Permit CITY OF TIGARD PLUMBING PERMIT
■ COMMUNITY DEVELOPMENT Permit#: PLM2014-00246
T(GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2014
Parcel: 2S 102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 30
Project: Ichi Teriyaki Subdivision: FREWING'S ORCHARD TRACTS Lot: 15
Project Description: Add(2)floor drains,(1)dishwasher,(1)ice machine drain,(3)lays,(2)food prep sinks,&(1)toilet.
Replacing/relocating(1)floor drain,(1)lay and(1)toilet.
Contractor: MANZHURA PLUMBING Owner: ROIC OREGON LLC
PO BOX 820429 8905 TOWNE CENTRE DR, STE 108
VANCOUVER,WA 98682 SAN DIEGO, CA 92122
PHONE: 360-772-8145 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Backflow Preventer 09/02/2014 $62.54
Specifics: 1 ea Dishwasher 09/02/2014 $25.02
3 ea Floor Drain/Floor Sink/Hub 09/02/2014 $75.06
Type of Use: COM 1 ea Ice Maker 09/02/2014 $12.51
Class of Work: ALT 1 ea Interceptor/Grease Trap 09/02/2014 $25.02
Type of Const: 3 ea Primer 09/02/2014 $37.53
Occupancy Grp: 2 ea Sink 09/02/2014 $50.04
Stories: 4 ea Lavatories 09/02/2014 $100.08
2 ea Water Closet 09/02/2014 $50.04
1 ea Water Heater 09/02/2014 $37.52
1 12%State Surcharge- 09/02/2014 $57.04
Plumbing
Total $532.40
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. • may obtain a copy o e rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ) `- C G 4G _ /7 , Permittee Signature: 1
Call 503.639.4175 by 7:00 a.m.for the next available in section 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 L
Building Fixtures RECEIVED
City of Tigard Received
Permit No.: [� /�
•14 13125,SW Hall Blvd.,Tigard,OR 9 Date B 7 /et/.
et "`- i `�l` ����
■ Phone: 503.718.2439 Fax 503.598 196(1" 2014 Da`e By: Other Permit No.: Az,/2. 614- 7/
Inspection Line: 503.639.4175 Date Ry �f�a1_p,luris 55 See Page 2 for
T I l A R D Internet: www.tigard-or.gov CITY OF TIGARD Ready/By: / / �``��'"�°"�� g
Nati Read Notified/Method: Supplemental information
TYPE 013111196ING DIVISION pi-112.. Lot 14.4-..`-YL. FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist Q�
Description I Qty. I Ea. I Total C
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) [
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 O
SFR(2)bath 437.78
❑ 1-and 2-family dwelling ®Commercial/industrial .1
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:
Catch basin or area drain 18.76 V
Job site address:13500 SW Pacific Hwy Ste.#30 't
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.:30 1 Project name: /e444-/ -fi,2t yfj 144 Manufactured home utilities 50.03
Cross street/directions to job site:South of SW Park St. 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: ,�s� 1 Lot no.: Fixture or item:
Tax map/parcel no.: 40 1 t9' 006500 Backflow preventer 31.27 Z
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Tenant improvement. Remodel existing grocery store to small deli. Install new Dishwasher 25.02 r
kitchen equipments and new plumbing fixtures and install one 13'type I hood. Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02 3
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT til CONTACT PERSON Interceptor/grease trap 25.02
Business name:Kaly Construction&Designs Inc. Medical gas(value:$ ) Page 2
Primer 12.51 3
Contact name:Ken Yu
Roof drain(commercial) 12.51
Address:2738 SE 82nd Ave.Suite 201-D Sink/basin/lavatory 25.02 /)
City/State/ZIP:Portland,OR 97266 Solar units(potable water) 62.54
Phone:(503)348-0712 Fax::( ) Tub/shower/shower pan 12.51
desi n ahoo.com Urinal 25.02
E-mail:kal
y g S@y
CONTRACTOR Water closet 25.02 'Z,
Water heater 37.52 i
Business name: Ma-,1'-J 0/o,ro' p I A 7n rns- Water piping/DWV 56.29 Ai,
v
Address: d 2)(2) BZ,Q,L� Other: 25.02
City/State/ZIP: ,fQpc v. -, W 1 T qg6��-. Subtotal 4 tj•1 :,
t� Minimum permit fee: $72.50 -r
Phone:( ?�) 99 y ._ ��� Fax:( 1;13) �--`6�f
CCB Lic.: /9/91 6 J Plumbing Lie.no.: 4�j0 ( Plan review (25%of permit fee) ��
i State surcharge(12%of permit fee) 67.0L/
Authorized signature: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within days
Print name: �,/t Date: after it has been accepted as complete.
[ *Fee methodology set by Tri-County Building Industry Service Board.
1:\BuitdingTermits\PLMU-Permitnpp.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:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain- I"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 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*. 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
❑ Any new commercial building with water service 2"and
Baptistry/Font 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" 2..
3" Isometric or Riser Diagram
4 ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the ualifcations above.
Garbage -Domestic non-food q
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains I Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related •15
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filer 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 P
WaterCloset-Toilet l plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
SPECIFICATIONS
1. 4"inlet/outlets Sch.40.Plain End(No-Hub) 37"
2. Max flow rate:50 GPM Outlet"A"
3. Liquid capacity:52 Gallons (Optional) Adjustable
4. Max grease capacity:249 lbs.(35 Gallons) adapter
5. Max solids/sediment capacity:12.5 Gallons _
6. Unit weight w/std.covers:92 lbs. r r!i , • i 0.7
461%.iiiiming.•••••••31W
7. 2,000 lb.load rated,bolted,gas/water tight 1
composite cover. �� �f r�h
8. Maximum operating temperature 190'F continuous. - - O3 I Outlet"B" �.17---7, (�1
9. Seamless molded polyethylene tank. INLET / \ (Standard) `�. / 1ft.1 NOTES A 4iii j �
1. Listed by IAPMO to ASME grease interceptor li standard#A112.14.3 and CSA B481.1. 28" t k' t � 'I
2. Factory installed Built-in flow control. I pair f inot I �• �
a J!
3. For gravity drainage applications only. V 11111111110 -Do not use for pressure appplications. \
4. Seamless high density polyethylene tank. a \o I
5. Unit supplied with built-in adapter for up to 3-1/2"of
adjustabilityty.Additional riser(s)available for deeper
burial depth. `'—..' \ """. �/
6. Cover placement allows full access to tank A,r y . r.,►� Tie down t�' /fir
for proper maintenance.
7. Vent not required unless per local code. Outlet"C" L 0-3 C
8. Engineered inlet and outlet diffusers are removable to (Optional) II—9' r
inspect/clean piping. en
9. For on-the-floor or buried applications. TOP VIEW ISOMETRIAI t"-' till
10. Integral air relief/Anti-siphon.
11. Three outlet options for easy rough in. Unit shipped with % P,"j GC
outlet diffuser in outlet"B". ---:" F ry
of inlet L 024-1/2" — 28"�—�— - tit
DIFFUSION FLOW TECHNOLOGY and outlet .n i'T L��+
I he inlet diffuser splits incoming effluent into two paths See note#10 Q
that utilize the entire liquid volume of the tank for efficient
grease separation. The calibrated openings greatly reduce
effluent turbulence. The effluent enters the main chamber
without disturbing the existing grease or sediment layers. :°`.. "~=.� ��
It The integral air relief/anti-siphon in the top of the outlet diffuser 10-1/2" �!� �
allows pressure stabilization within the unit during operation. 1
The bottom of the outlet diffuser allows only effluent which is free of IlIi_ • lim'�II ,_� ,_,
grease to exit the tank. It can easily be attached to any — 1 !' �•�'� �'�'�
y ,I 1 f \1
of the three outlets provided to ease jobsite piping layouts. 28-1/2" IV 1 _ _ ___ _ �� I'
ENGINEER SPECIFICATION GUIDE 1
Schier Great basin"'grease interceptor model#GB-50 shall
be lifetime guaranteed and made in USA of seamless,rotationally- 18 1111 !I!� 15-3/4"
molded High Density Polyethylene.Interceptor shall be furnished for I Invert above or below grade installation.Interceptor shall be certified '
to ASME A112.14.3(type C)and CSA 8481.1,with field adjustable i
riser system,built-in flow control,built-in test caps and three outlet
\ 1 'rl /
options.Interceptor flow rate shall be 50 GPM.Interceptor grease 1 — —capacity shall be 249 lbs.Cover shall provide water/gas-tight seal _ 1.
and have minimum 2,000 lbs load capacity.
Engineered inlet and
outlet diffuser
OPTIONS: (see description)
• Highway rated cover:16,000 lb.capacity.
• Teleglide field adjustable risers for extending covers to grade
• Male pipe thread connections SECTION "A-A" OUTLET END VIEW
• 3"Plain end pipe or male pipe thread connections
• High water anchor kit
• Clamping collar kit
MODEL NUMBER: GB-50 PART NUMBER: 4025-001-XX SPECIFICATION SHEET
U` ` DESCRIPTION: Schier Products
9500 Woodend Road
50 GPM POLYETHYLENE GREASE INTERCEPTOR Edwardsville,KS 66111
SC H E R
O C■O
Tel:800-827-7119 ^1�1
Fax:800-827-9664 "'' PRODUCTS
www.schierproducts.com
PROPRIETARY AND CONFIDENTIAL 't' Pioneering Drain Line Purity
THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF SCHER PRODUCTS ANY Made In the U.S.A
REPRODUCTION IN PART OR AS A WHOLE WITHOUT 6VENTTEN PERMISSION OF SCHER PRODUCTS 15 DWG BY: N.EBERT DATE:11/25/2013I REV: 21 ECO: 1035
PROH®ITEO.
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
13500 SW PACIFIC HWY 30, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2014-00246
George Heimos
1. Remove plastic test cap from kitchen floor drain. 310.4
2. Provide approved location for water heater temperature and pressure relief tube.
608.5
3. Provide minimum 1" air gap for wok stove drain to floor sink.
4. Support wok drain at 90 deg down over floor sink. Table3-2
5. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
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
13500 SW PACIFIC HWY 30, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00246
George Heimos
Violation Summary:
Inspector Contractor