The URL can be used to link to this page

Permit (15) CITY OF TIGARD PLUMBING PERMIT 111 2 COMMUNITY DEVELOPMENT Permit#: PLM2017-00012 Tf ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/19/2017 Parcel: 1 S 135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 610 Project: Guild Mortgage Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Add(1)dishwasher,(1)break room sink,(1)primer,(1)water heater&(1)hub drain. Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97280 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-244-1900 PHONE: FAX: 503-244-8825 FEES Quantity Description Date Amount 1 ea Dishwasher 01/19/2017 $25.02 Specifics: 1 ea Floor Drain/Floor Sink/Hub 01/19/2017 $25.02 1 ea Primer 01/19/2017 $12.51 Type of Use: COM 1 ea Sink 01/19/2017 $25.02 Class of Work: ALT 1 ea Water Heater 01/19/2017 $37.52 Type of Const: 1 12%State Surcharge- 01/19/2017 $15.01 Occupancy Grp: Plumbing Stories: Total $140.10 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 • io :•ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or d. -ct questions to OU • ailing 503.232.1987 or 1.800.332.2344. • Is.ued By: / OA. Permittee Signatur llip 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. JAN-12-2017 13:20 From: To:5035981960 Pa9e:1'2 Plumbing Permit Application ' Building Fixtures F(T)R (Fl IC:L user ONL ON) V City of Tigard I Received i Permit No.: III r r13125 SW Hall Blvd..Tigard,OR 97223 Date/By: / /9 7 �[-l��0/7 GLS/.� Plan Review � Phone: 503.7182439 Fate.'301598.1%0 Date/By: Other Permit No.:gw Inspection Line: 503.(13.%4175 171 Sec Page 2 for i'i i ,t K I? Internet: www-ttb gaol-or. ud DateReady/By: mr s: r g Notified/Method: Supplemental Information (\ r. TYPE OF WORK N, ,.. .. � � ' �a' , 17FF;+SCFIF.DULE ❑Ncw construction ❑Demolition For special information use checklist. N. Description Qty, Fa. Total Addition/ultrration/replacemeut ❑Other: New 1- dwell JJJJJJ��TT 2-family hlp9(includes 100 It,for each utility connection) , ''CAThOORY O1+ ;CONSu'OUC,r1ON ," ,, , SFR(1)bath 312.70 Q El1-and 2-family dwelling otnmercialIindustrial SFR(2)bath 437,78 O ❑Accessary building 0 Multi-family SFR(3)bath 500.12 W Each additional bath/kitchen 25.02 w ❑Master builder 0 Other: Fire sprinldcr(_sq.ft.) Page 2 ;JOB SITE:INFORMATION AND LOCA TION, "1 Site utilities: Job site address: /O zee, ..5W 6i f., 1 - Catch basin or area drain 18.7G City/State/Z1P: i t:1'0.i I, P K 97.?2 3 Dryng kick line, trench drain 18.76 J Footing drain(no.linear fl,: ) Page 2 Suite/bldgJapt.no.: !0/0 1 Project name: 0" Q i'141., /40 434r Manufactured home utilities 50.03 Cross street/dircctions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Pagc 2 Storm sewer(no.linear ft: ) Page 2 ^ Water service(no.linear ft.:_,) Page 2 Subdivision: `I Lot no.: Fixture or item: Tax trap/parcel no.: /5-`35-.07) 0/009 Backflow preventer 31.27 b ,:i '' l I ``=1WSCRIPTIQJV.OF WORK:' r ry �', ) . ,, ,,, Backwater valve 12.51 am-1- -, � Clothes washer 25.02 am Pt - ben/246✓e.� Dishwasher _ 1 25.02 25,v1 Drinking fountain 25.02 Ejectors/sump 25.02 ;`t '`:El PROPERTY OWNER' ?f,, , i ;' a, TFNA'NT .,, °, Expansion tank 12.51 �, Fiam: xture/sewer cap 25.02 Floor drain/Boor sink/hub I 25.02 2,S,D Z. Address: - .-.- Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ..,�.., r , :.: ', ' 'CO AC3:`PERSON �.. eP p © �k'k'LICAN� i,0. LVT Interceptor/grease tor/ ase tra _ 25,02 Business name: ®�ftiL� A/144,1 '/ Medical gas(value:$ ) Page 2 Primer ! 12.51 12..S Contact t1aiJIC' ^„r l'e _j/LJ r`'� Roof drain(commercial) 12.51 Address: Pa ADX /9 4'hP /�y _ $inkibasin/lavatory i 25.02_2_5„pt, City/State/ZIP: Pam D, 7 /.2Solar units(potable water) 62.54 Phone:(93) yy-/9 ? Fax::(533),4/w_(8. .x,- T th/shower/shower pan 1251 CO TOR Urinal 25.02E-Mail:Serv�`eOpu h bpyf . [O-, Water closet 25.02 Water heater 1 37.52 3 7.a�s1- BusmessWarne. Q �f�w nL�_t� eie _ ) Waterpiping/DWV 56.29 Address: Lo-lobate.ci u iii 1 T� ,- ,e5140( Other: 25.02 City/State/71P: te 1,d 972 3 Subtotal IZ5.L T Minimum it fee: $72.50 .-" Phone:(93) .21/40._/.10,0 Fax:(,51)3) .2 yE/--�8� perm CCB Lie.: 52 3 7 g- 0\1, Plumbing Lic.no.:3L/..../5-0 p6 Pian review (25%of permit fee)Suite surcharge(12%of permit fee) / D/ ' Authorized signature: y;7,..4.-4.-1- /Z 6' sTOTAL PERMIT FEE i 4/d./0 Pint name: J Date: / Thin permit application expires if a permit is not obtained within iSO days La Q -r� �� /� after it has been accepted as complete., "Fee methodology set by Tri-County Building Industry Service Board. lAeuizamgweruituvtntU-semitapp.aoc 10t0tn9 441).41I5'Ftt0ro2./rnMnveel JAN-12-2017 13:20 From: To:5035981960 Page:2'2 Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule:- Residential Fire Suppression Systems: Site.Utilities Qty? , F .(enY • Total .Square Footage Permit.Fee: • ' ,. , Footing drain-I"100' 50.03 0 to 2.000 $121.90 _ Footing drain-each additional 100' 37.52 2,001 to 1600 $169.69 3,601 to 7,200 _ $23320 62.54 327.54 Sewer-1st 100' 7,21)1 and greater $ Sewer-each additional 100' 37.52 Water Service•1st 100' 62,54 Medical Gas Systems: Water Service-each additional 100' 37.52 ' ' • Valuation: ,, Permit Fee: . Storm&Rain Drain-let 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $7250 for the first$5,000.00 and$152 for • Fee(ea)":+ ''T0ta1'i each additional$1(X).00 or fraction thereof,to Otller' nRpectous;�or h"ees Qtr• and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the fust$10,000.00 and$154 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 $25,001.00 to$50,000.00 $379.50 fur the first$25,000.00 and$1.45 fur hours(minimum charge-2 hours) each additional$1(10,00 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 fur the fust$50,000.00 and$1.20 fur (minimum charge-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*. .. - Quantity by 1Fixtura Type . ....Plan Review•for.'JPIuIICtbiiig:Installations' , Replace/. W r k error or' Plan review is required for any of the following. Work Yertormed: ., .. Capped Added' Rclocxtc . Baptistry/Font Please cheek all that apply. . ❑ Any new commercial building with water service 2"and Bath -Tub/Shower -JaeuzzilWhirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall - engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial X ❑ Medical gas and vacuum systems for health care facilities. -Domestic i 0 Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in 0AR918-780.0040. Bye Wash Flour Drain/sink -2" Submit 2 sets of plans with any or the above. 3- 4 : Isoipilietr►e,oSr Riselr.Diagram Car Wash Drain 0 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 wor• : Rec.Vehicle Dump Stations# AYA—L t , 7, .. —A Shower -Gang /FP _ -Stan 1. Hu b ,.4 Sink/Lav -Non-food related 4 2. 191/1- �g -Bradley 1` g- A , / V -Commercial-food related -Service Swimming Pool Filter *Note: if the fixture work under this permit results in an washer-tClothesincrease of sewer EDUs,a sewer permit will be issued and Water FExtractorr Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: 3 r http://ww w.tigard-or.gov/document_center/Buildi ng/PLM F_PermitApp.dcE 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10220 SW GREENBURG RD 610, TIGARD, OR, 97223 Record Type: Commercial - Plumbing Inspection Type: 399 Plumbing final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: PLM2017-00012 Inspector: Don Sylvester Contractor