Permit (170) U CITY OF TIGARD PLUMBING PERMIT
" COMMUNITY DEVELOPMENT Permit#: PLM2018-00103
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/22/2018
Parcel: 1 S 135AB01004
Site address: 10220 SW GREENBURG RD 600 Jurisdiction: Tigard
Project: Hull and Company Subdivision: METZGER,TOWN OF
Project Description: Plumbing fixtures for new tenant: ADD(1)dishwasher,REPLACE(1)2"floor drain,(1)primer,(1)non-food related 9
sink and install(1)water heater.
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 03/22/2018 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 03/22/2018
$25.02
Type of Use: COM 1 ea Primer 03/22/2018 $12.51
Class of Work: ALT 1 ea Sink 03/22/2018 $25.02
Type of Const: 1 ea Water Heater 03/22/2018
$37.52
Occupancy Grp: 1 12%State Surcharge- 03/22/2018 $15.01
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 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 By: e-C(/'
Permittee Signature:
/7"/".A'4-./C®,9T/e".../
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.
Rumbing Permit Application
Building Fixtures FOR USE ONLY
.
D - OFFICE
RECEIVE
•
City of Tigard III ti‘i7:1 .01/: ±1 Pcrmit 1,4)Zr.1.2942:4 /0....3
1-31,5 SW HalIBNd.„Tigard,OR 9722MAR 1 9 2018 i
--- ,::ti3"//cP
ilin Review
5 2 Phone: 503.718.2439 Fax: 503,508.060 _ . Other Perm itS;(..4(26,2,914,..1.9610 7, ,
DataBy:
Inspection Line: 503.639.4175 CITY OF- fiGARD
TIGARD tid no Readyillvt Jab. 0 See Page 2 for
Internet: www.tigarci-or.gov BUILDING niviqioN No.fied/Method: Supplemental Information
d.d. D!VISION st."
TYPE OF WORK FEE SCHEDULE
,
0 New construction 0 Demolitio-.Wi ''''''N 414 For special information use checklist.
Description -07. 1---Ea. Total
- •
11. Addition/alteration/replacement 0 Other: iir/i-eit New I-2-family dwellings(includes 100 ft.for each utility connection)
- -
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
0 1- and 2-family dwelling r Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
10BINFORMATION AND LOCATION
JOB SITESite utilities:
-
Job site address: 10220 SW GREENBURG RI) Catch basin or area drain 1.8.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:TIGARD,OR 97223
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.:600 Project n,ime: 18-860 hiu Li_ ,4,-"/Z
t.../i.elfriPV7‘1 w in fact ured 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 it.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or item: _
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
TENANT IMPROVEMENT,HULL AND COMPANY
_ Dishwasher I 25.02 25.02
elle-A/6E- /5771--,w, ,e' 2fy7-- "4"erycl,1.-610/49.3 Drinking fountain 25.02
__ ... ..__ _
Ejectors/sump 25.02
- -
0 PROPERTY OWNER12.51
0 TENANT Expansion tank
Fixture/sewer cap El 25.02
Name:
Floor drain/floor sink/hub 25.02 25.02
Address:
Garbage disposal 25.02
City/St tite/ZIP: lime bib 2".02
Phone:( ) Fax:( ) Ice maker 12.51
_ --- -
0 APPLICANT 0 CONTACT PERSON 11119reePI0141`..rease trap an 25.02
Business name:POWER PLUMBING CO Medical gas(value:5, ) Page 2
Printer MN 12.51 12.51
Contact name:MIKE WARREN -
Roof drain(commertMil) 12.5
Address:P.O.BOX 194182 .0/ 25.02
Sink/basin/lavatory
_
.__
City/State/ZIP:PORTLAND,OR 9728(1 _ Solar units(potable water) 62.54
*11 Phone:(503)2444900 Fax: :(503)243-8825 Tub/sho‘ker/showcr pan 12.51
Urimil _-.02
E-mail:SERVICE@POWIr.API,UNIBINGCO.CONI
- Water closet 1111111 25.02
CONTRACTOR
.. Water heater 1 37.52 37.52
Business name:POW1,11Z PLUMBING Co
__ Water piping/DWV 56.29
_
Address:6611 SW MUI,1'NOMAH BLVD. Other: 25.02
City/State/Z1P:N)RTI..AND,OR 97223
Subtotal
Phone:(503)244-1900
CCB Lic.:52378 Fax:(503)244-8825
Plumbing Lie.no.:34-150PB
I[
Minimum permit fee: 572.50
Plan review (25%of permit fee)
State surcharge(12%of permit fee) 125.09
15,01
Authorized signature: . z 4171 - .-.1 a--1-----ti,,,eit TOTAL PERMIT FEE 140,10
Print name: KRISTIE BRAMWELL Date:3-16-18 This permit application expires Ka permit is not obtained bithin 180 da:s.s
after it has been accepted as complete,
sli ee methodology set b)."Fri,County Building(whistty Sen.ice Board
t',13!ik.illw.\Pcnn ii,TL511 TermitArp.do,- 31V0 1/09 i10•:6 iat,"I oitOCOMIWE It,
I
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su pression Systems: _
Site Utilities Qty. Fee(en) Total Square Footage: Permit Fee:
Footing drain- I" 100' 50.03 0 to 2,000 5121.90
Footing drain-each additional 100' -17 52
" • - EMI .2.001 to 3:600
3,601 to 7.200 5169.69
5233.20
Sewer- 1st 100' 01.54
7,101 and greater $327.54
- _ „
Sewer-each additional IOU' 37.52
Water Service- 1st 100' 62.54
Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation: Permit Fee:
Storm&Rain Drain- 1st 100' 62.54
$UR)to$5,000.00 Minimum fee$72.50
Storm&Rain Drain- each additional 100' 37.52 $5,001.00 to 510,000.00 572.50 for the first$5:000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional 5100.00 or fraction thereof,to
and including SI0,000.00.
Inspection of existing plumbing or for
$10,001.00 to S25.000.00 5148.50 for the first S10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr
each additional$100.00 or fraction thereof,to
(mini MUM charge- 1/2 hour)
and includin,S25:000.00,
Inspections outside of normal business 90.003ir 525,001,00 to$50,000.00 5379.50 for the first$25,000.00 and S1.45 for
hours(minimum charge-2 hours)
each additional$100.00 or fraction thereof,to
Reinspection Fees
9"0.00/hr
and including$50,000.00.
_ ..
Additional plan review for revisions 90,00/hr $50,001.00 and up $742.00 for the first 550,000.00 and$1.20 for
(minimum charge-J/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 Fixture Type Plan Review for Plumbing Installations
Fixture Type for Ftepiaeei
Work Performed: Capped Added Relocate Plan review is required for any of the following,
— Please check all that apply.
Baptistry/Font
..
0 Any new commercial building with water service 2"and
Bath -Tub/Shower
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
„
-Drive Thu 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in 0M-018-780-0040.
Dishwasher -Commercial ___
0 Medical gas and vacuum systems for health care facilities,
-Domestic , I , ' 0 Any multipurpose lire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR9 18-780-0040.
Eye Wash
Floor Drain/sink -2" 1 Submit 2 sets of plans with any of the above.
...
Isometric or Riser Diagram:.
,
Car Wash Drain
0 Isometric or riser diagram is required for new buildings
Garbage -Domest ic-non-food
Disposal -Domestic-food related that meet the qualifications above,
-Commercial-food related
-Industrial-food related
Ice Mack/Rd-rig.Drains
. .
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 Filter
,
- *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor ' increase of sewer EllUs,a sewer permit will be issued and
.
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal ,
plumbing permit can be issued.
Other Fixtures:
_
CAUsers\Laura\Dcskiop\Pc.'rnal Applications\TIGARD PERMIT APP.doi,9
SOF
Plumbing Permit Applienti TIECEIVE
Building Fixtures FOR OFFICE USE ONLY
City of Tigard MAR 1 2 2018 Received --t"2 C„.
Date/By: I 7 follor C-Z17704-. -1 ermi/N,1112 046P-40‘11"0-3,
.14 13125 SW Hall Blvd_Tigard.OR 97223
11. Phone: 503.718.2439 Fax: 503.5910 Ry OF VIGA RD
Plan Review
Date/By: Oilier Permit yyte;e-ycf 69
Inspect 1011 Line: 503.639.4175 1-1 Ina mitt; t-% /tr.!"
TIGARD QUILL/11\1U 1311,1r,11,j1N1 paw RoadY/BY: Jw is: WI See Page 2 tor
Internet: Si tigard-or.gov Nott fled/Method: SuppIementatInformation
TYPE OF WORK FEE* SCHEDULE
For special information use checklist.
D New construction 0 Demolition
Description Qt . L Total
k, Addition/alteration/replacement 0 Other: New 1 2-family dwellings(includes 100 11.1 r t\el;uilny(onnection)
CATEGORY OF CONSTRUCTION SFR )bath 312.10
* 437.78
0 1-and 2-family dwelling CI Commercial/industrial SFR 62)bath
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen - 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
tip
Job site address: 10220 SW GREENBUR( RI) Catch basin or wea dra18.76
Drywell.leach line.Arci drain
18.76
City/State/ZIP:TIGARD,OR 97223
Footing drain tin rfft Page 2
Suite/bldg./apt.no.:600 I Project name:18-860 AAA LL eenpeAl Manufactum r°1 'utilities 50.03
Cross street/directions to job site: Manholes if 18.76
Rain dr 'n eoi(nector 18.76
Sanit- lver(no.linear It.: ) Page 2
S tisewer(no.linear ft.: ) PPgg,ec
'vice
(m linear ft.: )
Subdivision: Lot no.: store or item;
Tax map/parcel no.: ...(xhfloo pnsrntu 31.27
B,
DESCRIPTION OF WORK ickwater valve 12.51
V Clothes washer 25.02
HULL AND COMPANY TENANT IMPROVEMENT SUITE 600
/
Dishwasher 25.02
41- 25.02
Drinking fountain 25.02
"7 -
/ Ejectors/sump 25.02
0 PROPERTY OWNER { 1-11- 0 NA Expansion tan1 12.51
Fixture/sewer cap J 25.02
Name:
Floor drain/floor sink/hub 25.02 25.02
Address:
_ Garbage disposal 25,02
City/State/ZIP:
Hose bib 25.02
Phone:( ) Fax:( /) lee maker 12.51
0 APPLICANT CONTACT PERSON Into ceptorigrease trap 25.02
Business name:POWER PLUMBING CO Medical gas(value:S Page 2
Primer 12.51 12.51
Contact name:
- - Root di am(commercial) 12.51
Address:P.O.BOX 19418
Sink/bit:tin/lavatory 1 25.02 25.02
City/State/ZIP:PORTLAND,OR 97280/ Solar units(potable water) 62.54
Phone:(503)244-1900 I Fax: (503)244-8825 Tub/shower/shower pan 12.51
L twit! Urinal 25.02
SI R\
/ Water closet 25.02
cONTRAGTOR
Water heater 37.52
Business name:POWER PLUMBING CO
Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD, Other: 25.02
City/State/Z1P:PORTLAND,OR 97223 Subtotal 87.57
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: S72.50
Plan review (25%of permit fee)
CCB 52378 Plumbing Lie.no.:34-1501>B
State surcharge(12%of permit fee) 10.5i
Authorized signature: cr- '
.4( TOTAL PERMIT FEE 98.0g
t,
Print name:KRIST1E BRAMWELL Date:3 9 18
'Ms permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete,
1 cc inethodology stl by Tr i-C'ounty Building Industry Set vice Board.
E,111,-,11Api,,,k,,, OAll 4,10-161 trP 10/02,1051051131
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total S uare Footage: Permit Fee:
Footing drain- 1"100' 50.03 1)to 2,000 S.121.90
Footing drain-each additional 100' 37,52 2,001 to 3,600 5169.69
3.601 to 7.200 5233.20
Sewer- 1st 100 62.54
7,201 md greater 5327.54
Sewer-each additional IOW 37.52
Water Service- 1st 100' 62.54
Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation: Permit Fee:
storm&Rain Drain- 1st 100' 62.54
51,00 to 55,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 553)0)310 to 510000.00 S72.50 for the first 55,000.00 and 51.52 for —
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
and including 810.000.00.
Inspection of existing plumbing or for 510,001.00 to 525,000.00 5148.50 for the first 510,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional 5100.00 or fraction thereof.to
(minimum charge--1/2 hour)
and including 825,000.00.
Inspections outside of normal business 90.00/hr 825,001.00 to 550,000.00 5379,50 for the first 525,000.60 and 81.45 FM'
hours(minimum charge 2 hours)
each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including 550,000.00.
Additional plan review for revisions 90.00/hr 550,001.00 and up $742.00 for the first$50,000.00 and 51.20 for
(minimum charge 1/2 hour) I each additional 5100,00 or fraeLtion 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 Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Plan revic—w is required for any of the following.
Work Performed: Capped Added Relocate
Please check all that apply.
BaptistiVFont .
Bath -Tub/Shower 0 Any new commercial building with water service 2-and
-,lactizzi/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 OAR9I8-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Arty multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OARS 18-780-0040.
Eye Wash
Floor Drain/sink -2" 1 Submit 2 sets of'plans with any of the above.
Isometric or Riser Diagram
Car Wash Diam
El Isometric or riser diagram is required for new buildings
Garbage -Domestic--nomfood
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Indusbial-food related
Ice MaehlRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Las' -Non-food related
Bradley
-Commercial-food related
-Service
Swimming Pool Filter
*Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can he issued.
Other Fixtun.. q
CALIsers1 Laura\Desktop\Permit Applicat ions\TIGARD PERMIT APP.doc2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 600, TIGARD, April 30, 2018 at 9:00:10 AM
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00103
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor