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Permit (7) Branden Taggart From: Branden Taggart Sent: Friday, March 15, 2019 4:48 PM To: gripley@gpdgroup.com Cc: Darwish, Rafia;#Building Permit Technicians Subject: Starbucks Permit Submittals: 16200 SW Pacific Hwy Z3 Attachments: Starbucks Permit Applications.pdf; SIT_PermitApp_080216.pdf; PLMF_PermitApp.pdf Hello Guy, We received your permit submittals for the Starbucks located at 16200 SW Pacific Hwy Z3. However, we are missing various information that we will need to process these permits and to complete plan review: Site Work: • The valuation on the application is the same as the building permit valuation: $812,000.00. What is the valuation specifically for the site work? The site work valuation needs to be separate from the building permit valuation. • We received (1) set of site work plans. We will need to receive (2) additional sets of civil plans. I have attached our site work permit application above for you to reference with the permit requirements listed. • We did not receive a signature at the bottom of this application. We would appreciate it if you can sign, print, and date the application and return it to us. Mechanical: • What is the valuation? We need the valuation of this work to determine fees. Please enter the valuation on the application and return it to us. Electrical: • The application was missing the quantities in the fee schedule. Please enter the quantities on the application and return it to us so that we may begin plan review. Plumbing: • We are missing the plumbing fixture quantities in the fee schedule. Please enter the quantities on the application and return it to us. • The second page of the plumbing fixture application was not included with your submittal. Please submit the second page with the completed Commercial Fixture Work section. I have attached the plumbing fixtures permit application above for you. If you have additional questions, please let me know. Thank you, 1 Branden Taggart City of Tigard • Senior Permit Technician Community Development ;TAIRA: 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-orgov 2 r/1 II I. Plumbing Permit Application t` Building Fixtures 1•0l2 01 1.1( I'. I Si, O\1.1 r City of Tigard eceived Permit No il 13125 SW Hall Blvd.,Tigard.OR 97223 Date,By: Phone: 503.718.2439 Fax 503.598.1960 2019 Plany Review Other Permit No. f I G A k n Inspection Line: 503.639.4175 ,ti Date Ready/By: kris ® See Page 2 for Internet: www.tigard-or.gov La'i I t„,�1" i not%• II Notified/Method. Supplemental Information ,;1. TYPE OF WORIii'li- lflE' fmSI.' FEE* SCHEDULE r1 o New construction i ❑UemoliGon For special informalion use checklisL - I - Description' I Qty. I E . I Total ®Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.fore.• utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 i ❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 1 Job site address: 16200 SW PACIFIC HWY Catch basin or area dra' 18.76 Drywell,leach line. +r trench drain 18.76 City/State/ZIP:TIGARD,OR 97224 Footing drain(n,.linear ft.: ) Page 2 Suite/bldg./apt.no.:Z3 Project name:STARBUCKS �' Manufacture ome utilities 50.03 Cross street/directions to job site:PACIFIC HWY W&SW DURHAM RD Manhole, 18.76 Rain t .in connector 18.76 S. ary sewer(no.linear ft.: ) Page 2 orm.sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 1 Subdivision: l Lot no.: Fixture or item: • (` Tax map/parcel no.:2S115BA02500 Backflow preventer 31.27 7x DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Tenant build-out of existing building to include new supply/waste piping,v, ts, Dishwasher 25.02 interior grease interceptor,fixtures,equipment,exterior hose bibbs,co ected Drinking fountain 25.02 to existing utility services Ejectors/sump 25.02 yY 0 PROPERTY OWNER 1 IN TE'ANT Expansion tank 12.51 Name:STARBUCKS COFFEE COMPANY Fixture/sewer cap 25.02 Floor drain/tloor sink/hub 25.02 Address:2401 UTAH AVENUE SOUTH Garbage disposal 25.02 City/State/ZIP:SEATTLE,WA 98134 Hose bib 25.02 Phone:(206)318-1575 Fax:( ) - Ice maker 12.51 I ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:GPD GROUP Medical gas(value:$ ) Page 2 ) Primer 12.51 Contact name:GUY RIPLEY - - Roof drain(commercial) 12 51 Address:4600 E WASHINGTON ST#311 Sink/basin/lavatory 25.02 City/State/ZIP:PHOENIX,AZ 85034 Solar units(potable water) 62.54 Phone:(602)733-6202 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: rile ra d rou Urinal 25.02 g P Y. gP g Pcam re Watercloset 25.02 CONTRACTOR Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee. $72.50 CCB Lie.: Plumbing I.ic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authoriz . signature: TOTAL PERMIT FEE Print '.me:GUY RIPLEY ,/ Date:3/4/19 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. t� 1-\Building'Perm�tsPLMU-PermitApp doe 10/01/09 440-4616T(10/0VCOMM'EB) it r ,iHHHiHa lfitNiii.t,HHHYHHHN .. Plumbing Permit Application Building Fixtures City of Tigard Received A ` , pub./ o t` t gl Date/By: s 6 C Permit No.: 1 ci r jry 1 G 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n 1 l V l 111 I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 4' -Iq \kfad Other Permit No.::) i y-tli 3F T I('A R D Inspection Line: 503.639.4175 Date Ready/B Internet: www.tigard-or.gov y Juris: 0 See Page 2 for Notified/Method:,:, <1 Supplemental Information TYPE OF WORK ( Mull; (t i.7-A. FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description Qty. Ea. Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_ CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El1-and 2-family dwelling ,Commercial/industrial SFR(2)bath 437.78 IDAccessory building ❑Multi-famil At SFR(3)bath 500.32 ;. ,Y ❑Master builder � Each additional bath kitchen 25.02 ❑Other: l " A3�f Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ® t Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 `et a�� () 4 . Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: z -3 Project name: S t&r la C.t.C.,(L 5 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 2j i Page 2 (,)5-4 I I'IP Storm sewer(no.linear ft.: _ g ) Page 2 -� 4. _ Page 2 Subdivision: I Lot no.: Fixture or item: "- Tax map/parcel no.: >%/C- f{nliA0 Backflow preventer 31.27 6a 54 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher / 25.02 S.01 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER , 0 TENANT Expansion tank ( 12.51 / ,S r Name: Pee4:04- Fixture/sewer cap r y-it. .. r 25.02 , ,. • Address: I J7/� Floor drain/floor sink/hub`i/ I� 25.02 /50 f 2 Garbage disposal / 25.02 City/State/ZIP: Jy r o0 Hose bib A 25.02 50 i 04 Phone:( ) Fax:( ) Ice maker /Le, 6,'rt a, 12.51 ,)5 oa 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Contact name: Primer i 12.51 )a,5 i Roof drain(commercial) 12.51 Address: 4 Sink/basin/lavatory /'? 25.02 425,34 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 ti aU 4 Business name: Water heater l 37.52 �z 5 Water piping/DWV 56.29 Address: Other: is 25.02 jos/Q City/State/ZIP: Subtotal 1100.48C Minimum permit fee: $72.50 Phone:( ) Fax:( ) Plan review (25%of permit fee) a 75.ova CCB Lie.: Plumbing Lie,no.: State surcharge(12%of permit fee) j 3a•(0 Authorized signature: TOTAL PERMIT FEE 1508, 18 This permit application expires if a permit is not obtained within 180 days Print name: Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) L.16 f Au ` 2 Sinlcs: l5 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 64.51 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' i 62.54 i f,45 v Medical Gas Systems: Water Service-each additional 100' / 37.52 ','),.ram 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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees and including$10,000.00. Inspection of existing plumbing or for -- -- -S4-0,001`.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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: CommercialI 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" I 3„ r Isometric or Riser Diagram 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains n Comments regarding fixture work:Oil Separator(Gas Station) ‘4 1Qiy %J / be-p.0 u' 1, �''�/c'"a ,� Rec.Vehicle Dump Station 5 �C i,NVIGoii}Jn/ L.J./r Shower: -Gang -�,r / n 0) Gi p- 14,v 1/ f71 �,' -Stall J'" Sink: -Lav/Bar non-food related / X 5 -Bradley -Com/Serv/Util food related // -Service ca I *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 paid before the Water Extractor Water Closet-Toilet , „t plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard74 Date/By: 3 pLM An ii,o0i i4 g C Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review (� _ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 4-a3 v19 awl Other Permit No.: �j4�,��,p 20� Inspection Line: 503.639.4175 "'t 2 for (,3� T I G A R D Internet: www.ti and-or. ov Date ed/Metho . J��� 7ur s: Supplemental See Page 2 nr t g Date Read/14 // Information TYPE OF WORK (',hl►�l ly+ 7 A. FEE* SCHEDULE ❑New construction ❑Demolition ✓ For special information use checklist. Description Qty. Ea. Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ,Commercial/industrial SFR(2)bath 437.78 El Accessory building ❑Multi-famil ;Et SE SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: h • I 4 '.. Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION - Site utilities: Job site address: Catch basin or area drain 18.76 �� �� GLC � y • Drywell,leach line,or trench drain 18.76 City/State/ZIP: -7--1. in o)R. CA t Vt I Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: z -3 I Project name: 5 t&,0,-6 C,t.C(L S Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:22/ / Page 2 6)5,1 117 Storm sewer(no.linear ft.: ) Page 2 irP c Page 2 Subdivision: I Lot no.: Fixture or item: - / arcel no.: Backflow reventer 31.27 PPs � Rj=� 1SL. I p Tax ma 6oZ.S DESCRIPTION OF WORK Backwater valve 12.51 ' Clothes washer 25.02 Dishwasher / 25.025.01 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER ❑ TENANT Expansion tank ( 12.51 as( Name: 11 l l Fixture/sewer cap Sr.,.A j „ , i 25.02 '" Address: I Pirb Floor drain/floor sink/hub i/7,' k 25.02 �'5Q f 2 Garbage disposal 25.02 + City/State/ZIP: 4 Hose bib A 25.02 50,04 Phone:( ) Fax:( ) Ice maker e} /CC tan a. 12.51 as,oa 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap j 25.02 ,)5,01 Medical gas(value:$ ) Page 2 Business name: g Primer i 12.51 /�,5 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory I7 25.02 4,,s 31 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 5 O,01 4- Water heater st 37.52 39,ica Business name: Water piping/DWV 56.29 Address: Other: itS 25.02 gas,/Q City/State/ZIP: Subtotal j�OQ,436 Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) )(is,ova, CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) 13a•to Authorized signature: TOTAL PERMIT FEE 1508•18 Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) I Au ` 2 e . 1._ i e 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 6a.911 7,201 and greater S327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' j 62.54 GX si)-1 Medical Gas Systems: Water Service-each additional 100' i 37.52 - 7.51.. 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 -` $5,001.60 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 P and including$10,000.00. Inspection of existing plumbing or for - .,. $40,00.1 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: Ir '1 W 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 engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial i 0 Any multipurpose fire sprinkler system. Domestic 0 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" I 3" , ,r Isometric or Riser Diagram 4" 0 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 1 Comments regarding fixture work: � Oil Separator(Gas Station) ,�t!wr(� �11 [/ ' I r)CCcn)GI" h l c.J. 6) Rec.Vehicle Dump Station T47�.i 7'77,e,. ,rvV p1,} L,),// Shower: -Gang -Stall rAie-(�/) .�, D&N 1 77A-, 47; Sink: -Lav/Bar non-food related / ;'5 -Bradley -Com/Serv/Util food related / -Service c- I *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 paid before the Water Extractor Water Closet-Toilet I a plumbing permit can be issued. Urinal Other Fixtures: 1:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 I i �` O{-hkr F i x tkrec P L f`( - 00111 )501 E Ru = I PS63, E .SP 6'7—Ot F'spresso Mack = � 501 (Aa--..e,r F- i.+ra. ;vh >SO C62.m. c r' xe - F /pa diceki. Mooro r Sir,ics P50a (2) V F Lae v S k r C h t-tr C cts<Eatt- R o r► eras o V I aka, r�(►- p 41-4 y ()So! (4) t — 3` r .S%frt k f-cc it es p r e sso a_c-it eA-t P50 5. 4 i - 3 " Flay C,'h!c far mack='K-e p.CoI i- 3` flour Sim cr-e)r Cahgoyt c(ra40 f So) Psol I- 3' F'(oe S;Kk 'or Drip 'Crazy re/ctK'htr rtS-tr i k IC-e 6;n chcan (o, rs Plumbing Permit Application BU' ildin Fixtures FOR OFFICE (ISE ONLY g RECEIVE City of Tigard Received ■ 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 0 2019 Date/By: /1 Permit No.: °4/,/A1f AY 11111 1 Plan Review U Phone: 503.718.2439 Fax: 503.598.1960 Date.By: 4--,°,13-i? t,�- Other Permit No.: ��f)`,f�-4/65g TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD,� to Ready/By: Ci Juris ® See Page 2 for Internet: www.tigard-or.gov B(1{LDINta DIVISI l oIc Ready/By :`, �/j t f �T Supplemental Information TYPE OF WORK ( t i,.,( Cy,,, FEE* SCHEDULE ❑New constructionVV, 5� `"' For special information use checklist. 0 Demoliti , ,,;,,R 1Lei.4S-A Description I Qty. I Ea. I Total ►,1 Addition/alteration/replacement 0 Otheri f'ki f�:7, New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTIO t SFR(l)bath 312,70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16200 SW PACIFIC H W Y Catch basin or area drain 1 18.76 City/State/ZIP:TIGARD,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.:Z3 I Project name:STARBUCKS Manufactured home utilities 50.03 Cross street/directions to job site:PACIFIC HWY W&SW DURHAM RD Manholes 18.76 Rain drain connector 18 76 Sanitary sewer(no.linear ft.:d;'S) i/ Storm sewer(no.linear ft.:^) F Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.:2S1 I5BA02500 Backflow preventer 1. 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Tenant build-out of existing building to include new supply/waste piping,vents, Dishwasher i 25.02 interior grease interceptor,fixtures,equipment,exterior hose bibbs,connected Drinking fountain 25.02 to existing utility services Ejectors/sump 25.02 0 PROPERTY OWNER ® TENANT Expansion tank 12.51 Name:STA RBUCKS COFFEE COMPANY Fixture/sewer cap / 25.02 Floor drain/floor sink/hub 6 25.02 Address: 2401 UTAH AVENUE SOUTH Garbage disposal 25.02 City/State/ZIP:SEATTLE,WA 98134 Hose bib a 25.02 Phone:(206)318-1575 Fax:( ) Ice maker J 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap I 25.02 Business name:GPD GROUP Medical gas(value:$ ) Page 2 Contact name:GUY RIPLEY Primer 12.51 Roof drain(commercial) 12.51 Address:4600 E WASHINGTON ST#310 Sink/basin/lavatory (`a, 25.02 City/State/ZIP:PHOENIX,AZ 85034 Solar units(potable water) 62.54 Phone:(602)733-6202 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: ri le d rou Urinal 25.02 g P YgP com g P• CONTRACTOR Water closet a 25.02 -'-i Business name: Water heater '( 37.52 Q pit). i Ilii, _ Waterpiping/DWV 56.29 Address: ti TES- Nty S ll f Other: 25.02 City/State/ZIP: �r,t, y�„ 0 1 �?tf Subtotal y-�Cf�O Fax: Minimum permit fee: $72.50 Phone:(50) s'-' 2 K'l b ( ) CCB Lic.: I 12,14 . 2 Plumbing Lic.no.:pa2171 Plan review (25%of permit fee) 9� ' State surcharge(12%of permit fee) Authorized signature: ��� TOTAL PERMIT FEE Print name:GUY RIPLEY Date:3/4/19 This permit application expires if a permit is not obtained within ISO days f, after it has been accepted as complete. `Fee methodology set by Tri-County Building Industry Service Board. I.'Building\Permits'PLMU-PermitApp doe 10/01/09 440.4616T(10102/COMfWEB) dumbing 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- 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed: Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath 1'ub/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 j 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 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" r 4" Isometric or Riser Diagram Car Wash Drain riser❑ Isometridiagramis required buildings Garbage -Domestic-non-food c or q for new Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach.JRefrig.Drains l Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related 1 -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 1 _ fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: 0:\2016\201635514Z Tigard Town Square_Tigard OR\D\Submittals and lesponse letters\03.04.19 Building Submittal\PLMF_PermitApp.doc Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY Received /�^ (� City of Tigard Date/By: 3 i y - Permit No.:PLM An l t-00(1 l • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review4_,)3,19 �p�,� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 0� Other PermitNo.:J4 20jq ,('37 Inspection Line: 503.639.4175 Date Read/B Jur s: ® See Page�2Ofo'r� 1 IGAR1) Ready/By: Internet: www.tigard-or.gov Notified/Method:.--1 ; rg1 lib,- Supplemental Information F.i l5l ►. TYPE OF WORK 6-7 A. FEE* SCHEDULE ❑New construction ❑ Demolition For special information use checklist Description I Qty. Ea. I Total R.-Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling gCommercial/industrial SFR(2)bath 437.78 Mt a SFR(3)bath 500.32 ❑Accessory building 0 Multi-famil +7 .,,,,, ,. Each additional bath/kitchen 25.02 ❑Master builder 0 Other: 7 T Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16 AD J;w. &C..‘f: t L Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Ti 5 e v't t 0K. (111,x ..it Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: z I Project name: S f(o b f t,C k S Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:AS / Page 2 () 5-4 OP Storm sewer(no.linear ft.: ) Page 2 6 c Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: '!/5-40,4-62-c---0 9 Backflow preventer A. 31.27 41.54 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher / 25.02 :)5.c.1 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 0 TENANT Expansion tank / 12.51 /31,5( Name: r Fixture/sewer cap A/�rlr ,yvV 25.02 '$x' '�� Address: /'7//p Floor drain/floor sink/hub 25.02 t l/7 /50,,l 2 Garbage disposal 25.02 City/State/ZIP: 4 Hose bib 25.02 50.04 Phone:( ) Fax:( ) Ice maker /CG tart a- 12.51 o)S,Qa 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 a5,03.. Business name: Medical gas(value:$ ) Page 2 Primer 1 12.51 1„2,51 Contact name: Roof drain(commercial) 12.51 Address: q 4Sink/basin/lavatory !'? 25.02 4;s.34 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 5-604. -- t Water heater / 37.52 3%5 Business name: Water piping/DWV 56.29 Address: Other: S 25.02 /VS/Q City/State/ZIP: Subtotal 000,48/a Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) a 75,as CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) 15a•10 Authorized signature: TOTAL PERMIT FEE IS08. $ Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) L I Au ` 2 S;mks:. 15 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 to,'IA-)1 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 1 62.54 A >`''1 Medical Gas Systems: Water Service-each additional 100' t 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: 1. i 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 111Any 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 tall 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 111 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" S 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) •q���.��� f C .z f j to 7 (41) Rec.Vehicle Dump Station o Shower: -Gang 77-.. � � `�') !r -Stall r� �j } 4:40,611 � M //7/0, Sink: -Lav/Bar non-food related / „� 5 J -Bradley -Com/Sery/Util food related J -Service La *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 beaid before the Water Extractor p Water Closet-Toilet a plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 1 I s F t'xt( r&c PLM -- CO ft 50a 1 RWOI-C», i�rew�+rI P561 E,Sp Or?-Ol Fspres,So Mat.cL st,P = 0, . in SU l ie c_(-Qt- i c '4- c1�`t&K .rPv= I • P50a ( ° -- 3`' Fv S zK, ' tir i :v t r GvK4fth 10 f ri 0 i� t(-&h)v- , ata r(v- P �'� '�►'2/ SO 14E) t I 3" f�tv� S;otic J es e tr e ss© v+i Atcit, k 2 P50�. I — 3 a, F/aor C, h k r _ v�cQckz"K. i � i- 3 F/oor S,'Hit it e' krc,zvtcit-o,40 ?Sot Psoa rn i- 3f=1�ar .s:Kl c+or Drip "Fray & roGtv‘'htr R4t -tr / d- /t-2 13;I'1 dha:#1 hiAri 1 Plumbing Permit Application Building Fixtures HECEIVE 1FOR OFFICE I SF, O\1.1 City of Tigard eceived Permit No.: Date By: � 13125 SW Hall Blvd.,Tigard,OR 97223 a7 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 M !\ 201.5 Date/By Other Permit Na. T I G�•R D Inspection Line: 503.6394175 Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov i„a'i 'y kit- i i p%•! I:Notified/Method: Supplemental Information TYPE OF WORIt:-'If-{) il(= �1I1/isION FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist ,! -Description' I Qty. 1 E ."' I Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.fore. utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 building -' SFR(3)bath 500.32 ❑Accessory 0 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: 16200 SW PACIFIC HWY Catch basin or area dra' 18.76 Drywell,leach line,.r trench drain 18.76 City/State/ZIP:TIGARD,OR 97224 Footing drain(n•.linear ft.. ) Page 2 Suite/bldg./apt.no.:Z3 Project name:STARBUCKS *Manufacture• ome utilities 50.03 Cross street/directions to job site:PACIFIC HWY W&SW DURHAM RD Manhole 18.76 Rain r .in connector 18,76 S: ary sewer(no.linear ft.: ) Page 2 . orm sewer(no.linear ft:: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: l Lot no.: Fixture or item: l Tax map/parcel no.:2S115BA02500 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Tenant build-out of existing building to include new supply/waste piping,v, ts, Dishwasher 25.02 interior grease interceptor,fixtures,equipment,exterior hose bibbs,con ected r Drinking fountain 25.02 to existing utility services Ejectors/sunip 25.02 ❑ PROPERTY OWNER l ® TE,ANT Expansion tank 12.51 Name:STARBUCKS COFFEE COMPANY Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:2401 UTAH AVENUE SOUTH Garbage disposal 25.02 City/State/ZIP:SEATTLE,WA 98134 Hose bib 25.02 Phone:(206)318-1575 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:GPD GROUP" Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:GUY RIPLEY Roof drain(commercial) 12.51 Address:4600 E WASHINGTON ST#311 Sink/basin/lavatory 25.02 City/State/ZIP:PHOENIX,AZ 85034 Solar units(potable water) 62.54 Phone:(602)733-6202 Fax::( ) 'Tub/shower/shower pan 12.51 E-mail:gripley@gpdgroup.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: WaterPP i m WV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal ( ) Phone:( ) Fax: Minimum permit fee: $72.50 CCB Lie.: Plumbing I..ic.no.: Plan review (25%of permit fee) t State surcharge(12%of permit fee) Authoriz .signature: :f TOTAL PERMIT FEE Print 'ame:GUY RIPLEY Date:3/4/19 This permit application expires if a permit is not obtained within 180 days f after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board I 1Buitding\Permas'PLMU•PermiiApp doc 10/01/09 440-4616T(10/02/COM/WEB) Branden Taggart From: Branden Taggart Sent: Friday, March 15, 2019 4:48 PM To: gripley@gpdgroup.com Cc: Darwish, Rafia; #Building Permit Technicians Subject: Starbucks Permit Submittals: 16200 SW Pacific Hwy Z3 Attachments: Starbucks Permit Applications.pdf; SIT_PermitApp_080216.pdf; PLMF_PermitApp.pdf Hello Guy, We received your permit submittals for the Starbucks located at 16200 SW Pacific Hwy Z3. However,we are missing various information that we will need to process these permits and to complete plan review: Site Work: • The valuation on the application is the same as the building permit valuation: $812,000.00. What is the valuation specifically for the site work? The site work valuation needs to be separate from the building permit valuation. • We received (1) set of site work plans. We will need to receive (2) additional sets of civil plans. I have attached our site work permit application above for you to reference with the permit requirements listed. • We did not receive a signature at the bottom of this application. We would appreciate it if you can sign, print, and date the application and return it to us. Mechanical: • What is the valuation? We need the valuation of this work to determine fees. Please enter the valuation on the application and return it to us. Electrical: • The application was missing the quantities in the fee schedule. Please enter the quantities on the application and return it to us so that we may begin plan review. Plumbing: • We are missing the plumbing fixture quantities in the fee schedule. Please enter the quantities on the application and return it to us. • The second page of the plumbing fixture application was not included with your submittal. Please submit the second page with the completed Commercial Fixture Work section. I have attached the plumbing fixtures permit application above for you. If you have additional questions, please let me know. Thank you, 1 , Branden Taggart City of Tigard Senior Permit Technician Community Development TIGARD, 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-or.gov 2 CITY OF TIGARD PLUMBING PERMIT ,111 I COMMUNITY DEVELOPMENT Permit#: PLM2019-00119 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/14/2020 T f G.A R.L� g Parcel: 2S115BA02500 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY Z3 Project: Starbucks Subdivision: 2004-015 PARTITION PLAT Lot: 1 Project Description: Interior plumbing for a new Starbucks coffee shop with outdoor seating and drive thru facilities: Contractor: D P PLUMBING Owner: SN PROPERTIES PARTNERSHIP 15825 NE SPRINGBROOK RD 1121 SW SALMON ST NEWBERG, OR 97132 PORTLAND, OR 97205 PHONE: 503-537-9492 PHONE: FAX: 503-538-4306 FEES Quantity Description Date Amount 2 ea Backflow Preventer 01/14/2020 $62.54 Specifics: 1 ea Dishwasher 01/14/2020 $25.02 1 ea Expansion Tank 01/14/2020 $12.51 Type of Use: COM 6 ea Floor Drain/Floor Sink/Hub 01/14/2020 $150.12 Class of Work: ALT 2 ea Hose Bib 01/14/2020 $50.04 Type of Const: 2 ea Ice Maker 01/14/2020 $25.02 Occupancy Grp: 1 ea Interceptor/Grease Trap 01/14/2020 $25.02 Stories: 1 ea Primer 01/14/2020 $12.51 17 ea Sink 01/14/2020 $425.34 2 ea Water Closet 01/14/2020 $50.04 1 ea Water Heater 01/14/2020 $37.52 125 Misc Other Fee 01/14/2020 $125.10 25 If Sanitary Sewer 01/14/2020 $62.54 1 ea Fixture/Sewer Cap 01/14/2020 $25.02 1 Plan Review 01/14/2020 $272.09 1 12%State Surcharge- 01/14/2020 $130.60 Plumbing Total $1,491.03 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 c g 503.23 1987 or 1. .332.2344. r` Issued By: Permittee Signature: f)k/ 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.