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Permit CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2004 -00353 I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/5/2004 SITE ADDRESS: 10300 SW GREENBURG RD 271 PARCEL: 1S135AB -01003 SUBDIVISION: LINCOLN ONE /RED LOBSTER /CASA L ZONING: C -P BLOCK: LOT: 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: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: TI - kitchen remodel - add new sink, water heater & 2" hub drain. FEES Owner: Description Date Amount EQUITY OFFICE PROPERTIES TRUST 10260 SW GREENBURG RD #100 [PLUMB] Permit Fee 8/2/2004 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 8/2/2004 $5.80 Total $78.30 Phone: Contractor: M P PLUMBING CO (MILWAUKIE) P 0 BOX 393 CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone : FX 655 1726 Rough -in Insp � 6 Top -out Insp Reg #: MET 161 00001482 Final Inspection • 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 -6699. Issued By: Lim ) 6 7 ,,,,/,‘,,,4__> Permittee Signature: (7Y1. / ' . s J.� Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day JUL - 30 - 04 14:21 FROM -MP Plumbing 5036551726 T -221 P.001 /001 F -165 ' Building Fixture" RECEIVED Plumbing Permit Application 2004 _ FOR OFFICE USE ONLY City of Tigard © P1-.6A 0-oO L i - abg: Date/I3 : / I • Perini No -: 13125 SW Hall Blvd., Tigard, OR 1' ..• FTIGARD Phone: 503.639.4171 .•Fax: 50 „ • 4� , 0 e. '- � 1 i ,I\ Other Permit No_- (;(Ji220,,0 - GL',2/� 24- Hour inspection Line: 503.r- .. t G ®�VI . .: Sec Pago 2 for - • Intamet www.ci.ti.gard.or,us • _ .. . Supplemental `, � ^� yryr "' ry ;cg :" ! " i "' 7 ' n ,,,�, ,�- ..rte - � ?S ,. � ,... i C; .^ � c ' j r ge Y ■ • i�d`" _�:G",•.," :�. Aar Si• i . 1'-' FAT' W ' �.. « � - , - 1 r +.:� . - m - i , ,::(� %'�' ,:� �,�� �h:;�R�% .+,tF"�i¢scyl irS_CJ i >Oi.AQ ��t<+te!'t4�l, itip`: �... N�+r�'?����i� � {Yp, �'.y`'� ,I .>'. �, +%.n ll. • d:9;11 .", r g yW: , �i Y tl '4'1 - '61°°^'.�.'yT�.,:f�� 1.." l mr.,..... L: i:• s' � '...` �' _, M• a: i �r. "`ti�.:�. ..,i.,.,_ ��!•'6.ft:o:: n 'F :�� � t: ...ti ■ Demolition . ' For special information use checklist- - \ Descri .tjon • , Ira- . Total tP1 .. ... ...., ..r . ■ Other: New 1- 2= famlty dwellings (includes 100 ft. for each utility connection) 'r%¢xz,3 "�!' S }Fr. .'"5 1: 77t -�„C.F. - a 'a �...:' -',: ' rl:ld _r t ' ': ; r I ., „ ',. �br� Vi,i.∎ wi�0O. 1'.s:d6i,. U ., k• .}` t.:,,p, ,f,,, 7C ? +, *ia_ l 43ri� � ,,� ��' a "h..� -p r�•r,..,.�p•ti ,�i�� ®j : ' • ■ ■ Multi SFR (3) bath 399.00 • ■ Accessory I ■ Other: Each additional bath/Idtrhen l Master Iy.x !- - 'r. �,: �'� -' _ t � .r�c,- u °} . -.':+' y r:�� :u.'"�'!� -a -�. (�..�.� ;,r 'M''u� 7,`•' Flrespriuklerl_sq -ft.) _ `4d y.°i *t .7 : ;i l iFi...5 -7 •F a t•i.r .57 Q4:,;1, i 7.MM Fni=1 i +rl_. .'r ' , .r :' 1 • :. ._1. 1.:4 s''er � S'f: i.N t' '1ELh.r: !_yy'��' ^a�u_ :. �:..�r`i 3 - �;r, . - rl:�`w:.:,- -,� �. : ;: ,ae . SitC utilities Job site address: 0 • fim • 0 - • _ s , r A Catch basin or area drain • 1 640 • City/State/ZIP: ^-V• q ' Drywell, leach line, or trench drain 16.60 Footing drain (no. linear R; ' ) • Page 2 EMR r.ldgdapL no.: \ Projectnamc: - •D6)( . _ i, 0 I 1 i Manufactured home utilities 1'10.00 Cross street/directions to job site: ' . Manholes 16.60 Rain drain'connector Sanitary sewer (no. linear ft.: • ) Storm sewer (no. linear t_: ) Water service (no_ linear ft.: Page 2 A. Fixture or item 5 ' .., ; • i ce7 : 7,i r ,• " .x •1'%iZ': t'=^' lr,•iF � :Z•T ��•^� _f; �:�scs' ^ Y� f:;'i• Mtii_F' :7 , , Absorption valve 16.60 L ".. ?ic;- i - r e � :.,, t : 4 t 0 .. U ei J aV \. 4 7' � a ':f4 „"'":.,'."* : ��..: �1�+ rf�" �- �. ��'` ti: if: �.- � �" �ti1i'`�u:,� ° . �syi<�ti.:.�m c �� L�)/ ,:t -' \t'ZU\/Vi -� r 1 16 - 60 MIMI 7M3i' +, 1 �_. ,J, , g;;trr';"p'E,t . .F;7 y ?7:Ma°.ir;�:�:'n � yn ; : 1 : ZF7r t.ti. • 16.60 M i^ :i r r ''r' � .'J. g i��' n 4 ^ a tt - .,,e� o ti *.�- r� �y �, q t�h •rr �� r y � �.I. 7 : "A fr-.a,r :i�'1..- r 41: ;;I: Sr+ . gai '.0: gi .' •�t..� L_ _- ..�L-f . ...afl_.4'.f. .i' ii' 1i14:�1 � CIs 7 2!1 MI 16,60 IIIIIIN Name: .n - at r►_ I. r ... City/State/ZIP: --- . _ ` „ - cfiii� FO - tl• �� • 16.60 k _ (.1..:9 Phone: ( ) .yl..a- - COQ 1 Fax: ( ) - disposal* 16 - 60 My : iif 1 i: 6 i _ A,1 �' n w �.- : ' y�� •.N' Gi.14r{ 'q r7' 16.60 n'�. {f ;.l t'L ^i1;�i� y � ,,S ^E �i`;�li ��. S % -i :i i. ' � 1a; 1� or l; •. m; � ; � �- „ - t _I� , :r , i 1 �� , . .� 9S yr��© �� �Z t..E4 > fs 7d: �1 ! d B,. t 1.t far•. kv' , •Sr :a• :t.::� : 7 ?i .g;,: � i�__•,_ s.r •li'1iL ? � 4[ .r .a - l 16.60 OEM &ltSiuc55 name: " \ i;) 4> it. jY co ' Interceptor/grease trap 16.60 MI Contact name. N Ae r is 1 - Medical gas (value: S ) Page 2 Address: ^?. C7 , - - • -3C1 16.60 City/ State/ZIP: '� I. I6 -60 MEM 16.60 • Phone: C5b ) , _ o t . Fax :: ( 51 3) (1/5 -11 ZC.o • 16.60 E-mail: S � r_iX+ 2 T r'�v, 2 z�::,� t:, ,i::' � r s iii:; , Meer : • � �p q Urinal 16.60 •Af . 72.1fi..`�i�r'tM'iN Ia 'r'it:"1 iwaPtg354?!i ' -"- -�11In Water. closet 16.60 Business name: () 1 J. , m! ' N' 16.60 MIMI City/State/ZIP: 0 `ClL .\- / l 1 Gj' Subtotal �'O V Minimum permit fee: $72.50 Phone: ( 503) 1_ _ Fax: ( b3) LOSS 2_ Residential backfltiw minimum permit fee: $36.25 `7 , - CGB Lic_- CZ 113221 - Plan review (25°l of permit fee) • = - � t Authorized signature �S State surcharge (8% of permit fee) I , 60 a - ' TOTAL PERMIT FEE Print name: II. Date: -( _S -. Dt-- This permit application expires if a permit is not obtained within A 1 \ice s� - 1 $0 days after It has been incepted as complete. / "Fee methodology set by Tri- County Building Industry Service Board. 1A9nilding\Pe4nits\PLNtF_P [APP dog 12/03 440-4616T(101021cowwEo) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested L - ii AM PM BUP Location 10 30 _ Suite '7 / MEC � j j ct Person Q .. /1 p__ C ( 5 —1 / (/ PLM G?' `" 353 Conta on � Ph ( ) Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC 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 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 ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA �] Approach /Sidewalk Date i/r Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL