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Permit (125) CITY OF TIGARD PLUMBING PERMIT 3 COMMUNITY DEVELOPMENT Permit#: PLM2017-00400 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/28/2017 Parcel: 2S102AD01300 Jurisdiction: Tigard Site address: 9095 SW BURNHAM ST Project: Wyatt Properties Subdivision: None Lot: None Project Description: Install 300'of new water service to(3)buildings on this lot. Building and/or suite addresses include 9095,9103, 9105,9115 and 9117. Contractor: MIKE PATTERSON PLUMBING Owner: WYATT PROPERTIES LLC 15028 S MITCHELL LN 9095 SW BURNHAM ST OREGON CITY, OR 97045 TIGARD, OR 97223 PHONE: 503-632-7374 PHONE: FAX: 503-632-5647 FEES Quantity Description Date Amount 300 If Water Service 09/28/2017 $137.58 Specifics: 1 12%State Surcharge- 09/28/2017 $16.51 Plumbing Type of Use: COM Class of Work: OTR Type of Const: Occupancy Grp: Stories: Total $154.09 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: 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. Sep.27 .2017 01:00 PM Mike Patterson Plumbing 503 655 4349 PAGE. 2/ 3 Plumbin Permit A licatio>t, .,•,,a�3�, Site Utilities E e 1 EI tt>1t OFL(( I'. ISr (YNI1 City of Tigard SEP 27 2017 ReeWVhl C� 9/2 Permit N�L,02 / .__eo'OO - n 1312,5 SW Hall Blvd,,Tigard,Olt 97223 Dxtc/By, [ �4 Phone: 503.718.2439 Fax: 503.598. Plan Review ' 1 r f r DalolBy;114 Oilier Permit No.; Inspection lane: 503.6394175 ` Y" i i i�`�ta-1 t.',Rnio Randy/By G�-j �)p� lurk; tll Sco Page 2 for I !I-AK') " Internet www.tigard-or.gov t.i t L t N( -, ).,)I ISI 1blotilicd/Manaad° �� /7 .4.4.4 Sur lea ental lnforn ollon ,N. LI^.11' N,�'r` I `' ': '��, V I'f'I 1.4'!,,,V1':',1:::,01. -Z, r ,: -' vi ?i Tr, s 1° ti 1''.w :t ;i^ t 'd01 *kw'x f 39> 'a t°,! ,! a !' C. 1.07,:`:°. ° r?H i eaMESS;b r 0, 1,,. ,":� '�%^J.t;' �1 , .� c},",,',. w c a '� }�'. ... , .L 3Q1,:,�i -' u.-��arri.�AdR�i,1.7iYn..' RNB., x:u� r n � � • 0 New construction ❑Demolition For speclallri/brmation.use checklist s scription I Qty. I Ea. I 'Total El Addltion/alteration/roplacement 0 Other: New 1- 2-fam_ly dwellings(includes 100 ft.for each utility connection) • •r 9 ,lo ' W �d � , ,.i y /,,,,s- 'rM i7t 1� 5xy ! � ' • I � trSR(I)ilat thi ° il, i:F i ,, i ' 31270 ❑1-and 2-family dwelling 2 Commerelal/industrial SFR (2)bath 437.78 81R(3)bath 500,32 0 Accessory building 0 Multi-family each additional bath/kitchen 25.02 ©Master builder , 0 Other; Dire sprinkler(.......--sq.ft.) Page 2 a Vy`1,, 1 f,S yrr,.111i A L ;',"..4'�, fi „ 6 I b� 6 rt'AE y1H 1,,,:';�9//1r.,,,,''7 rrry Site utilities -- IIAM S'1' Catch basin or area drain 18,76 Job site address:9095 SW BURN Drywall,leach line,or trench drain 18.76 City/State/ZIP:TIGARD,OR 97223 Footing drain(no,linear E.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:WYATT PROPERTIES Maludhcturcd home utilities mi 50.03 Cross street/directions to job site: Manholes _ Rain drain connector 18.76 Sanitary sewer(no.linear ft.:,_,_,,) Page 2 -- .- Storm sewer(no.linear ft.: ) Page 2 Water servivo(no.linear It;ND 3 Page 2 137.58 Subdivision: Lot no.: Eixh.re ar ileac:... Tax map/parcel no.: l3aekllow provonter 31,27 ,,d1�,'�4 Y '1da'r'r ir, S 1\ �' C I. ' r �r r'? y, r sd,:.; fC,N-;A: Backwater valve 12.51 ° +V'�I;�p ,��C ,1 T jk'i i ru,J".'.Rl tetra a� Vy'' ;I tl5''IV • °'.. '''.' '''W* � , t;l rccClothes washer 25,02 1NSATLL NEW WA'T'ER SERVICE FROM METER'10(3)EXISTING Dishwasher 25.02 BUILDINGS INCLUDING: 9095,9115 AND 9117 SW BURNHAM ST. Drinking fountain 25.02 , � Ejectors/sumpMill 25.02 ,ti'4"',d( n ri,-', 1�Jrtrf ':1 )tzHe,y'' ' 4,�l?if.kiJ@Iu)Iitili)YJr�y4M�;t' if • Expansion lank in 1251 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP; I-lose bib 25.02 Phone:( ) Fax:( ) ice maker 12.51 J'' c ,, Vit,', t a ea a li. �,A91',1u °+i 11:1 �i • • bsak, ' a'f'' '. ''4u�"J Interceptor/grease ase llrlp 25.02 r E :Ili , Business name: Medical gas(value:$,,,,,_) Page 2 --- Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address; $ink/hasinhlavntory 25.02 City/State/'%1P; Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12,51 E-mail: ...54". -t,/, C /vL// 25.02 1.�. 1 it if Qs 1 A r4 n^•-�tr"- er Urinal , 25.02 y , Fr 4 ,,�raI;eii,A� dq6llikiri ,I;,{ t• r ✓ 6A,0 11iWaterotvaetryu ... Water beater37.52 Business namo:MiKE PATI'ERS0N PLUMBING INC. W Water piping/DWV 56.29 Address:PO BOX 850 Other: 25.02 City/State/ZIP:GLADSTONE,OR 970237 Subtotal Phone:(503)655-4306 Fax:(503)655-4349 Minimum permit fee: $72.50 /.37 Se Plan review (25%of permit fee) CCII Lie.:81746 Plumbing Lie.no„3-359PB . State surcharge(12%of permit fee) /6,5 Authorized signature: d� h).�. ' / / - TOTAL PERMIT FEE / 'r 619 Print name:JENNiFER B�2GEN .. Date:09/27/2017 This taurmis nppllcatlon expires If a pursuit is not obtained within 180(lays after It has been accepted us complete. Foo methodology sol by'I'r6.County Building indush'y Service Board, i;\auildlnalParndls\Pi„MU.Panni,App.soc loin ISA 4404616T(10/o2fCoWwi us) Sep.27 .2O17 01:01 PM Mike Patterson Plumbing 503 655 4349 PAGE. 3/ 3 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression S stems: � ,y„:dG' � s AS: SirPI',, ��i.:i, gt,: p " P ` i}y�iyf1.491F~/ ° yro � ' d �S ..1''r l 3 �t4{.s xlt-r', ��,�;�v�. i: i!,':1 .�;i\tA�Zbk is�:MY,.�Jit,Wu.tl _ 1 �'. ;• N � fPJ�V .'t 1 1:11is;. 7ili:^N,e�,YI 4 Footing drain-1" 100' 50.03 0 to 2,000 $121,90 Footing drain-each additional 100' 37.52 21001 to 3,600 $169.69.. 3,601„l0 7,200 $233.20 Sower-1st 100' 62.54 7,201 and greater , $327.54 Sewer-each additional 100' 37.52 Water Service••1st 100' 1 62.54 67.24 1Vledical Gas Systems: ' Water Service-each additional 100' 2 37,52 75.Q4 �����'� r ' � � • ( +� ti" � a,�'i � 1ri � F� } fl�r;+ ; .,. nru,:N0um;,.txF.l n . Storm&Rairif]rain •1st 100' 62.54 $1,00 to$5 000,00 Minimum fee$72.50 Storm&Rain Drain-ouch additional 100' 3y7,rr52 $5,001,00 to$10,000.00 $72.50(hi'the first$5,000.00 and$1.52 for i' t ° "`'k r",t-,.-914r r„'r�+', 0 r' iii.‘,..l.„.0,1f:A•c i+�'"it p•N',. ,; each additional$100,00 or fraction thereof,to : .� °u,i° -bl °.,5; ". 4igart+ n, + ,�n.,,,�,•,,.,.,'.rn it and includig$14000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.0 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.0/hr each additional$100.00 or fraction thereof,to (minimum chnrg -1/2 hour) and includin:$25 000,00. Inspections outside of norinal business 90.00/hr $25,001.00 to$50,000.0 $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/lir and includin,$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 accuratel re i rt fixtures could result in increased sewer fees'. 1. ,t,, ,.. i 7 0, �„�11 C', ',e;'�' h•;t," ''° 1''f,e1i•;r °44^,`'r. .".• I 'e °0; .t WIAirP(✓n'4'�Llr�rl'• 1lictb{'P Y V G lydi '' ,,.:last ' : '`01,00(::,!, l td Plan review is required for any of the following. "W r t�.It4Q, Please check all that apply. 13gptistivront ❑ Any new commercial building with water service 2"and 13tdlt -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirl soot engineer. Cur Wash - Stall _ 0 New exterior plumbing site utilities for any complex structure -Drive Thra as defined in OAR918-780-0040. Cuspidor/Water Aspirator Dishwasher -Commeroial _ ❑ 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 Z sets of plans with any of the above. -3„ a,,..,,Y t.,,It F . �,,,t qry./10!n� i er r I nyy7 H' i rj M" ' ' Y ,t e t ' 2.S °°. ., "A °:d It at+�l;cf i tai i�M1rtiO4P, Car Wash Drain U Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food _- Disposal -Domestic-food related - that meet the qualifications above. -Commercial-food related -Industrial-food related _lee Mach./Refrig.Drains Oil Separator Gas Station Comments regarding fixture work: Rec.Vehicle Dump Station . .._ Shower -Gang -Stall SinldLav -Non-food related -Bradley _ , . - -Commercial-food related -Service Swimming Pool Filter "Note: If the fixture work under this permit results in an Washer-Clthes J -. increase of sewer EDUs,a sewer permit will be issued and WaterExtractorfees assessed for the sewer increase must be paid before the - Water Cloosetet-Toilet Urinal --_ plumbing permit can be issued. Other Fixtures: , C:\Users\Jennifer\Downloads\PLMU_!'crtnitApp•doe 2 Sep.27 .2017 01:00 PM Mike Patterson Plumbing 503 655 4349 PAGE. 1/ 3 FAX TO: City of Tigard Building Dept. FROM: Jennifer Bergen — Mike Patterson Plumbing FAX: 503-598-1960 FAX: 503-655-4349 PHONE: 503-718-2439 PHONE: 503-655-4306 SUBJECT: Plumbing Permit Application DATE: 09/27/2017 NO. PAGES: 3 COMMENTS: Please find attached ourp lumbing permit application for 9095 SW Burnham St. Tigard. Feel free to contact me with any questions. Thank you, Jennifer Bergen Mike Patterson Plumbing, Inc. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9095 SW BURNHAM ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2017-00400 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . 1 1/2" Wilkins DC, model 350, serial # B156692, for water service to bldg., located by water meter - ok with test Violation Summary: Inspector Contractor