Permit A R
'` CITY OF TIGARD
PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: P 3120%6 -00700
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/3/2006
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 500 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: T.I. other fixtures: (4) primers, (1) expansion tank.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: 4 TRAPS:
STORIES: WATER HEATERS: 2 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: 2 GREASE TRAPS:
LAVATORIES: 5 OTHER FIXTURES: 5
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 3 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [PLUMB] Permit Fee 1/11/2006 $381.80
[PLMPLN] Plan Review 1/11/2006 $95.45
Phone : 503-293-2745 [TAX] 8% State Surcharl 1/11/2006 $30.54
Total $507.79
Contractor:
M P PLUMBING CO (MILWAUKIE)
P O BOX 393 REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Contact # : PRI FX 655 -1726
PRI 655 -9161
Reg #: LIC 5002
PLM 3 -17PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature:' _A __ _AC A s k
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
12- 28 -'05 08:18 FROM -MP PLUMBING CO. 5036507050 T -610 P02/02 U -515
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Plumbing Permit Application FOR OEE1 :l: USE ONLY
® ,. Received
City of Tigard f� ®® I V 1 flatc/B,. 3 CjJ . Permit No y._ �/ 2 /0
13125 SW Fall 131vd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Pax: 503,598,1960 ! "at,Rit • A O ther Pcnnit N
DEC 24 - , I i I Bau : S A1:. !Q: -00 pection Line: 503.639.41 uLL S ,i i � [l ate R ea d y : y: / t$ See Page 2 for
Hour w Y } _. pP
Internet: www ct ngard onus
Nonned/Metito4: Supplemental Information
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❑ New epnStttiction I erne Mon For 'ecial informerion use checklist -C
Descri•tion I . Total 4
❑ Addition/alteration/replacement ) f Other:
SS { � r + New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) q-
V . 1 SZ 1 i t !, ' iii ,....44%; .. r ir l is ' .' r . V : I at + tfliar d N : i wk uG i ; r� I x x: r SFR (1) bath 2
{ . 2' 49.20 V
El 1- and 2- family dwellin • / .I Commercial/industrial SFR (2) bath 350.00
El Accessory building ❑ Multi - family SPR. ( a 399.00
Each additional bath/kitchen 45.00
❑ Master builder 0
is +. .,: y t ' Fires rinkler s , R. 2
h�E�.ir; i {. "t i1,, 't t ' `mmm,�____` r f1, �I$ i`E u a Al i i I 'i `i J € f P ( q ) page.
k ' ( � i '., t ..• .,.,.. s P.,��5 l �, 1, IdAi , site utilities
Job site address: f., ,. y , y / . `/ MIMMIIIIIIIMIll Catch basin or area drain 16.60
# a r Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: 1 4 Project name: Footing drain (no. linear ft.: ) Page 2
.'eulf-f`ei Manufactured home utilities 110.00
Cross street/directions to job site: • r • .Clw C
Manholes II 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.; ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or Item
Tax map pare
�Il el rt0
Absorption
„ � , s • � � so Li l
on valve
,. t' � 3114 {{ gg ff ,tt ,,
16.60
{ ,> �s4,_ cr 11 , °:�,ti .- I M1 M1 „' 11 �, i1i t l l,sl, � Ii ll , ial�,t.n.1:. U, Id IY C•,.. Backflow 'r
ptcvctitcr page..
Backwater valve 1 6.60
Clothes washer 16.60
Dishwasher 16.60
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1 vU� ri 1 . t ,:..' t 1` 'MT- � ( s, ! �} Drinking 16.60
ltd r t r t 1
1;01i...11 L � ) i n , : i I ! ' fl d, , I Nl s
J t g,� ! i , �,..a is ods �..,. i 31 i
Ejectors/sump 16.60
Expansion tank gm 16,60 , , ,
Address:
�!
16.60
City /State /ZIP; / i.. /. Floor drain/floor sink/hub K, 16.60 Wi . 'i
Phone ( ) F ( ) Garbage disposal 16.60
. , is ! E{{ s u NIP' � r, , „ b, t ,- I osc bib 16.60
��; €i NIFI k . ; d111 I!- #,,�s a , Iip t" V,p}�,tt 07.,31 Pi
ft . r s• .a v'IA l; Iee maker 16.60
Business name: / '/' / : i
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) =MI
Address: Primer `I# 16.60 r , F
-
11 j/ / Roof drain (commercial) 16.60
Phone: ( ) u Aillillii Fax:: ( ) Sink/basin/lavatory Elli 16.60 .' ,
E -mail:
Tub /shower /shower pan 16.60 ..!...# 1 { 1' ?l , f {{ S , ,s - >:•, tk`I 4 a I , t Urinal .. 16.60 , 11.- M {_: ll af� +T• ,1 :, - ',e 11 iH kI ,:... _ O ,'� ' • I; t , � 1"� �"f„ ��r , l 1` ' 18' 4 , Water close 7 '/
,.,,,,, :_.1, s, s . h. �I r rim 16.60 .
Business name: MP PLUMBING CO. _- Water heater rig 16.60 i
Address: PO BOX 393 Other:
City/State/ZIP: CLACKAMAS OR 97015 /117 Subtotal , 38/. 'v
Minimum permit fee: $72.50
Phone; (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fcc: $3625 �;_ �
CCB Lie.: 5002 Plumbing Lic. no.: 3 - 17PB Plan review (25% of permit fee)
State surcharge (8% of permit fee) 30. ssi
Authorized signature: al/ . .A0/7.y e a
TOTAL PERMIT FEE � ' 79
Print name: TAME GEORGE I?ate://. /r A _ 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 Endustry.Service Board.
i:\ Building\ Permits\PLM_PO.micApp.doc 06/05 440.4616T(10/02/coM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PBC:4005-00700
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/3/2006
Phone: (503) 639-4171 hodiv
Inspection Requests (24 Hrs.): (503) 639-4175 .144 11—
INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7:02AM PAGE: 59
SITE ADDRESS: 10200 SW GREENBURG RD 500 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: T.I. other fixtures: (4) primers, (1) expansion tank
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745
CONTRACTOR: M P PLUMBING CO (IvilLWAUKIE) PHONE #: FX 665-1726
Inspection Request Scheduled For: Date: • 2/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 026306-01 503-655-9161 N .
Corrections/Comments/Instructions:
•
A ASS 0 PARTIAL APPROVAL El CANCEL fl NO ACCESS
0 FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: h Date: Phone #: (503) 718-
v
CITY OF TIGARD PLC
BUILDING DIVISION PERMIT #: a d U .5 00 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ;
Phone: (503) 639- 4171 P ll4 pieill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / w �► � � # O CLASS OF WORK:
SUBDIVISION: LO TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -e Pour Time:
Code # Inspecti n Description Confirm # Contact # Message
3 q e go - 3
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ( CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ca 111.4...A1 Date: 3 ) T) Phone #: (503) 718-
.
CITY OF TIGARD P �
BUILDING DIVISION .. PERMIT #: 2 aU S- cX37O p
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /aalool f ii I�
Inspection Requests (24 Hrs.): (503) 639 -4175 ;±i
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / O 0 2rh2(?4/1 1 C ��� CLASS OF WORK:
SUBDIVISION: L OT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - 7 ' Pour Tim : ' `
Code # Inspection Description Confirm # Contact # Message
3 7? Pi vv`-.'6 S 6 6
Corrections /Comments /Instructions: 1 p 0 32 22_
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
*FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 01! 1►� -..AA' -- Date: .3 / ?iv (, Phone #: (503) 718-