Permit p CITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: PLM2015-00065
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/11/2015
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 720
Project: Ameriprise Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Add(2)dishwasher and(1)water heater.
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Quantity Description Date Amount
1 ea Dishwasher 03/11/2015 $25.02
Specifics: 1 ea Water Heater 03/11/2015 $37.52
1 12%State Surcharge- 03/11/2015 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 10 ea Minimum Fee Adjustment- 03/11/2015 $9.96
Type of Const: Plumbing
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B 62') (yc Q, (J82....44t..Jn Q , Permittee Signature: 'r
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.
FROM :MCKINSTRY FAX NO. :5033316906 Mar. 05 2015 02:28PM P10
Plumbin Permit A IIC LCEIVEI) 64.1.1409-0i —0003,•
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City Of Tigard ll
IS w 13125 SW Hall Hlvd.,Tigard, j T `� Pi ur Review Other Permit t e�p/� MO '
t Phone: 503.718.2.039 Fax: 503.�l 1IGARD t hy'
�T lhttc Ready/By: r.;.. 6A See Page 2 for
inspection Line: 503,639-4 41ILI)il�C DiVI 1 J scup•mental Information
I r t; Ir t, Notified/Method: ri tl , $ r r,,,l io�i11q rrr,
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+ '�,'+I 11 r 11 lt,,I' rrll.Crir 171 1+,r11/1,1.tn .F,I;1 5;i1,,', , F.S•I+,l�,51,i Il1 '1�1 �'rld'A�Fi !�'1a /,,,,),,ii ,li ' ...fJi1,,.A,r.,.r.7lllr
Ir l. �'I I (, :+.� + l5;l ) r'e(rlJlil�!d,.l• {,i!.,"1(Y/:n,IVZ,IL>bn.+_�"Yv.111..,dd7 U t•>...1r•�..>fsrr r•1 {Ji,ii I,.�Y�i + Fors efal btfornm!!on use checklist. _ ..-
❑Demolition I use I Ea, ' 'Ft"' -
❑New construction Description y Z
New 1-2-family dwellings(includes 100 A.for each utility connection
l_Addition/alteration/replacement 0 Other: 312.70
,� ,^ t I Ir" Ic,,.a^rn,;lrlea'1yy;�t;S�s,t1112i1t'� IIF,irl°•,"�,('i��'2 {�,r�K�rili�'i'�y� SFR(1)bafll _
rc I 1. r , r.li( !I 1 ^I, p rfr,(fl 1 . ,l,�iicllljllrr 0(J71,,mif>,'fi^ Tr ,kilt, _
1;:f:;:;;',,,':;(,,,;. ' it(r,l 1!;I,�i cu,r a: +,,illi,,.i� .:,;rt.t42:74.Lit A.T kr I e!n>.•j,1..011.1ll)a,xsa' �. : ,I,M Lars S1 R(2)hash 437.78
41 •
❑ l-and 2.family dwelling C'nmtncrcial/industrial SFR(3)bath 500,32
❑Accessory building ❑Multi family Each additional bath/kitchen 25.02
❑Other (_—rice sprinkler( $q IL) Page 2
❑Master builder
?,:,;.4, rrrnrl) ,,ia y e 7l iy u�mVr421uNPi, or r{f f � . �r� �r 5
Sit- C filitiCB:i lI fF �
6
„.A ,,,`A•`„`;. 1,:'':%,n iN4 1 r I,:21;. ^r')IV( ):1::044.,Auxld'' A;Qu„'w,:0m�n::.!r1 4''' rMriii d ' Catch hxtn or area drain 18,7
Job site address'.10260 SW Greenburg Road 1)rywell•leach(lien nr trench drain t 8.76
City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear it.:,) Page 2
Manufactured home utilities 50.03
Suite,/bldg./apt.no 720 —1-Project oject name:Ameriprise Suite 720 ----
Mwhnl 18.7b
Cross spcct/directions to job site: 18.76
Rain drain connector ,
Sanitary sewer(no.linear ft.:�) Page 2 r
Storm sewer(no.linear ft.:) Page 2
Wafer service(no.linear ft.:!) Page 2
Subdivision: riot no.: Fixture or Item:
Rackflow preventer 31.27
Tax map/panel no.: 12,51
r 'r, r �'a ;/Yic, Raekwalet valve
Pi'.'.�.,•;alawtt!!al„.1',.4 liabl.,r;l n ,F:n 1v,)71%;5 +'�t17 li17r r
11 r ill I r.,rrreP >'f;�M11,i�. l rr ! }�;f�x, 1, x 11�f]�(I, t,` �rl ,�,'r;,�j j� d'r■;fp�:,'lfr;�ti6,r.,Ii t,.l,id!La,.rr�?,,Fl;/.rA,ll0.1.t11l„ ,44iyl.4 .41 1}l1.thf.taigfte41,,AiblIi4�f1!it 1�.'Pr ∎ ! 7 .., r•.: Clothcswasher 25.02
install new dishwasher and water heater �Dishwasher I 25,02 25.02
Drinking fountain 25 02
°
Ejectors/sump 25.(12
Br r r n,(, ,),+I lI tl,10N,1 P;t " }7 >R i fir �V i4 el,, 'v fe, I`y r Expansion tank
1251
LIr •5 ,Il I1tti,;. L )}i a.M4l01 R C.is.t�,,k +I 11 ikV i,V I,1 A >i 4(&h!j/a L. � , r t Ail(, 1 4, . l 2
.._— -
FixtprCNCver cap .
.,.
Name:Shorenrctein Properties LLC Fluor drain/floor sink/huh` 25.02
Address:235 Montgomery Street,16th Floor (rarbagc disposal 25.02
•
City/State/7.IP:San Francisco,CA 94104 Hose bib r 25.02
Fax ( ) ice maker 12.51
Phone (415)772-7000 .. .
I .r 1 c 1- >I"1r i tr r ` r 1 1,,t �. }v 9p d ' u re' �
Interceptor/grow trap
25.02
Il L ,`Lr,,.,,,.ni r r 0 ,! E'.a.)r a)r,11,i11 r i(1f(2b(r r eurl , s drl >`fLe:,.ih vler?r13R,W.. '
Medical gas(value:$ ) Page 2
Business name:bicKinatry Co Primer 12'51
Contact name:Antonija Krizanae: .. - Roof drain(commercial) 12.51
Address:16790 NE Mason Street,Suite 100 Sink/basin/lavatory 25.02.
City/State/7TP;Portland,OR 97230 - Solar units(potable water) 62.54
Phone:(503)331-0234 Fax::(503)331-6906
Tub/shower/shower peat 12.51
Urinal 25.02
E-mail antonijak( mckinstry com
t , I ,( iM, I t}r' (:4, 1 ro li q .i y Pa r Prrn p> � K ' i7 Water c
m_et .. 25.02
•
Li''.v �,1 , '., nri: .:u,.I iF1,+ � Ai+ 6tfy.,t.W,�S 1xi.'! -O ' err }.3,,2gi i i:: iii Wae'hgter 1 37.52 37.52
Business name:McKlostry Co. Water piping/I)WV 56,29
Address:16790 NE Mason Street,Suite 100 Other, 25.02
Subtotal 62.54
City/State/ZIP:Portland,Olt 97230 -•
Minimum permit fee: $72.50 7o2,S
Phone:(503)331-0234 Fax:(503)331-6906
� clan review (25%o!"perrrtil(he)
CCB Lie.:172811__ Plumbing lie,no.:37-22PR State surcharge(12%of permit fee) O . 7Q
Authorized siguatur - - TOTAL of Pen •FEE t ,b
This permit application expires If a permit i„not obtained witbla ran days
Print name:Anton(ja Krieanae Date: 7j i . arler it here been accepted se complete.
,Pee methodology set by Tri•:nwity Building Industry Service Hoard.
1 Irk.ilding\permium..MU-T°rm1Inpe.due IOA1n/ce 440_4e 16T(10/02/0 irw/Wnnj
FROM :MCKINSTRY FAX NO. :5033316906 Mar. 05 2015 02:29PM P11
PiumbinQ Permit Application,- City of Tigard
Page 2 - Supplemental Jnformation
Fee Schedule: Residential Fire Su I I rcssion S stems:
o t „�. 1 , 1 1+, i h nt a i �� Yi S i � ,1" � 4!in r,1 ,n 1+ J}„r d n , ,c� o i:'r%�" ; Irv>s a 1 Dq +++ Fi1 i ip' ._ �
1
t;t,1 tv 1. �,. n ,t1',t,:,;,i;f"a,r,. �;; � r 51r ' ; vA{h l ' �t .�;',l , Iee, 1),11 u d,.t,t ,,A 1111. i iO.,;4,1b.,i„i' 4„1t r ,.?l i i87
.
Z
Footing drain-1”100' 50.03 0 to 2,000 ._, $12190
2,601 to 3,600 $169.69
Footing drain•each additional 100' 37.52 3,601 to 7,200 $23320
Scwcr-1st 100' 62.54 - 7,201 and greater _ -$327.54 „•.
Sewer-each additional 100' � � „
Water Service-1st 100' 62.54 Medical Gas S stems: ( �i(1 rF'I'1 }
Water Service- additional NM 37.52 K„ir,i,tll t+ ., .,.±11.,+�' .11 -� ril1i,.1Y}.,�I,'; grit;�1r'3rilyii't'r�ldf'�S1S1'VPk:cl`}G� tt
Glen FH1d It1011a ,.tp1,{r f r, r i Ic ,i,.t� ,�,�.-,,1,1.,4d 1 E:1,, a1 -44; 1exu d , , l
ONE 62.54 0 to$5, 0
Storm&Rain Drain-1st!00' � $L00 to$5,000.00 Minimum fee$72.50 ,
Storm&Rain Dram each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1 52 for
,... .,, 1 r,i, g f ,,.I k;a"i' tr �I, i ,'�i 1�;$!;i 'It 1 y h1'f"1 -it-nnwl• each additional$100.00 or fraction thereof,to
;�' ,1 ttr.,A.:1,?,' '.W,:: .,i.;e1i44i :1;:14'ttTit1 ' ftn4i`ffehh(+1?Ait.i t id; and including$10,000.00.
inspection of existing plumbing or for $10,001.00 to 525,000.00 $14(1.50 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 char•c-1/2 hour and including$25.000.00.
inspections outside of normal business 90.00/hr - $25,001.0(1 to 550,000,00 $379.50 for the first$25,000.00 and$1.45 for
hours minimum charge-2 hours cach additional 5100,00 or fraction thereof,to
Rcinspection Fees 90,011/hr and includin_$50,000.00.
Additional plan review for revisions 90.00/hr 550,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional 5100.00 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
accuratel report fixtures could result in increased sewer fees*. n' „pRl!'f"f1;fP1'9''" i';r'^elitryH'I' sdh:°"".1` ,i fr"IY+IPli�4d+,'f '1rt't'
ones,. i Y+I 44,0! P;•,■�i ,4" ,,,� E,-,,t:I A„« ,i; Ir11
�p�,n , r,n 1t c 1 '9' r i +3 ?1 I�`i`i ' 4' lIt ,r{11`1�l Ali'1 pr, v;`,,A d P. :t + t r't !+ i ' 4 d.I 1 / 1X:
I Y `I y 1{�^ 1. I 1 11 rV�.Y it f�,l�. ,N l�rr.+���I1v.,h.H,1`I 1 t I r.f 7r X1,1 {5.
? ,JiIE i��1f+3i � )iii {1 � �+✓` j pr, I, }i l�i1�1"'ij{� ”')°4°'g YilE'i Plan review is required for any of the following.
i.m }ri� 11'. I 1i l 1► if i i'
1!BapmV tit'i tit d i,;k,>, .,f,E �,,,n nd S , ,nrf � '`i Please check all that apply.
Baptistry/Wont ❑ Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.Wash Paeh Stull ,
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040,
I)ishwa,sher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
•
-Domestic 1 ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780d040.
jyeWash
Floor Drain/sink •2" - Submit 2 sets of plans with any or the above.
-3,' �pn
4„ 'i, �rr l 'yi' '∎i I i!'iii 1p:L,N,4,1„��i!!* ,.0 sliFp!IE:rri is ilimfo t ri al., r i,l'a l4,,
Car wash Drain • Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach,/Ret'r'y,Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.vehicle Dump Station Adding 1 dishwasher and I water heater
Shower -Citing
-Stall
Sinkh.av -Mon-food related '
-Bradley -
-Commercial-food related
`
-Service
swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
WaterCloset-Toilet l fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
W:\Projccts\N-R\Russell Construction\101704 Ameriprisc Ste 720 LineolTTwr1001 Construction\Permits\PLMF-PermitApp.doc
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
10260 SW GREENBURG RD 720, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00065
George Heimos
NOTE: water heater completed. Dish washers not installed at this time, a new permit
would be required if installed in the future.
Violation Summary:
Inspector Contractor