Permit �. :.
CI TY OF TIGARD PLUMBING PERMIT
f40, DEVELOPMENT SERVICES PERMIT #: PLM2006 -00293
�=--� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/7/2006
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 390 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Building fixtures. Other fix. 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: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST
ONE SW COLUMBIA #300 Description Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 6/7/2006 $72.50
[TAX] 8% State Surcha 6/7/2006 $5.80
Phone : 503- 293 -2745 Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED ITEMS AND REPORTS
Contact # : PRI 331 -0234
FAX 503- 331 -6906
Reg #: LIC 40981
PLM 37 -22PB
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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.
j j
Issued By: .� Permittee Signature: ! ice/ -AL
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.
JUN -02 -2006 15 45 MCKINSTRY CO 503 331 6906 P.02
���� i_t; -_ t
�iia tr ng Peril'llt Application 1'()t; mulct. l' l' t) \1 1'
City of Tigard e N Received Q
Date/B : / 6 D 8 ' Permit No c
13125 SW Hall 131vd., Tigard, OR 972 k • . - OD -
gwa°' 00/0,,6
Phone: 503.639.4171 Fax; 503.598.1 6
Plan Review
tL 200 � ri�w., { � i �i,, � \ Date/By: Other Permit N ,.
24- Hour inspection Line: 503.639.4175 ION A 1'
Internet: www,ci.tigard.or.ua J _ v Dale Ready/By: eLi S See Pent l In c
A � } (3A NotiPted/Method: Supplemental Informat
` 1 A 1, �'EI`� 1 1't' ,' 11 ii { ',' f '+� 1 L"''''" : f 1 *, l `' , a , ¢ "i „' , � , ",
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❑ New construction ❑ Demolition For speciallnformarion use checkllse
® Addition/alteration/replacement ❑Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
. Description I Qty.1 T;a� Total
a' % 1 r y "ii 4'1 A ; S , "'I s4' d 'i{ 1 , ''" h.�ii;'„ 1..r % ;I',I'�'�;�li ,
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; �' { 1 ��,Q�,;,,���?I{1�A�r� , hi '«; ,, - SFR I' 24920
0 1- and 2- family dwelling ta Commercial /industrial SFR (2) bath 350.00
SFR (3) bath 399.00
❑ Accessory building
❑ Multi - family
❑ Master builder Each additional bath/lcitchen 45.00
_ ❑ Other:
tl� wirfi, }'!^ r, '' ', , .', „ , 4Y�,. 1 a Fire sprinkler ( sq. ft.) Page 2
ik., al�, i r�,�4„I;�j�y,°c•f+ !� ' n .''u`ILIk�IR1�d4 P ,s t;'i;tii +' {"
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Job site address: >E933 S Greenburg Rd. Catch basin or area drain 16,60
City/State/ZIP: Portland, Oregon 97223 Drywell. leach line, or trench draia 16.60
Suite/bldg. /apt. no.: 390 Project name: Rand Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: Manufactured home utilities l 10.00
Manholes 16,60
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
Tax map /parcel no.: Fixture or Item
� �� hyy// ��ryry trta.y " I?T° i i ; L' n �- � , .1 f f �, Absorption valve 16.60
( °1t §'l } ,� P '1.'�E'<<',',r : ?'17 ry e tiii,c u i.Y '!;!..' / � ni t nr, 1': ������11f�n,,' ;si•;1`i (.,,'SA'T's ..
, �, , I " , �.r, i .r I ,;ia Backfiow preventer
Page 2
6c
Backwater valve 16.60
Clothes washer _ 16.60
Dishwasher 16.60 I
-
;'P "•".31,f;,�� ;0 t'21.
y! , !• 4'•• '''r
.i4 t1 ",44. :,14� , ,��(, ..7'.'•,..:'',..;'•':•(•:,",t',' 'i'!i °' Ej Drinking fountain
}�, ' ;; 1111' '���E ;� ,lhrl, I'r.l'�+srl,l.iv "`I,f ; ,'1�51y�e' 1'r' �' n n 16.60
Name: Rand L Ejectors/sump 16.60
... Expansion tank 16.60
Address: 10230 SW Greenburg Rd., STE 390 Fixture/sewer cap 16.60
City /State/ZIP: Portland, Oregon 97223 Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
t ,. M „ , ', . .`,:';',,T ,l,,s, . ;F,, r; �, Hose bib
;� q � O N'I :; MT C "1:' : +: ( i' Loll ta? , ; ° 16.60
x•, l "1�g1)"l t ' '` ,,;,iltiliplao,brl ,jl m i �'k1 'i
r" ,
Business name: McKinstry Co. I
Ice maker r 16.60
_. Interceptor /gr trap 16.60 • Contact name: Earl Salsbury _ Medical gas (value: $ ) Page 2
Address: 12021 NE Airportwey Suite "G" Primer 16.60
City /State/ZLP: Portland, Oregon 97201 , Roof drain (commercial) 16.60
Phone: (503) Fax: : (503)
arc _ 16.60
E -mail:
Tub /shower /shower pan 16.60
t ,,r Mw 4+ �.f r / *' , d . ,, Urinal _ 16.60
4 " , , , , r.' ,P 6 f 11w 1 i , ! 'R i^' I' n , "" } /1 f , , .; ' ` Water closet ,e + "M;i� .�El.r,' ;,' r r ' ,A. w .:'7,1:;.:1%,. '. i.''', (>!;ti I `!' `'f, ;Gis I : , u
;'v.. ,,., , „ b�� 16.60
Business name: McKins Co- j 16.60
� Water heater
Address: 12021 NE Alrporrway Suite "G" Other.
City /State/ZIP: Portland, Oregon 97201 00 ' n Subtotal
Minimum permit fcc: $72.50
Phone: (503) 331 -2465 Fax: (503) 331 -6906 Residential backflow minimum permit fee: $36.25 ?ail)
CC13 Lic.: 40 001 S I Plumbing Lic. no.: � 7 +�PS Plan review (25% of permit fee)
Authorized signature: e _ �� �i State surcharge (5 of permit fee) 5 C,a'( 2
' TOTAL PERMIT FEE i i .ID
Print name: Earl Salsbury Date: 06/02/06 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.
1:\ uitalnc\etrmits \PLM_PmnizApp.doe 06/05 440 -4616T(10 /02/COMAVE11)
„--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIVI2006-00293
6/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2006
Phone: (503) 639-4171 - ,o_. 11: 4tyllit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/22/2006 TIME: 7:01AM PAGE: 109
SITE ADDRESS: 10220 SW GREENI3URG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: RAND
DESCRIPTION: Building fixtures. Other fix. ice maker.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745
CONTRACTOR: IVICKINSTRY CO PHONE #: 331
Inspection Request Scheduled For: Date: 6/2212006 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 032090-01 503-572-2579 N
Corrections/Comments/Instructions:
,,, 4v /
..,.. Al
oi r:##v
L • i SS 0 PARTIAL APPROVAL El CANCEL 7 NO ACCESS
I FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
,
Inspector: M11/ 4 Date: 7 A, Phone #: (503) 718-
. _ .._
CITY OF TIGARD . \
BUILDING DIVISION , ■Ip s' t ,
PERMIT #: PLM2008-00293
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 6 /7 12 006
Phone: (503) 639-4171 ....45.4., ;I
#
Inspection Requests (24 Hrs.): (503) 639-4175 L
INSPECTION WORKSHEET FOR DATE: 602006 TIME: 7:03AM PAGE: 87
SITE ADDRESS: 10220 SW GREENBURO RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: RAND
DESCRIPTION: Building fixtures. Other fix. ice maker.
OWNER: EQUITY OFFICE PROPERTIES TRUST. PHONE #: 503-293-2745
CONTRACTOR: MCKINSTRY CO PHONE #: 331-0234
Inspection Request Scheduled For: Date: 6/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 031352-01 503-331-0234 Y
Corrections/Comments/Instructions:
( , a/Irif
o l C...-e--- e././1/ . 7" .t/ra..—;;"-------- •
X eASS El PARTIAL APPROVAL El CANCEL 0 NO ACCESS
I FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: tr) 7 Date: IL_NO t Phone #: (503) 718- 9
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