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Permit (112) CITY OF TIGARD PLUMBING PERMIT 4. COMMUNITY DEVELOPMENT Permit#: PLM2018-00505 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2018 T t L, R. Parcel: 2S102CB01804 Jurisdiction: Tigard Site address: 13305 SW PACIFIC HWY Project: Taco Bell Subdivision: None Lot: None Project Description: Site utilities for a new restaurant building. Contractor: HPS CONSTRUCTION INC Owner: WEBER COASTAL BELLS LIMITED 598 BASELINE WEBER, EDUARD PO BOX 890 840 CONGER ST CORNELIUS, OR 97113 EUGENE, OR 97402 PHONE: 503-357-4217 PHONE: FAX: FEES Quantity Description Date Amount 4 ea Catch Basin or Area Drain 10/30/2018 $75.04 Specifics: 1 ea Rain Drain Connector 10/30/2018 $18.76 40 If Sanitary Sewer 10/30/2018 $62.54 Type of Use: COM 187 If Storm Sewer 10/30/2018 $100.06 Class of Work: ALT 31 If Water Service 10/30/2018 $62.54 Type of Const: 1 ea Interceptor/Grease Trap 10/30/2018 $25.02 Occupancy Grp: 1 Plan Review 10/30/2018 $85.99 Stories: 1 12%State Surcharge- 10/30/2018 $41.28 Plumbing Total $471.23 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: _ - ature: 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 App1icatifid ' Site Utilitiesi of .Oi i is i •i 5f OS i City of Tigard Daie:B a ip`' ��-.., `� g Permit\o.. al 13125 S W 1101 Blvd„'Tigard,OR,V2223 DaWBy: I. f mn nevlew Phone.: 503,7182439 Fax: Sfj3.59815h60 p 1 ; Datc/fNf3y; Other!WWI No.: Inspection Linc: 503.6394175 nateftcad/ 1 I(,A til) fnlernct: www'.tigard-or gov i r y fay rvnr Sulif See rage 2 for Nmdicdnlnhod Supplemental Information h.�,�.Y4�s•�c« y""r.y �`R {+ 474t!Y y����/ I 'r >il. ikv t 4'1 "3 rx-i a3' t f."- *fit y ee r r.N?2 'r,+ca':3.-�✓.o,-.-:'�1Y.:i.tkf`��!►'1°r�,QR' JT Fr++'� �-'d✓�r.�`,�y"{.,r..g`w�,F7"���f i:-��.�F�'��'.lrg,�y.-3✓� +y,�r� .x�.V� .Sf 1�.� AS = )t.'�: .._�..-. «-5,..a.a., .�c,5 u.r. - ,,..-�....."..a ...s ...r.r.+wt.. .. `Yi..a.....h.ss-. .,.. . o New construction ❑Demolition Forslrerlal teejb nafan use rhedinst. Description J Ory. j Ea. I Total ' a Addition/alteration/replacement 0 Other- New I.2-family dwellings(includes 100 ft.for each utility connection) '.41 . w'- ' = CSA >.--Tmezt(1 1C' }1'S t'Ui O .-sl s1;,�.,.vZa ' `. 5FR(1)bath 312.70 a.w ©1-and 2-family dwelling Commercta1/i SFR(2)bath 437.78 �d- ,A',. ', SFR(3)bath 500.32 E3 Accessory building ❑Multi-fam# c" " ` ❑Master builder 0 Other: / r 1 Cl- atadditional bath/kitchen 25.02 ,� � Firesprinklur( sq.ft.) Page 2 RESTS OMOI W.il tigt,--x'" . t Site utflBits; Job site address: ti Catch basin or arca drain. 18,76 43>Uj Sea Por;�':c_ Nwy it. City/Slatdl..it: -17,,,,. Y ,_ Drywell,leach Tine,or trench drain 18.76 f) ..31z,)J,,,...or‘ r 4 � Footing drain(no,linear R.:+) Page2 SulIcIbldg✓apt,no.; 1 Project name': Ti1f.i5 K(,LL Manufactured home utilities 50.03 Cross street/directions to job tile: _Manholes 18/6 6 VJ � C i i G 1, ! Ci v1� 't.! A k' f C:, Rain drain connemor / 18 76 • gyp .i " Sanitary sewer(no.linear fl.::114) / Page 2 5 . Stern,sewer(no.Ii tear ft.LJf7j; ' e, Page 2 ,,c Water service(no,linear ft.: L) / Page 2 .t�� Subdivision: Lot no.: Fixture or item: ` Tax map/parcel no.: 'V L. \SOL\ Backflow prcventer 31.27 12.51 r "£ amx AW .' 4 � a e Ks CBaloctk tvtrtvhalevr e 25.02 AAt'lC 4- geti.ct,. E'.-kr,f;:+.n✓, rc:21-0tv'. ..1`)L.r;.0 Dishwasher 25.02 47 v,li-c enc, , Drinking fountain 25.02 Ejectors/sump 25.02 u. ; ilii Xt Y O ...^,'"':a4 a`! = '' EJ lilt irlig n.; Expansion tank 12.51 tt ra p Name: W� $r CGP,S7a� 1)5 Fixture/sewercap 25.02 Floor drain/floor sink/huh 25,02 Address: P4 iso3'�c `7 Garbage disposal 25.02 City/Statc/Z1P: .(A.:G(•e,1,,e_ ow_ 97tiej .J Nose bib 25,02 l nt a (a 41 1)/,� r 1tt l',',.:1 Fax ( ) Ice maker 12.51 er z 3540I,1G tifikrs�L�:'' i i -COIV'l'�Gf�'",ir'ILSO(i '. ? Interceptor/grease trap - / 25.02 Business name:\pJ �t< ( ` c-k ( f�c d b "1`�a)esc.'J Medical gas(value S_) Page 2 V��it Y'x Prilncr 12.51 Contact name:j�`, L10YlYvS l� Roof drain(commercial) 12.51 Address: O`(V O (C' C,\C', � �JSink/basiiViavatory 25.02 City/Stale/ZIP: - (`"C 7( Z ' Solar units(potable water) 62.54 Phone: .`) co i (-CS,,,.11. h'tix':( ) TubiShowbrishoWar pan 12.51 F orae 41M Q Wdocitacn. (C Urinal 25.02 ON7;RACTOR Water closet 25.02 Water heater 37.52 l3usincssname: 1,145 Con4�'lat,sekl o'r1 'f • WulerA8/i D In DWV $629 �� Address: SciQ, SaSC1(,rv, 3'[. Other 25.02 Cit r/Statc/ZIP; J/��Z. t 1_s Subtotal ? 4g,, Co„t.,�)vAs 1 014... ek' ( ,ar��7/ Phone:(23?r ) ; I 4-f .e.:.', ) Fax:(f:).5 13:,;i- 7(7 Minimum permit ice. 572.5(1 CCB Lie.: loz,5 plumbing Lie,pu.: Plan review(25 0 ol'perrnil fee) a j Stahl surehs de(12",nl'permntee} Lj (1 Authorized signature: .-3 TC3-t X11.Pt;RMlT Pf_h y74 ) - /J 111 ('J 'rats ptrmil ep(tlleaifan expires If a pormil is nm nhtuinea,rflhio lint e6n•s V Print tlnttir. ' ''rs.,- 1.)ate i,/.. ••••• f'• after It has been omitted as contplclr. •Fee mcrhurkdagr sat ly't'rt-County ttuitelinp Indaslry Sc..tee nrriui I Molding Paratts•1'1.AIt.-Mout.Ma‘Aix 1,,lli.0V t•s,•I:,I A it 1te0:•r.Obl•IVelt I i •• a.. Plumbing Permit Application Site Utilities FOR OFFICE USE ONLY City of Tigard ( PermitNo.: IIIII4 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: !( > - Received Parc�d=tau i 5 Plan Review � g. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i; -_I'et-Ig lin' Other Permit No.: TIC ARU Inspection Line: 503.639.4175 Date Read/B Juris: la See Page 2 for x /V rr Internet: www.tigard-or.gov Notified/Me od:it/ II {1AA 7r-t, Supplemental Information ,.. r TYPE OF WORK ti,4 S DU ,' ,'New construction ❑Demolition For special information use checklist. Description Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ATEGORY OF CON -" i N SFR(1)bath 312.70 ❑ 1-and 2-family dwelling fommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ', JOB"`SITE INF,!",,,, N , ATIQAT , Site utilities: Job site address: I � � Catch basin or area drain 4 18.76 95,0f 330S S,4, Pckci.(--��c. i-�*55 t� V Drywell,leach line,or trench drain 18.76 City/State/ZIP: �i a rc&� * 91 3 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: race, B'21i '4. (5 349 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector / 18.76 /9, ' Sanitary sewer(no.linear ft.: 40) / Page 2 6;1.$1 Storm sewer(no.linear ft.:/87jt 2 Page 2 /00.O( Water service(no.linear ft.:31 ) 1 Page 2 (aa.59 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 44,-,:%,44 ,----,r7-- ' RIPT . . s E Backwater valve 12.51 z "" ,t Clothes washer 25.02 . Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0.PROPER;I'Y'OWNER; i „ , '.,'., Expansion tank 12.51 .rv.F Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 e .;,, ,� g �1 .C` z1 ❑ CONTACT PERSONd5d5-,0aInterceptor/grease trap / 25.02 . � . Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 C4.t�•.4 - ,f v -,:;, Water closet 25.02 Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 313,? Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) fi Z - State surcharge(12%of permit fee) d_i ,;T' Authorized signature: TOTAL PERMIT FEE Lf(7 C�43 Print name: Date: This permit application expires if a permit is not obtained within 1g0 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.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 2ty Fee(ea) Total ,:,' � u;a `e��►otage: Pe�rmi�Eee: ,� v,v 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 'a,yt 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' / 62.54 4;1,54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' i 62.54 69,s4 Va14a ='4`4'CPermit F $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' l37.52 39,52. $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for p F Qty. uTotal ng) each additional$100.00 or fraction thereof,to Cher InSp ection , ee`t ": ;,,mea. 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: 955,44 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*. uanti b Fixture Tie Plan folr PJ> bing Itallatidits Fixture Type for Ite e/ Plan review is required for any of the following. Work Performed: < '- ;.Capped Added Relocate, Baptistry/FontPlease check all that apply. Bath Tub/Shower 0 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 Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" -_ -4" r.. Car Wash Drain - Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -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-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: I:\Building\Permits\PLMU_PermitApp.doc 2 INa Site Utilities — Plumbing Permit Application • Plan Submittal Requirements T 1 GARD A plumbing permit for site utility plumbing work is required for sanitary sewer, storm sewer and potable water systems on private property. I. SITE PLAN and vicinity map showing the geographic location (fully dimensional, drawn to scale) labeled with: A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Building pads with project location. 2. PLUMBING PLANS -Two (2) complete sets, civil only. All details listed below shall be incorporated into the plumbing plans: A. Storm drainage plan showing: 1) Finish elevations throughout the developed site. 2) Grade breaks determining area serving each catch basin. 3) Location of catch basins. 4) Pipe size. 5) Type of material. 6) Slope of piping. 7) Manholes and field drains. 8) Cleanouts provided for each 100 feet or fraction thereof. 9) Roof drain laterals specifying cleanouts at each upper terminal. 10) Location of existing or proposed connection to a public sewer line. B. Utilities plan showing: 1) Sanitary sewer line location,pipe size, type of material, slope of piping,manholes and cleanouts provided as required for storm. 2) Size and location of domestic water piping and drainage. 3) Proposed location of connection to a public water or sanitary sewer line. I:\Building\Permits\PLMF-PermitApp.doc 12/30/05 Branden Taggart From: Lindsay Johnston <Ijohnston@webertacobells.com> Sent: Wednesday, November 07, 2018 3:13 PM To: Branden Taggart Cc: #Building Permit Technicians Subject: Plumbing Permits for Taco Bell 15347: PLM2018-00505, PLM2018-00456 & SWR2018-00247 Attachments: SKMBT_C55418110716160.pdf Hi Branden, Attached are the two plumbing applications for our Taco Bell project which have Al's Plumbing who will perform the building Plumbing& Gas Piping and HPS Construction who will be our Site Excavation & Utility Contractor. I will be in Tigard tomorrow to pick up our permits if they are ready. Thank you, Lindsay From: Canon <canon@webertacobells.com> Sent: Wednesday, November 07, 2018 4:16 PM To: Lindsay Johnston <Ijohnston@webertacobells.com> Subject: Message from KMBT_C554 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13305 SW PACIFIC HWY, TIGARD, OR, 97223 March 26, 2019 at 8:57:56 AM Record Type: Record ID: Commercial - Plumbing PLM2018-00505 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Previous corrections completed. Violation Summary: Inspector Contractor