Permit CITY O TIGARD
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• PLUMBING PERMIT
.. ° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00392
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/6/2008
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 350 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: PRO MED
Project Description: Interior plumbing. Other fixtures: (1) primer and (1) hub drain.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: 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 10/6/2008 $72.50
[TAX] 12% State Surch 10/6/2008 $8.70
Phone : 503- 412 -4800 Total $81.20
Contractor:
MP PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 650 -7050
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• li/ j v -- _�� �� Permittee Signature: ,...-..e' 09/‘ "
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.
•from:. 10/06/2008 09:16 4932 P.002/003
Plumbing Permit Application 13 35rl • G) 4 / ` ,��, , /
Buildina Fixtures
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r s. ` City of Tigard � ! O6, �� Dat y v�,. �' ,_r Permit No: P1_/ ' I Q
13125 SW Hall Blvd., Tigard, OR 7223 Date/B
Phone: 503.639.4171 Fax: 503.598.2 ' Plan Review
11 11‘
� G S O Date /B : Other Permit Na.: r �- , �� v
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Inspection Line: 503.639.4175
't' ♦� l pate Read /B : rue. •,-, - UU,3'�
Internet: www.tigard -or,gov Y Y Se ' age
`(�, NotiNotified/Method: / c) Supplemental l Information
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❑ New construction ;.
❑ ftrt lition For special information use checklist
Description I Qty. I Ea. I Total
Addition /alteration/replacement ❑ Other:
New _ well (includes
; , ;r . ,; y g ( u es 100 ft. for each utility connectl n)
CATEGORY OF; .L'ONSTRU [: i>ir�; -ss:r;1 '
CTION• ``;; ";;
,':,, : :, .. � ' S FR(1)bath 249.20
❑ I- and 2- family dwelling 121 Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional hath/Idtchen 45.00
121 Master builder 0 Other:
�. ;,.,,•,, :` "z., .f:: sq. ft.) Page 2
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JOB
.�. � rSITE'. I 'A _ "raj;: � : :;fir
h �� iiV .._,....,, {��IGY .a.l teat t
lob site address: /
City / State/ZIP: d, / 1 f7 , Drywell, leach line, or trench drain
� Ay, Catch basin or area drain 1 6.60
16.60
'Suit • r ldg. /apt. no.: $ Project name: i , A _ 4 .- 4 A pi Footing drain (no. linear ft.: `) Page 2
Cross street/directions to job site: Manufactured home utilities 1 10.00
Manholes 16.60
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
eF ;;+fry47;;31'1FFV?:r6ra,�t,��` yq^';�,e!r,:`-?r' � : :.'. ,< t . r ; •; +,,�,��, „Yz,Nr, Absorption valve 16.60
e` e-W f 5 " "' I fiiie y:l l )(ON F•.: r. S? 5u �+x-.'�^� :
.��. _ �:: .��i✓t ..;:cam -.., . ..,:.,..; .... _: ,� :... , �;;: �rc;�, - :f;�•'-�a��°^ =�
mss.d ° °:u,_�'�m;s. BacldlowprLwenter Paget
_ `-T� „ C ItrAlr_ S D C C Backwater valve 16.60
_ 2 , -L - C)"./ ( c-. Ceiv r Clothes washer 16.60
I /d ( _ �Q Dishwasher 16.60
tnj/ y w ai± ` n ',., TJ +•aw:rn ,M: e A_1 i z ;,+ qae :qv: ;, .wc i' T' o;s•.. -7,- ,-. �. 'aWZ foe
' 1PRI1!kit OW 2 F 11 1. �,a'rry - ti:r:', ,. .. w ,,, r Eject, s1 fountain 16.60
A��d.'3�;d:n.' � ^�'_ - ..�+ .r�.' a' >a..3��v�'�:�9 ` -I `y'r":; cY%r.;3:lr?.f,,vycit' �e.�a�`x.� .
/ Ejectors /sump 16.60
Name: 'I m �CGh: 9 16.60
Address: /� / Expansion
Fixture/sewer cap 16.60
City/State/ZIP: _ _Floor drain/floor sin/ ub) ) 16.60 ' O./
Phone: ( ) Fa ( ) Garbage disposal 16.60 .
7te+F �'�',� -i�' =•z"!�9Y -- "tgf x3 :w�, , xr'n.:. • , ,:g�?�•� , -ra.^_ •,�+.�,:,,r a��s:_-_ Hose bib
-`9g1 a , .c -lWift ta"+ '`;;`k: E : r3 ` ii ACr:'I RSVrT1`�s ` 16.60
qa: >v,., .x�i, �«�.� Ice mak 16.60
Business name: MP PLUMBING CO., INC.
Interceptor /grease trap 16.60
Contact name: TAMI Medical gas (value: $ i ) Page 2
Address: PO BOX 393 Primer J 16.60 )19.
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City/State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60 t
Phone: (503) 655 -9161 Fax: : (503) 650 -7050 Sink/basin/lavatory i 16.60 f rf(
Tub /shower /shower pan 16.60
E -mail: TAMIG®MPPLUMBING -COM
2ir'T,,,'aS ,.a xwaveaznu - A ��_ , �,, Urinal 16,60
Yk �.�t�����. ,��e'•iEONTRACI'OR -�' 1;' .a�,�..,` -
�'.�^P�z %':sle?X' �a�.•f<<.�, . r w....- �' �,` �i�''' � ,L,4���w�,l:i.*.'ia'rt5sr�'�:2 Water close . 16.60
Business name: MP PLUMBING CO., INC. _Wawa-
heater - - -! 16.60 J9 i
Address: PO BOX 393 - Other;
City/ State/ZIP: CLACKAMAS OR 97015 Subtotal - 1p I o
Phone: (503) 655-9161 Fax: (503 650 -7050 Minimum permit fee: 572.50 � ` 1
Residential backflow minimum permit fee: $36.25
CCB Lic.: 5002 Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee)
Authorized signature: ��' fi J _ State surcharge (12% of permit fee) ��
i TOTAL PERMIT FEE • ) lam
Print name: TAMI RILEY Date: /t/ ∎ 4 . (7 This permit application expires if a permit is not obtained within
d 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
1/ Bui idiog\Permits\PLMF- PermitApp.doc 12/27!06 440.4616T( I0 /02 /COM/WEB)
CITY OFTIGARD
A ,
BUILDING DIVISION vt,,,;..:.,
' PERMIT #: pi N2001100392
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2008
Phone: (503) 639-4171 ,alitilit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/29/2008 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 10260 SW GREENBURG RD 360 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: PRO IVIED
DESCRIPTION: Interior plumbing. Other fixtures: (1) primer and (1) hub drain.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 60:.412-4800
CONTRACTOR: MP PLUMBING CO PHONE #: 603-656-9161
Inspection Request Scheduled For: Date: •0/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077319-01 603-655-9161 N
Corrections/Comments/Instructions:
lk PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 66\VlNA,-) \\\ \ 1\.-: Date: R) \ 19'0 0%) Phone #: (503) 718-
, '
•
C ITY OF ���m m ��m mn�m�mnn�* `= .
BUILDING DIVISION ' • PERMIT | ~°~~^~~~^^~~° ~~"°"~~"~~"~ #: PLA420O8'00992
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2008
Phone: (503) 639-4171
Inspection Requests � �
�03)G30~4175 „_,14- e __...
INSPECTION DATE: TIME: PAGE:
' � 10V1012O08 � 7:00AM ' 34
SITE ADDRESS: � CLASS OFVVORK�
1OZ�D��(�REENBUR��RD3SD �
SUBDIVISION: CENTER/LINCOLN LOT #: TYPEOFUSE�
� L|MCDLN�NT�g�UM(�OLNTOVVER � 014 �
PROJECT NAME
: PR0h4BC)
DESCRIPTION:
Interior plumbing. Other fixtures: (1) primer and (1) hub drain.
�
OVVNER� PHONE #: �
OWNER: �M0REW�T�mR�ALTY����0C��. 5034112-4860 CONTRACTOR� PHONE CONTRACTOR: K8PPLUk8EOME;CO � � 503-655-9161
Inspection Request Scheduled For: Date: � Pour Time:
1OV10/2008
�
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 076542-01 503-665-9161 N
Corrections/Comments/Instructions:
X n PASS PARTIAL APPROVAL �� CANCEL ri NO ACCESS
|| FAIL 11 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ( >\ V\"--4--• []ate: t, OA ko \ OCl Phone #: (503) 718-
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