Permit (175) CITY OF TIGARD PLUMBING PERMIT
8 COMMUNITY DEVELOPMENT Permit#: PLM2019-00087
Date Issued: 03/07/2019
TE ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1150
Project: New York Life Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Interior plumbing for TI:Capping(1)sink; Replacing(1)garbage disposal and(1)sink; Installing(1)water heater.
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 Fixture/Sewer Cap 03/07/2019 $25.02
Specifics: 1 ea Garbage Disposal 03/07/2019 $25.02
1 ea Sink 03/07/2019 $25.02
Type of Use: COM 1 ea Water Heater 03/07/2019 $37.52
Class of Work: ALT 1 12%State Surcharge- 03/07/2019 $13.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $126.09
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 C
Building Fixtures RECEIVED FOR OFFI('F. 1 sE ONEN
Received
City of Tigard 1 Permit No.:
III ■ 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 0 2019 Date/By: ) 4. /.1 f.-� ,4NJ I T-e.., 7
Plan Review
II Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No,:ty6,rJ_)_j6 f 4, �,7
1.1 t_f,i,, Inspection Line: 503.639.4175 CITY OF TIGARD Date/By: �`C
Internet: www.ti and-or. ov BUILDING DIVISION DateReadyBy: Juris: ® See Page 2 for
g g Notified/Method: %-G Supplemental Information
❑New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 h.for each utility connection)
. ati,Y OF nCTION efm,. 447.^ SFR(1)bath 312.70
0 1-and 2-family dwelling is Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
rc1 m Site utilities:
Job site address:10260 SW GREENBURG RI) Catch basin or area drain 18.76
. City/State/ZIP:TIGARD,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no,linear ft.: ) Page 2
Suite/bldg./apt.no.:1150 I Project name: 19-028 A/c�>/ry-I( GrtT 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: l Lot no.: Fixture or item:
Tax map/parcel no.: /51 4 -. () Backflow preventer 31.27
ll 1 1 DESCII''' 'ON OF W(,}� �' 3 . ,,i " x " V Backwater valve 12.51
�r a max•i, Clotlneswasher 25.02
NY LIFE INSURANCE TENANT IMPROVEMENT
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
11 l'''
it3 �' hi o s,•rmstiin r
-t :R$ Y-=O' I _ T Expansion tank 12.51
Name: Fixture/sewer cap 1 25.02 ,,t5---,c,3,
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 1 25.02 -r.-Z
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
", ) = 44_ , e " lo.d� �` ®NTA ®N Interceptor/grease trap 25.02
Business name:POWER PLUMBING CO Medical gas(value:$ ) Page 2
Primer 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 12.51
E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 25.02
r E ��� �t Water closet 25.02
- , o . clic.'.. ,, r** ,, ' Water heater 1 37.52 3.7,5-)„,
Business name:POWER PLUMBING CO
Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD. Other: 25.02
City/State/ZIP:PORTLAND,OR 97223 Subtotal l/;-7 h
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $7230
CCB Lie.:52378 Plumbing Lie.no.:34-150P13 Plan review (25%of permit fee)
State surcharge(12%of permit fee) 3 5_
Authorized signature: - / ` ` I TOTAL PERMIT FE /024 D
Print name:KRISTIE c RAMWEELL Date:3-1-19 This permit application expires if a permit is not obtained hin 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:1BuildingWermits\PLMU-PecmitApp.dac 10/61)09 440-4616T(IOW/COM/WEB)
Plumbing Permit Application City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression stems:
claqt" e o- yi a lk , nib,_
oo
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 '. gif 't , _ d oftg
Storm&Rain Drain-1st 100' 62.54 2,0 " th 'ti
$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 fust$5,000.00 and$1.52 for
,moi i. - - i. ® >�r �`;y each additional$100.00 or fraction thereof,to
ewes.Jaapp *" � n ' # 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*.
Fixture Typefoc x ;�df"9( 'Quantity by Fixture Plan Review 1` >c11 � � i
rmeth � ��Ca Added Plan review is required for any of the following.
Work Performed � �B�o u, �� PfrdA, : ��r .. ._"• Please check all that apply.
Baptistry/Font
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 ❑ 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 OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
3„
Car Wash Drain
Garbage Domestic-non-food L1 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related 1 that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach/Rettig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station PLEASE CONTACT MIKE WARREN WITH
Shower -Gang ANY QUESTIONS 503-936-5929 THANKS
-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
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\Laura\Desktop\Permit Applications\TIGARD PERMIT APP.doc2
Accumulative Sewer Tally
i II B Tenant Name: NEW YORK LIFE SWR# N/A
TI G n R n Site Address: 10260 SW GREENBURG RD SUTE 1150 PLM# PLM2019-00087
Parcel#: 1 S 135AB03400
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 0 0 0 0
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 1 2 0 -1 -2
-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 2 0 0 -1 -2
Current Fixture Value -2 divided by 16= -0.125 Current EDU 1 EDU= $5,650.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -2 divided by 16= -0.125 over (under) $ (734.50)
Enter EDU Change Here -0.130 *
*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: 3/6/2019
Building Division
INote: 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
Branden Taggart
From: Branden Taggart
Sent: Wednesday, March 6, 2019 6:27 PM
To: Kristie Bramwell
Cc: #Building Permit Technicians
Subject: RE: commercial plumbing permit: PLM2019-00087 - 10260 SW Greenburg Rd Suite 1150
Attachments: U ntitled_03012019_093000.pdf
Hi Kristie,
I have created this plumbing permit for New York Life. The balance due is$126.09, and you can pay this fee online now
through our website: https://aca.accela.com/tigard/Default.aspx. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and we will issue this permit and email the permit paperwork to you.
Thank you,
Branden Taggart
Ph, q City of Tigard
x Senior Permit Technician
Community Development
TIGARD
13125 SW ifaii Blvd
Tigard,OR 97223
(5 I3)718-2449
bra ndent@tigard-o r.gov
Original Message
From: Kristie Bramwell<service@powerplumbingco.com>
Sent: Friday, March 1, 2019 9:53 AM
To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: commercial plumbing permit
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 1 F 503.244.8825
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10260 SW GREENBURG RD 1150, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2019-00087
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor