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Permit (157) N ,, CITY OF TIGARD PLUMBING PERMIT , 503.718.2439.,COMMUNITY DEVELOPMENT 13125 SW Hall BlvdTigard OR 97223Permit#: PLM2017-00310 TIGARD13125 Issued: 07/31/2017 Parcel: 1S 135AB01003 Site address: 10300 SW GREENBURG RD Jurisdiction: Tigard Project: L1 Toilet Room Subdivision: Project Description: Replace all existing fixtures in 1st floor bathroom for tenant improvement: (4)lays, (4)water closets aR,TOWN Ond(2)urinals. Lot: 9 Contractor: POWER PLUMBING CO PO BOX 19418 Owner: LINCOLN CENTER LLC PORTLAND, OR 97280 BY SHORENSTEIN PROPERTIES LLC 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-244-1900 PHONE: FAX: 503-244-8825 FEES Quantity Description Date Amount 4 ea Lavatories 07/31/2017 Specifics: $100.08 Spe 2 ea Urinal 07/31/2017 $50.04 Type of Use: COM 4 ea Water Closet 07/31/2017 Class of Work: ALT $100.08 1 12%State Surcharge- 07/31/2017 Type of Const: Plumbing $30.02 Occupancy Grp: Stories: Total $280.22 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 issuance, or if work is suspended for more the 180 days. ATTENTION:IaOregon lspermit will expire if work is not started within 180 days of law requires 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. q you to follow the rules adopted by the Oregon Issued By: -01 I Permittee Signature: 4 ,A,/ 151— /°4-/(A'ti"770 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. 4 SJUL-28-2017 10:13 From: To:5035981960 � Pa 9e:1 2 5: Plumbing Permit AD lice CE!V Building Fixtures JUS. � 1 2017 rt;u t)rr►t_r t ti)� o�L� City.01 f Tltgaicd Received ;�i ! 13125 5w Hall Blvd..Ti*.ail,O ` �]� DateB : 7 sS i /� Permit No. , _ P'hvne: 503.71,0.2439 Fax; 5U �g[' ;�� _ dy. 1 p Inspect wLine: an.63.417 u.:0:::. j1 r m V D IVfiii®1T Notified/Method: ONcr Permit a: t��: S See Page l In f 1Yf'OF WORK f sapi eatat tararmauan ❑Ncw construction ❑[)cmotition For r cial is rn, .•�..� Pe � fo attiart use checklltx ®Additionlaltcratiodreplacement ❑ er: Dt motion I Qty I Ea. J Total New 1-2-family dwelling,(includes 100 ft.for each utility connection) CATEGORY OF'CONSTRUCd7ON:' SIR(1)bath 312-70 ❑i-and 2-family dwelling CommerciaUL:dustrial SFR(2)bath 437,78 ❑Accessory building ❑Multi-family [f Master builder Other Each additional bath/k itches 2ge 2 7013 SITE'INFORMATION.AND LOCATION �� Fixe ubhitlea (^_sq.tt) Page 2 - .. ., , Site- °hitdes: Job Bile address:1-Ling4n,10300 SW Greenburg Rd Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 T�� Drywell leap h line,err trench drain 18.76 SuitelbldgJapt nv.:1 yt F I Project name:17-744 1''xiting drain(no.linear fr,:_) Page 2 Cross srreet/dirtxtions to job site: Maut►��tared horns militias 50,03 Manhole, 18.76 -_ Rare d ummxxAr 18.76 ___� Sanitary sewer(no.linear ft.:_.j Page 2 Storni sewer(no.linear ft.:��) Page 2 Sulxlivisivn; water service(no.linear ft.:_) Pagc 2 1'ot no,: Fixture ar item: Tax map/parcel no.: Backtlow peeve iter � DESCRIPTION,OF WORK t;: ! backwater valve 12.51 Tenant Improvement Clothes washer 25.02 i°°Floor Only Dishwasher 25.02 • all Flocfixtures replacingT-� - Drinking fountain 25.02 existing with new Ejectors/sump {J,.PROPERTY`OWNER 'TENANT , . 25.02 . .• .•. ..© . . ' f' ., F.xpansian tank • 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/Statc/LIP: Garbage disposal 25.02 Phone;( ) Hose bib 25.02 ) ANr, Fax:( .r:, ! .. � Ice maker 12.51 0.A>k'FUC [].CONTACT'!PERSON interceptor/ b'rease trap 25.02 Business name:Power Plumbing Co. Medical gas(value:$ ) Page 2 ' Contact name:Mike Warren Prinxer 12.51 Address:P.O.Box 19418 Roof drain(commercial) 12.51 City/State/ZIP:Portland,OR 97280 Sink/basin/lavatory 4 25.02 100.08 Solar units(potable water) 62.54 Phone:(503)244-1900 l Fax�(503)244-8825 Tub/shower/shower pan 12.51 E-mail:service@powerplumbingco.com Urinal 2 25.02 _ 50.04 ONTRptCi OR Water closet 4 25.02 100.08 Business name:Power Plumbing Co Water hearer r 3752 Address:6611 SW Multnomah Blvd, Water piping/DWV 56 29 Other 25.02 City/State/ZIP:Portland,OR 97223 Phone:(503)244-1900 _ Subtotal 250.20 Fax:(503)241-382$ Minimum permit fee: $72.50 CCB Lie.:52378 Plumbing Lie.no.:34•I50PB Pfau review (25%of permit fcc) Authorized signature: 7 / State surcharge(12%of permit fee) 30,02 Print name'Made Bramwell '` Date:7-28-17 1 nit TOTAL PERMIT FEE 280,22 permit appticalian expires if a permit la not obtained within Idays after rt go teen been accepted as complete. 'Foe methodology set by Tri.Caunty Building industry Service Board. I:!batdingwermitw1.ARll.ptrmitAl,p4t.j IBIUWRig 440-44I pp 0N21COM/VVEB) PJUL-28-2017 10:13 From: To:5035981960 Page:2'2 Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Su t ression Systeme: Site,Utilities ' (NY- ee(ea) rotttr Footing drain-l x i tx)' S 2.000 FoO,ta' Permit Fee: 50.03 0 to 2,000 Footing drain-each additional 100' ��= 2,001 to 3,600 $161.90 Sewer•1st 100' IIIIIIII 6254 3601 to 7,2(x1 $169.69 $233.20 Sewer-each additional 100' 7,201 and greater $327.54 _ 37.52 _ Water Soviet-1st 62.54 MO Water Service-each additional 100' 111111111=111 � Medical Gas S stems: Stone&.Rain Drain-1st 100' 6254 Valuation: Permit Fee:. Siem&Rain Drain-each additional 100' 37.52 $1.00 to$5.000.00 Minimum fee$72.50 $5,001.00 to$10,000.00 $7250 for the first$5,000.00 and$1.52 for Other his i w OFis.Or Fees • . '. um" 'Total- each additional$1(X1.00 or fraction thereof,to Inspection of existing plumbing or fpr and inCludin• $10,00D.Op. which no fox is specifically indicated ■ 90.00/hr $10,001.00 to$25,00(1.00 $14850 for the fust$10,000.00 and$1.54 eo for (minimum Char!e-1/2 hors) each additional$100.00 or traction thereof,to Inspections outside of Hamot business 90.00/hr and.50 fo a_$25,000,00, hours minimum ch: ,e-2 hovers) $25,001.00 to$50,000.00 $379,50 for the first$25,000.00 and$1.45 for Reinspection Fees 90.00/hreach additional$100.00 or fraction thereof,to Additional pl n review fes revisions and indulin_$50,000.00. (minimum char c-1/2 hour) �' $50 001.00 and up $742,00 for the fust$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately re•I rt fixtures could result in increased sewer fees*. • �uanti b :7P5xta'rr �, Fixture1Jperor tan Review for.Pltumbiri Work etio*rited: , CaIfia InStaRationS ! Addeo' Plan review is required for any of the following. Ba• ' /Font MEI Please check all that apply. Bath -1Wi/$howq- Iactuai/pyh;,t•••1 _-� ❑ Any new Cutnmercial building with water service 2"and Car Wash -Each --- greater,except systems designed and stamped by licensed Stall =-- engineer, -Drive Tru„ 0 New exterior plumbing site utilities for any complex Structure Cu. idtx/Watcr As,iratar Dishwasher -Commercial _ as defined in OAR91$-780-0040. Domestic _-- ❑ Medical gas and vacuum systems for health care facilities. Drinkin Fountain =- CI Any multipurpose fire sprinkler system. F c Wash --= 0 Any complex structure as defined in OAR918 780-0040. Floor Drain/sink _2•• -3" 1.11.1.11111.1.1 - Submit sets of plans with any of the above. 1111.111 Car Wash Dt,tin -- fsometarie.ot•.Riser i7i: : i i. • Garbage -Domestic-non-food Disposal -Domestic-food related ==MIN * Isurneor riser diagram is required for new buildings -Commercial-food related === that meet the •ualificutionti above,. -Industrial-food related Ice MachJRciii:,Drains -MINIM Oil •orator Gas Station) Roc,vehicle ,Station = Comments regarding fixture work: Shower -Gang -Stan = Sink/lav Nan-food related 'Bradley 1111111111 - -Commercial-food related MUM= -Service Washer-Clothes *Note: If the fixture work under this Water Extractor -� increase of sewer EDU a sewer permitberissuedsults man Water Closet-Toilet s, permit will and Urinal 4 fees assessed for the sewer increase must be paid before the Other Fixtures: == 2 plumbing permit can be issued. MEM C:\Uscrsllaura\Downloads\Tigard Commercial Permit App..dUe City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10300 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2017-00310 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor