Permit x � CITY OF TIGARD PLUMBING PERMIT
° . COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00003
• TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/4/2007
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 300 ZONING: C -
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: All fixtures are replacements. Other fixtures: coffee line, ice 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: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST
ONE SW COLUMBIA ST #300 Description Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 1/4/2007 $72.50
[TAX] 8% State Surcharl 1/4/2007 $5.80
Phone : Total $78.30
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503 - 650 -7050
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 503.246.6699 or 1.800.332.2344.
Iss��d By: � I Permittee Sign ture: �r .40/W �;
Call 503.639.4175 by 7:00 a.m. for an inspection th. 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.
From: 01/0312007 15:27 1t420 P. 002/003
Plumbing Permit Appl r . FOR Of l IC'E USE ONi:
CI of Tigard R eceived
g / y O) Permit No ' ' R 00
13125 SW Hall Blvd., Tigard, OR 97223 ^ N - Daterey: -]- OODp
� � u P1an Review �
Phone: 503.639.4171 Fax: 503.598.1960 H e `ty q'l i h Date/By: Other Permit No:: 0 �'7 ." "9
24- Hour Inspection Line: 503.639.4175 n: i_ A
Internet: www.ci.tigard.or.us CIT OF Tha,°"'- - Date Ready/By: li3 See Page 2 for
r e. t"1dAlfi l'lil!)HSS!UP! Notifed/Metbod: J 7 Supplemental Information
v, .R1 �m I [!e i !i tit I 7� i3 0 p �' 7 c 0 i�9 '+ F,? t
� I { `l k i1 .t _ :11 tf ;: (', ., > ,y r . `1 -, ' 9li ' i �' fL I. i n, , & ;a 71 - • n:nll;ai l rfli ; # i -;y?,x ,,. , ' a ,
' r i i yl i Et } , ?N d ,,i ! rtjf�l#4 t l tr il t N i git �d 'C' : ; ,: �1 j t }� l 1 � (( I j d { ! •:i1 y ((� � ( };i 4r ; 1 { .y "1 M3.a. • �i a ', it l 1 1 . 6{ 5 f 1 ',, i .
If���l1��{Ii�st?ii,� {#11 �i�t��ft< e,ii:,ht[l li�5% �tE!? izt:# fAf... �'.! i�5ril{. 113i19LT 1C�: FI< 1o�1�17ti�11<::`. F.# �i1. i.{ y��i# y��! �l3{ Lll flfe?F714i���L�1�.ililltlt�.. ;4'iAtGlltl ���it, 1il: lt: ���J �LiI1177 1! itlllftd��ilf9lS?ii' �: �iIF: R3. t �1�1 $;#l��iak •. �f
❑ New construction ❑ Demolition Descri �tion For special information use chec Mast Total
Pi Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) O
to p:Ri . a r ! m�rd IuE til` , t1. #�11 s >IP"f° I # s {�, f I 1�f t �f' r r r
„a ,r 1 1ta, it r tG� F iFra#tac4 g xlw #izs t ql , � i rg�i�t r lrgi � w 1 1 1 1 � f' It 1 ,�� 4 SFR (1) bath 249.20
❑ 1- and 2- family dwelling Pi Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
❑ Master builder ❑Other Each additional bath/kitchen 45.00
ysn 1reTt g i• = t c t iy tr}1(; l p : • t is �, Fire sprinkler s . ft.
P ( 4 ft) Page 2
s u. iI f n,.tiu l » , i + Site utilities
Job site address: / �L� /4 ��`' � '
Catch basin or area drain ■ 16.60
' / _ /�/ Drywell, leach line, or trench drain 16.60
r iiit= /.ldg. /apt. no.: i40�A Project name: li Footing drain (no. linear ft.: Page 2
�¢� Manufactured home utilities 110.00
Cross street/directions to job site: r / / ' Manholes 16.60
t
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 ft.: ) Page 2 s
• Fixture or Item
Tax map /parcel no
,5 A ]l 's t t m ti ° ll: ' UIt rft,.P#�1* 0} ' Y`.t' pol' °- F }�, tt, i i ir� a a � Absorption valve 16.60
tl a k _ ,. ) „„ x,. ';:ii Ilu , ,,i i m. if i Backflow preventer Page 2
1 ; / ■ f 1�- Backwater valve 16.60
, / / `
lj f : ) Clothes washer II 16.60
Dishwasher eillt 16.60 ,lil
at4 t # a ta I i p f li {,# ii 4aF mG�7 ,S n, am ,1 (i , r Drinking . fountain 16.60
L ai i 61 si Ze 71' LtA i1 l . r t o , ::: P 1 #% l i�k 1111 #.n µ Ati i�V 1K 1 (1. ,± . it Ejector sump 16.60
/��rJ // Expansion tank 111 16.60 MI
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
I° r-t � :` ii o>:r�ryill m ait ' l p rn1ni t / iel 71 lI
, a 1 ; 11- AAita,tr' ; tri #t r t`„tux i;,51, r, ;y r Hose bib 1
la�lt ff e tiifilli Bpi i ll iitk. P 1 i 1 1 41 4 i(n RI k ev ' i # L ' 3i: t `' .J ilil i IIIj 6.60
I ce maker r / I 16.60 - ,. , ■!„.-----
Business name: MP PLUMBING CO. Interceptor /greesc trap 16.60
Contact name: TAMI Medical gas (value: $ ) Page 2
Address: PO BOX 393 Primer 16.60
City/State/Z1P: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Phone: (503) 655 -9161 I Fax:: (503) 650 -7050 Y i asin/lavatory / / 16.60 ) , kd„-----
Tub /shower /shower pan 16.60
E-mail:
Urinal 16.60
c , {SV e i m a {q i 1 }} ure l Oi l ( R4 fil 3 ( ma �a a., ac t { s t ti ,r r , ri r ?r
ie { tam 1 { # ;fit
't 1 �' i F: i I I I n t a t u t 9 11 1� (1 # S 1 1 Ii, if 7 l,i f � # 41{1'1 it
do.; ti,,rr, tl ,::aCI(din. Fal tu, .,v(uhtrii�t: "zut�ao at100-437.2 .1' : hiAttlIIIM . € .: Ii � �, ilt h.,a,t,i�t.!ll:m,,, l Water closet ■ 16.60
Business name: MP PLUMBING CO. Water heater 16.60
Address: PO BOX 393 Other ,,_ .-,,r tt ifiaga
City /State /ZIP: CLACKAMAS OR 97015 Subtotal �� •
Minimum permit fee: $72.50
Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: $36.25 '7 y%
CCB Lie.: 5002 Plumbing Lic. no.: 3-17PB Plan review (25% of permit fee)
r State surcharge (8% of permit fee) t
Authorized signature: f � f .
TOTAL PERMIT FEE W
Print name: TAMI GEORGE Date: / J 77 This permit application expires if a permit is not obtained w in
180 days after it has been accepted as complete.
•Fee methodology set by Tri- County Building Industry Service Board
i\ Building \Pern,it.1PLMPcrmitApp.doc 06/05 4404616T(10102/COM/WEB)
. . .__
1 - -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 114/2007
Phone: (503) 639-4171 dikai P 0 I A\
'VIA il.
1 Inspection Requests (24 Hrs.): (503) 639-4175 J
INSPECTION WORKSHEET FOR DATE: 2/1/2007 TIME: 7:01AM PAGE: 43
SITE ADDRESS: 10300 SW GREENBURt3 RD 300 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: BANK UNITED
DESCRIPTION: All fixtures are replacements. Other fixtures' coffee line, ice maker
-- FI A , -- A.v7_ _.
OWNER: EQUITY OFFICE PROPERTIES TRUST, /VD Z.---e%-fir PHONE #:
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO 1-et-7,‘ PHONE #: 503-655%8181
/2
Inspection Request Scheduled For: Date: 2/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 042821-01 603-665-9161 Y ,
Corrections/Comments/Instructions:
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ZI — PASS---- El PARTIAL APPROVAL E CANCEL n NO ACCESS
1 I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
7. Y 1
Inspector: -
\4,A ( Date: f- 2--/ ‘/ 6 1 Phone #: (503) 718-
ti