Permit CITY TIGARD PLUMBING PERMIT
° ` COMMUNITY DEVELOPMENT PERMIT #: PLM2006 - 00571
- TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/29/2006
PARCEL: 1 S135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD ZONING: R -
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
Project Description: Pull and reset water closets and urinals in all common restrooms of Two Lincoln and Three
Lincoln.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: 20 GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 50 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST
ONE SW COLUMBIA ST #300 Description Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 11/29/200€ $1,162.00
[TAX] 8% State Surcha 11/29/200€ $92.96
Phone : Total $1,254.96
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503 -650 -7050
Reg #: LIC 5002
PLM 3 -17PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 -0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of
these axles or'direct \tions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/
I ued By: k ��� Permittee Signature: _
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. Q
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.
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Plumbing Permit Application • .. FOR OFFICE US ONLY
City Of Tigard Received / b p� f �g655 7(
Date/By: // ' ' Q ' it / Permit No.: U�j.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /fir I Other Permit No.:
24- Hour Inspection Line: 503.639.4175 . -- "
..
Date/By: ` Date Ready /By
Internet: www.Ci.ti�ardAr.us � ' � -
. jtl" ' ®See Page ?for
a Notified/Method: ,4 (22 Supplemental Information
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❑ New construction ❑ Demolition For special information use checklist
Description I Qty. Ea. I Total
[Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
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:` N ti` A L GQRYM UE:;G(;d STRIItaT I Oi;,.,,I 0 ' - ,,, . :,.: ut ` SFR l bath 249.20
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❑ l- and 2- family dwelling Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
l Each additional bath/kitchen 45.00
❑ Master builder /09-'7 ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
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Job site address: ` ./,/,79 ,, ./7/. 1ki1,/g ./(, Catch basin or area drain 16.60
City /State /ZIP: t1 d) /-4 '7'2. 5 Drywell, each line, or trench drain 16.60
Sue / Footing drain (no. linear ft.: ) Page 2
ldg. /apt. no.: t 3 Project name: 1 d��l 6, :ahki., hkv 07 Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: /.'SI 5 f} ICY�), q 60 MO Fixture or item
Absorption valve 16.60
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` �: ,:,.. 'w:.. , ,v- ,..:•,,.,� , ;, > a,, ev =,.. °., Backflow preventer Page 2
fae// it / /l J .y! /.,a ,Gtro2411( /,/ r 'Y//y,, ,47 Backwater valve 16.60
/kid t we i97 ile/1z.a , V i [ 314. . 5" Clothes washer 16.60
f / / / Dishwasher 16.60
w i : , ... _ , , .s E . °1, : ia s ° i Drinking fountain 16.60
.' i?120PE .o Y OWNEm . ,,`''' TENA °. :` .`
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Ejectors /sump 16.60
Name: Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
:. r „_;z;M�:v •::s,,,,wa�,, ;�o.� =,,,;:� '6-N6'144% Hose bib
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n yr . e#PPI'ICr#i I' :< GQ ACT >>PE,,,,
,ra�� .. ... ��- fx . ,,e _ Ice maker 16.60
Business name: MP PLUMBING CO.
Interceptor /grease trap 16.60
Contact name: TAMI Medical gas (value: $ ) Page 2
Address: PO BOX 393 Primer 16.60
City /State /ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: (503) 655 -9161 I Fax: : (503) 650 -7050
Tub /shower /shower pan 16.60
E -mail: Urinal Z 16.60
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` �, �� �, ; ^ ; ; €� �,. Water closet 16.60
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Business name: MP PLUMBING CO. Water heater 16.60
Address: PO BOX 393 Other:
City/State /ZIP: CLACKAMAS OR 97015 Subtotal //j
Minimum permit fee: $72.50
Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: $36.25 ,
CCB Lic.: 5002 Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee) hi, } J oyew
Authorized signature: l7 State surcharge (8% of permit fee) i2.
/U. 4,1
TOTAL PERMIT FEE f19./. 0.
Print name: TAMI GEORGE Date :f / 1742 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
i:\ Building \Permits\PLM- PermitApp doe 06/05 4404616T(10/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: PLM 0&00571
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639 -4171 �� ci
Inspection Requests (24 Hrs.): (503) 639 -4175 M '■ ' ! �.
INSPECTION WORKSHEET FOR DATE: 11/30 /2006 TIME: 7 : 00AM PAGE: 63
SITE ADDRESS: 10220 SW CREENBURC RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: LINCOLN CENTER _ '
DESCRIPTION: [Puff ati i triat edocets and iiii alc )0_alLtornmon_r asoon T LIWI t . '► : r tinc
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP (IVMILWAUKIE) PLUMBING CO PHONE #: 503-655-9161
Inspection Request Scheduled For: Date: 11/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 040449-01 503 -655 -9161 Y
Corrections /Comments /Instructions:
3 r i e)/ p e ,,,,\AN-N,
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%] • i SS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
is FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED •
p r"I' y ( ) /
Ins ecto . f Date: � / I Phone #: 503 718- ���
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CITY OF
��m n m n~�n TIGARD
BUILDING - '
~�"°"~~"~~"° PERMIT #: PLkA2OO�00E71 SW 13125 SW Hall Blvd., Tigard, OR 97223
��8��U�U��� DATE ISSUED: 11/29/2006
Phone: (503) 630'4171
Inspection Requests (24Hm.):(5U3)63S'4175 � ° ���
INSPECTION WORKSHEET FOR DATE: 1/3V2007 TIME: 7:07Ak4 PAGE: 39
SITE ADDRESS: 10220 SW GREENBURG R[} CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TMREEUNCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: LINCOLN CENTER
DESCRIPTION: piiitAtaater iilri closets and urinals in aU common restrooms of Two Lincoln and Three Lincln.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503
Inspection Request Scheduled For: Date: 1/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 041719-01 603-665-9181 Y
Corrections/Comments/Instructions:
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K PASS PARTIAL APPROVAL CANCEL | NO ACCESS
0 | I FAIL ri CALL FOR INSPECTION �� ADDITIONAL FEES ASSESSED
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Inspector: v Dade� / ^ L� 7 Phone #: /503\ 718