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Permit
CITY OF TIGARD PLUMBING PERMIT .1114 COMMUNITY DEVELOPMENT Permit#: PLM2021-00316 Ti(i A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/22l2021 Parcel: 1 S 136AD04000 Jurisdiction: Tigard Site address: 11513 SW PACIFIC HWY Project: Infinity Golf Subdivision: VILLA RIDGE Lot: 7 Project Description: ADD(3)2"floor sinks,(3)sinks,(1)dishwasher,(3)ice machines,(1)grease trap interceptor,(5)primers,(1) water heater&(1)combi-oven;RELOCATE(1)dishwasher,(2)2"floor sinks, (6)sinks/lays,(1)clothes washier& (3)water closets. Contractor: MD PLUMBING LLC Owner: MCLELLAN ESTATE CO 939 SW WILLOW CREEK DR 707 OLD COUNTY RD BEAVERTON, OR 97006 BELMONT, CA 94002 PHONE: 503-267-3914 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 09/22/2021 $25.02 Specifics: 2 ea Dishwasher 09/22/2021 $50.04 5 ea Floor Drain/Floor Sink/Hub 09/22/2021 $125.10 Type of Use: COM 3 ea Ice Maker 09/22/2021 $37.53 Class of Work: ALT ea Interceptor/Grease Trap 09/22/2021 $25.02 Type of Const: 5 ea Primer 09/22/2021 $62.55 Occupancy Grp: 6 ea Sink 09/22/2021 $150.12 Stories: 3 ea Lavatories 09/22/2021 $75.06 3 ea Water Closet 09/22/2021 $75.06 1 ea Water Heater 09/22/2021 $37.52 25 Misc Other Fee 09/22/2021 $25.02 1 Plan Review 09/22/2021 $172.01 1 12%State Surcharge- 09/22/2021 $82.56 Plumbing Total $942.61 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: .. �fre Permittee Signature: LVPCL al Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Iiumbine Permit ApplicattII�CCEIVED E-74I121 Building Fixtures (tilt t)il it i. ( �i. tt\I.1 City of Ti and JUL 16 2021 Received Permit NoPLr, 2 at 13Iis SW Hall Blvd.,Tigard,OR 9 �'�/ Date/By: 7/2/ ' �D 0 zr--X 3/cet ■ Phone: 503.718.2439 Fax: 503.5 960 OF TIGARD Plan Da Review q- 15 -tea( C)4E- otter Penuit NSid2lo2.1-/X0/15 I it , 1 11 Inspection Line: 503639.4175 BUILDING DIVISION pkiBy �/ //Z/Z/ "� Ira.. ® see p.gezrar Internet: www tigard-or gov Notified/Method `/L �/f✓ (,, mud ldermada f3P$ QF.R4RK. ' ., For special information use checklist El New construction 0 Demolition Description I Qty. I Ea. I Total ®,Addition/altelation/replacement 0 Other: New l-2-family dwellings(includes 100 ft.for each utility comiection) v>4; y r•pa+�sp (�e`Qar-4 "`� '' z'd •x SFR(I)bath 312.70 "'.' 1 l;_7( i-:; 7t - " Y`,.W3,,,,. .,. ^vV-1,fit -_.4„.rc.':'.,.. ❑ 1-and 2-family dwelling ffi CommerciaVindustrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bathhitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 Z `$4S1r s . I*M:SI10 r D '1 O {" -`*,z SiteutiNdes: Catch basin or arcs drain 18.76 Job site address: •.21513 SW PPGi•t yGW�i H 7 Drywell,leach line,or trench drain 18.76 City/State/ZiP: �o�,tc- 2...'-� Footing drain(no.linear ft.:__) Page 2 Suite/bldg./apt.no.: J I Project name: 'rj Fi ^/( 77 66 LF 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 no.: Backflow preventer 31.27 "'a x "7i3 z c ,'fit., ., . , . . , y 6 ..r"p. r6st5'S X,•r Backwater valve 12.51 .L::,' C IATisvieY'tli' ,: `'tom. ..we`•� M t �d ? ^:>. 524-:,; r-bs-: 1 (� y clothes washer i �/ 25.02 Z S'OZ Mpt'e 3 1 4ilecomS, /field -} bof' SiiR S. Dishwasher I t/ 25.02 24.O2. Q reci S;0 ✓, D i1 11/� (cle.W>fl&' ) Drinking fountain 25.02 Ejectors/sump 25.02 a ,,,. �,,:.. w , a n >S r f-r $ Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub '.' / 25.02 /})./L Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker I I/ 12.51 I/•$I tercept grease p b / 25.02 " t Y°�*di'�T+I�A�1M ,.: :' " rsa1�, I�AL � .m.. Business name: I•/,0 P I do i b1 L 1-C..) Medical gas(value:S $ �I Page 2 �/� Primer 12.5I Contact name: ('r (G r K C L.,,,„51---eA Rsafdrain co'weroial6 12.51 Address: I S a w'lloV C J k a v- Sfik/bas Cstry- 1- ✓ 25.02 j,25.l�j City/State/ZIP: fe-(-,,1r.�� OZ'17063 Solar units(potable water) 62.54 Phone:(5p� 26 I " �J1 1 L 7 'i 1 Fax: :( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: 1001 Fe---Ci6)M1,xr yr, G Mot. 1.LO 0--I Water closet 3 v 25.02 75.04. GONTRACl_OR ' ` �n . . Water heater I ,/ 37.52 37.SZ Business name: '"l 1) P It 4' i bin L L G P Water tPin8�WV 56.29 Address: 139 ,S W w,'//o IA/ r�e 1 G • ,`dr- Other: 25.02 City/State/ZIP: ,(^1--torn 9 ,5I2 Subtotal 5-5D.1•13 Phone:(563 26.7_31)y Fax:( ) Minimum permit fee: $72.50 CCB Lie.: Z©�3 5 Plumbing Lie,no.: /S3 Q Plan review (25%of permit fee) ,d State surcharge(12%of permit fee) /,,� Authorized signature:.4,74, ` - TOTAL PERMIT FEE j - Print name: r1/1 �✓✓✓✓✓✓�FFFFFF'''\ �ji-e r 2) Date: / j This permit application expires if a permit is not obtained within 138 days • ry G�c.J /��/ after it has been accepted as complete. `Fee methodology set by 77i-County Building Industry Service Board. 049 1:\Buildng'�Prn \P nitsLMU-PermitApp.doe 10/01/09 4404616T(10!021COMAVEB) /�,�Q 514)2 IHT = 1,S/,P• SS • SIR & i Pr Fiumbin2 Permit Application - City of Tigard /� ./� 1 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 S 121.90 Footing drain-each additional 100' 37.52 2.001 to 3,600 S 169.69 3,601 to 7,200 S233.20 Sewer-1st 100' 62.54 7,201 and greater 5327.54 Sewer-each additional 100' 37.52 Water Service-Ist 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 SI.00 to S5,000.00 Minimum fee S72.50 Stone&Rain Drain-each additional 100' 37.52 $5,001.00 to 510,000.00 S?2.50 for the first$5,000.00 and S 1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional S100.00 or fraction thereof,to and including S 10,000.00. Inspection of existing plumbing or for $10,001.00 to S25,000.00 S I48.50 for the first S 10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional S I00.00 or fraction thereof,to (minimum charge-1/2 hour) _ and including$25,000.00. Inspections outside of normal business 90.00/hr S25,001.00 to S50,000.00 S379.50 for the first S25,000,00 and S1.45 for hours(minimum charge-2 hours) each additional S I00.00 or fraction thereof,to Rein spection Fees 90.001hr and including S50,000.00. Additional plan review for revisions 90.00Au S50,001.00 and up S742.00 for the first 550,000.00 and S1.20 for (minimum charge-112 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 PP y' Baptistry/Font ry/Font 0 Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bashi -Tub/Shower -JacuzziRVhirlpool engineer. Car Wash: Each S all 0 New exterior plumbing site utilities for any complex structure -Drive tall as defined in OAR918-780-0040. Cuspidoe�VazerAsietor ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eve Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" ,� 1 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 t Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -IavBar non-food related 2-, 5 -Bradley -Com/Serv/Util food rslated -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:1Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received P L in aoli-©03l 6 . Date Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R view Phone: 503.718.2439 Fax: 503.598.1960 Date/By II-.(5-JAIL O SA Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris. El See Page 2 for Internet: www.tigard-or.gov Notified/Method: 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 1-2-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 ElAccessory building ❑Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: • Job site address: i i 513 S(,Jr pa.0 i+l t_ `Y La,,/ Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: T"e qQ rrt-rt OR. 19 a'a,3 Footing drain(no.linear ft,:_) Page 2 Suite/bldg./apt.no.: Project name: '=h I in. ; 6-at F 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 no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 • Clothes washer I 25.02 2,5,0a k2lOCa[-2 +kr .t. b *L(roo0,s rAh'4k ad at Dishwasher 25.02 50, 0q a 4a,,,v--P r-cJtLd (L�3c-du*K. Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub S 25.02 (,ir,JO Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 3 12.51 37,53 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap I 25.02 as,02. Business name: Medical gas(value:S_) Page 2 Contact name: Primer S 12.51 6 r2,S5 Roof drain(commercial) 12.51 Address: 4 Sink/basin/lavatory 9 25.02 a25 18 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet _3 25.02 1)5, d6 CONTRACTOR Water heater ( 37.52 3,7,52 Business name: Water piping/DW V 56.29 Address: °ti'ar: Corn it: CklCN 1 25.02 25,02, City/State/ZIP: Subtotal 689.0[t/ Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: 112.o(�q Plan review (25%of permit fee) State surcharge(12%of permit fee) Oat,s Authorized signature: TOTAL PERMIT FEE Ilya,(.,' Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:\Buildiag'Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) IAV$ = 3 Sirl(tTa6 Plumbing Permit Application - City of Tigard C L-/-S lip PL T1 -vie-'J 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 2,001 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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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 ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool El New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher. -Commercial I r ❑ Any multipurpose fire sprinkler system. ElAny complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" '/ 1 3° Isometric or Riser Diagram -4" ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food 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 Shower: -Gang -Stall Sink: -LavBar non-food related 5 -Bradley -Com/Serv/Util food related 3 -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 I fees assessed for the sewer increase must be paid before the Water Extractor plumbing permit can be issued. Water Closet-Toilet 3 Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Plumbing Permit Application - City of Tigard RECEIVED Page 2 -Supplemental Information SEP 2 1 ?GZ Fee Schedule: Residential Fire Suppression SOlerniiY !IGARD Site Utilities Qty. Fee(es) Total Square Footage: PermiCiiiieDING DIVISION 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 S1.00 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 includin•$10,000.00. Inspection of existing plumbing or for $10.001.00 to S25,000.00 $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 S379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional S100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr S50,001.00 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", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees*. Please check all that apply. Quantity by(Fixture)Work Performed ❑ Any new commercial building with water service 2"and Fixture Type: Replace greater,except systems designed and stamped by licensed Previous Copped Added Eriatiae engineer. Baptistry/Font Bath -Tub/Shower 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780.0040. -Jacuzzi/Whirlpool Stall 0 Medical gas and vacuum systems for health care facilities. Car Wash -Each ❑ Any multipurpose fire sprinkler system. Cuspidor/Water-DDrivrive-Drive Thr 0 Any complex structure as defined in OAR918-780.0040. Dishwasher -Commercial 1 .I -Domestic Submit 2 sets of plaits with any of the above. Drinking Fountain Eve Wash Isometric or Riser Diagram Floor Drain/sink -2" 3 2 ❑ Isometric or riser diagram is required for new buildings 3., that meet the qualifications above. -4" Car Wash Drain Garbage -Domestic Disposal -Commercial -Industrial Comments regarding fixture work: Ice Mach./Refrig.Drains ,3 Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory -Bradley -Commercial ) *Note: If the fixture work under this permit results in an -Service 1 increase of sewer EDUs,a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Washer-Clothes plumbing permit can be issued. Water Extractor Water Closet-Toilet 3 Urinal Other Fixtures: C:\Users\Mark\Documents\tigard permit.doc 2 DLrY ,2Qti1-ClO3I6 Tv, f2rt) S,GJa PAL,.ffc (-c4,y y 14c,6 Drams 1 - aN` Ra6 c{v-alvs far t(Q b;n av,& Wc-+&- &t v- [- a�� l-4tA.6 a rck,„ i c_e w�alcc r c{rc�, � NEe,r G0(MA; UvzV. cx .pszt s :wk Dianna Ornelas From: #Building Permit Technicians Sent: Thursday, September 16, 2021 11:58 AM To: Mark Logreco Subject: FW: Infinity Golf Plumbing Permit App - PLM2021-00316 - 11513 SW Pacific Hwy - Infinity Golf Attachments: Infinity Golf Premits.pdf; SKM_C65921091611460.pdf Importance: High Hello Mark, The plumbing plans examiner has completed plan review, however I have some questions about the number of new fixtures. Please see the attached file that contains a copy of page 2 submitted on 7/16/2021 as well as a copy completed by the plans examiner during review. Can you please confirm the correct number of plumbing items that are brand 'new' and never existed before in this space. It is very important that we have an accurate account of what is new or just replacing existing fixtures so that we can calculate the sanitary sewer SDCs due. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From: Mark Logreco<logrecomark@gmail.com> Sent: Friday,July 16, 2021 8:38 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; MD Plumbing<mdplumbingnw@gmail.com> Subject: Infinity Golf Plumbing Permit App Caution!This message was sent from outside your organization. Hello: I have attached an application for plumbing work to be performed at Infinity Golf located at 11513 SW Pacific Hwy,Tigard, OR 97223, USA. Please review and call with questions. Thank You Mark Logreco 1 MD Plumbing LLC 503-267-3914 2