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Permit ,i CITY OF TIGARD PLUMBING PERMIT s COMMUNITY DEVELOPMENT Permit#: PLM2014-00385 TI G A R L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/26/2014 Parcel: 1 S135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 100 Project: Cafe Today Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Install grease trap Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-244-1900 PHONE: FAX: 503-244-8825 FEES Quantity Description Date Amount 1 ea Interceptor/Grease Trap 11/25/2014 $25.02 Specifics:, 1 12%State Surcharge- 11/25/2014 $8.70 Plumbing Type of Use: COM 47 ea Minimum Fee Adjustment- 11/25/2014 $47.48 Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 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 N - enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dir questions to O• C • : ing 503.232.1987 or 1.800.332.2344. Is ued By: Permittee S'"nature: 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. NOV/24/2014/MON 05: 28 PM P. 001 plumbing_Permit Application �N�A Building Futures Ng� City of Tigard 9 Received ./ ✓ w I0 DateRty. it eV/ Y Permit No i/'off/ -- 395- IS r 13125 SW Hall Blvd.,Tigard,OR 97223 p �,O\� Plan Rcvicu Other Permit No.: ■ phone: 503.7182439 Fax: 503.598.19601 w ) natdey: - Inspection Line: 503.639.4175 `VV 4 .1 NS' Date Ready/By: hir 0 See Page 2 for T t, �ICL1 Internet' tigard-or goy c 4 Notified/Method Supplemental Information L.;.1...';'..,',',.':...:],-, .s r;w ,.,.,,:.l,.:r r_ in' t 1 144.a:':%!�:i°:IFAIS'r LI G.t D Ut L r I a " Jy . tL a" ati �y � A` 1r 5 � lZ;_ r F r -. ! 1 t RM G � ' '� E 4'.�.,.'��,yusa,'ai.yv�"tti�:lii' U r 'EiU:"I'� kFl��� :_'"- �:F�3 �J.�!�:.�.. ,,. .,,1. .0.�,. �l__..ai._�..�.... t For s ecial in ormat/on use teeklise D New construction ❑Demolition _ Description . Q!), Ea, Total r Additiou/altcration/replacemcnt ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection) Li N_: _f" I?' c/�9n tip Vxi 'u� }ctn)i� rl•8olrcn�teu t f r "wM a , . SFR(1)bath 312.70 L _:..-. vim., r ... - SFR(2)bath 437.78 ❑ 1.-and 2-family dwelling % Commercial/industrial SFR(3)bath 500.32 Q Accessory building ❑Multi-family Each additional bath/kitchen 25.02 p Master builder ❑Outer Fire sprinkler( sq.ft.) Page 2 ,M:i, Ott jr `�, �� a n tA' ,. �t k site utilities: { r x -*r irOP .Lt"I,t✓'�],F�8tkt11 t/ ill U i fJ 6 iIr012.r..Wow.` 1' R. S I .. C`, A Catch basin or area drain 18.76 Job site address: Q2+0 . L4J el _ ]rywell,leach line,ortrench drain 18.76 City/State/Z1P: iN t..._, _cf�e /y 7ZZ _ Footing drain(no.linear fL:, J Page 2 Suite/bldg./apt.no„ i'06 Project name: (tilt__ rQ Manufactured home utilities 50.03 Cross streeUdirections to job site: Manholes 18.76 Rain drain connector 18-76 - Sanitary sewer(no.linear R:_, Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: - - Backflow preventcr 31.27 Tax map/parcel no: - a � y � i Backwater valve 25.02 ,..:,,,,,,,,4;;,z.,;::„1,,5„,,.;.,..7,7_47:2-.410: 1477,4T-14 .,, �;. Clothes washer ....-t 4-416-.111-• L ,1 w ■ Dishwasher 25.02 Drinking fountain 25.02 - Ejectors/sump 25.02 am, ¢z' r„z7^�A ' ; G ane Expansion tank 12,51 iL L icAe`1311, . 44ft,' t-'_ .S: Fixture/sewer cap 25.02 Nsiine' - Floor drajnf0oor sink/hub 25.02 Oarbage.disposal. • . ,25.02_ Address:_.. City/State/ZIP: Hose bib 25.02 Phone:( ) Pax:( ) Ice maker �f f 12.51 7 i "��t'"��t�y-c n -70.44` 'r'11---r J' X©y e Tarty �rp,,,,�. pjA�-k. Interceptor/grease trap I ` I 25. 2 g_5,o r '� _rt I Ua1.4/1A 1.1.-1. , 4 h�J L-i . '+. ;,it•' Y' i^t aZL I ., .::,,_ w : "u Medical gas(value:$ ) Page 2 Business name: 10 - 4 ^ ° . .[1 / Primer ( 12.51 Contact name: i a 0 a_ Roof drain(commercial) 12.51 Address" 6DY I Sink/basin/lavatory 25.02 City/State/ZIP: Ib a Q' CI-7)- Solar units(potable water) 62.54 I i Fax::( ) Tub/shower/shower pan 12.51 Phone:(,5• , - i OP -• • �. F /Q(,l�.F c I 'I..I--VV1.�0i co,c A Urinal 25.02 E-mail: l__. g 3� ..„, Water closet 25.02 j. �,37.4iiPf 3,VaTta tall U oV Si:�l��_ .s'. rs'tYS«0,�valp l:;„ x 7.52 �. �_ ,� :1e..y ^i,R. r_ .1L.�_.._ _ Water heater Po w / iI /1 k D Water piping/DWV 56.29 Business name: ,/� Address: (pip i I �3 IV , mu.0 LL. .L 131 v f Other: I 25.02 O� • Z Y Subtotal 2S Li City/State/Z1P: l/-�� � _ As Phone:(Sp7j) ; L4 1-J 9 Gy) Fax{ ) tty._ Z.--- Minimum permit fee: 572.50 - ..S > Plan review (25°n of permit fee) CCB Lie.: 5 2:37 Plumbing Lic.no.:' (f~ --6p I State surcharge(12%of permit fee) ..7 Authorized sigature: �,t,,,jtApt_ t")'"'�r TOTAL PERMIT FEE 2+_ /' This permit application expires if a permit Es not obtained within 180 days . 'Printname: --B (A- ._. .-e Q.(7- -... .. ......_.....a e:_.t l _J. .. _ __._ .._.._._ __--..:..afterlt h.been accepted as.complete. . 'Fee methodology set by Tri-County Buddies Why Service Board- . _ _ ... _ aA0N616F(to/o7/cOb'✓1NEB) Ln6undin¢1Pmriu■Pt-MtlpermaAa�10Y01709 ._ -------------'-'-------