Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD PLUMBING PERMIT 11 g' COMMUNITY DEVELOPMENT Permit#: PLM2016-00104 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2016 Parcel: 1S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 360 Project: CLM Subdivision: METZGER,TOWN OF Lot: 9 Project Description: TI-Replace/relocate(1)2"floor drain,(1)primer,(1)sink and(1)water heater. 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 Floor Drain/Floor Sink/Hub 03/02/2016 $25.02 Specifics: 1 ea Primer 03/02/2016 $12.51 1 ea Sink 03/02/2016 $25.02 Type of Use: COM 1 ea Water Heater 03/02/2016 $37.52 Class of Work: ALT 1 12%State Surcharge- 03/02/2016 $12.01 Type of Const: Plumbing Occupancy Grp: Stories: Total $112.08 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 ions UNC by calling 503.232.1987 or 1.800.332.2344. • lssu d By: n I Permittee Sign lure: Call 503.639.4175 by 7:00 a.m.for the next available insp• on 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. MAR-01-2016 04:14 From: To:5035981960 Page:1/2 Plumbing Permit Application Building Fixtures RECEIVED Ci of Tigard Wed 1111111. City g '1 I:I/By: 3 a- /* ( ..0) Permit No•: /ION&-601 11 _ .. 13125 SW Hall Blvd.,Tigard,OR 971 2 6 Plan Flavin., 0 Phone: 503318.2439 Fax: 503598.1960 Oaee/By: Other Penni'No.: 4 e_0006 Inspection Line: 503.639,4175 CITY ITIG \:D Dale Ready/By: 'uric Ila See Page 2 for Internet: www.tigard-or.gov . a i a, 1 ii k Notified/Method: Snpplemental Information "i*F., OF ORH r, , .",FEE►.SCHEDULE ': n ❑New construction 0 Demolition For special infonrurlion use checklist Description J Qty. I Ba. f Total Additionfaltcration/replacement 0 Other: New 1-2-famtly dwellings(includes 100 ft.for each utility connection) 1 Y. k :'•;•'r ". SFR(1)bath 31270 . „, •CATEGORY;OF..CONST311U;Cf70N. , ,� •' ' 0 1-and 2-family dwelling tifCoaunercial/industrial SFR(2)bath 437.78 - SFR(3)bath 500.32 Q Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder - 0 Other" Fire sprinkler( sq,It.) Pagc 2 ''< " ` v.` 1 AOR rS1TE INFORMATION AND,'I.00A,T•1ON • ` ' • Site utilities: Job site address: l t a Q D 50 5 / b LA-A-G 0,44 Catch basin c arca citrin 18.76 J/ Drywell,leach lint,or trench drain 18.76 City/State/ZIP: 'i- a,tQ(, n '1'Z.Z.3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.:# 5( ( [ Project name: C L M .K 3 to b - Manufactured home utilities 50.03 Cross strcct/dircctions to job site: Manholes 18.76 Rain drain connector 18,76 Sanitary sewer(no.linear ft.:,) Page 2 Storm sewer(no.linear ft.:, ) Page 2 Water service(no.linear ft,: ) Page 2 Subdivision: j Lot no.: Fixture or Item: - 31.27 Tax map/parcel no.: Backflow prcventer • Jt4 ' ,�', :,DECRiP1101!T tth;WORir ' ,°. ", Backwater valve 12.51 ' Clothes washer 25.02 /7841-0-.s-"--4- /vYr Jrizl/J vI-LC a t-7 Dishwasher 25.02 C ��`/1 Drinking fountain 25.02 D r t Ejectors/sump mp 25.02 ,' e, t,>a ;iROPE TY OWNFIR o' I`' ',. l TsNAx, EXpalsi0tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub , 25,02 vs.0•]-_ Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 .'. .0:,800„ICANT ,,f• t. ,' 4 f:'EON1iACT :ERSODI' ,,`, Inten.e:tor/grease trap 25,02 Business name: QO um r P 1 u vn b iv( la • Medical gas(value.$ ) Page 2 - Primer ` 12.51 •S Contact name: �(d(.t Roof drain(commercial) 12,51 Address: (jt I Nu I1 4 owl, gl vat Sink/basin/lavatory j 25.02 2S. Z D City/State/ZIP: )(V i 1 Q 14.6( d 41'-7 Z.'2__ Solar units(potable water) 6254 Plume:(5-n ,21.4(.4 f l 9 o t) Fax::(503) g(-141-5 g.2-S Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: Sere ! .>*J.I I '.•f I, . 4. I. A4 a .O « Water closet 25.02 CUNTRA R .. .. Water heater , 37.52 37.5 2- Business name: 0 ,4„._ Iu_ ,r 9 Ci? . Water piping/DWV 56.29 Address: PD 00x 1 ii r i• Other 25.02 City/State/ZIP: Po -{tide 6( D er-u,go Subtotal 1(X).o 1 Minimum permit fee: $72.50 Phone:( �1 off. I(r - Q Fax:(g3)a G/N- g Plan review (25%of permit fce) -�-__,--,- Authorized CCB Lic.: ,s„).3 7 E. Plumbing Lic.no.: 341-:Sp p$ Slate surcharge(12'i6 of permit fere) 12-0 ' . Authorized signature: '�yrs .e�a� \1 Lo S TOTAL PERMIT FEB 1 17 .O� Print name: ((// Date: 2 //� This permit application expires if a permit n ma retained within 180 days L.A Ir( {ma_ hl OS J l) 1 to after it has been accepted at e:anpkte. *Fee methodology set by Tri-County Building Industry Service Board. U GIJ I:1BuilainaNcn tit rlAU-Permit+5)4nc NIK Mg 440-46l T(i0/OZCOM/WE8) 44/161' C }J' MAR-01-2016 04:14 From: To:5035981960 Page:2/2 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: 'Sate.'Utilities: ' .'`. Qty=, Fee(ea) ;total .. ootag 'Fee . • :r, 'Square F . e• ; . Perinit Footing dram-l"100' — 50-03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,(01 m 3,600 $169.69 3,601 to 7,200 $23320 Sewer-1st 1(X1° 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 additional 100' 37.52 c . . ... . valuation: Permit Feel., . Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001D0 to$10,000.00 $72.50 for the first$5900.00 and$132 for Other'.In e tions or Fees Q� •.1*(r) °total each additional$100.()0 or fraction thereof.to _ and including$10,000,00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $14850 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.01)or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. inspections outside of normal business 90,00/hr 525,01)1.00 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 Reinspection 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 fust$50,000.00 and$1.20 for (minimum charge-112 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Arc 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*, reP natio :, - . Quan• by.r.5rraitRType� ,7 Plan'�Revrew�o urilbilig Fixture Type for „. • Work Perforinedi . :. CappedAdded ,:Retaaeh: • Plan review is required for any of the following. Please check all that apply. Baptistry/Font © Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacwzi/Whiriponl Car Wash -Each Stall engineer. -Drive Thru ❑ Ncw exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as dcfmcd in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Ding Fountain ❑ Any complex structure as defined ill OAR918-780-(x)40. Eye Wash Floor Drain/sink -2" ► Submit 2 sets of plans with any of the above. -3,. Isolnetric.or,Eiser Diagram • 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 MachiRefrig.Drains Oil Separator(Gas Station), Comments regarding fixture work: Ree.Vehicle Dump Station Shower -Gang • -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool 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 Cxtrefees assessed for the sewerincrease mustbe Water Closett--Toilet paid before the Urinal plumbing permit can be issued. Other Fixtures:to •✓ lila*, 1 http://www.tigard-or,gov/document_center/Building/PLMF PcrmitApp,dq 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 10200 SW GREENBURG RD 360, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2016-00104 Chip Barnett Violation Summary: Inspector Contractor