Permit „ CITY OF TIGARD PLUMBING PERMIT
11111 = COMMUNITY DEVELOPMENT Permit#: PLM2021-00323
Date Issued: 10/11/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 190
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Interior plumbing for TI:Capping(1)drinking fountain,(2)2”floor drains/sinks,(7)shower stalls, (4)sinks,(2)
water closets,and(1)urinal.
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
17 ea Fixture/Sewer Cap 07/28/2021 $425.34
Specifics: 1 12%State Surcharge- 07/28/2021 $51 04
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $476.38
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
Issued By: Permittee Signature:
Ho-u.y Va.v„De,Wege, Ow
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 Applica> EC IV D E 7119/2)
Building Fixtures FoR ouTicri I SE O\I.\
City of Tigard JUL 19 2021 Received / Permit No.:
os 13125 SW Hall Blvd.,Tigard,OR 9727 �OF Date By: 7f�/�� �i/ '( [1 di d) yi3
I Phone: 503.718.2439 Fax: 503.5c98' TIGARD Plan Review / P' //
i��7llfli..+ �/4 other Pennit No.:ai lAa._ .. �f
Date By: t��(
Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By:
F I t i A R D �7/,7/11 See Page 2 for
Internet: Line.g03.63.gov NoDate / Supplemental Information
TYPE OF WORK fiPkr•Piloe./f ki.13br FEE* SCHEDULE
0 New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-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: 10300 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.:190 , Project name:21-442 /5pcc S-pe.,t`-' 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 too.linear ft.:_) Page 2
Subdivision: l Lot no.: Fixture or item:
Tax map/parcel no.: l l e i�`j3 Backflms preventer 31.27
3.,.-), Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
VSP SUITE 190, 1 LINCOLN TENANT IMPROVEMENT Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 17 25.02 1/257 3'1
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 0 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 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 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 61(95;3.7
Phone:( 503-244-1900 Fax.( 503L244-8825 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.:52378 Plumbing Lic.no.: 4- OPB
� � f State surcharge(12%of permit fee) / c'I
Authorized signature: (_,,e 'T t [j,, -' 4 1OTAL PERMIT FEE y7(D 36-
Print name:KRISTIE RAMWELL Date:7-19-21 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.
1\Building'Dermas\PL61U-PermitApp doc 10/01/09 440-4616T(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" I00- 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$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
p 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*. 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.
Work Performed: Capped Added Relocate
Baptistry/Font 0 Any new commercial building with water service 2"and
p greater,except systems designed and stamped by licensed
Bath -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive Thr as defined in OAR918-780-0040.
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' 2
3" Isometric or Riser Diagram
4„ ❑ 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 MIKE WARREN WITH QUESTIONS 503-936-5929
Shower: -Gang
-Stall 7
Sink- -Lav/Bar non-food related 4
-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 2 plumbing permit can be issued.
Urinal t
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Branden Taggart
From: #Building Permit Technicians
Sent: Tuesday, July 27, 2021 5:28 PM
To: 'Kristie Bramwell'
Subject: FW: Commercial plumbing - VSP 190 1 L: PLM2021-00323 - 10300 SW Greenburg Rd
190
Attachments: Untitled_07192021_020240.pdf; Invoice.pdf
Hi Kristie,
The Plumbing permit for 10300 SW Greenburg Rd. Suite 190 is ready to issue now. The balance due is$476.38, and I
have attached an invoice above for you to reference. These fees can be paid online now at https://aca-
prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number PLM2021-00322 under the Building
tab. There is a 3% service fee for credit cards, but e-checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this permit
and email the permit paperwork to you.
Thanks,
Branden Taggart
City of Tigard
a ffi Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(5031 718-2449
brandent@tigard-or.gov
Original Message
From: Kristie Bramwell <service@powerplumbingco.com>
Sent: Monday,July 19, 2021 2:19 PM
To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Commercial plumbing-VSP 190 1L
Please see the attached commercial plumbing permit application, thanks!
Kristie Bramwell I service@powerplumbingco.com Service Department I Power Plumbing Co.
0 503.244.1900 I F 503.244.8825
1
1141 Accumulative Sewer Tally
g Tenant Name: SPEC SPACE SWR# N/A
TIGARD Site Address: 10300 SW GREENRURG RD 190 PLM# 2021-00323
Parcel#: 1S135AB01003
Fixture Value Pic vious Previous Credits Capped Fixture Fixture New New
value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash: -Each Stall 6 0 0 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher: -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 1 1 0 -1 -1
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 2 4 0 -2 -4
-3 inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 0
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 HP) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 I I P) 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower: -Gang(per head) 1 0 0 0 0 0
-Stall 2 0 7 14 0 -7 -14
Sink:
-Lay/Bar-Non-Food Related 2 0 4 8 0 -4 -8
-Bradley 5 0 0 0 0 0
-Com/Serv/Util-Food Related 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 2 12 0 -2 -12
Urinal 6 0 1 6 0 -1 -6
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 17 45 0 0 -17 -45
Current Fixture Value -45 divided by 16= -2.813 Current EDU 1 EDU= $6,085.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -45 divided by 16= -2.813 over (under) $ (17,098.85)
Enter EDU Change Here -2.810 *
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes:***CREDIT***
Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 7/27/2021
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Tally\SewerTallySheet_6085_070121.xlsx