Permit (46) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2019-00124
T I i-;A k f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/01/2019
Parcel: 2S110AA02800
Jurisdiction: Tigard
Site address: 14055 SW PACIFIC HWY
Project: Elmer's Restaurant Subdivision: None Lot: None
Project Description: Installing new 500 gal.grease trap. Separating bathrooms from grease system.
Contractor: MIKE PATTERSON PLUMBING Owner: JD2-TIGARD LLC
15028 S MITCHELL LN BY DANNA, JERRY
OREGON CITY, OR 97045 9800 SE STARK ST
PORTLAND, OR 97216
PHONE: 503-632-7374 PHONE: 503-253-4496
FAX: 503-632-5647
FEES
Quantity Description Date Amount
1 ea Interceptor/Grease Trap 04/01/2019 $25.02
Specifics: 1 ea Water Piping/DVVV 04/01/2019 $56.29
1 12%State Surcharge- 04/01/2019 $9.76
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $91.07
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. Yoo may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1• 7 or 1.8 .332.2344.
Issued By: / / / Permittee Signature: I
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 - 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-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
Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:
$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
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*.
Quanti y Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath Tub/Shower 11 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 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-4u
Isog w
metric or Riser Diagram
Car Wash Drain
0 Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
g q
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
-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:\Users\scottt\Downloads\PLMF_PermitApp(2).doc 2
Branden Taggart
From: Branden Taggart
Sent: Friday, March 29, 2019 2:18 PM
To: Bryan O'Doherty
Cc: #Building Permit Technicians
Subject: Elmer's Grease Trap Permit: PLM2019-00124 - 14055 SW Pacific Hwy.
Hi Bryan,
Our senior plumbing inspector, Don Sylvester, has elected to waive the plan review fees to the Elmer's plumbing permit
for the grease trap. The balance due is$91.07, 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,
and we will email you the permit paperwork.
Thanks,
Branden.Taggart
14 .4 City of Tigard
i :' Senior Permit Technician
Community Development
TIGARD
13125 SW Hall Blvd
Tigard,OR 97223
(5031718-2449
brandent@tigard-or.gov
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14055 SW PACIFIC HWY, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2019-00124
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Plumbing final approved.
Violation Summary:
Inspector Contractor