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Permit
r CITY OF TIGARD PLUMBING PERMIT i DEVELOPMENT SERVICES PERMIT #: PLM2005 -00362 II �'l l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/9/2005 PARCEL: 1 S 135DC -02000 SITE ADDRESS: 11865 SW 91ST AVE * ** BLDG 3 ZONING: R -7 SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG Project Description: Replace /replace interior waste and water supply lines. Replace toilets, sinks, tub valves, dishwasher and garbage disposal in selected apartments. 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: 15 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 $1,444.20 TIGARD, OR 97281 [TAX] 8% State Surcharl 8/9/2005 $115.53 Phone : Total $1,559.73 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 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: 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. A RECEIVED Plimiibin Permit Applicatiomno5 FOR OFFICE l:SE ONLY kU U. 6 1-u ; City of Tigard R eceived t P erm i t N y 13125 SW Hall Blvd., Tigard, OR 9R2E3 Y OF 1 `UA Date/By: �� j �� Phone: 503.639.4171 Fax: 503. �!iN Diviz.. i�,rfi�i, I t e• �-; + , Date/By: 1 + � . Other Permit No p _ , . °+V.3 y 24- Hour Inspection Line: 503.639.4175 _ .14. �- Date Ready/By: r r ® See P: : . 2 for Internet: www.ci.tigard.orus Notified/Method: J b � 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 ❑ t- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building 0 Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 11865 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 3 ` 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 Fixture or item Tax map /parcel no.: 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 I 'D „Li) .4,,, �� Q Clothes washer 16.60 ` �t ` o _ _ _.+ -R-dle) Dishwasher j Z 16.60 ® 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 /"Z 16.60 . 0 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: $ ) Page 2 Address: 4915 SW Griffith Dr. Suite 301 • Primer 16.60 City/State /ZIP: Beaverton OR., 97005 Roof drain (commercial) 16.60 Sink/basi a,ato Z.4' 16.60 Phone: (503) 209 3450 Fax: : (503) 64606823 Tub /shower /shower pan I -2- 16.60 E -mail: kylea@lmcincorporated.com Urinal 16.60 • CONTRACTOR Water closet / 16.60 Business name: Cromwell Plumbing Inc. Water heater 16.60 Address: 30855 South Kauffman Road Other: l 7 City /State /ZIP: Canby, OR, 97013 ?y Subtotal Minimum permit fee: $72.50 , // Phone: (503) 266 4790 Fax: (503) 266 4792 Residential backflow minimum permit fee: $36.25 �� / t , 2-C) - _. - - - - - - Plan review (25% of permit fee) Aulltorizdd zigaaA►K, `k - State surcharge (8% of permit fee) 115,55 Print Tema Greg r tr - . - _ _ - _ . - Deobr: NMI l TOTAL PERMIT FEE /55 /7 3 Print name: Greg W. Cromwell Date: 8/3/05 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. i:\ Building \Permits\PLM- PermitApp.doc 06/05 440- 4616TO0 /02 /COM/WEB) CITY OF TIGARD . BUILDING DIVISION .,. PERMIT #: PLM2005- 00362 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9,2006 Phone: (503) 639 - 4171 ■■��m�nli�il Inspection Requests (24 Hrs.): (503) 639 -4175 !�i _.. INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 7:07AM PAGE: 53 SITE ADDRESS: 11865 SW 91ST AVE ' BLDG 3 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS DESCRIPTION: Replac :e /replace interior waste and water supply lines. Replace toilets, _inks, tub valves, dishwasher and garbage disposal in selected apartments. OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #: CONTRACTOR: CROMWELL PLUMBING PHONE #: 503 2E64790 Inspection Request Scheduled For: Date: 4/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 028053 -01 503-969-3279 Y Corrections /Comments /Instructions: Pry( // 7 / - .-.F.--___,Fr ,.. , ,...., _„, c.., _...,____ ..-„-- _ ..2 .. .d--- ...2,. /0 _. _, ,.. z ___jr(-6--e-- i ,. ----- . ____,,, ....._ � / --- v- . / PASS / PARTIAL APPROVAL 7 CANCEL ( I NO ACCESS I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED L //k// /� • _� j Inspector: Date: L/ Phone #: (503) 718 CITY OF TIGARD .. ...:. BUILDING DIVISION • • „ A PERMIT #: PLM2006-00362 ---- 13125 SW Hall Blvd., Tigard, OR 97223 & DATE ISSUED: 11/9/20(6 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175, .44- AL ... INSPECTION WORKSHEET FOR DATE: 5M2006 TIME: 7:07AM PAGE: 77 .-.. .,-. ' . SITE ADDRESS: 11865 SW 91ST AVE r" BLDG 3 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS DESCRIPTION: Replace /replace interior wale and water supply lilli.`. Replace toilets, cinks tub valves, dishwati:her and garbag e. disposal in selected apartments. I OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #: CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 5/8/2006 Pour Time: -... Code # Inspection Description Confirm # Contact # eisage -_,..,,,.5.,------------------ . 320 Plumbing rough-in 029451-01 503-969-3279 Y a&g orrections/Comments/InstructionsL W-S 0\ \ — '/ A.J -c . . , --- (i .../ . I 1 1 PL.. . OA itiliallIMP° .i.■Worrir r . _ . I I PASS El PARTIAL APPROVAL CANCEL I I NO ACCESS I I FAIL 7 CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ,• , . PERMIT #: PI_M2005-00362 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B1912005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 44 r 61 I _____. —.. INSPECTION WORKSHEET FOR DATE: 5/9/2006 TIME: 7:01AIVI PAGE: SO SITE ADDRESS: 11865 SW 91ST AVE"'" BLDG 3 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS , DESCRIPTION: Replace /replace interior waste and water supply lines, Roplace toilets, sirikr.,, tub valves, dishwasher and garbage disposal in selected apartments. OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #: CONTRACTOR: CROMWELL. PLUMBING PHONE #: 503- 26&4790 1 Inspection Request Scheduled For: Date: 5/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 029533-01 503-969-3279 Y Corrections/Comments/Instructions: 11. I • ..., . • . ' --- - ..e Irmal, ,... ,, All ' ... ,I ........_ PASS fl PARTIAL APPROVAL 0 CANCEL fl NO ACCESS II FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED . _ Inspector: IV 1 ..( • Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION 4. PERMIT #: PLM2005-00362 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/72005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 , — ' 4 *01N lit / 41, ,s t "P—P—^ MI 1 INSPECTION WORKSHEET FOR DATE: 612/2006 TIME: 7:08AIYI PAGE: 58 SITE ADDRESS: 11865 SW 91ST AVE l'" BLDG 3 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS , DESCRIPTION: Replace /replace interior waste and water supply lines. Replace toilets, sinks, tub valves, dishwasher I and garbage disposal in selected apartments. OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #: CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 Inspection Request Scheduled For: Date: 6/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 030990-01 503-969-3279 N Corrections/Comments/Instructions: K " I er------ _ _ 4 .ae i 1 r4 f All . - L■S 0 _ ...-. " '1"4 til %.Yli I/LIZASS ri PARTIAL APPROVAL Li CANCEL El NO ACCESS n FAIL I CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED --), Inspector: 0 / V, 1/ Date: 6/3 ii Phone #: (503) 718- -•1° -AY 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: PU4200500362 13125 SW Hall B lvd., Tigard, igar , R 97223 tahliii'` DATE ISSUED: 8 Phone: (503) 639- 1 Inspection Requests (24 Hrs.): (503) 639-4175 4J II— INSPECTION WORKSHEET FOR DATE: 617/2006 TIME: 7:06AM PAGE: 93 SITE ADDRESS: 11865 SW 91ST AVE II"' BLDG 3 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS DESCRIPTION: Replace /replace interior waste and water supply lines. Replace toilets, sinks, tub v;.:ilves, dishwasher . and garbage disposal in selected apartments. OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #: CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790 I I Inspection Request Scheduled For: Date: 6/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 031240.01 503-969-3279 Y Corrections/Comments/Instructions: di 4 — av ' ( ( V / / 't er //-- I— r; ‘ ( ) 7 /1 2 & / ( 7 6 5 1 r/ 7 - , ( - - - y i • PASS n PARTIAL APPROVAL 0 CANCEL Li NO ACCESS I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED • Inspector: Pq i)-- '6" Date: , --- 3 1 Phone #: (503) 718- --'' 1 2/ CITY OF TIGARD - BUILDING DIVISION PERMIT #:P /►11)0QS — O 0 3 0 - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 mnu- t • I l Ir� Inspection Requests (24 Hrs.): (503) 639 -4175 :L, INSPECTION WORKSHEET FOR DATE: TIME: 1 PAGE: SITE ADDRESS: i ig 9 1 S� Ave_ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: b 3-969- 3275 1 CONTRACTOR: ari/C PHONE #: Inspection Request Scheduled For: Date: Z -'�� — ©C Pour Time: Code # Inspection Description Confirm # Contact # Message 37° t' I.--6 Ot■-• Corrections /Comments /Instructions: z iK • a I V7 r / " " 1 / Le_ I4-, c '' _____________________ , SS n PARTIAL APPROVAL 7 CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 Date: I 96 hone #: (503) 718-