Permit CITY OF TIGARD PLUMBING PERMIT
'°1111
COMMUNITY DEVELOPMENT Permit#: PLM2022-00069
Date Issued: 3/3/2022
T1CiAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135BC01100
Jurisdiction: Tigard
Site address: 11101 SW GREENBURG RD
Project: D-Bat Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Adding(1)dishwasher,(1)drinking fountain,(2)2"floor sinks,(1)garbage disposal,(7)
sinks,(5)water closets,and(1)urinal; Installing(1)expansion tank;(1)primer,(1)water heater,and water
piping/DWV.
Contractor: BEAVERTON PLUMBING INC Owner: GREENBURG SPACE CENTER LLC
13980 SW TV HWY 4804 NW BETHANY BLVD STE 1-2#243
BEAVERTON, OR 97005 PORTLAND, OR 97229
PHONE: 503-643-7619 PHONE:
FAX: 503-643-7620
FEES
Quantity Description Date Amount
1 ea Dishwasher 03/03/2022 $25.02
Specifics: 1 ea Drinking Fountain 03/03/2022 $25.02
1 ea Expansion Tank 03/03/2022 $12.51
Type of Use: COM 2 ea Floor Drain/Floor Sink/Hub 03/03/2022 $50.04
Class of Work: ALT 1 ea Garbage Disposal 03/03/2022 $25.02
Type of Const: 1 ea Primer 03/03/2022 $12.51
Occupancy Grp: 7 ea Sink 03/03/2022 $175.14
Stories: 1 ea Urinal 03/03/2022 $25.02
1 ea Water Piping/DWV 03/03/2022 $56.29
5 ea Water Closet 03/03/2022 $125.10
1 ea Water Heater 03/03/2022 $37.52
1 12%State Surcharge- 03/03/2022 $68.30
Plumbing
Total $637.49
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permlttee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
,
Plumbing Permit Application
FOR OFF if'h: l!tii; OV'l.l'
Received
t City of Tigard t DaieBy. Permit No.:
■ 13125SW Hall Blvd.,Tigard,OR9 CEfVED ��/� °
}46� Plan Review '�))��,,.J1
= Phone: 503.718.2439 Fax: 503.5 8. Date/By: AO- Other Permit No.
�Y`(a6'tJ■.
TIGARU Inspection Line: 503.639.4175 Date Ready/By: Jurist El See Page 2 for
Internet: www.tigardor.gov FEB 112022 Notified/Method: i �I` Ara P Supplemental Information
esr v 6 Ah rt tft Vt.i ?$ 'h h'7z v.u'i°!« T,,, M
❑New construction a ton
Far special injormaBvn use checklist.
II� 'NG DIVISION Description I Qty. I Ea. I Total
L[,Addition/alteration/replacement ther: New 1-2-family dwellings(includes 100 ft.for each utility connection)
: ,.t rr a r tsrSTRUCTioN, ° ` -stitiavva SFR(1)bath 312.70
❑ 1-and 2-family dwelling iSConm:ercial/industri I SFR(2)bath 437.78
I r1 SFR(3)bath 500.32
❑Accessory building 0 Multi-family
A'j h Each additional hath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
;yO$„SITE INFORMATION A1YD I OCATlpy ; Site utilities:
1 1 O/ .6• ry r\Ip� , Catch basin or area drain 18.76
Job site address: W
a�7 �yy Drywall,leach line,or trench drain 18.76
City/State/ZIP:' )��,(� �� rill
1i Gp 3� L Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: P-'lJGe7 Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
5LA, 6 ✓eert)i r ei (add a - j ,i ?lector n Rain drain connector 18.76
p ✓ Sanitary sewer(no.linear ft.. ) Page 2
AI
-I `L/ Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: (5/ 5-4 C d(i co Lot no.: Fixture or item:
Tax map/parcel no.: Backftow preventer 31.27
„:,,;_ as , ^ f,+�; Backwater valve 12.51
DESCRIPTION O) �� �& � = Clothes washer 25,02
7'� ~ /yv#a/// HW Plu,+�lrbl p rti-r" Dishwasher I 25.02 Zi5 10�
S- T(7)� ) Cl'- 4(.(/°f ( Z--- ,t 14
�( . Ut,�'rj
t � Drinking fountain I 25.02 Z,`jZ,d'
Y U 1 ° k. r r' ` aplprs/sump 25.02 ,
'...❑ PROPERTY OWN ,yF�n,a. _ �7-I''�r�,, 1; .' ,,t ""4:`,:,ry�rv+sExpansion tank 1 12.51 t7..f
Fixture/sewer cap 25.02
Name. ,J
Floor drain/floor sink/hub 7- 25.02 6-OI(j
Address: Garbage disposal I 25.02 261092„
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
+ „,'rGt P 1 -x Sri Interceptor/grease trap25.02
'APPLICANT ,90 �,r„,_. [] CONTACT PERSON ;� k
.r ' �(L i Medical gas(value:$_) Page 2
Business name: V.P�J�" Primer 12.51 (7.1
Contact name: ��/� k ��,so-y>. Roof drain(commercial) ,/ 12.51
Address: !3 4170 5 J cfZ-tgt�ot n �(X�J ��J Sink/basin lavatory �..�r i+'1 25.02 (001 i]�/fh
City/State/ZIP: �i2r1 V, � 7 6' ! Solar units(potable wa er) 5,t�/`°/1I�f 62.54
(qv) GWS 3 J 3 STub/shower/shower pan fI 12.51
Phone: Fax::( ) 6
�/ Urinal I 25.02 ` 02.
E-mail: aA/ 1/ l4 t M✓6ixr1 Water closet Fr 25.02 ft (0
CONTRACTOR J '1' -
�} ,,,���'''���((( t Water heater 37.52 f
Business name: y� v (,, �, V Water piping/DWV I 56.29 6(24
Address; /3 1r bw TY
a Other: 25.02 40
City/State/ZIP: Li/C t1 7 Subtotal �4.�
��, `�`� / Minimum permit fee: $72.50
Phone:(520 ) 6 4 i_ 7a,1 q Fax:( ) Plan review (25%of permit fee)
CCB Lic.: �^` Plumbing Lic.no. �'
V 12��q State (12%surcharge of permit fee) r 341)
Authorized signature: TOTAL PERMIT FEE 6
Date: ,)/t This permit application expires if a permit is not obtained wit in 180 da s j wi
Print name: �' p� after It has been accepted as complete. /_3�.
*Fee methodology set by Tri-County Building Industry Service Board.4 V
1.1Buildia5Wennils1PLMU-PcrmirApp.doc 10/01/09 440.4616T(t0/02/COM/WEB)
3.43 "i -T-Ad-,NC.-etC.
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
g-i-fg Utilities ,h b #«w<? Qty. Fee(ea) Total Sit ,rus 'oirfarge: , : ,:Permit Fee:410,41agii' ::;,l..
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 S stems:
Water Service-each additional 100' 37.52 y,,� t` ";a
Storm&Rain Drain-I st 100' 62.54 'VaIU �.00 ,r ,,, )Minimum fee
•
$1.00 to$5,000.00 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 fur
Fee(ea) Total=; each additional$100.00 or fraction thereof,to
t��i�ltf , or Fees Q�3 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/ any following Plan review is required for
Work Performed: Capped Added Relocate q theofllowi
g'
Baptistry/Font
check all that apply.
Bath -Tub/Shower ❑ 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 ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic 1 0 Any multipurpose fire sprinkler system.
Drinking Fountain 1 0 Any complex structure as defined in OAR9I8-780-0040.
Eye Wash
Floor Drain/sink -2" 2 Submit 2 sets of plans with any of the above.
-3"
' ; , .'Tsometrxu0bitiser Diagram x'
Car Wash Drain
Garbage Domestic-non-food Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related �I�/�� -1 r that meet the qualifications above.
-Commercial-food related /� Clk•N�'
-Industrial-food related L,.!,' 'St"(
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall pi 5
Sink/Lav -Non-food related �G yp `o`t
-Bradley 1 141%177
-Commercial-food related /f' fi
-Service I
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet 5 fees assessed for the sewer increase must be paid before the
Urinal I plumbing permit can be issued.
Other Fixtures:
I:\Building\Permits\PLMU_PermitApp.doc 2
Branden Taggart
From: Derek Benson <derek@beavertonplumbing.com>
Sent: Friday, February 11, 2022 7:17 AM
To: #Building Permit Technicians
Subject: RE: 11101 SW GREENBURG RD Attn: Tina
Categories: Branden
Caution! This message was sent from outside your organization.
My apologies,there are 4 bathroom lavatories, 2 breakroom sinks and 1 mop sink. it was a little confusing with the
options on the back.
Thank you,
Derek Benson
Commercial Project Manager
Beaverton Plumbing
c971.645.3138 p503.643.7619 x104
From: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent:Thursday, February 10, 2022 5:26 PM
To: Derek Benson<derek@beavertonplumbing.com>
Subject: RE: 11101 SW GREENBURG RD Attn:Tina
Hi Derek,
(7) sinks are listed in the Commercial Fixture Work section on the second page of the application and in the Description
of Work section; however, (4) sinks are listed in the fee schedule. Please confirm the total number of sinks. Once we
hear back,the Plumbing Permit Application will be placed in our queue for processing.
Thank you,
Branden Taggart
City of Tigard
II :• Senior Permit Technician
Community Development
TICAR
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
1
From: Derek Benson <derek@beavertonplumbing.com>
Sent: Monday, February 7, 2022 1:45 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: 11101 SW GREENBURG RD Attn:Tina
Tina,
Here is the completed application.
Thank you,
Derek Benson
Commercial Project Manager
Beaverton Plumbing
c971.645.3138 p503.643.7619 x104
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent: Monday, February 7, 2022 1:06 PM
To: Derek Benson<derek@beavertonplumbing.com>
Subject: RE: 11101 SW GREENBURG RD
Hi Derek,
You can email these in. Please note "Attention Tina"in the subject line so I can make sure to combine with the rest
of your documents.
Thank you,
Tina Escalera
Permit Tech Assistant
City of Tigard I Community Development
13125 SW Hall Blvd.Tigard, OR 97223
From: Derek Benson<derek@beavertonplumbing.com>
Sent: Monday, February 7, 2022 12:57 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: 11101 SW GREENBURG RD
Tina,
Can I resubmit with the completed fixture work section completed electronically or do I need to drop off a physical
form?The address for the location is as filled out on the form, its an open warehouse that encompasses the listed
addresses,the print doesn't have a physical address yet just cross streets.
Thank you,
Derek Benson
Commercial Project Manager
Beaverton Plumbing
c971.645.3138 p503.643.7619 x104
2
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.Rov>
Sent: Monday, February 7, 2022 9:31 AM
To: Derek Benson<derek@beavertonplumbing.com>
Subject: 11101 SW GREENBURG RD
Hello Derek,
Thank you for your application submittal. Commercial plumbing submittals require that the commercial fixture
work be filled out on the second page. Please resubmit application with this missing requirement. Also,it appears
you have more than one address listed on the application please fill out one application per address. For your
convenience I have attached your original submittal and a new application.
If you have any questions,please email the Building Division at TigardBuildingPermitsatigard-or.gov or call at 503-
718-2439.
Thank you,
Tina Escalera
Permit Tech Assistant
City of Tigard I Community Development
13125 SW Hall Blvd.Tigard, OR 97223
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
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