Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00456
.I-�.. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/10/2006
PARCEL: 1 S135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 450 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Plumbing fixtures. Other fixture primer.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST
ONE SW COLUMBIA ST #300 Description Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 10/5/2006 $83.00
[TAX] 8% State Surcha 10/5/2006 $6.64
Phone : Total $89.64
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 rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: - TYr- j�' �+ n � Permittee Signature:
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.
10- 04 -'06 13:44 FROM -MP PLUMBING CO. 5036507050 T -598 P02/03 U -373
'-- RECEIVE() /s/35 -50
idinbinlg Permit A licatio . - .. i.oR OFFIC :: :SE: ONLY
City f T�
i arc � l ����
Received i
131 SW Hail Blvd„ Tigard OR 97201TY OF 1UPAHL : Date/By: D J 06. ide permit No . . r. le C:
Plan Review
Phone: 503.639.4171 Fax 503.598t19,XIA NG D I V I S I O P `' " ''i1 4f' �I Date/By: Other Permit `• t ' , lib , ivp
24- Hour Cnspection Line 503.6394 ( •
Date Ready/By: � ® See Pagel for
Internet: www Cl ttgard or us Notified/Method Supplemental Information
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0 New construction ❑ Demolition rot sped& information use checklist
, Description 1 Qty. 1 Ea, I Total
;� ( Addrtton /alter ❑Other d New 1- 2- family dwellings (includes 100 ft. for each utility connection)
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❑ 1- and 2- family dwelling P7 Commercial/industrial 7'j SFR (2) bath 350.00
❑ Accessory building [] Multi - family SFR (3) bath 1 399.00
0 Master builder ❑Other: Each additional bath/kitchen 45.00
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Job site address: / ' / / 1. Catch basin or area drain 16.60
M Drywell, leach line, or trench drain 16.60
■
ui 4 .ldg, /apt, no.: 42111 Project name: ,�•y� . : ; Footing drain (no. linear ft,: _____) Page 2
Cross street/directions to job site: / , , Manufactured home utilities 110,00
'� i-�. ?_ Manholes III 16.60
Rain drain connector 16.60 I
Sanitary sewer (no. linear ft.; ) Page
Storm sewer (no. linear ft.; ) Page 2
Subdivision: Lot no,: Water service (no. linear ft. ) Page 2 •
Tax map /parcel no.:. Fixture or item
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S.;,.tl Backllow prevente[ Paget
/ • y , Backwater valve 16,60
Clothes washer 16.60
Dishwasher 16.60 j ifh
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Name `' �` Ejeotor3 /sump 16.60
Q Expansion tank 16.60
Address: Fixture /sewer cap -- 16.60
City /State/ZIP: Floor drain/floor sink/hub •III 16.60 VW
+ Phone ( ) Garbage disposal 16,60
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1., M.,, e., ,�t r,...r,; x,..at. ice maker I6,60
Business name: MP PLUMBING CO. Interceptor /grease trap 16.60
Contact name: TAMI Medical gas (value: $ ) Page 2
Address: PO BOX 393 Primer E . 16,60 C , p
City /State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Phone: (503) 655 -9161 I Fax: : (503) 650 -7050 Sink/basin/lavatory 16.60 , ,/
Tub /shower /shower part 16.60
E-mail: Urinal
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ei"rr 0 �( r S� .... r. t r �., ;D t,, _. .`S. '11. ,N.K+I r)..,< f Water closet 16,60 /�
Business name: MP PLUMBING CO. Water heater n 16.60 ll%
Address: PO BOX 393 Other, M111111111111 .
rG a.
City /State/ZIP: CLACKAMAS OR 97015 Subtotal III
Minimum permit fee: $72.50
Phone: (503) 655 -9161 Fax; (503) 650 -7050 Residential backflow minimum permit fee; 536.25 r
Plan review 2 ° '� °�'
CCB Lie.: 5002 ��� Plumbing Lic. no.: 3 -17PB (5 /o of permit fee) �y/�
Authorized signature: ,; State surcharge (8% of permit fee) f 4
TOTAL PERMIT FEE `j , r
Print name: TAMI GEO ' - Date: i . , Al This permit application expires if a permit is not obtained wr• bin
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County $tyilding dusttyycrvicp,Bo(w�
is \Building\Permim\PLM- PgrtgitApp .doe 06/05 440- 4d16T(10/02/COM/Wsa) /,) G (0
1 1
CITY OF TIGARD .. .
A _
BUILDING DIVISION PERMIT #: PLM200G- 00456
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ 10/2006
Phone: (503) 639 -4171 k pn i�I
Inspection Requests (24 Hrs.): (503) 639 -4175 II A '' 1 1
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 34
SITE ADDRESS: 10200 SW GREENBURG RD 450 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: POLLMEIER, INC.
DESCRIPTION: Plumbing fixtures. Other fixture primer.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503 - 655 -9161
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 039790.01 503.760 -3222 „ Y
Corrections /Comments /Instructions:
a: , i , t
. d .
PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: J l/ 6 Phone #: (503) 718 -
_ ' '
CITY OF TIGARD ���� . - '
��m m m n~�� n x����nm�* `
BUILDING DIVISION /� PERMIT #: PLM2006-00456
13125 SW Ha|| Blvd., Tigard, OR 97223 DATE ISSUED: 10y10/2006 1
Phone: (603) 639-4171
Inspection Requests (24 Hrs.): (503) 639'4175 ���+/�
INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7:01ANi PAGE: 10
SITE ADDRESS: 10200 SW GREENBURG RD 450 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: PQLLk4[]ER.|MC.
DESCRIPTION: Plumbing fixtures. Other fixture primer.
OWNER: EQUIP/ OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503'655-9161
Inspection Request Scheduled For: Date: 1{y2{/2008 Pour Time: `
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 888693-02 503-780-3222 Y .
Corrections/Comments/Instructions:
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t, -_4 � ~
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I I PASS . PARTIAL APPROVAL --
PASS CANCEL n NO ACCESS
FAIL ri CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED
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Inspector: M L v� ^/ ' Date: /1)112-6P �� Phone #: (503) 718- ~�-~' --
� ��- �~~- ' ' � ` '
CITY OF ' _
��nn m ��m TIGARD
BUILDING DIVISION '` ~•
� ~~~""~~~°""�~� ~~^°"~~"~~"" k , .. `r PERMIT #: PLM2006-00456
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2006
Phone: (503)G3Q-4171
Inspection Requests (24 Hrs.): (503) 639-4175 Jit la
INSPECTION WORKSHEET FOR DATE: 10V12/2006 TIME: 7:01AM PAGE: 77
SITE ADDRESS: 10200 SWGFlEENBURBR[)450 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: POLLMEIER, INC.
DESCRIPTION: Plumbing fixtures. Other fixture primer. .
OWNER: EQU1T OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-655-9161
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 038047'01 503-665-9161 Y
Corrections/Comments/Instructions:
.
'
ApASS .
n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ri CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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