Permit (143) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00302
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2018
T I ' O g Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1050
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Plumbing fixtures for tenant improvement: ADD(1)dishwasher,(1)2"floor drain,(1)primer,(1)water heater;
relocated(1)break room sink.
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 06/21/2018 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 06/21/2018 $25.02
1 ea Primer 06/21/2018 $12.51
Type of Use: COM 1 ea Sink 06/21/2018 $25.02
Class of Work: ALT 1 ea Water Heater 06/21/2018 $37.52
Type of Const: 1 12%State Surcharge- 06/21/2018 $15.01
Occupancy Grp: 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:<1), - f Permittee Signature: c'V' 7/°(.._
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 ApplicatcEIV
Building Fixtures F()R OFFICE LSE c»l,
Cityof Tigard JUN 19 2018 Received /• G p.� q G
a ll y.. Y ��,,e�-d Permit N..4. /OeL�Itl -�3G�e2
13125 SW Hall Blvd.,Tigard,OR 97 OF �+ p DateB s�G' /
Phone: 503.718.2439 Fax: 503.59 allig
)GARD Plan Review/ S ,/
Date/By: Other Permit Na. /� e )/70
Inspection Line: 503.639.4175 BUIL DING DIVISION /`•for w
T 1 G A R D Date Rd/Meet y:lVii �j _/y'y(- lune See Pagel for
Internet: www tigaid-or.gov Notified/Meth id 6�L�' Supplemental Information
TYPE OF WORK .. ,, 91 , FEES 51317 pEDU .-,_, .
❑New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
CI Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
(rI6 iw . .a.CATEGORY OF CONNARUCf1
SFR(1)bath 312.70
❑ I-and 2-family dwelling CI Commercial/industrial SFR(2)bath 437.78 r
❑AccessorySFR(3)bath 500.32
building
0 Multi-family
0 Each additional bath/kitchen 25.02
0 Master builderOther: -
Fire sprinkler( sq.ft.) Page 2
,JOI3loy��T 11+ORMATION_AND LOCATIO Ni h�E °, 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
Footing drain(no.linear ft.:__) Page 2 %
Suite/bldg./apt.no.:1050 Project name: 18-910 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.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORT . Backwater valve 12.51
Clothes washer 25.02
VSP SUITE 1050,LINCOLN TOWER
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER } 0 `rENApq'1 u�1P :i:. Expansion tank 12.51
Name: Fixture/sewercap 25.02
Floor drain/floor sink/hub 1 25.02
Address:
Garbage disposal 25.02
City/State/ZIP:
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
-t.o thA I ❑,C9 A' RS0 Interceptor/grease trap 25.02
Business name:POWER PLUMBING CO Medical gas(value:$ ) Page 2
Primer 1 12.51
Contact name:MIKE WARREN
Roof drain(commercial) 12.51
Address:P.O.BOX 19418 Sink/basin/lavatory 1 25.02
City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) 62.54
Phone:(503)244-1900 Fax: :(503)244-8825 Tub/shower/shower pan 12.51
E-mail:SERVICE@ POWERPLUMBINGCO.COAi Urinal 25.02
4,,,,,,,,-,,,,,,,4_,(..,-,,,, : , Water closet 25.02
Water beater 1 37.52
Business name:POWER PLUMBING CO WaterpitPin DWV 56.29
Address:6611 SW MULTNOMAH BLVD. Other: 25.02
City/State/ZIP:PORTLAND,OR 97223 Subtotal /. .5,0?
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)
1- State surcharge(12%of permit fee) /_S (9/
Authorized signature: TOTAL PERMIT FEE / Qi`e,
Print name:KRISTIE BRAMWELL Date:6-19-18 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. L4f/A
.
I:1t3uildinp\Permit s\PLMU-PermitApp.doc ttl/OIiUS 440-4616T(10102/COMJWER)
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suypression Systems:
Site Utilities ! Fee(ea) Total Square Footage;' ; ?erm t Fee:
Footing drain-I 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' 37.52 ,,-a
`valuation;:- Permit Fee• ;:
Storm&Rain Drain-1st 100' 6254
$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
each additional$100.00 or fraction thereof,to
Other Inspections or Fees (ea) Total
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $14850 for the first$I0,000.00 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 $37950 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*.
Quantii by Fixture Type Plan Review for Plumbing Installations-
Fixture Type for. Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Please check all that apply.
Baptistiy/Font
Bath Tub/Shower
0 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 0 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 I ❑ Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR9I 8-780-0040.
Eye Wash
Floor Drain/sink -2" 1 Submit 2 sets of plans with any of the above.
-3"
Car Wash Drain °M Isometric or Ri!sei,Diagram
Garbage Domestic-non-focal
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 Mach./Refrig,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
Washer-Clothes *Note: If the fixture work under this permit results in an
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 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 1050, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00302
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor