Permit 1, I
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C ITY OF TIGARD PLUMBING PERMIT
� 4 � z � I DEVELOPMENT SERVICES PERMIT #: PLM2006 -00296
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/7/2006
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD ZONING: R -
SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT: 009 JURISDICTION: TIG
Project Description: Cut & Cap (2) sinks & (2) fountains in common area between bldgs 2 & 3.
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: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 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 6/7/2006 $72.50
[TAX] 8% State Surcha 6/7/2006 $5.80
Phone : Total $78.30
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 655 -1726
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 rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: �� Permittee Signature: $Q . c?)T.tc)
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
06- 06 -'06 11:08 FROM -MP PLUMBING CO, 5036507050 T -893 P02/03 U -620
Plu.txmbin Permit A -.+_>'l fs • ' �D IOR (ni t.;' i NIA
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City of Tigard Q��O Rncaivoa -
Permit No.: `` /�
13125 SW Hall Blvd,. Tigard, OR 97223 6 7 Dato /B . b i 1 1�:� y � fv,,. - ,
Plan Review
Phone: 503.639.4171 Fax: 503.598.19 60 F T1GfRD i�«n rv1�tik�+ 1 A pate /By: Other Permit No.:
24- Hour Inspection Line: 503,639.4175 CITY 1 • rJ Ii -
Internet, www ct hgard.or us p114 N1S ,-�±;, Da Ready/ay; Jur s:
�, D o 1 J ® See Page 2 for
;�� V11- y > Notttfed/MYthod v Supplemental Information
a 1" "� "•vu4 �illlr4 � {� 1 .t(�{ � M� +d 6' . �bl , p � j r l1 t St +1,� ����t�� }� �� Rft %r li9 .,`, 9� i Y M. " �;• � l,'i( t+•.* xi . t tn -;�
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t fl1.41v11' 4IIIi, ,4 +zX<,($ ii ' 1 ' S •ki, , }a i. ' ",c {4l .ti4451, q '57'. �i'� .` 1 , ",� t � ( ? , + U f .i� ; .
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❑ New construction ❑ Demolition For special information use checkllsa
Description I Qty. j Ea. I Total
PA Addition/alteration/replacement 0 Other: { New 1- 2 -family dwellings (includes 100 ft. for each utility connection)
+ Y ii % M1 r1�J) rl+.�+l£f } �4F i R s�• , , r Yl:2 J r q 1 'j�t �i { l,(I,N M A'4'r S r t J tP,
� ' � sa t ,.. .,'f u,;tu +t Ivy u s , ! d n} SFR (I) bath 249.20
[l 1- and 2- family dwelling Pi Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bat!' 399.00 _
❑ Master builder Each additional bath/kitchen 45,00
❑ Other:
+ /7 u+ tt p< tr y PAMPA" Fire sprinkler ( s . ft.) Pa e 2
r< add-,: ,/ r ukaat � �, r � + ikl , c 1 ,v 1; , Site utilities
Job site address: A? , I ,/...4 4( "!/1,., , ', Catch basin or area drain 16.60
City /State /ZIP: G A ,,. I / ." .. ` Drywell, leach line, or trench drain 16.60
Suite/bldg, /apt. no.: Project name: id /. j / /,/ / � � ! Footing drain (no. linear, },; ) Page 2
Manufactured home utilities 1 10.00
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
• • Fixture or item
Tax map/pareel no.: _
afi tvt 1 +ti ) z r, +� �r z= ) r� v , w� : te r (s, Absorption valve 16,60
l ,, do i II t j�tEk Sj ," , v t , �+' � �d 1 I h'3,�y6, 41 , i ' i �' rro i d t i1!it, ----
4 4 )• 2`l1 ; :l q.,. . , A.�. ,.ih,S, t t .y � . A 'il't�SS4e 11 i�.I '1'. '•l'' S' ti' +i '
s s,it4rPi 13ackflow prev(nter page 2
h e/ A e.� l I' ili 'y,/ a . / , %/AO Backwater valve 16.60
1° • y , ' _,-4id II Y2 / , 12 Clothes washer 16.60
Dishwasher 16.60
' Pe. l7i i t 'fit ;' Q q t 1J ° y {t> i i+ r 3 . 1 , i1!k) Drinkin g fountain 16.60
n ' 4_J , d d f1 , V . 1 ,, 4 l ? i �^•lS(�i .. )7% ,?tj 7W 'sYr^?5s '�" ^? �, • », qtr lL +arc, .l Ejectors/sump 16,60
Name: �h �\ W \ �. . 4-11 Expansion tank - . _ 16.60
Address: 0 c4\0�.\-'\ Qf `.. 3� Fixture/sewer cap 7. 16.60
P +?/
City / State/ZIP: -3 ` �� o - lb 0.0-- - Floor drain/floor sink/hub 16.60
Phone ) ''::`` `� f Pax: ( ) Garbage disposal 16.60
yM ' ' )'i` ?} ' I PM `: 717 } Y 4A4 / t, t . . QAiR F! . y . �t . 4 1 64 CF+ I Hosc bib 16.60
wd Ice maker 16.60
Business name: MP PLUMBING CO.
Interceptor/grease trap 16.60
Contact name: TAME Medical gas (value: $ ) Page 2
Address: PO BOX 393 Primer 16.60
City /State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Phone: (503) 655 -9161 l Fax: : (503) 650 -7050 Sink/basin/lavatory 16.60
-
E-mail: Tub /shower /shower pan 16.60
•
UAW )- ,� r + � �t+, y v, m ^ � ''Y �, pp �• k 1 °p F� x +�4 rt"�QPt r 4 Y Urinal 16.60
(al , 'N KiI� R Y;?f r) , .I 1 RAW , i W �'t �'N'''-;, A , A , �. "'en:, Gtfi . •I , t�;�r p lr�;f ; j4, t o t tr • ,t , . i , , x _ ■ Water closet 16.60
- _
Business name: MP PLUMBING CO, Water heater 16.60
Address: PO BOX 393 • Other, � � , City/State/ZIP: CLACKAMAS OR 97015 Subtotal
Minimum permit fee: 872.50
Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: 836.25
CC13 Lic.: 5002 Plumbing .Lie_ no.: 3 -17PB Plan review (25% of permit fee)
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State surcharge (8% of permit fee)
Authorized signature: 6.t'2 /�5: ` t ' ' TOTAL PERMIT FEE t
Print name: TAM! GEORGE (%/ Date: f' .. j22 This permit application expires if a permit is not obtained w • in
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1:N13011diag \Permits \PLM- PermitApp.doe 06/05 4404616T(10/0?JCOM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200&.00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2006
Phone: (503) 639-4171 Azy 1\
Inspection Requests (24 Hrs.): (503) 639-4175 JJJ' IL
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7:01AM PAGE: 76
SITE ADDRESS: 10220 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERri LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: LINCOLN TOWER 2 & 3
DESCRIPTION: Cut & Cap (2) sinks & (2) fountains in common area between bldgs 2 & 3.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP (IVIILWAUKIE) PLUMBING CO PHONE #: 503-655-9161 .
Inspection Request Scheduled For: Date: 11/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 039243-01 503-666-9161 N •
Corrections /Comments/ Instructions:
•
SS I I PARTIAL APPROVAL n CANCEL I I NO ACCESS
ri FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /777/1—("C Date: 11(5 6 Phone #: (503) 718-