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Permit (17) ir -7 '1 : . ' ' PLUMBING PERMIT CITY OF TIGARD Permit#: PLM2016-00337 COMMUNITY DEVELOPMENT Date Issued: 10/06/2016 T I c;41z.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126DC00900 Jurisdiction: Tigard Site address: 9520 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 2-Interior plumbing for new 4 unit apartment building.2/27/17,REPRINTED to add(1)lay,(1)toilet&(1) water heater to maintenance office/garage. 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: PHONE: 503-667-1781 FAX: 503-667-9891 FEES Quantity Description Date Amount 3 ea Rain Drain Connector 10/06/2016 $56.28 Specifics: 4 ea Clothes Washer 10/06/2016 $100.08 4 ea Dishwasher 10/06/2016 $100.08 Type of Use: MF 1 ea Expansion Tank 10/06/2016 $12.51 Class of Work: NEW 4 ea Garbage Disposal 10/06/2016 $100.08 Type of Const: 2 ea Hose Bib 10/06/2016 $50.04 Occupancy Grp: 4 ea Sink 10/06/2016 $100.08 Stories: 8 ea Lavatories 10/06/2016 $200.16 8 ea Tub/Shower/Shower Pan 10/06/2016 $100.08 8 ea Water Closet 10/06/2016 $200.16 4 ea Water Heater 10/06/2016 $150.08 1 Plan Review 10/06/2016 $292.41 1 12%State Surcharge- 10/06/2016 $140.36 Plumbing 1 ea Lavatories 02/27/2017 $25.02 1 ea Water Closet 02/27/2017 $25.02 1 ea Water Heater 02/27/2017 $37.52 Total $1,767.35 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 ification .ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or rect questions to O C by .ling 503.232.1987 or 1.800.332.2344. ssued By: / id, Permittee Signature: �0` � 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 Building Fixtures FOR OF1�1cL 1.5t: t)Sl.l t t,q City of Tigard Received a 13125 SW Hall Blvd..Tigard.OR 9722]r.. r� CC UaterRc Permit No: X Phone: 501718.2439 Fax: 503.59I I W Ir 2 U U Plan Rei iew. TIGARt) Inspection Line: 503.639.4175 Date/By:: Other Permit No.: Internet: mvww.tigaid-or.gOvCl-,,, i::- m `=r'` Date Ready,By: Juris td See Page 2 for C `. Notified/Method: ;ai t. tot r, Supplemental Information TYPE'011e. ] I i''' ',.:1. .,.i 5,/l's,.'',,...,N FEE* SCHEDULE feNew construction 0 Demolition For special information use checklist. ❑Addition/alteration/replacement 0 Other: Description J Qty. J Ea. J Total New 1-2-family dwellings(includes 100 Ii.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.71) ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building Multi-family SFR(3)bath 500.32 ❑ Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: q,S S,fi r c.,<_*, , Catch basin or area drain 18.76 City/State/ZIP:t �{ �? Drywell,leach line.or trench drain 18.76 I Footing drain(no.linear ft.: ) Page e 2Suite/bldg./apt.no.: Z.. Project name:Gee.��.bwX {( �S Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 15.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: _) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: l� _ Water service(no.linear ft.:_) Page 2 ~� -•��.YV�c�..v�.v\ t-"i�C� �Cct.+C.`" . Lotno.:� ..._. Fixture or item: JTax map/parcel no.: Backflow preventer 31.27 C, DESCRIPTION OF WORK Backwater valve 12.51 at-A `*S K -'e Clothes washer 25.02 y,.� , �� �^` � Dishwasher 25.02 t'u�tNvia, _(c.ir -C.`"v CO- L.� ", t'C_.t- `t., Drinking fountain 25.02 1-\1\/1. ©t Lp - ti.J --1 Ejectors/sump 25.02 jo PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name; �� (iFixturefsewer t ap 752 Address: ` ' Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 Al APPLICANT' 0 CON'TACT PERSON interceptor/grease trap 25.02 1 Business name: E. ,,c„��.ek. �b��� Medical gas(value'$ ) Page 2 Contact name: (�•� Primer 12.51 �,Dta L '''''RE Address: Lo t.,..,.. v� Roof drain(commercial) 12.51 -&1iGte„, . unEr Sink/basin/lavatory 1 25.02 2s .n"-( City/State/ZIP: ""'-C-`V 14.7.4.) ( Z 2. Solar units(potable water) �� ' (p 62.54 Phone:(c::).3) !0�s' `1,163 Fax::( ) Tub/shower/shower pan 12.51 25.02 F-mail: tUrinal Water closet 25 02 CONTRACTOR1 �5 Water heater 3 Business name: ,Jcalc c 1 7.52 -1-1, Water piping/DWV 56.19 Address: l b"1S" , W 1 S-teC's,C_ A�ta.ws�C3t Other: C `�{��.te st' 25:02 City/State/ZAP: \C(„ .. �.\� C.V1o� Subtotal el 51" Phone:(S61 )((.21`1 t y-1c:::;)...... Fax:(561) (a(. -ck E Ck,k Minimum permit fee: $72.50 J CC13 Lie.: \, c Plumbing lac.no.:2(0'- Li PIS Plan review (25%of permit fee) ,e Authorized signature: ...,---.7 .,....-1/...n..... State surcharge(12%of permit fee) 1b,s>A TOTAL PERMIT FEE itct .cig- Print name: t x,C, Date:a-'"1'} -1� This permit application expires if a permit is not obtained within 180 days Q L J after it has been accepted as complete. .r- t/s;oo *Fee methodotogv set by It-Counts Budding Industry Scn=ice Board: I,Buildinu',,t'ermiteePLAit!Pernst,tpp.doc 10/1)111:19 440-461611 I0 92•CONIAVEB, / V. 96- IN II.. '' CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2016-00337 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/06/2016 Parcel: 1 S 126DC00900 Jurisdiction: Tigard Site address: 9520 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 2-Interior plumbing for new 4 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 3 ea Rain Drain Connector 10/06/2016 $56.28 Specifics: 4 ea Clothes Washer 10/06/2016 $100.08 4 ea Dishwasher 10/06/2016 $100.08 Type of Use: MF 1 ea Expansion Tank 10/06/2016 $12.51 Class of Work: NEW 4 ea Garbage Disposal 10/06/2016 $100.08 Type of Const: 2 ea Hose Bib 10/06/2016 $50.04 Occupancy Grp: 4 ea Sink 10/06/2016 $100.08 Stories: 8 ea Lavatories 10/06/2016 $200.16 8 ea Tub/Shower/Shower Pan 10/06/2016 $100.08 8 ea Water Closet 10/06/2016 $200.16 4 ea Water Heater 10/06/2016 $150.08 1 Plan Review 10/06/2016 $292.41 1 12%State Surcharge- 10/06/2016 $140.36 Plumbing Total $1,602.40 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. *----.7 ' Issued By: Permittee Signature... _� r 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 A ti ;` z le 2/2_ Building Fixtures iolz of MCI: ( s1' 011 1 City of Tigard ' ._, `t $ y l;'1 i e w Date/By:Received ce a 0 / , (J Permit No.: 11-49e4...64, 337 13125 SW Hall Blvd Tigard,OR 97223 ■ Phone: 503.718.2439 Fv. 5O3.598.1960 ' 'a Plan Review /� > Date/By: 1.21-" 0.4 Other Permit No.,a0e�j j���� i it v R I) Inspection Line: 503.639,4175' Internet: www tlgard-argot "r e Date Ready/By: /�,,� Joos 1� See Page 2 for hod:Iokt yp Supplemental Information Nottfie M h 1 TYPE Ot+Wi'ORK $ Fl * New construction "" 0Demolition For special information use checklist C Description I Qty. 1 Ea. .1 Total F ❑Addition/alteration/replacement ❑Other /(�i 000 New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGQRY OF CQNSTRtlC ON ! 1 SFR(1)bath 312.70 Eli-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 o Accessory building Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 `1' ❑Other Fire sprinkler( sq.ft.) Page �j,2 (� 9 JOB SOB INFORIWA'('IiON AND LOCATION.:' Site utilities: Job site address: �^ Catch basin or area drain 18.76 CW)J City/State/ZIP: Drywell,leach line,or trench drain 18.76 1 �'6l> 41z Oj �f7az3 Suite/bldg./apt.no.: / p� Footing drain(no.linear ft.:__) Page 2 i i Project name &Ett,:'&XG(� RE) APT5 Manufactured home utilities 50.03 Cross street/directions to jo.site: Manholes 18.76 �5 u3�.,Q c, i�A�� Rain drain connector 18.76 j( �g 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: -1 Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF, WORK c water va ve Bak 1 12.51 _ Clothes washer 1/ 25.02 i0, o$ lq----C - ri.r J'-iilluic-no,,-- vt-n 'dArnti..1 Dishwasher V 25.02 fop, °E v C� Drinking fountain', 25.02 ` tA,1.-) t-5 Ejectors/sump 25.02 ,.,k(P OPE TY OWNER, A) Expansion tank / 12.51 Name: l _,P- .-�.-� t�0�� Floor drain/floor sink/hub 25.02 Fixture/sewer cap 25.02 Address: -1 ZO ��J i--....\,u.V�71�9_P • Jl:\•> C Garbage disposal 25.02 c'$ City/State/ZIP: c� /o° ✓ \lam A� Ct2- 1/2-Z-77 Hose bib y 25.02 50,D51 Phone:( 3) (.0'2,,:c: \\,-3 Fax:( ) Ice maker 12.51 0 A\PPUCANT cONTACr 1)ERSON interceptor/grease trap 25.02 Business name: c, Medical gas(value:S ) Page 2 �V� C>Q i=� ),,..., rA) S , Contact name: )til�. l t-L�Z i Primer 12.51 4 Z (. Roof drain(commercial) 12.51 Address: '.-� HV�`.j .._.../ is) `f i • S...."‘Tom. C-- Sink/basin/lavatory )7 - 25.02 2D°,Z►f✓ City/State/ZIP:'-\-\ , a_s Solar units(potable water)�� �� � 62.54 Phone:( is C. f%tea.-ES.- Fax::( ) Tub/shower/shower pan 8 12.51 5`7D ,DV�- E mail �iZ Urinal 25.02 e ,..if101.l+L 3 ii i2--->t-5- CQ rti.--- �R Water closet B 25.02 Ib ,,.. Water heater �I! 37.52 /co, D43 Business name: _l_Got[c-- L j,.....\,estf_ ,may�,r Water piping/DW V 56.29 Address: tol5 tits ft)V1 G ( eL7-U tnr�;A�lT-,�t2 t'+( -k-)1 Other: 25.02 City/State/ZIP:-r-120L:-�p,'1-t -. CTh2 el?c,(,,c.„ Subtotal I 1 i 9,59 Phone:(563 I2(,-',, 1--r s ( Fax:( ) Minimum permit fee: $72.50 CCB Lic.: t 12z.Zv Plumbing Lic,no.:443 `21,--apy Authorized signature:-'` Plan review (25%of permit fee) Q 7 9 B0( State surcharge(12%of permit fee) I y t 3 r �� TOTAL PERMIT FEE 1533,83 Print name:-77.9....),‘....‘,.....‘ - c. 4, Date: a \( „ This permit application expires if a permit is not obtained within ISO days ZSv` Q �0 `moi after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.BuitdingsPenmits,PLMU-PermitApp.doc 10,01 09 470-46161110/02,COM WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9520 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2016-00337 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Interior plumbing final for bldg. #2 - approved Violation Summary: Inspector Contractor