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Permit (43) � 6 CITY OF TIGARD PLUMBING PERMIT °111111 ''- COMMUNITY DEVELOPMENT Permit#: PLM2018-00275 TI G AR;D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2018 Parcel: 1S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 600 Project: Deltek Subdivision: METZGER,TOWN OF Project Description: Plumbing fixtures for tenant improvement: ADD(1)2"floor drain,(1) Lot: 9 heater. primer,(1)break room sink,and(1)water 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 Floor Drain/Floor Sink/Hub 06/08/2018 $25.02 Specifics: 1 ea Primer 06/08/2018 $12.51 Type of Use: COM 1 ea Sink 06/08/2018 $25.02 1 ea Water Heater 06/08/2018 $37.52 Class of Work: OTR T ype of Const: 1 12%State Surcharge- 06/08/2018 $12.01 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 UNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ' Permittee Signature: evi /��2� 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 Applicatio 4 EIV Building Fixtures FOR OFFI('E USE O L] JUN ' City of Tigard 5 2018 Received 9 114 • 13125 SW Hall Blvd.,Tigard,OR t972 3 � Date/By: ��7 �{ Permit L��0/dG�/0o27� r l r yp�� _ . Phone: 503.718.2439 Fax: 503.598 V TIGARD-Plan Review Date/By. Other Permir Nf� 7it� ©��s�y i t(t r1 R D Inspection Line: 503.639.4175 BUILDING i i(�TT 0`(l V Internet: www.tigard-or.gov �!11i I�iI�CJ �1V1Jt®Fate Read/B : res Y y /, / y lurk: I Bl See Page 2 for otified/Mcthad:�' �p Supplemental[nrormation y TYPE OF WORK ° „0/091,',. .1,--' °./le../441.--C7247 FE*_,'.:CIWDUL -4' 0 New construction ❑Demolition For special information use checklist. CIAddition/attera[ion/rcplacement -- Description � Qty. I Ea. 1 Total 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) e I% "„ r CATEGORY OF"CONST1 UC`JjON SFR(1)bath 312.70 ❑1-and 2-family dwelling l Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: �, h _st 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 1 18,76 City/State/ZIP:TIGARD,OR 97223 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.:600 , Project name:18-902 n Footing drain(no.linear ft.:_)____ Page 2 v C` 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.: Backflow preventer 31.27 LPIESCRIPTION'OF'WORK Backwater valve 12.51 TENANT IMPROVEMENT,DELTEK Clothes washer 25.02 5 LINCOLN SUITE 600 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0PROPERt'TY"OWNER y J: 0 TENANT Expansion tank 12.51 Name: Fixture/sewercap 25.02 - Address: _ Floor drain/floor sink/hub 1 25.02 City/State/ZIP: .. Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax ( ) _ Ice maker t 12.51 d ,A.'PLIcAIyT t COI�I1`Ac' P ,RSUN Interceptor/grease trap 25.02 Business name:POWER PLUMBING'CO Medical gas(value:$ ) Page 2 Contact name:MIKE WARREN Primer 1 12.51 Address:P.O.BOX 19418 - Roof drain(commercial) 12.51 Sink/basin/lavatory 1 25.02 City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) 62.54 Phone:(503)244-1900 I Fax:-:(503)244-8825 Tub/shower/shower pan 12.51 E-mail:SERVICE@POWERPLUM.BINGCO.COhi Urinal 25.02 ' is � , '�h' 11 v. Water closet 2 r CO �; �� �z. _5.02 d1 1-' : JF Iu6- *6 S:C 6 �4� `0:- n 06, 90,E.W.6 �I' 06'1 Business name:POWER PLUMBING CO Water heater 1 37.52 Water piping/DWV 56.29 Address:6611 SW MULTNOMAH BLVD. Other: 25.02 City/State/ZIP:PORTLAND,OR 97223 Subtotal /190 , 0Y Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50 CCB Lic.:52378 Plumbing Lie.no.:34-150P Plan review (25%of permit fee) Authorized signature: ..iState surcharge(12%of permit fee) %2.0/ TOTAL PERMIT FEE /42.(J, Print name:KRISTIE RAMWELL Date:6-6-18 This permit application expires if a permit is not obtained within 180 ays after it has been accepted as complete. *Pee methodology set by Tri-County Building industry Service Bo I AlluildingTermits4PLMU•PertnitApp.do IWOIJ 19 440-46 16T(I 0/02/COMA4'tin Plumbing Permit Application- City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site UtilitiesQty, Fee(!a) Tr tai,. Square Footage: Permit Fee Footing drain-I'100' 50.03 oto 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,6(X) $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' 37.52V Storm&Rain Drain-1st 100' 62.54 aivation P met Fie:,'` $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 QtyFee(ea) Taal Other Inspections or Fees; . '- .� . �ti, � ��o` 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 90.00/1v $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 a m.„ Plan Review fore:Plumbing Installations Fixture Type for R Work Performed: Capped Added Relocate Plan review is required for any of the following. Please check all that apply. Baptistry/Font 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 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 OAR9 IS-780-0040. Eye Wash Floor Drain/sink -2" 1 Submit 2 sets of plans with any of the above. -3" Car Wash Drain 6U :r on etric°or Risei Diagram Garbage Domestic-non-food 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 MachfRefrig,Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang ��/ -Stall t t ` (. {! 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\Lnura\Desktop\Permit Applications\TIGARD PERMIT APP.doc2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10200 SW GREENBURG RD 600, TIGARD, August 22, 2018 at OR, 97223 9:40:51 AM Record Type: Record ID: Commercial - Plumbing PLM2018-00275 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor