Permit CIT OF TIGARD PLUMBING PERMIT
i1e DEVELOPMENT SERVICES PERMIT #: PLM2005 -00496
'�' i � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/28/2005
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 1000 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Other fixtures: (1) coffee maker.
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: 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 9/28/2005 $72.50
[TAX] 8% State Surcharl 9/28/2005 $5.80
Phone : Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97218
Phone : 331 - 0234
•
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. C�—
Issued By: PJ 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.
..v .
i. • ** .
Ylumbing Permit A Al li ti I: ,:. 1VElt FOR OFFICE USE ONLY
L. ./
- City of
131 SW Hall Bl Tid Received f)
Date/By: 7 - 1)) --.9.1.1"-- Permit No.57) \Ny2
\ Vq4
25 gar vd., Tigard, OR 97223 EP 2 8 2005 Plan Review
Phone: 503.639.4171 Fax: 503.598.14
" 4/174,11 Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 _A4. 4i# 01 I I Date Ready/By: jUn ' 0 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD ---- - Notified/Method: ..r / Ir Supplemental Information
niZA . , :4,1 ' : I S lei),W % ' :, - , ':1,::: , REint.! WV Z.' 4 - ir , 1 ] 1::1 , ':' - ' , ' . iiE* ,scHtiiiiti- ;4i1Cikal::
'&!!"' '' " ' TO Imi , -. 1 :=.t„v ,u4a,;.4, 4„ „ „ . ,k1
El New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
2 Addition/alteration/replacement 0 Other: New 1 - 2 dwellings (includes 100 ft. for each utility connection)
3131_ 1-t4, ' ZA011*GO4,49fiCOINISTP.INTIONi17 , : i iiit i ,,, ;2:!-, „ SFR (1) bath 249.20
0 1- and 2-family dwelling Ef Commercial/industrial SFR (2) bath 350.00
SFR (3) bath 399.00
0 Accessory building 0 Multi
Each additional bath/kitchen 45.00
0 Master builder 0 Other:
_ Fire sprinkler ( sq. ft.) Page 2
3 9litter 4:07: '0.-00At g9:4:fioi'it','F"': ' Site utilities
Job site address: I 02. GO 5'v) G-c'eenhvt R/ Catch basin or area drain 16.60
City/State/ZIP: ¶13Nrk 0 (Z. 1 7223 Drywell, leach line, or trench drain 16.60
..,
Footing drain (no. linear ft.: ) Page 2
uit ldg./apt. no.: 1000 1 Project name: C I) FOCIACIA.I
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: 40) \ Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: skel ) 1 Page 2
Fixture or item
Tax map/parcel no.:
:
Absorption valve 16.60
IS 5' j 4 *':„.0tjt,OMill;Z: 1 1,91Fllai.rta;9 Back/low preventer Page 2
A 0 A s, k . w at 4-ci- 1, .0,1er , -Pet ,cf P.,/ IN Backwater valve 16.60
i
In CA Wee- 1114 Kt vf - Clothes washer 16.60
Dishwasher 16.60
!ifit'V t
1Pii6O . ' ' - " -
fiEelt!W , ,:", ""'-, Drinking fountain 16.60
q ':6.,',„.1,,,,,,zw % ,,,,, , W.A., ,, ,o,,,: , ' , : --,,,:„,-, ,,.,--,,,,,,,:,, -.')A, Ejectors/sump 16.60
Name: Equity Office Properties
Expansion tank 16.60
Address: One SW Columbia St. Fixture/sewer cap 16.60
City/State/ZIP: Portland, OR 97258 Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
AikkAIIII r:'4 Otili , 0 '16iiaeiliiii§64:: . : Hose bib 16.60
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, Suite 'G' Primer 16.60
City/State/ZIP: Portland, OR 97220 Roof drain (commercial) 16.60
Phone: (503) 331 Fax: : (503) 331 Sink/basin/lavatory i 16.60
Tub/shower/shower pan 16.60
E jasonc@mckinstry.com
Urinal 16.60
04,4 9 ::'. ArS451 Water closet 16.60
Business name: McKinstry Co. Water heater I 16.60
Address: 12021 NE Airport Way, Suite 'G Other:
City/State/ZIP: Portland, OR 97220 Subtotal
Minimum permit fee: $72.50
Phone: (503) 331 Fax: (503) 331 Residential backflow minimum permit fee: $36.25
CCB Lic.: 40981 Plumbing Lic. no.: 37 Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature: - ' 4,-----
TOTAL PERMIT FEE I '' • I
Print name: Jason C 0 rver Date: 9/27/05 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 \ Pennits\ PLM-PennitApp.doc 06/05 440-4616T(10/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION L PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: PLM2005
Phone: (503) 639 -4171 i ilh41l,l\ 9/28/2005
Inspection Requests (24 Hrs.): (503) 639 -4175 AA-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
11A
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 10260 SW GREENBURG RD 1000 LOT #: TYPE OF USE:
PROJECT NAME: LINCOLN CENTER /LINCOLN TOWER 014
DESCRIPTION: CD FINANCIAL
Other fixtures: (1) coffee maker.
OWNER: PHONE #:
CONTRACTOR: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
MCVINSTRY CO 331 -rL23A
Inspection Request Scheduled For: Date: Pour Time:
9/30/2005
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 017018 -01 503. 331 -2481 V
Corrections /Comments /Instructions:
i
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4 ,Fr____ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ry{ ji Date: Phone #: (503) 718 -