Permit (41) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00182
Date Issued: 04/27/2018
T t o A n D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1055
Project: True Private Wealth Advisors Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Plumbing fixtures for new tenant: ADD(1)2"floor drain,(1)break room sink,(1)primer and(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 Floor Drain/Floor Sink/Hub 04/27/2018 $25.02
Specifics: 1 ea Primer 04/27/2018 $12.51
1 ea Sink 04/27/2018 $25.02
Type of Use: COM 1 ea Water Heater 04/27/2018 $37.52
Class of Work: ALT 1 12%State Surcharge- 04/27/2018 $12.01
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $112.08
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: Permittee Signature: LIA/
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 Application
Building Fixtures RECEIVED 1<0k OFFICE USE ONLY
of Tigard Received u
r Date/By: 7/1(0, F AVA1--- permit tyo ,6e�/4�
13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 3 2018 Plan Review
II
■ Phone: 503.718 2439 Fax: 503598.1960 Date/By: Other PermiSta/,� jfef"ae,v/Q
Inspection Line: 503 639,4175 CITY OF TIGARD Ready/By:1.16 A It L) Date Read /B / G ,�(/ lune. ® See Page 2 for
Internet: www.tigard-or.gov p�., ^ � 1 Notifed/Method:�/4 k//O "xY'Y
r °� �� 'f< iI a i�J.".1^rl 5 Supplemental Information
j,c. ,,,,,,,,,,,,,,B„ 4 «.. ih x ,.w.
.i ism. v4(14 ,r", ,, "�.` $ 7 'fT }4, i'i� - !"€ L . . T I iF) ,p ,. „. +�,04 .,,,,,„74,4-
❑0
New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I. Total
k Addition/alteration/replacementp0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
91:4.,,,- ;1 " `� TEdORY!CO ST UbTIC SII .*4 - SFR(I)bath 312.70
❑ 1-and 2-family dwelling CI Commercial/industrial SFR(2)bath 437.78
❑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
v! J'OiS 1 NET DON
,'lir' O� As11) LQATIOr„_41 _ site utilities:
Job site address:10260 SW GREENBURG RD Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:TIGARD,OR 97070
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.:1055 Project name:18-878 j7,,e s(,E //a/t/4 7 ' Manufactured home utilities 50.03
Cross street/directions to job site: fde-V-1.- V/Set 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
Ohl` - 4,1(.--„, , , !' D fiCthON wo Jj ;�� = iti� _ Backwater valve 12.514 -444 ,.! vRTlf
TENANT IMPROVEMENT Clothes washer 25.02
Dishwasher 25.02
TRUE PRIVATE WEALTH ADVISORS Drinking fountain 25.02
Ejectors/sump 25.02
-. n P '` .g0 PROPEY OWNEI i ❑vNs,„..,, Expansion tank 12.51- :,, :a., i:. ....'„;e :, . rt.- ii t fix
Name: Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub 1 25.02 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) 1 Ice maker 12.51
ii` C � ❑ NT � . PoN g Interceptor/grease trap 25.02= i .. . . VW. s __.
Business name:POWER PLUMBING CO Medical gas(value:$ ) Page 2
Primer 1 12.51 12.51
Contact name:
--- Roof drain(commercial) 12.51
Address:P.O.BOX 19418
Sink/basin/lavatoryx /✓] 1 25.02 25.02
City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) ++ 62.54
Phone:(503)244-1900 Fax::(503)244-8825 1 Tub/shower/shower pan 12.51
E-mail:SERVICE@POWERPLUM$INGCO.COIl2 Urinal 25.02
`..i$ i�fi H �i�,4 mfii„ (,1 su r u, .„ Water closet
,i" t,„„„1„,,,,,[ 25.02
11 4 it.. AVC- ="'v' Agi ,i, PPA l : .. s tiiry i iA= int
Water heater 1 37.52 37.52
Business name:POWER PLUMBING CO Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BIND. Other: 25.02
City/State/ZIP:PORTLAND,OR 97223 Subtotal 100.07
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50
-
CCB Lie.:52378 Plumbing Lie.no.:34-150PB Plan review (25%of permit fee)
- State surcharge(12%of permit fee) 12.0
Authorized signature: o
I TOTAL PERMIT FEE 112.08
Print name:KRISTIE BRAMWELL Date:4-23-18 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.
1:\Building\Pennits\PLMU-PermitApp.doc 10/01X79 440-4616T(10/02/COM/WER)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression S stems:
Sitetytiii m� ,,r- G` , Qt I re F ge. ' --t ' : .! � 7,
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
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 Systems
Water Service-each additional 100' 37.52Vcis � a trt
Storm&Rain Drain-1st 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 $72.50 for the first$5,000.00 and$1.52 for
tea" iii„ ,. e ��o�� n each additional$U�.00 or fraction thereof,to
C)ther_��Ins Cel lonS�► a, eel ,, :is F . ta)
.. bi p „ - r 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 Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(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 Fixture Type 1C14Pia Revieww for Pl> nbing nst ll tion . IPP,`:
Fixture Type for R...?Plac#WorkPerformed: ,Gapped Addeo Roo, te. Plan review is required for any of the following.
; '
Baptistry/Font Please check all that apply.
Bath TublShower ❑ Any new commercial building with water service 2"and
Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" I Submit 2 sets of plans with any of the above.
-3„
4" me ,-. Qr Di g>r�l F N ti ,
Car Wash Drain �' ���
Garbage Domestic-non-food
0 Isometric or riser diagram is required for new buildings
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 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 increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\Laura\Desktop\Permit Applications\TIGARD PERMIT APP.doc2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10260 SW GREENBURG RD 1055, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00182
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor