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Permit CITY OF TIGARD PLUMBING PERMIT il- COMMUNITY DEVELOPMENT Permit#: PLM2014-00290 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/08/2014 TIGARD Parcel: 1 S134AA01900 Jurisdiction: Tigard Site address: 10115 SW NIMBUS AVE 700 Project: JetSet Coffee Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B Project Description: TI for new tenant:demo existing casework,add new case work and non-structural partion wall,and conform bathroom to ADA compliance. Contractor: JAMES ROOD PLUMBING INC Owner: ROBINSON, CONSTANCE A 125 S 1ST AVE#542 BY KILLIAN PACIFIC LLC HILLSBORO, OR 97123 500 EAST BROADWAY, STE 110 VANCOUVER,WA 98660 PHONE: 503-547-0491 PHONE. FAX: 503-547-0492 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 08/27/2014 $25.02 Specifics: 1 ea Interceptor/Grease Trap 08/27/2014 $25.02 1 ea Primer 08/27/2014 $12.51 Type of Use: COM 2 ea Lavatories 08/27/2014 $50.04 Class of Work: ALT 1 ea Water Closet 08/27/2014 $25.02 Type of Const: 1 12%State Surcharge- 08/27/2014 $16.51 Occupancy Grp: Plumbing Stories: Total $154.12 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: Permittee Signature: '/v A o, L:,e A 7�0 �v Call 503.639.4175 by 7:00 a.m.for the next available inspection date.jj/ �j` 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. RECEIVED Plumbing Permit Application Building Fixtures AUG 2 6 2014 Fur; Wilt 1 1 sr it\1 City of)[igard / , •N! /e / Permit No.: la/AV -z22.290 1 : • 13125 SW Hall Blvd.,Turd,0 �)�'TjGARU Plan Review OtberP Permit `t Phone: 503 718,2439 Fax: 8 I%D ply, r 17;. Inspection Line: 503.639.4178 DING DIVISION DstoRady/Sy: �� ® s«Page 2tor T I i,1 b D Internet: vnvw Ugard or gov N tfiedMtethod © S lemerttalloforroation �;� eS,`P'•.,w'. `i,ni. !h, .r^tt :-�- ;;, .r ,.p v.- .nTw■y w . ' y, ."'i !�''7'4+"Pu7 �,. -'0 _ 11' It ',�•}C tr- p. d �' �-.,1,:i! r ... s , ':..:....44.,...":,:., i'•SI?� a, 14,'4. ..t4-F:rei .FP':.1'Y rN: y t^h '1 a _.8 .._.._._�4t;411.:N.r �I .L.- �_-- _. G _,_..G... _. , .._• ❑New construction ❑Demolition For dal Information use checklist Description I Qty. I Ea. j Total .1 Additton/alteration/replacement [:Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) , : ,,zi ri x•t ., r i;' ...8: SFR(1)bath 312.70 li] .t... i " ',:.: % rrT- ,.,.. `.::: _-::; ; � . JJ . ID 1-and 2-family dwelling ['I Commercial/industrial SFR(2)bath 437.78 • W.) SFR(3)bath • 500.32 ❑Accessory building ❑Multi-family -.. Each additional bath/kitchen 25.02 , ❑Master builder ❑Other: `V//`S- Fire sprinkler( sq.ft.) Page 2 1 a K� M a,•. 7�._.�_ .�.,:.1n.- 1 ' " „ctr d c r _ l 1+il i -Site utilities: 8 0 , : ..,,_.�... ,.K. I . , ��1, t Catch basin or area drain 18.76 Job site address: .maws.:e.-' ..:,.�._:, rt{ 't.t- ''_ 'r • - Drywell,leach line,or trench drain 18.76 ..(� City/State/ZIP: R ,. ,.e►•;:► �� �" 64 (no.linear� Footing drain(no.linear ft.:_) Page 2 Suite/bldgJapt_no.: 7cC> Project name: f J`'C i e 4 et Manufactured home utilities 50.03 Cross street/directions to job site: 0;.-r i_T £ Manholes 18.76 Rain drain connector 18.76 - Sanitary sewer(no.linear ft.• I Page 2 1 Storm sewer(no.linear ft.:__) Page 2 Water service(no.linear ft.:___) Page 2 Subdivision: Lot no.: Fixture or item: __ Tax map/parcel no.: /5/ 3419190/90e2 Backflow preventer 31.27 fie. r a e "tt 3! r mil .•,-.-�., .i -.11,.-r-7;•,10,7,44-.... ' �f .rir i Backwater valve 12.51 ° 7�G;k;:%J 1.'J19:' '•7# Y} /....... - .4 n.,1 t• . .;°n .••t,,...:!•Rio.. ...- ''"'": -... Clothes washer 25.02 J ,loC 1 L 't ��r$ �o A �5 Dishwasher 25.02 &o�. ) iSLe girtese , ./- -144. o�J„Qan` Drinking fountain 25.02 Ejectors/sump 25.02 , . . r .f, j r ^ tr, sa' ' t... . i .: t Expansion tank 12.51 t. •Ic 3z wrt t :,. 1 , '7:..A,. _lip fi .: Fixture/sewer cap 25.02 Name_ - -�- `loo d oor sink/hub ,�6 r I 25.02 S. s.,0%, Address: Garbage disposal 25.02 City/State&ZlP: Hose bib 25.02 - Phone:( ) Fax:( ) Ice maker 12.51 ! . / 25.02 ��.� . t C '1 T1 " r, r » ,7 ,], 7-7! Interceptor/grease trap 1 . Business name: Medical gas(value:3 ) Page 2 Primer I 12.51 A+).2 J Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory . . 25.02 r0.65/ City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51 `` 1` o Urinal 25.02 E-mail: ,rroc3 9C1`M"tn Yom, -� - r Water closet 25.02 n r,,•; ai't;11,0 °T ' ,i+ ' , t', A2, : ..,.,;..k- _ ''�.',:4= .., ?,.:_f ..1 1..._L Water heater y 37.52 A WA,iied Water piping/DWV 56.29 .Address: l as S J s�acre 5-Cj� Other. 25.02 - Subtotal Y/.t / Cit y/stat e/z1P: /14466k.c, fl� 97� 3 / Phone:(SZA )597, 0 y 9/ Fax:($-a,7)5-4,7, 09 9?.r Minimum permit fee. $72.50 CCB Lie.: Ca,'0! G a l i , Plumbing Lic.no.: pg. 5 Plan review (25%of permit fee) 1 /� T V State surcharge(12%of permit fee) (A-Si Authorized signature: TOTAL PERMIT FEE /Cj Y,i�, Print name: �r/� I Date: p /� This permit application expires If a permit is not obtained within 180 days / �q 0/�� after it has been accepted as complete. "Fee methodology set by Tri-Coin Building Industry Service Board. raa 1,1 1391I dinp\Permits\PLMU,PermitApp.d°c 16/01/09 .n616T(1OM2lCOM/Wsa) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule Residential Fire Su• 1 cession S stems: .•4,;a: 1 ,t r'i i s f , '..t ti L 1 .,P lxl5.;s,., cr,•nld.i.'.41.',i',:::.;.-'. «,- a .. .... .., � 1.,4 .1:.-:-'-,i.'.-::.: . Footing drain-1"100' sum 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 111111 7,201 and. :icr $327.54 Sewer-each additional 100' NM 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' Mill 37.52 c 1 (' r n i%yy,, .,,.1. .;I .....I .: -.- - r .n..::',0, "-,get 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 77"7111't J T 7-77.7.1;,,,.,, ? fr«t , K""" ( e T-21 each additional$100.00 or fraction thereof,to and includin L$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 III each additional$100.00 or fraction thereof,to minimum char_e-1/2 hour and includin_$25,000.00. Inspections outside of normal business 1111 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours minimum ch.,L -2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr MB and includi :$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 ch: :e-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 accurate! retort fixtures could result in increased sewer fees*. f N f, '.f 1'�4Y d'i I1JY .u1.ri�A1,t .6. 11 '1 Li , ;.1-,,r,' , . { •*:i �}4, y� ',Ill.', i A�s.fi ' ' 4.+gY,�,�'t"` . ,yy. jaiit r-T'.31't t;71:r7::". :1.1.4 m, L. t Ixi5 .,.__.�..... �-=..�v .. ...r.... .. _ ... ,: - 1 ).,,Fyc*i?, u'�"ga r N l l �1 ,, ; r, --- i - Plan review is required for any of the following. ,:taxi b,,, .1.�_I:sz:.i i...«'s. 41,ir�ea::.;:..k-: t».R_ca,r :. . iris..-,,, Please check all that apply. Baptistry/Font 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,Ihrtr ❑ New exterior plumbing site utilities for any complex structure C .idor/Watcr As.inter as defined in 0A13.91 8-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ My multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in 0AR918-780-0040. Eye Wash Floor Drain/sink -2" 1 Submit 2 sets of plans with any of the above. -3" -4 1 ,-r 1 i,: Car Wash Drain ,. . ,. w.;, ,. :. Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Dornestlo-food related that meet the •ualificationsabove. -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 `Note: If the fixture work under this permit results in an Washer increase of sewer EDUs,a sewer permit will be issued and Water r Extrxtr actor r Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal _ plumbing permit can be issued. Other Fixtures: CAUsersljim\Downloads\PLMF-PetmitApp(3).doc 2 SPECIFICATIONS(GB-35) 1. 3°TnleVeirdets Sch.40.(No-Hub) ---- 33"- 2_ Max flow rate:35 GPM 3. Liquid capacity:35 Gallons Outlet"A° 4. Max grease capacity:142 lbs.(20 Gallons) (Optional) 5. Max solidslsediment capacity 9.5 Gallons A Adjustable 8. Unit weight A i I �� �z - A adapter -, T. 2,000 lb.load rated,bolted,gas/water light r-��% ��' 1 ` composite covers, 1 -wi { 8. Maximum operating temperature 190'F continuous. „ { Nil r.. 151 � � 1T tJ'-is-Eed by IAPMO to AS ME grease interceptor III b. ;�, Outlet"B' � tiltifill.1 standard#A112.14.3 and CSA B481.1. It'► l (Standard)2_ Facto installed Built-in flow control_ �^3. For gravity drainage applications only. 1101411 Do not use for pressure applications. 4. 3/8"thick seamless high density polyethylene walls. ll - 4:11 5. Unit suppl ed with buiksn adapter for up to 3 112'of g - . -Deep structural adjuslatxlfly.Additional riser(s)are also available for reinforcing columns deeper burial depth. Outlet'C• 6. Cover placement allows hill access to tank /7 1{ ISOMETRIC VIEW for proper maintenance. {Optional) 7-112" 7. Vent not required unless par local code. 8. Engineered inlet and outlet diffusers are removable to inspect/clean piping. TOP VIEW 9. For on-the-floor or buried applications. 10. Integral Air Relief 1 Anti-siphon. i f Three outlet options for easy rough in. Unit shipped with outlet diffuser in outlet•B". DIFFUSION FLOW TECHNOLOGY 024-1l2" 25" ---- The in e,diffuser splits incoming effluent into two paths that utilize the entire liquid volume of the tank for efficient grease separation. The calibrated openings greatly reduce effluent turbulent-et. The effluent enters the main chamber (of inlet without disturbing the existing grease or sediment layers. &outlet See note#10 The integral air relief/anti-siphon in the top of the outlet diffuser allows pressure stabilization within the unit during operation. — s The bottom of the outlet diffuser allows only effluent which is free of 10" 111i! air g grease to exit the tank. It can easily be attached to any of the three outlets provided to ease jobsite piping layouts. I I 1 Ifl Ir* / 1 ENGINEER SPECIFICATION GUIDE 25' I ,I-i I '" r I� Scheer Great Basir1 grease intercep.cr model e GB-35 shall -__- - -__ . be lifetime guaranteed and made in USA of seamless,rotationally- El I Static `� molded High Density Polyethylene with minimum:+18"uniform wall 15„ water line 1 3114' thickness Interceptor'shall be furnished for above or below grade Invert installation.Interceptor shall be built in accordance to ASME A112.14.3 rQ (type C),with field adjustable riser system,built-in flow control,built-in test I caps and three outlet options.Interceptor flow rate shall he 35 GPM. ,= r +---lt 111 -_ Interceptor grease capacity shall be 14211es.Cover mall provide weterrgas-tight seal and have minimum 2,000 lbs load capacity. Engineered inlet and outlet diffuser END VIEW (see description) OPTIONS: —Tele Gde field adjustable risers for extending covers to grade • Mate pipethread lconnections 9 g SECTION''A-A" I`` 1 • 4"or 2"Plain arid pipe or male pipe thread connections \.. /f • Clamping collar Kit - O\ J� SPECIRCATION SHEET PART NUMBER: GB-35 \��/// DESCRIPTION: 0 (D 0 0 Scheel-Products SCHIER 9500 Woodend Road GREAT BASIN SERIES POLYETHYLENE Edwardsville,KS 66111 GREASE INTERCEPTOR 35 GPM, 35 LIQUID Tel:500 27.7119 rl PRODUC°T y..... .c .rid. a..eea P.,:.�. R f.l \.+""'° °° "' "� `°"b"' """" GALLONS. 142 GREASE POUNDS CAPACITY Fax:800-827.91164 www.schierproducts.eorn g,PROPRESA5Y ONE COWIEENIFAL 4 1 Ii,Yi(I01ArsvC NIIYFACT,cPw'p-ei nt;.�nr ppnu•rNtt.441''T`':47-4m."7"""..4" _ ...... Pioneeering Drain Line Purity nnru-rx»w>u o-�r.a�"ie.mw.neF''''7":". d DWG BY:TEU DATE: 1217110 'REV, 2-5/3/13 JMATL:PE Made in the lJ S.A reoxeneo. i GENERAL NO1E5 0000 L. wunmeleraanmwslawo•e.a 1 ... f3Ltef1YCa51ya I .▪nem unmans.m.e.me..w.wow.raw.eCalm L- J r.. • e....ww.w..aurw.wna...l I c w.il...l a..n..acl...oswcRO-..c.seo GI I 4. -14 M'I 0 yFy i i CD 111 '- --� ; e l� i \ UJ t="_—,v1-1 1 I I �{Q FLOOR PUN LEGEND r- —� 1 _la.s.w...n..n.w� 1 Z 1 ®... _. I i ., J I.'EYt O1ES.w.d. a # ddI '1 In Of __ _ Z 4 a L__ }}II��''I�!��QQ[)� I/�l JI,� JJ(1 : N wVYV,n[�wsAm..fr:e1 �I'1`x'1 L Jf I r 1 L1 ® nue....LN�..wwEYV p::� i ! UY(���O.O.Q/►•l �`�',�aT��A;CI 8 ...w..........o..,In....'.� I‘Litt 1 non, { 1 1 I-- _ 1 _ 1 it lg. I t 'Ta So„e,. 35 Li) •0 DDNOIQEIH PLAN O FLOOR PLAN /F� \9+ Tl 1 T; • a Id t, -�- ID2.10 6r �x-vAL:11ON 't r= PLAN AND FLOC* James Rood Plumbing 125 S 1x Ave#542 Hillsboro,Or.97123 503-547.0491/fax 503-547-0492 j oodplumb egmaiIsom OFFICE: City of Tigard FROM: Jim FAX: 503-598-1960 PAG E5:5 PHONE: (Recipient Telephone] DATE: August 26,2014 RE: Jet Set Coffee Permit CC: (Name' ❑ Urgent ❑For review ❑ Please comment 0 Please reply ❑ Please recycle • Comments:Please let me know when this Is ready.I will come pickup and pay. Thanks 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 10115 SW NIMBUS AVE 700, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2014-00290 George Heimos Backflow device for espresso machine, 1/2" watts, model 009GT, serial number 403965 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 10115 SW NIMBUS AVE 700, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final FAIL PLM2014-00290 George Heimos 1. Provide back flow protection for espresso machine at front counter. (Double check). 2. Recall inspection when completed. All else ok. LB1492 Violation Summary: Inspector Contractor