Permit CITY OF TIGARD PLUMBING PERMIT
I * COMMUNITY DEVELOPMENT Permit#: PLM2020 00197
Tf GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2020
Parcel: 1 S 135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD
Project: 5 Lincoln Subdivision: METZGER,TOWN OF Lot: 9
Project Description: 7th floor bathroom upgrades: replace(4) lays, (5)water closets and(2)urinals.
Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC
PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
4 ea Lavatories 05/15/2020 $100.08
Specifics: 2 ea Urinal 05/15/2020 $50.04
5 ea Water Closet 05/15/2020 $125.10
Type of Use: COM 1 12%State Surcharge- 05/15/2020 $33.03
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total 5308.25
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: // ? /2/1-1,'
/ 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 Building Fixtures RECEIVE
G FOR 01 FICE t SF. O\l.'i
City of Tigard R 2 9 2020 Received
// Permit.N �./
;11 • 13125 SW Hall Blvd.,Tigard,OR 97223 AP DatelBy: /�/ZeJ !�Q �°!-r/�.28'00/97
■ OF-TIGARD Plan Review /
Phone: 503.718.2439 Fax: 503.598.1960DI�Y ❑ y. Other Penult No.
:
Date/B
Inspection Line: 503 639 4175 , �1�I 11(�OSIQI�
7 I t,A R D p -_:1 1 I I C, Date ReadyBy: s ,, . i 7-1 !uric: ® See Page 2 for
Internet. wwwtigal'd-or.gov Notified'tolethod:f/'2'. ii CilL,1 (_., Supplemental Information
PIPE OF WORK CM/El ( l,,4 57.7 FEE• SCHEDULE
_
❑New construction ElDemolition For special iu orma t.dou use checklis
Description Qty. Ea. Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRICTION SFR(I)bath 31270
❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 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: 10200 SW GREENBURG RD Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: TIGARD,OR 97223 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: 20-198 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
Stonn sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: ( Lot no.: Fixture or item:
Tax map/parcel no.: Backfow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK. +" `i�p °° � ' ''
Clothes washer 25.02
5 LINCOLN 7TI1 FLOOR TOILET UPGRADES Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 'APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:POWER PLUMBING CO Medical gas(value:$_) Page 2
Primer 12.51
Contact name:MIKE WARREN
Roof drain(commercial) 12.51
Address:P.O.BOX 19418 Sink/basin/lavatory 4 25.02
City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) 62.54
Phone:(503)244-1900 Fax: :(503)244-8825 Tub/shower/shower pan 12.51
E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 2 25.02
I ,. ,t,. - Water closet 5 25.02
I 'i' s��-.R fi 4 'y"„'"u'
Water heater 37.52
Business name:POWER PLUMBING CO Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD. Other: 25.02
City/Slate/ZIP:PORTLAND,OR 97223 Subtotal .27S �
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50
CCB Lie.:52378 Plumbing Lic.no.:34-150P Plan review (25%of permit fee)
State surcharge(12%of permit fee) .:3•.61 3
Authorized signature: (j.r TOTAL PERMIT FEE 20,AS
Print name: KRISTIE BRAMWELL Date:4-29-2020 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.
I9Building`d'ermiu.PLMU•PermiiApp.doc 10/01/09 440461671101021COMAVEB)
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-I" 100' 50.03 0 to 2,000 $I21.90
Footing drain-each additional 100' ' 37.52 2.001 to 3,600 $159.59
Sewer-1st 100' 62.54 3,601 to 7.200 $233.20
7,201 and ereater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional I00' 37.52 $5,001.00 to S10,000.00 $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/
Work Performed: capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/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 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"
4^ Isometric or Riser Diagram
ram
Car Wash Drain g
Garbage Domestic-non-food El Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station ALL FIXTURES PULL AND SET NEW
Shower -(fang
Stall PLS CALL MIKE WARREN WITH QUESTIONS
Sink/Lav -Non-food related 4 503-936-5929 THANK YOU
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
washer-Clothes *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet 5 fees assessed for the sewer increase must be paid before the
Urinal 2 plumbing permit can be issued.
Other Fixtures:
C:\Users\LauralDesktop\Permit Applications\TIGARD PERMIT APP.doc2