54 Medical stems-
_
Water Scrvtcc -each additional 100'.- ._ 17_52 _ tl(1 ,lee
Storm & Rain Drain - 1st 100' 62.54 $1.00 to 55,000.00 Minimum fee $7250
Storm & Ruin Drain - each additional 100' 37.52 55,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
w each additional $100.00 or fraction thereof, to
. S n e Z I '.k.(ea)1. talti; and including $10,000.00.
Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000,00 and $1.54 fur
which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereon; to
(minimum charge -1/2 hour) and inchtdin • $25,000.00.
Inspections outside of normal business 90.00 /hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
hours (minimum charge -- 2 hours) _ each additional $100.00 or fraction thereof, to
Reinspectiott Fees 90.00/hr and including 550.000.00.
Additional plan review for revisions 90.00/br $50,001,00 and up $742.00 for the first $50,000.00 and $1.20 for
(minimum charge - 1/2 hod each additional $100.00 or fraction thereof.
Subtotal: 62,54
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 * . _
:i ',7 r , - _ x . W k ._ - � 1' - yp - la �l �VIeF{3f: O AU . S tl -
Pi.. ... _ D =_
M -_
` Ii - _= d= - Plan review is required for any of the following.
T �1 Y &
=1iVarlal'r!rCnrni'ed:•" -o..� '� �'Gaanca+ �Addcd:� t ^k ali wta . _
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ Any new commercial building with water service 2" and
-Jacuzzi/Whirlpool ter, except systems designed and stamped by licensed
Car Wash - -Each Stall . • engineer. . • -Drive That ❑ Ncw exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator • . as efincd in OAR918 780 - 0040. .
Dlshwaither -Commercial • ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ,.. . _ _ . ❑ y multipurpose fire sprinkler system.
Drinking Fountain 0 y complex structure as defined in OAR91 8-780-0040.
Eye Wash
Floor Drain /sink - 2" Submit 2 sets of plans with any of the above.
- 3"
- 4" - -. - ( r f �
!i. :- ,:its= : --''_, 1 . . to . (lr ��. la - � I;a' dtt
1.-= . - =�
Car Wash Drain
(garbage - Domestic - food 0 Isometric or riser diagram is required for new buildings
Disposal - Domestie-food related t meet the qualifications above.
- Commercial -food related
- Industrial -food related
-Ice MachJRcfrig, Drains •
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang
-Stall •
Sink/Lay -Non -food related
- Bradley
- Commercial -food related
- Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Water Washer x Clctors •
..: increase sewer EDUs, permit will be issued and
er EYln +ctor . as of + a sewer P
Water Closet - Toilet . , fees assessed forthe sewer Increase must be paid before the
Urinal . , . •'. plumbing permit can be issued.
--- . __ .- ... Othir•Fiicturea: • • . - • • .
http / /www.tigard or. /city - halI/ departments fed /docs/PLM PermitApedoc
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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
11475 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
04/30/2013 00:00
PLM2013-00131
PASS - No C of O
Violation Summary:
Inspector Contractor