Permit ' r , .'
CITY TIGARD PLUMBING PERMIT
4 ` DEVELOPMENT SERVICES PERMIT #: PLM2006 -00488
4k DATE ISSUED: 10/18/2006
- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 530 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: WORLD SAVINGS. (1) breakroom sink.
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: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST
ONE SW COLUMBIA ST #300 Description Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 101181200E $72.50
[TAX] 8% State Surcha 10/18/200E $5.80
Phone : Total $78.30
Contractor:
MCKINSTRY CO
12021 NE AIRPORT STE. G.
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact # : PRI 331 -0234
FAX 503 -331 -6906
Reg #: LIC 40981
PLM 37 -22PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: . /C..p Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. [, \ 5 1 - ti - L - cJJ o0
Plumbing Permit Application RECEIVE FOR OFFICE USE ONLY
City of Tigard O C T 1 S 2006 Date/By: Plan Review
Other Permt NoS
Received
ate /Bed L ,l,„ ✓0 6 , �� Permit No:.3 \ `, l
q 13125 SW Hall Blvd., Tigard, OR 97223 '"
1 : Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
Other Permit No,�gQ //1/ �/\ i
Inspection Line: 503.639.4175
CITY OF TIGARD date /By: V/' R'XL.+au �/�e
TI GARD B UILDING DIVISIO dte Ready/By: See Page 2 for
Internet: www.tigard- or.gov No Notifi Supplemental '' Supplemental Information
A -. T . -. .: 1 Yrttx t.. °' f
f, E, x� . ry,;;;,fl; ?i'd�';:,v „�:..' -- '1.3L, AN �. r E ? ...; '. 1�: ), ,. �: R"$. 1
O n �� ,x;_. , ..
1 a,. , �: ;kT.:; ,* ;'gym =�
_,.: �.».> .. . - ..>_ ..,. T YPE. OF . -WORK . �`•,>a< -�Y > .
❑ New construction 0 Demolition
For special information use checklist
Description Qty. Ea. Total
® Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
Q,? 'E' <. *- 66RYH2OF;:2;COlVSTRUC i6N,z.==- �a i SFR 1 bath 249.20
�E,E v`
❑ 1- and 2- family dwelling ® Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire 2
sprinkler ( sq. ft.) g
`'- ;' ilOB 'S1 NF 'AND- LOCATIONS ' i d
spn r s Page
3�
�. ,.;.�. ;,, � � ,m.- �a, vaa�s44t � =aP�=a'a,3';nY�m tter��N »;E.. . °:;3�'� .. ;;4di zv Site utilities
Job site address: 10260 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.: ser 5-701 Project name: World Savings Footing drain (no. linear ft.: _ ) Page 2
Manufactured home utilities 110.00
Cross street /directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: _ ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve
:DE TIO , WWORK;'
. =sw��.- SCRIP ' �;�: `:
Y F .... .. r ,, �.. �,.`. � .... »... .,,,. »......,.. :;..� < :��;,�..,,;;;,: , , f�` 3 uW:� . - Vii.:. ::��, >.; . . _ _... Backflow preventer Page 2
Furnish and install breakroom sink Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
r:' ,,••: , > .: : ;- ;: , .. »n ?. } :,, > • ::•<, . •:_ 3 Drinking fountain 16.60
;,;: � _ - . ® : ;; PR OPER T Y OWNER- ; :.� r .:� -.,- ' -; €: ,.: [.I.> TEN`ANT'. ; _:��;a,;�,,,, ;
r s ir
< :... = tors s
° Ejec / ump 16.60
Name: 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
: , ;, ,, .;. •a� , ,i;;gF, ; ;' Hose bib 16.60
APPLIC -,.. ` CONTACT 'P n ERS ° -':'f °'.;; , '� ( ;
;.
- :: � Ice maker 16.60
Business name: McKinstry Co.
Interceptor /grease trap 16.60
Contact name: Jason Carver Medical gas (value: $ ) Page 2
Address: 12021 NE Airport Way Primer 16.60
City/State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60
Phone: (503) 331 - 2461 Fax: : (503) 331 - 6906 Sink/basin/lavatory 1 16.60
Tub /shower /shower pan 16.60
E - mail: jasonc@mckinstry.com
Urinal 16.60
� : \• ;'l, ,a �-; r�R °: , ;3' E �iE
_; _. - - ' "w' >`. �s1. �':.4�::Y,reES,aszst ..*,446 e .. �, z 5�y�,i.,',1; ; �3.;• � „i;; Water closet 16.60
Business name: McKinstry Co. Water heater 16.60
Address: 12021 NE Airport Way Other:
City/State /ZIP: Portland, OR 97220 Subtotal
Minimum pennit fee: $72.50
Phone: (503) 331 -0234 Fax: (503) 331 -6906 Residential backflow minimum permit fee: $36.25
CCB Lie.: 40981 Plumbing Lic. no.: 37 - 22PB Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: .c:,„..,____-- TOTAL PERMIT FEE
Print name: Jason C e r Date: 10/17/06 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: \Building \Permits \PLM•PermtApp.doc 06/26/06 440- 4616T(10 /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200G-00488 :
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006
Phone: (503) 639 -4171 INi I ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7 :02AM PAGE: 84
SITE ADDRESS: 10260 SW GREENBURG RD 530 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: WORLD SAVINGS LOAN
DESCRIPTION: WORLD SAVINGS. (1) breakroom sink 1
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY CO PHONE #: 331 - 0234
Inspection Request Scheduled For: Date: 11/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 039468 -01 550-378-0322 N
Corrections /Comments / Instructions:
•
i /, _ i_
7 )'
/ 0
/.. ...,
/ r /r2'../
6117 r
C --L - f
1!h -ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'MI ' IL L -CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , 0 Date: Phone #: (503) 718 -
. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00488
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 10/18/2006
Phone: (503) 639-4171 t •
Inspection Requests (24 Hrs.): (503) 639-4175 ■-■•....1
INSPECTION WORKSHEET FOR DATE: 10/1912006 TIME: 7:02AM PAGE: 39
SITE ADDRESS: 10260 SW GREENBURG RD 530 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: WORLD SAVINGS LOAN
DESCRIPTION: WORLD SAVINGS. (1) braakroom sink.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY CO PHONE #: 331-0234
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 038493-01 206-255-3693
4
Corrections/Comments/Instructions:
•
Y IDASS n PARTIAL APPROVAL 0 CANCEL NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
-e:
Inspector: Rt K Date: /Z Phone #: (503) 718-