Permit (190) CITY OF TIGARD PLUMBING PERMIT
. COMMUNITY DEVELOPMENTIN
Permit#: PLM2018-00317
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2018
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 350
Project: Kiewit Engineering Subdivision: METZGER,TOWN OF Lot: 9
Project Description: ADD(1)dishwasher,(1)primer and(1)water heater;RELOCATE(1)2"floor drain and(1)sink.
Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC
PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97280 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Dishwasher 06/28/2018 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 06/28/2018 $25.02
1 ea Primer 06/28/2018 $12.51
Type of Use: COM 1 ea Sink 06/28/2018 $25.02
Class of Work: ALT 1 ea Water Heater 06/28/2018 $37.52
Type of Const: 1 12%State Surcharge- 06/28/2018 $15.01
Occupancy Grp: Plumbing
Stories:
Total $140.10
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: ›):i,WPermittee Signature: dAT ey70/92,/ ("1-77eJ
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 ApplicatMCFIVED
Building Fixtures FOR OFFICE USE ONLY
JUN
2 b 2018
Received
City of Tigard Date/By p r -//� -Permit"00102 /f lj �/7
13125 SW Hall Blvd.,Tigard,OR 9 � 0F, T,'i(. ,A,9' Plan Revie� Other Permit Nq� d _may
2 Phone: 503.7182439 Fax: 503.50,1168nryt a vl UatelBy: f4:/'�/�-!J� 70
1 1 t;AIR IT)
Inspection Line: 509 639 4175 P3�!i LDI NG 9.-' "t. Date Ready/By: ],��
Joni �!See Page 2 for
Internet: www.tigard-or.gov Notified/Method 10 Z�/o 44 Supplemental Information
}" wU � wri` WORx i� }r T � i I & IDi. ":-.-',J311'51!
,o 101s, p « - 1 =: i
❑New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
►C/ Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
IIV " ii F CONTRUCT ON c �I0 10, MG SFR(I)bath .� 312.70
� • �
❑ 1-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
,�� '« q� ih,, 1N gs°.. . . iia'-- �'i �o 3�6h
i�0110 0-401 1ATIa-N AlYI31 L A110ttil ��id �'��i'�'�111 U�1 Site utilities:
i�n�� l� �.r.�2 _,
Job site address:10220 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.:350 I Project name• 1R-417 k/7/,`T- 67V /✓r 1 i"f
u actured 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.: Backflow preventer 31.27
r :r tit (t o,,,N�ili �"' ,, i�, Backwater valve 12.51
�r�ti{�1 ��'' DESCRIPTION O��'OR� ��; �1�,��, � ���� � � � ,
" Clothes washer 25.02
KIEWIT ENGINEERING T.I.SUITE 350 Dishwasher 1 25.02
Drinking fountain 25.02
„ Ejectors/sump 25.02
Piii, it � T Expansion tank 12.51
,. AN UM . P ._ , AS !dryA ,M1oi TA,x .. ._.
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 1 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
i N CI A kl ' 119i( )i ($ ❑ CONTACT_ P N l �,i hnerceptor/grease trap 25.02
Business name:POWER PLUMBING CO Medical gas(value:$ ) Page 2
Primer 1 12.51
Contact name:MIKE WARREN
Roof drain(commercial) 12.51
Address:P.O.BOX 19418 Sink/basin/lavatory 1 25.02
City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) 62.54
Phone:(503)244-1900 Fax::(503)244-8825 Tub/shower/shower pan 1251
E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 25:02
n..mss.n iNl a . coiccl .� 10:14 41' t a Water closet 25.02
.,.a .. e�. Ap , ,,) Water heater 1 37.52
Business name:POWER PLUMBING CO
Waterg/D t ur WV 56.29
pip
Address:6611 SW MULTNOMAH BLVD. Other: 25.02
City/State/Z1P:PORTLAND,OR 97223
Subtotal 7,..5 0
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:52378 iPlumbing Lic,no•34-15OPB
't, State surcharge(12%of permit fee) tc';e
Authorized signature: ��L 'ff*t., �tr� TOTAL PERMIT FEE VBG/ . /Q
D Ie:6-25-18 This permit application expires if a permit is not obtained within 180 days
Print name:KRISTIE BRAMWELL after it has been accepted as complete.
*Fee methodology act by Tri-County Building Industry Service Board.
I:\BuildingV'ermits1PLMU-PennitApp.doc 10/019 440-4616T(t0/02/COMAWEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
o� A 6r 9� �i � Iiia�
Site Utih i s D : .° S care oo �e ry Permit Cekr
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
� .� Permit� 'ee diUl
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
Qty, Fec.eu) � each additional$100.00 or fraction thereof,to
Other_Inspections'�or.Feeb ,„yn , . 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*.
Quantity by Fixture Type =Pl�tRerii :*for Plumbing Installation
sYdee
Fixture Type for Replace! Plan review is required for anyof the following.
Performed: Capped Added Relocate 9
13aptisuyfFont 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 nun - 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 1 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" 1 Submit 2 sets of plans with any of the above.
-3„
Car Wash Drain �rp e ;i ltC Or:Riser.Ihagr tci �il,�r; .. - ,
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 Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/lav -Non-food related 1
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *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 Extractor
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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 350, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00317
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor