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Permit CITY OF TIGARD PLUMBING PERMIT 1 ' COMMUNITY DEVELOPMENT Permit#: PLM2018-00573 T 6 GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2019 Parcel: 1 S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 365 Project: Farmers Insurance Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Interior plumbing for TI:Adding(1)sink; Installing(1)garbage disposal,(1)Ice maker,(1)sink,and(1)water heater. Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 312-636-5012 503-244-1900 FAX: 503-244-8825 FEES Quantity Description Date Amount 1 ea Garbage Disposal 12/26/2018 $25.02 Specifics: 1 ea Ice Maker 12/26/2018 $12.51 1 ea Sink 12/26/2018 $25.02 Type of Use: COM 1 ea Water Heater 12/26/2018 $37.52 Class of Work: ALT 1 12%State Surcharge- 12/26/2018 $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 • :00.332.2344. Issued By: "_'`'_'' Permittee Signature: ' � 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 RECEIVED S4 ,go Building Fixtures DEC 2 0 2018 City of Tigard Received M L + Permit No.: / ,� (N�� 3 13125 SW Hall Blvd.,Tigard,OR 97223�,' FiAR�ate/By: /p�t� // �S''' 1 e-7 Phone: 503.718.2439 Fax: 503.598 iQ Ry1eN Other Permit No. 1 Inspection Line: 503.639.4175 ✓t ILD1 A'V �'��'"�/B " ��_��33 It U Internet www.ti and-or. ov Date Ready/By: runs: El See Page 2 for I l € 8 Notified/Method: 6 I Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:10200 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 drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.:365 J Project name:111.:990--"/ y _, 5. �. 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.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: /5/35"WBackflow preventer 31.27 DESCRIPTIONvOF WORK idd Backwater valve 12.51 Clothes washer 25.02 FARMERS INSURANCE TENANT IMPROVEMENT Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal 1 25.02 21" City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 1 12.51 a-5"--/ 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:POWER PLUMBING CO Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:MIKE WARREN Roof drain(commercial) 12.51 Address:P.O.BOX 19418 Sink/basin/lavatory 1 25.02 „7.5-.,,,,- .. 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.COM Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 1 37.52 3-z -) 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 UV.07 Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:52378 Plumbing Lic.no.:34-150PB State surcharge(12%of permit fee) ra ��/ Authorized signature: , t "e ♦ TOTAL PERMIT FEE �j (el Print name:KRISTI BRAMWELL Date:12-20-18 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. 1:18uitding\PermitAPLMt3-PemniiApp.doc 10/01/09 410-46t6T(l0/02/COMAVEB) A Plumbing Permit Application - City of Tigard Page 2- Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit 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 Valuation: Permit Fee: 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p 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 $37930 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 Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for any of the following. Work Performed: Capped Added Relocate Baptistry/Font Please check all that apply. Bath Tub/Shower 0 Any new commercial building with water service 2"and Jacuzzi/Whirlpool rlpool 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 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isometric-orRiser Diagram- Car Wash Drain Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related X‘4.4 -Industrial-food related Ice Mach./Refrig.Drains dtrG tl/J Oil Separator(Gas Station) 9y - /VI Comments regarding fixture work: / Rec.Vehicle Dump Station l;�/iy�/�.� O 9 {(��j - -O �.,.Gi L�1 1 sc 1,l., yrt�t,. Shower -Gang ld�L505 �y�s 2-9 -Stall 1 '93 Sink/Lav -Non-food related �y -Bradley 4l/// i/i f ." , ,, i€-f 4 k ex,. .,_../ 1ki -Commercial-food related ln/ r� 7-4 i14/324e,l -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 be issued. Other Fixtures: C:\Users\Laura\Desktop\Permit Applications\TIGARD PERMIT APP.doc2 a Branden Taggart From: Branden Taggart Sent: Monday, December 24, 2018 4:56 PM To: 'service@powerplumbingco.com' Cc: #Building Permit Technicians Subject: Farmers Insurance Permits: PLM2018-00573 & SWR2018-00290 - 10200 SW Greenburg Rd Suite 365 Attachments: Branden Taggart.vcf Hello Mike, The plumbing and sewer permits for Farmers Insurance are ready to issue now. The fees due are as follows: Farmers Insurance Permit# Fees Due PLM2018-00573 $ 112.08 SWR2018-00290 $ 734.50 Total: $ 846.58 You can pick up these permits between the hours of 8:00 a.m. and 4:30 p.m., Monday through Thursday. We are closed this Tuesday for the holiday and on Fridays. You are welcome to pay the fees in person or online through our website. To pay the fees online,you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once you pay online, please notify us at tigardbuildingpermits@tigard-or.gov. If you have questions, please let me know. Thank you, Bran fen Taggart III a City of Tigard 1 ■ `:,. Senior Permit Technician Community Development TIGARD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 bra ndent©tigard-or.g civ DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10200 SW GREENBURG RD 365, TIGARD, March 14, 2019 at OR, 97223 12:50:03 PM Record Type: Record ID: Commercial - Plumbing PLM2018-00573 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor