Permit •
`CITY OF TIGARD PLUMBING PERMIT
,,, DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PERMIT #: PLM2006 - 00306
:. DATE ISSUED: 6/23/2006
PARCEL: 1 S 135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 700 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Fixtures: 1 sink capped,(relocated), primer, dish washer, floor drain, water heater. 7/11/06:
Capped: (1) hub drain, (1) primer & (1) water heater.
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: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
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] Addl Permit 7/11/2006 $49.80
[TAX] 8% State Surcha 7/11/2006 $3.98
Phone : [PLUMB] Permit Fee 6/20/2006 $99.60
[TAX] 8% State Surcha 6/20/2006 $7.90
Contractor: Total $161.28
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: �, w \r t
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.
1111106 12:27 FROM -MP PLUMBING CO. 5036507050 T -987 P02/03 U -842
9E( , , ' '
Plumbing Permit Applicati u; ()i'i iz,i. i:s : ONi.\
City of Tigard ,�UN -- i' 2006 Received
13135 SW Hall Blvd„ Tigard, OR 97223
Date/BV ' AO Ok I / Pe nitNo.) 0 -. 0(5.M0
501639.4171 Fax: 503.598,1960 N an Rorie
Phone: 50
( I A.I�� 7 ' y , tg4S' • 1, " , + Dete/6 Other Permit N
: er ermt o. 1
24- Hour Inspection Line: 503.639,4175 %.,11- `i � {
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met www ct ttgard -or us �a1 i , ` Date Reeowsy' See 2 Si td Pa for
RI •1 S'� +� Notilled/Method: Supplemental
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Q New construction ❑ Dem For special information use checklist
ilfl Addition/alteration/replacement Q Other Description I Qty, I Ea. "1 Total -
�W `C.q�•. 5+ , � �) }4t �, � �� New 1- a -family dwellings (includes 100 ft, for each utility connectian)
5 Q l 1 I l '��'t L ,, tu t 'n•+ � Y f `( �,s,, }
and 2-family B n EEL; II . u � t e N , . c al ,• i i; •�`', 1 ,, . . )k spit (l) bath 249,20
Js
11171 Commercial /industri SFR(2)bath 350.00
0 Accessory building Q Multi - family SPR (3) bath 399.00
Q Master builder : Each additional bath/kitchen 45.00
❑ Other:
'pi.1 q �y � �'4ro : yl Y tt�� t � ,t� ap � �� 71117•.; "� � r4 W " ''v +'+� �y{ J� P! , 't " YI'11+Y'+ " A O,v . {, Fire sprinkler (�, sq. ft.) Page 2
1ti } ill fllyil U �' , ; 7a )',F J � �q J `,11 r, f ('.. d'7L� S . a { / h l f r f 'Y ir �S j :11.,
i 1 '",' �f tPet:it ,i,s Site utilities
Job site address: )/ 77 j'kl /��I/�/"�i� / Catch basin or area drain MI 16.60
City /State /ZIP; ;
iii / 1?rywell, leach line, or ttronch drain 16.60
Footing N
dg. /apt. no.: /� Project name: g drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: /
Manholes 16.60
".ail/i -1/4/ '%mil. Rain drain connector 16.60
. . • Sanitary sewer (no, linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: 1 Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.:
- fixture or item
i J i) ,r db fir ' i �� Y r � ' ' pa ('iK • r rd' ! 1. Y,1 iw+ y' Absorption valve 16 -60
i; '�, y SIT l � i rl it g `> t?,rif +S � s s p� 7 T l��q
'l�h'± rt ''� `rilF171, 11 cr
.r. b Backtlow preventcr 1111 Page 2
Backwater valve 16.60
_ iii
JO// ,/ 1/1.07 1_,"612/7g Clothes washer 16-60
Dishwasher i , W II 16.60
t'1 , .,, ,rPi r t. . pf , , m 'L?„ , i a t a t + '} 4 li m Drinking fountain 16.60
Name: / "-
:k` Eiwors/sump 16.60
'/J i Le _ Expansion tank 16.60
Address: Fixture/sewer cap Wilk/ 16 -60 , j
City/State /ZIP: Floor drain/floor sinWhubi' • 16.60 1b,,
Phone: ( ) Fax ( ) Garbage disposal 16.60
( iv rt `h,i,1.,i 114"442 l if �}� �M 1 'z y''ji Bose bib 16.60
'alt aiiisl'C 4 Y' Ice maker Ill 16.60
Business name: NIP PLUMBING CO.
Interceptor /grease trap 16,60
Contact name: TAM[ Medical gas (value: $ _. ) Page 2
Address: PO BOX 393 INF, 16.60 wl' :i
City /State /ZIP: CLACKAMAS OR 97015 Rom rain (commercial) 16.60 1
Phone: (503) 655 -9161 Fax:: (503) 650 -7050 Wasin/lavatory - ., 16.60 ��
E Tub /shower /shower pan 16,
1� }} ti + ° q ,(!� ,y n p };�; 16.60
l� rl]T3 ,' 'Sly i � c l i t F � w 'L4� �Sr� t, A _ 4 "' ^.�` ' t , ' r i t 'hTir •� '� F .�!"+'l�'1. , , "f' n 6�" ,� ' F ;��pq
Urinal mei
. , ,,„ .i Y 4, - h• i t � , % ,. �.ro_,,,,, - A",, {lt i fl "' f ,i� { ,''rf' i' S " bi ,t t I Si' i ,.7 ' Watercinset
' , ' 16 -60
Business name: MP PLUMBING CO. IIMIES 1. 16.60 VIM.
Address: PO BOX 393 Other. _ - NUMMI
City /State /ZIP: CLACKAMAS OR 97015 Subtotal gum
Minimum permit fee: $72,50
Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum .ennit fee: $36.25 BIM
CCB Lie.; 5002 Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee) ;? 1. ::_
"� State surcharge (8% of permit fee) -
Authorized signature: C .q�i , " .� .�,'' _..
TOTAL PERMIT FEE �,fidtti
Print name; TAMI GEORGE Date: , .,f,12‘ 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 Industry Service Board.
I:l Buirdigg\pmnitripLM- Permitgpp,doe 06,'05 440.46 I6T(io/0: /r.OM/WEB) 1 0.. ��
CITY OF TIGARD
BUILDING DIVISION
A Ml T # 61 P L 00306
DATE ISSUED: P 3/
13125 SW Hall Blvd., Tigard, OR 97223 PE
Phone: (503) 639-4171 "J"111101
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR 15ATE: 12/28/2006 TIME: 7:01AM PAGE: 19
L SITE ADDRESS: 10200 SW GREENBURG . 700 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE L.` LN LOT #: TYPE OF USE:
PROJECT NAME: A
DESCRIPTION: Fixtures: 1 sink capped,(relocated), primer, dish washer, floor drain, water heater. 7/11/06: Capped:
(1) hub drain, (1) primer & (1) water heater.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP (1v11LWAUKIE) PLUMBING CO PHONE #: 503-655-9161
Inspection Request Scheduled For: Date: 12/28/2006 Pour Ti
Code # Inspection Description Confirm # Contact # essage
399 Plumbing final 041582-01 503-655-9161
Corrections/Comments/Instructions:
7 PARTIAL APPROVAL 7 CANCEL NO ACCESS
I l FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
• V6I\ - 212-1/5 co
Inspector: Date: Phone #: (503) 718- a(ilLf
•
CITY OF TIGARD p -
BUILDING DIVISION PERMIT #:O.066- 60 3 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 At
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /0 Zoo .b �O� CLASS OF WORK:
SUBDIVISION: /0 LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: -00 Pour Time:
Code # lnsp ction Description Confirm # Contact # Message
32,0 moAk lest) - 70 D- g
Corrections /Comments /Instructions:
•
N thIPASS n PARTIAL APPROVAL CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
l
Inspector: 1 Date: / ,�' Phone #: (503) 718-