Permit Er ! CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00049
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/11/2008
PARCEL: 2 S 112 B D - 00100
SITE ADDRESS: 14660 SW 76TH AVE ZONING: R -
SUBDIVISION: BONITA VILLA APARTMENTS LOT: 065 JURISDICTION: TIG
PROJECT: BONITA VILLA APTS.
Project Description: Replace 60 ft. water service.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 0 ft
WATER CLOSETS: WATER LINE: 60 ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
WASHINGTON COUNTY HOUSING AUTHORITY
111 NE LINCOLN AUTHORITY Description Date Amount
STE.200 -L [PLUMB] Permit Fee 2/11/2008 $72.50
HILLSBORO, OR 970123 [TAX] 12% State Surch 2/11/2008 $8.70
Phone : 503- 846 -4794 Total $81.20
Contractor:
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 253 -1393
FAX 503- 241 -6565
Reg #: LIC 106824
PLM 3 -265PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: fe^ et _ r � de,7 4 ∎4 U Permittee Signature: 7 , '
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
' ' 02/08/2008 15:01 503 18565 ...:72. MRP PAGE 01/03
..,.- _ '' " .ili 7-- r 7'11 f `i Plumbing Permit Application i- FOR OFFICE USE ONLY F- +
City of Tigard -15 v 73 2003 Received
Dnlc1B F) Permit No� /y")O ���( �Q
Ill
• 13125 SW Hal1$Ivd Tigard, QQR, ^7223 y;oL 11 J, v��0 v 1 9
L Phone; 5(13.639,4171 Fax: 50:3,59$,19 t J 1 JL ,2 LA s , ?i�, Review
Inspection Line: 503, 639. 75� - ►- a , .Y Date /B other r'srmit No.:
TI Pa F
Internet: www.tigard -o ed 17 Inds: Far
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❑ New constructinn ID Demolition F'or special information , rsechecklist
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V2 Addition /alteration /replaccmen w am 1 _ Qty. Ea. Total
.... , , � d, �� , .� y dwellings (includes 100 ft, for each utility connection) Description
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� .. ...:... .... • � ,,;,,: :'. '. • !�;1C� . , y�y��,�,,yyy "P ;; .,� 1 �7c „,;;:Flab ,•�;:; SFR ( bath ,
°1!;'..,. ,' ., „� } {. 249 20
❑ 1- and 2- family dwelling 0 Commercial /industrial SFR (2) bath 350,00
❑ Accessory building - g Multi-('Amily SFR (3) bath W 399,00
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❑ Hasler builder ❑ Other:
Each additional bath /kitchen _ 45.00
rink
„ Fire sprinkler q )
wJ� r ` �1 !�, t4,. I” fh .gg ,(,�y , r ,� ,,yy ��,,��� .. u a c ,a,�„ p IC ( 5 �l. Page 2
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�C1 7� . 4e. •,�,e, ,, ,.a„ � N ti „s+v ,�, . �.� t r y,4 ;, 1 {' �i�. S ,hpr t��r,��. Site utilities
lob site address f 4lP 4LV ` / 7 J ? 4 3 Catch basin or arca drain 16.60
City /State/ZiP: - leb , o Drywall. leach line, or trench drain 16.60
Suilelbldfi. /apt. nn.; -�{ Project name: � { Footing drain (nn, linear fl.; _ ) Page 2
' Cross street/directions to job site;
• ¢�� Manttfnctured home utllitjCS 110,00
Manholes 16.60
Rain drain connector 16,60
Sanitary sewer (no. linear ft,; _) Page 2
Storm sewer (no, linear ft.: _) Page 2
Subdivision: I Lot no.: Water service (no, linear ft,: ) I —�( e hagc 2
Fixture or item
Tax map /parcel no.: _
... ..�1s:♦1Ni);lt lri�}:, ?,'''1:�I u4;�t��i;f�(a:jv' . ,. .•.�. ,:7.'{♦ "; dtu�'' +,fli�i`I!; " MI ,V�N I ?a� Absorption valve 16.60
:
'!w ,-;,� i'i, � tl aiti °a' *.diti " V + ltI , /,1 'i =, ,tu,thg4' r; ,q,
13ackflow prcventer Page 2
1+C n t1 1V Q� F WkFE R LSE' Backwater valve 1.6,60
-
"l Clothes washer _ 16,60
Dishwasher 16.60
°" 1'
"t y� ta' `ly y {',: 1'i G Drinkingfountair 1
":,;; ti” .ii r ; V a ttb- r "ie ' i q°k ,,c r lit i? 1 4i 1 4 ,!l r,' 6.60
. .. � e ; sri { {',� � �1f�r � «�?llli.����l���l, 7 { �� �,�, �
Ejectors/sump 16.60
Name: cif ll'iia -■ d � ,A y T Expansion tank 16,60
Address; LIA3 '_ , s i...— • p 16.60
a. Fixture /sewer ca
City /State /ZIP: N. L t •Vr S ' a'aa -L, Floor drain /floorsink/huh 1 6.60
Phone: ( ,[ Garbage disposal
16.60
U gete ) 8.4.. T
, ri, i4�G�!:at n.•j\ , '° 'A ! P .i ' 1, . 5 •,Ii 4 J I'll .I� C, y'•, , , I y Hose 1 16 0
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1
�•4 .. d�' ir ��' �r.�AA«d � r o w �' r .' ,. "" .r emaker 6 60
Business name: 3r � l interceptor /grease trap 16.60
Contact name: i � • m� . m
M
1 � edical gas (value; $ ) Page 2
Address: I / / ' Primer
r b 16 .
City/State/ZIP: A lIMIFEOLF Firi ME= Roof drain (commercial) _ 16.60
Phone: ( I )
/ �d Sink/basin /lavatory 16.
( VI ( r ( (11 Tub /shower /shower an 16,60
E -mail: NFU i — S ' V I S L V - Urinal 16.60
• ft 1 ' J ! "},'��� t k �r� . li g 'at � � r 0 �,, i, Sy \�,+ 2$ 1, 1+ 1 { 1f^ g tl� r ;h`r.
�lh or"' , 11 4 , �H l � i'i r �n ��•, � � i i " 'q o `�9fv 415tw} r ,rxn.(; a, r 1 t Iv',n. ,, ��,7,
f �: _,! � � xr' , 1 k �,« w „ � , „ 1 .a'�r a ''ir t• N �!�a,,, Water closet 16,60
A l usiucss name: ' L i ' /jI� , / _ water heater 16.60
Address r, Ei Other
• City /State /ziP: 00 I 1 If 0 ' / r • i Subtolnl • fI
Minimum permit fee: $72.50
Phone: ( f . ” f in Fax: ( + , i - ■ Residential backflow minimum permit fee: $36.25 12 , 5
�
CCB Lie.: d Plumbing Lic. no.: 3 r l.{Y r y Plan review (25% of permit fee)
Authorized signature; r ( jr State surcharge (12 % ofpermit fee) f)
L 11!1 1 (1 TOTAL PERMIT FEE '70
Print name: 1, b"'" Dal:c; ' lila This permit application expires if a permit is not obtained within
ISO days after it has been accepted as complete.
*Fcc methodology set by Tri- Cntmty Building industry Service Board,
r\ an01 inrr 1rormitr1PLM- PcnnirApp.doc OW/WOG MD,- 1616T(!Ol02/COM/wE8)
. •. , •
CITY OF TIGARD-
BUILDING DIVISION 1 .
PERMIT #: PLIVI2003-00049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1
Phone: (503) 639-4171 )1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/15/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 14660 SW 76TH AVE CLASS OF WORK:
SUBDIVISION: BONITA VILLA APARTMENTS LOT #: 066 TYPE OF USE:
PROJECT NAME: BONITA VILLA APTS.
DESCRIPTION: Replac:e 60 ft. vvater service.
OWNER: WASHINGTON COUNrt HOUSING AUTHORITY, PHONE #: 603-846-4794
CONTRACTOR: MRP SERVICES PHONE #: 603
Inspection Request Scheduled For: Date: 3J1612008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plurnbing final 065110-01 603,662-2626 N
tA,.`1 S 2S
Corrections/Comments/Instructions: /v A/ 1
LO - r - ee- kf' i'OR , CA -1-- 3-
ca..e.
X PASS fl PARTIAL APPROVAL CANCEL fl NO ACCESS
I I FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: al ‘41-4---frIA Date: 21 16 Phone #: (503) 718-