Permit C ITY OF TIGARD PLUMBING PERMIT
° ' COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00329
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/7/2008
PARCEL: 1 S135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 305 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: REACH LOCAL
Project Description: Interior plumbing. Other fixtures: hub, ice maker and primer.
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: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 3
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
SHORENSTEIN REALTY SERVICES Description SW COLUMBIA ST #300 escription Date Amount
PORTLAND, OR 97258 [PLUMB] Permit Fee 8/6/2008 $83.00
[TAX] 12% State Surch 8/6/2008 $9.96
Phone : 503- 412 -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 :.. /:L Permittee Signature: �J
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.
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` Plumbing Permit Application / f 3 - -je UU
Building Fixtures FOR OFFICE. .11SE .ONLY
City Of Tigard C �l Recei yd v
5 y ` U / - PermitNo.. � it �/ i n(r/VU '
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13125 SW Hall Blvd., Tigard OR 972 Plan Review r ��
_ II Phon 503.639.4171 Fax: 503.598,1 A t O Date/By. Other Permit No.: X �� /i t�
T t G A R l Inspection Lane: 503.639.4175 ■ k t- O Date Ready /By: 7wis: 1 95 See age 2 for
or
• Internet: www.tigard-or.gov or.gov ( \
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t , (' V ' Description 1 Qt 1_
; New 1- 2- family dwellings (includes 100 ft. for each utility connection)
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; `x t i;:i: s 5FR (1) bath 24920
❑ 1- and 2- family dwelling iX Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
El Master builder Each additional bath/ldtchen 45.00
❑ Other:
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ats• .: -,: f;::. ,:L:7OB;;S#,C* OR:*f** Ai*:4;: CATdoNk'" + k1=`:`s> s',,a Site s
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Job site address: 1)3,),7 IA!) rp //. /� :,,e Catch basin or area drain 16.60
City/State /ZIP: U),, , v „(01 � 7 f , Drywell, leach line, or trench drain 16.60
�uit Id a t no.: 9 P ro t ec name: /� Footing drain (no. linear ft.: _ ) Page 2
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Cross street/directions to job site: �
Q Manufactured home utilities 1 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
r r, : ,. ,i s bsorption valve 16.60
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Backflow preventer Page 2
Backwater valve _ 16.60
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A/d b/w/ T ,4 . Clothes washer 16.60
• Dishwasher h{ 16.60
ariai?:: a ^:a e: - i „9t:;= ..lY:, :_,:- :wL:• Dri fountain 16.60 .
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Name: / / ��,A f t�+} Ejectors/sump 16.60
•
Expaasion tank 16,60
Address:
Fixture/sewer cap 16.60
City / State/ZIP: Floor drain/floor sink tti,) 1 16:60 f /
Phone: ( ) • Fax: ( ) Garbage disposal �- 16.60
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:,•�, �lEt'%:tP •. JA s w t>; ls� �u "Fti;;rr -;;r. :: :.a: ," =�'c +: H e b'b 16.60
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, K Ice maker i 16,60 /6 /'�
Business name: MP PLUMBING CO., INC. Inlemeptor /grease trap 16.60
Contact name: TAMI Medical gas (value: S _) Page 2
Address: PO BOX 393 • Primer i 16.60 /6) 41
City/State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60
Phone: (503) 655-9161 I Fax: : (503) 650 -7050 Sink/basin/lavatory / 16.60 A 4
Tub /shower /shower pan 16.60
E -mail: TAMIG @MPPLUMBING.COM
:;1. ^ 5tY:i •s��;pz,L'.°J ;:.I:�1itSln ;.ir;> - ,., .,n -3 - ;a.rs :
s�:: s•,. - Urinal 16.60
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Business name: MP PLUMBING CO., INC. Water heater ] 6.60. I G,
Address: PO BOX 393 Other.
City / State/ZIP: CLACKAMAS OR 97015 Subtotal
Minimum permit fee: $72.50
Phone: (503) 655 -9161 I Fax: (503) 650 -7050 Residential backflow minimum permit fee: $36.25
CCB Lie.: 5002 f Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee) ,
State surcharge (12% of permit fee) (1.14(1/-
Authorized signature: (11//,‘ „//:;/4e/
TOTAL PERMIT FEE ti) Fy(,,_,
Print name: TAMI RILEY Date: ,!i` f
U 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.
1:1Building\Pcrmits1PLI P- P=aitApp,doc 1 2/27/06 440- 46161(10/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIVI200B -00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2008
Phone: (503) 639 -4171 iw ���ii� lil
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:,W `U..
INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7 :00AM PAGE: 14
SITE ADDRESS: 10300 SW GREENRURG RD 305 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: Interior plumbing. Other fixtures: hub,•ice maker and primer.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 - 412- -4800
CONTRACTOR: MP PLUMBING CO PHONE #: 503-655.9161
Inspection Request Scheduled For: Date: 8/27/2008 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 074720.01 503 - 655 -9161 Y
Corrections /Comments/ Instructions:
C A L c t--"X"-xt 3
•
•
/. PASS n PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
n n n
A CA FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: crANPLJ r ( \4 A'-4_,- Date: g`191 /0 Phone #: (503) 718-
CITY OF TIGARD
,,,
1 BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: / . 08
8
Phone: (503) 639-4171 4 i 13 { {�0tit3
Inspection Requests (24 Hrs.): (503) 639 -4175 ! ' � ..
INSPECTION WORKSHEET FOR DATE: 8/8/2008 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 10300 SW GREENBURG RD 305 • CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: Interior plumbing. Other fixtures: hub, ice maker and primer.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: MP PLUMBING CO PHONE #: 503-655-916'1
Inspection Request Scheduled For: Date: 8/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 073922 -01 503-655-9161 Y
Corrections /Comments /Instructions:
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C\-vhA,J \ ,1 \ \'.^^2- Date: 7 l c t . lOg Phone #: (503) 718-