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Permit CITY OF TIGARD PLUMBING PERMIT ■ •, COMMUNITY DEVELOPMENT Permit#: PLM2020-00356 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/11/2020 T jr,A ft La g Parcel: 1S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD Project: Lincoln Center Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Replace irrigation backflow. Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97280 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-244-1900 PHONE: FAX: 503-244-8825 FEES Quantity Description Date Amount 1 ea Backflow Preventer 09/11/2020 $31.27 Specifics: 1 12%State Surcharge- 09/11/2020 $8.70 Plumbing Type of Use: COM 41 ea Minimum Fee Adjustment- 09/11/2020 $41.23 Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 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: /(/ n„_ '1 Permittee Signature: , n 4fJG,^ , 0_ / C.•� !/+'`(Call 503.639.4175 by 7:00 a.m.for the next available inspection date./'?/ �'7 / ' �V' 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 ApplicationREcElyE Building Fixtures C FOR OFFICE: USE OM ) City of Tigard AUG 27 2020 Received 11 )^ /r1 7 e Reeve //i I J w /c V Permit Nop(�/1'Z(1'W -003. 111 + 131 5 SW Hall Blvd.,Tigard,OR 9722 I-n,OF TIGARD Plan Review I s Phone: 503.718.2439 Fax: 503.598. Pie" : Other Permit No.: Date71CAHp Inspection Line: 503,639.4175 BUILDING DIVISIONDate Ready/By rp loos HSee Page 2 for' Internet: www.ugard-or.gov Notified•T1ethod: /I l/Zt3 eCX Supplemental Information TYPE OF WORK G►' +L K.,(5n C FEE* SCHEDULE 0 New construction 0 Demolition For special infonnazion use checklist Description I Qty. I Ea. I fotal ®Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)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 Each additional bath/kitchen 25.02 ❑Master builder ❑Other. Fire sprinkler( sq.0) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 10260 SW GREENBURG RD Catch basin or area drain 18.76 City/State/ZIP:TIGARD, OR 97223 Dn well,leach line,or trench drain 18 76 Footing drain(no.linear 0.:_) Page 2 Suite/bldg./apt.no.: I Project name:20-243 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 to.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 1251 Clothes washer 25.02 REPLACE IRRIGATION BACKFLOW, LINCOLN CENTER Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/Slate/ZIP: Hose bib 25.02 Phone:( ) Fax 1 ) 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: JOSH CRUME Roof drain(commercial) 12.51 Address: P.O. BOX 19418 Sink/basin/lavatory 25.02 City/State/ZIP: PORTLAND, OR 97280-9418 Solar units(potable water) 62.54 Phone:( 503-244-1900 Fax :( 5031-244-B825 Tub/shower/shower pan 12.51 E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:POWER PLUMBING CO. Water piping/DWV 56.29 Address:6611 SW MULTNOMAH BLVD Other: 25.02 City/State/ZIP:PORTLAND, OR 97223 Subtotal Phone:( 503-244-1900 Fax:( 503)-244-8825 Minimum permit fee: $72.50 72. 50 CCB Lic.:52378 Plumbing Lic.no.. 34-150PB Plan review (25%of permit fee) ,/ State surcharge(122%of permit fee) O I -70 Authorized signature: jri /, e. � TOTAL PERMIT FEE ?I,1-0 Print name:KRISTIE BRAMWELL Date:8-27-2020 This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I•Duildng.nmiis Pl.Sle•PermitApp doe 10ele9 a40-46167(10f02,COAtAVEn) 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"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2.00I to 3,600 $169.69 3,601 to 7,200 $23320 Sewer-1st 100' 62.54 7,201 and greater $327.54 Seger-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$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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to l and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$I0,000.00 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*. Plan Review for Plumbing Installations Quanti y 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 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-Jacuzzi/Whirlpool tall 0 New exterior plumbing site utilities for any complex structure — as defined in OAR918-780-0040. Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial 0 Any multipurpose fire sprinkler system- Domestic ❑ 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" 3" Isometric or Riser Diagram ❑ 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 - PLEASE CALL JOSH CRUME WITH QUESTIONS 503-936-5669 Shower: -Gang -Stall Sink: -Lev/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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures:2'DOUBLE CHECK t L:\Building\Permits\PLMF_PermitApp.doc 08/04/201 I 2