Permit (15) CITY OF TIGARD PLUMBING PERMIT
2..` COMMUNITY DEVELOPMENT Permit#: PLM2016-00341
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 10/06/2016
TEtR.L 9
Parcel: 1 S 126 DC00900
Jurisdiction: Tigard
Site address: 9590 SW GREENBURG RD
Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Building 6-Interior plumbing for new 9 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: 9 ea Clothes Washer 10/06/2016 $225.18
g ea Dishwasher 10/06/2016 $225.18
Type of Use: MF 1 ea Expansion Tank 10/06/2016 $12.51
Class of Work: NEW g ea Garbage Disposal 10/06/2016 $225.18
Type of Const: 2 ea Hose Bib 10/06/2016 $50.04
Occupancy Grp: g ea Sink 10/06/2016 $225.18
Stories: 15 ea Lavatories 10/06/2016 $375.30
15 ea Tub/Shower/Shower Pan 10/06/2016 $187.65
15 ea Water Closet 10/06/2016 $375.30
g ea Water Heater 10/06/2016 $337.68
1 Plan Review 10/06/2016 $583.25
1 12%State Surcharge- 10/06/2016 $279.96
Plumbing
Total $3,196.21
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232 s332.2344.
Issued BY: • _ 9 ��-
ermittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application �'e Z�� 3 c°' 1/1
Building Fixtures
I
City of Tigard Received /_ /�
Date/By: C Q Penult No.: 'U
71
13125 SW Hall Blvd.,Tigard,OR 97223 y -Li!�/6_4054/
Phone: 503.718.2439 Fax: 503.598.19601 s t z Plan Review n� �
Date/By: Q+p� Ib Z44 Other Permit No.i 1 //„ n 0-Q
Inspection Line: 503 639.4175 " W a�'V
I I t \i I) Date Rea /B
Internet: www tigard-or gov y f JarsSupplemental see Page 2 for
otified/Method lI/ 'l
7 e ki & 1 ,� ''',..1.1
�1 a � , i �� � Information
,'TVPE op. e FEI 1E
lyi New construction " ... ,s .
❑Deirldlition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other i
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF clkl$STRI Icj'IONI -.1 SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath 500.32
0 Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2 ��
0 JOB S1'E INI?ORMATION AND LOCATION ` Site utilities: o�
Job site address: Catch basin or area drain t
18.76, v
� j � ���� well,leach line,or trench drain 18.76 W
City/State/ZIP: t V p
�� �� 1 Z 3 Footing drain(no.linear ft.:_) Page 2 w
Suite/bldg./apt.no.: *6 I Project name: SIZ �12C> ' '�r, (}�
i'1 S Manufactured home utilities 50.03 (1
Cross street/directions tjob site: Manholes 18.76
o
\.,- .1 .1.--C- C-16 )
`z.l. , Rain drain connector ,5' 18.76 q ,
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
D Backwater valve�Ol OF WORK ... , Ba kw 1 12.51
li� 6 c i5 2I�GTIut j/- 4 Clothes washer q25.02 Z7S(JL r� �=1�r1 r l 7 Dishwasher G�/ 25.02 275,18
Drinking fountain 25.02
Ll NJ t`I"5 Ejectors/sump 25.02
PROPERTY OWNE ;i TENANT Expansion tank / 12.51 12 .s I
Name: Fixture/sewer cap 25.02
(Ci2.0 12-5 .LJ 7)It_0 ez le.S
Address: 7 L(20 .r��i ��JN t«itr. s ` fr.
Fioor disposaloor sink/hub 25.02
City/State/ZIP: 1 v A i-) e cil.ZZ Garbage 25.02 5 ,/ 1
Hose bib �. 25.02 �-,�,oy
Phone:(' 3) 6225, ((5 3 Fax:( ) ice maker 12.51
❑ AI pticA - QoNTAC'1<'= FRSoN Interceptor/grease trap 25.02
�
Business name: � Medical gas(value:S ) Page 2
3-ht_ociias
Contact name: 11 L • �E-.r2Z`. mer 12.51 i
RoofPridrain(commercial) 12.51
Address: -7L.42_0 sou ckc.)iL.? iceR 5u, r 'C
Sink/basin/lavatory 2 t/ 25.02 /n et, 14.8
City/State/ZIP: --t-L r 4.t( (Z_ ( 72- 73 Solar units(potable water) 62.54
Phone:errZ3) (19,3p ,oo` S Fax::( ) Tub/shower/shower pan /S 12.51 /S-7, ,s--
E-mail:--C)4 Le. SY1't PeO- Urinal 25.02
"� P 1zrFS G�.�
CQT'�17 RAC 1 Obi Water closet 1 S 25.02 3 7c ?,
Water heater 937.52 Co B
Business name:
3 37.
y --"c_-C-Cr-tr -PC-0 rYkrA)t .)(Y Water piping/DWV 56.29
Address: 101.--i ti-t Ill 5vb Q Lc- CcLv,. .pji_A t�3 c'02.. -I Other: 25.02
City/State/ZIP: '-(-v„ DALE. CQ 17(40 Subtotal ,a.333-Pa
Phone:(S33) 62.42 1 - 1..78 1 t Fax:( ) Minimum permit fee: $72.50
CCB Lic.: t V2ZZ17 Plumbing Lic.no.: Plan review (25%of permit fee) C S 3.p.Or'
P ZGy State surcha 12%of
O ( permit fEe) a .
Authorized signature:
J TOTAL PERMIT FEE1
74C1C16.9c)
Print nameTe �_ Date:� (_ 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.
t:Buildine‘Permits,PLMU-PermitApp.doc 10,01 09 440.4616T(I0,02COMJWEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9590 SW GREENBURG RD, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2016-00341
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Interior plumbing for bldg. #6 - approved
Violation Summary:
Inspector Contractor