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Permit C ITY OF TI CARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 -00427 ;'1,) DATE ISSUED: 9/14/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135AB 00900 SITE ADDRESS: 10200 SW GREENBURG RD 400 ZONING: C -P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: Interior fixtures. Other fixtures are: (1) new ice maker, (2) primers and capping (2) lays, (2) water heaters & (1) floor drain. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: • SINKS: URINALS: GREASE TRAPS: LAVATORIES: 2 OTHERFIXTURES: 8 � TUB /SHOWERS: SEWER LINE: ft (� 1\ P E6-11/111-) WATER CLOSETS: WATER LINE: ft , DISHWASHERS: 2 RAIN DRAIN: ft 3Lt) a " U • Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 PORTLAND, OR 97258 • [PLUMB] Permit Fee 9/14/2005 $265.60 [PLMPLN] Plan Review 9/14/2005 $66.40 Phone : [TAX] 8% State Surchan 9/14/2005 $21.25 Total $353.25 Contractor: MP (MILWAUKIE) PLUMBING CO P.O. BOX 393 REQUIRED ITEMS AND REPORTS CLACKAMAS, OR 97015 Phone : 503- 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 requ you • , ow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - 0001 -0010 thro► •h OAR 95. - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by •.fling 503 - 246 -6699 • -: 1 I -2344. I-sued By: , ' /� / i / Permittee Signature:k Aj. 0 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. . '1 4* .- /0200 ccug 124. Building Fixtures A ECE V ,W g � e ( 900 5 -ton /),,-,,4 . y" Plumbing Permit Application FOR OFFICE USE ONLY 1.%.- v 2 2005 . City Of Tigard Received ,� Date/By: ( � ( /� � r ] Permit No. p e0 7 13125 SW Hall Blvd., Tigard, OR 97223 ti,:lllrY i n... - , , .,_ _?lan Revie Phone : -- 503:639:4171 Fax - 503.7 598 --- 96G . % 1{ - ' 0� ' u ki_ i :' ;\ Date/By: j J Other Permit No . 24- Hour Ins ection Line: 503,639.4175 th I�CG, Dpt��Q�`yry = r . e ! /� '�� J ��' p e V �a71 V ` ! I,. Date Re /Meth Internet: www.ci.tigard.or.us . . . Notified/Method: lug' H See Pare Supplemental Information Notified/Method: �- 'S�i++i'C�}•'a'.T t{. is "il }L Mfi ;�,. , R . �•K 'S` �. F 7.`sk *s :ih.�'��..e= .,;t .,9u. " : \ :� x�. , �. , r :.c;srr�.. ,: t e:. r.: ,��kf ;. :. _ tea, , i� }. :,. _ . wo - .". :4:. ,�zY;4. ,1 ;, •!1,1.. rx n ;1'r x:° • , � - �`.. ���- .aa<�.,�.��SKAr.- �+r�.,M ..=_ -� ': > - '+C�.� � :C :�» r ., �]!�T'i . .S C.I:!.D,1,I�i`� • • • riv.�i,�..:s k ..,.L:;- :- 'w�.,,,- ....... _. .' 3'.s'�.: � :ii� �.. :': ;;::. _ :' '=�' tit: �� _ :: .. ,r - . : :. • - • � �� ❑ New construction ❑ Demolition For special information use checklist Addition/alteration/replacement ❑ Other: Description Qty. Ea. J Total New 1- 2- family dwellings (includes 100 ft. for each utility connection) "-I" n`'�� °�"r :�it' '_�'�: ".:i a - •a', a:: "- �':•+°k,x .•:. : q tr.;;. • :r_`�G• �e' :;�p a��.�: , -..� - ' .e � Y . , ;' T rVit ©. =a er . (N k ,1 = ;".; (1) bath 2 9.20 sties . ;.; ., . <;r•k SFR 1 bat 4 ❑ 1- and 2- family dwelling F1 Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑Master builder Each additional bath/kitchen 45.00 ❑ Other: y „ t om, . 5 ; �, ;µ b Fire sprinkler ( sq. ft.) Page 2 4 1 'Q x '�'- • "`', =� =e --- �' °a:�:� :: Job site address: Site utilities - / / y '' -/ �0 %I %!.I /// .d L i Catch basin or area drain 16.60 City/State/ZIP: f% - - Drywell, leach line, or trench drain 16.60 • Suite/bldg./apt. no.: Project name: i /� Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 110.00 /� �/� %� Manholes 16.60 l V �� A/ Rain drain con nector 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 /16 - 49 Tax map /parcel no . /4/16- 4 9.6. "QO Feo • r 5" ._ > r"'e`'s. '; _ a r ,, x.. „ a Absorption valve 16.60 ' :? .tx. ' :z.J 4 `^,:.. :ms ., -'e <� F,.YI.a ; 4 . VZ' taV. � : Backflow preventer Page 2 IF F7 / /. ' Backwater valve 16.60 !: m s °= . • 1'6.60, i t t Ejectors /sump 1660 • N • ame: ////7„ ,,e, . • • Expansion tank 16.60 ih Address: Fixture /sewer cap 16:60 , City/State/ZIP: • , ' Floor drain/floor sink/hub lJ /hub . 16.60 C�a� tiJ Phone: (. ) _ G Fax: ( ). Garbage disposal 16.60 ..: , , , I „'.` -a P )F. R 1� v� Hose bib 16.60 , Ice maker / 16.60 '/. 6 _ Business name: / Jd 7 I4 tt Interceptor /grease trap • 16.60 • Contact name: ile�Z Medical gas (value: $ ) Page 2 Address: Primer 16.60 55 • "0' City/State/ZIP: Roof drain (commercial) . 16.60 Phone: ( ) ,Q * 9ai j Fax:: ( )I 7t, /f�j�'7 Sink/basin/lavatory 16 �� , j vv ��''�� l ` 7p -2. Tub /shower /shower pan 16.60 E -mail: a cs• U r i na l :ss ;# { : rt - s ;.ti . » z u s . > . ,, 16.60 !� '. - cw,,,',„,, ,iii. , :A ;-' ham ^:: .`r.," ire , ,- , :{ v:. : ' ,„ , 7,. t i ." {, ar � !ry'' y �a . . F s ;s.. . '.', •9 34 , ` *i :. ;>t , . + . crs' ,f , 5 :; r .; �3 ��`t�'.. . l:M�.w- ..r:«�Ok�. ,�, s.F�.4�.,• .7.'. rr 4a�.srnT�:�.x , a r»v.? :.^ :,'=2',• <�.; :y Water closet 16.60 - Business name: #•_'--• Al ��, Water heater 16.60 33* ,tcfiyyt7/ Address: Other: IA City/State /ZIP: / Subtotal eG " ���, � /9,7 9 Minimum permit fee: $72.50 Phone: ( ) / Fax: ( ) , * `� 5 0 Residential backflow minimum permit fee: $36.25 � r Plan review 25% o f ermit fee 11 `r.. Plumbing Lic. no.: / ( P ) / Authorized signature: ad/Ar r % / �� ,/, State surcharge (8% of permit fee) I "�` }r / TOTAL PERMIT FEE Me Print name: l /77, C� f � /;�! D ate:.• r ' t T his p ermit application expires if a permit is not o btained within �' // ! / f 180 days after it has been accepted as complete, • *Fee methodology set by Tri -County Building Industryervice Board is\ Building\PermitsTLMF- PerrnitApp doc 12/03 440 4616T(10/02/COM /WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006-00427 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .„..,..,..Nk '.!..E. INSPECTION WORKSHEET FOR DATE: 11/15/2005 ' TIME: 7:02AM PAGE: 78 • SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: Interior fixtures. Other fixtures are: (1) new ice maker, (2) primers and capping (2) lays, (2) water heaters & (1) floor drain. 11/8/05, ADDING RP DEVICE FOR SWAMP COOLER. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-655.9161 Inspection Request Scheduled For: Date: 11/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 021277-01 503-655-9161 Y Corrections/Comments/Instructions: - . / .e/ Z .../_- - A 4fit /.--‘A7.------e . • ... or ,-- / _ ._ ■' Ill 4 _. • , r . y _ L PASS 0 PARTIAL APPROVAL n CANCEL 0 NO ACCESS fl FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: /7?), 0 Date: , Phone #: (503) 718- • r . - CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005.00427 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005 Phone: (503) 639 -4171 dl 11 dill �i�l "�� Inspection Requests (24 Hrs.): (503) 639 -4.175 INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7 :06AM PAGE: 14 SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: Interior fixtures. Other fixtures are: (1) new ice maker, (2) primers and capping (2) lays, (2) water heaters & (1) floor drain. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503. 655.9161 Inspection Request Scheduled For: Date: 11/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 020255 -01 503- 655 -9161 Y Corrections /Comments /Instructions: 4-T q• CLIC- 06,L'7 3K5 c oFf I r r ►,�. ASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: # Date: , 0 Phone #: (503) 718- . 0 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005-00427 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005 Phone: (503) 639-4171 - aikoldfilei Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/2Ed2005 TIME: 7:10AM PAGE: 64 SITE ADDRESS: 10200 SW GREENBURG RD 400 ,6 V etrej-2 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: Interior fixtures. Other fixtures are: (1) new ice maker, (2) primers and capping (2) lays, (2) water heaters & (1) floor drain. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-655-9161 i Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 019236-01 503-655-9161 Y Corrections/Comments/Instructions: c . .. 0 AIL -Al I" 7 0 PASS PARTIAL APPROVAL 0 CANCEL I I NO ACCESS 0 FAIL CALL FOR INSPECTION r] ADDITIONAL FEES ASSESSED Inspector: /M4-- . .. Date: r , ii / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLIv12005-00427 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005 Phone: (503) 639-4171 J40051 it?\ Inspection, Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 32 SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME:. NORPAC DESCRIPTION: Interior fixtures. Other fixtures are: (1) new ice maker, (2) primers and capping (2) lays, (2) water heaters & (1) floor drain. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-655-9161 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 019007-01 503-655-9161 Corrections/Comments/Instructions: Jo Lf r 1 0 e• SL4 , 14--c r , goo Certi e0,6 tic) Le-,A. o / Aire/ek ti.)11 k-A2 pl vv„td-L. D . f(1/4, L-fr• r-L)4.s.L.,,r,g-c. -46 ),2 • 0 PASS PARTIAL APPROVAL 0 CANCEL 17 NO ACCESS FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: (1 Date: Co l2' J.oc l Phone #: (503) 718- _ „ : - CITY OF TIGARD ,-,,:_ __ , • - , BUILDING DIVISION c, . . PERMIT #: PLM2005-00427 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 .. v rptitiiit Inspection Requests (24 Hrs.): (503) 639-4175 9/14/2005 ..„....J.Ifr ...... ';• INSPECTION WORKSHEET FOR DATE: TIME PAGE: 9/30/2005 7:05AM BO • SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 10200 SW GREENBURG RD 400 LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: Interior fixtures. Other fixtures are: (1) new ice maker, (2) primers and capping (2) lays, (2) water heaters & (1) floor drain. OWNER: PHONE #: EQUITY OFFICE PROPERTIES TRUST, CONTRACTOR: PHONE #: MP (MILWAUKIE) PLUMBING CO 503-655-9161 Inspection Request Scheduled For: Date: 9/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final L..rHA 017103-01 503-6559161 N Corrections/Comments/Instructions: _.......■ - ' 1111111 f I ,- .....v . El PASS I I PARTIAL APPROVAL III CANCEL 1111 NO ACCESS • FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED InSpector: n Date: • ii-a Phone #: (503) 718- . . . i , . • I . _ I