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Permit CITY OF TIGARD i I PLUMBING PERMIT COMMUNITY DEVELOPMENT W® � ' Permit#: PL 00400 Date Issued: 11/13/2013 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 134AB03300 Jurisdiction: Tigard Site address: 10330 SW SCHOLLS FERRY RD Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88 Project Description: Interior plumbing for new 2-story building. 11/13/2013: REPRINTED to amend description as this permit only covers work for(1)ejector/sump pump and(2)floor-dirother fixture work to be done under other permit(s). Contractor: WESTERN PLUMBING Owner: MUSLIM EDUCATIONAL TRUST INC 9460 SW TIGARD AVE SUITE 101 PO BOX 283 TIGARD, OR 97223 PORTLAND, OR 97223 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Ejectors/Sump 11/13/2013 $25.02 Specifics: 29 ea Floor Drain/Floor Sink/Hub 11/13/2013 $725.58 1 12%State Surcharge- 11/13/2013 $90.07 Type of Use: COM Plumbing Class of Work: NEW Type of Const: Occupancy Grp: Stories: • Total $840.67 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 OUN . calling 503.232.1987 or 1.800.332.2344. Issued By: _at / • / - Permittee Signature: 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. CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2013-00400 Date Issued: 11/13/2013 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 134AB03300 Jurisdiction: Tigard Site address: 10330 SW SCHOLLS FERRY RD Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88 Project Description: Interior plumbing for new 2-story building. Contractor: WESTERN PLUMBING Owner: MUSLIM EDUCATIONAL TRUST INC 9460 SW TIGARD AVE SUITE 101 PO BOX 283 TIGARD, OR 97223 PORTLAND, OR 97223 PHONE: 503-639-5296 PHONE. FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Ejectors/Sump 11/13/2013 $25.02 Specifics: 29 ea Floor Drain/Floor Sink/Hub 11/13/2013 $725.58 1 12%State Surcharge- 11/13/2013 $90.07 Type of Use: COM Plumbing Class of Work: NEW Type of Const: Occupancy Grp: Stories: Total $840.67 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 444cr76711-1( Permittee Signature: g/ ( �A�G/e Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 11/05/2013 13:59 5036849015 WESTERN PLUMBING INC PAGE 01/03 Plumbing Permit Application Building Fixtures 1:0I: !,t l i�:`;:: r_:s is cr.�t:) City off'vd r,�a,OR 972 tee: // 6-/3 ,� / P..-124°.: �,1/�/3 'Qo �,r.: Phone- 303 639.4171 Fats 503.598.1960 ,R�e`,°ea° other Pram No.,p 60,10/3-470/94, rte< I °fl Line: 303.639.4175 Internet: wavesbid-orgov '�I c. �///$//3 �L 2k.rmMOa .:..,:::::::‘,::::...1:.: .:;:::::,::i',:::,::,:‘,:;.::.,..„:.:..,.:„:::Ti*,:0P,:,*01E/C'.,:- : . ,, \ . :::.';'.:.,:'New construction © i A 2 time'I checklist st `�01 Desaiptiasi N Es. Total O Addition/alteration/replacement 'Q a'11-k-. New v d _wettings(includes 100 S.Sor each utility ca>mcction) -'"C.ATEGOI1Y IDR•txiii 1 ,G,�i`® SFR(1)batb 312.70 1 +� ` )" ` SfR(Z)bash 437.78 O 1-and 2-famiy dwelling ]X] '.,,.,,_. . ,,:..,,,a_ D building 0 Mull-fi �v Each(3)heath 525.02 4- additional besb/kitcben 25.02 D Mir builder 0 Other Firs a (_sq•IL) Page 2 6 JOB iiiiI.JiV, 'TI1Dr1:AND :a[IC.ATDON Be*Rides: ! 2 Job site address �, Cl� f ib�� Catch basin or area drain 18.76 1( ?a(� `y�) <�t't 1.��(1' K YY LA Drywall,leach lino,or trench 5.76 F de City/Stata1ZIP:' 1\( r<*iS . ti�i�"`) Forging drain(no.linear R: ) Page 2 SuitclbidgJapt.no.: '-' Project tame: \ . �besne•vb'litiea 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.lines L.__„) Page 2 Storm seam(uo-line r R:_) Page 2 Water service(nob.linear it:__) Page 2 linnet f Lot no.: Ff� e err Rem: 1 - Tax� '�no Baddlow peeve�r 3127 Backwatr valve 12.51 joshes washer 25.02 .. .fCV' .x-oscoLI,v CY■1,. washer , 23.02 Dreg itwaoin 25.02 Ejecta:s/sump X 2502 PI(i S'Glib)ElR { 0:4Piii1itT Expansion tank 12.51 kl Fixture/sewer cap 25.02 Name: Roos dra or sink/lwb ac‘ 25.02 11,77.1 :4. 3 Ad Garbage disposal 23.02 1 City/Stab/ZIP: __ Baae bib 25.02 - Phone:( ) Far.( ) „ Ice maker - 12.51 L :A 3�)ICAi91 �' :tiN7 AC?'PI&RB�ON I»teroaptor/g{ease trap 26.02• Business name Medical gas(value:3 ) Page 2 Primer 12.51 T Contact name: Roof drain(steal) 12.51 Address: Siek/basoia/linmety 25.02 ci ctty/StaterL P: Solar tmita(potable water) 62.34 Phone:( ) 1 Fair:( ) Tab/showedahawerpea 12.31 Frmad: Urinal 79.02 Warr camel 25.02 `' Water haata 37.52 Business name:Western 1$>usebhmg,Inc Water pipiag/DW V 56.29 Address:9460 SW Tigard Avenue Suite 101 poser 25.02 City/S6ate/ZIP:'Mard,OR97223 - Subtotal Acc-';.(CO Phone:(503)639.8296 Fam(503)684-9015 liftninami permit fee: $72.50 CCB Lie.:2439 Plumbing Lie.no.:34-29PB Plan review(25%of permit fee) ! State atrehorg�e(12%of permit fed) .01 54 if 7 Authorized signature:y A .`� , ✓ , L TOTAL rsiuvr T FEE v f ram D `Q' Print flame.Dana Jensen .3 '. Date:fl "13 application ft his bead accepted es s0s complete. within 180 days This permit •P. ..r h rinln.,v mot h.Tri-rroweo Aml.fina 7 rl.wav Cw.w...Ane..i 11/05/2013 13:59 5036849015 WESTERN PLUMBING INC PAGE 02/03 Plumbing Permit Application- City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Footing dram 1' - rioo' 50.03 0 to 2,000 $121.90 , � Footing drain-each additiooa1100' 37.52 2.001 to 3,600 $169.69 _3601 to 7200 $33320 Sewer-let 100' 62.34 - 7,201 and g $327.54 Sewer-each additional 100' 37.52 .1 Water Service-14 I00' 62.54 • Medical Gas Systems: War'Service-each addiional 100' 3732 r th w Storm&Main Drain-1st 100' 62.54 $1.00 to$5,000.00 lain-mnnn for$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 fm the Brat$5,000.00 and$1.52 for 'e'' n ors . - ;'Qty.- ;Fee'.i(�a Ta4a1 each additional$100.00 or fraction thereof,to .: ),„ and inoludi g.$10,000.00- Inspeatian of existing phunbing or for $10,001.00 to 525,000.00 '$148.30 tar the first$10,000.00 and$1.54 for Bch no fOC is specifically indicated 90.E each additional$100.00 or fraction thereof,to (niobium clamp-112 hour) and includes$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 Reinapection Fees steatite-2 hams) _ OOds , - each additional$100.00 or fraction thasaof;to and inclucfuvt$30,000.00. ' Additional plan review for revisions 90 U0/ar $50,001.00 and up $742.00 fox the first$50,000.00 and$1.20 for (minimum charge-1/2 how) — each additional$100.00 or fraction thereof Subtotal: Commercial Fixtgre Work: Are you capping,adding or replacing fixtures? If"yes', ":- ± please indicate work performed by fixture. Failure to Plan review is remixed for any adze following. accurately report fixtures could result in increased sewer fees*. Please check all that apply. Qiawtgr.16r4 YiPlt }war rritea ❑ Any new commercial building with water service 2"and greater,except systems designed citnn a Via' and stamped by licensed /Font . 0 New exterior plumbing site utilities for any complex structure naah -Tab/Shower as defined in OAR918-7$0.0040. -lainizi/whaipool ., , — © Medical gas and vacuum systems for health cart facilities. Car wean -Bach start -Drive au �} Any umbipurpose file sprinkler system. •Cuspidor/Water Aspirator , D Any complex structure as defined in OAR918-780-0040. Dishwasher -Commercial - Submit 2 sets of plans with any of the above. Drro clog Fountain Bye Wash >�tetf o �� '�` Floor Drain/sink -2" Q Isometric or riser diagram is required for new buildings .3" t c� -4., _ that meet the qualifications above. Car Wash Drain Garbage -Domestic _ n>spoard -Industrial Comments regarding fixture work: Ice Mach./Rafeig.Draios Oil Separator pas SWi _Ree.Vehicle Dump Station Shower -Gang -Stall Sink r - ->3ar/GrvataY -Tiradley -Commercial *Note: If the fixture work under this permit results in an -Sery 1Oe increase of sewer FDTTs,a sewer permit will be issued and - Swimming Pool Fiber fees assessed for the sewer increase must be paid before the Washer-Clothes Water Extractor plumbing permit can be issued- Water Closet-Toilet Urinal Other Fixtures: 1 _ copy —._ Accumulative Sewer Tally • Tenant Name: Muslim I.ducational'I rust S\\'Ii# 2013-00196 Site.\ddress: 10330 SW Schulls Ferry Rd PI Al # 2013-0041)0 TIGARD -- I'a reel#: 1 S 134AB03300 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#5 value count added# added value total#5 total values Baptisers-/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 - Jacuzzi/\\'hirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/\\'atcr.\spirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 19 38 19 38 -3 inch 5 0 0 10 50 10 50 -4 inch 6 0 • 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: - Domestic(to 3/4 I IP) 16 0 0 0 0 0 -Commercial (to 5 I IP) 32 0 0 0 0 0 - Industrial(over 5 1-I P) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Oil Sep (Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -l.av/liar-Nun-Food Related 2 0 0 0 0 0 - Bradley 5 0 0 0 0 0 -Com/Sere/Util- Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 \'Cater Extractor 6 0 0 0 0 0 Water Closer-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped [DU Credit 1.8 28.8 TOT,\I,S 0 0 0 0 29 88 29 59.2 Current Fixture Value 59.2 divided by 16= 3.700 Current[DU 1 EDU= $4,665.00 Previous Fixture Value 0 divided by 16= 0.000 Previous[DU Change 59.2 divided by 16= 3.700 over (under) S 17.260.50 Enter EDU Change Here 3.700 Notes: 1.8 I:DU credits applied from demo permit BUP2013-00158. This work was taken out of original submittal for PI.:\12012-00204,so sewer rate from that period was used. Authorized Name/Signature: Debbie:\damski Date: 11/6/2013 Building Division Note: The property owner shall retain the ORIGIN.\1.sewer tally record. If credits exist,this document will serve as a voucher which must be submitted ro the City of Tigard Building Division to redeem credits towards future system development charges. 1A Building Sewer Tally\Sewer'fall•Sheet-4665.xls t 17/111/12 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 10330 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2013-00400 George Heimos 1. Wrong inspection called. Fixtures for inspection are on permits PLM2012-00204 and on PLM2013-00400, please call in both inspections at same time. No inspection made, recall 2. Corrections from rough inspection dated 03/27/15 not completed 3. 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 10330 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2013-00400 George Heimos 1. Provide access panel for water hammer arrestor as per plans all toilets. 2. Provide hot water, Rooms: T,1,2,3,4,5,6,7,215,HS,212,221,222,224 caulk wha,science rm all 5 ﬁxtures, venting island sink,/K/Pre K/ Art/Rm, bathroom with ladder to roof caulk and ﬁnish installation 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 10330 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O December 11, 2015 at 9:37:39 AM PLM2013-00400 Don Sylvester 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 10330 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O December 11, 2015 at 9:37:39 AM PLM2013-00400 Don Sylvester Violation Summary: Inspector Contractor