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Permit (18) CITY OF TIGARD PLUMBING PERMIT 114COMMUNITY DEVELOPMENT Permit#: PLM2016-00338 13125 SW Hall Blvd.,Ti Date Issued: 10/06/2016 T[Gt�1. and OR 97223 503.718.2439 9 Parcel: 1 S 126DC00900 Jurisdiction: Tigard Site address: 9530 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 3-Interior plumbing for new 6 unit apartment building Contractor: WOLCOTT PLUMBING Owner: GREENBURG ROAD APARTMENTS LLC 1075 W HISTORIC COLUMBIA RIVER HWY 7420 SW HUNZIKER RD SUITE A TROUTDALE, OR 97060 TIGARD, OR 97223 PHONE: 503-667-1781 PHONE: FAX: 503-667-9891 FEES Quantity Description Date Amount 5 ea Rain Drain Connector 10/06/2016 $93.80 Specifics: 6 ea Clothes Washer 10/06/2016 $150.12 6 ea Dishwasher 10/06/2016 $150.12 Type of Use: MF 1 ea Expansion Tank 10/06/2016 $12.51 Class of Work: NEW 6 ea Garbage Disposal 10/06/2016 $150.12 Type of Const: 2 ea Hose Bib 10/06/2016 $50.04 Occupancy Grp: 6 ea Sink 10/06/2016 $150.12 Stories: 12 ea Lavatories 10/06/2016 $300.24 12 ea Tub/Shower/Shower Pan 10/06/2016 $150.12 12 ea Water Closet 10/06/2016 $300.24 6 ea Water Heater 10/06/2016 $225.12 1 Plan Review 10/06/2016 $433.14 1 12%State Surcharge- 10/06/2016 $207.91 Plumbing Total $2,373.60 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: s Permittee Signature: i Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application 4 3 6. 0 zjz Building Fixtures l .I� ' l OR OI I-1( E ISE O\Ll 111 City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �Q a /6 / Permit No.: 0_4;164_6633 9 ' Phone: 503.718.2439 Fax: 503.59$.19t0;', ,. Date/BPlan y: �6 04 X Inspection Line: 503.639.4175 Other Permit No.. I IC.Ai !) p Da o`�t 0 QaOI��d�?5� Internet: www hgard or.gov Noy Jug ®See Page 2 f Date Ready/By: s a. 4,4„ Notified/Met ,ipthod: rkiGPM Information TYPE" tff ( n. •„Ne 3 ,New construction t_I Derriolition Fors cial in ormalion use checklist p� ❑Addition/alteration/replacement Description r Qty. Ea. NN ❑OtherTotal New I-2-family dwellings(includes 100 ft.for each utility connection) CATRGO.It ' OF C©. ZJCnON ,<i SFR(1)bath 312.70 'b ❑ 1-and 2-family dwelling SFR 2 SFR O bath 437.78 ❑Accessory building Multi-family SFR(3)bath 500.32 (p ❑Master builderEach additional bath/kitchen 25.02 0 Other: I Fire sprinkler( sq.ft.) Page 2 JOB'jilt INFORMATION .LOCATION:" - Site utilities: Job site address: Catch basin or area dram 18.76 -3 ("%2, .w eC, City/State/ZIP: -,(S )t Drywell,leach line,or trench drain 18.76 Oa - 4. e....„?Suite/bldg./apt.no.: it C i72.2--2 72 2- Footing drain(no.linear ft.:__) Page 2 Project name: ef'd.l.'alI, p) �f� Manufactured home utilities 50.03 Cross street/directions to'ob site: Manholes 18.76 C int LA-- 6 1✓4,,, t e 6 Rain drain connectorS. 18.76 9 �o Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Subdivision: I Water service(no linear ft.: ) Page 2 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 IES FTION Backwater valve 12.51 e_ , Clothes washer C� l c��,�Sr]Zvcnv.. I'll Ur✓ri .j,1-rIL� 25.02 /gyp .12- Dishwasher 10 25.02 /St,,12 / _ Drinking fountain' 25.02 l_f1 LA.N l 1-5 Ejectors/sump 25.02 PROPERTY OWNER, ry❑;TET0,1i' Expansion tank ) 12.51 /-2...S 1 Name: Fixture/sewer cap 25.02 C�ll2 U e12.2 `�AJ 7c.)/L...0�e S Address: -.7 L/2...0 � � r f hl(.),0-(.),0--al2 ,0 ,it . i t c Floor drain/floor sink/hub 25.02 City/StatelZlP:�I Garbage disposal (o25.02 i S D,12- 1 t� CV `77 ? Phone:(33'5} Hose bib 'y 25.02 �j p ,fly Lzc• (.63 Fax:( ) Ice maker 12.51 ❑''tkPF'IICANT ""` CONTACT' )PERSON Interceptor/grease trap 25.02 Business name: t�i�S Medicalgas ) Paget -r� t,� a,u t� (value:S Contact name: Primer 12 51 �A�t'L c"1 ZLo4G� Address: i(� `/ Roof drain(commercial) 12.51 e`-lU.ts z1 t 4 X�t 1.. ...- Sink/basin/lavatory l 8 25.02 41c,3 6 City/State/ZIP-7 ,6440 972..2 3 Solar units(potable water) 62.54 Phone:(S7)-3 )(ABO-.c>o-t S Fax::( ) Tub/shower/shower pan 12.51 ,rl... E-mail: DA,2 7L ` J1 t� ?Lo,Ee_v j,Cor'y k Urinal 25.02 CONTRACTOR!" Water closet 1?, 25.02 p O 2 Water heater Business name: ^� 37.52 Z2S 12 � OL Com #C----- ,t),,in 4; �r ..... Water in DWV Address: 10-7Sl i r, Pip 56.29 lsrt)rL tC. 1 o-t-)ivtti AR(U e hlW-1 Other: 25.02 City/State/ZIP:-T-2,Z J -D,,A Lk 12 e 706 ) Subtotal 73 SS Phone:( au3 '7 _ 1-1 ( Fax:( ) Minimum permit fee: $72.50 CCB Lia: 112,2_-Z a Plumbing Lic.no.: _ Plan review (25%of permit fee) 1 3� /3 ,52... State surcharge(12%of permit fee) Authorized signature:�� d7 g� Print name:�_- TOTAL PERMIT FEE b 3 7 3,.s2 �'� ��. �\>sl carsz� ate:(40 �ie„.- rV 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 BuiidintrPermits,PLMU-PermitApp.doc 10 01'09 a40-rt616T(10.02-COM WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9530 SW GREENBURG RD, TIGARD, OR, 97223 August 17, 2017 at 12:23:01 PM Record Type: Record ID: Commercial - Plumbing PLM2016-00338 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Building 3 interior units ok. Building 3 exterior plumbing ok Violation Summary: Inspector Contractor