Permit (36) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2019-00033
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2019
TIGARD Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD
Project: 5-Lincoln Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Interior plumbing for 3rd floor toilet rooms:Capping(1)drinking fountain; Replacing(4)sinks, (5)water closets,and
(2)urinals.
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: 503-412-4800
503-244-1900
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Fixture/Sewer Cap 01/24/2019 $25.02
Specifics: 4 ea Lavatories 01/24/2019 $100.08
2 ea Urinal 01/24/2019 $50.04
Type of Use: COM 5 ea Water Closet 01/24/2019 $125.10
Class of Work: ALT 1 12%State Surcharge- 01/24/2019 $36.03
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $336.27
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:
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 FOR MI ICI. l Sl. O\1.1
City of Tigard Received
Date/By: / Permit No.: 9//v),'
III ■ 13125 SW Hall Blvd.,Tigard,04423 2019 ��� � l /"sem "Z'�J/-7-av
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960Other Permit No.:lei .y, r
Date/By: "�" ���-GU�`�
Inspection Line: 503.639.4175OI--v OF TIGARD Date Rea B Juris: ® See Page for
T Ic 1k [) Ready/By: t+B
Internet: www.tigard or.go>Bl jI Dlttj nlV1g1QN Notified/Method: Supplemental Information
nr
....tt �; .} ,±, . T1'FE OF o ,i's,. . ,. 1, , I,,,,,,,,x)17,,'"?' SCHEDU k. , . -j . ,.
❑New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
►'i Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
} ,x,: GORY ori Co, . 0. , %. .v SFR(1)bath 312.70
..
0 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
❑Accessory building ElMulti-family
SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2
<--,: ---1..01#!.:;.'4,1! '.„.1,'',) !RMATJD ri Site utilities:
lob 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.:3RD F J Project nam•e:�9.608 L 1 ciManufactured 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: I Lot no.: Fixture or item:
Tax map/parcel no.: ii/35 . f �p Backflow preventer 31.27
x e' t�O ® n . 4' Backwater valve 12.51
.'rk_, ,.. . x,t A.,,_ ,i.� " �`,. ?
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-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' 37.52 �,
Storm&Rain Drain- 1st 100' 62.54 Valuation: Permit Fee:
$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
• Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections or Fe 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:
N.
Ink 0
0
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 anyof the following.
Work Performed: Capped Added Relocate 9
Baptistry/Font Please check all that apply.
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 0 Any multipurpose fire sprinkler system.
Drinking Fountain f 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.
-4„ ,,i,,,'q'. Isometric a>C0 riser Diagram ,
Car Wash Drain
0 Isometricriserdiagramis required for new buildings
Garbage -Domestic-non-food or q g
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice MachfRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station ALL REMOVE AND REPLACE WITH NEW
Shower -GangCALL MIKE WARREN WITH QUESTIONS
-Stall
Sink/Lav -Non-food related 4 503-936-5929 THANK YOU
-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 5 fees assessed for the sewer increase must be paid before the
Urinal 2 plumbing permit can be issued.
Other Fixtures:
C:\Users\Laura\Desktop\Permit Applications\TIGARD PERMIT APP.doc2
Accumulative Sewer Tally
= Tenant Name: 5-LINCOLN SWR# N/A
TI G A R D Site Address: 10200 SW GREENBURG RD(THIRD FLOOR RESTROOMS) PLM# 2019-00033
Parcel#: 1S 135AB00900
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 1 1 0 -1 -1
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-3 inch 5 0 0 0 0 0
-4 inch 6 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 0 0 0
-Stall 2 0 0 0 0 0
Sink:
-Lay/Bar-Non-Food Related 2 0 0 0 0 0
-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 1 1 0 0 -1 -1
Current Fixture Value -1 divided by 16= -0.063 Current EDU 1 EDU= $5,650.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -1 divided by 16= -0.063 over (under) $ (339.00)
Enter EDU Change Here -0.060
*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: ***CREDIT***
Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 1/24/2019
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_070118.xlsx
Julie Drinkwater
From: Julie Drinkwater
Sent: Wednesday,January 23, 2019 9:46 AM
To: Kristie Bramwell
Cc: #Building Permit Technicians
Subject: RE: Commercial plumbing application
Good morning Kristie
Thank you for your submittal. I will place it into the que for processing which should take between 2-3 business days.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
Original Message
From: Kristie Bramwell [mailto:service@powerplumbingco.com]
Sent:Wednesday,January 23, 2019 9:28 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Commercial plumbing application
Good morning, please see the attached commercial plumbing permit application,thank you-
Kristie Bramwell I service@powerplumbingco.com Service Department I Power Plumbing Co.
O 503.244.1900 I F 503.244.8825
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."
Branden Taggart
From: Branden Taggart
Sent: Thursday, January 24, 2019 10:18 AM
To: Kristie Bramwell
Cc: #Building Permit Technicians
Subject: RE: Commercial plumbing application: 10200 SW Greenburg Rd 3rd Floor
Attachments: Untitled_01232019_090613.pdf
Hi Kristie,
This plumbing application has (1) Fixture/sewer cap on the front page, but the Commercial Fixture Work section on the
second page does not indicate which fixture is being capped—only relocated fixtures. Please revise the plumbing
application and return it to us for processing. If you can return the revised application to us before noon today, I will do
my best to process this permit today for you.
Thank you,
Branden Taggart
w City of Tigard
0 Senior Permit Technician,
Community Development
TIGARD
13125 SW Hall Blvd
Tigard,OR 97223
(5031718-2449'
bra eident@tigard-or.gov
Original Message
From: Kristie Bramwell<service@powerplumbingco.com>
Sent: Wednesday,January 23, 2019 9:28 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Commercial plumbing application
Good morning, please see the attached commercial plumbing permit application,thank you -
Kristie Bramwell I service@powerplumbingco.com Service Department I Power Plumbing Co.
0 503.244.1900 I F 503.244.8825
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
Sent:Thursday,January 24, 2019 10:23 AM
To: BrandenTaggart<brandent@tigard-nrgov>
Subject: Revised application
Here you go,thanks-drinking fountain is capped on the second page.
Kristie Bramwell I service@powerplumbingco.com Service Department I Power Plumbing Co.
O503.244.1900 | F 503.244.8825
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requesbed, 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."
Branden Taggart
From: Branden Taggart
Sent: Thursday,January 24, 2019 1:34 PM
To: service@powerplumbingco.com
Cc: #Building Permit Technicians
Subject: RE: Revised application: PLM2019-00033 - 10200 SW Greenburg Rd 3rd Floor
Kristie,
I have created your plumbing permit for 5-Lincoln, and the balance due is$336.27. You can pay the fees online now
through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the
permit number in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and I will email you the permit paperwork.
Thank you,
Branden Taggart
w City of Tigard
ili Senior Permit Technician
Community Development
T ; R :.
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brandent c(tigard-or.you
From: Branden Taggart
Sent:Thursday,January 24, 2019 10:33 AM
To: service@powerplumbingco.com
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Revised application: 10220 SW Greenburg Rd Suite 571
Thank you. I will get this permit processed for you.
Thanks,
Branden Taggart
ligr City of Tigard
M a�� Senior Permit Technician
Community Development
"IAC
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandeent tigard-or,gov
Original Message
From: Kristie Bramwell<service@powerplumbingco.com>
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10200 SW GREENBURG RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2019-00033
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor