Permit CITY OF TIGARD PLUMBING PERMIT
�I :_.�r Permit*: PLM2013-00352
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2013
TIGARD Parcel: 1 S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 112
Project: Net 2 Vault Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Plumbing fixtures for tenant improvement: ADD(1)hub drain to existing drain,(1)primer,(1)breakroom sink and
(1)water heater.
Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC
PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Floor Drain/Floor Sink/Hub 10/09/2013 $25.02
Specifics: 1 ea Primer 10/09/2013 $12.51
1 ea Sink 10/09/2013 $25.02
Type of Use: COM 1 ea Water Heater 10/09/2013 $37.52
Class of Work: ALT 1 12%State Surcharge- 10/09/2013 $12.01
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $112.08
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: Q� 62-",624,e.9-770"/,,,<pliezerde______
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.
OCT/08/2013/TUE 10: 39 AM POWER PLUMBING FAX No, 503 244 8825 P. 001
Plumbing Permit Application \\--„... .
, .
Building Fixtures ft/It oFrlcr USE ONLY • , •
City of Tigard . `:,p,, '143 r eia'e: !V ? Z 'Permit IsVi /aQ/3-&-S
13125 SW Hall Blvd.,Ti,: • o,a.., 223 Plan Review
C Date/By: Other Permit N
i Phone: 503.718.2439 Pax:. 1•.59 lt��0 ���®� �J/I�2o/3 d®/�l
T I t AR D Inspection Line: 503.639.4175 e`S `,\e Date Ready/By: I' 6 v Pagc x for
Internet wtvw regard-or gov -�` 1� Notified/Method; Sap.Iemenbtl]nformafion
L ,D L P T.� � � C� z 5% ^ 9W.,,.t fPTr 7
.
^„tii y:WAT« � w . 3) '{ 5•l 1 lA .. kv� ` ._, a� -:lX :n}CT,:, :s _. 4,- ,,,:∎�YL1-: ✓y4 ,e.,..,2,r
'.. . ..a. ii"."- . .' ' : n '. ..' '''.. . For special infomfation use checklist❑New construction it , olition
Description Qty. Ea. Total
Addition/alteration/replacement 0 Other: New 1-2-famil dwellin_s includes 100 ft.for each utili connection)
�.r •: Gri7e,.e- `gt,=,,/,.,rLAgii,late;µl jG f (•t.y(tt:r91-r ih"t'l ,',, ��.�''fP,l ° ( )
Y1, 4 .e SFR 1 bath 312.70
❑I-and 2-family dwelling Iii, Commercial/industrial
SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building Q Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
[•�o 47 . " tirrE< 4k ]. '.7 c^tL�S3Z Ott,7 -�' '3 ,f37W1- 7 4 ld,.152 `r.rr
!4,_, `,, a y��3�IU)7i.;,,t I,.)., fll{.+1 ,, G,i'r.._. -J' .,-, n c�4'C�'. SItP 4tillti[9:
.vC"�,,.:!+1�3�'��''i'r�.u7. ..r.:7�....•ari.�...L'..^....f� � �:?�3�3e.c^h .1J:'c: 4,•
Job site address: ,'_5 i � / 0 Wl rL� Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
%City/State/ZIP: �,(,/a/ . !_5Y el.1, - ,
CO •'1 ) Footing drain(no.linear ft.: ) Page 2
dgJapl no.: Project name: • r 4, 0 y I . 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 R:) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
ffo" a`V' , 3 2` � { , ,.. �.r, ,,,•.,,,,g. ..:,. y�„ , �' Backwater valve 12.51
1.4; 'Y.latitdir i so $4�5S.�C %t . r <' e. �v �, ,,;,y,;..
+.'0'tiE,.. ;,FP 1 ''� � ,r'�•:v�yrtrmar� s��r�:�� ;� �;'�`;�:r„.;,....•.:<v..:
Clothes washer MO 25.02
-_��/_ .V -P Ybv /_/ r Dishwasher 25.02
Driniting Ibuntain ■ 25.02
Ejectors/sump 25.02
r-=--sue x^ r„ ^•, x^, w .n,e,vx•tr-omylE Expansion tank 12.51
.hi' ul 9i� J�']}yC_ F67,X I�°1! 1 1, ,,If »L 3&,s� e..1 °`���/4.:°�:"!1
Fixture/sewer cap 25.02
Name:
Floor drain/floor sin ub f 25,02
Address: - Garbage disposal 25.02
City/StateJZIP: Hose bib 25.02
Phone ( ) Fax ( ) Ice maker ■ 12.51•�vxti_ : A y�° r� `, `i fi a� .% ,"o-: r i, • Interceptor/grease trap 25.02
1i,5°k?5;�8,,,.?,1:Ae F`4 L4t�, 3';:o.,../i.}�.:ct,... YiNS`Y6-a't., _ k
Business name:. I b � � Li Medical gas(value:$ ) Page 2
Pruner ■I 12.5) Nig/
Contact name: ■ t ,-) Obemq Roof drain(commercial) 12.51
Address: p , 111‘/C l q 41. Sink/basin/lavatory 111111 25,02 Z S'13''-
City/State/ZIP: M I -4~ • Cr-1 _ . Solar units(potable water) 62.54
r 4 Phone:( ) 14Mf J 0 Fax::( ) i � Tub/shower/shower pan Mill 12.51
E-mail Urinal 1111 25.02
. .
Water closet 25.02
lx ,y a
i V+, aF1Wrcr0 '' k;;;r '''s:.1� r `I3P ;F: i,.,FS:, l Y ' :- *1. V '' .1 .:' *Ii t • � f*, ,'. N. Water heater ., 37.52
EiLli
Business name: M Ef
Water piping/DWV 56.29 -
Address: i 9 rtlJ A_ / y f Other: 25.02 MEI
City/State/ZIP: lir(011 i C1-1 3-VO Subtotal
Minimum permit fee: $72.50
Phone:( ) _ (4 ..-• • Fax:( ) 3- -- �S
Plan review (25%of permit fee)
CCB Lie.: 5 ,3-7 Plumbing Lie.no.: 34_15010 G
State surcharge(12%of permit fee)
Authorized signature J TOTAL PERMIT FEE r/5,2.0,
This permit application expires R a permit is not obtained within I80 days
Print name: Y ,, S-et-- Date: , / after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
/e/57 fA/- ��q .-f//•�
I:1Buitding\P.,1teepLA'tU.PennitApp.soc IOPot/69 44a-06167(1WDTICOM/WEB) 5W� / 429%
x"672 isr.Ne-- ' X34, ,et-
OCT/08/2013/TUE 10: 40 AM POWER PLUMBING FAX No. 503 244 8825 P. 002
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule Residential Fire Suppression S stems: �1
1T p n Y�a 1 '. Z y r 1'�' if f:) �g f� � t ".t �'" T � j r 9.!' tit. ,„•, ,,, �,,V J �.,z yh,�uy' 7 1 F
'S•t)1j)-t 4�1k filir",.j�±iP►j. ��' I/�t "J�. .r�.. t� i ' I?�` �1.. r'`. .,n: i:%,- �.G,.'�.'3tt
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:eater $327.54
Sewer-each additional 100 Wati_
Waterseavice-lit 100' 62.54 NM Medical Gas S stems:
Water Service-each additional 100' 37.52 q Yy3 ?+''r F1. ="'-W W!r5� 644-11 m' ��' 7Jt�..*y",
;;;;,/ t M V i� rh F.,.(,o1 ,1.;,Vr ,�C"� ' iii.: C�
Storm&Rain Drain-1st 100' 62.54
I � $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain each additional 100' $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
1 � - ��lil ,r 3a��cn�4 rt, 5 ��r J 1: �p� each additional$100.00 or fraction thcrco to
,i r1-AZT i1 c i ),_fir ,(t1 c} VIII. dr, I rA,� w,, �w 7a� "r ,y 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 fraction each additional$100.00 or action thereof to
minimum ch= a -1/2 hour and including$25.000.00.
Inspections outside of normal business - 90.00/br - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours minimum char:e-2 hours each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr M 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$120 for
minimum char. -1/2 hour each additional$100.00 or fraction thereof
Subtotal: �
1
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurate) re sort fixtures could result in
increase sewer fees*.
kin r:?y1 ws* '�� li. 1 1t, '
&� t mt rp u . tiC e _f 'a n � ' i �rt Ak , -k\L BF?I 'F i,F
r iE
.T F. ;, i
' ,v� . 'Js< At.:4c.1-ti I rrir rr C :4.010 a�.c,t, ,� i , i- } ` ry ''rk 7 u dh Plan review is required for any of the fiollowing 4�y5.'0�a ) �:!. ��` :. 4 .41FCi� A `'- t4'.
Please Check all that apply.
13:,ti - /Font ❑ Any new commercial building with water service 2"and
Bath Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool ,
Car Wash -Each Stall engineer.
-Drive Titre ' ❑ 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 ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
-Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3„
-4" r{i v P"2 S rat, :i Y•.,..,., t 1".. 1 Gtr N i,..y. 1. o
Car Wash Drain ' 4 '
Garbage -Domestic-non-food
- d Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related ,
Ice Mach,/Refrig.Drains
-Oil Separator Leas Station) _ Comments regarding tincture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay, -Non-food related - J
n. R -Bradley
OW -Commercial-food related _
-Service
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 fees assessed for the sewer increase must be paid before the
Urinal . plumbing permit can be issued.
Other Fixtures:
C:\Users\bistinej\ ppData\Loca\Microsoft\Windows\Temporary IntemeQFiles\Content.IES\ENCRYRHL\PLMF-PermitApp.doc
tf" w t P Accumulative Sewer Tally t J �=�
sJJJ
"� �,t, Tenant Name: Net 2 Vault Li LSWR# 2013-00190
Site Address: 10250 SW Greenburg Rd.,Ste.112 PLM# 2013-00352
Parcel#: 1S135AB04500
Fixture Value Previous 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 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-3inch 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[-IP) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 HP) 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 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 0 0 0 0
Sink:
-Lav/Bar-Non-Food Related 2 0 0 1 2 1 2
-Bradley 5 0 0 0 0 0
-Com/Scry/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 0 • 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
•
TOTALS 0 0 0 0 1 _ 2 1 _ 2
Current Fixture Value 2 divided by 16= 0.125 Current EDU 1 EDU= $4,800.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 2 divided by 16= 0.125 over (under) S 624.00
Enter EDU Change Here 0.130
Notes:
Authorized Name/Signature: Dianna I-Iowse Date: 10/09/2013
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\Sever Tally\ScwcrTallyShcct_4800._070113.xlsx
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10250 SW GREENBURG RD 112, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
2013-11-07 00:00:00
PLM2013-00352
PASS - No C of O
Violation Summary:
Inspector Contractor