Permit u CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00036
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2020
Parcel: 1 S136DC03300
Jurisdiction: Tigard
Site address: 11774 SW 72ND AVE
Project: Jo Jo's Java Subdivision: Lot: 9
Project Description: Interior plumbing for TI:Adding(1)dishwasher, (3)2"floor drain/sinks, (1)ice maker,(3)sinks, (1)water closet,
and(1)glass washer; Installing (1)grease trap, (1)primer, and (1)water heater.
Contractor: SHERWOOD PLUMBING COMPANY Owner: 72ND AVENUE PROPERTY LLC
22718 SW MARTIN CT 4804 NW BETHANY BLVD STE 1-2
SHERWOOD, OR 97140 PORTLAND, OR 97229
PHONE: 503-349-5429 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Dishwasher 01/30/2020 $25.02
Specifics: 3 ea Floor Drain/Floor Sink/Hub 01/30/2020 $75.06
1 ea Ice Maker 01/30/2020 $12.51
Type of Use: COM 1 ea Interceptor/Grease Trap 01/30/2020 $25.02
Class of Work: ALT 1 ea Primer 01/30/2020 $12.51
Type of Const: 3 ea Sink 01/30/2020 $75:06
Occupancy Grp: 1 ea Water Closet 01/30/2020 $25.02
Stories: 1 ea Water Heater 01/30/2020 $37.52
25 Misc Other Fee 01/30/2020 $25.02
1 Plan Review 01/30/2020 $78.19
1 12%State Surcharge- 01/30/2020 $37.53
Plumbing
1 ea Info Process/Archiving-Sm 01/30/2020 $0.50
$0.50(up to 11x17)
Total $428.96
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 adopt by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copy o rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r Permittee Signature:
•
Call 503.639.4175 by 7:00 a.m.for the next available inspecti 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 VD
! - )
Building Fixtures ` -- - - ' FOR (MICE USE ONLY
Cie} of Tigard o " Q�Q oar-n, �,
• 1312s SW hull Blvd..Tigard• 14 sZ Pam Its vte _ - - t t.J0. ..et `�.
Phone. SO 718 2414 FAX 503.548.000 J gMcr Permit No.("�' 'b' s •
incpeetlnn line COI h�9 e175 l,�N ��� _nei Rr. a{••t, 7"LrL'�I ✓I;.
TIGARD <- \r \ n.lr ar.M c a a.. 0 Se�►Ke ifx
(Memel WN'M'tlgnnl or [ V� t"-.Nalficd/Metiwd: ,Vrc� Senpk .ul tafaratanN
TYPEOF wnR ��� PM* sc►trntne - -
""' ton
Far special information ate checklist
❑New construction --I;f ------- Descri tion T _t--1 Tool
❑Addincmrahemionheplace ant other /eitac1•1-'N ,..� y+ "4L Ne_w I.2-family dwelUags(includes 100 ft.for each utility connection)
- CATEGORY Of OONsraucTlON SFR(i)bath 3t2 70 r I
.. --- _
0 1-and 2-family dweilmg 0(omniercial/industrial SFR(2)bath 437 78
-. _ _. _...._ _ SFR(3)bath
❑Accessory building 0 Multi-family - -
-_, _. _ _Each additional bath/kitchen 25 02
❑Master �
builder other •) Fire sprinkler( ,sq.ft.) Page 2 1 :
- JOE SITE INFORMATION AND LOCATION - Slte utilities:
Job site address- I( JC `I�ve Catch ha-sin or area dram 18.76
�L Drywell,leach line,or trench drain 18 76
Crty/SbeCZIP- pYL q 7 Z Z3
1 Footing dram(no linear ft.:_) r Page 2 I
Smteolbldg!ape no.• — Ptnject name: -3-1)
t
J a�S �(.sJL.. Manufactured home tunnies 50.03 I
Cross street/direettons ro job site: Manholes 18.76
cc- Crwke" -I-- gejble ) �L Alrt. Raindrarnconneetor 1876 }
Zs�( Sanitary sewer(no linear fl.:_ ) Page 2
1\ A947" Storm sewer(no linear ft.'_,_) Page 2 } j
Water service(no.linear ft-:, ) _ Page 2
ISubdivrsion Lot no.: Fixture ur Rent: '
Tax mep•parcel no. / >t , , Back flow prevcntcr 31 27 i
I 1 .•t, Sit
DESCRIPTION OF WORK Backwater valve 12S i
r(� Clothes washer 1 25 02 1+
PIww {?;ts.3 {^V.! 1T Set-L� Dishwasher I 2502 I 'A
a -ci 4"a gt'PZaiq -0031z. Drinktngfotmtain 25.02 I
E)eclorsrsump 25.02 i
' - PROPERTY OWNER - 0 TENANT on Erpenst tank 12.51
Name' ?'Z' pm Lu- Fixture/sewer 25.02 i
Address Floor t I
p 25.02 •
$011 -AJ t g ell-r."' / t) .54e Garbage disposal 25.02 I —:
Ctty/StaterZIP- j7.r�4,,t, O3C y? fib Hose bib 25.02
Pbone:( ) Fax:( ) Ice maker J ( 12.51 jt i
" " --0 Alr'I CAN•r a,CONTACT PERSON interceptor/grease trap / 25.02 , 5,t.,+
Business name: �'G W. Medical +
ngas(value:S ) Page 2
i
Comae*name Primer 12.51 Aal 5 L
1Z..1g Krs ,tt,r4x,4 t+ Roof drain(commercial) 12.51
Address "4-7.}5 S W 14-c✓l••v>() L)Cu .Sink/basin/lavatory7 � _.
City/State/DP: a 25.02 (IS,
ctcY1State/
J I ilk„- k.1 Dk q�'ZZ 3 Solar onus(potable water) 2 62.54
Phone-(Sa3) (ergot- -5-169I Fax ( ) Tublshowerrshower pan 12.51
E-mail-
rya"is Unna( 25.02
CONTRACTOR Water closet / 25.02
Business name S ht.,..,...,,,ot ( b Water beater . }7.52 T
t n�' Water ptputeDWV "s� 1q 56.29
Address PO 3J 6X_ .- '�}' __ Olher. 25 02 r,(c
Coy/State/ZIP. i. .'.
_ s 7__ ______ .t s rJ e q y r 7 o SrltNal `�j; l
Phone:(503) L .
L Co Q fax:( ) 4 Mieumum permit foe i72.50 I
CCB Lac.: ZOO tis5, Plumbing Lie.no.: PO!13_,(�( Phut 125%of permit lee) 'k. I
' an review- -
Authorized Cigna }
i State surcharge(12 of permit fee) 1 ry 5
Ilk
t \ • "A.k.a.:P.A�. 1 TOTAL PERMIT FEE .i(› !
Print na As
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Plumbing Permit Application -City of Tigard
Page 2-Supplemental information
Fee Schedule:
idential Fire Suppression Systems,
Site Utilit>es Qty. Fee(e°) Total Syua ootage: Permit-i��:
r t trni "1(1(1' SU 01 0 11.2o00 Cat 90 •
-_ -__._� ..-.__-�_.. .... .�-_ (dill tot 600 S 10.69 1
Ru.tme,Irvin each additional 100' __ 17 52
-... _._. .f 7 fin t to 7,2(/0 .20
Sower-Id!U0' 62.54 an- -
7,201 an star 5327.
Scn,ar-rash additional I(Mt' 17,52
N atcr Sen.i. tin 00 62.54 -�-- -
__ - edical Gas Systems:
Nat r Service each addttt nal 100' 17.52
_V a_lu don: Permit Fee:
Starm.0 Rain'rain. tat 100' 62.54 St00 Valuation
__..-_..,.-. _ ..-_..___fees
��- S 7 0.00 Minimum fee 572.50
Storm A Rain Orlin each additional too 17 52 S570ot.00 to S 1 .00 572 SU for the first .00 and 51.52 for
'-'----""" each addition 00 00 or fraction thereof,to
Other Inspections or Fees Qq. Fee teal Total
and me ,g s d o,000 oo.
Inspection of existing plumbing of for S I0,001.00 to S25,000.00 .0 for the first 510.000.00 and S1.54 for
which no fee is specific-RM.indicated 90.004rr ear dutnnat S 100 00 or fraction thereof,to
(minimum that_ge w 1'2 hurt and tnclbd4n,S25,000.00.
Inspections outside of normal business 90.00/hr S25.001.00 to S5 .00 $379.50 for'he first S257000.00 and S1.45 for
hours(minimum charge-2 hours) each additional'SW(i 00 or fraction thereof,to
Remspection tees 90.00/hr and including 550.- __
Additional plan review for revisions 90.004a S50 1.00 and up S24Ltt0 for the fires S50. .00 and Sl.20 for
(minimum chaise-1/2 hour) '' each additional S 100.00 or fra n thereof-
- Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report futures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Tutu re Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Bapsrry.'Fuat 0 Any new commercial building with water service 2"and
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
iN -Drive Thm as defined in OAR918-780-0040.
C pidar.:t'atr.Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial 1 ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wad Submit 2 sets of plans with any of the above.
Floor Drain sink: -2" j
• Isometric or Riser Diagram
❑ 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
n -Commercial food related
f -Industrial food related
►cc fach.lRcfrtg Drains #
Coi Rments regarding fixture work _
,/1�
Oil Separator �(;Gas Station) GI,�t 1 t t.;:i t 1 tit) t\ i 111) � O.( rr 7 ( ).r
5
a Rcc.Vehicle Dump Station \ ri 4li-it F . I
Shower: -Gang
-Stall
Sink: -LavBar non-food related s
-Bradley
-ComlServ/Util food related l
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter
Washer Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor - fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures: I;r l
1:\BuiidinglPermits\PLMF_PermitApp,doc 08/04/2011 2
1/23/2020 Mail-Geff Halle-Outlook
<j Reply all \ ® Delete ® Junk Block -••
RE: Jo Jo's Coffee - Permit
0 This message was sent with High importance. RECEIVED
9 P
JAN 2 3 2020
Jamie Johnson <jamie@sherwoodplumbingcompa CITY OF TIGARD
ny.com> BUILDING DIVISION? 5 <5
Thu 1/23/2020 9:57 AM
Geff Halle
Jo Jo Java permit documents....
3 MB
Hi Geff-
I'm glad this is a positive move for you and I hope to continue to work together in the future.You have
already been so much easier to work with than many other contractors and I appreciate it. I will go
ahead and update the contact to Ryan-thank you.
I have attached everything I believe that you'll need. If there ends up being another thing they tack on
needing-grab the email for the permit tech'so maybe it can just be emailed directly to them.
Have a great day and good luck with your transition ii
famnieKlaPwwwv
Sherwood Plumbing Co 4cc�j-
office Manager
503-822-5070
Jamie@sherwoodplumbingcompany.com
CCB: 200851
License: PB1381 '
SHERWOOD
M ; F\ G
I' 1
1144
est X 2OJJ
From:Geff Halle
Sent:Wednesday,January 22, 2020 5:22 PM
To: Richard Cassinelli;Jamie Johnson
Cc: Ryan Kawamoto; Brian Frank
Subject: Re:Jo Jo's Coffee- Permit
https://outlook.office365.com/mail/deeplink?version=2020011305.09&popoutv2=1 1/1