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Permit C ITY OF TIGARD PLUMBING PERMIT i t DEVELOPMENT SERVICES PERMIT #: PLM2004 -00512 'c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/12/2004 SITE ADDRESS: 10260 SW GREENBURG RD 960 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: Add (1) sink. FEES Owner: Description Date Amount EQUITY OFFICE PROPERTIES TRUST ONE SW COLUMBIA ST #300 [PLUMB] Permit Fee 11/12/2004 $72.50 PORTLAND, OR 97258 [TAX] 8% State Surchari 11/12/2004 $5.80 Total $78.30 Phone: Contractor: MCKINSTRY CO • 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone : 331 Rough -in Insp Top -out Insp Reg #: LIC 40981 Final Inspection 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. Issued By: L / / 4 / Permittee Signature - Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application r . , • ' • FOR :OFFICE 1USE ONLY. - Ci of Tigard " ° L U E li v E I� Received // �( `� Date /By: C � �(/ Permit ld ?CO �4� 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / Phone: 503.639.4171 Fax: 503.598.1960 ( ') 1 J 24.4 '' ir, j ' I { Date /By: Other Pennit Nc /bSf • 3 (t 24- Hour Inspection Lire: 503.639.4175 •' I p Date Ready /By. Juri_ 65 See Page 2 for Internet: www.ci.tigard.or.us LA I Y Q . FIGARO Notified/Method: / f . Supplemental Information ;�.� 9,.o- .i�`,. _ F....2,;,.; 1� j{� .:- H_:..�<. s,. � r._ T1,.P�E O AWE).. _ �4. - :, - �REE- : , S �FIEDiII ':E.�;::_;..,�a;� "�; .�; a :: T4 �s>X1�L,. ;,,,,, ,,; ,, uuF;' �:.,s'_.. , {�5y �" ,_` -,, ..1.. -Vfikr S #,. -,- �3. _ _- - - :n`�'3'i.�C� _ y ❑ New construction ❑ Demolition For special information use checklist. Descri.tion Q '. Ea. Total Addition/alteration /replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) s = t } - C EGORY;�OF :I'IUis ; fi n SFR (1) bath 24920 ❑ 1- and 2- family dwelling yl 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 sprinkler ( sq. ft.) Page 2 ITV* ,- JUBg-SITE:.:1NF°l)iiii- itii i ND iO6rttTtoisi ' : . `, ,»,. ., „ _ :...,.. _ .h: .., , m.�,�. � ..:. . . .....:a.�,, ..., ,., .. �,�,. �, ,.,. � .,. ,tea .. ,1��, .. . .,_...... n e u n hies Job site address: d 02_1 0 C�,�, i� - Rc.. ,�C e Catch basin or area drain 16.60 City/State /ZIP: oLT+sa® Cam. Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Ct Cat) Project name: (L m cIezUP 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: G I Lot no.: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: / 5 / 35 46 0 3560 Absorption o n item 9 � ,����� " „R. •� „:• >>:;:���;�,- o-::,� �\.� _ A v alve 16.60 DESG © WORK £ "r° 1' ot mss, ;, ,,.. -. ..' . .; ,....- s.. %i -ssIII Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher __) 16.60 .-,:.. g . a . „ G 'a . gyp <• T 'o.-v �; Drinking fountain 16.60 ,I.1-' = I' „, °� . ►v , ,QP RT Y : OIyNER TE • :!Il 'r ; „.% E /sump 16.60 Name: CCt V 0 FA CCs T R-0 /4041 / E.� =._ i � Expansion tank 1 6.60 Address: f% L) C,076 i 0 ist A, 1 t L.:1 Fixture /sewer cap 16.60 City /State /ZIP: Y � ,4D ate_ i Floor drain/floor sink/hub ■ 16.60 Phone: ( ) Fax: ( , ) Garbage disposal . 16.60 ,"1 Hose bib 16.60 ,PiisI, ' CONTACT PERSO ..may a� - �...'i,� »_ ::xif'•'3•° ».4w.,,,.:.., i.,:.s -. -. Ice makerj;" 16.60 Business name: bMCk_.N�ST CO , I Interceptor /grease trap 16.60 Contact name: c),..,_ ,A,...___ Q Medical gas (value: $ ) Page 2 Address: �Lj a � f t c 4 V t14 �J1 4t'� Primer ■ 16.60 City /State /ZIP: &Q; I� (..2___ 1 IRA Roof drain (commercial) 16.60 Phone: Br_ 3) ' Z 1- c C.' Fax: : ( ) Sink/basin/lavatory lavatory Q. 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 3, ,a.. ::s: -� ';�`:�,�� s N �'. • . e�...t,� Water closet 16.60 ., Business name: 1/14 C t ,L Li_. � f Water heater Address: 5tf� lo C t , L i f, i J Other: City /State /ZIP: LA ( 97 4 6 subtotal ��� Minimum permit fee: $72.50 Phone: ( 5'i) S j -DZ.'S L( Fax: ( ) Residential backflow minimum permit fee: $36.25 7� • SV CCB Lic.: el© , • Plan review (25% of permit fee) G Plumbin_ Lic. no.: � ��!►7 � � State surcharge (8% of permit fee) �O • Authorized signature: TOTAL PERMIT FEE � BO Print name: � A ' -• , • P • . Date: 4 / i a °d4/ 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.\ Buildmg \ Permits \PLM- PermitApp.doc 12/03 440- 4616T(10 /02 /COM/WEB) . I 4 t CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 q BUP Received I Date Requested < < ( AM PM BUP ` Location 6 7 - ( (-) .( -i f , Suite 7‘' 6 MEC (/ Contact Person Ph ( ) PLM � 66 ' 6 6 16 - 7 - Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: ,,/ SIT Post & Beam �� ,,� � e }4 �l �s 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 PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Othet: PART FAIL HANICAL_.. 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 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA j Approach /Sidewalk Date ` f6 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION " Business Line: (503) 639 -4171 MST '� /� BUP Received l Date 'e• ested l' AM PM BUP Location ••. uite 9'62.6 MEC Contact Person ort,-t c. ( S03) 2 ?_ (Z ) 1 219 9-0 Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: y7 SIT Post & Beam /rL�C� -- / a rk.,1 -7 -d / /-t/ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm 41, Susp'd Ceiling Roof Other: Final PASS PART FAIL PPLU BIN_s, ° "' Post Beam � ab BQugki -I a er Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: F�I PART FAIL '' ' ' ANICAL • 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 0 Please call for reins.ection RE: Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date - I nspector w PP Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL