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Permit E ''CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00498 TIGARD DATE ISSUED: 11/7/2007 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 470 ZONING: C -P SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG PROJECT: 7- ELEVEN INC Project Description: Relocate breakroom sink. 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: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: • WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft • Owner: FEES EQUITY OFFICE PROPERTIES TRUST ONE SW COLUMBIA #300 Description Date Amount PORTLAND, OR 97258 [PLUMB] Permit Fee 11/7/2007 $72.50 [TAX] 8% State Surchar€ 11/7/2007 $5.80 Phone : Total $78.30 Contractor: MCKINSTRY COMPANY LLC - CCB 172811 12021 NE AIRPORT WAY STE G PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 - 331 -2461 FAX 503 - 331 -6906 Reg #: LIC 172811 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 rul e set for . OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by call' g 503.246.6699 or 800 32.2344. Iss ed By: / Permittee Signature: �Il l l��� 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. NOV -07 -2007 16 16 MCK INSTRY CO 503 331 6906 P.01 PlumbinnPermit Application 1.01; 0I, 1. I( I. i,,tit' OM. l . City Received A 13125 o Ti Date/By; (/ f Q `J I Permit No.! 2,Qn/,?� r , Q . a 13125 5W Hall Blvd.. Tigatd, OR 97223 Plan Review ^lvtKJ s� • Phone: 503.639.4171 Fax: 503.598,1960 Othar Permit NO.: I WARY Inspection Lino 503,639.4175 Date ]Ready /By: .t El Sec Page Z for I nternet: www.tigard- or.gov Notified /Method: / • Supplemental Information ' ;rl °ri.v � tt °'.:. ' } "" � � � .,�� �,y ; I, ii,; ii,, `° "' ' 1, 7 : i; �' d ;',flail;t��qk.n ' i' ;1'4. I d ", " p r '.;11: I) Alll5;Wn`Y' 1 r „;i ,; ', rilO a F,� � �''�( 1 i' ,r1�, �, � ( i,,' „ ,h ''•) ��, O) U4 " „1, „,: m,. I',, ,„.,: ,,..,�t ;' ,” „ �..�u, r�' ;,rid ,�„�,�, � � � ■ ,, �di .'.q p , Gy �81Cn6.., „'. , � �� ,' ' � .I,,, i,rd�; , "�^'Yi`f�: � � .h ,,, 0 New Construeti0n © Demolition For special information use checklist. p � Ocscnption E a. { Total 5�'. Addition /alteration/replacement 0 Other New 1- 2-family dwellings (includes 100 R, for each utility connection) ;4. d," ' ;t; , ; 6;, r ,,l,h „ f,',4' ,■P' : ;1 C18 ` t , $Gb . , C)0 i 610110 r UN4„ ',; ,. ,I SFR (I) bath 24920 Q I - and 2- family dwelling Commercial /industrial SFR (2) bath 350.00 — © AcCe$sory building Multi- family SFR (3) bath 399.00 Each additiortl bath/kitchen 45.00 ❑ Master builder I Other: Fire sprinkler (_ sq. ft.) Page 2 ..'lf.,',i;! ;', '' i : ; 4 OBl1 , „ r i*c.1;,A(I3i61!lp ,, : , ' : ( i ! fi ; v i � �� �i1P„'.,`�„„ 'ri.,,, � � ” li �' � ; '; ,, ' Site utilities Job site address: /0 - 2 - 21:1 9 , r ,. r p get Catch basin or area drain 16.60 Cily /StatefZTP: Tr • D 7 Drywell, leach lint, or trench drain 16,60 Suitc/bldg. /apt, no.: r p— 9 -ma Project name: 71 1 c Footing drain (no. linear ft.: _) Page 2 Cross street/directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary Newer (no. linear ft.: „_) Page 2 Storm sower (no. linear ft.; ) Page 2 Subdivision: I Lot no.: We= service (no. linear ft.: _) Page 2 Tax map/parcel no., Fixture or item ,1,77r; �i a° ' •",'�''` „ �YI', "i;Slr "),r� " % ,�/7p �,'''Ry�,lY ".�� 0' „ 'I , ' i',i 'rl 1 'i 1, Absorption valve 16.60 �Y. 'ii,r n'''iiS °L! r ' :'' °,; ;,' ,�di :,∎'' o Y IP, f�`�prf , ' l �r,i ,,',,`I " '',5', , ,'d-, ., ; ''e�•i ,I���. BUCkfIOW Pi 'eVBtlter Page (Ze.. ( n Cot , b /-Caa/r. 5 ;1 Backwater valve 16.60 ,-���., Clothes washer 16 -60 Dishwasher 16.60 Vy.1 n n; , Drinking fountain °i'� "it \(11�i,a ... ,, TM pr - r ;, „i' „I ;�,I „I y: ; ' r ' I ,a ; � (,. �,i ; " ,ill e'�" ' "r „r,„ A nk' g 16,60 m - i ; l i i ,, h 11i� ''l8 i1 iiiiR, i lly ai Yl) i ! r �n , � iii l `I �v,. 'i °i_' 16.6 4 iFk " , „ Ik . „ � l;, ' ",1 Vh",b3 C'';'''' e I r, ' � , _ ' "' E Name: Expansion tank 16.60 a Address: Fixture/sewer cap 16.60 City /State/ZIP: Floor drain/floor sink/hub 16.60 Phone ( ) Fax: ( ) Garbage disposal 16.60 '. ryy� ,� •'�rl l' ;l iil,n i'�'1i1 'Ir61'y'4111'vn,l , '�,,"' - Me bib 16.60 ;�t r `�1 ' � i !u'l (`i 0!!,l,r",, ;,,. 16.60 Business name: 1 e maker . �Gk 1 1 � e el . 1 tercoptor /Rrcesc _ 16.60 Contact name: •ass. edical gas (value: $ ) Page 2 Address: VI o- / /v S A rpm W t S-i-r 6- P :mer 16.60 City/State /ZIP: Pu r - -), a / Ork C 7� R of drain (commercial) - 16.60 Si 1c/basin/lavatory 16.60 Phone: ( Sb) ) 33/ p 46t Fax: :(S 5 3) . ,/ ��1(?L M b /shower /shower pan 16 -60 `� t z.,044 E- mail: `�U i1C lNl( l� l /1S /', can: ,)3 t (� �` , �� l,il, I„ b. ∎/ o `y y " o ' I i� ; !y itici '� ';' : , H : �' ',,' ,t0 . U al 16,60 - - - 1 � I;� 1 , !( """�a ;y i '' � I �i , Ir ;�,�� J �; Wa 'r closet 16.60 Business name: ' Wat el er 16.60 Address: Other;' (o St ^ City /State/ZIP: ". Subtotal Minimum permit fee: 572.50 Phone: ( ) Fax: ( ` ) Residential backflow minimum permit fee: 536.25 COB Lic.: '3 z ij(1 / it 1 le log Plumbing Lic, no,: 37_) Pis Plan review (25% of permit fee) Authorized signature: / ,q,_._--- State surcharge (8% of permit fee) TOTAL PERMIT FEE Print name: � A QNy,4 R v Date: (( o 7 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • `Fee methodology set by'Thi- County Building Industry Service Board. 111 BU110 ILQ\taemlits \YLM- YmnitApp.doc 06/26/06 440 -'6 IGT(10/021C0M/Nsa) ■ , ' CITY N�^����U���%���� _ ��w u n OF u n���mn��� ^ BUILDING DIVISION PERMIT #: PL&82007004$8 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/712{)7 Phone: (503) 639-4171 Inspection Requae�C24Hm�:K�%B63Q~�175 Jilt � '� J� . ' INSPECTION WORKSHEET FOR DATE: 164/2008 TIME: 7:01AhA PAGE: 53 SITE ADDRESS: 10220 SW(}REEMBU[}G RD 470 CLASS OF WORK: SUBDIVISION: LINCOLN LINCOLN LOT #: TYPE OF USE: PROJECT NAME: 7 INC DESCRIPTION: Relnooi*brmmkqo*m sink OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: K4CK(NSTRY COMPANY LW-CCB1720i1 PHONE #: 503-331'2451 Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 062557-01 503.572-1641 Y Corrections/Comments/Instructions: *� « i � �����*�� 9/tj • K PASS PARTIAL APPROVAL El CANCEL fl NO ACCESS || FAIL _ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED _ Inspector: Date: I /// r` �� Phone #: (503) 718- - - CITY OF TIGARD BUILDING DIVISION A PERMIT #: KM2007-00498 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007 Phone: (503) 639-4171 :APp Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/19/2007 TIME: 7:00AM PAGE:, 47 SITE ADDRESS: 10220 SW GREENBURO RD 470 CLASS OF WORK: y SUBDIVISION: LINCOLN CENTER/IWO LINCOLN LOT #: TYPE OF USE: I PROJECT NAME: 7 INC DESCRIPTION: Relocate brealqoom sink OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: MCKINSTRY COMPANY LLC - CCI3 172611 PHONE #: .W3-331-2461 Inspection Request Scheduled For: Date: 12/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 061602-01 W3-331-2461 Corrections/Comments/Instructions: 6 cA 7 r 1.- NebtA-A . cc- P-cLetwt-v ow„,4 gotfrass-, --k c_A 5 2 as vs c J-1 ( ,f k ,c10 El PASS 7 PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS ■2 FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: (3 d\' Date: I/24 1I ( CY? Phone #: (503) 718- CITY OF TIGARD .. _.. BUILDING DIVISION PERMIT #: PLM2007 00190 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007 Phone: (503) 639-4171 �' 0� m i°l i l ¢ S 1 Inspection Requests (24 Hrs.): (503) 639 -4175 __.. j o INSPECTION WORKSHEET FOR DATE: 1.18/2007 TIME: 7 :00AM PAGE: 24 SITE ADDRESS: 10220 SW GREENDURD RD 470 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: 7 - FIFVEN INC; DESCRIPTION: Relocate breakroom sink. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: ' CONTRACTOR: ivMCKINSTRY COMPANY LLC - CCk3 172811 PHONE #: 503- 331 -24E1 Inspection Request Scheduled For: Date: 11/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 059283.81 503-672-1260 N Corrections /Comments /Instructions: . i1 - e-A5' - nZJ s 14-- IL ( n9 n PASS \.\ %J PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED \ L-1(1 1i/61d7 Z`� .� Inspector: / Date: Phone #: (503) 718-