Permit (14) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00339
D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/06/2016
T[[ �1 Fd" g Parcel: 1 S126DC00900
Jurisdiction: Tigard
Site address: 9570 SW GREENBURG RD
Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Building 4-Interior plumbing for new 23 unit apartment building with 1 office
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
g ea Rain Drain Connector 10/06/2016 $168.84
Specifics: 24 ea Clothes Washer 10/06/2016 $600.48
24 ea Dishwasher 10/06/2016 $600.48
Type of Use: MF 1 ea Expansion Tank 10/06/2016 $12.51
Class of Work: NEW 24 ea Garbage Disposal 10/06/2016 $600.48
Type of Const: 4 ea Hose Bib 10/06/2016 $100.08
Occupancy Grp: 24 ea Sink 10/06/2016 $600.48
Stories: 30 ea Lavatories 10/06/2016 $750.60
30 ea Tub/Shower/Shower Pan 10/06/2016 $375.30
30 ea Water Closet 10/06/2016 $750.60
24 ea Water Heater 10/06/2016 $900.48
1 Plan Review 10/06/2016 $1,365.08
1 12%State Surcharge- 10/06/2016 $655.24
Plumbing
Total $7,480.65
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 503.987 or 1.800.332.2344.
Issued By: ermittee 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.
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Plumbing Permit Application
Building Fixtures rOR 01 l l( F l 0y11
City of Tigard Received / /
a " Date/By: (� 8 tO Permit No.: ' A!/ 239'
13125 SW Hall Blvd.,Tigard,OR 97223 t lQ d
Phone: 503.718.2439 Fax: 503.598.1960 1 s ;'1, 1j 1lan Review /
Date/By: q.ilq.tb LI Other Permit No. Q p,1/_-ez
1 1 t A a D Inspection Line: 503.639.4175 Date Read/B v (�
Internet: www ngard or gov Ready/By: Jens See Page 2 for
Notified/Method: �0 �� Supplemental Information
TYPE (3F WORK ,. ; s .,, ,•_ ( . .w FE1 $CITED ,E
Kt New construction ( �
❑Der$tolition ' r' For cial in orotation use checklist
Description Qty. Ea. Total n
❑Addition/alteration/replacement ❑Oilier: , i 1 New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY 9F CONS''1tUC`oN I SFR(1)bath 312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building N Multi-family SFR(3)bath 500.32
❑Master builder Each additional bath/kitchen 25.02
❑Other:
qJ�Z d IBFire sprinkler( sq.ft.) Page 2
SITE�RMATION AND LOCATION'`" Site utilities:
Job site address: Zj9 S A::) C--12-
:'.,v V Q 1 Catch basin or area drain 18.76 0
Drywell,leach line,or trench drain 18.76 W
City/State/ZIP:-71u 4,2_0 QQ-
l�Z' 3 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: (�
" V -0 A � Manufactured home utilities 50.03 �N
Cross street/directions to'ob site: Manholes 18.76
VkOL-t-- g 3ij Rain drain connector C 18.76 t U 1.�
Sanitary sewer(no.linear ft.: ) Page 2 16gTJ
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
0 IQN OF Backwater valve ! 12.51
y C� C/ Clothes washer a L' 25.02 .600.y�
1 .c4-)S-c,1/4 -i(---4-1,-0v3 (-Y\L.)`�N. -1-1.1Yh tt�� Dishwasher i 25.02 CDU, y$
Drinking fountain 25.02
a C.A. t 1 5 + 1 D 1`Ft C Ejectors/sump 25.02
PROPER o ) 12.51 /'2,. .S/
."., �JVNE ❑ `I'LN�N'l' Expansion tank
Name: � b 12 .at ` �0 Fixture/sewer cap 25.02
Address: • l t ZDry .Floor drain/floor sink/hub 25.02
City � 1 � tT Garbage disposal 25.02 i/5
Ci /State/ZIP: C7723 Hose bib 25.02 /op, 08
Phone:( -ia-,) ,0 Z< . 1\ Fax:( ) Ice maker 12.51
!''i.0Appucoir
CONTACT PERSON Interceptor/grease trap 25.02
Business name: '--,el4l r Medical gas(value:$ ) Page 2
Contact name: Primer 12.51
Atz`�t_` ��� Roof drain(commercial) 12.51
Address: c
` 0 exp tj tr�1�:._r p ) t r& Sink/basin/lavatory y 25.02 S
City/State/ZIP: �' S / I'�SI.
l(�,�.t2-,�� 02.- q72-Z-3 Solar units(potable water) 62.54
Phone:( )62(8®. 00,4s Fax::( ) Tub/shower/shower pan 36 12.51 ?)95 JO
E-mail: �Aec(t_e jr( 1� 5` C-k:114_
Urinal 25.02
C Water closet 25.02 -750, IP 0
V OR W t 1 t ��
' '" '" Water heater
Business name: (� 'jr 37.52 97) ,r{
�
�/� �
X�C.c7�' 4y rrx ,�11_"- Water piping/DW V 56.29
Address: to--/S� ,,`` S'C2si✓t( `�11\)cam t( 25.02
C� � r t� C-�Cu I Other:
City/State/ZIP:-77-2_0_31--D Au fL -2Olt2 0 Subtotal 540,33
Phone:(5j-2) 712(.0"1, ,ie , Fax:( ) Minimum permit fee: $72.50
CCB Lie.: 2Z2�� Plumbing Lie.no.: Pian review (25%ofpermit fee) /3 65.08
I` 2�,- State surcha a(12%of S5, 23
Authorized signature: �_� r8 permit fee)
TOTAL PERMIT FEE ' 480,6,1 ,
Date: C This permit application expires if a permit is not obtained within 180 days
Print name:-\----e_3(‘- 7:-
ame:
�� `Yv °� r_
� ��. u7 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1n.BuildinePermits,PLMU-PermitApp.doc 10,01'09 440-4616T(10'02-COM,WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9570 SW GREENBURG RD, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2016-00339
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Corrections for bldg. #4 have been made, plumbing final approved.
Violation Summary:
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
9570 SW GREENBURG RD, TIGARD, OR, 97223
Record Type:
Commercial - Plumbing
Inspection Type:
305 Plumbing underslab
Result:
Scheduled
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
PLM2016-00339
Inspector:
Don Sylvester
Contractor