Permit CITY OF TIGARD PLUMBING PERMIT
s , " COMMUNITY DEVELOPMENT Permit#: PLM2022-00044
Date Issued: 2/16/2022
T I G'AR) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S1358C01100
Jurisdiction: Tigard
Site address: 11117 SW GREENBURG RD
Project: NW Fencing Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Adding(1)drinking fountain,(1)ice machine,(1)shower stall,(5)sinks,(4)water closets,
and(1)urinal; Replacing(3)sinks and(2)water closets; Installing(1)expansion tank and(1)water heater.
Contractor: PMSI LLC Owner: GREENBURG SPACE CENTER LLC
8295 NW EVERGREEN PKWY#204 4804 NW BETHANY BLVD STE 1-2#243
HILLSBORO, OR 97124 PORTLAND, OR 97229
PHONE: 503-466-2222 PHONE:
FAX: 503-466-2211
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 02/15/2022 $25.02
Specifics: 1 ea Expansion Tank 02/15/2022 $12.51
1 ea Ice Maker 02M5/2022 $12.51
Type of Use: COM 8 ea Sink 02/15/2022 $200.16
Class of Work: ALT 1 ea Tub/Shower/Shower Pan 02/15/2022 $12.51
Type of Const: 1 ea Urinal 02/15/2022 $25.02
Occupancy Grp: 6 ea Water Closet 02/15/2022 $150.12
Stories: 1 ea Water Heater 02/15/2022 $37.52
1 12%State Surcharge- 02/15/2022 $57.04
Plumbing
Total $532.41
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Applicatib CEI V ED
Building Fixtures JAM 2 5 1022iiiiiiiiiiiiiiiiimaimi
City of Tigard Received
t-� / Permit No.:
ill • 13125 SW Hall Blvd.,Tigard,OR yj�431" Uf I IUARD Date/By: a/( a3� / G//'i�aQ -��(-jLi4
■ ' Phone: 503.718.2439 Fax: 503..$�L Ir DIVISION DPlanny: Other Permit No.: ,•l24� a.�,_�1g7
Date/By V 4L�(/_r
1 1(l A R 1) Inspection Line: 503.6 39.4175 Date Ready'By: 1 ® See Page 2 fnr
Internet: www.tigard-or.gov Not fled/Method: Supplemental Information
TYPE OF WORK I FEE* SCHEDULE
0 New construction ❑ Demolition For special information use checklist.
Description I Qty. I Fa. I Total
Addition/alterationlreplacement 0 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 'RI-ommereial/industrial SFR(2)bath 437.78
IDAccessory building 0 Multi-family SFR(3)bath 500.32
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: + Catch basin or area drain 18.76
r 7U-� C",fi'C r1 l?�.YC^, I`�. Drywall,leach line,or trench drain 18.76
City/State/Z1P: I 1 0a.r 10 e_. pt---1t Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: tri-n� J ci?S A.)i.„ ,..tr., nO q Manufactured home utilities 50.03
Cross street1directions 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.: (5 1 3;a Col JQ6 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
r Clothes washer 25.02
\ tSin\lr.tiL,� 0" pS,.dn'1b.tlG SNStt fh. Cr"- Dishwasher 25.02
�t..n,z)j,n r
3 Tl Y.h,r-r s. rJ Drinking fountain I 25.02 2....5.0,
Ejectors/sump 25.02
ISZ--PROPERTY OWNER 0 TENANT Expansion tank 1 12.51 lZ,j
Name: Fixture/sewer cap 25.02
�-lY'CG� I:'jt.7' v,)7r;,� - C-r c)4-r- L .J Floor drain/floor sink/hub 25.02
Address: II\1-1 S 03 C-Z c-r cn l-»..r
Garbage disposal 25.02
City/State/ZIP: T crr f-r\ 0
�1 �j Hose bib 25.02
Phone:I ) Fax:( ) Ice maker i 12.51 12.5 t
ErAPPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$_) Page 2
Business name: 7)A - ��� g
((''}} Primer 12.51
AW
Contact name: yn!l L,7 9"*.se ye S Roof drain(commercial) 12.51
Address:21C\C A.) F.,iefv-e.Pn Y!7 kw i l 7_01/4-A Sink/basin/lavatory <3 25.02 2lp,\(,0
City/State/ZIP: \a--)1\sbc,r u t C)17..__ q-1'I2..14 Solar units(potable water) 62.54
Phone:(e Q ) q(s,(p_Z Z Z. . Fax: :( ) Tub/shower/shower pan 1 12.51 \L tSt
E-mail:O.r-e.PSFc' ,MS' -sys"�eMs .C .),�-, Urinal 1 25.02 Z�,�i
Water closet (O 25.02 15151 'j�
CONTRACTOR
Water heater 1 37.52 -- 1,CZ
Business name: pm S 1 L_L Water piping/DWV 56.29
Address: FC2-c /UL' C�,ler(-t-ccen Pkwyt s-r_ 2c:e-I Other: 25.02
City/State/ZIP: 1-�1\ Y�c:ro (Q ciI--1\Z...k_1 Subtotal "1�S• 5�
Phone:(t. 3 ) ♦ (. (0_ZZZZ Fax:( ) Minimum permit fee: S72.50
CCB Lie.: •I�c SZc�( e Plumbing Lic.no.: ,I.A-t. ,4Y I Plan review ( 2ofpeitfee)
State surcharge(12%%of Permit fee) 1 "'(�Q l.;
Authorized signature: ytiii.\,,c,p_eizeL_ n_ TOTAL PERMIT FEE 5'5z..L
vwi J This permit application expires if a permit is not obtained within 110 days
Print name: /� (�Gy eS Date: \1�s iZ
\Vl,�a rlf�.'c Z after it has been accepted as complete.
•Fee methodology set by Tri-County Building Industry Service Board.
1:03uilling\Permits\PLMU-PcrmirApp-doe 1001,09 440-4616T(10,01,COM/WED)
V a,Mq al to !
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Tol Square Footage: Permit Fee:
Fooling drain-1" 100' 50.03 0 to 2,000 S 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 S327.54
Sewer-cach 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-tat 100' 62.54 S1.00 to 55.000.00 Minimum fcc$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to S10,000.00 S72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee fest Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 S148.50 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$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.
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
Car Wash: -Each Stall El 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.
shwash : Aspirator al ❑ Any multipurpose fire sprinkler system.
D -Commercial
mmerc ❑ Any complex structure as defined in OAR918-780-0040.
-Destic
Thinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2'•
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 1 Comments regarding fixture work:
Oil Separator(Gas Station I
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lay/Bar non-food related 2-
-Bradley
-Com/Serv/Util food related
-Service I *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 ., plumbing permit can be issued.
Water Closet-Toilet L{ r
Urinal
Other Fixtures:
I:\BuildingTermirs\PLMF_PermitApp.doc 08/04/2011 2
•
Branden Taggart
From: #Building Permit Technicians
Sent: Sunday, February 13, 2022 7:03 PM
To: 'Amanda Reyes'
Subject: RE: Greenburg NW Fencing Plumbing Permit: PLM2022-00044 - SWR2022-00016
Attachments: Plumbing Permit Application.pdf; Invoices & Sewer Tally.pdf
Fli Amanda,
The Plumbing and Sewer permits for NW Fencing are ready to issue now. I have attached invoices above for you to
reference, and the fees due are as follows:
NW Fencing
Permit# Fees Due •
PLM2022-00044 $ 532.41
SWR2022-00016 $ 17,889.90
Total: $ 18,422.31
The above fees can be paid online now through our website: https://aca.accela.com/TIGARD/Default.aspx. From there,
click on the Building tab, enter the permit numbers in the Record Number field,and click Search. There is a 3%service
fee for credit cards, but e-checks do not have a service fee. Once paid, please notify us at tigardbuildingpermits@tigard-
or.gov, and I will email the permit paperwork to you. Furthermore, the permit fees for both permits will need to be paid
before we can issue either of them. Please let me know if you have questions.
Thank you,
Branden Taggart
1City of Tigard
g Senior Permit Technician
Community Development
TiCAan
13125 SW Flair Blvd
Tigard,OR 97223
1503)718-2449
bra
From:Amanda Reyes<areyes@msi-systems.com>
Sent:Tuesday,January 25, 2022 10:42 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Greenburg NW Fencing Plumbing Permit
Caution!This message was sent from outside your organization.
Attached is the plumbing permit application for Greenburg NW Fencing.
Thank you,
Amanda Reyes
Project Manager Assistant
1