Permit .dI
CITY OF TIGARD
PLUMBING PERMIT
_ ii' DEVELOPMENT SERVICES PERMIT #: PLM2005 -00616
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/2/2005
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 160 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: TI, other fixture is (1) primer.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 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: URINALS: GREASE TRAPS:
LAVATORIES: 1 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 ST #300
PORTLAND, OR 97258 [PLUMB] Permit Fee 11/2/2005 $72.50
[TAX] 8% State Surcharl 11/2/2005 $5.80
Phone : 503 293 - 2745 Total $78.30
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 -000 -' e I hrough OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calli 03-246-6.'9 : r :00- 332 -234 4 .
•
Issu:d By: � Permittee Si natu 4 ., cY
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.
6
Nov 01 2005 9:31RM POWER PLUMBING CO. 503 244 8825 p.1
_V\i
Plumbing Permit App1 ii SA ,
FOR OFFICE USE ONLV
City of Tigard
.‘ 13125 SW Hall Blvd„ Tigard, OR 97223 0 . 5 . , 1- . ./
.. /Ai Received
Datemy: / .0 ` Permit No.: i9E/AZ5°'64
Pla
Phone: 503.639.4171 Fax: 503.598.1960 n Review \A4 -, Date/By: Other Permit No.A0Apoctf-ezfrivi
24- Hour Inspection Line: 503.639.4175 -" ,-,7 1 .L S' -IL Date Ready/By: /1/94) _....1 =u to See Page 2 for
Internet: www.ci.tigard.oros 0" O 11 ,0- Is ' .. __ Notified/Method' ..,... , . _ , a , , i supplemental Information
0 *PP=Wobilikr"M) , pitali5lr - 7 -.- -1:4417, - .- I . ' .. ''' - *Atit‘,,,..; : :, . . . . ..i:.: .
0 New construction 0 Demolition I For special II:fornication use checklist
Description I Qty. I Ea I Total
"6...kddition/alteration/replacement 0 Other:
New 1- 2-family dwellings (includes 100 R. for each utility connection)
,,W410.i:,:=X;,LIVAili.i1.4. SFR (I) bath I 249.20 I
0 1- and 2-family dwelling VCommercial/industrial SFR (2) bath • 350.00
0 Accessory building 0 Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
0 Master builder 0 Other:
Fire sprinkler ( sq. ft.) Page 2
Site utilities
'i"A.::iii*00000***);t4, itt ..
Job site address: ID 2.( 0 SU e.) riu bt.th.cti e 4 Catch basin or area drain -1
16.60
City/State/ZIP: 1,4j010..A.ck CNC °A - 1 )- ..3 Drywell, leach line, or trench drain 16.60
1
Footingdrain (no. linear ft.: ) Page 2
Suite/bldg./apt. no.: )(a() 1 Project name: 1 .... „urv ...0 i ra
Manufactured home utilities 110.00
Cross street/directions to job site: V--e■84.-1 SkitU if V) . Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: I Lot no.:
Fixture or item
Tax map/parcel no.: /5 / 35 6 •••• 65140 Absorption valve 16.60
W
• . - 1.'..• . ....'r. ' • • '"CRIP- ....':g .. - • : e'` : - 7 :: : ',.'''' , . Backflow preventer Page 2
p ..t ) kunelb t i "7"-. _T- Backwater valve 16.60
Clothes washer . . 16.60
• - Dishwasher 16.60
, • ... Drinking fountain 16.60
M'AgOttRTY (0.14i1e . :...' .r:: . : .,n':•1'::::: ' ;EITitN -•-. .:,:: ..;- Ej ectors/sump
16.60
Name: ,±_j e*.x..e). Expansion tank 16.60
Address:
Fixture/sewer cap 16.60
•
City/State/ZIP: Floor drain/floor sink/hub
1 16.60 lb, t
Phone: ( ) Fax: (• )
Garbage disposal 16.60
Hose bib 16.60
e:-_'.;:',.:A'4';','..,.,--%:-.q:..4!:-.000t.•?-0114:1-009W:,'. '..' I ma
16.60
Business name: 0" ki..• _ L ) 1
_..... _ . Intercep tor/grease trap 16.60
Contact name: -, i'\) 0 6 - 1 ,A 6 Medical gas (value: $ ) Page 2
Address: P 0 6° I qhfices Primer
t 16.60 I (e. (#()
City/State/ZIP: • P L5-.-F ) cry- ot --7 3 ) Roof drain (commercial) 16.60
Sink/basin/lavatory t 16.60 ito„ to u_
Phone: ( ) 44.4- 1 c D ci Fax: : ( ) c ;194,-qs,15
Tub/shower/shower pan 16.60
E-mail:
Urinal 16.60
COSITRAO OF,. -,':. : ' ' . ' . ' ' ::-:" • .i. ' Water closet 16.60
y
Business name: pi»..12_,K Plumb ut■ ■- Water heater i 16.60 IG, .1,0
Address: yl) I Stu MA.,1 TM V Of Other:
Subtotal
City/State/ZIP: I.
1 OV Q1 ..D--__5
Minimum permit fee: $72.50
Phone: ( ) a - jo Fax: ( ) c 4(1- 1 -4 - RR2_,5 Residential backftow minimum permit fee: $36.25 P U. 5
CCB Lie.: 5 a3-1 2 Plumbing Lic. no.: 34...--1 ‘,„ fe , . Plan review (25% of permit fee)
State surcharge (8% of permit fee) 5 .k 6
A ■
Authorized signature: '
TOTAL PERMIT FEE
Print name' 12),..5 ‘,./.W ci2-4 Date: ) IA / b 5 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.
1 . 1,81,11 dinglPcrmilPPLM-PermkApp doc 12/03 440-4 6 1 6 TO Of 021C 0M11/WE B 3
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CITY OF TIGARD _ PJ�(i o;- oO C l&
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �a 11 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ii
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: M ;4‘) )4 GC / d o CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
• PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: / /— 16 - dS Pour Time:
Code # Inspection Description Confirm # Contact # Message
31.0 a -r 5'0
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: -O Date: I !' Phone #: (503) 718-
- BUILDING DIVISION PERMIT#: G
13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 11/2/2005
Phone: (503) 639-4171
Inspection Roqueo����Hroj: (503) 639-4175 ��h�� "�
INSPECTION WORKSHEET FOR DATE: 12114/2005 TIME: 7:01AM PAGE: 49
SITE ADDRESS: 1O�§O[� VGR��M�UF����Q1GD CLASS � � �
SUBDIVISION: LINCOLN NCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: KELLY SERVICES
DESCRIPTION: T| other � . `, .
OWNER: EMIT( OFFICE PROPERTIES TRUST, PHONE #: 503
CONTRACTOR: POWER PLUMBING CO PHONE #: 603
Inspection Request Scheduled For: Date: 12K14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Plumbing final 023416-01 503-2441900 Y
Corrections/Comments/Instructions: 14-\
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�� PASS | I PARTIAL APPROVAL �7 CANCEL El NO ACCESS
I | FAIL | I CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: arW
Date:
12- -� / = - Phone#: (503) 718-
. / /� ` '