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Permit (9) .14CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2016-00340 13125 SW Hall Blvd.,Ti Date Issued: 10/06/2016 T[Caa'� and OR 97223 503.718.2439 9 Parcel: 1 S126DC00900 Jurisdiction: Tigard Site address: 9580 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 5-Interior plumbing for new 12 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 6 ea Rain Drain Connector 10/06/2016 $112.56 Specifics: 12 ea Clothes Washer 10/06/2016 $300.24 12 ea Dishwasher 10/06/2016 $300.24 Type of Use: MF 1 ea Expansion Tank 10/06/2016 $12.51 Class of Work: NEW 12 ea Garbage Disposal 10/06/2016 $300.24 Type of Const: 2 ea Hose Bib 10/06/2016 $50.04 Occupancy Grp: 12 ea Sink 10/06/2016 $300.24 Stories: 18 ea Lavatories 10/06/2016 $450.36 18 ea Tub/Shower/Shower Pan 10/06/2016 $225.18 18 ea Water Closet 10/06/2016 $450.36 12 ea Water Heater 10/06/2016 $450.24 1 Plan Review 10/06/2016 $738.05 1 12%State Surcharge- 10/06/2016 $354.27 Plumbing Total $4,044.53 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: Permittee Signatur•. 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 s /I N 2-/L Building Fixtures .r> •,' City of Tigard Received /� • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.:Plan �l� O� �� s Phone: 503.718.2439 Fax; 503.598J$60 Date/By: Review ^ l, q.e� Ib Other Permit No. l1 i_ i.t> Inspection Line: �/'�" - l6 jam/ Internet: www or 503.639.4175 DateReady/By: t �p� Juris. Page 2 for ® See " Noti /Method 10 (4tw >ti./� Supplemental Information °° •o t ti r ,E.., I ' REED•SCRREDPLE New construction Demolition For special information use checklist. ge Description ❑Addition/alteration/replacement 0 Other: QtY• ( Ea. I Total New 1-2-family dwellings(includes 100 ft.for each utility connection) ,. coEcory,9F;co sTjRJCTJ,(IBJ ! SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 ❑Accessory building '6 Multi-family SFR(3)bath 500.32 V` ❑Master builderEach additional bath/kitchen 25.02 t,� 0 Other: Fire sprinkler( sq.ft.) Pae 2 9,5 go .TQB SITE 1$FORMAII014 AND LOCATION Site utilities: g Job site address: 9 c. Catch basin or area drain 18.76 W L5,3Ge s to iur(� City/State/ZIP:- iv Drywell,leach line,or trench drain 18.76 Ud/'' Footing drain(no.'linear ft.:_) Page 2 Suite/bldg./apt,no.:-0-5- I Project name: C.ye .F.ieLJ/L( i-- D15 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 4t--t--1 Cjt2 (pe(� Rain drain connector d 18.76 � 56 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 1 Clothes washer -2-- 25.02 2'f COok--)TVA 1-10+L) ..3 LT/ FAIal'L . Dishwasher )' 25.022 3130. `f Drinking fountain 25.02 Lt-1.3 t 1-5 Ejectors/sump 25.02 Yr PROPERTY!o1' NERj12,'S-/ r ❑ •TENANT Expansion tank 12.51 Name: \� 12,0 ,t: � Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 �~2© e ,t_3" 1� f� 0J l Garbage disposal / 1-17`�� • City/State/ZIP: -•�- J Z ]app. 1 !,�'�l�l�it7 Gam- g 12 "3 Hose bib 2....- 25.02 5D, Qy Phone:(563)(Z�- vvea-3 Fax:( ) Ice maker 12.51 ' ' 'R'R' CONTACT:PERS.N f Interceptor/grease tra ,.. ._ P 25.02 Business name: Medical gas(value:S tci2,642z. til it... zS ) Paget Contact name: (A L -t' i At F Primer 12.51 Roof drain(commercial) 12.51�\{ZoSSU ,.32kk:i2 � S_si.l��- Sink/basin/lavatory City/State/ZIP:�tu ate,o e> �O 25.02 7S® ba a(72-Z3 Solar units(potable water) 62.54 Phone:( 31 (ogo . Ory..cS Fax::( ) Tub/shower/shower pan18 � 12.51 22/�3 .5 E-mail: \ oatel(_..L (mom zTiE5 'CGS Urinal 25.02 , c9NTRAcT R Water closet 25.02 y5O,3� Business name: ( �� Water heater /Z,- 37.52 L/ ,2y -k0k-Cc> 1k' L� 1--r)8 i'�T- Water piping/DW V 56.29 Address: to---/5 (1) �i'›-Ai'› 2.lc OLvrr �'' CitylStatelZlP: � 't'� �i15 't2 (-- ‘•,,- 1�R. `• .s� Other: 25.02 c )T lL : r= ` 7c(9z) Subtotal a q 3-.3.2 1 - Phone:( 3) Lec.7. l--)e‘ Fax:( ) Minimum permit fee: $72.50 CCB Lic.:.`‘- Zl Plumbing Lie i o.'r P)2.4•-$2y Plan review (25%of permit fee) � s'. �� Authorized signature: - � State surcharge(12%of permit fee) 415" --- 1 - TOTAL PERMIT FEE 9 oqq. ) Print name: �CV 1\ % G-----t_. Dat;Dat: �' -Lc:, This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:`.BuildingPermitssPLMU-PermitApp.d°e 10,01109 4,10.4616T(104)2rCO 4 WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9580 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2016-00340 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Interior plumbing for bldg. # 5 - approved 2. Note: expansion tank located in riser room. Violation Summary: Inspector Contractor