Permit CITY OF TIGARD PLUMBING PERMIT
: S. . COMMUNITY DEVELOPMENT Permit#: PLM2023-00481
Date Issued: 11/15/2023
Ti(..1 R C 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD
Project: Aramark Services Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Interior plumbing for lobby cafe TI:Adding(3)sinks; Installing(1)expansion tank,(1)grease trap,and(1)water
heater.
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
1 ea Expansion Tank 11/13/2023 $12.51
Specifics: 1 ea Interceptor/Grease Trap 11/13/2023 $25.02
3 ea Sink 11/13/2023 $75.06
Type of Use: COM 1 ea Water Heater 11/13/2023 $37.52
Class of Work: ALT 1 Plan Review 11/13/2023 $37.53
Type of Const: 1 12%State Surcharge- 11/13/2023 $18.01
Occupancy Grp: Plumbing
Stories:
Total $205.65
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:c....sore..,..„„ec...„ '...-7
--;ar«,ittee 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 ApplicatiotiECEIVED
Building Fixtures FOR OFFICE USE ONLY
NU V % 2023 Received
r
City of Tigard Date/By: I ? �3 ..�� Pan»it�t ,,,M)03 Doti et
a 13125 SW Hall Blvd.,Tigard,OR 97224..m Plan Review
II _ Phone: 503.718.2439 Fax: 503.598 1 TY OF TIGARD Date/By //-/'3-,�3 a� Other ' � - -384
Inspection Line: 503.639.4175 BUILDING DIVISION DateRead B : Juris:
TIGARD y y ) 6d See Page 2 for
Internet: www.tigard-or.gov Ntotified/Method: /1//3 A3 6-77- Supplemental Information
TYPE OF WORK r•` (\, FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
1 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONS11'RUCTION ,,;� SFR(I)bath 312.70
❑ I-and 2-fantily dwellingSFR(2)bath 437.78
®Commercial/industrial
0 Accessory building ❑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:
'I' Job site address: 10260 SW GREENBURG RD Catch basin or area drain 18.76
li
Drywell,leach line,or trench drain 18.76
,•4 City/State/ZIP:TIGARD, OR 97223
Footing drain(no.linear ft.:_) Page 2
0 Suite/bldg./apt.no.: I Project name:23-775
1) �t0,,,/rd Lt'iilZ!' Manufactured home utilities 50.03
�- Cross street/directions to job site: Manholes 18.76
NRain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
f Storm sewer(no.linear ft.: ) Page 2
r Water service(no.linear ft.:_) Page 2
Subdivision: Lot no.:
O Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
`.d LINCOLN TOWER CAFE TENANT IMPROVEMENT
Dishwasher 25.02
Drinking fountain 25.02
4, Ejectors/sump 25.02
, O
\.L 0 PROPERTY OWNER ( ❑ TENANT d Expansion tank 1 12.51 �a,5/
`'
Name: Fixture/sewer cap 25.02
to Address: Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
kt City/State/ZIP: Hose bib 25,02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 1 25.02 . 5.02
Business name:POWER PLUMBING CO. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: MIKE WARREN
Roof drain(commercial) 12.51
-r/S Address: P.O. BOX 19418 Sink/basin/lavatory 3 25.02 75.06
. City/State/ZIP: PORTLAND, OR 97280-9418 Solar units(potable water) 62.54
`t. Phone:( 503-244-1900 Fax::( 5031.244-8825 Tub/shower/shower pan 12.51
X E-mail:SERVICE@POWERPLUMBINGCO COM Urinal 25.02
CONTRACTOR °� Water closet 25.02
Water heater 1 37.52 39,52
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 /50,//
Phone:( 503-244-1900 Fax:( 5031244-8825 Minimum permit fee: $72.50
Plan review (25%of permit fee) 3r7,5)
CCB Lie.:52378 Plumbing Lic.no.: 34-150PB
r State surcharge %of r fee) o 7
Authorized signature: ...yam ��� TOTA(12L PERMITpemit FEE
�'`� ajos,c�"
Print name:KRISTIE RAM,Ze ELL Dale:(- i This permit application expires if 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:\BuildingtPesrnitsWLh1U-PermitApp.doc IO/01/09 440-4616r(10/02JCOM/Wtm)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities QV. Fee(en) 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 nonnal 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 E] 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 ❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thni
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher:W -Commercial al 0 Any multipurpose fire sprinkler system.
Commer ❑ Any complex structure as defined in OAR918-780-0040.
-DDrinking Fountain
Eyc Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
-3" Isometric or Riser Diagram
-4" 0 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 PLEASE CALL MIKE WARREN WITH QUESTIONS 503-936-5929
Shower: -Gang
-Stall
Sink: -Lav/Bar non-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 fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:Gam ' - '' I
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