Permit CITY TIGARD PLUMBING PERMIT
4f I DEVELOPMENT SERVICES PERMIT #: PLM2006 -00421
1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/19/2006
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 400 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Replace breakroom sink. 14 t
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:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [PLUMB] Permit Fee 9/13/2006 $72.50
[TAX] 8% State Surchan 9/13/2006 $5.80
Phone : Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97218
Contact # : PRI 331 - 0234
FAX 503- 331 -6906
Reg #: LIC 40981
PLM 37 -22PB
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- 0 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 3- 246-6 9 8 0- 332 - 2344.
Issued : � J7LQ4u12.4 Permittee Signatur -K
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.
Plumbing Permit App I FOR OFFICE USE ONLY
Cl Of Tigard Received �� / tV v � Q }` �
PermitNo,�L�OO &_bb dJ
13125 ll
SW Hall Blvd., Tigard, OR 97223 ��P 1 2006 Date /By: 1 < gig, n
Plan Review ,i ,n /
Phone: 503.639.4171 Fax: 503.598.1960 �+/M � � v I � Date /By: Other Permit N 4 `� �sv tv / ""���444.���I((
24- Hour Inspection Line: 503.639.'44,x,75 / Y U + k g ., : !I Date Read /By 0 See Page 2 for
Internet: www.ci.tigard.or.us �D " "�"
g '�t _ .. _ Notified /Meth Supplemental Information
W_�. � „.��...., ... , .: , . ,., .., ., .:TYPE. OF..,WORK..F N:.::.. ... ,,,, ., .,. F S CH
6_. �-- �._._,_:.. , ....3n. -: �� .o „,.�,,..<.r. ,,, . ., •..., ,,,,, � ..� i�s'� i``4� ,... ^. i>;r wu...�... . >a3� . » _' = Y ° ;• i -
❑ New construction 0 Demolition For special information use checklist.
Description I Qty. Ea. I Total
® Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF C ONSTRUC`T'ION - SFR (1) bath _49.20
1, �i� -„ ,'` �i �„ «;„ .. ,a. ^, , �. ".:�;�_ a ��.�, .....
❑ 1- and 2- family dwelling ® Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
» .,,,,- :.:. -, ,a..,., Fire spri er ( sq. ft.) Page 2
: JOB ySITIIVF
E ORMAT10 ,,m ND: :. -., ATION ," ` ..
�� _ ,�� . ��.
'3 �T' .'�,: , -� . �� ....... �._-._ :,,.,' asm�_ �..-..<- �:,�� .3mrs,n•,..m��;� „ s��`€ ��i'�l Site utilities
Job site address: 10260 SW Greenburg Rd Catch basin or area drain 16.60 C
City/State /ZIP: Tigrad, OR 97223 Drywell, leach line, or trench drain 16.60
O
Suite /bldg. /apt. no.: 400 Project name: HQ Global Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: Absorption valve 16.60
' . . , '"t,* ,r,'" ESCRIPTION .: :OF-^WORK:; �i€ " ,,, . . ;, ., �
,.
2-.V:-''', " `
' . i:i.�. >� .._�e, :,•N•��.�' . „ �::�::�> -. >_ .... < €1�:��t . <:' °; .. . L. __.. Backflow preventer Page 2
Furnish and install breakroom sink and plumbing ?/' 1404, K. .fLl a.. -�', a , Backwater valve 16.60
MIL-� I ,. � . 1 /J i � '---- Af/ 0-4 NN e A 14---1 } Clothes washer 16.60
Dishwasher 16.60
,;>:,,,.;, ,. ; rinking fountain 16.60
ROPERTY°O - -;❑= =:�;�, .,�: ''"'':.<
TIP' . „.. .. ,.. . �3 3, " E jectors /sump 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State /ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
;' ,;
��'��; 'PPLIE.:ANT ... ;CO1VTAGT::PERSO
'' Ice maker 16.60
Business name: McKinstry Co. Interceptor /grease trap 16.60
Contact name: Jason Carver Medical gas (value: $ ) Page 2
Address: 12021 NE Airport Way, Suite G Primer 16.60
City/State /ZIP: Portland, OR 97220 Roof drain (commercial) 16.60
Phone: (503) 331.2461 Fax: : (503) 331 -6906 Sink /basin/lavatory 16.60
Tub /shower /shower pan 16.60
E - mail: jasonc @mckinstry.com Urinal 16.60
< C e,,
� � = W er c l
a< �. at oset 16.60
Business name: McKinstry Co. Water heater 16.60
Address: 12021 NE Airport Way, Suite G Other:
City /State /ZIP: Portland, OR 97220 Subtotal
Minimum permit fee: $72.50
Phone: (503) 331 - 2461 Fax: (503) 331 -6906 Residential backflow minimum permit fee: $36.25
CCB Lic.: 40981 Plumbing Lic. no.: 37 -22PB Plan review (25% of permit fee) •
State surcharge (8% of permit fee)
Authorized signature: TOTAL PERMIT FEE 7 U . 36
Print name: Jason ver Date: 9/11/06 This permit application expires if a permit is not obtained within
b 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
is \Building\Permits \PLM- PermitApp doe 06/05 440- 4616T(10 /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200 00421
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171 tt t
Inspection Requests (24 Hrs.): (503) 639 -4175 s ,W'! �..
INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6 :58AM PAGE: 65
• SITE ADDRESS: 10260 SW GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 0•I4 TYPE OF USE:
PROJECT NAME: HO GLOBAL •
DESCRIPTION: Replace (1) breakroor sink.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY CO PHONE #: 331 -0234
•
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 040486.02 503. 778.0322 Y
Corrections /Comments /Instructions:
/
// , / iI / ' / L / L � " op _
Ala
AIM pi ( fp G S (7°y
i (.../-
r �
, / /
Orr- _6
IN - , SS PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Ins ector: ' 1Date: ( Phone #: (503) 718 -�
Inspector:, )
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: PLM2006-00421
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006
Phone: (503) 639 -4171 km ->dy igl l ,;
Inspection Requests (24 Hrs.): (503) 639 -4175 I ..
INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 7 :03AM PAGE: 66
SITE ADDRESS: 10260 SW GREENt3URG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: HO GLOBAL
DESCRIPTION: Replace (1) breakroom sink
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY CO PHONE #: 331 -0734
Inspection Request Scheduled For: Date: 10/212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 037456 -01 206 - 255-3693 N
Corrections /Comments/ Instructions:
•
PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: U Phone #: (503) 718 -2