Permit CITY OF TIGARD PLUMBING PERMIT
III I COMMUNITY DEVELOPMENT Permit#: PLM2019-00037
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/28/2019
T I c;;�1=.[� g Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 400
Project: Regus HQ Global Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Interior plumbing for TI:Replacing(1)drinking fountain,(4)lavatories,(2)urinals,and(5)water closets.
Contractor: CHARTER MECHANICAL CONTRACTORS INC Owner: LINCOLN CENTER LLC
7940 SW HUNZIKER ST BY SHORENSTEIN PROPERTIES LLC
TIGARD, OR 97223 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-691-1700 PHONE: 214-295-3740
FAX: 503-691-1717
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 01/28/2019 $25.02
Specifics: 4 ea Lavatories 01/28/2019 $100.08
2 ea Urinal 01/28/2019 $50.04
Type of Use: COM 5 ea Water Closet 01/28/2019 $125.10
Class of Work: ALT 1 12%State Surcharge- 01/28/2019 $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 OUN by calling 503.2321987 or 1.800.33
Issued By: • Permittee Signature: f
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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 HL-,,,,, :;;., , ::4 FOR OFFICE USE ONLY
Received
Cityof Tigard Al.
JAN q �} Date/By: / II/,"&iitiytT,1017'U 'd3
III13125 SW Hall Blvd.,Tigard,OR 97223 A o G 8 2( ?9
Phone: 503.718.2439 Fax: 503.598.1960 ,.3 w Dan Review !' C�
Inspection Line: 503.639.4175 Date/By: ' ��(or /
T 1 G A R D i ,.; Date Ready/By: Juris: El See Page 2 ffor
Internet: www.tigard-or.gov tt.A•-- ( f ,t„ \INotified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑New construction 12 Demolition For special information use checklist _
Description Qty. Ea. I Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder El Other:
Fire sprinkler( sq.ft.) Page 2
-
JOB SITE INFORMATION AND LOCATION Site utilities: _
Job site address:10260 Sw Greenburg Rd. Catch basin or area drain 18.76
City/State/ZIP:Tigard Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.:FLR 4 I Project name:Regus Tigard Manufactured home utilities 50.03 _
Cross street/directions to job site: Manholes 18.76
SW Washinton Square Rd.and SW Greenburg Rd. Rain drain connector 18.76
Lincoln Center building,Floor 4 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
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Restroom remodel for Tenant TI.to include removal and replacement of 5 Water Dishwasher 25.02
Closets,2 Urinals,4 Lavatories and 1 dual level drinking fountain.Minor Drinking fountain 1 25.02 25.02
movements to carrier location and vents for approximately 2'movement. Ejectors/sump 25.02
0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
-
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
-
Phone:( ) Fax:( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Charter Mechanical Contractors Inc. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Matt Keikkala
Roof drain(commercial) 12.51
Address:7940 SW Hunziker St. Sink/basin/lavatory 4 25.02 100.08
City/State/ZIP:Portland OR.97223 Solar units(potable water) 62.54
Phone:(503)691-1700 Fax::(503)691-1717 Tub/shower/shower pan 12.51
E-mail:Matt.Keikkala@chartermechanical.com Urinal 2 25.02 50.04
Water closet 5 25.02 125.1
CONTRACTOR
Water heater 37.52
Business name:Charter Mechanical Contractors inc. Water piping/DWV 56.29
Address:7940 SW Hunziker St. Other: 25.02
City/State/ZIP:Portland OR.97223 Subtotal
Phone:(503)691-1700 Fax:(503)691-1717 Minimum permit fee: $72.50
CCB Lic.:171657 r b 'lumbing Lic.no.:BP8 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature TOTAL PERMIT FEE
Print name: ��q? Date:01/24/2019 This permit application expires if a permit is not obtained within 180 days
��{/K/(i4(�1- after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
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
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
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*.
Quantic 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 q
Baptistry/Font Please check all that apply.
Bath Tub/Shower ❑ 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 ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain X 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.
Isometric or Riser Diagram
Car Wash Drain ❑ Isometric or riser diagramis required for new buildings
Garbage -Domestic-non-food q g
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 X
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture workunderthis permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet x fees assessed for the sewer increase must be paid before the
Urinal x plumbing permit can be issued.
Other Fixtures:
C:\Users\david.hartshorn\Downloads\PLMF PermitApp.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10260 SW GREENBURG RD 400, TIGARD, March 14, 2019 at
OR, 97223 12:32:04 PM
Record Type: Record ID:
Commercial - Plumbing PLM2019-00037
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor