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Permit
-a CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2013 00182 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 e� Date Issued: 07/15/2013 Parcel: 1 S 135BA00102 Jurisdiction: TIGARD Site address: 10124 SW WASHINGTON SQUARE RD Project: Strada Street Food of Italy Subdivision: OAKBURG Lot: 9 Project Description: CAP:(4)water closets,ADD: (1)dishwasher,(11)floor drains,(1)ice machine,(4)lays/hand sinks,(6)food prep sinks,(1)service sink and(3)water closets,REPLACE:(2)floor drains,(3)lays/hand sinks and(1)urinal. INSTALL:(2)backflow preventers and water supply for pasta cooker,food well,food warmer and cold pan.8/12/13, (61 11.2) fi - �� 15,7.,1 itieskt4 PLH e.0.-44,442e_. Contractor: CASCADE PLUMBING CO Owner: PPR SQUARE TOO LLC 2416 N HAYDEN ISLAND DR PO BOX 847 PORTLAND, OR 97217 CARLSBAD, CA 92018 PHONE: 503-289-7095 PHONE: FAX: 503-283-9514 FEES Quantity Description Date Amount 2 ea Backflow Preventer 06/27/2013 $62.54 Specifics: 1 ea Dishwasher 06/27/2013 $25.02 4 ea Fixture/Sewer Cap 06/27/2013 $100.08 Type of Use: COM 13 ea Floor Drain/Floor Sink/Hub 06/27/2013 $325.26 Class of Work: ALT 1 ea Ice Maker 06/27/2013 $12.51 Type of Const: I 7 ea Sink 06/27/2013 $175.14 Occupancy Grp: 7 ea Lavatories 06/27/2013 $175.14 Stories: 1 ea Urinal 06/27/2013 $25.02 3 ea Water Closet 06/27/2013 $75.06 1 ea Water Heater 06/27/2013 $37.52 100 Misc Other Fee 06/27/2013 $100.08 1 12%State Surcharge- 06/27/2013 $133.60 Plumbing Total $1,246.97 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 OUNC by calling 503.232.1987 or 1.800.332.2344. Issued E Permittee Signa Call 503.639.4175 by 7:00 a.m.for the next available ins.=ction 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. CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2013 00182 T EGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2013 Parcel: 1 S 135BA00102 Jurisdiction: TIGARD Site address: 10124 SW WASHINGTON SQUARE RD Project: Strada Street Food of Italy Subdivision: OAKBURG Lot: 9 Project Description: CAP: (4) water closets, ADD: (1) dishwasher, (11) floor drains, (1) ice machine, (4) lays/hand sinks, (6) food prep sinks, (1) service sink and (3) water closets,REPLACE: (2) floor drains, (3) lays /hand sinks and (1) urinal. INSTALL: (2) backflow preventers and water supply for pasta cooker, food well, food warmer and cold pan. Contractor: MODERN PLUMBING Owner: PPR SQUARE TOO LLC 11120 SW INDUSTRIAL WAY PO BOX 847 TUALATIN, OR 97062 CARLSBAD, CA 92018 PHONE: 503 - 691 -6166 PHONE: FAX: 503 - 691 -6771 FEES Quantity Description Date Amount 2 ea Backflow Preventer 06/27/2013 $62.54 Specifics: 1 ea Dishwasher 06/27/2013 $25.02 4 ea Fixture /Sewer Cap 06/27/2013 $100.08 Type of Use: COM 13 ea Floor Drain /Floor Sink/Hub 06/27/2013 $325.26 Class of Work: ALT 1 ea Ice Maker 06/27/2013 $12.51 Type of Const: 7 ea Sink 06/27/2013 $175.14 Occupancy Grp: 7 ea Lavatories 06/27/2013 $175.14 Stories: 1 ea Urinal 06/27/2013 $25.02 3 ea Water Closet 06/27/2013 $75.06 1 ea Water Heater 06/27/2013 $37.52 100 Misc Other Fee 06/27/2013 $100.08 1 12% State Surcharge - 06/27/2013 $133.60 Plumbing Total $1,246.97 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 Notificati.. •nter. 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 • tions to OU . by calling 503.232.1987 or 1.800.332.2344. Issued ;;y: / / Permittee Signatu : If ' 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1 Request Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 5 03.718.2439 • www.t R -OF TIG' AV R O. U1 2 mr3 TO: CITY OF TIGARD MY Building Division Services Supervisor BUILDING DIVISION 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). p., INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit #: ?(--(4k z O 13 -- Oa 18 -1— Site Address or Parcel #: l C ( � 5t e) (,C) ��,_ . ca Project Name: S-(--71.64-7 P -- Subdivision Name: Lot#: n EXPLANATION: , (2 — �IoD�L/J ,1 y-- 40... _/�� 7%---- C -a e—iE—o c C_;i2 /-2--(-0 89 3 ' , Signature: =dr Date: Print Name: _(' : MIMI i Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80%of the land use application fee for issued permits. d) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80%of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2-4 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date $ i g / ,/ Rte to Bldg Admin: Date By Refund Processed: Date :. Invoice Processed: Date . By Permit Canceled: Date By Parcel Tag Added: Date By Receipt# Date Method Amount$ I:\Building\Forms\RegPermitAction.doe Rev 05/25/2012 Plumbing Permit Annlicationt j . ' Building Fixtures , L.,_.-: orFcE ON IX City of Tigard JUN 10 2013 R Datc/D . 6 Jo 1 3 Permit No. lL /Vey6 -CO LS' ! 'I 13125 SW Ilan Bh-d., Tigard, OR 97223 Plan Review Phone: 503.718.2439 Fnx: 503.598.196Q rTA OI' Datc/By: Other Permit N/ ' r�Q�(0 /3 - D/ Inspection Line: 503.639.4175 T t tt p �a qp Dale Read 16 7►'/ iris' 0 Page Ya e 2 for D Ready /By: / e s f Internet: ++�+wligard or.gov �! IIR ®' �'� 11 \1ISlO NotifiedR�tclhud: ((/ / Supplemental Information tYPE 01 WORK 1P 1 , �� . FCC* SCHEDULE ❑ New construction 0 Demolition For special information use checklist. Description 2- f Qt I Ea. Total �• Addition/alteration/replacement N (ion /replacement Other: New I- I- 2-family dwellings (includes 100 ft. for for each utility comedian) CATEGORY OE( CONSTRUCTION SFR (I) bath 312.70 g ❑ I- and 2- family dwelling - Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Oilter: Fire sprinkler (_ sq. R.) Page 2 LN ' .JOB SITE INFORMATION AND LOCATION:: Site utilities: 1 Job site address: /0 /) ti . S LtJ /t IC,3i rr 1,� / Catch basin or area drain 13.76 �- 6 /" Drywell, leach line, or trench drain 18.76 t- City /Slate /ZIP: /' ,.. '6ve E/ D ve_ c t 7 .7 7 3 Footing drain (no. linear R.: _ ) Page 2 CM Suite /bldg. /apt. no.: Project name: St . 45 4.4.,ect4c., f Manu home utilities 50.03 ' Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear R.: _ ) Page 2 Storm sewer (no. linear ft.: _ ) Page 2 Water service (no. linear R.: ) Page 2 O preier Subdivision: I I.ot Ito.: Fixture or item: Tax map /parcel no.: Backtlo+vven Z 31.27 ( �.•Si W :. Backwater valve 12.51 A . . llESC1tIPT10\ OF lVOli1C + f (r lt' V � Clothes washer 25.02 V Dish +rasher /' I >S 25.02 O . Drinking fountain 25.02 N Ejectors /sump 25.02 . .; , . ❑ • PROPERT 5 OWNER , ) :; 0 ,TE i%'ANT, Expansion tank 12.51 Name: Fixture /sewer cap . 1 + 25.02 /Qt 08 OO Floor drain/ floor sinklu6 / 13- 25.02 3; S ') 1, Address: Garbage disposal 25.02 O City /State /ZIP: Hose bib 25.02 1 Phone: ( ) Fax: ( ) Ice maker I. 12.51 0.s" I ' '`,❑ • PLICANT - -- - ,IST CONTACT PERSON Interceptor /grease trap 25.02 M Business name: F/2- f (L. Medical gas (value: S ) Page 2 Primer 12.51 1 Contact name: l CC Roof drain (commercial) 12.51 Iy �°,4� M Address: U D? t S sink/basin/lavator Q� 25.02 P .(1 City/State/ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax :: ( ) Tub /shower /shower pan 12.51 ., E -mail: Urinal t' i 1 25.02 750) ., . _.,, "RA' aercore V 1 l 1 l CTOR 1Vater healer Business name/ [,/ 'A., / _ � A_ Water pipingfl)WV ^ i 3 25.02 "I50( 1 37.52 3-1 S 56.29 Address: //f p ,s [.J I Ado 3 rc l. A/ay 't P' 2 ? -n coo Ices .(o oa +., e U . l / 25.02 r 00.08 , /,3 3, Cit /State /ZIP: ��1,1�e,. 1 7 Dd. �- INA. u�b. -rh • f a (d P (...1 Subtotal ' isj l e /� Phone: (9) 3 bc f 4/4,( Fax: (5b3] 4 f 6 7 7 / - Minimum permit fee: $72.50 CCB Lie.: _ 8 4 Plumbing Lie. no`y ;S-0 p / Plan review (25% of permit fee) State surcharge (12% of permit lee) /3.3, lob Authorized signatur • i/7.t_ C1�Z.D - TOTAL PERMIT FEE / 1 //4,,, 97 Print name: ` �jJ 4' y Date:6 /7// 3 This permit application expires If a permit Is not obtained n thin 180 days Y V. S � ! after it has been accepted as complete, "Fee methodology set by Tri- County Building Industry Service Board. I % Building \Permiis'Pl.t,m- PennilApp.doe 10:01109 ) 440-I616T(10/02/COMVN'F.B) / I Plumbing Permit Application - City of Tigard , Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Qtj' e . 'Fe (ea) 'Total;:, Site Utillhes.` : Squn.re:•Footagc: ' . Peririit.Fee: Footing drain - 1' 100' 50.03 0 to 2,000 $121.90 Fooling drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 Storm & Rain Drain - 1st 100' 62.54 Valuation: . P Fee . $1.00 to $5,000.00 Minimum fee $72.50 Sloan & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for Q1)•. F 1 ottll ;: each additional $100.00 or fraction thereof, to ;ptll Fees. ` ' 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 for which no fee is specifically indicated 90.00/hr - -each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $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 Re Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00 /hr $50,001.00 and up $742.00 for the first S50,000.00 and SI.20 for (minimum charge - I/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 perforated by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Quanlnh b) FixturcType , . Plan Review fol', In Firlun a T for.: _ e Bert°«! Plan review is required for any of the following. WorkPerformed: Capped Addcil, ltetocate 1 1 Y Baplistry/Font Please check all that apply. Bath Tub /Shower ❑ 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 'filth ❑ New exterior plumbing site utilities for any complex structure Cuspidor /Water Aspirator as defined in OAR918- 780 -0040. Dishwasher - Commercial I ❑ Medical gas and vacuum systems for health care facilities. - Domestic ❑ Any multipurpose tire sprinkler system. Drinking Fountain ❑ Any complex stntcture as defined in OAR918- 780.0040. ye Wash - . Floor Drain/sink - 2" _ l) Z,,. Submit 2 sets of plans with any of the above. = " Isometric or Riser Diagram -. Car Wash Drain ❑ Isometric or riser diagram is retired for new buildings Garbage - Domestic -non -food g q g Disposal - Domestic -food related that meet the qualifications above. - Commercial -food related - Industrial -food related lee Mach, /Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink/Lav - Non -food related _ . . 6 / - - Bradley -Commercial-food related - Service 1 Swimming Pool Filter Washer - Clothes *Note: If the fixture work tinder this permit results In an Water Extractor increase of sewer EDUs, a sewer permit will be issued and Water Closet - Toilet 3 fees assessed for the sewer increase must be paid before the Urinal 1. plumbing permit can be issued. Other Fixtures: T 4,1 C:\ Users \deborah\AppData\Local\Microsofl \Windows \Temporary [ ntcrnegsil es \Content,IES\EULZ2US0 \P1,1v1F- PermitApp.doc IT MODERA PrumBinGco. 11120 SW Industrial Way, Bldg. 9 - 3 Tualatin. OR 97062 CCB #87906 infoemodernplumbing.us 503.691.6166 FAX COVER SHEET Attention: 0„), r Company: Q. F'∎(vtct5 Fax Number: € VSO 1'e_ k (\ y 1 - oe . � Date: v From: V\ARA,Ct_ There are pages in this transaction, including this one. i RE: TOi‘eYV,a W �)� S 1A . eV _ (SW r Comments: C S S\(Uc { ►�M / 0/ `- S LL) LO c. S )/ v`i S o Vic( I r. C1 (v\-e k iAv c. 3 q LJ You e_ c . 5 Jun. 26. 2013 1:18AM Modern Plumbing No. 0812 P. 1 moDERn PW Y1BIf G 11120 SW Industrial Way, Bldg. 9 - 3 Tualatin. OR 97062 CCB #67906 • infa©modernplumbing.us 503.691.6166 FAX COVER SHEET Attention: blitOillei Company: j rid Fax Number: 51) 3 - -11 (o 0 Date: 1%i//3 From: r14 There are In this transaction, including this one, pages 9 RE: oral- (1,6't'J 61 'tV Comments: ii)uotoq7 1 I 5 .5\-rax, tefau,x4d. 11441A45