Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2013-00374
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2013
Parcel: 1 S126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 130
Project: TIAA-CREF Subdivision: LEHMANN ACRE TRACT Lot: 4-5
Project Description: Cap(2)sinks,add(1)sink,(1)2"hub drain&(1)primer. No change in EDU's
Contractor: JAMES ROOD PLUMBING INC Owner: ATHERTON REALTY PARTNERSHIP
125 S 1ST AVE#542 2100 S WOLF
HILLSBORO, OR 97123 DES PLAINES, IL 60018
PHONE 503-547-0491 PHONE:
FAX: 503-547-0492
FEES
Quantity Description Date Amount
2 ea Fixture/Sewer Cap 10/23/2013 $50.04
Specifics: 1 ea Floor Drain/Floor Sink/Hub 10/23/2013 $25.02
1 ea Primer 10/23/2013 $12 51
Type of Use: COM 1 ea Sink 10/23/2013 $25.02
Class of Work: ALT 1 12%State Surcharge- 10/23/2013 $13 51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $126 10
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 Not . •• 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 dire• questions to •• C b calling 503.232.1987 or 1 800.332.2344.
s �
Issu:d By: • � t Permittee Signature: r `
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion 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 Penuijpphestiou RECEIVED
Building Fixtures -
Crtp of Tigard T OR 97zzs OC T 2 2 2 i �/�7uro-: /C17, s 3 oG `•A
Phone s501.71 Blvd, °e'ParmitP1a: PA/5 .2
i 5o3.71s.2439 Fay Sa3_sgs_P960 CITY OF TIC e,: , .
Inspection Line: 550.639.4173 BUILDING DI CM=
®bterne2for
.1�.'� 'f` c �r'+b'• PY.�.'. =FZ",, y7s :F-.. ..; 7,q,, ,.Fr -^F-T...:.._-7wS.w"gi p
fl New fr u n b Demolition a Por use Total
Additi,od 0 O New 1-2, . ,; •• ,.,.,,...- 100 ft fir eadvardity connection
.. .W. - .a,r Ft y - SP&(1)bassi IMI 31270 I=
c2> 43718�g
D 1-and 2-i mly dveiling -
(3)bat, ME 5(1°32 IIIIM
A Each additional betbkitchen _ 25.02 MN
0 Mastm builder fl ors Fee sprinkler(....._sq. ) 0: MM
a ` sfiteit
.. ipcery.ZiLT�,i�.lr_+rv!^^�+s'S�s4}� NM
Catch basin or area dimi+s
Job site address: (39OD su eArtt1+ ' .'!+; tervell,leads lien,or trench dram NM 1&76 MN
City/State/ZIP: I a Vpt 3 10' Fooiiog d (no.linear 8 _ICIEI�
r'3ri ""''`Y�r IIo-. 4 .D Pnied mane:`r)/tit C RE; 71. Manufactured borne - 5Q03
Cross reet/d nxtionsto job site: Manholes IMMEM11.1111.
Rica drain cmgcthr
Sankey s (p0.linear$:_} IMII Pete 2
3toua fps Pinaear ft:---): Page 2 MOM
Water woe(no.shiest L _) 1111MEnel
Subdlviaion: Lot no.: Haim iteliC
Tax mep/paraclno: aaoka�p�adet �
y� p1 ••��. p•a, y ,e i..,3,yi em--. qjF ?, BwkwatCr9SLVe ���
�t� � .2.Y...L r.....1. Clothes washer MI 2"2 ME
l
. -: Dishwasher _ 25.02
25.02
25.02 ;�
'''., ::,--',I- 1 ,3 ,-,.--1-
,.-c�.,..7-C, z'',..,, wytaaM MO 12.51 ..1
•
� rte. FDO WCl[21P 25.Q7 °�.by
rloar drain/floor,∎,..y - 25.02 .0
Address Garlxce disposal 111= 25.°2
City/ : Hoc bib _ 25.02 '�
Phone( ) Pax:( ) Ice s IIIMIIIIIIIM
.:r�XS.�1y�'��-..�i� r <� : !'K �• i�s< :c sk K ti ���g�:= aw""^Z"'°'�SC� 25.02 Milli
$t[Sme!+LS name: Medical f (valise:$ )
Primer En 1231 NMI
Contact name: Roof drain(oaf 111111 12.51
Address: to 25.02 - S a
City/Staoc/23P: solar a» (pohrble ) 11111 62_54
pb .( ) CZNIMMEME Tntilshowe shower pan _ 1231 MIN
E-mail: MININIMMEM 2502 ME
�yy ��P.+ 'Sfi. ':_^: '';'•r -.••w,'�1,Q]�!":t :.,�}' it •a.:�•s.ni _ Water closet M 25.0 MN
,,;,1„, EA '.fiw ^j`.,Zi' � •-.4r ,1,2ca.'bL.4 �•..tY'in 1 'A-- a �c y,.w'1^,::o4�.t•" vab9'ie0ter 3752 MIMI
Business name: Le.1+'.•.:1•ATW Water pipnog/DWv Mill " NMI
Address: S. it .1- '2,— Other 25.02 MEM
City/State/ZIP: A, E. IL . e,ir. y' F e- •59
Fax:(x0 ) Walkman pail&c: $72.50
(SO ) - . .' fir? ���ar'9 Plan (25%of pe fee)
CCB Lie.: `�U Plumbing P no.: /� �7 ' State surcharge(]2%ofpennit fee) inail
Apr"
, ' �. TO'1ALPER14'T FEE
, . Da �p¢�eap endue fapoeo�ts Rat at4r�ea - 7soaQy V
Print name: after Ake been ameptedascomplete.
r ec,..e..fM,&.1e.,.....,,.,.T.,.c %AND&T r!„d../Siosvie..Rent 8
Plumbine]Permit MDl - City of Tigard
Page 2-Supplemental Information
Fee 111 I reSSIOn '. i •
See Schedule: }� v . R� �cn r.cc ^�Y.}..a pW �g,,rM z 1.e. `c.54 '411, w�.y .. .."'ZAsgig';x t*'-e7" i_
LS„ f � {FbY1Y '"� k Jt.. Y[ X_ ,r64:7wry�r�. := .G b4J �_s:. .-_.u.].si...:i:.y. - 1Ya�:Jr��aT�•N 1l•'j'e�+s1� .
-.�^r'XC`1iMi . i J :,•2:- ,:-_.:-,'J.:; ....7X S.„,: ._^3Cw-S ,,,
Fo fl�o2.1Id6
Footing drain-r 100' ! 5043 — S is X98 ,
Footing -carbad MIN ditional :■troa , ;
Sewer-1st 1110' ME 62'54 EIM 7,201 and -
Sewer-each udailional WO' ME 3752 Mill ter Service-1st 100' M 62.54 Medical Gas i
Water Suvtte-eah 100' _M1 '''','.•':' ^"4'p l �1Y`- °-`Tf.r1 4f. .r,. c ayp ,s-,-
&Rain Drain-1st 100' 6254 Sil.00m A CI>
Stoma&Ruin Drain- t additional I130' ME 3732 MB $5;0131*010 @30.00 .0 Mete�f+aps�t/y� � e@aed$11.S1 Q
.k>F ems' ./!.^... 7:747". .7-1., +c�=7".717. additional 5100.00 et thereat to
•' � 4444,171-s- 7.77.1112 c a r. -,. ,_.,y' • end $10000.00.
'Y ws ..d.Yra:x T s.yy�... .1.,...�,•,:,'„C'. . ;,�rc.,..f $10{ lam s �9 $I$S.SO c�e st 0AFi3D8a� i 34 fix
inspection of at 3d I. 90 00/hr each at 1$100.00 orfraction themot to
minim no fee is specitcail�'indicted and including$75,000.00-
minimum .� .---llzhour .
ea business ��to$504000.00 $�.iairift foet 1AOandSks5&r
,..: —newts
additional$100.00 or flacti n great to
ReinspechM'Fees "ihr d
� n R'rew�itns t ltiaaai M$u a $$@,0pOtp�d$ 38for
additional
$10000 or Swan thereof
Co e1t11 ' re WOrk:
Are you rapping,adding or replacing fixtures?. If"yes",
please indicate work performed by fixture. Failure to
accurately , 1 rt fixtures could result in
. , increas ed sed sewer fees*.
�--�u ! 1- . tip ::- '' �- • W
;
•, ,�•>, ;:"'?(, 7 ^' - .:r.a`t .„. _-.r .+.a_ ._.„
, ..,,...._
_ ,v �y � r ,� P1m review is required for any of-the meowing
v.", _ �
Please check all that apply.
IMMINOMMi=ME 0 My new commercial building with water service 2"and
Bath -TainShorter III greater,except systems designed and stamped by licensed
OK IN= Cl Nom, or plumbing site�litics for any complex structure
Drive Tltra as def 0
ned in OAR918-780-00 -
Dishwasher... �I 0 Medical gas and v systems for hear care faclitics.
=- L3 Any�fine sprinkler system-
0 Any complex,structure as defined in OAR918-780-0040.
Floor Drain/sink -2'°
Submit 2 sets of plans with any of the above-
Car wash Drain III 5 isometric or riser diagram is required for new bt)iidiaes
Disposal -Do iio-tbod rte that meet tbegualifi erns above.
-commercial-Mod related
o
-Indnswiel-food related
L Ice MackiReffig.DMus
s Comments fixture wo - I •
S>zaw� - miss ,x).,M 1154 OLaW►• *- e1-i fh t� -�ei►..
-Ce meae l-foot related
,.,._., r Pool fithtr "Notes If the fixture work under this permit results in an
'W r- -- ... increase of sewer FDLTs,a sewer permit will be issued and
Vol fees assessed for tine sewer increase pint be paid before the
-?ice can be issued.
Urinal � � � p��Permit
Other Evinces:
James Rood Plumbing Inc.
126 S.VA Ave#542
Hillsboro,Or.97123
603.547-0491
Fax 503-547-0492
J roodplum bingegmail.com
Permit City of Tigard Fax: 503-598-1960
Services
From: Jim Date: 10/22/13
Pages: 2
Cc: [Name]
❑ Urgent ® For Review ID Please Comment ❑ Please Reply 0 Please Recycle
Plumbing&credit app for TIAA TI @ 9900 SW Greenburg Rd. Pay for plumbing permit fees only.
IIIAccumulative Sewer Tally
p v "Tenant Name •1 I:\r\-CRI.1 SWR # N/A
TIGARD Site:\ddiess. 9900 SW Greenbuig Rd#130 I'1,\1 # 2013-00 37+
Parcel#. 1 S 126DC03300
I:nxture Value Previous Previous Credits Capped Fixtui c Fixture New New
# value count capped#s value count added# added value total#s total values
Baptiscry/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
Dishwashei -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 , 0 0 0
Drinking I:ountam 1 0 0 0 0 0
lye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 1 2 1 2
-3 inch 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 11P) 16 0 0 0 0 0
-Commercial (to 5 I-IP) 32 0 0 0 0 0
- Industrial (over 5 1-IP) 42 0 0 0 0 0
Ice I\laehme/Refrigerator Drain 1 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Roc 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
-1 av/Bar-Non-Food Related 2 0 2 4 1 2 -1 -2
-Bradley 5 0 0 0 0 0
-Com/Scnr/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 Uxtractor 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 [DU Credit 0
TOlA Ls 0 0 2 4 2 4 0 0
Current Fixture Value 0 divided b\ 16= 0.000 Current I?DU 1 EDU= $4,800.00
Previous Fixture Value 0 divided by 16= 0000 Previous IiDU
Change 0 divided by 16= 0.000 over (under) S -
Enter EDU Change Here• 0.000
Notes Scope of work does generate any additional EDU charges or credits
Authorized Name/Signature: Debbie Adamski Date: 10/23/2013
Building Division
Note. The property owner shall retain the ORIGIN:\I,sewer rally record. if credits exist,this document will serge as a vouchet which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges
I\Building\Sewer'I ally\Sewer'I allyShect_4800._0711I 13 xlcx
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
9900 SW GREENBURG RD 130, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
2013-11-22 (null)
PLM2013-00374
PASS - No C of O
Violation Summary:
Inspector Contractor