Permit S .v
CI TY OF TIGARD PLUMBING PERMIT
NII DEVELOPMENT SERVICES PERMIT #: PLM2005 -00359
e �'l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/9/2005
PARCEL: 1 S 135DC -02000
SITE ADDRESS: 11885 SW 91ST AVE * ** BLDG 2 ZONING: R -7
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG
Project Description: Repair /replace interior waste and water supply lines. Replace toilets, sinks, tub valves, water
heater, DW, and GD 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: 0 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 Surchan 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 - 6 or 1- 800 - 332 -2344.
Issued By: r����2 �Q �� �,DJ Permittee Signatur ����
-_ \ ,
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busines • .
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.
/ 10,
Plumbing Permit FOR OFFICE USE ()•r
Received
City of Tigard 2005 Date/By: 0 ' O t� Permit No.. ^ l! 24>o, -00 357
13125 SW Hall Blvd., Tigard, OR 97223 pp,,,! Plan Revie •
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Phone: 503.639.4171 Fax: 503.598.196(1 E /n,di :, Date/By: Other Permit NolllC /
24- Hour Inspection Line: 503.639.4175 Q TY OF T I.-4, 4R I ( Date Ready/By: tubs ® See Page 2 for
Internet: www.ci.tigard.or.us v
�L1 11.D1�1(� ��U ` _ Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. 1 Ea. I Total
® Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ® Multi - family SFR (3) bath 399.00
❑ Master builder ❑Other: Each additional bath/kitchen 45.00
Fire sprinkler ( , sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 11885 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 2 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: 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 1 VLO P�.A . 1 4p Clothes washer 16.60 -
Dishwasher / Z_ 16.60
Drinking fountain 16.60 -124-411
El PROPERTY O ❑ TENANT
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: $ ) Page 2
Address: 4915 SW Griffith Dr. Suite 301 Primer 16.60
City/State /ZIP: Beaverton OR, 97005 Roof drain (commercial) 16.60
Si avatory '24- 16.60
Phone: (503) 209 3450 I Fax: : (503) 64606823 Tub /s ower /shower pan (Z 16.60
E -mail: kylea@lmcincorporated.com
Urinal 16.60
CONTRACTOR Water closet JIB 16.60
Business name: Cromwell Plumbing Inc. Water heater / 16.60
Address: 30855 South Kauffman Road Other:
City/State/ZIP: Canby, OR, 97013 ? /A Subtotal
Minimum permit fee: $72.50
t Dane: (SO3) 366479Y Foie: ('.111.3) 26164711 Residential backflow minimum permit fee: $36.25 /, 4yy, 2v _am i
CCA Lic.: ,; / ...iul/ Plutnbitte Ln no.: 4 -- j j f9 I Plan review (25% of permit fee)
Mitiorlmd gl e�' State surcharge (8% of permit fee) / /". 63
94iat name: Greg . C , 1- Date: 9/3/119---] TOTAL PERMIT FEE // �c9 7 3
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 06/05 440-4616T(10 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION I = PERMIT #: Pl._I 200 0369
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639 -4171 / rou � mu a ply
Inspection Requests (24 Hrs.): (503) 639- 4175'_I,,
•
INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6 :68AM PAGE: 36
SITE ADDRESS: 11086 SW 91ST AVE ' BLDG 2 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 toilets, sinks, tub valves, water heater,
DW, and OD in selected apartments.
OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: 1/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 .Plumbing final 026599-01 603-939.3279 V
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL n C ANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 171 / Date: G Phone #: (503) 718- )---41
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CITY OF TIGARD ..
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.
BUILDING DIVISION . PERMIT #: PLM2006-00359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639-4171 al t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/6/2005 TIME: 7:02AM PAGE: 18
SITE ADDRESS: 11885 SW 91ST AVE •*** BLDG 2 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 toilets, sinlz, tub valves, water heater,
DW, and GD in selected apartments.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: 12/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 023008-01 503-969-3279 Y
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Corrections/Comments/Instructions:
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PASS I PARTIAL APPROVAL lij CANCEL •
III NO ACCESS
I I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: vv
Wi Date: _
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CITY OF TIGARD ,•
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BUILDING DIVISION PERMIT #: PLIv12005-00359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639-4171 : "
Inspection Requests (24 Hrs.): (503) 639-4175 L-
INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 45
SITE ADDRESS: 11885 SW 91ST AVE*" BLDG 2 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 toilets, sinks, tub valves, water heater,
DW, and GD in selected apartments.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING . PHONE #: 503-266-4790
Inspection Request Scheduled For: Date: 12/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough-in 023282-01 503.969-3279 Y
Corrections/Comments/Instructions:
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fl PASS fl PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
1 1 FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
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Inspector: (Wr Date: I c-c9/7---:- Phone #: (503) 718-
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CITY OF TIGARD . .
BUILDING DIVISION .. PERMIT #: PLM 00,-00 59
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639- 4171�ry�Ili9l���1'�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'.
INSPECTION WORKSHEET FOR DATE: 12/13/2005 TIME: 7 :02AM PAGE: 9
SITE ADDRESS: 11886 SW 91ST AVE t' BLDG 2 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAI <S APARTMENTS
DESCRIPTION: Repair /replace interior waste and water supply lines. Replace toilets, sinks, tub valves, water heater,
OW, and GD in selected apartments.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503.266 - 4790
Inspection Request Scheduled For: Date: 12/1312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 023389 -01 503 -969 -3279 Y
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1))/3)1 Phone #: (503) 718 - .._t__3
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CITY OF TIGARD
BUILDING DIVISION ,, . Ai PERMIT #: PLiVi2006-00369
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W9/2006
Phone: (503) 639-4171 #600,00( fl\
Inspection Requests (24 Hrs.): (503) 639-4175 ..._._,. —
INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 118E36 SW 91ST AVE 4. 4-1' BLDG 2 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 toilets, sinks, tub valves, water heater,
DW, and GD in selected apartments.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 1/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 024771-01 503-90:1-3279 V
Corrections/Comments/Instructions:
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Iss ii PARTIAL APPROVAL 0 CANCEL El NO ACCESS
FAIL I 1 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector:
Ar) Date: 'Al Phone #: (503) 718-
CITY ������U�������� N
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BUILDING DIVISION '^' ' PERMIT #: PLk42005-00369
13125SVV Hall Blvd, Tigard, ORA7223 DATE ISSUED: 8/812005
Phone: (503) 639-4171 *010 I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: GG
•
SITE ADDRESS: 11885 SW 91ST AVE BLDG 2 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Repair/replace interior waste andvvate/ supply lines. Replace toilets, sink, tub va vxaterhe.ate«.
DW, and CI) in selected apartments.
OWNER: VILLA LA PAZ L|KATEDPARTMERSM!P. PHONE #:
CONTRACTOR: CR()NIVVELLPU.]kNBING PHONE #: 503-2664790
•
Inspection Request Scheduled For: Date: 1/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 026161'O1 683-969-3279 Y
Corrections/Comments/Instructions:
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PASS | | PARTIAL APPROVAL CANCEL El NO ACCESS
d5AIL ICALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: / Date: t"( all Phone #: (603) 718-
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• CITY OF TIGARD
BUILDING DIVISION PERMIT #: puvi2006-00369
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639-4171 - . tit
Inspection Requests (24 Hrs.): (503) 639-4175 ,......._,LAV — l ma
INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7:03AM PAGE: 54
SITE ADDRESS: 11886 5 91ST AVE "4 BLDG 2 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 toilets, sinks, tub valves, water heater,
DIN, and GD in selected apartments.
OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: Q).479�
Inspection Request Scheduled For: Date: 1/190006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 025266 503 Y
Corrections/Comments/Instructions:
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'LFAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: •
Date: , " 0 ._ , Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005-00359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005
Phone: (503) 639-4171 6 4_4100 -
Inspection Requests (24 Hrs.): (503) 639-4175 ,-K.,,i IL
INSPECTION WORKSHEET FOR DATE: 1/20/2006 TIME: 7: 00Alvi PAGE: 48
SITE ADDRESS: '11995 SW 91ST AVE '''''' BLDG 2 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Repair/replace interior wade and water supply lines. Replace toilets, sinks, tub valves, water heater,
DW, and GD in selected apartments.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: CROMWELL PLUMBING PHONE #: 50325&4/90
Inspection Request Scheduled For: Date: 1/2012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 025368-01 503.969-3279 Y`
Corrections/Comments/Instructions:
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Inspector: ainA" Date: , I / / Phone #: (503) 718-
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