Permit CITY OF TIGARD PLUMBING PERMIT
! s COMMUNITY DEVELOPMENT Permit #: PLM2013 -00427
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/10/2013
Parcel: 1 S135AB03400
Jurisdiction: TIGARD
Site address: 10260 SW GREENBURG RD 400
Project: Regus HQ Global Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Capping (1) sink and adding (1) sink, no change in EDU's
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
2 ea Sink 12/10/2013 $50.04
Specifics: 1 12% State Surcharge - 12/10/2013 $8.70
Plumbing
Type of Use: COM 22 ea Minimum Fee Adjustment - 12/10/2013 $22.46
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 que ns to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B • Permittee Signatur
f
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.
DEC /05 /2013 /TRU 02:06 PM POWER PLUMBING FAX No. 503 244 8825 P. 001
PlumbingPermit Applica *wwJCEIVED
Building Fixtures FOR OFFICE USE ONLY
City of Tigard DEC 5 2013 Received
g Dateiny: /t /C' / 1 BI Permit Na.: 1 Lrlati; -e6 .7
- w 13125 SW Hall Blvd., Tigard, OR 97223 Plan Aoview t�, � lv'
Phone: 503.718.2439 Fax: 3� p�(� TIGARD Other Perini( No.: �'i� �°
1 1 V r Date/By:
T I C A R D Inspection Line. 503.639.4175 Date Ready /By: Jura H S ee P age 2 for
Internet www t igard -0r gov . r . T -1111 N G DIVI Notified/Method. I Supplemental Information •Cf
'• : r � -• r �'P!,'Sr..
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. L Ea. f Total Q)
le, Addition /alterationlreplacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) t
-
iu x O
'.`y�r t '-F "y � '> 2 r - r sA�"fr" : r ,� ,�` � ' 312.70
G r'a -' .. .' t , .., x, • : , ..,c -i^ f` .'.a" t t C t; t * • ... , A.L. , • SFR (1) bath
❑ 1- and 2- family dwelling li r Commercial/industrial _._ SFR (2) bath 1 437.78 • O
❑ Accessory building ❑ Multi - family SFR (3) bath 500.32
Each additional bath/kitchen 25.02
0 Master builder 17 Other: Fire sprinkler ( sq. ft) Page 2 \
51
r p � p"y 4 UC4'V / 1 fi } T1 7' j r y�� -
"''k,1' 4.17 4 n ' .�r &, ' • [' .3. 0101 t..7,1Va Nr + 1:N 4,,,....4 ; .i t ' Site utilities:
Catch basin or area drain 18.76
Job site address: ' O • / (/,. , / p i
Drywell, leach line, or trench drain 18.76
Ci /Stete&Z1;P: "
tY L Footing drain (no linear f1,: ) Page 2
Suite/bldg. /apt, no.: Project name: ""�f � . j I Manufactured home utilities 50.03
Cross street/directions to job site: D� Manholes 18.76
Rain drain connector 18.76
' Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) ; Page 2
r Water service (no. linear ft.: �) I Page 2
Subdivision: Lot no.: Fixture or item:
Tax map /parcel no.: / 6 / J ' , /9 ( 340 y� Back preventer 31.27
�y° " r 1." i, r t 1 u �' a � r* ky c i { $1,rx,d, Backwater valve
.yt.� :cane. d. :a fz a:' ..wn., '_t; aa •Ir ∎, ° r' , ,, .. , 12.51
Clothes washer
25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
w l �t ,,gym l
�r>NY7 Ayt•L d i.. 7715�]�,C : l ,,', yi�rnin k�,,7f' iili' :1 +15 , t , Y.„, ,,:,',,,I,, �,. Expansion tank 12.51
C. rf,}Li JtS1 ik 114161114c: S . i : F ' 4.11' �.+ �'"''' I
Fixture/sewer cap 25.02
Name: I
Floor drain /floor sink/hub i 25.02
Address: - Garbage disposal I 25.02
j City /State /ZIP: Hose bib 1 25.02 .
Phone: ( ) Fax: ( ) Ice maker 12.51
;"�� , aCIFOR f* 6 la 'C�O` :` ' r�`l s rti Interceptor /grease trap 25.02
Medical gas (value: S ) Page 2
Business name: - i b # JL i Primer 12.51
Contact name: / +
Roof drain (commercial) 12.51
Address: j! AO g Sink/basin /lavatory 2 25.02 i5 b&-.`
City/State/ZIP: r t L { CO i V Solar units (potable water) 62.54
Phone: ( ) j i 0 D )' Fax:: ( ) 7 J I �(�G Tub /shower /shower pan 12.51
f��. t I �� �Urinal 1 25.02
E-mail: --w-
v. Y y• i + nliV4 `, ' +' r ;�crt+t. p �+tw ` #P ey, v 4 17 . � Water closet 25.02
`
't kl 4.,, Ar, a 1 ,. 1 " lit& I3 thil� .r&/iI' tbt'. • ./.. r W ater heater 37.52
Business name: 'D W-ert/ ' Fr t Waterpipint/DWV 56.29
Address: � I
Other: 25.02
EMIMINI' ��,_ , ( Subtotal - 1 0*-1
Phone: ( ) 2 . ' U ! ! I Minimum permit fee: $72.50 12 7U
I' Plan review (25% of permit fee)
CCB Lie.: ,
g Plumbing Lic. no.: 3 5t () ( '
_ State surcharge (12% of permit fee) ?S V
Authorized signature: � 4 TOTAL PERMIT FEE i' ZV
Print name: r ( Y n f l � Date;/ I This pettish application expires if a permit is not obtained within 180 days
. after it has been accepted as complete_
*Fee methodology set by Tn -County Building Industry Service Board.
rd3uilding\Permits 'PLMU- PermitA9p -doe 10/01/09 4e0•g6 107110 %OJCOMIWEB)
DEC /05 /2013 /THU 02:06 PM POWER PLUMBING FAX No,503 244 8825 P. 002
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Sur cession S stems:
H} t l ,' + 1445' fl �i f ! •ru" hr�.. �..� y � ':�7r '6r fir; i � . •,^ n'mn
'1 C rIC ' o+ .' " �� �� ,S' ! 1 r ' i c{7.[, Y y 9
CiM f.:. M 'l ( ' , f / 1 _{ i 1. rwnr ..`r; .tW � . . !' •
Footing drain - 1 100' 50.03 0 to 2,000 � 121.90 ,I + rH
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' Iliiiii
Water Service - eaach additional 100' 37.52 Medical Gas Systems:
� • ,, . 1 .'n -;;'a �� *t�g? ,; "t,1, • �
Storm & Rain Drain - 1st 100' 62.54 4 tti - ....: r.:,.; . . -' :fit , ;r
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain each additional 100' NM 37.52 $5,001.00 to $10,000.00 $7250 for the first $5,000.00 and $1.52 for
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 $148.50 for the first $10,000.00 and $1.54 for
which no fee is specifically indicated 90.00/hr ■
minimum ch. -1/2 hour each additional $100.00 or fraction thereof, to
and including $25,000.00.
Inspections outside of normal business - 90.00/hr $25,001.00 to $50,000.00 $379.50 for the fast $25,000.00 and $1.45 for
hours minimum ch. • e- 2 hours) each additional $100.00 or fraction thereof, to
Reinspection Fees 90.00 /r _ 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 char :c -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`.
ti
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i ;�}� s„K [' + �1 a 1IYl' Plan review is required for any of the following.
r l �, 1 �.4..� t�W, K'A ni 1 ..,.. Q�t�
Baptistry/Font Please check all that apply.
Bath - Tub /Shower ❑ Any new commercial building with water service 2" and
lacuz.i/Whidpool greater, except systems designed and stamped by licensed
Car Wash - Each Stall engineer.
- Drive 7hru ❑ 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.
Dritilang 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.
irorK 1 .r� 1 e r1i }�f tt �r: "rC .
Car Wash Drain
Garbage - Domestic non -Enna D Isometric or riser diagram is required for new buildings
Disposal - Domestio related that meet the qualifications above.
- Commercial -food related
-
- Industrial -food related
Ice MachAtefrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station _
Shower -Gang
-Stall .--
Sink/Lav - Non - food related j /
- Bradley
- Commercial -food related
- Service
Swimming Pool Filter *Note:` If the fixture work under this ermit results in an
Washer - Clothes increase of sewer EDUs, a sewer permit will be issued and
Water Extractor P
WaterCloset- Toilet fees assessed for the sewer increase must be paid before the .
Urinal plumbing permit can be issued.
Other Fixtures;
C: 1Users1vistinej \Downloads\PLMF- PermitApp,doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: OI3 -0042 `
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: %(.• ay a �'� TIME: PAGE:
SITE
DID S SS 1
: 0 ).60 S.W • Creitv■bwri LOT 4+ CLASS O WORK:
OF USE:
PROJECT NADESCRIPTION: T. worck at. q9 a
OWNER: 14.4.44A.s NQ Gtota PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: to -a 1-v1O 3 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3,20 RasAkt, -:b.
Corrections /Comments /Instructions:
0 R — - +or p l u v , i 4 o k t y — No+ -E ; '` ;
t y6t1 L L ;s rev,-
PASS PARTIAL APPROVAL CANCEL 1 1 NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: .bcton S Date: la- ail- o(i1.9 Phone #: (503) 718-
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
10260 SW GREENBURG RD 400, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
2014-02-19 00:00:00
PLM2013-00427
PASS - No C of O
Violation Summary:
Inspector Contractor
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
10260 SW GREENBURG RD 400, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
2014-02-19 00:00:00
PLM2013-00427
PASS - No C of O
NOTE: 1-ea cap-off completed.
Violation Summary:
Inspector Contractor
Pi
CITY OF TIGARD
BUILDING DIVISION PERMIT#: �(�l (, 4 -4[��.�'J
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 I �
" Inspection Requests (24 Hrs.): (503) 639-4175 _ .!�..
INSPECTION WORKSHEET FOR DATE: } _ ci. ;t c 6A TIME: PAGE:
ii 4
SITE ADDRESS:
!O�(�, is r r� S,.l.e�. r n b,+may �.�1 00 CLASS OF WORK:
SUBDIVISION: �; av� �,.��a LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: ` PHONE #:
���S ,i �'
CONTRACTOR: , PHONE #:
Inspection Request Scheduled For: Date: I.. ct_a"tg Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
•
r (yI ) •nt_.„t. PIS.w L. �.N
E
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I
Inspector: f v1 S , Date: I-' -. ) /4 Phone #: (503) 718-
[ __ ,