Permit CITY I O F TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00366
°' E.��l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/9/2005
PARCEL: 1 S135DC -02000
SITE ADDRESS: 11845 SW 91ST AVE *' BLDG 4 ZONING: R -7
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG
Project Description: Repair /replace interior waste and water supply lines. Replace toilet, sinks, tub valves, dishwasher
and GD in selected apts.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 12 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 20 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 24 OTHER FIXTURES:
TUB /SHOWERS: 12 SEWER LINE: ft
WATER CLOSETS: 12 WATER LINE: ft
DISHWASHERS: 12 RAIN DRAIN: ft
Owner: FEES
VILLA LA PAZ LIMTED PARTNERSHIP Description Date • Amount
BY COMMUNITY PARTNERS FOR
AFFORDABLE HOUSING INC [PLUMB] Permit Fee 8/9/2005 $1,527.20 •
TIGARD, OR 97281 [TAX] 8% State Surchari 8/9/2005 $122.17
Phone : Total $1,649.37
Contractor:
CROMWELL PLUMBING
30855 S. KAUFFMAN RD. REQUIRED ITEMS AND REPORTS
CANBY, OR 97013
Phone : 503- 266 -4790
Reg #: LIC 44712
PLM 34 -167PB
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- 99 or 1- 800 - 332 -23 4.
Issued By: Permittee Signatu • : _
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', i 'c 4 FOR OFFICE USE ONI.a
City of Tigard Received f � Be Pe rmit No.: / „ •-v.� r
yj/y5 pQ �
13125 SW Hall Blvd., Tigard, OR 97?% 8 O Z005 Date/By: anR Review
Phone: 503.639.4171 Fax: 503.598.1 /4.401A(.1-,, A � Date/By: Other Permit No �� 5 �� 3a,
_
24- Hour Inspection Line: 503.639Gdf 73y OF TIGARD ` =- -. Date Ready/By: Jur's: ® See Page 2 for
Internet: www.ci.tigard.or.us BUII f)InIf; Ill1`ie ,- Notified/Method: . .774 Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
® Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ 1- and 2- family dwelling ❑ CommerciaUindustrial SFR (2) bath 350.00
❑ Accessory building • ® Multi - family SFR (3) bath • 399.00
Each additional bath/kitchen 45.00
0' Master builder 0 Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 11845 SW 91 AVE Catch basin or area drain 16.60
City/ State/ZIP: Tigard, OR, 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Bldg 4 I Project name: Greenburg Oaks Apartments Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Greenburg Road
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
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Repair/ replace interior waste and supply lines Backwater valve 16.60
Replace toilets, sinks, tub valves , 'D W 4--.'G D Clothes washer 16.60
-
Dishwasher I Z 16.60
Z PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Villa La Paz Limited Partnership Expansion tank 16.60
• Address: PO Box 23206 Fixture/sewer cap 16.60
City/State /ZIP: Tigard OR, 97281 Floor drain/floor sink/hub 16.60
Phone: (503)968 2724 Fax: (503)598 8923 Garbage disposal I Z 16.60
® APPLICANT ® CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: LMC, Inc. Interceptor /grease trap 16.60
Contact name: Kyle Anderson Medical gas (value: S ) Page 2
Address: 4915 SW Griffith Dr. Suite 301 Primer 16.60
City/State/ZIP: Beaverton OR, 97005 Roof drain (commercial) 16.60
Phone: (503) 209 3450 Fax: : (503) 64606823
Sink/basin/lavatory Z q- 16.60
Tub /shower /shower pan 1 Z 16.60
E -mail: kylea @Imcincorporated.com Urinal 16.60
CONTRACTOR Water closet 16.60
• Business name: Cromwell Plumbing Inc. Water heater AO 16.60
Address: 30855 South Kauffman Road Other:
City / State/ZIP: Canby, OR, 97013 Subtotal
Minimum permit fee: $72.50
Phone: (503) 266 4790 Fax: (503) 266 4792 Residential backflow minimum permit fee: $36.25 / ga -7:av
CCB Lic.: 'i -- 7 / Z Plumbing Lic. no.: J µ - / .67p y Plan review (25% of permit fee)
- 1701 lie.: I Ply State surcharge (8% of permit fee) /, g./7
no. TOTAL PERMIT FEE /1049,37
A dbar aed in Pro This permit application expires if a permit is not obtained within
Print name Gra* W al wall per 8/3/0$ 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
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CITY OF TIGARD
BUILDING DIVISION
PERMIT #: PLM200S-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 819/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .
INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 104
SITE ADDRESS: 11845 SW 91ST AVE " CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: rEENBURGOAKS APARTMENTS 2
DESCRIPTION: epaulreplace interior waste and water supply lines. Replace toilet, sinks, tub valves, dishwasher
and GD in selected apts.
OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 .Plumbing final 021318.01
Corrections/Comments/Instructions:
Q 44) 5
LI& - -4111-041 A
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V PASS 7 PARTIAL APPROVAL I J CANCEL 0 NO ACCESS
I I FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
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Inspector: ) 2 1 1 Date: Phone #: (503) 718-
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BUILDING DIVISION �
"°~~"~~~°""~=" _"°"~°"~°"~ -- - .� ~ PERMIT #: PLh42006-00366
13125SVV Hall 8lvd, Tigard, ORQ7223 DATE ISSUED: 8/9V2005
Phone: (503) 639-4171 ifriim ii ti
Inspection Requests (24 Hrs.): (503) 639-4175 �. W� «-J� .
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 133
•
SITE ADDRESS: 11845 SW 91ST AVE ' BLDG 4 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Repair/replace interior waste and water supply lines. Replace toilet, sinks, tub valves, dishwasher
and GD in selected apts.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266'4780
Inspection Request Scheduled For: Date: 11/14K2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 021077-01 503-969-3279 N
Corrections/Comments/Instructions: '
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Phone #: (503) 718-
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~~~~"~~~�""~~° ~�"""~°"~="~ ' - PERMIT #: PLh42005-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6K9/2005
Phone: (S03)839'4171
|nnpactin�Requests (24Hmj:(503)63S'4175 « �� �
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02A1V1 PAGE: 120
SITE ADDRESS: 11845 SW 918T AVE m* BLDG 4 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBUR@OAKS APARTMENTS
DESCRIPTION: Repair/replace interior waste and water supply tines. Replace toilet, sinks, tub valves, dishwasher
and GD in selected apts.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CR{>hHWELLPLUh8B|MG PHONE #: 503'266-4790
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 018306-01 503-96E-3279 W
Corrections/Comments/Instructions:
PASS | |RARTIALAPPROVAL n CANCEL NO ACCESS
ri FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
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Inspector: Date: �/� _ / . u/ Phone #: (503) 718-
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CITY OF TIGARD
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BUILDING DIVISION .: A . \..... PERMIT #: )
PLM2005-00366
13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639-4171 DATE ISSUED:
8/9/2005
144 WOIBlifi l\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9128/2005 7:08AIVI 91
SITE ADDRESS: CLASS OF WORK:,
11845 SW 91ST AVE ** BLDG 4
SUBDIVISION: LOT #: TYPE OF USE:
GREENBURG OAKS APARTMENTS
PROJECT NAME:
GREENBURG OAKS APARTMENTS
DESCRIPTION: Repair/replace interior waste and water supply lines. Replace toilet, sinks, tub valves, dishwasher
and GD in selected apts.
OWNER: PHONE #:
VILLA LA PAZ LIMTED PARTNERSHIP,
CONTRACTOR: PHONE #:
CROMWELL PLUMBING , 503-266-4790
Inspection Request Scheduled For: Date: 9/78/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 016770-01 503-969-3279 N
Corrections/Comments/Instructions:
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Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION a j a°' PERMIT #: PLM2006.00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2006
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 0/19/2005 TIME: 7:07AM PAGE: 81
SITE ADDRESS: 111345 SW 91ST AVE *'* BLDG 4 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Repair /replace interior waste and water supply lines. Replace toilet, sinks, tub valves, dishwasher
and CD in selected apts.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 603 - 266.4790
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Inspection Request Scheduled For: Date: 0/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 013902 -01 603-969-9383 Y
Corrections /Comments / Instructions:
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Inspector: Date: i r /./ Phone #: (503) 718-
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CITY OF TIGARD . -
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BUILDING DIVISION - 4 .. - '" PERMIT #: PLM2005"00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639- 4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_..._..W `'' I..
INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7:06AM PAGE: 86
SITE ADDRESS: 11845 SW 91ST AVE — BLDG 4 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Repair /replace interior waste and water supply lines. Replace toilet, sinks, tub valves, dishwasher
and GD in selected apts.
OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503. 266 -4790
Inspection Request Scheduled For: Date: 8/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 013806 -01 503- 969 -3279 Y
Corrections/Comments/Instructions:
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❑ PASS iy PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins ecto . Dater Phone #: (503) 718 -
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CITY OF TIGARD , e
BUILDING DIVISION . - PERMIT #: PLiv12005-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639-4171 *Ail ill'
A - '
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/17/2005 . TIME: 7 PAGE: 73
SITE ADDRESS: 11845 SW 91ST AVE ' BLDG 4 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Repair/replace interior waste and water supply lines. Replace toilet, sinks, tub valves, dishwasher
and GD in selected apts.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #; 503-266-4790
Inspection Request Scheduled For: Date: 9/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 013705-01 503-969-3279 V
Corrections/Comments/Instructions:
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Inspector: fr .-K.1- ' Date: q:7 i 70 Phone #: (503) 718-
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CITY OF TIGARG .
BUILDING DIVISION y PERMIT #: PLM2005 -00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/'2005
Phone: (503) 639 -4171 u4 m9Pa ia l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,—.0' `__-.
INSPECTION WORKSHEET FOR DATE: 6/11 /2005 TIME: 7:09AM PAGE: 44
SITE ADDRESS: 11845 SW 91ST AVE - BLDG 4 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Repair /replace interior waste and water supply lines. Replace toilet, sinks, tub valves, dishwasher
and CD in selected apts.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 - 266 -4790
Inspection Request Scheduled For: Date: 6/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 013338-01 503579 -5679 Y
Corrections /Comments/ Instructions:
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Inspector: f) 7'_ 9 Date: _, Phone #: (503) 718 -