Permit La �r
41 CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2004 -00525
— ' cliff 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/23/2004
SITE ADDRESS: 10260 SW GREENBURG RD 530 PARCEL: 1S135AB-03400
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P
BLOCK: LOT: 014 JURISDICTION: TIG
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: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Relocate sink, and water filter.
FEES
Owner:
Description Date Amount
EQUITY OFFICE PROPERTIES TRUST
ONE SW COLUMBIA ST #300 [PLUMB] Permit Fee 11/23/2004 $72.50
PORTLAND, OR 97258 [TAX] 8% State Surchar1 11/23/2004 $5.80
Total $78.30
Phone :
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222 REQUIRED INSPECTIONS
Phone : 503 Rough -in Insp •
Top -out Insp
Reg #: LIC 151807 Final Inspection
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.
Issued By: �9L �iv Permittee Signature: .4 eP
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
PORTLAND MECHANICAL 7 S0333E0E20 11/22/04 •04:37pm P. 001
, : �® -- fi 909
Plumbing Permit A ■ ,C •1 1 1 O FOR OFFICE USE ONLY
City of Tigard �, 1.% � o " / , Permit No : /'/ - 19✓ 1312.5 SW -1all Blvd., Tigard, OR 97223 � 0 `. n cvcw
'one: 503.639A171 Fax: 503.598.1960W '(� " " a '" ., I , ek i I\ DSteny: Other Pmnit No.:
- Hour Inspection Line: 503.639.4175 . OT 100 - re� pates Reacly/Hy tubs: ® Gee 1Page 2 for
Internet: www.ci.tiganior.us ti C , NAG* NotiSaM/lvtc / / Supplemental Information
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❑ New construction [] Demolition For special information use checklist
rr,� Dcs�7i�tion � Qty. _I Ea. J Total
in t 4 ,ddition/alteration/rcplacement ❑ Other: New 1- 2- family dweflegs (includes I00 }t for each utility connection)
4 i. a y M. .� : :,',, e "! •- ' 1Y t • V, 4.. V t ,4,' SIUSP t t 1 bath I 24 20
:xliS r } a, n.'�?n"r ,�pp yy 1 tt , ...tct S R () 9 ' _ .....
,.. , .,.+., ,rw..ti ti. -. �.. 4 '•'�T,,.;�'h'OZ a1�'S�.B�b, �"+a .
❑ 1 and 2 - Family dwelling Nit ommcrcial/industrial SFR (2) bath 350.00
❑ Accessory building 111 Multi 5€ R (3) bath 399.00
-'"- Each additional bath/kitchen 45.00
❑ Master builder ❑ Other
*
,�T � Fire sprinkler ( sq. ft) l Page 2
. �.upii + �'ad r +�'�, a,,tta ` S. r N ' i! • !''+j�� Lr O !1 �o r � ; M .0 , a 3 ,+• .--
�W,.e i�AV. t: +I, 4 i u . i... .. .. w. .4�. :.nit- . iµ �,.. a � ."✓:2 Site utilities
Jul Nile add, mts: 7 i / • M .g i, . , / . 417/ Catch basin or area drain 16.60
City/Statc/ZI.P. it i • - 7,R a % Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: 5 Project name: A Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job si te: r Manufactured home utilities 110,00 ��-
+ c ��7 Manholes 1 6.60
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 1
--- - -- Fixture or item
Tax map/parcel no.:
, , �, Absorption valve 16.60
s« . ., i ,, ;I:t '', y, .jt. - t " a :3 ` s w� ,„ „ , , ,RI aan 4„ J . .,.s� , • .., . ,p 1 . ' ,, O' Backfiow prcvcntcr Page 2
/; / /i / i (r ' .. / _ Backwater valve 16.60
Clothes washer 16.60
�� Dishwasher 16.60 -
.,,� .. �.. •u .rKro w .. ° ,+ , . ,.� :,. . , ., a n fain
� �,� t,4 , ' ' ` ' Di' king faun 16.f0
�� +=�" '� �'� e-, • . , ∎ t ; - :i H� a ' pt;1 ia : --- f•.__r EjeetnrAuntp 16.60
?dame: Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City /State/ZIP: Floor drain/floor sink/hub 16.60
NM4
Phone: ( ) Fax: ( ) Garbage disposal 16.60
r y .Nh4I $0 �`,D. yB�::� 1lo$e bib 16.60
-
,,,mk.,r 1 i+'!;[ P smA a� CO', '1f j� I;,:; ' R O 1:: r y , '. .
R igiorj41-Alb ..•. w-lw .,G'I� ".( / � -.s .. ya.t, teicf.• ^ lCG makCY 16.60
Busin tlatrie: A,/ � �/ l -L� Interceptor / trip 16.60 -
Contact name: /P ,) Medical gas (value: 3 ) Page 2
Address: . ;C � di' .4 j,,,.i / , Primer 16.60
City /State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) - 1 Fax: _ ( )
Sink/basin/lavatory 1 16.60 1 ip. 0 •
Tub/shower/shower pan 16.60
E -mail: Urinal 16.60
c'�` ,,h ,�,• `) ! ^'.?r+GtS .* m 4t) ,11.1.. ('. ^'� 9 . .•. 4r �} 'f r-7,1.6 +c ,b,I ... '7 So
:t: tl� r � Fats. i 4s ° _ r .¢rr���a = +, .r +•, Water cl osct 16.60 � /
Business name: L i , ag/ r / Water heater 16.60 / � S
f Other: \ ;. •.._. s y,..C- . 1... +,.� t ._t • � ••. --1.' jet 6
AddrasS: / 1 L Ai / - 2)4/0 -t- W � .
' r. j 1 • ` -.: Y Subtotal
t ltylStatc/ZIP:Ml f / `
,. t ��d�a�
Minimum permit fee: 572.50
te: (593 6. = 7 d. e , Fax: . 6 9 ___ Residential backllow minimum permit fee: 536.25 /
CCB Lie.: ) /g0 r A • P1 •• • 'ng Lie. no.: -- /Am Plan review (25% of permit fee) "
°' - State surcharge (8% of permit fee) , . / -
Authorized signature i�%!!/ �/ /T.' / ''T TOTAL PERMIT FEE ! u , („
Print name [ .0 � l� UV '. / permit application expires If a permit is not obtaine. within
L 1 Date: /� _ __ _ Th per 180 clays after it has been accepted as complete. /
"Fee methodology set by Tri.County Building Industry Service BZO + 0
l;tttuitd'oaytroma.,\r ,!- PtrMgMD.doe 12/03 440.4616T(l 0/02/COM/WaD) ( . ,),
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
InCTIO7DIVISION Business Line: (503) 639 -4171 MST
BUP
Received ) b b Date Requested ��" AM PM BUP
Location l a Z (s1.6 Co ki ) .4Z Suite 5-3 Q MEC
Contact Person Ph ( ) 62, 4 2 S
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
P NG
Pos Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
• Storm Drain
Shower Pan
Oth- al PART FAIL
CHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ Inspector Ext
Other:
Final D • NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
/ —