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Permit CITY OF TIGARD PLUMBING PERMIT 2 - , COMMUNITY DEVELOPMENT Permit#: PLM2020-00500 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/17/2020 TIGARD Parcel: 1S135AB04500 Jurisdiction: Tigard Site address: 10250 SW GREENBURG RD 212 Project: Spec Space Subdivision: 1991-055 PARTITION PLAT Lot: 1 Project Description: Interior plumbing landlord work prior to TI: Replaced(1)hub drain and(1)sink. Installing(1)primer and(1)water heater. 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 1 ea Floor Drain/Floor Sink/Hub 12/17/2020 $25.02 Specifics: 1 ea Primer 12/17/2020 $12.51 1 ea Sink 12/17/2020 $25.02 Type of Use: COM 1 ea Water Heater 12/17/2020 $37.52 Class of Work: ALT 1 12%State Surcharge- 12/17/2020 $12.01 Type of Const: Plumbing Occupancy Grp: Stories: Total $112.08 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 ttoo/O/UNC by calling 503.232.1987 or 1.800.332.2344. �f /Issued By: 1 Permittee Signature: ,/ �44` O �/ 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. 1 t Plumbing Permit Application Building Fixtures FOR 01414.I. I'SE ONLY Cityof Tigard y ED Receiaed ) / p/M <y� g DaldBy: /,'l��/�1 ) y � Permit No:/h / (�J f6 lit IS 13125 SW Hall Blvd,Tigard, A7223 L�� t��� QR�� Plan Review # Phone 503.718.2439 Fax: 303.598.1960 p(� Other Permit No.' ]n1_ yfp„I 7`12Q DarolBvl , I Inspection Line: 503.639.4175 Dal Rea © °��� 11ti 3121) -r Ready/By Y 11 ®See Puget or Internet' www bgard-or gov � gr,hfiedlMethod //7/J .I ,7%, Supplemental Information TYPE OF \'ORX..; ( 'f.. 5 �+. S.t �Nr�., i((>rrrr1J',-C. FEE* SCHEDULE r ISI u'.' For special information use checklist ❑New construction 0 DGS'��i�-Jl� P ,I ,'i-. Description I Qty. I Ea. I Total ®Addition/alteration/replacement ❑Other New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION - SFR(1)bath 312.70 ❑ I-and 2-family dwelling ®Comm `' .. ids '.•'` IllSFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi- roily 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: 10250 SW GREEN BURG 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 t_) Page 2 Suite Bldg./apt.no.:212 Project name.20-305 / SjQetC.e - Manufactured home utilities 50.03 Cross street/directions to job site: r 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 It.:_) Page 2 Subdivision: Rot no.' Fixture or item: Tax map/parcel no.: Back flow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 TENANT IMPROVEMENT, VACANT SPACE PREP Dis Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name Fixture/sewer cap 25.02 ----- Floor drain/floorsink/hub 1 25.02 0 L{- Address: Garbage disposal 25.02 City/State/ZIP'. Hose bib 25.02 Phone:( ) lax'( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:POWER PLUMBING CO. Medical gas(value:$_) Page 2 Primer 1 12.51 kA-y-/ Contact name: MIKE WARREN Roof drain(commercial) 12.51 Address: P.O. BOX 19418 Sinlabasin/lavatory 1 25.02 A� ) City/State/ZIP. PORTLAND, OR 97280-9418 Solarunits(potablewater) 62.54 Phone:( 503-244-1900 Fax::( 503-244-8825 Tub/shower/shower pan 12.51 E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 25.02 --- - Water closet 25.02 COtiT&1CI'OR. Water heater 1 37.52 T7-.),A, Business name POWER PLUMBING CO. waterpiping/DWV 56.29 Address:6611 SW MULTNOMAH BLVD Other: 25.02 city/State/ZIP:PORTLAND, OR 97223 Subtotal9/00,0) Phone:( 503-244-1900 Fax:( 5031-244-8825 Minimum permit fee: $72.50 CCB Lie.:52378 Plumbing Lic.no. 34-150PB Plan review (25%of permit fee) A State surcharge(12%ofpermit fee)t/ Al 0 Authorized signature: /i `s� n L TOTAL PERMIT FE ,l,t.Lfg Print name:KRISTI B MWELL Date:12-2-2020 This permit application expires ifa permit is not obtained in ISO days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I.\BuildrnePormils'PLhn)-PermitApp.doc 10/01109 440-4616T(I0t02'COMr'WEB) 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 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer- 1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-cacti additional 100' 37.52 Water Service•l st 100' 62.54 Water Service-each additional 100' 37.5_ Medical Gas Systems: Storm&Rain Drain- 1st 100' 62.54 Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$7250 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 • Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees Inspection of existing plumbing or for and including the first$10,0 0.00. which no fee is specifically indicated 90.O0Qv $10,001.00 to$25,000.00 each a 0 for first$10,000.00orfraction and$1.54 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to Inspections outside of nomtal business 90.00/hr and including the first0 0.00. $25,001.00 to$50,000.00 $379.50 for first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspeetion 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 Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Re Lace/ p Please check all that apply. peed Added Relocate Work Performed: C. Baptistry/Font 0 Any new commercial building with water service 2"and Bath: -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpoolengineer. 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 El 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" 04.5 it+Za,w 1 3" Isometric or Riser Diagram 0 Isometric or riser diagramis 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 lee Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station PLEASE CALL MIKE WARREN WITH QUESTIONS 503-936-5929 Shower: -Gang ALL FIXTURES PULL AND REPLACE. -Stall Sink: -Law/Bar non-food related t -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter Washer•Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:\Building\Permits\PLMF_PetmitApp.doe 08/04/2011 2 Plumbing Permit ApplicatiR E \ ' e- 12 2l2,6 Building Fixtures DEC 2 2020 City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 9�1� 3� �( F y Permit No.: Phone: 503.718.2439 Fax: 50}.$,4$, : � TIGARD � �9O Reviaw Other Permit No.: Inspection Line: 503.639.4175 [SIIJJI[ 11� ( �1Pt atdBy Date Ready/By: it ®See Page 2 for Internet: www.tigard-or.gov Notified/Method: l' . Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description I Qty, I Ea. I Total ®Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437,78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) • Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 10250 SW GREENBURG RD Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/Stale/ZIP:TIGARD, OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.:212 J Project name:20-305 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: • Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 TENANT IMPROVEMENT, VACANT SPACE PREP Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 1 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:POWER PLUMBING CO. Medical gas(value:$_) Page 2 Contact name: MIKE WARREN Primer 1 12.51 Roof drain(commercial) 12.51 Address: P.O. BOX 19418 Sink/basin/lavatory 1 25.02 City/State/ZIP: PORTLAND, OR 97280-9418 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 25.02 Water closet 25.02 CONTRACTOR Water heater 1 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 CCB Lie.. Plan review (25%of permit fee) 52378 Plumbing Lic.no.:o. 34-150PB t `�, GS'_"'-`C State surcharge(12%of permit fee) Authorized signature: /y( /J TOTAL PERMIT FEE Print name:KRISTI B MWELL Date: 12-2-2020 This permit applicnHon 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. 19Building`.Permits,PLMU.PermaApp.doc 10101/09 440-4616T(10102/COM,WEB) 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 $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$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to S 10,000.00 $7250 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to Other Inspections or Fees Qty. Fee(ea) Total 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) and including 50000 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 S742.00 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. WorkPerformed: Capped Added Relocate Baptistry/Font ElAny new commercial building with water service 2"and Bath: TublShower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ 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 ❑ 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 0 Isometric or riser s diagram is required for new buildings -Car Wash Drain g q g 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 MIKE WARREN WITH QUESTIONS 503-936-5929 Shower: Gang ALL FIXTURES PULL AND REPLACE -Stall Sink: -LavBarnon-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 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2