Permit ' -'43/11 '` FrLril: 11/19/2007 15:02 #936 P.002/003
EIV ED
1 . 1 2001
Plumbing Permit AI 1 1 0111(1 IH,I (INI 1
City of Tigard A
Ceceived
TIG�
13125 SW Hall Blvd., Tigard, OR 9 16.E UNG DIV + R ey / ' o •; .i ' .t NO'. ‘� . a e e 7 CoSi C/
Plan Review /�
Phone: 503.639.4171 Fax: 503.598.1960 ,�1, ! ,,,, Date/By. Other Permit Nc..j / ,a } , 7 L)(,').ri
24- Hour Inspection Line: 503.639.4175
Date ReadY�Y •uy ® See Page 2 for
Internet: www.cltigard.or.us Notified/Method: / / Supplemental Information
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❑ New construction ❑ Demolition For spedainlformatlon we checklist
a l Addition/alteration/replacement ❑ Other Description 1 Qty. 1 Ea, 1 Total
-1 -r-r ?ter , rNi,`y �CT'4 . i'duiWliiffi i ii ',r; f 2E:f.F. i.�F, N= M r n r y
New 1- 2- family dwellings (includes 100 ft. for each utility connection)
ail �l {•, r ti_ t , -:k.t j n a; �.`} at i. roles :4'1,1f `' .' i SFR (1) bath 249.20
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❑ 1- and 2- fatnily 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
J v M 3 ra r i'L�4 a a 7_ +•`t. 7 :r" ,g; !' i � -�} s w.rr 1 ,L".L, �"T' nil '?Si„fT9 S ,� +.. Fire sprinkler ( sq. ft.) Page 2
a...t.i s1 "J iti.I _ �rfIliit L g'i a l �l i€ a .2.-Wr trues -
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�� � #� } r� ,_ � Site utilities
Job site address. ,/ , / /; r/y/. / /..T�i1 %1' Catch basin or area drain 16.60
City /State /ZIP: /;4,-( �, 97 3 Drywell, leach line, or trench drain 16.60
, 1dgJapt. no.: S/ / ill/ roject name: Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: ��ELLFI3eR r
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) ' Page 2
Storm sewer (no. linear ft.: ___) Page 2
Water service (no. linear ft.: )
Subdivision: Lot no.: Pag e 2
Tax map /parcel no.: Fixture or item
z r resat a r- (l l e r , ury}, Abso tine valve
.„c grAt' ",:n... 7'::1.ifv li .IRi_ ''1111:1 i_F. .'._�th:.9:ai:4., +'+ r KIl;l. a,r.{r I f tp _ Page
�^ �/ l � ��. � Backflow preventer Page 2
1. . 4 �! / Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
y ;tj; n iii ' c ' ' d - t •+ a kk r > �.�5'' i :t _ "�l n :r ��{ i• :4,e.1 l ' !t Drinking fountain 16.60
��iiss:n�7 J , � '♦: i cl � ��. �.. 1'$d�a °' sEty s.. y n -
i�lf� Ejectors /sump 16.60
Name: 1 . - . -._. .�/ ieEn r`/ 7 J
Expansion tank 16.60
Address: / F7Z77 3 -e. Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub I 16.60 /6 6..
Phone: ( ) Fax: ( ) Garbage disposal 16.60
¢ t..I t tFF, iu , f Yf / ; n , 7 , ifi ° - 4 1 1F, .. 4.2 +r ; r t Y - J ,llil 11+s '" "' f ` _ e bib 16.60
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„ i '7 ILr .60
Ice maker 0 16
Business name: MP PLUMBING CO.
Interceptor /grease e trap 16.60
Contact name: TAMI Medical
gas (value: $ ^ ) Page 2
Address: PO BOX 393 Primer 1 16.60 /4, 44_
City/ State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60 /
Phone: (503) 655-9161 Fax: : (503) 650-7050
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Tub /shower /shower pan 16.60
E-mail: p Urinal 16.60
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��.�..,.. pD: . .s_ _ .,e ,._. .._. sz r:2aiflc...,as A.A i' i „ 6 a ; "' ' §a, Water closet 16.60
Business name: MP PLUMBING CO. Water heater / 16.60 A
Address: PO BOX 393 Other: //�
City/ State/ZIP: CLACKAMAS OR 97015 Subtotal £J , i10�
Minimum permit fee: $72.50
Phone: (503) 655.9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: $36.25
CCB Lic.: 5002 Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee)
� y �� , y State surcharge (8% of permit fee) 1 .4�
Authorized signature: `yj4 `, 1 j. 3 - 1)d?C7 TOTAL PERMIT FEE
a /� 1 ed wi
Print name: TAMI GEORGE Date;17sr9��7 This permit application expires if a permit is not obtained wi . in 646
,sc 180 days after it has been accepted u complete.
*Fee methodology set by Tri- County Building Industry Service Board.
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Il ' I' CITY OF TIG ARD
PLUMBING PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00519
DATE ISSUED: 11/28/2007
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
- , PARCEL: 1S135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 571 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: TRELLEBORG
Project Description: Add new fixtures. Other fixtures include (1) primer valve, (1) ice maker and (1) coffee supply line.
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: 3
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
SHORENSTEIN REALTY SERVIVES
ONE SW COLUMBIA ST #300 Description Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 11/21/2007 $99.60
[TAX] 8% State Surcha 11/21/2007 $7.97
Phone : 503 -412 -4800 Total $107.57
Contractor:
MP 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.
Issued By Permittee Signature �� i (71 ,-CM/1/1
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.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL M2007-00619
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .l •1081:0o7 . A
Phone: (503) 639 -4171 4 Pf�f
Inspection Requests (24 Hrs.): (503) 639 -4175 -��++�
INSPECTION WORKSHEET FOR DATE: /2127/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 10)20 SW GREENBt)RCi RD) 571 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: TRELLEl3ORG
DESCRIPTION: Add new fixtures. Other fixture: include (1) primer valve, (1) ice maker and (1) coffee supply line.
OWNER: SHOREN STEIN REALTY SERVIVES, PHONE #: 503412 -4800
CONTRACTOR: MP PLUMBING CO PHONE #: 503-655-9161
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
393 Plumbing final 062170-01 503. 6559161 Y
Corrections /Comments/ Instructions:
A PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
c
Inspector: Y Date: x')''11 10'7 Phone #: (503) 718 -
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BUILDING DIVISION ~~~,"~~~~""�~= ~°"°"~,"~~"° PERK4|T#: PLkA2007OO619
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007
�
Phone: (503) 639-4171
Inspection Requests (24Hm.): (503) 639-4175 �4
r
INSPECTION WORKSHEET FOR DATE: 11/29V2007 TIME: 7O0AM PAGE: 55
SITE ADDRESS: 10220 SVVGREENOURG RD 671 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE L\N�OLN LOT #: 009 TYPE OF USE:
PROJECT NAME: TRELLEBORG
DESCRIPTION: Add new fixtures. {)therfixiurms include (1) pvi,nerva}v*. (1) ice maker and (1) coffee supply line.
OWNER: 3M(}RENs REALTY 5ERV|VE5. PHONE #: 503-412-4800
CONTRACTOR: MPpLU&ABiNG CO PHONE #: 503'656'9181
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # K8e
320 Plumbing rough-in 060461'01 509'055-9161
'Coneodono/Connnlento/|notruodono:
.
V\t'ASS RARD �� ��
PARTIAL CANCEL NO ACCESS
�� FAIL | | CALL FOR INSPECTION __ ADDITIONAL FEES ASSESSED
� � i �u� � /~�c�'� «�
| c ��K�~ �� K�� Date: » ) u~ v y /' Phone #� ��U3\ 718- *�� ` -- �
'-,__ ' (503) '
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