Permit q CITY OF TIGARD PLUMBING PERMIT
1 COMMUNITY DEVELOPMENT %, %j„r Permit#: PLM2014-00237
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �� Date Issued: 07/21/2014
Ti(;r1R.C5 g Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 100
Project: Coffee Renaissance Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Installation of grease interceptor. 7/28/14,reprinted to change address from 10200 SW Greenburg Rd#100 to
10220 SW Greenburg Rd#100&change project name to Coffee Renaissance.8/25/14,reprinted to add(1)floor
sink.
Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC
PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO,CA 94104
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Floor Drain/Floor Sink/Hub 07/21/2014 $25.02
Specifics: 1 ea Interceptor/Grease Trap 07/21/2014 $25.02
22 Minimum Fee Adjustment- 07/21/2014 $22.46
Type of Use: COM Plumbing
Class of Work: ALT 9 12%State Surcharge- 07/21/2014 $8.70
Type of Const: Plumbing
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 questioI - •UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � Permittee Signature: /R
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.
AUG/21/2014/THU 12:00 PM P. Ou',
Plumbin Permit A lies ' Gelcie a p-e(wtl PLM ZOI y 60z 3
Building Fixtures "' FOR O FICf•_ USE. O\L1
City of Tigard DR`cee> ;m / Permit No pL/y 7/ -n/ 3
* 1125 SW Hall Blvd,Tigard,OR 972hU G 2 1 2 v,;. • plan Review
■ Phone' 503.7182439 Fax: 503.598.1960 Date/By; Other Permit No,:60........)400/e/ 2
inspection Line; 503.639 4175 CITY(�I1!!0 Q f 1 Date Ready/By: 'odt; ® See hake 2 for
T 1 t:,i R I) lr www tigard-o gov t 1 11J� i�f7�lI°
"ii er J N t ificd/M a U r od . :. Supplemental In
f orm li ton
2 - _ , „r r 1 Y4 wai i Q tr pI�y1t1�� - ,?r 'x , S -
�r/p i.,,,,, a 1 .'r 11 4X.A.7 '
...
0 New construction ❑Demolition For special information use checklist
Description • Ea. Toial
for connection)
�: Addition/alteration/replacement ❑Other: New I-Z family dwellings(includes 100 ft.fo each utility con Lion)
•6,-j k v i tn iiuin b : R i?-4 r a SFR 1 bath 312.70
t 7 S` . c.s to i t l . .. i "
SFR(2)bath 437.78
0 1-and 2-family dwelling {Commercial/industrial
SFR(3)bath 500.32
0 Accessory building - ❑Multi-family
Each additional bath/]dtchen 25.02
master builder ❑Other: Fire sprinkler( _ sq.ft) IIIIIIIEIIEII
". �.,..i -� i .a., _.• -ti#4451-iF;;F_z., ..C.� Site utilities:
-- ,_i.;_...y '•-,+:_ USw.io,.,;�elt�p'.:Pl.f,,A 1 !1�; it t. ..,,u cK. 44 ..: I:]- S
Job site address:
16 Z20 s. b Catch basin or area drain ���
'7 Drywcll,leach line,or,trench drain
City/State/ZIP: • .Lei i / 9 ZZ-3 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no:: •GC 1 Project name: W a- ep n(,ti SSctM Manufactured home utilities 50.03
Cross street/directions to j- ob site: Manholes 18.76
- Rain drain connector 18.76
Sanitary sewer(no.linear ft: ) Page 2
Storm sewer(no.linear ft.:, J Page 2
Water service(no.linear ft_: ) Page 2
Subdivision' Lot no.: Fixture or item:
_ BaGcflow preventer 31.27
Tar map/pane]no. �< '/7-7/,`_ _
= .i.=-w-i. +.-,r.n. v Backwater valve 12.51
":.7: ...,�,; Yy:�.'�;4"r .�til ,144 ,1 P54C..ur ��nog . .ti yfi```"i '.'" d
\.T: u3e '- ' . =� Clothes washer 25.02
I a Dishwasher 25.02
Ir/9Q / ,.e._ ek / ",! mar ' - Drinking fountain 25.02
_ PGM z 0l N s OZ.3 Ejectors/sump 25.02 Mill
1p r^ °•' •''+�` ">• " Expansion tank 12.51
L...__. ., a y. 1 -t.�r ,5 s F siv+-` 'fir+' p
L1` i _.'Ly?` al�1x "t \° "'i`:....o r'`,.....1 y:?,R' y;•.,•yw := k
Fixture/sewer cap 25.02
Name-
- - Floor drain/floor sink/hub j 25.02
Address: Garbage disposal 25.02
City/Statc/ZIP: Hose bib 25.02
Phone:( ) Fax ( ) Ice maker 12.51
ps t t i +k l h ` ,S,„f_ t t Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
-Business name: ?O}AJ_,C_ p)u(,w( I ✓1 i .
Primer 12.51
Contaot name: 1• 4 ' ' A i Roof drain(commercial) 12.51
Address: (.p Li9 I 1 4 , / 0 L L G 4 Iw O'L rard am /lavatory 25.02 Z -•0 7_
City/State/ZIP: I xi i. 4 , • Solar units(potable water) 62.54
Phone:(V y - ier Fax::( g ) Z y^ g-• Tub/shower/shower pan 12.51 III
Urinal 25.02
} mail: '(V r �,•! 1 +� /L I CO, • Water closet 25.02 ME
Ail. 'e aii-.. , ;7,,?°. i 7817 ?? � " it r,4eMhu Water heater 37.52
Business Lame: V6 W0_4( yluotos (e Water pipingfDWV 56.29
Address: .170 r _ 'W/ q Other. 25.02
City/State/ZIP: PQ t d, G /72_ - Subtotal Z5.02
Phone:(5D.3 , f i -/9j 0 Fax:(9a3)2Zf4/-e Minimum permit fee: $7250
Plan review (25%of permit fee)
CCB Lie.: SZ 3 7 " _ Plumbing Lie.no.: 311-/S)Pf State surcharge(12%of permit fee) yp(�
Authorized signature: TOTAL PERMIT FO Lt",a 2_
(�/� Date: el� / This permit application expires if a permit is not obtained within ISO days
Printnamc: //1/.L Ylif /wee c R 2/AZ/ after it has been accepted as complete.
• "Fee methodology set by In-County Building Industry Service Board.
IARugdingTermitenhtif-°r unpp.doc 101/09 440-4616T(10/02/COMIwE.e) /16
114utt✓2'r u-441p -!
dt. Zt -
CITY OF TIGARD
f PLUMBING PERMIT
, Permit#: PLM2014-00237
COMMUNITY DEVELOPMENT �®
T t G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2014
Parcel: 151 35AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 100
Project: Coffee Renaissance Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Installation of grease interceptor. 7/28/14,reprinted to change address from 10200 SW Greenburg Rd#100 to
10220 SW Greenburg Rd#100&change project name to Coffee Renaissance.
Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC
PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO,CA 94104
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Interceptor/Grease Trap 07/21/2014 $25.02
Specifics: 1 12%State Surcharge- 07/21/2014 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 07/21/2014 $47.48
Class of Work: ALT
Plumbing
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 No • -- ter. 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 O by ca .. 3.232.1987 or 1.800.332.2344.
Is ued By: /,�/ i I Permittee Sig lure:
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 Application
Building Fixtures RECEIVED FOR OFFICE. USE ONLI
City of Tigard Received ✓'/off N�� Permit No i 1,2c 2
DateB f /� f / L c/ /-DC'v� _3
: 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
■ Phone: 503.718.2439 Fax: 503.5 8 2014 Date/B : Other Permit No.:
Inspection Line: 503.639.4175
I l t \ :I) Date Rea /B R lurs See Page e 2 for
Internet: www.ti and-or. ov ',Ill'OF TIGtT Notified/Method:
Supplemental Information
TYPE OII ZING DIVISION FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-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 ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1/42 O ; cp io A)/scA_L(o' ie=z- Catch basin or area drain 18.76
City/State/ZIP: Drywell,leach line,or trench drain 18.76
\ Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: /� I Project name: �a �.`UJ,/S5,4,3 E._- tanufactured home utilities 50.03
Cross street/directions to job site: 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.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
,617-F___ � Clothes washer 25.02 c -nJ6 E_ Ab 2 iS s foot, Dishwa sher
25.02
/a Poe .4w /J4,2r a4/6Q -7; /Q7-7,p .$4.) Drinking fountain 25.02
1nAff.,J/4Z-1/14 & -1--/615,. CO[_a _r-/3€ j Eld r Ejectors/sump 25.02
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:
Water P tP in g/D WV 56.29
Address: Other: 25.02
City/State/71P: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
-
State surcharge(l2%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Date: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
C\Building\Permits\PLMU-PennitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB)
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-Is'100' 50.03 0 to 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' 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
Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&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
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
I� 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
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*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for I Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
v as defined in OAR918-780-0040.
Cuspidor/Water
Aspirator-Drive Stall
etT ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2" _
3" Isometric or Riser Diagram
4„ ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food _ that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
-
Oil Separator(Gas Station)
_Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
•Washer-Clothes
fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures: i
L:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
1a q CITY OF TIGARD PLUMBING PERMIT
111 • COMMUNITY DEVELOPMENT Permit#: PLM2014-00237
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2014
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 100
Project: Cafe Today Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Installation of grease interceptor
Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC
PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO,CA 94104
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Interceptor/Grease Trap 07/21/2014 $25.02
Specifics: 1 12%State Surcharge- 07/21/2014 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 07/21/2014 $47.48
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 Notific 'on_ 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 direc estions to e• C b •/ling 503.232.1987 or 1.800.332.2344.
Issu d By: ri , I Permittee Sign= �I�,�#�/ /L
-
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.
JUL/17/2014/THU 12:09 PM P. 001
RECEIVED
Plum bins Permit Application
Building Fixtures JUL 17 2014 Fait OFFICE USE ONLI
City of Tigard Recciv
Ded1B - 7 /7gralla Permit No.: �ij L'}.2 '
y 13125 SW Hall Blvd.,Tiy�� �TIGARD Plan Review
°� Qn OlherPermitNo._
5' Phone 503 718.2439 Fax 9 . ` i i/�*, DatelH
Impaction Line 503 63DIItl! 11 I j I\.T 1 SI ► �! Date Ready/13y. inn:. 14 Sec face 2 for
TI GARD Ieleme[ www.tigard-or.gov Notified/Method. Sapp einental information
I,'.,1 t ';',',1""t,70.'''..'
t, y r I} . h,,s, r%,4,,. N ;f1:4;! _ it M1.�•*7._ PV, ,4,.e�•t �` r�, � r w
[ - �r- ul �1r�v�LL.� ! ,,,����::Cr�A,��:ci✓.id����d�''i.v7�w,.� � -' For s ecial rill ISL �
: _ `n.""-�` r in o ation use check!
El New construction - El Demolition
Dcscri.tion Kan Ea. Total
-ddi ioujaltersCOrt/replacerr tit ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
. �, , fr �.�. c�` rq� SFR(I)bath 1M 312.70
t' ''. ..: 1 t �7...�,.11r1 t,!ilk,1....=;"A i3`USte�311S...., IH,,A.71.. : r.„'_:' 2 i -,r. -•'•'i
. 2 • rt dwelling ... SFR(2)bath 437,78
-
0 I-and 2-family dwelling `Conullerciallindustrial
SFR(3)bath 500.32
[]Accessory building ❑Multi-family Each additional bath/kitchen MI 25.02
l� 0 t Other,
n Master builder � "' ❑ Fire sprinkler( sq.ft_) Page 2
tip` a7;;t,'y ii0;1�i`e r1'4•. r Itio11 T.'.,,, I.S 71� ,�' 1 Site utilities:
._ -...-+-... _. µ Catch basin or arcs drain 18 76
Job site address: A i , f Drywell,leach line,or trench drain _
City/Stare1Z1Y. I a•/ p( 0 ie ZZ Footing drain(no.linear ft: ) Page 2
Suite/bldg./apt.no.: C • Project name: ;_mot. 'Q iii7 (�)/i Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
�1
Rain drain connector 18.76
e aeo - 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:
Bacldlow prcvcntcr 31.27
Tax map'parcel no
_•W .i;,.,;,.;`.. .�r.Y.- : -T \ oa .0wf•".-;-_ xS � y .c.
Backwater valve 12.51
E_ s• �ti 7rr 7�tr -0)4.. �{ i44-" v V-442 �.`+x
Clothes washer 25.02
, V,_0_ a " ( • 1746 f Dishwasher 25.02
Drinking fountain 25.02 MI
Ejectors/sump 25.02
rte: 12.51
- +Y t Oyr,. A��A.P'��•��T- s . =:.._ � - ��•t-�. �; Fxpans;on tank II
''' L1' 1R r.« is :mss„
-�.: ,;.- . ... . ..yam:
•_•-- . -ti-- � Fixrirrdsewer cap 25.02
Name Floor drain/floor sink/hub 25.02
Address: _ Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
- -
Phone:( ) Fax ( ) Ice maker 12.51
Y , �irr s �rYU �•'lc I a• G'S + Interceptor/grease trap 25.02 25i0 z.
:i1a r . fi� h,,,,„,._.„ .cv f. r�.1- �:t.•b , s-, ''�1 Medical gas(value;$ ) Page 2
Busunees name: Pa lnI IA P J U lei[19 1 12 G' CO - Primer 12.51
Contact name it 'sh-j uz. i
_ . q.. _ Roof drain(commercial) 12.51
Address: , , A. i. 4 1 V t Sink/basin/lavatory 11 25.02 III
City/State/Z1P: 'tD i�� t n 9'7 Z7 2J Solar units(potable water) 62.54
Fax::(3) c2 -S:7 Tub/shower/shower pan 12.51
Phone:(�3) u or) Urinal 25.02
E-mail r 1 , I . '� II 01 L/. 1 (i /L Water closet 25.02
a- rX >e RPc gig .04,1,E - 37.52
a e x;::,-- ''a F 9 ( .-I,y _`•�a3nu* .e L.-,r_,.�1, .6--i„fA.�� Water heater
._"k t1 _:� .�m. " rim•Business name: ' •, 61 (/ / . Water piping/DWV NM 56.29
f Other 25.02
Address: pu 6c,_x (9`I I. Subtotal x�, o?__city/stateJZ P: 0-0i/4-4,a�d, o IS _S-7
a gD .
G Minimum permit fee: $72.50 72_,-Sb
Phano:(W3) �4Li-( 06 1;4x:( 3) Cig-gg2S Plan review (25%of permit fee) --r-
CCB Lic.: 52?'-'1 g _ Plumbing Lie.no.: 3 (� State surcharge(12%of permit fee) ¶ , b
1 TOTAL PERMIT FEE it 6
Authorized signature: �(r(itiil�
This penult application expires if■permit is not obtained-within rat days
�� t� r Date: after it has been accepted as complete.
Print name; 1���
*Fee methodology set by Tri-County Building Industry Service Board.
...._..PamdtApp.dot 10101109 44M1616T(10/6LCOM/WEA)
1:1BmlAtoaVi<aitMA'M1
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
10220 SW GREENBURG RD 100, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00237
George Heimos
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
10220 SW GREENBURG RD 100, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2014-00237
George Heimos
1. Correct,leak on drainage for center right sink near stainer basket. 310.0
2. Correct mis-aligned drainage fittings for center right sink at continuous waste to
tubular. 313.2
3. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
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
10220 SW GREENBURG RD 100, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2014-00237
George Heimos
1. In addition to corrections sent today for a leak and mis-aligned fittings, the four
compartment sink also needs a P trap. 1001.1
Violation Summary:
Inspector Contractor