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Permit CITY OF TIGARD PLUMBING PERMIT s COMMUNITY DEVELOPMENT Permit#: PLM2014-00186 T f G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2014 Parcel: 2S 102AA00490 Jurisdiction: Tigard Site address: 12085 SW HALL BLVD 130 Project: Arellano's Bar Subdivision: TIGARD HIGHWAY TRACTS Lot: 13 Project Description: Interior plumbing for bar:Adding(1)grease trap,(2)primers,(3)sinks,(1)water closet,(1)DWV,and capping(2) 3"floor sinks. Contractor: MODERN PLUMBING Owner: HALL STREET CROSSING LLC 11120 SW INDUSTRIAL WAY BY MR&MRS ROGER W TOM TUALATIN, OR 97062 8067 SW RIGERT COURT BEAVERTON, OR 97007 PHONE: 503-691-6166 PHONE: FAX: 503-691-6771 FEES Quantity Description Date Amount 2 ea Fixture/Sewer Cap 06/05/2014 $50.04 Specifics: 1 ea Interceptor/Grease Trap 06/05/2014 $25.02 2 ea Primer 06/05/2014 $25.02 Type of Use: COM 3 ea Sink 06/05/2014 $75.06 Class of Work: ALT 1 ea Water Piping/DWV 06/05/2014 $56.29 Type of Const: 1 ea Water Closet 06/05/2014 $25.02 Occupancy Grp: 1 12%State Surcharge- 06/05/2014 $30.77 Stories: Plumbing Total $287.22 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: 'ermittee Signature: 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 a q 4r t tiq/ • , ,Q. k_ Building Fixtures FOR OFFICE USE oNl.l City of Tigard n" 4.► t''f _ Received i Permit Nu.: iiii 'I 13125 SW Hall Blvd.,Tigard,OR 9 _ Date/By: S(/�( ,� P ��y-�� = Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.:f,42,V U Date/By: (t'(- U rl T I G A R D Inspection Line: 503.639.4175 Date Ready/By: f-un•�s� ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: / rV Supplemental Information TYPE OF WORK 11.( 'JI ,q';4';�'i, FEE* SCHEDULE :ANA!. .' . New construction [g,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 correction)_ CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ 1-and 2-family dwelling y Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: t a 0 c s s w 1-1c.11 a(u J S V i,{r ISO Catch basin or area drain 18.76 City/State/ZIP: _ Drywell,leach line,or trench drain 18.76 d c r Or r7 7 I L 3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: n r Li(c n o a R a r 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: l Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 ,P/(Ml p l)15 1-0 v- eq\)°‘-. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I P TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 5w:oY - -- _- Address: Floor drain/floor sink/hub Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap ( 25.02 ZS. 0 Z I Medical gas(value:$ ) Page 2 Business name: nrella r,vs Ma;kef LCC Contact name: Primer 12.51 c.o� G M a r far e/(rs n o Roof drain(commercial) 12.51 Address: / 208 5 S 111 /a c 11 13 J Uri Sink/basin/lavatory 25.02 City/State/ZIP: '7 1•66 rd G r Solar units(potable water) 62.54 S�Q Phone:(q a I ) 6 y s .. 68 2s Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 r� Water closet / 25.02 2S a a CONTRACTOR Water heater 37.52 Business name: i .001 Water piping/DWV / 56.29 Address: `/f S tj -.V\,-,'ts* / L J:& , Other: 25.02 City/State/ZIP: -12, 4:4 6:4 0 '7U j 031%.,.i.i5 t Minimum permit fee: $72.5 Phone:( ) ti 1 -62./476 Fax:( _ ,) • Plan review (25%of permit fee) CCB Lic.: j a a o 3, Plumbing Lic.no.:81 966 State surcharge(12%of permit fee) X 172_ Authorized signature: , w---- TOTAL PERMIT FEE r1 This permit application expires if a permit is not obtained wit I n 180 days Print name: U TY1G r I I r c(i[>n d Date: (�_5_ / after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46161'(10/02/COM/WEB) 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-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 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 Other ect Ins ions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Inspections 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 Installations 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 ❑ New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ 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 Garbage Domestic non-food that meet the qualifications above. 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 aid before the Water Extractor p WaterCloset-Toilet - plumbing permit can be issued. Urinal Other Fixtures: 1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Accumulative Sewer Tally ■ . Tenant Name:ARELLANOS MARKET SWR#N/A Ti t;n it i s Site Address: 12085 SW ITALI,BLVD SUITE 130 PI,M# 2014-00186 Parcel#: 2S102AA00490 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count (tipped#s value count_ added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 _ 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 _ 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 2 10 0 -2 -10 -4 inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 Oil Sep(Gas Station) 6 0 _ 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 1 0 0 0 0 Sink: -Lav/Bar-Non-Food Related 2 0 0 3 6 3 6 -Bradley 5 0 _ 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 2 10 3 6 _ 1 -4 Current Fixture Value -4 divided by 16= -0.250 Current EDU 1 EDU= $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -4 divided by 16= -0.250 over (under) $ (1,200.00) Enter EDU Change Here -0.250 Notes: ***CREDIT*** Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 6/5/2014 Building Division ote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be ubmitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:\Building\Sewer Tally\SewerTallySheet_4800._070113.xlsx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12085 SW HALL BLVD 130, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00186 George Heimos 1. Raise both soda machines drains and provide minimum 1" gap to sink. 2. Hand sink hard capped and not installed. Provide new permit when sink is installed 3. Recall inspection when corrections have been completed. arellanos.contractor@gmail.com 503-367-7118 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12085 SW HALL BLVD 130, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00186 George Heimos Violation Summary: Inspector Contractor