Permit CITY OF TIGARD f PLUMBING PERMIT
1111 g• COMMUNITY DEVELOPMENT 4A Permit#: PLM2015 00236
/
T tc ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/23/2015
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 150
Project: Lincoln Tower Cafe Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Adding(1)grease trap. 7/23/15,reprinted to correct address from 10250 to 10260 SW Greenburg Rd Suite 150.
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 Interceptor/Grease Trap 07/23/2015 $25.02
Specifics: 1 12%State Surcharge- 07/23/2015 $8.70
Plumbing
47 ea Minimum Fee Adjustment- 07/23/2015 $47.48
Type of Use COM 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 Notificatinn 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 direc • estions to O b'C by calling 503.232.1987 or 1.800.332.2344. �7
•
Issu•d By: , Permittee Signe re: //
ezir F214 Call 503.639.4175 by 7:00 a.m.for the next available ins 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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10250 SW GREENBURG RD 101, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Plumbing PLM2015-00236
Inspection Type: Inspector:
305 Plumbing underslab George Heimos
Result:
FAIL
Comments: ---
1. Change address rom 10250 to 10 60, suite 150_ reenburg Rd on permit
2. Cleanout required - . ., at outlet side 707.7
Note, will check on Final Plumbing Inspection, leave clean
out cap Accessible.
3. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor
�� CITY OF TIGARD PLUMBING PERMIT
I 3 COMMUNITY DEVELOPMENT Permit#: PLM2015-00236
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/23/2015
Parcel: 1 S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 101
Project: Lincoln Tower Cafe Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Adding(1)grease trap
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 Interceptor/Grease Trap 07/23/2015 $25.02
Specifics: 1 12%State Surcharge- 07/23/2015 $8.70
Plumbing
Type of Use COM 47 ea Minimum Fee Adjustment- 07/23/2015 $47.48
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 questions to OUNC by calling 503.232.1987 or 1.800.332,2344.
Issued t i Permittee Signature: ///JJJ
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.
JUL-15-2015 14:45 From: To:5035981960 Pa9e:1'3
Plumbing Permit Application
Building Fixtures RECEIVED Da: oil rlt F I Lsr 0\11
City of Tigard oateolteccived; MIL►1 51 1 L el..4 ''007.? Y
N 13125 SW Hall Blvd,Tigard,OR 97 al
III
15 2015
= Phone: 503.718.2439 Fax: 503.59'8..1960 Pote/Ay:n ~ Other Permit No.-
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ears: 11a Set�e2for
TIC 11:D Ready` y'
t }Internet: www.tigard-or.gov W� .1 : �t ;}�f ` Notified/Method: FEE• 3CHLrDiIi:R Suppiemental Information
• - TXPE"OF _ %� o.
El New construction ❑Demolition For special iajorm�ion inc checklist
Description I Qty. I Ea. I Total
Addition/alteration/replacement ❑Othcr, New 1.2-family dwellings(includes 100 R.for each utility connection)
" • ', CAT�;GOItY.11.11),F, SONSTRUCTION , , ,r I; SFR(1)bath 312.70
I=1 1-and 2-family dwelling V Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi•family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other: y Fire sprinkler(_cq.ft-) Page 2
e,, ...,JOBcSITE INFORM_ATIOIN AND'LOCATION.;., . Site utilities:
Job site address: 51A3 ���A,L h _
Catch basin or area drain t 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZLP: 'Ti d , 012 '17Z13
_ /,, Footing chain(no.linear rt.: ) Page 2
Suite/bldg./apt.no.: 14- 00 f I Project name:IAD t O A_ l D viz.. Cf'k, Manufactured home utilities 50.03
Cross street/directions to job site:r0/ ac,12 ed ci, Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear IL:_) Pagc 2
Storm sewer(no.linear f1..: Page 2
Water service(no.ham ft.: ) Page 2
Subdivision: I lot no.: Fixture or item:
Tax map/parcel no.: Backflnw preventtr 31.27
DiiSCRA)!, I,0,,ly 0*.`0iORK', r . Backwater valve 12.51
- Clothes washer 25.02
ad 115,) 6-r.-eta-t. 7va p Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
.0`PROPERTY.004ER'•,'' :I ,, i ❑unit/I.L. ,:' S• F,xpansion tank 12.51
Name: Fixturelsewe r cap 25.02
Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) ice maker 12.51
'„' . ', d APPLICANT, '❑I CONT:KC ,P*:RSOTI'' `^s,'', Lnterceptedgirasc trap I 25.02 25.U Z
Business name: PO w �f u.M h/hij `i
Contact name: go ii rU, Medical gas(value:$ ) Pale 2
Primer 12 51
/ Roof drain(commercial) 12.51
Address: I D CP l) `5 w U /hi o�/j/(a.41_ Ai L vd_ Sink/basin/lavatory 25.02
city/state/ZIP: 11,6 J n/, dle 1712.3 Solar wilts(potable water) 62.54
Phone:(5D.3) 00-/-/q47) Fax::( ? )a(a L,'��gZS Tub/shuwex/ahower pan 12.51
Urinal 25.02
E-mail:Sfiev11 .0400/ L1 PJct:rrlb/ 'L5(6. CD ' 'L
Water closet 25.02
+.'CONTRACTOR ,
Water heater 37.52
.) Business name: Pape,'r F l u vti hi'n J Cj ID - Water piping/DW V 56.29
• Address: Po boy 01.1 i g- Other 25.02
v t Subtotal ZS-OZ
City/State/ZIP: Pa r Fi a 4.d, a2 61 -O _
S\(` Mininntm permit fee: $72.50 7Z
S1[\ Phone:(933) a L JC-I` I'966 Fax:(5-D3) a yy- Szs
'7,g Plumbing Lic.no.:3 L.'_J%pa Plan review (25%of permit fee) r
CCB Lie.: 5
State surcharge(12%of permit fee) (g..-7 0
Authorized signature: 6 �� TOTAL PERMIT FEE 3 f•20
Print name: Date: 7//51/5-
/5 / - The permit applkadaa expires If a permit la not obtained within IMO days
�Q1�.�- Pp 5 { l S $her It has been accepted as complete.
*Fee methodology set by 7ti-C-ouoty Building Industry Service mien!.
1:1Buildig1Pemits1PLMU.PermitApp.dw ic101N9 440-44I(e7IOMl21C(MWWHH)
JUL-15-2015 14:45 From: To:5O35981960 Pa9e:2'3
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities. ,.QIr: 1Fisetea) 7o611'' Square Footage: , .., Permit Fee ,
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.greater _ $327.54
Sewer•each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
water Service-each addidemal 100' 3752 Valuation: ,Periniit Fee:,%.' ,. , ..
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$7230
Storm&Rain!rain•each additional 100' 37.52 $5.001.00 to$10.000.00 $72.50 for the first$5,000.00 and$1.52 fur
Ot Fees ' •Fee;fei) Teityl each additienal$100.00 or fraction thereof,to
;Ober Inspections,or Fees .' ' ' . ., .�,t: . . 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$134 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr 525.001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspex:tion Fees 90.00/hr and including$50,000.00.
—
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.0(1 and$1.20 for
(minimum charge-1/2 hour) _ each additional$100.00 or fraction thereof.
Subtutul:
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*.
Quantl by fire Tyne . ` '.Plan Review'for'PlumbingIn`s'tallations
, chore Type for '' '' Replwcel• Plan review is required for any of the following.
Work Peiformed: . ... Capped Added ttelocale,
Baplis /Post( Please check all that apply.
. ❑ Any new commercial building with water service 2"and
Bath -Tub/Shower
lacurti/whirlppnl
• greater,except systems designed and stamped by licensed
• engineer.
Car Wash -Each Stall ll _
_ -Drive a ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in 0AR918-780-0044.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ' ❑ Any multipurpose lire 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.
4,.
Isometric'Or Riser Diagram
Car Wash Drain ❑ Lsometric or riser diagram is required for new buildings
Garbage -Domestic-nue-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice MachJRcfrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming fool 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.
Omer Fixmres:t etfU
httpJ/www.tigard-or.gov/doctirnont_c enter/Building/PLMP PermitApp.dt2: