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Permit P \ • CITY OF TIGARD PLUMBING PERMIT PERMIT #: PLM2004 -00498 I DEVELOPMENT Tigard, SERVICES ) 639 -4171 DATE ISSUED: 11/2/2004 - 13125 SITE ADDRESS: 10260 SW GREENBURG RD 1160 PARCEL: IS135AB -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: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Relocating: (1) 2" floor drain, (1) breakroom sink, (1) primer & (1) water heater. FEES Owner: Description Date Amount EQUITY OFFICE PROPERTIES TRUST 701 5TH AVENUE #4000 [PLUMB] Permit Fee 11/2/2004 $72.50 SEATTLE, WA 98104 [TAX] 8% State Surcharl 11/2/2004 $5.80 Total $78.30 Phone : 206 - 262 - 5400 Contractor: POWER PLUMBING CO PO BOX 19418 PORTLAND, OR 97280 REQUIRED INSPECTIONS Phone : 503 Rough -in Insp Final Inspection Reg #: LIC 52378 PLM 34 -150PB 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: � ^te Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day ( 1 15: 58 HP LASERJET 3200 p . 1 i ' - . Plu ::Ibing Permit Application,EVED rQlt OFFICE I. l:: (MLA' City of Tigard n� p gy 4 041 Permit No„ L / '2 y 13125 SW Nall Blvd„ Tigard, OR 97223 ,, 2U� Plan Review A , - Phone: 503.639.4171 Fax: 503,598.1960 r• ;t, Other Permit No.: 24- Hour Inspection Line: 503.639.4175 k i � ! � 1 ' I JJ I Date Re ` Date/By: Internet: www.ci.tigard.oeus CITY OF TICS . . adyl9y: tuns: 0 See Page 2for no ate rt1A10 nivibilil5t Notified/Method: • , Supplemental Information "s'?�,1.11 it ti- - r p a fi' »i. a1 @ 144: : � ti, 43 ii ' d a ,� A .,) st. - g • r - .c-... .+ � ,, r. es 4f,. ,. r '?,_lg ' r,. ,. ; -Le. II' th x ,. 1Fvr1_rjr S Ur il. . .,,, - ' 1 - ,'a .� F 3:r :! bwt ,� tale i„. .....,"a ►=1 New construction , ❑ Demolition For special information use checklist ' Description I Qty_ I Ea. I Total Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) • .. .... : e',.� .. - ' 34 _ „ �1 '..H t ���� � 1� a r... - u SFR (1) bath 249.20 ❑ 1- and 2- family dwelling . [Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 El Master builder Each additional bath/kitchen 45.00 ❑ Other: >t,. _ . : ttntr n:•,, nit Fire sprinkler ( sq. ft.) Page 2 . .. ...,. , ', �'"u.A. S 5 °t' _ 't. ,;11 • r5 * ; Td:ri »:-:.._:iI - • • °• _...-- -. -x,.�Y , �+uc _ _.,,, 1011 .- ..�; 1:r`��:- �;�t "�:.% • ' Site utilities lob site address: i 17.2 A a SS.J V T:C44 bU. r % pa , Catch basin or area drain 16.60 City /State/ZIP: 77- ex rck D / Drywell, leach line, or trench drain 16.60 M Suite/bldg;Japt. no.: i ( 60 ] Project name: A . r t. rs /r 1a �a Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site ` P C.,b t N Manufactured home utilities 110.00 Manholes . 16.60 Rain drain connector 16.60 • Sanitary sewer (no. linear ft.: ' ) Page 2 Storm sewer (no. linear ft.: - ) - Page 2 Subdivision: I Lot no.: Water service (no. linear it.,: ) Page 2 Tax map /parcel no.: /5 / 3 j' ? .' O 3 4 foo Fixture or item :,:. rM1 ; mot:::.: ri _ .H+ b.r- a:: aslldil +r : , ,.,,,, ,,„ Absorption valve 16.60 p ...... . „� :i:pbi, 1�� ff ,...,_'- �^�i,'t5, 5;t�I a o venter Page r.. , . Y;.....,. -.... ,,..e -, �r . S ckfl w pre P 2 6 cr run len S1 rl k Backwater valve 16.60 • Clothes washer 16.60 • Dishwasher' " 16.60 '' :; , : ;'i = !, - -° Drinking fountain 16,60 ' ' ' ' ° " "' " E jectors/sump 16.60 Name: ' E� tL i ..2 ®, � rc Expansion tank 16.60 Address: 7 0 \ T --i Al >-- °'4- yG1Q a Fixture/sewer cap 16.60 City/State/ZIP: \,_ LDS)- / 1 Q c f Floor drain/floor sink/hub A� I 16.60 I 6,bO Phone:12A) ' - 5 C © 6 , F ( ) Garbage disposal 16.60 , ;== :s ..,:... j: "tit � „ = = X5, ...,! • n. - - ..,',.V :47,4,2F-F... - Hose bib 16.60 ;::.... ,'' [ .t; � t 1 I -w :«,' ail, r ' :: ? j � 42 ?,1tt & (* � a r "'.; ; = _ Ice maker 16.60 Business name: iPaf...oe C d , lam Li Interceptor /grease trap 16.60 Contact name: Oil , 1 IK I 0. - C' re x) y {!-, Medical gas (value: $ . ) Page 2 Address: 66i/ S w L _ I T Q /'1')¢,�� , Primer I' 16.60 j 6, 6 City /State/ZIP: .4, r 0.nU f . 0 ' C,r '� 3 (commercial) 16.60 Phone: (� 3) eQyy q00 `.ax:: (9 ) zit ° g s ..� 6 1 5.:01rain asin/lavatory I t6.60 j 6 �p E - __ 6 CG! / . n 3,:t ' G a ? Urinal pan 16.60 _,n- °➢,° "-tt ' "'`s `. i'tE'�_`t�siEin §,L4�i"_.__ _,: � r� i.. i a_°a= _ - i -ie , ! , .._.�- ,ic::: -. - s:.:- �,'�•• .. --- -- Urinal I 16,60 � >i;'.= .w`: <,... ? o 4 i»�s=k ".,; �,,. _ „c:_ ^`�'°� 3s`i� - - :L� woes - t ;t .,: ,. • > :r{ . »:r t�+.__,..r -;.., , �.W ............ �- r:�- .- ,��,,__.. at corset 16.60 Business name: 16.60 1 t� er � � tM, ,b ;'rt c� Water heater .,. , I L6, 60 Address: . 6 6/ 1 s t l t.,t , . o h a` L. , Other. 'I Q Subtotal City/State /ZIP: Po r om ` Q t 4 7 a. a Oa '-1 Minimum permit fee: $72.50 1, 3 Phone: (s3) a4 - / 9UZ7 Fax: (5z A 41 $e. ,r Residential bacldiow minimum permit fee: $36.25 CCB Lie.: 5-.2 3 7 Plumbing Lie. no.:34/.. /5010$ Plan review (25% of permit fee, S y ' o -i Authorized signature: State surcharge (8%ofpermit fee) ' A � TOTAL PERMIT FEE,/ ^� .. - Print name: - . Date: 9 3 e , .4 Y . 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 BuiIding \Permiu\PL.M- PermitApp.doc 12/03 440.4616T(10/02iCOM/WEB) • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 7- — 8 AM PM BUP Location , e► _ALdit_J, Suite `/ MEC Contact Person Ph ( ).1 4 7 / — 1 9 o PLM d©y "o D g� Contractor Ph ( ) SWR BUILDING Tenant/Owner /�Y}�L P/2�C� �-� 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 PLUMBING :: ' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: PART FAIL MECHANICAL 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 reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Date �/ Inspector Ext Approach /Sidewalk ri p Other: Final DO NOT REMOVE this inspection record from. the Job site. PASS PART FAIL