Permit ., CITY OF TIGARD PLUMBING PERMIT
• . COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00227
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/13/2007
PARCEL: 1 S 135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 180 ZONING: C - P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
PROJECT: GROUP ONE LENDING
Project Description: TI - other fixtures: (1) primer and (1) ice maker 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: 0 URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST
ONE SW COLUMBIA ST #300 Description Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 6/4/2007 $83.00
[TAX] 8% State Surcharl 6/4/2007 $6.64
Phone : Total $89.64
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- l 7PB
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 OU NC by c 503.246.6699 or 1.800.332.2344.
X.
Issue By: c 1 / • Permittee Signa ! � ! 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.
Fr6. r 06/01 /2007 14:55 #225 P.002/003• •
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Plumbing Permit Appl ' t, ; ; Ft>rt t Fl It 1 1111 ()NI
City of Tigard d L' [lam, -t, } `' i f / R eceived
Date/B - , p...) Permit No.: PLNI .W - - � A
13125 SW Hall Blvd., Tigard, OR 97223 JUN O j 200 ' Plan R eview
Phone: 503.639.4171 Fax: 503.598.1960 u .. ,,, e 6 , y. r,; , , ,kj - t Datei • Other Perm N. t fK ? �.er f
24- Hour Inspection Line: 503.639.4175 crry F I n a __� jl ate Ready/By:
Internet: www.cittgard.or.us g- ' - D R Supplemental See Page t for
�* B j { '1 ' la':°. P1 lss a Notified/Method: • Information
� �''t.. dr,Ts ° ? Kr.K s-r„ -' �•'� , mr s �x y ct-aa fi Sup emeatall
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lar.� .v .- �:!t6gs aE v,,,Thi '4 c 1, 1 k. (he' • H_5:: S8•110.*-
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❑ New construction ❑ Demolition For special information use checklist
Descri.tion e . Ea. Total
I7 Addition/alteration/replacement 0 Other New 1- 2- family dwellings (includes 100 ft. for each utility connection)
mil:, ilibi - Pit,, ti ,..0'...410 �u i. '. 4sra s,. ; Ast Olt - r.,:, . 3r. t ali 1 . SFR (1) bath 249.20
❑ 1- and 2- family dwelling /i Commercial /industrial SFR (2) bath III 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder ❑ Other: Each additional bath kitchen 45.0 V
- , t , r. �, � r�� Fire sprinkler ( sq. ft.) Pa e 2
s to 1lx`t IH a 1< a t` �# 5� 1 re( g
'',,,r .Al .,1 ''� -.. _.)br , -1 ��:..! . � :.Al tar. >„ liE 1 1 • Site • utilities
Job site address: / 11 ng 4 J 16. -
r .�� / , i /,� / � � Catch basin or area drain 60
City / State/ZIP: ; / . / ` a W A Drywell, leach line, or trench drain 16.60
suit - ldg. /apt. no.: Project name:
Pro1 j f Footing drain (no. linear ft.: ) Page 2
�j i ai�lLr�l�iiiif Manufactured home utilities 110.00
Cross street/directions to job site: ltib • + L r ' - . g I,
Manholes ; 16.60
«
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) ' Page 2 %
Storm sewer (no. linear ft: ) Page 2 i\
• Subdivision: ]Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no
Fixture or item
�{� _ 41 Absorption valve
r� �� a , 4 .4 ' r °r��,c..�.WRM " »s . , , i y. • Beckflowpreventer Paget
O�+G, : . t 4 I , x'ti t � \ra/s 3 y r y" . � -A 41 . !` 5 1, , - 1 ,- 1 . is rL r ;I g
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
l
'au?a . ` i4 c ,. r�ii �`r iFe7O rr"' ° t a . a t +y i, r s-s . t,' " Drinking fountain 16.60
r i:'.t4 .9 [. ,� '�Lfl �.Y..w r .a x a .. F 4 w 21, ... .Ot;.... , . 0:,:Nr t
� � `� t'i.�i ;�� r .m � y .'+ f {tom + c �i �.
n _ Ex pa n sion tan 16.60
Name: 7
' /r" ` e0,,, _ �/1 / / E tank 16.60
Address: Fixture /sewer cap A 16.60 -
City/ State/ZIP: Floor drain/floor sin •mmilm.i. 16.60 -
am"
e
Phone: ( ) Fax Garbage ) disposal ■ 16.60
t 3 YP ` t t F � 3 " 'aft '1_ { rt } « « } n Hose bib 16.60
` '�� 9. `? .� ll t s 4W4.�, itiri {mir1 @t n .tjj -i ' g . 4 .0-0-,,NIA-6„w54. k i ' i' :.
i. _ :,,a,�. x „ . i t L r, » . ida,, .. _ '.` $ „ ;;ti t , toe maker 16.60 i
Business name: MP PLUMBING CO.
Interceptor /grease trap 16.60
Contact name: TAM' Medical gas (value: S ) Page 2
Address: PO BOX 393 Primer 16.60 !G, , Oa_
City/State /ZIP: CLACKAMAS OR 97015 Roof drain (e. t ercial) 16.60
Phone: (503) 655 -9161 I Fax: : (503) 650 -7050
Sink/basi avatory '�-nri 16.60 ". "�
E -mail Tub /showe shower pan ■ 16.60
l;. 9x r x . t,-, zri, t...n va , t s « 9ZI r t E Urinal 16.60
,i d X L 5t. ,��..' < l , ! 1• "•, � . ° * I 1, i s ttn «l � ,, t r Water closet 16.60
n M,�, a i
Business name: MP PLUMBING CO. Water heater ``
16.60 �� __''
Address: PO BOX 393 Other:
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
CCB Lie.: 5002 Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee)
Authorized signature: ild « , YyrJ State surcharge (8% of permit fee) � , �
r f TOTAL PERMIT FEE j r"I
Print name: TAMI GEORGE Date: i../ '17 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:\ BuildinglPermits \PLM- PamitApp.doc 06/05 4404616T(10/D2/COM/WEB)
CITY OF TIGARD . - .
• BUILDING DIVISION PERMIT #: PLM2007- 00227
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171 74 /fi l I(I
Inspection Requests (24 Hrs.): (503) 639 -4175 ,. ' ` .L.
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 32
SITE ADDRESS: 10200 SW GREENBURG RD 180 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: GROUP ONE LENDING
DESCRIPTION: TI - other fixtures: (1) primer and (1) ice maker line.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP PLUMBING CO PHONE #: 503 - 655 -9161
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 99 Plumbing final 051528 -01 503- 655 -9161 N
Corrections /Comments /Instructions:
CA rt, el ..K. l,1 Q4
X PASS 1 I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I , CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: �a 1-1 G if -- Date: 7) 6 67 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00227
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 6/13/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 LL
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 5
SITE ADDRESS: 10200 SW GREENBURG RD '180 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: GROUP ONE LENDING
DESCRIPTION: TI - other fixtures: (1) primer and (1) ice maker line.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MP PLUMBING CO PHONE #: 503-655-9161
Inspection Request Scheduled For: Date: 6/1512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 050323-01 503-655.9161
Corrections/Comments/Instructions:
■2 •
ASS I I PARTIAL APPROVAL El CANCEL NO ACCESS
I I FAIL pi CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: i Date: • Phone #: (503) 718-
._ .