Permit -
A CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00264
DATE ISSUED: 6/16/2005
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -04500
SITE ADDRESS: 10250 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN BUILDING PP1991 -055 LOT: 001 JURISDICTION: TIG
Project Description: Add: (1) dishwasher. Replace: (1) 2" fl. drain, (1) garbage disposal, (1) sink, (1) insta -hot, (1) water
heater (1) coffee maker.
CLASS OF WORK: OTR GARBAGE DISPOSALS: 1 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: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [PLUMB] Permit Fee 6/16/2005 $116.20
[TAX] 8% State Surcharp 6/16/2005 $9.30
Phone : Total $125.50
Contractor:
POWER PLUMBING CO
P O BOX 19418 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97280
Phone : 503- 244 -1900
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 -6699 r 1- 800 - 332 -2344.
Issued By: )(Oi Permittee Signature: 'Le ,- '
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.
Jun 16 05 09: 12a Power Plumbing Co 503 244 8825 p.1
Plumbing Per r Yl f et atim
u a a- u V/ /
City of Tigard Received � � 6� ���'Z 1 ���' '
PcnnitNo /
13125 SW Hall Blvd., Tigard, OR,97223
Plan l2cvicw
Phone: 503.639.4171 Fax: 503159811960 6 2005 �'�"` I I `' , f 1):„,./.,, Other Permit Nn.:PU 6i '052
24- Hour Inspection Line: 503.639.4175 , wad ` � f Date Ituasly /ny: runs pt See Page 2 fnr
Internet www.ci.tigard.or.usCITY OF TIGARD Notifled/Melbaa: 7 fr Supplemental Information
13UIL If Fi Bi i ! .. FEE* SCHEDULE
❑ New construction ❑ Demolition For special information usechecklirt
Description I Qty. 1 Ea. I Total
4 Addition /altcrationhcplaccmcnt ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION ,., .. SFR (1) bath 249,20
Q l - and 2- family dwelling 'lie-Commercial/industrial SFR (2) bath 350.00
(_I Accessory building [a Multi- family SFR (3) bath 399.00
❑Master builder Each additional bath/kitchen 45.00
❑ Other:
r - - , - _ Fire sprinkler I sq. It.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address; 1 D3-S0 lt.) . , ) • . ► / - Catch basin or area drain J 16.60
City /State/ZIP: / I • / cv/ q - 10 -- .3 Drywcll, leach line, or trench drain 16.60 _
Suite/bldg. /apt. no.: I roject name:
^ Fnvtingdrain (no. linear ft.. ) Page 2
Manufactured home utilities 110.00
Cross screet/dirc ctinns to job Site; Manholes 16.60 _
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
r. Storm sewer (no. linear ft.: ) Page 2
_ Subdivision: Lot no.:
Water service (no. linear It.: ) f Page 2
Fixture or item
Tax map /parcel no.: -
Absorption valve 16.60 '
DESCRIPTION OF WORK Backllow preventer Page 2
Clipilizt f) _ Backwater valve 16.60
Clothes washer 16.60
- - Dishwasher 16.60 Hi LO --
❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectots/sump 16,60
Name: a -
b � . . - Expansion tank 16.60
Address: Fixture /sewer Cup 16,60
City /Statc/ZIP: Floor drain/floor sink/hub / . 16.60 iti 1 E4:
Phone: ( ) Fax; ( ) Garbage disposal i 16.60 I
L APPLICANT O.
�,�� CONTACT PERSON r , I lose bib 16.60
Ice maker T 16.60
Business name: . Y n'' - V t �6 Interceptor /grease trap 16.60 •
Contact name; n�� Medical gas (value $ ) Paps. 2 __ --.. -.
Address: 1 b / Primer 16.60
City/State/ZIP: /6. drain (c ommercial) • 16.60
r k UY �7
Phone: ( ) 1;, y t.) './9D0 F ax; ; ( ) l (JL 2 5 Sink/basin/lavatory i 16,60 1
L,4) d' 1 Tub /shower /shower pan 16.60
E -mail;
Urinal 16.60
CONTRACTOR Watcr closet 16.60
Business name: i ilk . Water heater L i. I 16.60 Cis ti 0
Address: L,-f l ,� /� Other: ST L< 1 e N ) ., I TS it j_
CV r/�' 'c f..[ , r Subtorat Li.
City/State/ZIP: t y 1 - U tt _ -
Phone: c)- ( - 1 ( _, G 0V ( ) ivy 4�Z 5 Minimum m ermit fee: $72.50 I
' ' ( ) Fax: Res hackflnw minimum etmtit fee; $36,25 1 � 1 !
CCB Lie,: 4 a 3 Plumbing Lie, no.: r! Sa le Plan review (25% of permit fee)
Authorized signature; `----� State surcharge (Rata of permit fee)
TOTAL. PERMIT FEE /f
Print name: e /S /A/ e_. h Date: �t / This permit application expires ira permit is not obtained within
• f 180 days after it bus been accepted as complete.
"Pee methodology set by'I'ri- County Building Industry Service Board.
i« nuildin5U'ermits1Pl.M- rermilApe doe i 210 aaaadier(1o/evCOM/WEa) / } / C. 4 V
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CITY OF TIGARD
BUILDING DIVISION r v PERMIT #:
PLM2005-00264
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005
Phone: (503) 639 -4171 , . 44i l '1fl
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_..._..W '__.,
INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7:06AM PAGE: 85
SITE ADDRESS: 10250 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: FOREST CITY TRADING .
DESCRIPTION: Add: (1) dishwasher. Replace: (1) 2" fl. drain, (1) garbage disposal, (1) sink, (1) insta -hot, (1) water
heater (1) coffee maker.
OWNER: EOUI-IN OFFICE PROPERTIES TRUST, PHONE #: .
CONTRACTOR: POWER PLUMBING CO PHONE #: 503 -244 -1900
Inspection Request Scheduled For: Date: 8/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 013809 -01 503. 936-5868 Y
Corrections /Comments /Instructions:
-1 °. ■
/
PASS n PARTIAL APPROVAL El CANCEL U NO ACCESS
I I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 0 Date: It i / Phone #: (503) 718-