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Permit (21) t CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT F Permit#: PLM2016 00506 13125 SW Hall Blvd.,Tigard QR 97223 503.718.2439 Date Issued: 10/24/2016 TIGARD 9 © � Q� Parcel: 2S102AD02700 Jurisdiction: Tigard Site address: 8970 SW BURNHAM ST Project: Pacific Rim Martial Arts Academy Subdivision: BURNHAM TRACT Lot: 5 Project Description: Adding(1)clothes washer,(1)dishwasher,(2)lays,(1)shower stall,(2)water closets&(2)water heaters for addition. 4/27/17:REPRINTED permit to include 100 ft.of water service,(1)hose bib,and(2)new sinks. Contractor: EAGLE PLUMBING ENTERPRISES INC Owner: MARTYN PROPERTIES LLC 13801 S FORSYTHE RD 17051 SW RIVENDELL DR OREGON CITY, OR 97045 PORTLAND, OR 97224 PHONE: 503-650-8703 PHONE: FAX: 503-650-8720 FEES Quantity Description Date Amount 1 ea Clothes Washer 10/24/2016 $25.02 Specifics: 1 ea Dishwasher 10/24/2016 $25.02 2 ea Lavatories 10/24/2016 $50.04 Type of Use: COM 1 ea Tub/Shower/Shower Pan 10/24/2016 $12.51 Class of Work: ALT 2 ea Water Closet 10/24/2016 $50.04 Type of Const: 2 ea Water Heater 10/24/2016 $75.04 Occupancy Grp: 1 12%State Surcharge- 10/24/2016 $28.52 Stories: Plumbing 100 If Water Service 04/27/2017 $62.54 1 ea Hose Bib 04/27/2017 $25.02 2 ea Sink 04/27/2017 $50.04 0 12%State Surcharge- 04/27/2017 $16.51 Plumbing Total $420.30 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: •ermittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application 844441±aies 7-au tu)i t.) & REC1SIE I OR 0111( 1. IS l. ()NI 1 City of Tigard Received 1 / Date/By: /OP? /e0 C--- .6 Permit No.:Pe)-00/4-46 5-6 k, w 13125 SW Hall Blvd.,Tigard,OR 97223 114 : • Phone: 503.718.2439 Fax: 503.590@6T3 4 201S Date/By:Plan Review Other Permit No.:&047,19/4,....ele)33.4 Inspection Line: 503.639.4175 i iGnizi) Date Ready/By: Internet: www.tigard-or.gov "' . / I. I Notified/Method:A 4,/ Co..h jun$: rup8,etemPRegnets21 flrformation i'10-*.y.,44,,„,-,,,,,w.,14,*,,: a4t-afX•:..' . ,•:.s," ,o,4 "',,,--- ',.,,:i,-,,,q ,44, ,.,_001,trogg,„, .;.4,• *gal=V.,:-g.,0,44.-.,,,, •;...e%- rs a h-a:-a il a.- t A , Ali,,,,:,...IY:.: 4._.,-,... ...,,-..i,.,,-ve,,,•,,,.`..- .',A,,44 !=,,--, ,,'81a4:Et ,-k,:t '',,'' , • •. , s . El New construction IN Demolition For special information use checklist Description I Qty. I Ea. I Total w 0 Addition/alteration/replacement 0 Other: ,,.. - 1r, 1 43-012-,' New 1-2-family dwellings(includes 100 ft.for each utility connection) St) SFR(1)bath 312 70 0 1-and 2-family dwelling 0 Cornmer.'al/industrli SFR(2)bath 437.78 SFR(3)bath 500.32 1 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 Ci 0 Master builder 0 Other: 0' , ,, Fire sprinkler( sq.ft) Page 2 -40-3131k.modow*0:404*-0*fiktiomkg,sim, 4,5,75,,,,,, Site utilities: '5/•-) _ Job site address:8970 SW Burnham Street Catch basin or area drain 18.76 Drywell,leach line,or trench drain 4 18.76 LIN\ 1 City/State/ZIP:Tigard,Oregon 97223 Footing dram(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Pacific Rim Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 . Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:Jab / Page 2 C,2.„5'L1 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: A 6 i7 A-Doa 7 o C.-) Backflow preventer 31.27 I M.,'4,514k*AftWieliiibief7:4`',"'',Iitz9p4i.W.,.. 'W- Backwater valve 12.51 *...•,.,.,,rq-70.o:,....*.--,, ,,,. :',‘..,,t;wAm,--,.;,,,,,,,L.$.3,',6,,,,,,,P.P7.;%r‘,,,,,,,t.4,;,,i, s,.,' i.,,.,o,s,, ,,,,,,,,.,A,,i.•;?',,,-;,f4t,',-,,,,,, clothes washer 1 25.02 25.05 Commercial Addition •-• al 0o... ,...A/U2.4,0 LAP LCA ..0 „_(... Dishwasher 1 25.02 25.02 7 &Adz-4 ( ) kic.t .)r):b (;) _..S, IS 44%4 Drinking fountain 25.02 fa?, 41, 01. 4,y* - ;?,e.-v- ti:?..e_ Ejectors/sump 25.02 Expansion tank 12.51 Name:Mike Martyn Fixture/sewer cap 25.02 Floor drain/floor sink/hub t 25.02 Vat: Address:8970 SW Burnham Street Garbage disposal 25.02 City/State/ZIP:Tigard,Oregon 97223 Hose bib J 25.02 )..'c.o. Phone:(503)750-6900 Fax:( ) Ice maker 12.51 q51-lit'W1M4W,',.iiK0-', • : tAlirtge0,:..,--,,',)'.4„-.4.,.,•,:. .-4. ,,i,Ozginti , e , ..., , , Interceptor/grease trap 25.02 :gk:Ale4.04.0i--',,..;.-..',..,:.,,,, '",i,rieWii.o-,,,,,,,,'.ztt4t,-.1.r:•4];,,..,,,,i.,..,...r. -,-.;:,.,„,,,,,,,,,,,1?„,,.:44 Business name:Eleven Engineering&Design Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Nate Carter Roof drain(commercial) 12.51 Address:2432 NE 59*Avenue Sink/basin/lavatory /1.7.21 25.02 , i.i. itto,'02 City/State/ZIP:Portland,Oregon 97213 Solar units(potable water) 62.54 Phone:(971)344-1919 Fax::( ) Tub/shower/shower pan 1 12.51 12.51 E-mail:Nate.Carter@l1-ED.com Urinal 25.02 1 ;,,,VVj'gri'511t7fW,,, „q;',,,iftii*AgiMiipAialitfrIrriarraVP,AV* Water ch3set 2 25.02 50.04 Business name: E4 d,i.._f... P4,14 HA,A/6 ccio7s2P4,,5..e 6 (A)C..., Water piping/DWV 56.29 Address: /3ge,/ 6. A.ey7-64g /8 Other: 25.02 , City/State/ZIP ote 60,0 C,r3/ ele, 92o6 Subtotal 262-.69 Phone: 5D3- te27)-er 7,9-0 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) PIA' 65747 CCB Lie.: 1/7 9/ / ,,Plumbing Lic.no.: 3-15-1-7r6 Ar ir, .. State surcharge(12%of permit fee) •51:34 •• -.-5•2 Authorized signature:)( TOTAL PERMIT FEE •4,59188" i Print name:Nate Carter Date:3-Oct-2016 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. IABui1dingTermitAPLMU-PermitApp doc 10/0IA)9 440-4616T(10/02/COM/WEB) . i iilI70v-4. --\\L ! i Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression S stems °'r r' .?„--426,,,,-140-0)- --,i4.0,-,;,, .�y�wya'x�.p}, n,`., x. �. ;�5,,. �air. ilio 4 ,7.,A,7,1:774,...30‘0,;.,-. ,:" �1�. >ti :.rte ,.. ,,, .:.L ,, .,, :+` i : :: i. ', .4..' aN . - 1 Footing drain-1°100' 50.03 0 to2,000 $121.90V 1 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 S stems: Water Service-each additional 100' 37.52 � ' ' k ( r` ti ..n -, te`, , Pli aa f , fl . P 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 1 x;, v^l,ar rr^a• m , LP.., r4n Ya - zt SXR s each additional$100.00 or fraction thereof,to 1C 1V , # ti x'7�.. 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. I - 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 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 }�:t;�.�2),1;„•i r ',si ,f . , 4 r 1 _a.: xr►in *' ' xturi"f Plan review is required for any of the following. efar , i ta. ,," � ���� Please check all that apply. Wos k4' formed: . Cl p1 r. .440f °4.,„.*t0I }'4e. Baptistry/Font 0 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 0 New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher -Commercial 0 Any multipurpose fire sprinkler system. -Domestic 1 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye WashSubmit 2 sets of plans with any of the above. Floor Drain/sink: -2" tT s Rf*T •; , Li 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) ' Rec.Vehicle Dump Station j Shower: -Gang ' -Stall Sink: -Lav/Bar non-food related if -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 I Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet 2- plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 ' CITY OF TIGARD PLUMBING PERMIT Pri �. '> COMMUNITY DEVELOPMENT Permit#: PLM2016-00506 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2016 E G' 9 Parcel: 2S102AD02700 Jurisdiction: Tigard Site address: 8970 SW BURNHAM ST Project: Pacific Rim Martial Arts Academy Subdivision: BURNHAM TRACT Lot: 5 Project Description: Adding(1)clothes washer,(1)dishwasher,(2)lays,(1)shower stall,(2)water closets&(2)water heaters for addition. Contractor: EAGLE PLUMBING ENTERPRISES INC Owner: MARTYN PROPERTIES LLC 13801 S FORSYTHE RD 17051 SW RIVENDELL DR OREGON CITY, OR 97045 PORTLAND, OR 97224 PHONE: 503-650-8703 PHONE: FAX: 503-650-8720 FEES Quantity Description Date Amount 1 ea Clothes Washer 10/24/2016 $25.02 Specifics: 1 ea Dishwasher 10/24/2016 $25.02 2 ea Lavatories 10/24/2016 $50.04 Type of Use: COM 1 ea Tub/Shower/Shower Pan 10/24/2016 $12.51 Class of Work: ALT 2 ea Water Closet 10/24/2016 $50.04 Type of Const: 2 ea Water Heater 10/24/2016 $75.04 Occupancy Grp: 1 12%State Surcharge- 10/24/2016 $28.52 Stories: Plumbing Total $266.19 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: AA/'(— Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application -Si4Miliaies 7--au i L.D//1/4) It Eettlff I) City of Tigard !!ved / pDa / l-/A0//F-46 56 i6 ' 13125 SW Hall Blvd.,Tigard,OR 97223 Cd�r Plan Review Phone: 503.718.2439 Fax: 503.59 6 DateBy: Other Permit No.:p 47,66 Inspection Line: 503 639.4175 T I(i A R I) Date ReadyBy: 7nris. ® See Page 2 for Internet C� � www.tigard-or.gov or.gov / OF�I 'lief b 11t Notified/Method:/6 [�/fr 102.-/ Supplemental Informat,on : TYPE ) , L X: Pik; Cff ):LE ?"- i ISIO For special information use checklist ❑New construction Demolition P l Description I Qty. I Ea. I Total 'b ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) Oj A ( 4 oaf:CON$Th(JG"T SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 0 ❑Other: Fire sprinkler( sq.ft.) Page 2 01 JOB` ITE I 'OI MATIOI'N" A lD LOCATION Site utilities: 9J Job site address:8970 SW Burnham Street Catch basin or area drain 18.76 VJ NN n City/State/ZIP:Tigard,Oregon 97223 Drywell,leach line,or trench drain , 18.76 v' Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Pacific Rim Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: 2 s/o�,?/}-D®a 7 O p Backflow preventer 31.27 UON © , K Backwater valve 12.51 „_" n Clothes washer 1 25.02 25.05 Commercial Addition (��1 V (-CAA Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 cli4 RootitT own 0`.TI;.NANT . Expansion tank 12.51 Name:Mike Martyn Fixture/sewer cap 25.02 Floor drain/floor sink/hub $ 25.02 Address:8970 SW Burnham Street Garbage disposal 25.02 City/State/ZIP:Tigard,Oregon 97223 Hose bib 25.02 Phone:(503)750-6900 Fax:( ) Ice maker 12.51 0:®=A*P'.lu .AN'7`.. r 4". T T fRS Interceptor/grease trap 25.02 Business name:Eleven Engineering&Design Medical gas(value:$ ) Page 2 Contact name:Nate Carter Primer 12.51 Roof drain(commercial) 12.51 Address:2432 NE 59th Avenue Sink/basin/lavatory 2 25.02 50.04 City/State/ZIP:Portland,Oregon 97213 Solar units(potable water) 62.54 Phone:(971)344-1919 Fax::( ) Tub/shower/shower pan 1 12.51 12.51 E-mail:Nate.Carter@l1-ED.com Urinal 25.02 r a e closet 2 25.02 50.04 ` ' ��CTO , - Water heater 2 37.52 75.04 Business name: [`�q(o L`E. it4 HA,A.)6 cciv7i2P, 1 6,e 3 //0e.., Water piping/DWV 56.29 Address: /.33go/ 6. LoeSYT/�£ 4 ) Other: 25.02 City/State/ZIP Cry ( 9?oy'r- Subtotal -�-. 9baa•/.- �- Phone: 505- (,S75- g 7 0-0 Fax:( ) Minimum permit fee: $72.50 .66,67 CCB Lic.: 4/79/ f Plumbing Lic,no.: 3-15-ViePlan review (25%of permit fee) IJrk State surcharge(12%of permit fee) 2g:5734-52 Authorized signature:y• /Air _ TOTAL PERMIT FEE r 459:$8' 4 Print name:Nate Carter Date:3-Oct-2016 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.4 I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) l�/ / ' 9. Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: 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 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 k g a Storm&Rain Drain-1st 100' 62.54 s i pax $1 • Q . <' nth $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 � . , p3A, oti31 .y 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to 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*. t � , , ;° , v, t uantity ixt,�re y e Plan review is required for any of the following. Fiatgt a for. Please check all that apply. Worklerformed; Ca Adeed RR!ocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 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" ❑ 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) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet 2- plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8970 SW BURNHAM ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2016-00506 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Correction's are complete, plumbing final approved. Violation Summary: Inspector Contractor