Permit CITY OF TIGARD PLUMBING PERMIT
114 Ile COMMUNITY DEVELOPMENT Permit#: PLM2014-00043
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2014
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Three Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Restroom and shower facility addition in common area on first floor. Adding(3)2"floor drains.(1)expansion tank,
(1)primer,(4)lays,(6)shower stalls,(2)water closets&(2)water heaters.
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: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Expansion Tank 02/18/2014 $12.51
Specifics: 3 ea Floor Drain/Floor Sink/Hub 02/18/2014 $75.06
1 ea Primer 02/18/2014 $12.51
Type of Use: COM 4 ea Lavatories 02/18/2014 $100.08
Class of Work: ALT 6 ea Tub/Shower/Shower Pan 02/18/2014 $75.06
Type of Const: 2 ea Water Closet 02/18/2014 $50.04
Occupancy Grp: 2 ea Water Heater 02/18/2014 $75.04
Stories: 1 12%State Surcharge- 02/18/2014 $48.04
Plumbing
Total $448.34
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility 'cation C-- -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or ct questions to OU • b -Ilin. 503.232.1987 or 1.800.332.2344.
I ued By: / Permittee signature: I
Call 503.639.4175 by 7:00 a.m.for the next available in pection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FEB/14/2014/FRI 09:30 AM POWER PLUMBING FAX No, 503 244 8825 P. 002
Plumbing Permit A li �,TvED
Building Fixtures j�l FOR OFFICE USE ONLY
City of Tigard Recd.: , /8 /e/ k +„(,,, Permit No.. °I_W y/ _Oita 3
NI - r 13125 SW Hall Blvd.,Tigard,5 �$ 2014 Man Review
Phone: 503.718.2439 Fax: 5 1 Date/By: Other Permit No.: ,e_. 0,[/eve n
TI G A R.13 Inspection Line: 503.639.4175 r t?t e Date Ready/By: hid, fa Sec Page 2 for
Internet: www.tigard-or.gov Notified/Method. Sa.ptementat Information
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yAIi r . '47iaCI r T: �� N 1 f • .;'1`t iM� it x ? '-...- 4,24'
El
construction ❑Demolition For s,eclat in ormaLonuse checklist
Description Qty. La Total
1i Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
po
°rahyyf �n r:t a �_ :::: !. .r,.. k SFR(1)bath 312.70
SFR(2)bath 437.78
El 1-and 2-family dwelling ,tCommerciaVindustrial `r-0
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder Q Other: Fire sprinkler( sq.fi) Page 2
•:'M,� a` ,r re ^(,. � Fi y . 3i� 1 .; ,4 , ;*r 4 ` vt Site udlities�.._.Y
T Catch basin or area drain 18.76 t
Job site address: /0220 SW Gtf.i.v, ,v.r. A
Dlywcll•leach line,or trench drain 18.76
City/State/ZfP: 1 QO 1 0 re.ya-,n- _ ! Footing drain(no.linear ft.. ) Page 2 W
Suite/bldg./apt no.:l31, spot c_P t j t name: 1.i1,�ce S',t,,,3v\Reel I Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
I 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:
n Backflow preventer 31.27
Tax map/parcel no.: )1 3 ,06( r(}( ----_-
g TF'%%n vs s , ',,,m C� �""'3.•Q,•^,7,, �MJ ,'8L4+vr 'I: ,,M ," , ,• Backwater valve 12.51
N•h' =yo--i' t i i 'P, =.�C �•d t�t<4 sr' 1:74.5.:W7''' � ,,;
,`i�yty.t �,„,�e.:4�\` �`"�-","atr��-. � .> ,..vc r� �,■��x�r Clothes washer 25.02
pK3ke • T1oa ,_ Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
e de?"n .'r r,�F 47 o;, �` 174 ,s�pawa, i` a k s . Expansion tank 1 12.51 (a.Si
,t;wi' !.t 2 s o y' .. 6;,"r'x-a„ i. A;� � `� "T �z-44," :> =. *,..o:, ..i5 '
r t Fixture/sewer cap 25.02
Name:
5 '!'�''',S'e... s- Floor drauVfloor sink/hub 3 25.02 75,p'
Address: Garbage disposal 25-02
City/State/ZIP: Ftose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
- N;". N interceptor/grease trap 25.02
\_ Medical gas(value:S ) Page 2
Business name: +�bw e C 'R`4-ra..`G1 c.s.. CAn.
Primer / I2.51 1 ,sl
Contact name: . � tZiy\c,e Roof drain(commercial) 12.51
Address: Rt, .t,t 19_4 8 Sink/basin/lavatory l7/ 25.02 X 00,°it-
City/State/ZIP: Rthr\ \ l�At lf,n Y 7215 Solar units(potable water) 62.54
Phone:(gb' ) . _c/q-r100 1- _ I : :( .63) Tub/shower/shower pan G 12.51 751-
O` Urinal 25.02
E-mail:
itx ow L • • CA
• . �_ Nn ib: Water closet 2. 25.02 SO.°a r
r2 'F�ts,: w 1q w..: � _..X "��-� t x '1 Water heater 2 37.52 75,,,:y.-
Business name: owgs`-R`%-`A^'•� C--%.
, Water piping/DWV 56.29
Address: ..p Q 's !L1 WOther: " 25.02
Q 0 Subtotal 400 ►
City/State/ZIP: o��1 . Qr^r F►-+�.- 6 �� ,.
) t Minimum permit fee: $72.50
Phone:($D3)aq e q0(� ax;(5-03)Z95/-rSiea5 Plan review (25%of permit fee) xiC ''o4f_
CCD Lie.: 5,237 Plumbing Lie.no.:34-/SIl�e1 State surcharge(12%of permit fee)
Authorized signatu • 0�` I TOTAL PERMIT FEE 5461,53.3..Y-
Print `'�`�//y Date: I I-20a_ This permit eppticefion espirea ire permit is not obtained within 180 days
name Q ' C after it bag been accepted as complete j i
^Fee methodology set by Tri-County Building Industry Service Board. 1'
1.\Buitding1Pernrits\PLMU-Permit AVO_°oc 10'01/09 440•4S 16T(10/02ICOM/WEB)
FEB/14/2014/FRI 09: 30 AM POWER PLUMBING FAX No, 503 244 8825 P. 003
Plumbine Permit. AppkicatiolE - City of Tigard
Page 2-SupplementaI Information
Fee Schedule: Residential Fire Su 1 1 ressiola Systems:
r3. J �: �J � L''•�.a' p a"Ywwt � � ��j��yr�v..
I ,,' r. 1r, -,t. i tr.�i : ,,`,ni° . I o E 1 i ,.� �' '�'h r�r 11�`�p,:rl i r ~r
r t l n�i�l«1 f k:-, t 4''''''. n�; .,. ?• ,i.,4.4. . 4,Lq=l-7-le_'�1'. a,:,, 1.r 14,>i .,..)1L"- o-, n "' ,
Footing drain-Ir 100' I 50,03 0 to 2.000 $121.90
Footing drain additional 100' t - 37.52 I , , I
5233.20
Sewer-1st 100' 62.54 I 7,201 and greater .55327.54 1
Sewer-each addition:100' 37,52
Water Service-1st 100' I 62.54 1 Medical Gas Systems:
Water Service-each additional 100' 37.52 n l: `._. .,r 1.4,, , u;--1 r,,Nr.+�+L,i, •" .i r.-4 t1 1!r t
t:i ir:
' Storm e:Rain Drain-1st IOC' 62.54 I 1 51.00 to$5,000.00 I Minimum fee 572.50
Storm S.Rain Drain-each additional 100' 37.52 I $5,001.00 to 510,000.00 572.50 for the first$5,000.00 and$1.52 for
a,; �._ ,- , a . * t each additional$100.00 or fraction thereof,to
•.((1}i14 -;11i o 9to11, i17. 1 l and including$10:000.00.
Inspection of existing plumbing or for I $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 190.00111r 3 each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) `1` and including$25,000.00.
Inspections outside of normal business I 90.00/hr $25,001.00 to 550,000.00 5379.50 for the first$25,000.00 and 51.45 for
hours(minimum charge-2 hours) _ each additional 5100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including 550,000.00.
Additional plan review for revisions 90.00/1n $50,001.00 and up 1 5742.00 for the first$50,000.00 and$1.20 for
(minimum cha ge-1/2 hour) I 1 each additional$100.00 or fraction thereof
Subtotal; i
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes", ,
please indicate work performed by fixture. Failure to
accurate! re art fixtures could result in increased sewer fees*.
��� 3:27 �` - -,- �' ��.,�'s.,.&i h, ai i. _ e'i �' ? 'f'� iC.1 eC 11,�J 4C.. -41' 1 r ^^rc�z~✓.+ ,T'.'.7��-Er,.
"' x;-ut, ....W.,,,_ °'a .,f�.� r k '�e' ' .�-^� �:�•1 �-' �eyy,..p Y. -i Y rl>�a u l l�^l�i��it���x's°? ,,. . '
z�t7� Jam i c>:r•: ",, e w w si`' ' , s �"04.,;-...,:s Plan review is required for any of the following.
';;;t d!.tiaii 1 ."L.-.s,:::. ,_:.,.s=.-g, „x-.'1013: _ please check all that apply.
2E9stry/Font ❑ Any new commercial building with water service 2'=and
Bath -Tub/Shower i greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool
Car Wash tacit Sta[i engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/WaterAspirator as defined in O.AR91g-780-0040.
Dishwasher -Commercial ` [ ❑ Medical gas and vacuum systems for health care facilities.
D- omestic I I ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR9IS-780-0040.
Eyc Wash
. FloorDrain/sink. -2" i 3 Submit sets of plans with any of the above,
-3' 1 I ";.T.. .M'.r .F L,i .1 r. -u .. ', ftA:i
4,. rra,J�• -Il 0 FJ n13 -'l��� i 71 yi'� �r.�'
Car Wash Drain T I ''� ._
- b Domestic-non food ❑ Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related I that meet the qualifications above.
-Commercial-food related
-industrial-food related
_Ice Mach/Reba.Drains ( 1
Oil Separator(Gas Station) I Comments regarding future work:
Rec.Vehicle Dumo Station I I
• Shower -Gang I -
-Stall -
Sink/Lav -Non-food related I 'I I -
. -Bradley I I -
-Commercial-food related I i
-Service l 1
Swimming Pool Filter I .T1 *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 Extracts.
Water Closet•Toilet fees assessed for the sewer increase must be paid before the
I plumbing permit can be issued.
Urinal _ L
Other Fixtures: _ I
http:/iwww.tigard-or.gov/city_halUdoparmtantsicd/dges/PLlvf#'-1?er u.poloc
FE13/14/2014/FRI 09:30 AM POWER PLUMBING FAX No. 503 244 8825 P. 001
Power Plumbing Co.
p.o.so L441$
Pc,t la�.,d, Or 97280-94x8
Phone: )244-1900
Fax:(603)244-8M
CCB#:E2378
www,poweipIW .eom
Fax Cover Sheet
DATE: . — Pi- 2 O l'-1
TO: . 11i-7-4 e /1?4Re(
ATTN: - 'num.'"I`o 7 remit 1
J
FAX: Qom`
FROM: _�1*�. ` Jpe et PHONE: (503)244-1900 .
Power Plumbing Coo. FAX: (503)244-8825
RE: 410e g . .a
Number of pages including this cover sheet:
Message: