Permit CITY OF TIGAR®
D PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2010 00075
x Date Issued: 03/17/2010
T [GARLi 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 900
Subdivision: LINCOLN TOWER Lot: 0
Project: NW Mortgage Expansion
Project Description: Remove and cap (3) fixtures.
Owner: FEES
LINCOLN CENTER LLC Quantity Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL 1 ea Floor Drain /Floor Sink/Hub 03/17/2010 $25.02
1 ea Sink 03/17/2010 $25.02
PHONE. 1 ea Water Heater 03/17/2010 $37.52
1 12% State Surcharge - 03/17/2010 $10.51
Contractor: Plumbing
POWER PLUMBING CO
PO BOX 19418
PORTLAND, OR 97280
PHONE: 503 - 244 -1900
FAX: 503- 244 -8825
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Total $98.07
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct estions to OLIN ailing 503.246.6699 or 1.800.332.2344.
Issued y: Permittee Signa . •
i
Call 503.639.4175 by 7:00 a.m. for an inspection that bus' • • ss day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAR /15/2010/MON 03 :45 PM POWER PLUMBING FAX No, 503 244 8825 P. 001
Plumbing Permit Application • i j N � / � iy ( , /' 0 /.o -c'c5
• Building Fixtures )'4:, 1 ¢ , r n , t tf. .�Pi -'
4441 City of Tigard MAR 1 5 '21 eis Permit No.: , t
a 13125 SW Hail Blvd., Tigard, OR 97223 Plan Review
t
V +. 0 4 Phone: 503.639.4171 9 Fax: 503.598.1960 � l r C . �: � I ,Ds1�a/By: Other Permit No,:
xG •,= 7 Inspection Line: 503.63 417j
1TIGARD ' )fat Ready/By: Jurir Ri See Page 2for
F`sr Internet: www.tigard- or.gov F 1 f lLD DI�l �11Ot4ei /Method: Su 'tementatlnformation
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• ❑ New construction 0 Demolition For special information use checklist
---- Descri • . Ea. Total
g• • ddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
• I.un-i pi 7a'*( x •/ w qi Ai o . •� � r; ti - T; > E MINj " - Y 'x rt � .r 71
` . .r }} t r t 3 • ti ' : tg Cj •*.k '' , @ ¢w, a� p I t 1 q.i ,� 2 7r f 1$ k,', y q: SPR (1) bath 312.70
-11;,�2. .- �G� ui ` ._. ;� _ l. n i. �`�,v� z � ii3 }u�- �E?.�+� - F 4,� �lr'cF .
❑
Mil
1- and 2- family dwelling U .mmercial /industrial SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building 0 Multi - family
- Each additional bath/kitchen 25.02
❑ Master builder . ,❑ Other: Ba
.ru•�4 -a � a � + tnJ^A 55 c , .te - F.Jr>�sprinklrr ( 5Q-$,1 ��,
';rw; p� s : y ig"F 1 . " FiZu' r a : To , r a itt§ , fir Site utilities:
. ,l ld-. �Ys0 1 '1. w _ ., a = s. I.i...;. "btu
Job site address: 2 A , i /I Catch basin or area dram 18.76 tA.ELW‘Mli !A City/ State/ZIP: ,ttV-�' , M /3 Drywell, leach line, or trench drain 18.76
A) `"/ Footing drain (no_ linear ft.: ) Page 2
Suit dg. /apt. no.: tin U I Project name: A) 4l 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 R.: _. ) Page 2
Water service (no. linear ft: ) Page 2
Subdivision: I I..ot no.: Fixture or item:
Tax map /parcel n0.: /S 3 56 0 4/00 Backflow prcventcr 31.27
3y a r 7- 1 ,�. ����� z Q j ' f 7i t` p , Backwater valve 12.51
t ,A a` ° T w 4 ?. *g -v . ,ati'1'"> _0 . d rl`to "...., fly �C Y".� ' i . , is
, 4 0
•
a
Clothes washer 25.02
., I
i • r I ! • • r .1� Dishwasher 25.02
Drinking fountain 25.02
:f t { Ejectors /sump 25.02
®
'g'.. n ✓ v 0: ~� 7 '' h r t f4 " � 1 x1x' ,y ^
t �A x . ti ' ' , » d 16 � 7 ♦r
� r d u vy M1 8 x 4 F S T lit" 3 t o s J C e za a i , P ansion tank 12.51
,rp .. J_., �w> �''a1kr..�F{vl�' ! �.: I. �,., �d'.C1,�c.rf...�l::�.i.Sl�1�Yn '` dk.�'fi7,li$3� =sxk fi.,T.lu.3"'.x.FY,eulh� E
.- f15lnA � sirt
Name:
Fixture/sewer cap 25.02
Floor drain /floor sin ub V 25.02 0
Address: • Garbage disposal 25.02
City /State/ZIP: . Hose bib 25.02
Phone: ( ) Fax; ( ) Ice maker 12.51
g? z i r ° ! r � l n a r; fop r lmerceptor /greaze trap 25.02
sax► I " �����.a�
Business name: 0 1, 010114,A Medical gas (value: $ ) Page 2
N Primer 12.51
Contact name: `�
P Roof drain (commercial) 12.51
Address: '
f Sink/basin/lavatory Mill 25.02 p p
Ciry /State/ZIP:
I]■ A. _;... Solar units (potable water) ■ 62.54
Phone: (g " ?,..4-y I F ax: : ' .D t41,.4 • 9 2 _,c Tub /shower /shower pan 12.51
E-mail: Urinal ■ 25.02
���Nn , r rr.yartf��,, .r`y, -.•ur r • ^r Ay s Water closet 25.02
• 1S li Y + " :'4' /11 `i:., :21-4 / 1 it ri A d1 il `� G01 1�i
r '�"�"''= --' � ����'���� � t �° � Water heater t 37.52
Business name:` • Water piping/DWV 56.29
Address: 54--1, Other: 25.02
..:. City/State/ZIP : ........... .. _......._ .... _. __..._._.. .,,.. ....... ... .. . .. _ -_ .:. _ .. ., . .. ... Subtotal 97 . 5 4
Phone: ( ) Fax: ( ) Minimum permit fee $72.50
CCB tic.: . ' L37f' Plumbing Lic. no.: -16b P ! Plan review (25% of permit fee)
` / J State surcharge of RM fee) 51 n ,
Authorized signature: TOTAL PERMIT IT FEE Ur, , O
Date: �/
R C J J`•1". r � 2 f � �' ` This permit application expires if a permit is not obtained within 1811 days
Pnnt name:. Jam ) s p '/ i . s j / „ V after it has been accepted asComptete.
"Fee methodology sei by Tri- County Building Industry . Service Board.
1: 11iluildinglPermits \PLDJII- PemrhApp.doc Irun1/09 440- 4616T(10/02/COM/WEB)