Permit (97) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017-00273
f f
GA R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2017
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 250
Project: Keyence Corportation Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-Adding(1)2"floor drain,(1)sink,(1)primer&(3)water supplies for coffee,cooler&refrigerator.
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 Floor Drain/Floor Sink/Hub 07/12/2017 $25.02
Specifics: 1 ea Primer 07/12/2017 $12.51
Type ea Sink 07/12/2017 $25.02
of Use: COM 1 12%State Surcharge- 07/12/2017 $16.51
Class of Work: ALT Plumbing
Type of Const: 75 Misc Other Fee 07/12/2017 $75.06
Occupancy Grp:
Stories:
Total $154.12
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No' -• '. enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire questions to NC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: ' / .1 Permittee Signatu e:
1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUL-06-2017 13:03 From: To:5035981960 Pase•1/2
Plumbing Permit Applicaitt arvEp 4424,940/,..6a3 -
Building Fixtures ��t� )1 9 FOIL c)FFICI_ t si: ()\11
e City of Tigard C; 1_01? len Review
7/4 / �A, Permit No.: AH't �,-+ '7' 7
13125 SW Hall Blvd..Tigard,OR 97223 i
Phone: 503-71$.2439 Fax: 593' Other Pannit No,:
.i..1 c, i r.I) instil Line: 503.639.41755 i`�� 1� �1� Date B Y )i 7"�j°1� 3S'
Internet.
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govt] J T{i7 o tura rage z t
g..; S �]�1 1� /� Notified/Method: �
,.,;;t�,'i'-s+,A., :i' ..: '7>'a�.��,�ri-, i;7 i.. ,� I»rormation
r'.:i " 'i t.';:�7'9 l, . .. ,.TYPE''OF':.WORK' :.•,,.:':�� i.,,;,:• ?,,M;,r...; ` o
D New construction ❑Demolition I :Fors cial• °mullion use eheckliet
®Addition/alteration/replacement 0 Other: - Desuiparra Qty. Ea Total
t �•. „ : New 1-2-family dwellings(includes 100 R for each uti connection)
v1? i8':,1 , ; 'CATEGORY OP CAtiS0UcrION;+y 'tkar,i i "l v v� Ya4 SFR(1)b` 312.70
❑1-and 2-family dwelling 10 Commercial/industrial SFR(2)bath 437.78
CIAccessory building [J Multi-familySFR(3)bath 50032
❑Master builder Each additional batb/kitchen 2,5.02
t;"v.. p' ., • ` ,JOS SI"CEaI, �R ATi()N A 1 U(rA "(y�� ;:;,ti°.)P 7"l?�un: '1yt�:�; Fire sprinkler( sq.ft.) Page 2 -
a .r....a k .5`BYn,+ii+I.'+ �E�:ir.�v ci+t:u;;' Site utilities:
Job site address:Lincoln 1,10300 SW Greenburg Rd. Catch basin or arca drain 18.76
City/State/ZIP:Tigard,OR 97223 Diywell leach line. wench drain 18.76
•
Suite/bldg./apt.no.:250 I Project name:Keyence Corp 17-738 F0o1ing drain(no,linear ft -
:-) Page 2
Manufactured home utilities 50.03
Cross street/directions 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.:__J Page 2
Subdivision: I Lot no.:
X11 Fixture or item:
Tax map/parcel no.: /55/f?5-,51. e)/ s 3 Backflow preventer 31.27
, ;: itgg CRLPTIOiii3 4 RK^1Trit': 5�i ril i t, Bacicwwervalve 1151 -
Tenant Improvement Clot
Dishwaswasherher
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
naffilailkQiiV& ,fE_'4 °'�'i„ehiCQriWA�' �r,:,la;; Expansion tank 1261
Name: W Fixturc/scwer cap 25.02 1
Address: Floor drain/flour sink/hub 1 25.02 25.02
City/State:/ZTP: Garbage disposal 25.02
Hose bib - 25.02
Phone:( ) Fax ( ) Ice
'4'.4".',.C."!•••‘...'_... r12.51� .t,, :,.". t1 '; ;CO � Tata �/8 trap
25.02
Business name:Power Plumbing Co _Medical gas(value:$ ) Page2
Contact name:Mike Warren Primer 1 12.51 12.51
Address:PQ Rox 19418 Roof drain(commercial) 1251
Sink/basin/lavatory ✓ - 1 25.02 25.02
City/State/ZIP:Portland,OR 19418 Solar units(potable water) 6234
Phone:(503)244"1900 Fax::(503)244-$825 Tub/shower/shower pan 12.51
E-mail:service@powerplumbiagc000m Urinal 25.02
CpW , 0011- qt^.lea Water closet 25.02
Business name:Power Plumbing Co. Water heater 3752
Water piping/DWV 56.29
Address:6611 SW Multnomah Blvd
Other:cofee
supply3 25.02 75.06
City/State/ZIP;Portland,OR 97223206 i t'5 t.t,D�+/y .--'5C Subtotal 137.61
Phone:(503)244-1900 Fax:(503)244-8825 1� ....r4,14„, 7 r Minimum permit fee: $7230
CCB Lie.:52378 Plumbing Lic.no.:34-150PB (y Plan review (2S%of permit fee)
Authorized signature: r ‘,3"( State surcharge(1296 of permit fee) 16.51
TOTAL PERMIT FEE 154.12
Print name:Ktistie Bramwell , Dat .7-6-17 This permit appticatioo expires if a permit is not obtained within 180 days
atter it has been accepted as 000mptctc•
*Fee methodokrgy set by Tn•County Building Iuduwry Service Board.
I:12iu,1di gSPmoitt1 4U-Pee. pp.doc 10/01A19 44 46IGrt1(J t UM/wt6)
JUL-06-2017 13:03 From: To:5035981960 Page:2/2
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
..rV, '.(.c�`: •,�•,�M. ,.t,.f, K; n r •FLS' �7i i�0 M>Mt-4 ;1ti ...,y lY'y,:r:•: f. h•n••:. ,
Site;Utilitze: .'s :. '<:; ;n:�. '' Q:y:" .:�•.�`' ., m!: Sgn
Permi F
. air t;
Footing drain- 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 3752 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-let 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 additional 100' 37.52 .i.
Storm&Rain Drain-1st 100' 62.54
$1.00 to$5,000.00 Minimum fcc$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$1.52 for
": errIlS�e4'tI0II3OFCe' S^ .`.< ;^` each additional$100.00 or fraction thereof,to
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$1.54 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 for the first$25,000.00 and$1,45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Foes 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50001,00 and up $742.00 for the lust$50,000.00:mil$1.20 fur
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees.
,'r•,:, • >i Quand; bFxtuelype` ...' tte`iey'for
i'Fxtvee Typfor PXuriibing Yistallations::, ;.-P:,f,,,.
Ww$[Performed: . . ,, •CPPP :410e4- '1419e-site Plan review is required for any of the following.
. 9 i ..- -._. .. .
Baptistry/FontPlease check all that apply.
Bath -Tub/Shower Any new commercial building with water service 2"and
-laouzi/Whirlpool 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 0AR918-71l0-(X40.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system,
Drinking Fountain v ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink •2" 1' Submit 2 sets of plans with any of the above.
-3"
legatarierStr
IDi
Car Wash Drain iiire oraiirte ti a c nk:� ?.�x::rl�:.ai.
Garbage -Domestic-non-foodO Isometric or riser diagram is required for new buildings
Disposal -Domestic-food relayed that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drams
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower •Gang /
-Stall
Sink/Lav -Non-food related •1
-Bradley
-Commercial-food related
-Service
Swimming Pool Finer *Note: If the fixture work under this permit results in an
washer-Clothes
WaterExtractorincrease of sewer EDUs,a sewer permit wi l be issued and
Water
Water Closet•Toilet fees assessed for the sewer increase must be paid before the
Urinal - plumbing permit can be issued.
Other Fixtures:
http://www.tigard-or.gov/document_center/Building/PLMF_PcrrnitApp.dt
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10300 SW GREENBURG RD 250, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00273
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor