Permit CITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: PLM2014-00318
T[GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/23/2014
Parcel: 1 S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 245
Project: PMC Sierra Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant: Demolition,new walls and doors.
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 Dishwasher 09/23/2014 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 09/23/2014 $25.02
1 ea Sink 09/23/2014 $25.02
Type of Use: COM 1 ea Water Heater 09/23/2014 $37.52
Class of Work: ALT 1 12%State Surcharge- 09/23/2014 $13.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $126.09
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•-- •UNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: 4� Permittee Si nature: 4
Call 503.639.4175 by 7:00 a.m.for the next available ins.- tion 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.
SEP/22/2014/MON 12: 13 PM P. 001
RECEIVED
Pluj in Permit Application SEP 2 2 2014
Building Fixtures roll OFFICE USE ONLY
City of Tigard PcrmitNu.: i,y '/ -20 3/f
13125 of SV;Hall)31vd.,Tigard,OR 9722,CITY OF TIGARD Da a t®/'�
Plan Review der permit No-:�uO�'���01t
i '( Phone: on 503.7182439. Fax: 503.5' DING DIVISIO t)ateBY:
Inspection Line. 503 639 4175 Date Ready/By loos ® See Page 2 for
711,1 Irtlemt, WWW ngard-or tor Notified/Method Supplemental Intnrmatioe
.c_.. �- . •^ •".,+ w,•. t �
Sl r x� t 7tt ^ ti Dl ii 6• O •*. •: a,'r;
t a .s - y' .'r'q i Y. * _ 1> , . t µ R. t,�"r, -N
� •� r .i ": 4 ..�• 1, 1:4....ed-t c • X,. r . � ,,.. ,,
For special urja r Qd o use checklist New construction ❑Deao l i ti'on
Descri•tion Q . Ea. Total
!� Addition/alteration/replacement ❑Other' New 1-2-family dwellings(includes 100 ft.for each utility connection)
•' `d._'. re lt'i U?� bj�n?a 4S V-nl-e j SFR(1)bath
�,, . it a 312.70
SFR(2)bath _
❑ 1-and 2-family dwelling 11 r ormnercial/industrial
_ SFR(3)bath 500.32
0 Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other Fire sprinkler( sq.!L) MI Page 2
rr. 1.. _."--r -, �-V t U s . ` 1 L1wl � c.R.'y��s ` Site
utilities:
tfO 1ihIct., Y ,, .. , J as 4.. 41,-,`":f.-?.
Catch basin or area drain
Job site address: Drywell,leach line,Or trench drain 18.76
' 1712
CCity/State/ZIP: e 1 it 0 ' ° Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.. 7L/ 4, Project name: • C / - ✓, . Manufactured home utilities 50.03 Mil
Cross street/directions to job site: Ire Manholes 1 18.76
Rain drain connector
- Sanitary sewer(no.linear fL: ) Page 2
Storm sewer(no_linear ft: Page 2
Water service(no.linear It: ) I Page 2
Subdivision: Lot no.: Fixture or item:
---- -- - Backflowpreventcr -- ----- - 27 --------
Taa roap/parcel no..
''G -+ r9 � ' �^�2, .-'+ X Backwater valve 1 12.51
c.7 . .�e ~is➢Bt1,1;i �,'. .,- a 9. z ° ''"' j 25.02
c +• -. ;4.. �'. r., r..y.+�:. �'`' Clothes washer
ei; 7' � /e�VV LL,e,t - Dishwasher 25.02 ZS.0Z./
Ate- f T aAr - .il__' 67V/S 'e Drinking fountain 25.02
t2 E-K_,.1 S. %/NC r. - '&7- l d- fi 02. Z / Ejectors/sump
25.02
k %?°�?� 1 grt' Expansion
' = _ t3�Yr�674t R ` � .1� i T: lu r'. & '. 12.51
Fixture/sewer ca p
25.02
Name: -- Floor drain/floor si ub �2,/' ( 2.5.02 ZS-,O
Address: Garbage disposal 25.02
City/State/Z1P: Hose bib I 25.02
Phone:( ) Fax ( ) lee maker 1 12.51 MIMI
1 ', .. -+,`�1 4...�}...V.LI;� 44 -7-. Interceptor/grease trap 25.02
� .) dE-1}rlv.1'!.t'P- It e'irti''.4.s t' - '''4. ' ' "
.r: � .�' "':r'"��"• Medical gas(value:$ ) � Page 2
Business Mime. -PQ e • i u Vti I ill/ • Pri 12.51
mer
KContact name: 76 yl Q 0 e(e Roof drain(commercial) 12.51
Address: to 1p 1 V u l gI • 1'n, i_ r`\1OJ- Far•asin/lavatory J 25.02 5-.0 Z.
City/5tatdZIl: poiReaut O Solar units(potable water
)
- 62.54
/ Tub/shower/shower pan I2.51
Thone (�)3) a u'l 'I Cy Ob Fax::(��) Dim_
Urinal ` 25.02
E-mail Sev vi e.@
oik o^^,m.c+x _x. O uu-144-19_u-144-19_111'' G'o_ (C "` - n
Water closet 25.02
,,.✓ * r' T. x.R t •. I . F.0h..r.:< S t p l
I .J } f jiR e Ij4St *,gg' g G"L i VIIP-' _ c..v. .. . water heater / 37.52
Business name: OW t 0 1 _1 l • C_p - Mel
Water pipinpJDwv
,_--.
25.02
Address: ')Q 6 0 • Other.
7 Zg C) Subtotal /7. • f
Phonetate/ZIP: �� i O Minimum permit fee $72.50
Phone:( +■ ) 2 - 9d/ Fax:(,�3) oZyt/-g'$1S'
CCD Lic.: S Z 3-7. Plumbing Lie.no.: 3y/� Plan review (25%of permit fee)State surcharge(12%of permit fee)
I e49 - TOTAL PERMIT FEE •A
Authorized signature: -
t_-- I l Date: �' // u This permit application expires if a permit is not obtained within 180 days a
-Plitt name: / �- /Z Z1/ after it has been'accepted ax complete. L
"Fee methodology act by're-County Building Industry Service Board.
. .___ --- --'-_...aa iwsuot 44o.45l rOorwcot�trwEB) -
I�BuileingWern lulPt.MU-remiWpp. •
SEP/22/2014/MON 12: 13 PM P. 002
•
Plumbini Permit Application - City of Tigard
Page 2-.Supplemental Information
Fee Schedule: Residential Fire S u � �r es s>on S 'stems:
.. - - pt N.c i�,.J+"; i.::4.44.1 .° 't?.' 79.1%Tr ,8.`•t t.l.��lll'thi likti sI•t tEl,', +r. c .4IIl4r..1h. 'ylt. :'rJw •h ,C re.
,. �` � -.. .i,.r.�;Sl2+�.. ' w*: :�"•:,.L.cr.,iA•: ,a�� 1 �.. u:_..w�.:, -. . r..�i
Footing drain-1 100' 50.03 0 to 2.000 $121.90
37.52 2.001 to 3,600 $169.69
Footing dram-each additional]00' 3601 to 7,200 I $,233.20
Sewer-1st 100' 62.54 7.201 and greater 1 $327.54
-Sewer-each additional 100' 37-52
Water Service.1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 ,Ww, r ? .s , 's'.-',"xit'.il rk a 4 ie s'•i
62.54 A fdilrkfN PI I.i c�P �_tr -! w .4..... , ,:;∎:-. .ei
Storm&Rain Drain-1st 100' $1.00 to$5.000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to 510.000.00 $72.50 for the first 55,000,00 and$1.52 for
1SI each additional$100.00 or fraction thereof;to
?i 11 ls'io.1't It .:at.,.-4:1 l ufu,r �la tt„!P'(.14%11 v 61. ;�,- {<Q s >� %s- and including$10,000,00.
Inspection of existing plumbing or for ' $10,001.00 to$25,000.00 5148.50 for the first$10,000.00 and$1.54 for
---which no fee is specifically indicated __90.00/hr _ _each_additional 5100.00 or fraction thereof,lv
(minimum charge-1/2 hou) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours_ uinimum char-2 hours) each additional$100.00 or fraction thereof to
-Rcinspecuon Fccs 90.00/hr and including$50,000.00•
p dditional plan review fbr revisions 90.00/hr $50,001.00 and up $742.00 for the that 550,000.00 and$1.20 for
each additional$100.00 or fraction thereof
(minimum charge-1/2 hour) ---
Subtotal:
Commercial Fixture Work: .
Are you capping,adding or replacnlirtures?Ii'-`5yes', -------- ---
please indicate work performed by fixture. Failure to
accurately re iort fixtures could result in increased sewer fees*. z `'r �'$ te r
; ~ ^,,.- i < l� :.c i r4tM r [ r .fiTti Li° 1 ° •tr r- rl {r..8 7�h 6 f1I bxrl '�JG X11 � 0`y[C�.' .�=` .
-.L a ,-v r y:s.F .1-1 lTISiT9-b��.:-, -.,�++ -_ ,. _. J
. .i_ ., ^�tyr 51}" ,1`•N �i 1 E1f19i9
r4,7,, v4v.',� -_ �• r,,,-,...- -if Plat,review is required for any of the following.
r�lkffatl:dgf ,►' �r�t R..." ,5' ^ ` .0 rr u-' ' .."""- Please check all that apply_
Baptistry/Font i ❑ Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool _
engineer.
Car Wash -Each Stall
-prive Thni ❑ New exterior plumbing site utilities for any complex structure
-- as defined in OAR918-780-0040.
Dishwasher spidor/Water Aspirator
DI Medical
-Commercial Medical gas and vacuum systems for health care facilities.
-Domestic j I] Any multipurpose fire sprinkler system.
Di-miring Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain!sink Hua ___I___ Submit 2 sects of plans with any ofthe above.
_4° :4,�'l�. r� i�S i!ilta9siC'„ I.r[ 1 LS D 1E•t .)1ecl <. , 1 :�
Car Wash Drain • Isometric or riser diag.am is required for new buildings
Garbage -Domestic-non-food
_ that meet the .ualifications above.
Disposal -Domestic-food related
-Commercial-food related
=lndusnial-food related
Ice Mach./Refr g.Drains
0i1 Separator(Gas Station) - Comments regarding fixture work:
~lice.Vehicle Dim.Station f�/ . / a./ •-' r • 41. 'S
Shower -Gang _ `
-Stall -
Sink/l.av -Non-food related I
-Bradley .
-commercial-food related _
-Service
-
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Dotes ---- increase of sewer.EDUs,a sewer permit will be issued and
ater Extractni - fees assessed for the sewer increase must be paid before the
Water Closet-Toilet �.
Urinal- plumbing permit can be issued.
Other Fixtures;
ina/www-rigard-or.govt city_hall/denartmenidcdrocs
M /PLM •-PermitApp2doc
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10220 SW GREENBURG RD 245, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00318
George Heimos
Violation Summary:
Inspector Contractor