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Permit (97) " :all, CITY OF TIGARD PLUMBING PERMIT .J11., COMMUNITY DEVELOPMENT Permit#: PLM2015-00395 �; Date Issued: 12/07/2015 I' I'`i' 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 T1G/ RD Parcel: 25101 BA00101 Jurisdiction: TIGARD Site address: 7500 SW DARTMOUTH ST 130 Project: Icon Nails&Bar Subdivision: WEST PORTLAND HEIGHTS Lot: Project Description: Interior plumbing for TI:Adding(13)lavatories,(1)water closet,and(2)2"floor drains; Installing(2)backwater valves. Contractor: MANZHURA PLUMBING Owner: WAL-MART REAL ESTATE BUSINESS TR PO BOX 820429 BY PROPERTY TAX DEPT STORE 5935-00 VANCOUVER,WA 98682 PO BOX 8050 ATTN MS 0555 BENTONVILLE,AR 72716 PHONE: 360-772-8145 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Backwater Valve 12/07/2015 $25.02 Specifics: 2 ea Floor Drain/Floor Sink/Hub 12/07/2015 $50.04 1 ea Water Closet 12/07/2015 $25.02 Type of Use: COM 1 12%State Surcharge- 12/07/2015 $45.04 Class of Work: ALT Plumbing Type of Const: 13 ea Sink 12/07/2015 $325.26 Occupancy Grp: Stories: Total $470.38 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: ,W,04,,,,z,....._ , 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. Plumbing Permit Application UV _ „ ,L Building Fixtures FOR OFFICE USE ONLY City of Tigard ciiNg DaeacteefiBveyd, 1/ >ei /5 Permit No.: /tom ors Kb34is a 13125 SW Hall Blvd.,Tigard,OR 97223 ' Plan Review _2 • Phone: 503.718.2439 Fax: 503.598.196�`(�ii Date/By: vI . /Other Permit No.: I7 rI�r 3 �i Inspection Line: 503.639.4175Date Ready/By: r 2 for T I G A R D Internet: www.tigard-or.gov 101 �Q�S Notilied/Methoorris: ® Sec Page d: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction Demol ti `ti OilyFor special information use checklist. ❑ ❑ t� ��)��®� Description Qty. Ea. 1 Total qt !y Addition/alteration/replacement I=1°thewAlus ll\ New I-2-family dwellings(includes 100 0.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 IDI-and 2-family dwelling gCommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑ Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATON Site utilities: 1 n Catch basin or area drain 18.76 Job site address: 4w � lin O Drywell,leach line,or trench drain 18.76 City/State/ZIP: --i-i„ 0� 61- -22_3 ' I2 D Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: U)3�I Project name: -�^��/1 p 1.s ;43 Manufactured home utilities 50.03 Cross street/directions to job site: r p I" �' 1 ��J Manholes 18.76 4_,,,, L� (_1 )►a( Rain drain connector 18.76 �/ TT ttK II Sanitary sewer(no.linear It.: ) Page 2 "" Storm sewer(no.linear It.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer [ 31.27 DESCRIPTION OF WORK Backwater valve 2 12.51 67,..S-70,), ii Clothes washer 25.02 f /-�1Z- IA ) 1-- /'D l ('� Dishwasher 25.02 3 c)� , , ,?. ;-,z_s/n i / G✓G, /jam/c_ Drinking fountain 25.02 Ejectors/sump 25.02 W] PROPERTY OWNER ❑ TENANT Expansion tank 12.51 L� /}i r - 7' -ria cap 25.02 Name: /� t /� Floor drain/floor sink/hub ,---17.-- 25.02 5-0..09 Address: r.1-80D / L'} Xt in,,./ Garbage disposal 25.02 City/State/ZIP: 'I )SA D f_. .. Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 13 12.51 , S, Address: Sink/basin/lavato0 j/ / 25.02 City/State/ZIP: Solar units(potab water) Os 62.5' Phone:( ) Fax: :( ) Tub/shower/shower pan /Y 7&4 A 12.51 E-mail: Urinal 1rz�,VP> 25.02 CONTRACTOR Water closet ti-71Z! 25.02 ;t5s4j)- Water heater 37.52 Business name: WW1 M LA- _km?,el4 Water piping/DWV 56.29 Address: Q-2 (-D 7-- q a Other: 25.02 City/State/ZIP: Ci(N/ i,I-,� Ag 6 g2 Subtotal` ^ .- - l(J V Minimum permit fee: 572.50 Phone:(�� .\,_.`"),"1„ --CII � Fax:( ) Plan review (25%of permit fee) CCB Lie.: 1'L;� r (�1 Plumbing Lic.no.: F� 5' � State surcharge(12%of permit fee , all signature: ` 7,oTOTAL PERMIT F E i i‘i , ) Print name: ' /(� /� �w�� /� ,, Date: -� ' 1 his permit application expires if a permit is not obtained 'rt''' .0 days v/`��rJV• -7\ r^drt b after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Ser I:\Building\Permits\PLNIU-PermitApp.doc I0/01109 440-4616t'(IOiO2IC0M(WEB) I 70._,Y CSS' el-tgziolcs 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-1'1100' 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 S72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first 55,000.00 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 5379.50 for the first$25.000.00 and S1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof to Reinspection Fees 90.00/hr and including 550,000.00. 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*. 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 ❑ Any new commercial building with water service 2"and 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 Drive Thru as defined in OAR9 I 8-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain E c Wash Submit 2 sets of plans with any of the above. Y Floor Drain/sink: -2" Z 3" 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./Rettig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related I/ -Bradley _ -Com/Serv/Util food related -Service *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 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLM F_PermitApp.doc 08/04/2011 2 filinina Accumulative Sewer Tally Tenant Name: ICON NAILS&BAR - SWR# 2015-00152 I '. Site Address 7500 SW DARTMOUTH SUITE 130 PLM# 2015-00395 t! a' Parcel#: 2S101BA00101 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 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/Water Aspirator 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 lye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 2 4 2 4 -3 inch 5 0 0 0 0 0 -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 HP) 32 0 - 0 0 0 0 - Industrial (over 5 1-IP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 living Unit 16 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: -Lav/Bar-Non-Food Related 2 0 0 13 26 13 26 -Bradley 5 0 0 0 0 0 -Com/Sery/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 Water li:xtractor 6 0 0 0 0 0 Water Closet-"1'odet 6 0 0 1 6 1 6 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 • Capped l.:DU Credit 0 'IOTA l S 0 0 0 0 16 36 16 36 Current Fixture Value 36 divided by 16= 2.250 Current IDU 1 EDU= $5,100.00 Previous Fixture Value 0 divided by 16= 0.000 Previous CDU Change 36 divided by 16= 2.250 over (under) S 11,475.00 Enter EDU Change IIere 2.250 * *Round 1.DUs to the nearest I/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded clown to.01. Notes: 12/2/15 Thomas Nguyen added (2) sinks to previous total of 11 sinks. Authorized Name/Signature: BRANDEN TAGGAR'T X2449 Date: 11/19/2015 Building Division Note: The property owner shall retain the ORIGINAL,sewer tally record. I f credits exist,this document will serve as a voucher which must be submitted to the City of"Tigard Building Division to redeem credits towards future system development charges. I:ABuilding\Sewer Tally\Sewei'I'allyShcet_5I 00_070115 i' Accumulative Sewer Tally Tenant Name: ICON NAILS&BAR SWR# 2015-00152 :01, . r` Site Address: 7500 SW DARTMOUTH SUITE 130 PLM # 2015-00395 Parcel#: 2S101 BA00101 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value tot #s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -.Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: - Nach Stall 6 0 0 0 0 0 -Drive through 16 0 0 S 0 0 Cuspidor/Water Aspirator 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 [ye\Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 2 4 2 4 -3 inch 5 0 0 0 0 0 -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 HP) 32 0 0 0 0 0 - Indust,ial (over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 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 I 0 0 0 0 Sink: - I.av/Bar- Non-Food Related 2 0 0 11 22 11 22 - Bradley 5 0 0 0 0 0 -Com/Scry/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 Water FIxtractor 6 0 0 0 0 0 Water Closet -'Toilet 6 0 0 1 6 1 6 Urinal 6 0 0 0 0 0 Previous IDU Count 0 0 Capped II.DU Credit 0 'I'O'1'AI.S 0 0 0 0 14 32 14 32 Current Fixture Valu 32 divided by 16= 2.000 Current F.DU 1 EDU= $5,100.00 Previous Fixture V: ue 0 divided by 16= 0.000 Previous [DU C ange 32 divided by 16= 2.000 over (under) S 10,200.00 Enter EDU Change Here 2.000 `Round UDUs to the near st 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: Authorized Na ("Signature: BRANDEN'TAGGAR"I'X2449 - Date: 11/19/2015 Building Division Note: '[he property owner shall retain the OR(GINAI:sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:ABuilding\Sewer Tally\Sewcr'l'allySheet_5100_07111 I 5.xlsx 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 7500 SW DARTMOUTH ST 130, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00395 Chip Barnett Violation Summary: Inspector Contractor