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Permit q CITY OF TIGARD' PLUMBING PERMIT . = C OMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00385 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/30/2008 PARCEL: 1 S 135AB -04500 SITE ADDRESS: 10250 SW GREENBURG RD ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG PROJECT: LINCOLN CENTER Project Description: Replacing 30 ft. of sanitary sewer in parking lot between buildings 4 and 5. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: • STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: 30 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES SHORENSTEIN REALTY SERVICES ONE SW COLUMBIA ST #300 Description Date Amount PORTLAND, OR 97258 [PLUMB] Permit Fee 9/30/2008 _ $72.50 [TAX] 12% State Surch 9/30/2008 $8.70 Phone : 503- 412 -4800 Total $81.20 Contractor: PORTLAND MECHANICAL CONTRACTOR 2000 SE HANNA HARVESTER DR MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -519 -1964 FAX 503- 655 -0620 Reg #: LIC 151807 PLM 3 -425PB 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: 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. ...„.„.-_,--- 99/29/2008 14:59 5036550620 PTLD MECH PAGE 02/03 . ' ',, 'Plumbing Permit A.pplicat 7nU ��E Building Fixtures , . .. .. . .. . . ., . . „ F OR OFFIC E:11SE •ONLY - City of Tigat; d S r D , ; 1 Received 01 7 Date/8 ,.�;1 AVM'''. Permit No.: // �. 4` ` 13125 SR Nall Blvd., Tigard, OR 97223 Plan Review ` 7; . t1 a, 2 ; Phone: 503.639.4171 Pax: Other Permit No,; 503.9 3' v OF TIGAR® Date/By: Insp ection Line' 503. 639,4175 p pp /� pp gg g �aa GGA1tD tI 1 ILDING 0 VIS O'. t)ato Rond /tt Inter www.t o y e Iuri , S pl c Pngc l for ._ I Notlfied/Motheri; � 9upptmcntnl Information ;Xrljgl;�;�,�;t{iiilr'!il .� "p{;I ^ rt�Pi'X yip 1 rl "i 'rr N .,.� , 11f i„ rib 'rl�l'r'� n' ,c lax,, , ,;, �re.l r� ar r , �a ;i�.l : i;l , .l. ; R 4 r.l yy I (, Li l ��}}3 II,9 I i 1' •. r r„ 4 I '.I l il i r i ;i1. r;Si C !'hrl , �, �,.. v 1 '� �I 'r� I o„ 1 MI 9��1�lI IlN,',1 �` �1'S r',� !rr •3d r P �' �1 f r{lI'�",r q4 �,n �) W,i I1�"j'e'll "i'!r i Y pre �tYi4 i, t,.r'� �t,,,a � ��I � r �'fo'r r,,,iji�A,llrrr c �. Mlle, 1, R�P�I! l��il, s4��t(CIt��Rr�1��Id,4R�4,�1l3'1 ��'�1'1BE4r,� ,�1, 11ra1� y1, , '-''�Y� � � 1 ti ti lr� �]} a ,I � v V4� 1 r ' Q �� l' i,rt, 1 ilr'''lli ❑ New construction CJ Demolition For ecial in urination use checklist ' Dcscri lion C Total El Addition /alteration /replacement ❑ Other: New 1 - family dwellings (includes 1000 fo eac uli aonneelion) r li Gig.. �l Ct Gcil t' riun, YI'Y r l ., �r, 0 , , pY ^ f w r , .a C i u •, y 1 i , { 4 � i (' 0 , Y,'.'i.1 4 I' IN' SFR ,Y �pC' 1 1 I� �i r T11 e t91u� I j11 i f _1 � _ d ______ P,; 1� 040, 911i� LI �C;1 } 11 1 yr T `�, I 1 ,a i �: � i � �1 f {�6� e r,- f"l,�r, r�rf" 111x, ,". lirlr„ r,,. r��1�t' r, at:.^: r, ���f1�fi�+! all����{, �(1 ��r��li�: f�i9����i ,�I��E�`��1���1ji11j,�,��1 Ol ilt � III 249.20 LI 1 - and 2- family dwelling El Commercial /industrial SFR (2) bath 350.00 El Accessory building SFR 3 bath g ❑Multi family O 399.00 ❑ Master builder - Each additional bath/kitchen 45,00 © Other; Fire sprinkler s 'N' , c l ' ! 7` f 11 ! 11;10� 2 ,, i ( ft.) Page 2 ; 111 I'irl f 1 �` � i i ¢ 4)g a a) r r1 j1 I i r i ' r i4 111' � �' ) g ii11�g !i�1i� 1� Y!1 'A1 �>;� {. ui,.. �o 1�1 PO ; �. l OMPN f1i1 �' � � �` ° li l �i 1� �:,,I 'i �IP rIYw,6e4rt Fl4,rh ni ,e r,rar nor ,q l'•4• c n.r,t, 7 H111 Sara "Lky "r "4wrrl 4rvu,ntu �. , I I�R Site utillHes Job site address: 10250 SW Greenburg Road Catch basin or area drain 16.60 City/State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16,60 Suite/bldg. /apt, no.: Project name; Lincoln Tvwcr �,, � Footing drain (no. linear ft,; _) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: M Manholes 16.60 Rain drain connector 16.60 T Sanitary sewer (no. linear ft.: LA I Page 2 55.00 Storm sewer (no. linear ft.; _J Page 2 Subdivision; Lot no.; - ` Water service (no. linear tt.: �,� Page 2 • Fixture or item Tax map /parcel no.: - 11'1.' sir!' -S{ 1j' iii !� la `, it 10 "1, ,1 fl ` n Absorption valve 1. 1 E n i l t� 9 e ,� ¢ I: 111;i;Ir � 1 ', i; 1 fi 7 '11 I.Y 11' jl� ;; �.,, Ba 9 1 G.GO 1:,,111 ', iif �� 11�Ir,l���111;t . �1i,1,,1,P14 �1R�1� #10# , + rRt g' ; �>r 1 y �If� ! 1, t Rl � l nil. 'Rl�l y I {, 1 ik' i1� ir l'Yix i rV� ,,,.I '1a1f•.r ^,�d r r 1oehS' qe r, 5'' ireVlra ^�dt!e1v44141,i,in,un,r,m•!1 4�lb8, ial. �Ya��1,i� {1i11VRMll CICfIOwpCCVCntcr Page Replace 30ft sanitary sewer in parking lot between buildings 4 8i 5, Backwater valve 16.00 Clothes washer 16.60 Dishwasher 16.60 1' t 1r''r' "il'11,�i' r1 y 1 r �w l II i 'I ' b I .' Q 1 , 1 1 1 , , „ i" '. 1 Dr a kin fountain 1, o. 4 1 '' b i, ' ��� �i� 4 �� �� q k �1 f 1 ;; I g 1f+.60 P! �� ��,er.��1 1�t �aY�Y ., "w „1, ,,, i,r7 ,,„ufl �Ir 9 „rua" I .i r1 d 1�4 �4r(`r 11Bi ����,l i l� 1 � k iIC,^ t Mrt�' 1,,,.lrl l nbd , ���1r�6d1 l i��91� 4 ;W�1i��n��1� qk Name: Lincoln Tower yEjectors / sump 16.60 Expansion tank 16.60 Address: 10250 SW Greenburg Road Fixture /sewer cap 16.60 City/State/ZIP: Tigard, OR 97223 Floor drain /floor sink /hub 16.60 Phone: ( ) Fax' ( ) Garbage disposal 16.60 IEiIIY 4 E1 i,, I �Er :W' L'"�► ii( }; J ∎' J ;;I� 11111��1 iii 6 ,1,40$' ;: #114 M iI Ij11 i ;d l f,l Hose bib _— 10_00 Ice maker 16.60 Business name: Portland Mechanical Contractors, Inc. - Intcrceptor /grease trap 16.60 Contact name: Mike Moses Medical gas (value: 9 _) Page 2 Address; 2000 SE Hanna Harvester Drive Primer .. 16.60 . City/State/ZIP: Miwaukie, OR 97222 Roof drain (commercial) 16.60 Sink/basin /lavatory 16.00 Phone: (503) 519 -1964 Fax; : (503) 655 -0620 Tub(showct /showcrpnn 16,60 E -mail: mikem rr@portlandmechanical.com lirl'l'S i ' 1 ` l c `'i.rtr`a.,il ;r O�p 11{�lir �ilr 4111 ra'( ;1 rlr,y�ry rr�r1l fldr,•,,. yy rr l Yr } , r r ly 1 , 5 1 . , , r Urinal 16,60 1141 1�1�111}rilti��iliil'!`r�liit�t o l�1r,�11al1ioi 4 liRi ltd i� �11�i1� 11 i WP ,, I I pp E yy1 � 1 Yji1 41('.,11 l 1 ,)� C i ''If J l iii �i'p1141'r q lt 1 1 i1 ., ' � , t1 � r'1L ' rS�� a>.I:i1t4 � r IrrU , 41 i d,11r�1 � � r �P f 1,1�r,1.����1,,r�1.1�1.P 11��1 i11�et��i 1,�!' ;�1,11�Y1'11� {tpR� Vlratcr closet 16,60 Business name: Same as above. Water heater 16.60 ___ — - Address: Other: T Subtotal 55.00 City/State /ZIP: - . Minimum permit fee; 572.50 72.50 Phone: ( ) Fax: ( ) Residential backflow minimurrgcnnit fee; $36.25 CCB Lie.: 151807 Plumbing Lic. no.: 3 -425 PD Plan review (25% of fee) State surcharge (12% o fpermit fcc) 8.70 Authorized signature: - °- - --` - �'-- � tr TOTAL PERMIT FEE 81.20 Print name: Mike Moses Date: 9/29/08 This permit application expires expires if n permit is not obtained within - - - 180 days alter It has been accepted as complete, "Fee methodology set by Tri- County Building industry Service Board r.\ nuilding \Pormita \PLMF- Parmflnpp,dos 12/27/06 440-4(1 6Th tN2 /COM /Wt li) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008-00386 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 913012008 Phone: (503) 639-4171 AIMIlliit Inspection Requests (24 Hrs.): (503) 639-4175 -^-^.- --" INSPECTION WORKSHEET FOR DATE: 10/2/2008 TIME: 7:00AM PAGE: 24 SITE AbDRESS: 10260 SW GREENBLIRG RD CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 00i TYPE OF USE: PROJECT NAME: LINCOLN CENTER DESCRIPTION: Replacing 30 ft. of sanitary sewer in parking lot between buildings 4 and 6. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603-412-4800 CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: c03-519-1964 Inspection Request Scheduled For: Date • 1012/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 076208 503.849-7927 N Corrections/Comments/Instructions: r etAr-c- eCi...,-..-L--01— 'PASS ri PARTIAL APPROVAL El CANCEL 0 NO ACCESS FAIL 0 CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED Inspector: Ci O Vvi.A.-f %\ \\ . . . - - Q — Date: 10 I 'L I ogTh Phone #: (503) 718-