Permit CITY TI GARD PLUMBING PERMIT
is DEVELOPMENT SERVICES PERMIT #: PLM2006 -00094
.,� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1 S13 006
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 130 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Water line to coffee maker.
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: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA #300
PORTLAND, OR 97258 [PLUMB] Permit Fee 2/15/2006 $72.50
[TAX] 8% State Surcharl 2/15/2006 $5.80
Phone : Total $78.30
Contractor:
POWER PLUMBING CO
P O BOX 19418 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97280
Contact # : PRI 503- 244 -1900
FAX 503- 244 -8825
Reg #: LIC 52378
PLM 34 -150PB
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 —. 9 or 1- 800 - 332 -2344.
Issued By: 2_, i_ _ Permittee Signature: ,i71 a/2
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.
Feb l.3 2008 2:33PM POWER PLUMBING CO. 503 244 8825 p.1
CEW D L ■ -
Piumbin2 Permit Applic h
Folz (.)rhlcB t:sH_ ON 1:1
City of Tigard
4/ y �, PennitNo
1 3125 SW Hall Blvd., Tigard, OR 97223 FEB DateJ6 '' �! ' l ...... 1a / #l, 9
Phone: 503.639.4171 Fax: 503.598.1960 .;;;;z.,/..,..411,1,:',:'11.(1\ . , Plan Review
, I y Date/B Other Permit No.:
24- Hour Inspection Line: 503.639.4175 Tr:
CITY O Date Ready/By: rue' 63 See Page t for
w
Internet: ww ei.tigard or us RI HIDING I` Ivonfiea/Method Supplemental
t. ��}},, xe r•: « . 1 :' .e rl, .4 d h^(.�, ,�; .:.as, , - „ �. r x x� ; S pptemea ellnformadon
�::. ;is'b. t at �.a E� _. 3r. . td i s - Is .1 .ax ,i*e'z..a - ,' :.:' r s:. r-- r ,. x .,E 'I.{+''tR t t_4-1 " - i3?e_'v ,t�p1::,1 -,
1 Y t "�l .altz∎II11 r. l 1ti t , } y, y 7 . 1 i i x 1 r rai a i - a Art o : i 3 6{ y a^ (t l l t r , s k
tv ;s..a..v. ... ... 1. s�v... ,,., ?!�IUM...r, u....$.�i.di,a� _... .......��a�� !s.. G °n, tN.S.x.:e�72; -t f ?» M_.,.x.,_ s� ?- ..,��, �._ .�� � ,;,as
s.s.....,:s� z; ur � � a � x.'3. t.�rla�,�.,�-x:+, . � . ;�>:.. 4ti.�...:,
❑ New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
Addition/alteration/replacement ❑ Other: New 1- 2-family dwellings gs (includes 100 ft. for each utility connection)
1 `- k x Fr: t3 y ¢� 7677 t`
iiigi S ttIt� e1`' 1 � r dPn'3" ' 'i . 1 SFR (1) bath 24920
�l�l6.� n,, c. t m• a �t�stc�a a. �: ��i�>_ �., ���' � .:;; �t� :�'�.?N.��� ".:;,>°"�.,�4�.�sxtT z_
❑ 1 - and 2- family dwellingCotnmercial/industtial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
1 SjtArd,ttt 1 �,,,T r , Fire sprinkler( s . Page 4 1 g?y., y! 1 ti € i' 7 x' ta i ('lf ri M b �$' } i i:."+.-' i � , t k • w.) ' it- mt i ft Q ) Pe 2
g
~- w .6i :1 , g l Or...+ A.,;. ,.,.. - i.o ri i*. t:taa�'_:?icu a ..- .:sit'?6� - ..44�;s :::: :: � ,..' lt,st,x, t� Site utilities
Job site address: ' 0 /2 Six) - , o • a A #� Catch basin or area drain 16.60
City/State/ZIP: a n/,0 I --1.a. a-3 _ Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no. Project name:/ 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 sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.:
Fixture or Item
Abso sorption valve
{W..' m. l #pu, > Mg-7},W, l i t � ( a J3' r.' l' '^ r wi -r 14 t -a 1 ,Qy rP 16.60
.q i .t x t a a t di ,r � ";',?1,'.. I, M � I 9-..r
�`_a , ' s .= ��: iutl ;ai��,dFtEi4E4�;_�. 't c- '- . - 4 - 8ackflow prey enter
Page 2
IAD "-I. 4 Backwater valve 16.60
Clothes washer 16.60
i
Dishwasher 16.60
' „in, sl ? . 1-a11 r+?S"14"1 ''"3" ' y,¢ Y . '+ tT7 • rnn fountain
"- . r _-..6 ;. ,A 11; . Ati ,`�..', it ro > Y t" ' a,= u x , 'st Ti Dikig f i 16.60
£ �l..Irs `�� as •r ` :
= .Q M ., ;, Ejectors /sump 16.60
Name: / v i hl ` , b iir-4 Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City/State/ZIP: Floor drain /floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
l 4 Ol n w . a v a h.""' x 'r..x P! 1 ci ,1 s
�`' i.k' `� ,. til ,Haab I re its. r t4s 4 t. dl§ i t s l Hose bib 1 6.60
°
.x,. �xl� t �, y far �toirt,; „ht� t, aatlts Ice maker 16.60
Business name: 1 nkiii, � ./ '!r\ b
� r` Interceptor /grease trap 1 6.60
Contact name: .S ) 0 o17 �U Medical gas (value: $ ) Page 2
Address: T li h0( P O y I Primer 16.60
o� 61�'
City/State/ZIP: R oof drain (commercial)
16.60
Phone: ( ) ._' O 0 0 I Fax :: ( ) '� `�� 3 Sink/basin/lavatory 16.60
3 0 ./ Tub/shower /shower pan 16.60
E -mail:
1 tips ttE ; s { { tct - S^" U`�ti( C 5 _ Urinal 16.60
'II '� I • ,Il as , tm.a..rti, '. a'' .. _ II F i n .-vx..A 1 t t' 511Kglitat '�4MI P , ,;
a I : ._.. s Ai'. , Itliftl-t: x: :1LIi x Water closet 16.60
Business name: A$ nka�/ P i • Water heater 16.60
Address: LPL* I '1 biu !...-41L 61 Vii Other: ( »J-ey VI) I LLt,
City/State/ZIP: P�� ' '" �.4 ,L t tr .'-a vv �� '� Subtotal r(�.� p
Phone: ( ) } rJ Minimum permit fee: 572.50 0 C
�4 0 (q 0 0 Fax: ( ) C J l.{ - �' �Z._S Residential back:low minimum permit fee: $36.25 7 Z J
CCB Lie.: 5 22, Plumbing Lie. no.: 34_1 5c , .1 Plan review (25% of permit fee)
Authorized signature: '- .k Jy t, State surcharge (8 % of permit fee) 5 �()
IJ�` TOTAL PERMIT FEE -7g, 6
` •
Print name: � p J �j�s �S , _ r Date: /� 3 �� 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:\ Buildiog \Pcrmits1Pt.M•PetmitApp.dor 06/05 440 /waa)
r
CITY OF TIGARD
i ' . BUILDING DIVISION .. A PERMIT #: PLIV12006.00094
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: riff:1006
Phone: (503) 639-4171 hoso Ntit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 7:06Am PAGE: 06
SITE ADDRESS: 1 0220 SW GREENBURG RD 130 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: AMERIPRISE
DESCRIPTION: Water line to coffee maker.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: .
CONTRACTOR: POWER PLUMBING CO PHONE #: 5
Inspection Request Scheduled For: Date: 2/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 02702f3-01 603 244-1900 N
Corrections/Comments/Instructions:
,1 (14- 0 - 9 \P
\ 1
■._,PASS fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
H FAIL _ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ill ( \\' Date: ) I -) 6/ Phone #: (503) 718- f fr i )