Permit
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2010-00045
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/09/2010
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 500
Subdivision: LINCOLN TOWER Lot: 0
Project: Starbucks
Project Description: Relocate (1) d/w, (1) icemaker, (1) sink, and (1) w/h.
Owner: FEES
LINCOLN CENTER LLC Quantity Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL 1 ea Dishwasher 02/09/2010 $25.02
1 ea Ice Maker 02/09/2010 $12.51
PHONE: 1 ea Sink 02/09/2010 $25.02
1 ea Water Heater 02/09/2010 $37.52
Contractor: 1 12% State Surcharge - 02/09/2010 $12.01
WEST COAST CENTRAL PLUMBING LLC Plumbing
12714 SE MAJESTIC LN
HAPPY VALLEY, OR 97086
PHONE: 503-298-0435
FAX: 503-855-3264
Type of Use: COM
Class of Work: ALT Type of Const:
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 952-001-0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: M 010d ~ &Alf ln,~
Q (kin
1- r
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 05 10 12:47p West Coast Central Plumbi (503)298 -0435 p.2
' r,
Plumbing Permit Application
G / , i a t)R ,.,1.1..p.. F. ,..s,.. oNI.V
City of Tigard A�, Renewed
I
Phone 5 ' r 111" �) 1 • D,
II a S Hall Blvd.. Tigard, OR 972? Plan ,
Phone: 503.63D.1171 7l Fax: 503.498.1 DnselB,r. Other Pp.nit Ho.: `/� �„, ± , � 4 '
T I `• ` 1 Inspection Lino: 503.639.4175 Dme Re,*dy/13y'
treanct vrW.tigatd- or.ttv• Naifietsmadod: c, •'
. cia.t rn y �� � . ! l� ' G•. o "� .•tif:3.i., � :•
e ;.w .r
) . :t '��: e ':j4�%; �?:: ! t i'7�ie ''` Yi t:.e.: .t. . r
❑ New construction 1] Demolition For pedal Ltforonamlwr use cheekllrt
Deuription 1 City, I to I total
X AdditionfalteratioNreplawnett ❑ Other New 1 2- family dwelli :s includes 103 ft. for etch ut1�t ' connection)
2 , ';,t.'•t -. • " p",`:': SFR(1)bath 312.70
SFR (2) bath 437.78
❑ 1. mid 2- family dwelling Commerciallndustrial g (3) bath 500,32
❑ Accessory building ❑ Multi family Each additional bathdcitcbert 24.02
o Master bonder ❑ Other. Fire sprinkler ( sq. A,) Page 2
1 uNf5i,• eS :a e `p; . V' ,T�a"' - ! ., .,. .i•r.' +- :; :�..,,.�i� Slte ut8itia
Job site address~ f 0240 [ j • Lt ►!
4 OO C atc h basin or arcs drain 18.76 _
Drywen, leach line. or tr ench drain 11.76
Cilr /5tate/ZIP TT 2 - ) i,2,'Li `.
Footing drain (nn. linear R.: ) Page 2
Suit&bldgJapt. no.: tJ, � Project name:‘ rbUr ( Manufnctured home utilities 50.03
Crass sareeVdirectioes to job site: I" • 4 o , Manholes 18,76
IRW Rain drain connector 18.76
Sanitary sewer (no. linear ft: _I Page 2
11 •-- Storm sewer (no. limes ft.: ...,_) Page 2
Water service (rto. linear R.: J Pogo 2
Subdivision: l Lot no.: Fixture or item;
Tax map/parcel nn.: Batkt vi ixcventa I 31.27
r �( �r : .,:; .+,a ...,,rs • . Backmter valve 1 1251
�l rl i �3 .!S ( +err 1,1RO �.., • t�,, . 15. ".. i . L•. :! - : `•`" f
�•..: �, .; k , rkt rfv.:., ..,. �F^' f.`• . , .. . r r Clothes washer 25.02
dale rs A �1r`tt t�1 , 0, - -f 1 r " A 411 ! Dishwasher , 25.02 "RI/
•
. �' f r pl . _ _ _ .1 ` A .-`/ Drinking fountain 25.02
Ejectors/sump 25.02
-, •. �,tRa . :t1 r.;. ion tank 12.5)
A ��:. `i'a :a'.. j .° -07.17 { .t�'' 'lrAf�HL�•C.���r - ' Expansion • ti �. 4. �`!hl:." ^ • i...,..�. .. _ ...
Name: ' J Smut/sewer Fut /sewer Rap
25.02
// • PL Floor drain/door stakMub 25.02
Address: Garbage disposal 25.02
City/Stair/VP: • Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 1 12.51 -rJ i
jart'o , ;7.{,, t ..'' . ` r:' 6 i'"i . . 'Ili - 5.N • r," ''' }i .i;i Intcrceptorlgeasetrap 25.32
��, • � ?t i m e r l gas (value: S _) Page 2
• n. rTi. �. etllr� r • c .. . Pty 12.51
Contact name: t C Roof drain (commercial) ■ 12.51
Address: 1 MIA b MA ' , ' 0 ast, , Sink/basin/lavatory 1 25.02 2� . 69..
, City'Statc/ZtP: _ tjy 1 ' A ■ • bb . Solar unite (potable water) 62.54
' Phone: ,h167arj!{i1 1 ! Zrai I VIM t -� Tobishowerhtt
hoa pas 12.51
E -mail: WC ,C„,, La. n47 n-' Cw -i fl €r �t 25.02
;:7&'57.41.11' . • r iv - °�bf "" 1 ' !..IV.. . . •,. • - Waterelosel 25.02
.iN l 'i r a •.t,A6,: : : C ... -. {..1 _.. ' . .; ' . :..- .7,!,r. P ,al 8l li ",..• - Wain heaur
•
1 I 37.52 31
Business name: 1 ' r_ a N 1. Wattpiping/DWV 56.29
Address: 12114 t Mil ir S -110. f JL. - 1 Other I 25.02
City/Statc2IP: 1 p • I Subtotal 00,61 ■r/ mat ,. � w ♦
i a Fax (5D'' )a , Minimum permit fee: 572.50 ----- r. / : j) • .3� Plan review (25%of permit fbe) . 2, 5: 11%
CCD Lic.: I gm so Plumbing Lic, no.: Tr, tai •
i state surcharge (1296 of permit ice) 12- of
Authorized signature: I TOTAL PERMIT FEE t..5-116. l
1 flcb permit application =plc if • walla at net obtained ',tibia 180 cars
Print name: • ' _ .�.t • r bate O ... / . O after it tea been accepted as coraplHe•
'Fee aacihodolegy act by Tri•Coicaty Witting Wintry Sows Board. Q
t: lenuekeastinVucu.aomutAOpdor moue, 1*W6r6T(10/tVCC.V' Eb) I l 2 .0 CJ
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