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Permit (42) CITY OF TIGARD PLUMBING PERMIT Ir . COMMUNITY DEVELOPMENT Permit#: PLM2018-00177 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2018 -VICAR Dg Parcel: 2S102AA00600 Jurisdiction: Tigard Site address: 11940 SW PACIFIC HWY G Project: Sushi Ki-Ichi Subdivision: TIGARD HIGHWAY TRACTS Lot: 12 Project Description: Interior plumbing for TI:Adding(1)commercial food-related sink;Relocating(1)2"floor drain,(1)3"floor drain,(5) sinks,(3)water closets,and(1)urinal; Installing(2)grease traps,and(2)water heaters. Contractor: PORTLAND MECHANICAL CONTRACTORS Owner: ALPROP LLC 2000 SE HANNA HARVESTER DR 4905 SW GRIFFITH DR STE 205 MILWAUKIE, OR 97222 BEAVERTON, OR 97005 PHONE: 503-656-7400 PHONE: FAX: 503-655-0620 FEES Quantity Description Date Amount 2 ea Floor Drain/Floor Sink/Hub 04/23/2018 $50.04 Specifics: 2 ea Interceptor/Grease Trap 04/23/2018 $50.04 6 ea Sink 04/23/2018 $150.12 Type of Use: COM 1 ea Urinal 04/23/2018 $25.02 Class of Work: ALT 3 ea Water Closet 04/23/2018 $75.06 Type of Const: 2 ea Water Heater 04/23/2018 $75.04 Occupancy Grp: 1 12%State Surcharge- 04/23/2018 $51.04 Stories: Plumbing Total $476.36 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i 44 41A47„‘e permittee Signature: 7te.Call 503.639.4175 b 7:00 a.m.for the next available ins ection Y p This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 'Plumbing Permit Application I , Building Fixtures . t. i ,, FOR OFFICE USE ONLY #<.. Received City of Tigard / Permit No.: u 13125 SW Hall Blvd.,Tigard,OR 97223 .y c} Date/By: if /t A; �/y Y)%77 III 1 Phone: 503.718.2439 Fax: 503.598.196q-i,f- 1-', ,Gr c➢ l t Plan Review Other Permit No.: ' t Date/By: rLt��(j{✓n.]l6 Ti G A I D Inspection Lin' e: 503 639 4175 D O t4"� Internet: www.tigard-or.gov .L.74.1 r? f",.' Date Ready/By: lads F.1 See Page 2 for If /�� ( Notified/Method .27'4 ' S,,,!1,'1!1-7,71t Iementallnformahon .'//�� ;/// c/:��r�4 �� '�/' o" li a '$a,Y 'r /j ri r��u r/%% r/r \ PP /� �j ®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) r /r r sir � / 7, , ', r ,,%%r Cqr/// ' 4.4.V* pWC IO1,I, ,,,,,,,,,,---7,..r-.„:,..--4,-,,,„,;„.-- SFR(1)bath /i % /%r312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath 500.32 ❑Multi-family ❑Master builderEach additional bath kitchen 25.02 0 Other Fire sprinkler G/: � 00 // �i„ /�i ' p ( sq.ft.) Page 2 9% /„ , , ',2 „ ,,„,7 l� L 4� % \fir:\\u/ Site utilities: Job site address: 11940 SW Pacific HWY Catch basin or area drain 18.76 Cit /State/ZIP: Drywell,leach line,or trench drain 18.76 Y Tigard,OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: J and N Foods Manufactured home utilities 50.03 Cross street/directions to job site: SW Hall Blvd Manholes 18.76 Ram 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.: 1,06k./14,14‘4„,„, Backflow preventer 31.27 err t?V�+ 4-/ off' Backwater valve ' 1 5±0"ItI . �%/ ,ry ' „. r i%!\ /, /, ,9/// 12.51 yr %0 �rrrr Clothes washer Remodel restaurant.Replace fixtures. 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ''\ r .i 1 ,, \j, ?1 ,ter, ,,, y/ .. Expansion tank 12.51 Name: AA ��©1� Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub ,'2 25.02 50.04 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone: ( ) Fax ( ) Ice maker 12.51 Er r /0 mi4 /% % r r C91l`Tq", G: Interceptor/grease trap 2 25.02 50.04 Business name: Portland Mechanical Contractors Primer Medical gas(value:$ ) Page 2 Contact name: Jay Gray 12.51 Roof drain(commercial) 12.51 Address: 2000 SE Hanna Harvester Dr / I� Sink/basin/lavatory Gr/:,..7/(v25.02 1;5 Solar units(potable water) 62.54 City/State/ZIP: Milwaukee,OR 97222 Phone:(503 )656-7400 Fax::(503 )656-6374 Tub/shower/shower pan 12.51 E-mail: ra me com Urinal ✓ 1 25.02 25.02 Jg YP g gr �% F, %/ // - % / �� Water closet it r, �i l3 25.02 75.06 ✓rel/ :i //i/ 0 . 4.,-,„:0,-„;',,,,4,-,,,,,,, � SGL d r Water heater Business name: Same as above 2 37.52 75.04 Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal .34 yy. Phone:( ) Fax:( ) Minimum permit fee: $72.50 it CCB Lic.: Plan review (25%of permit fee) 151807 Plumbing Lic.no.: 3-425-PB _ c,,,..„.., .� State surcharge(12%of permit fee) �.1r3 Authorized signature: TOTAL PERMIT FEE 5 Print name: Jay Gray Date: 4/18/2018 This permit application expires if a permit is not obtained within 180 d s ii after it has been accepted as complete. . *Fee methodology set by Tri-County Building Industry Service Board. C/Building/Pemits/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• -Fee4-4 %� l1tta dee Footing drain-l'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 �p� �� 44 ' all at rca Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Ram 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 t kke �' 1441- ,/'"es\ y, pta 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*. v. Quantity qty Fixture Tyle, PPi f"l e , unni i, st4lltition G i' Fixture Type forRepZlaee/ Ukrk" �rforttyd g- Capper (Id %%ea Retcjeat Plan review is required for any of the following. 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 Than ❑ 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. Eye Wash Floor Drain/sink -2" 1 Submit 2 sets of plans with any of the above. 1 Car Wash Drain P/ 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 5 -Bradley -Commercial-food related -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 3 fees assessed for the sewer increase must be paid before the Urinal 1 plumbing permit can be issued. Other Fixtures: C:AUsers\jgray\Downloads\PLMF_PermitApp(3).doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11940 SW PACIFIC HWY G, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2018-00177 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Correction's are complete, plumbing final approved Violation Summary: Inspector Contractor