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Permit CITY OF TIGARD PLUMBING PERMIT N . . COMMUNITY DEVELOPMENT Permit#: PLM2014-00107 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/10/2014 TIC;r1 R.17 9 Parcel: 2S103DD00800 Jurisdiction: Tigard Site address: 13815 SW PACIFIC HWY 40 Project: Gaarde Pacific Growler Subdivision: MELROSE Lot: 7-8 Project Description: Capping:(1)dishwasher,(6)floor drains,(1)ice machine drain,(3)food sinks,(1)mop sink&(1)grease trap. Replacing/relocating:(1)dishwasher,(4)floor drains,(1)ice machine drain,(3)food sinks,(1)mop sink&(1) grease trap. Contractor: MP PLUMBING CO Owner: D W SIVERS CO PO BOX 393 4730 SW MACADAM AVE#101 CLACKAMAS, OR 97015 PORTLAND, OR 97239 PHONE: 503-655-9161 PHONE: FAX: 503-655-1726 FEES Quantity Description Date Amount 1 ea Dishwasher 04/10/2014 $25.02 Specifics: 13 ea Fixture/Sewer Cap 04/10/2014 $325.26 4 ea Floor Drain/Floor Sink/Hub 04/10/2014 $100.08 Type of Use: COM 1 ea Ice Maker 04/10/2014 $12.51 Class of Work: ALT 1 ea Interceptor/Grease Trap 04/10/2014 $25.02 Type of Const: 4 ea Sink 04/10/2014 $100.08 Occupancy Grp: 1 ea Water Heater 04/10/2014 $37.52 Stories: 1 12%State Surcharge- 04/10/2014 $75.06 Plumbing Total $700.55 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 Noti - ••• 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 dir- questions to •• C b -fling 503.232.1987 or 1,800.332.2344. sued By: / , Permittee Signature: J. X 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. Plumbing Permit Applic • Building Fixtures 1 e 11< e II I I( I I .I e)\I N City of Tigard oats ?fA�r_'/"J�I 1111 w 13125 SW Hall Blvd.,Tigard.OR 91/18Z 1 0 204 y" ��/ O�/O R r&,I qa0 Date/By:Review Phone: 503.718.2439 Fax: 503.5 Date/By. other Permit blo. /JA- I I i..\is a Inspection Line: 503.639.4175 CITYOF tfGARD Date Ready/By: bins' RI See Page I for Internet: www.tigard-or.gov Notified/Method. Supplemental information TYPE 01BaliMiGrrinniV. FEE* SCHEDULE ❑New construction ❑Demolition For special Wornwlien use checklist Description I Qty. I Ea. I Total ]Additio&alteratiorireplacement ❑Other. New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF COI,ISfRucno SFR(l)bath 312.70 ❑ 1-and 2-family dwelling jafiommercialrndustrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath 500.32 ng ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1.)O‘s ),) -�^� i S.114.6. yQ Catch basin or area drain 18.76 City/State/ZIP: -r, (�y ,.� 0(2, `�"" "� I Drywall,leach line, trench drain 18.76 v.4 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:3 y E, JL( Manufactured home utilities 50.03 Cross street/directions to job site: OAR R__h Pelt I l( , 62)k_ci,j n Manholes 18.76 i 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 n o.: Ilae kflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 � -1- Clothes washer 25.02 Dishwasher 1 25.02 .0'). Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap (. ) 25.02 3X. Address: Floor drain/floor sink/hub 25.02 rte; ,L Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) I Fax:( ) Ice maker 12.51 t.„, LJ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap ` 25.02 a5,0.1 Business name: (N{\� � ' Medical gas(value:E_) Page 2 ` �7U Primer 12.51 Contact name: /n� ��n- ll �-0 Roof drain(commercial) 12.51 Address: p 3�3 ,` Sink/basin/lavatory T 25.02 id0 Cry Ci /State/ZIP: i tY �� t J� a�D I � Solar units(potable water) 62.54 Phone:(q) IQSS-1 I f„ I 1 Fax::(qt. 1 to S- I`7 Tub/shower/shower pan 12.51 E-mail: /t�C)f �cy�l pilot u�l /y I(t fl in Urinal 25.02 l ,C CTOR r"� / Water closet 25.02 Water heater 1 37.52 '3 7_sa- Business name: m7 't 1 1yJ 1 Water pipina/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 4?,1..0 Phone:( ) Fax:( ) Minimum permit fee: $72.50 1 Plan review (25%of permit fee) CCB Lic.: / Plumbing Lie.no.3-17-plb State surcharge(12"/.of permit fee) '75'. Authorized sig,ib rei TOTAL PERMIT FEE -Z,L) , a Print name: -IIIMIIIIII. gni IIll, This permit application er it has been accepted as complete.t wwithin 19adays after bin 4 \ �n I orti' 7 to S "Fee methodology set by Tri-County Building Industry Service Board I:Wuitdior eriserurt U-PrrmitApp two 44046loT(1oro2/COMAVEBi Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-l"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' 3752 Water Service-1st 100' 62.54 Medical Gas Systems: - Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm St.Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 S5,001,00 to$10,000.00 $72.50 for the first$5.000.00 and$1.52 for each additional$100.00 or fraction thereof,to Other Inspections or Fees Qty. Fee(ea) Total 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 525,000.00. Inspections outside of normal business 90.00/hr 525,001.00 to$50,000.00 5379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof.to Reinspection 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$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'''. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for an of the following. Work Performed: Capped Added Relocate 4 )' & Baptistry/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 Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eve Wash Floor Drain/sink -2' ( : Li Submit 2 sets of plans with any of the above. -3.. Isometric or Riser Diagram Car Wash Drain Garbage Dumestic-non-1'uud ❑ 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 Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related of 4'- -Bradley -Commercial-food related , -Service Swimming Pool Filter washer-Clothes "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 plumbing permit can be issued. Other Fixtures: C, 0t-[ alt I http://www.tigard-or.gov/city_hal lidepartments/cdi docs!PLM F-Permit Aplfkioc Accumulative Sewer Tally Tenant Name: Gaarde Pacific Growlers**CREDITS** SWR# N/A Site Address: 13815 SW Pacific Hwy#40 Parcel#: 2S103DD00800 'l.M# 2014 001 Q7 0 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# 7 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 11 -Drive through 16 0 0 0 0 II Cuspidor/Water Aspirator 1 0 0 0 0 11 Dishwasher: -Commercial 4 0 1 4 1 4 0 11 -Domestic 2 0 0 0 0 11 Drinking Fountain 1 0 0 0 0 0 Fye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 6 12 4 8 -2 -4 -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 11P) Ih 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 1 1 1 1 0 0 Living Unit 16 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: -Lay/Bar-Non-Food Related 2 0 0 0 0 0 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 4 12 4 12 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 12 29 10 25 -2 -4 Current Fixture Value -4 divided by 16= -0.250 Current EDU 1 EDU= $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -4 divided by 16= -0.250 over (under) S (1,200.00) Enter EDU Change Here -0.250 Notes: ***CREDITS*** Authorized Name/Signature: Debbie Adamski Date: 4/10/2014 Building Division Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. l:\Building\Sewer Tally\Sewer 1'allySheet_480 1,_070113.xlsx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13815 SW PACIFIC HWY 40, TIGARD, OR, 97223 Commercial - Plumbing 320 Plumbing rough-in PASS May 8, 2014 at 9:10:01 AM PLM2014-00107 George Heimos NOTE 3" hub drain to be insulated when under ﬂoor insulation is installed, can check on ﬁnal Mark@mpplumbing.com Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13815 SW PACIFIC HWY 40, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00107 George Heimos 1. Provide hot water. 415.0 2. Hookup equipment indirect drains. Ice well, (1), kegerators (4). 103.5.4 3. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 NOTE. All ﬁxtures checked ok, except need to recheck again to verify hot water locations Ted_nicholson@juno.com Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13815 SW PACIFIC HWY 40, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00107 George Heimos Violation Summary: Inspector Contractor