Permit (51) CITY OF TIGARD PLUMBING PERMIT
• COMMUNITY DEVELOPMENT Permit#: PLM2017-00337
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2017
Parcel: 2S101 BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 110
Project: Fido's Taphouse Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: Adding(8)2"floor drains,(1)hose bib,(2)lays,(2)food related sinks,(2)water closets&(1)water heater.
Contractor: PMSI LLC Owner: WALMART STORES INC
21195 NW EVERGREEN PKWY#204 PO BOX 8050 ATTN MS 0555
HILLSBORO, OR 97124 BENTONVILLE,AR 72716
PHONE: 503-466-2222 PHONE:
FAX: 503-466-2211
FEES
Quantity Description Date Amount
8 ea Floor Drain/Floor Sink/Hub 08/24/2017 $200.16
Specifics: 1 ea Hose Bib 08/24/2017 $25.02
2 ea Sink 08/24/2017 $50.04
Type of Use: COM 2 ea Lavatories 08/24/2017 $50.04
Class of Work: ALT 2 ea Water Closet 08/24/2017 $50.04
Type of Const: 1 ea Water Heater 08/24/2017 $37.52
Occupancy Grp: 1 12%State Surcharge- 08/24/2017 $49.54
Stories: Plumbing
Total $462.36
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: V a Permittee Signature:
CA/ /51—//e76/61---77 n.di
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 RECE1 VED
Ci of Ti and Received
4'� g Date/By: 15 041i 7Li_hPermit No.: ��/ D 33
IN u 13125 SW Hall Blvd.,Tigard,OR 5)�{ 6. 1 7 017
� Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: ��/7 �29
Date/By:
Inspection Line: 503.639.4175'}'��/ °� � DateRead B &/'/. 1 /1_ g
l 1 G A R D y y: l �,/Q f�f 7uris: ® See Pa e 2 for
Internet www tigard or go
t thod Supple nformation
Noh to a mental I
9x f y /� 1 ,
❑New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total ,,,b
New 1-2-family dwellings(includes 100 ft.for each utility connection)
IZ Addition/alteration/replacement p Other,:
,,- '''''II# x SFR(1)bath 312.7093
0 1 and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
J
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02 o
❑Master builder 0 Other: Fire sprinkler
x.... .,s; w F 1, \ gid .' •' 'ikO Site utilities: sq.ft.) g
Page
Job site address:7700 SW Daartmouth Street Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.:110 I Project name:Fido's Taphouse Manufactured 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:
/A/A6- /1)4,An Backflow preventer 31.27
Tax map/parcel no.: a c'S
Backwater valve
�R. 4 'DOCS" II \ r 12.51
Clothes washer 25.02
Plumbing for TI Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
y " �� , t 1 '' '' O 4' T, 1�M4T r"` Expansion tank 12.51
Name:Wal-Mart Stores,Inc. Fixture/sewer cap 25.02
Pow QDFloor drain/floor sink/hub 8 25.02 200.16
Address: DSQ 4TI'19 h Oo55S
--1 Garbage disposal 25.02
City/State/ZIP:'-`p. it, ..t-4:43N1 t L.l_rC t'T2. Hose bib 1 25.02 25.02
Phone:( ) Fax:( ) Ice maker 12.51
r
:f.7.,,, ,',`1�f .', : " ` -•, P ``#i ..w Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:PMSI LLC
Primer 12.51
Contact name:Brandy Solano
Roof drain(commercial) 12.51
Address:21195 NW Evergreen Pkwy.,Ste.204 Sink/basin/lavatory 4 25.02 100.08
City/State/ZIP:Hillsboro,OR 97124 Solar units(potable water) 62.54
Phone:(503)466-2222 Fax::(503)466-2211 Tub/shower/shower pan 12.51
E-mail:bsolano@msi-systems.com Urinal 25.02
�� \N' Water closet 2 25.02 50.04
-, Water heater 1 37.52 37.52
Business name:PMSI LLC Water piping/DWV 56.29
Address:21195 NW Evergreen Pkwy.,Ste.204 Other: 25.02
City/State/ZIP:Hillsboro,OR 97124 Subtotal 412.82
Phone:(503)466-2222 Fax:(503)466-2211 Minimum permit fee: $72.50
CCB Lic.:158286 Plumbing Lic.no.:34-434PB
Plan review (25%of permit fee)
State surcharge(12%of permit fee) 49.54
Authorized signature: . TOTAL PERMIT FEE 462.36
C.CL,id.0., Scy. .r.'.-.0
Print name:Brandy Solano Date:8/15/17 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
440-4616T(10/02/COM/WEB)
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Supression
ident>< � Systems:
Qt} Fee($ T ! rt '
Footing drain-1"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
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
ri !iS or, \dee(ea} Total
each additional$100.00 or fraction thereof,to
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*.
nt ty by Fixture.TYPC,
Tyt Replace! Plan review is required for anof the followin
*di*Pei** Clippe Added' RelocatePlease check all that apply. Y g
Baptistry/Font
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 El Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" 8 Submit 2 sets of plans with any of the above.
-3"
;, = \
Car Wash Drain € ;,e d �
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 Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related aZ
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet 2 fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
M:\Job Files\PMSI Jobs\20161 -Fido's Taphouse\City of Tigard Plumbing2Permit App.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7700 SW DARTMOUTH ST 110, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00337
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Corrections are complete, plumbing final approved.
2. Note: provide a copy of the test results for RP device for beer tower to Bldg
department.
Violation Summary:
Inspector Contractor