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Permit (93)
CITY OF TIGARD ' �'� PLUMBING PERMIT COMMUNITY DEVELOPMENT Mini Permit#: PLM2018-00221 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2018 T G t , lO g Parcel: 151260000300 Jurisdiction: Tigard Site address: 9724 SW WASHINGTON SQUARE RD F06 Project: Din Tai Fung Subdivision: None Lot: None Project Description: (1)grease interceptor and(1)DWV for new restaurant. 6/7/2018: REPRINT permit to correct space number. Contractor: MODERN PLUMBING Owner: PPR WASHINGTON SQUARE 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 1 ea Interceptor/Grease Trap 06/01/2018 $25.02 Specifics: 1 ea Water Piping/DWV 06/01/2018 $56.29 1 Plan Review 06/01/2018 $20.33 Type of Use: COM 1 12%State Surcharge- 06/01/2018 $9.76 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $111.40 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: Permittee Signature: -1-14)/44. 7 7 9 C/it/ �f G-J 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 PLUMBING PERMIT It COMMUNITY DEVELOPMENT Permit#: PLM2018-00221 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2018 TIGARD 9 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9724 SW WASHINGTON SQUARE RD F07 Project: Din Tai Fung Subdivision: None Lot: None Project Description: (1)grease interceptor and(1)DWV for new restaurant. Contractor: MODERN PLUMBING Owner: PPR WASHINGTON SQUARE 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 1 ea Interceptor/Grease Trap 06/01/2018 $25.02 Specifics: 1 ea Water Piping/DWV 06/01/2018 $56.29 1 Plan Review 06/01/2018 $20.33 Type of Use: COM 1 12%State Surcharge- 06/01/2018 $9.76 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $111.40 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 question to OUNCNC�by calling 503.232.1987 or 1.800.332.2344. Issued B ti/ y% i ,,--4.2____ Permittee Signature: .A A.,,y---- 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 RECEIV-. FOR OFFICE USE ONLY City of Tigard Received r *� PetmitNo.: - II g Date/By: J I' /10 /2/ j 0 III 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2018 i, � Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ate/ 5-Z o1- do Other Permit No.: J �� Inspection Line: 503.639.4175 CITY OF TIG / �� T 1 C A R D p to Ready/By Jur la See Page 2 for Internet: www.tigard-or.gov ed Method: S /t� Supplemental Information BUILDING ®IVIS ti TYPE-O WORK 0 e.- 1 Lc0t E* SCHEDULE 'New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total, Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ,•'; 1,14,,;CATWORY OF CONSTRUCTION 4 SFR(1)bath 312.70 0 1-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 z; JOBSITE INFORMATION AND;LOCATION 1,'u, Site utilities: Job site address: C?('7.1� N i Jr Tt2 ) Catch basin or area drain 18.76 '''G' r "t Drywell,leach line,or trench drain 18.76 City/State/ZIP: - \e.: Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: 1 t� �A j ��(.7 Manufactured home utilities 50.03 Cross street/directions to job site: [...7' �fZE�, 2 r �� Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 4 '""-Adesedisi - Storm sewer(no.linear ft.:_) Page 2 41,01010410, ye, � oba ,=�V elQ ai/ Vater service(no.linear ft.:_) Page 2 Subdivision: Lot no.: z`'. Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 *E 9N Off` WORK Backwater valve 12.51 /� Clothes washer 25.02 'f ee iR-4.F. i O i - Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 E�OP :j i O . 1 I-, „..,..,,i, NT.. . _, 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 a t ANT . f., 0CONTACT PERSON ' Interceptor/grease trap ' 25.02 �c- 6, 1._ Medical gas(value:$ ) Page 2 Business name: .1kPRe 1 1 L Primer 12.51 Contact name: � 1 ( LT'i ..LTf 1/41( Roof drain(commercial) 12.51 Address: 1 7I 5 6 f3 A2-1.) r1) Sink/basin/lavatory 25.02 City/State/ZIP: ?d 7 LAN0') Solar units(potable water) 62.54 Phone:(. 3) 3(' 7 3 3 41 Fax::( 2 ) c2 f_ .-0 7 Tub/shower/shower pan 12.51 ,ifI W Urinal 25.02 E-mail: � �(Lt �y1e. if. Water closet 25.02 r'� 2. 11' Water heater 37.52 TRACTUIi Business name: "�j�f/ /2. LGt ifriI 1 itt)61 Water piping/DWV / 56.29 5 . I Address: i ( f (9-D 67A) 1.40l)u51 icA L 14)Lf Other: 25.02 City/State/ZIP:T( vt Leet-1 t J 0 1R q 7 0 . Subtotal 8 t,31 i Minimum permit fee: $72.50 Phone:(So3) tog( -(p 1(0(P Fax:( ) Plan review (25%of permit fee) do::33 CCB Lic.: 3 i ci O(p Plumbing Lic.no.: . -- .5-0 p,6 State surcharge(12%of permit fee) q;9 6 Authorized signature: t,i i e.-1.-- LA ir•To jai 04/6.-- TOTAL PERMIT FEE )f f.40 Print na' / Date: � 1,41� 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. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Sites ljIit es Qty Fee(ea) Total Square Footage: Permit Fee: Footing drain-15'100' 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 ears ections or Fees Y. Fee(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$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing If$ ations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for ." Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tallThras defined in OAR918-780-0040. 111Cuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic CI 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 that meet the qualifications above. Garbage -Domestic non-food 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:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 IIIIICITY OF TIGARD FEE AND PAYMENT HISTORY 13125 SW Hall Blvd.,Tigard OR 97223 - 503.639.4171 TIGARD PLM2018-00221 - 9724 SW WASHINGTON SQUARE RD F07, TIGARD, OR 97223 Din Tai Fung Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due 12%State Surcharge-Plumbing 100-0000-24001 $9.76 $9.76 $9.76 Interceptor/Grease Trap 230-0000-43101 $25.02 $25.02 $25.02 Plan Review 230-0000-43109 $20.33 $20.33 $20.33 Water Piping/DWV 230-0000-43101 $56.29 $56.29 $56.29 Totals for Fees $111.40 $111.40 $0.00 $111.40 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount Total Payments: Balance Due: $111.40 Branden Taggart From: Branden Taggart Sent: Wednesday, May 30, 2018 6:35 PM To: 'dboultinghouse@whpacific.com' Cc: #Building Permit Technicians Subject: Din Tai Fung Plumbing Permit: PLM2018-00221; 9724 SW Washington Square Rd Hello Daniel, Your permit for Din Tai Fung is ready to issue. The balance due is$111.40, and the permit fees can be paid online now at https://aca.accela.com/TIGARD/Default.aspx or in person between the hours of 8:00 a.m. and 4:30 p.m., Monday through Thursday. We are closed on Fridays. If you pay online, please notify us at tigardbuildingpermits@tigard-or.gov. Also, we will need contractor information prior to issuing this permit. If you have any questions, please let me know. Thanks, Branden Taggart M City of Tigard * • Senior Permit Technician • Community Development TICARD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brander►t©tigard-or,gav 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9724 SW WASHINGTON SQUARE RD F06, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2018-00221 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor