Permit CITY TIGARD PLUMBING PERMIT
A , ' I DEVELOPMENT SERVICES PERMIT #: P 10/28/2005
-00606
A II 13125 S W H all Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/28/20
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Cap 2 lays.
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: 2 OTHER FIXTURES:
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 10/28/200E $72.50
[TAX] 8% State Surcharl 10/28/200E $5.80
Phone : Total $78.30
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393 REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Phone : 503- 655 -9161
Reg #: LIC 5002
PLM 3 -17PB
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 -66 9 or - 800 - 332 -2344.
Issued By: Permittee Signature: ha g .,/ _I _/ `_i.I
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.
7 7 i`i. 27 -'05 07:08 FROM -MP PLUMBING CO. 5036507050 T -153 P01/02 U -447
‘, RECENED
Plumbing Permit A li iio, 05 FOR 01.1..K. F. t.:`i; ONLY
City of Tigard ®CI Received
Date/B /O .1.1 06 e6 PennitNo.; ,/L5 , at , 4 t;.
13125 SW Hall Blvd., Tigard, OP. 97223
Phone: 503.639.4171 Fax: 503.59.819,60F TIGARI3 A .v,kd r Plan Review
1pt4 ,:i, DatelBv Other Permit No.. /
24- Hour Inspection Line: 503 rlgih
Houpeion Lin.63 t)1 lux* ® Sae Page 2 for
III ,�iMING DIVISION -a ! cr,Reedy/Hy:
123,;0 Internet. www.ci.tigand.or.us ard.or.i1s t ' £ fied/Meihod: Supplemental o
g �2r
Ntti
Su tomtan tal Informatin
1 ,, ; t ° ' {c E s l ! 1! 4 i Eel, .1 " lliiif 'iii f 1.11 1 1St u liT5 as t? R. F 4 r tr
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❑ New construction ❑ Demolition For special information use checklist Description i j Ea. I Total -
® ❑ Addition /alteration/replacement Other Nev 1- 2 -family dwellings (includes 100 ft. for each utility connection)
,y ; � �ifi v l '11 #�* � rt ,r t c� rnu,u ... } „�a
t{ 1Et: ,,' T t i! .t l ;,a t as `� fitum � j . , . s 1^ J ti1 ` 1't R t r i SFR (1) bath 249.20
❑ 1- and 2- family dwelling ® Commercial /industrial SPR ( bath 350.00
El Accessory building ❑ Multi- family _ SFR (3) bath 399.00
Each additional bath/kitchen 45.00
l ,t � • ; 1 E F ' , Fire sprinkler ( sq. $.) Page 2
❑ Master builder ❑ Other
' i� ft Riik3/ r :r ∎ t E1 P t }� flit r! i t3' 1 I • I ,,, ;
x' , f NWitit l it m srf ir,�xtttVdi 4Y 4,,,, • � tnU A, ; I 111 iltt s �• r Sit u tilities
Job site address: 10220 SW GREENB(JRG RD Catch basin or area drain 16.60
City/State /ZIP; T1G: '-e a ' - -., 23 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. np..: 1150 - 1155 Project name: ATES Footing drain (no. linear ft.; ) Pag 2
Cross street/direct •
e./....... Manufactured home utilities 110.00
s to j. t site: . • , ,,
Manholes 16.60
Min drain connector 16.60
Sanitary sewer (no. linear R.: ) Page 2
Storm sewer (no. linear R.: ,. ) Page 2
Subdivision: 1 Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.:
Fixture or item
i? T Ike lrtt ia:•, )nT lyy ` a i.`'41 t " E p ' q . l° ,n Absorption valve 16.60
1, , 0 i "r i. „' i I' t u E ;liar ��,. '" , "" ,, °` it-r I :., ` ... , i 0; . t ill ..<. l # I!I - 13acktlow prevcnter Page 2
Fr i& & CAP (2) SINKS Backwater valve 16.60
i Clothes washer 16.60
Dishwasher 16,60
i tr q , a i I
, l ' t t l Drinking 1 t : : ' ! ` 1 1 tit �i � t r F t 'Ili'
, . n fountain
? , d ti; ! E . - .;ai,as i , ,, .r r ;p _, i 1 i 4it�i 94K � ? s9m I t i : l . .,. i i r .' , Ej ectors/ 16.60
Name; OBSIDIAN FINANCE Expansion tank 16,60
Address: Fixture/sewer cap 7 16.60 4 31
City /State /ZIP: Floor drain/floor sink/hub 16.60
Phone; ( ) Fax: ( ) Garbage disposal 16.60
�q Q r - at '' t1 „,,, os ,,,,,. ,, F f Hose bib
r e a l ,. i I6.60
{ _.,, , G •, s � kl u l t _ - . ' " l r : � `t - Ice maker 16.60
Business name: MP PLUMBING CO.
Interceptor /grease trap 16.60
Contact name; TAMI GEORGE , Medical gas (value; $ ) Page 2
Address: SAME Primer 16.60
City/State/ZIP: SAME Roof drain (commercial) 16.60
Phone: (503) 655 -9161 Fax; : (503) 650 -7050 Sink/basin/lavatory y 16,60
E -mail:
Tub /shower/shower pan 16.60
q ?, st1�, }}�pp t :' t q" i 1 � x l t . x q Urinal 16.60
nl l � t 11 1 10M11 F�f lit {. 1 "''` 1 � i` �c(0i -. _ : ,, , b Fl I d 11!{hi { a ` fill ) t - , 'Water clo
16.60
Business name: MP PLUMBING CO. Water heater 16.60
Address: PO BOX 393 Other.
City/State /ZIP; CLACKAMAS OR 97015 -. _ . Subtotal 3 , x-
Minimum permit fee: $72.50
Phone; (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: $3625 25
CCB Lie.: 5002 - - Plumbing Lie. no.: 3 -17I'B Man review (25% of permit fee)
State surcharge arge (8% of permit fee)
��J�
Authorized signature: / TOTAL PERMIT FEE •
Print name: TAMI GEORGE Date: 10/27/05 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Pee methodology set by Tri- County Building Industry Service Board.
i:\ Buildiag \Pem PcrmitApp.dac 06/0i 440-4616 T(10/02/COM/WEa)
CITY OF TIGARD F-m
BUILDING DIVISION PERMIT #: j m4 — — 4:3.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171aA4jroy�H l�
Inspection Requests (24 Hrs.): (503) 639 -4175 °` .L
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: t C Z G O S . P.G._G 11.5 R,._ (1570 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: cm () UYs
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 c= e C e—
Corrections /Comments /Instructions:
L i
dWIE
AS S n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0/e--- Date: CD ( Z Phone #: (503) 718- , ?1_