Permit Q• 4. CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00342
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/22/2008
PARCEL: 1S135AB-04500
SITE ADDRESS: 10250 SW GREENBURG RD 111 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG
PROJECT: CORNFORTH CONSULTANTS
Project Description: Interior plumbing. Other fixtures: primer and 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: 1 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
SHORENSTEIN REALTY SERVICES
ONE SW COLUMBIA ST #300 Description Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 8/22/2008 $83.00
[TAX] 12% State Surch 8/22/2008 $9.96
Phone : 503-4U-4800 Total $92.96
Contractor:
MP PLUMBING CO
P.O. BOX 393
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 655 -9161
FAX 503- 650 -7050
Reg #: LIC 5002
PLM 3 -17PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued ., d jj " — Permittee Signature: P_� rA??,,
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
/Ut S0 S al dretibGvi I ai_• 08/19/2008 15:04 #800 P.002/003
P1umbingPermit Applicat'uw CEIVED is/ 5 ' --014
Building Fi xtures
g FOR ! If'li USE ()NI 1'
City of Tigard AUG 1 9 200$
Received i Pe rmit No.: ' (1)
„ • 13125 SW Hall Blvd., Fax: 503 OR 97223 DateB . • `� dot Phone: 503,639.4171 Plan Review n ���� `
��F TIGARD. ` Date/By: Other Permit No,: (,(f�(
Inspection Line: 503,639.4175 v y y ® Pa e 2 for
"" P, s BU ILDING DIVISION Date ead e i :
mii. B
T) Inte rnet: www.d or. ov ifie d/M R
G n
........:.. . ...... ............ .TYPE OF _ � ;
❑ New construction ❑ Demolition ;:,: For special information use ch :<.::,
checklist
Description I Qty. I Ea, I Total
® erat ion/replacement ❑ Other: New 2-family dwellings (includes 100 ft. f
A rho t
N 1- 2 f milt' d iggs (in s for each utility connection)
,aa.' is CATEGORY: OF, >CONSTRUCTI[ON t-' a : r , , :-; ;i: qt,;? : sFR (1) bath 24920
❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00
❑ Accessory building El Multi-family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
Fire sprinkler (_ sq. ft.) Page 2
.. ,t -,,,,,,,; INFO
.,.. ,.: , RMATIONaAND °LOCATIN,:, ii -;tst
_ •, O :.;.- i,,a "" Site utilities
Job site address: 10250 SW GREENBURG RD Catch basin or area drain 16.60
City /State/ZIP: TIGARD OR 97223 ccje- r 4 '!G'r,, _ �/,. _Drywell, leach line, or trench drain 16.60
•
Suite/bldg. /apt. no.: #111 I Project name: RUSSE NSTRUCTION Footing drain (no. linear ft.: _) Page 2
Cross street/directions to job site:
Manufactured home utilities 110.00
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
.fts ,,, =!t„ Absorption valve 16,60
:c;;_; ,,;, , DEBCRIP'I7 N,
..b .,.:�: .,,My' O .rOF.wORIC';d ral <a' : '.rri ;i:iNti>
r a:!'S.•;F..,:ua'"'e..::,(i,:. ,_:r -..a. ,..�r,..�.,,:;.,s?,c o .,.:....�,...,. .. ............... .d...,... n... , _ ..i --
, r :... .,,,.,,,,.,.; isi';' i" �``;<_. i ,,, ,,,,,,, ,,_:- .._,.,,,.,:,...,,_ Backflowpreventer Page 2
REMOVE & RESET EXISTING SINK ON NEW CABINET, ADD WH, PRIMER Backwater valve 16.60
FOR EXISTING HUB DRAIN, ICE LINE, DW PLUMB ONLY Clothes washer 16.60
Dishwasher 1 16.60 16.60
1r t;:a: , <" ;i �/ .:; ?j!iY.g „'!t';: " ;r y i :misna•- L'; g Ountaut 16.60
- :sp' *.s. f.Q >:PROPER ::O - - ..K', -s:,. .,f. >�i::;: •:
i
+�,ti•..! ` k l'j.•".•.: :ll:, -.: -.: .,. .. elf.:'
1 f.' 5.r, .kifi Ejectors /sump 16.60
Name: CORNFORTH CONSULTANTS Expansion tank 1 6.60
Address:
Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
, fs.r: =: _;II_ E p::ve, srel,:<: ; ;),;,. :a.: ::" Hose bi b 16.60
' ^fz ° r.,.. U .,� . t'l,:.r i:i`'. `= F.t:: r; ":
%) -/ S °APiPLICANT* - .. -'s,: , ® :!
l _ ,i) >i`(.,,•,�:r -_ F .. r _ u- : �jj'', CONT:44T'`.PERSON s?,1
e ° %... <Ux +a4t. ?: m,..,.o.:ne<.,. '1.,.,..t........ -r :.._ . n �,5_,e:, ,:. ..!'' "'i`i
' Ice maker rYA 1 16.60 16.60
Business name: MP PLUMBING CO., INC.
Interceptor/grease p
tra 16.60
Contact name: TAMI Medical gas (value: $ _) Page 2
Address: PO BOX 393 Primer 114•4, 1 16.60 16.60
City/State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Phone: (503) 655 -9161 Fax: : (503) 650 -7050 Sink/basin/lavatory 1 16.60 16.60
Tub /shower /shower pan 16.60
E-mail: TAMIG®MPPLUMBING.COM
4;e;a ,:,:.,:n.�:>•;: -;,t!;;> s:i;cts 'tit- - :,v S ?q.q. ,.ht:: - Urinal 16.60
iti:. _
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1
.5 a. ,.. .a= ,....:'IS -, tfr. �::,,: n, 1a<-.. r[:: b,. i._._ xl. l.. �.:,. �! t�.,:,,.., as•s. kw.,.:.:.,• :...:.:.::.:..::::.: r,a,:nci�iit7......it;;JlE; =... _<,. a... ,..n�t.aa U.0 nt, n... OSCt ,
Wate closet l6 60
Business name: MP PLUMBING CO., INC. Water heater 1 16.60 16.60
Address: PO BOX 393 Other:
-
City/State /ZIP: CLACKAMAS OR 97015 Subtotal ip 80 . 63..0=1-
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) p!
Authorized signature:
State surcharge (12% of permit fee) 15.94 , 1 (p
TOTAL PERMIT FEE 148.74 Gl �1 . a c
L Print name: TAMI RILEY Date: 8.19 -08 This permit application expires if a permit is not obtained within lol
180 days after It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:V Building \Permits\PLMF- PemitApp.doc 12/27/)6 440-4616T(I0/O2JCOM/WEB)
Sir 'i d ly --)',('
CITY OF TIGARD
A .
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B P i I 2 " .1v27 2 ( 0 )0 0 8 - 8 00342
Phone: (503) 639-4171 prv,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: 7:00AM PAGE:
10/1412008 13
SITE ADDRESS: CLASS OF WORK:
10250 SW GREENI3URG RD 111
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN BLDG 001
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: Interior plumbing. Other fixtures: primer and ice maker.
OWNER: PHONE # 503Al2
SHORENSTEIN REALTY SERVICES,
CONTRACTOR: PHONE # :
MP PLUMBING CO #. 503-655.9161
Inspection Request Scheduled For: Date: Pour Time:
10/1412008
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 076686-01 503.655-9161 N
C 1 "
Corrections/Comments/Instructions: t.q. <
Ca it,
PASS ri PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS
0 FAIL 11 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Cn-1/%4-1 Date: 1 -', I I 1 0 Phone #: (503) 718-