Permit (41) •
114CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00273
r C;.r1 R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2018
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD
Project: 1 Lincoln Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Restroom remodel on 3rd and 5th floors. CAP(2)drinking fountains,(2)2"floor drains,(2)bar sinks,and(2)mop
sinks;RELOCATE(8)lays,(14)water closets and(4)urinals.
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
8 ea Fixture/Sewer Cap 06/08/2018 $200.16
Specifics: 8 ea Lavatories 06/08/2018 $200.16
4 ea Urinal 06/08/2018 $100.08
Type of Use: COM 14 ea Water Closet 06/08/2018 $350.28
Class of Work: ALT
1 12%State Surcharge- 06/08/2018 $102.08
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $952.76
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: t j' Permittee Signature: 9-xi
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.
Plumbing Permit ApplicatiREGEtVED
Building Fixtures IUN 20� FOR OFFICE 1:5L ONLY
City of Tigard Received ��.
t i Date/B �yjp ;Orr Permit N,p1-' , e_.t00 vg
114 q 13125 SW Hall Blvd.,Tigard,OR 9 1:1 KI 'iL2 y'
2; Phone: 503.718.2439 Fax: 503. 9. . t r~e tz. Plan Review
5 l e 'INC1 1-)1\11Etat ' Bate/By: Other
Inspection Line: 503 639.4175 -
1 t O,A it t) Date Ready/By://°,, -7 1a, hark: Ea See Page 2 for
Internet: www.tigard-or.gov NottfiednviethodW / Id 4 - ' Sup emental Information
r [I4�, 5 -4i-iii � - 'N i t�'• - � - v - GT p �a
��; � 'iFi.� �� t� �� �� � � ; tl��:� �;.I���.�',k�-*���:1,4---i 5 �p ti�r:
❑New construction 0 Demolition For special information use checklist.
Description I Qty. [ Es. I Total-
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
, i . hl a ' ?IiOU i 1i 'gu_ r`
11, SFR(1)bath
a iP_ al .. ° : SFR(2}bath 312.70
437.780 I-and 2-family dwelling r Commercial/industrial
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
N1 4,-14 '( - Site utilities:
Job site address:10300 SW GREENBURG RD Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD,OR 97223
Footing line ) P03
Suite/bldg./apt.no.: I Project name:18-900 if 4-i,A'(CL A" Manufactured home utilities 50.03
Cross street/directions to job site: C"6-Ai 7-4.-7_--72.-, 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
•a li 1 y4s c Ci �P 1'0 Backwater valve 12.51
+ , 6 :t ;a .*;F4 ! 0Z' O�:W® `' 0 k _ ui ," .m». . 1-J`
'� Clothes washer 25.02
TOILET ROOM REMODEL,1 LINCOLN,FLOORS 3&5 Dishwasher 25.02
Drinking fountain 25.02 _
Ejectors/sump 25.02
Iii - ei r � �i'�.�� 'i�- - � i ii
`14f.u-i rR I'E Y t . .a�.. . ,, i, G_� Expansion tank 12.51
Name: Fixture/sewer cap 8 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZfP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
r Y C !1 . ► 4.(j" Interceptor/grease trap 25.02
Business name:POWER PLUMBING CO Medical gas(value:$ } Page 2
Primer 1251
Contact name:MIKE WARREN
Roof drain(commercial) 1251
Address:P.O.BOX 19418 Sink/basin/lavatory 8 25.02
City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) 6254
Phone:(503)244-1900 Fax::(503)244-8825 Tub/shower/shower pan 12.51
E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 4 25.02
Water closet 14 25.02
at ,,,ed,� mmh `ice UP 4 ,„N.+ 4f0. is:-. ( 1 !1 4,
Water heater 37.52
Business name:POWER PLUMBING CO
Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD, Other: 25.02
City/State/ZIP:PORTLAND,OR 97223 Subtotal 6.4_5-0.(o,'
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.:52378 Plumbing Lic.no.:34-150PB g permitfee) ���,��
State surcharge(12%of
Authorized signature. Rig TOTAL PERMIT FEE 7$.2, 74
Print name:KRISTIE B AMWELL Date:6-4-18 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:1BuitdingWermits\PLMU-PermhApp.dac 10/Ol.09 440-4616T(t0102/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
site oill _ . . � �! / t
Footing drain-1"140' 50.03 0 to 2,000 $121.90
37.52 2,001 to 3,600 $169.69
Footing drain-each additional 100' 3,601 to 7,200 $23320
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 t*Weir , 0 ,� �. � �
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$7250
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to
e �o$orJ eP 6 ._ �it 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/tu' $25,001.00 to$50,000.00 $379.50 for the first$25,000.01 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.
$50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Additional plan review for revisions 90 00/hr each additional$100.00 or fraction thereof.
(minimum charge—1/2 hour)
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#
1 Quantiy by Fixture Type`i: �, '1 'i2.evie fa Plu s ll lllp ..
f
Fixture Type for �'Capped ware Plan review is required for any of the following.
14'oriz Per[ortaed. = Please check all that apply.
Baptistry/Font 0 Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
Jacuzzi/Whirlpoolengineer.
Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive or as defined in OAR918-780-0040.
Ds Dishwashererater-Commercial
❑ Medical gas and vacuum systems for health care facilities.
- on
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 2 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink -2" 2
„
4,= �. c o) et�nwtrjp(i PRi er p a e t
Car Wash Drain 0 Isometric or riser diagram is required for new buildings
Garbage -Domestic—non-food that meet the qualifications above.
Disposal -Domestic—food related
-Commercial—food related
-Industrial-food related
Ice Ivlach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station NO NEW FIXTURES ADDED.ALL EXISTING,
Shower -Gang REMOVE AND REPLACE WITH NEW
Stallr7
/�
Sink/Lav -Non-foodradl ` /irk,Desi 4 8 iirk1 /�'Gf-r�!
-C .!� a2
-Commercial-food
ercial Food fated
-service C . pj'Z�"tE"A �x nc
Swimming Pool Filter *Note: If the fixture work under this permit results in ati
Washer Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet Toilet 14
Drina 4 plumbing permit can be issued.
Other Fixtures:
C:\Users\Laura\Desktop\l LINCOLN.doc 2
- Accumulative Sewer Tally
Tenant Name: 1 Lincoln Center SWR# N/A
TIGARD Site Address: 10300 SW Greenburg Rd
Parcel#: 1 S 135AB01003 PLM# 2018-00273
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0
0 0 0
Bath: -Tub/Shower 4 0 0
0 0 0
-Jacuzzi/Whirlpool 4 0 0 0
0 0
Car Wash: -Each Stall 6 0 0
0 0 0
-Drive through 16 0 0 0 0
0
Cuspidor/Water Aspirator 1 0 0
0 0 0
Dishwasher: -Commercial 4 0 0
0 0 0
-Domestic 2 0 0 0
0 0
Drinking Fountain 1 0 2 2
0 -2 -2
Eye Wash 1 0 0
0 0 0
Floor Drain/Sink: -2 inch 2 0 2 4
0 -2 -4
-3 inch 5 0 0 0
-4 inch 6 0 0
0 0 0 0 0
-Car Wash 6 0 0 0
0 0
Garbage Disposal:
-Domestic(to 3/4 HP) 16 0 0
0 0 0
-Commercial(to 5 HP) 32 0 0 0
0 0
-Industrial(over 5 HP) 42 0 0
0 0 0
Ice Machine/Refrigerator Drain 1 0 0
0 0 0
Living Unit 16 0 0
0 0 0
Oil Sep(Gas Station) 6 0 0
0 0 0
Rec.Vehicle Dump station 16 0 0
0 0 0
Shower: -Gang(per head) 1 0 0
-Stall 0 0 0
2 0 0 0 0 0
Sink:
-Lay/Bar-Non-Food Related 2 0 4 8
0 -4 -8
-Bradley 5 0 0
0 0 0
-Com/Sery/Util-Food Related 3 0 0
0 0 0
Swimming Pool Filter 1 0 0
0 0 0
Washer-Clothes 6 0 0
0 0 0
Water Extractor 6 0 0
0 0 0
Water Closet-Toilet 6 0 0
0 0 0
Urinal 6 0 0
0 0 0
Previous EDU Count 0
0
Capped EDU Credit
0
TOTALS 0 0 8 14 0
0 -8 -11
4
Current Fixture Value -14 divided by 16= -0.875 Current EDU
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU 1 EDU= $5,500.00
Change -14 divided by 16= -0.875 over (under) $ (4,840.00)
Enter EDU Change Here -0.880 *
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes: ***EDU CREDITS***
Authorized Name/Signature: Dianna Howse
Date: 6/8/2018
Building Division
'Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Tally\SewerTallySheet_5500_070117.xlsx
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 PLM2018-00273
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor