Permit CITY OF TIGARD
PLUMBING PERMIT
fur, I DEVELOPMENT SERVICES PERMIT #: PLM2004 00524
�, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/11/2005
SITE ADDRESS: 16005 SW 108TH AVE BLDG A PARCEL: 2S115AA-OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: 18 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 18 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 18 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 21 OTHER FIXTURES: 21
TUB /SHOWERS: 21 SEWER LINE: ft
WATER CLOSETS: 21 WATER LINE: ft
DISHWASHERS: 18 RAIN DRAIN: ft
Remarks: Building A - 18 units. Other fixtures: (1) PRV, (18) expansion tanks, (2) hose bibs.
FEES
Owner:
Description Date Amount
OT2 LLC
5437 ROSALIA WAY SUITE 100 [PLUMB] Permit Fee 1/11/2005 $2,589.60
LAKE OSWEGO, OR 97035 [PLMPLN] Plan Review 1/11/2005 $647.40
[TAX] 8% State Surcharl 1/11/2005 $207.17
Phone : 503 620 - 4373 Total $3,444.17
Contractor:
TAPANI PLUMBING
21707 NE 206TH AVE
PO BOX 1458 REQUIRED INSPECTIONS
BATTLE GROUND, WA 98604
Phone : 206 PLM /Underfloor
Top -out lnsp
Reg #: MET 00001629 Final Inspection
LIC 60958
PLM 37 -269PB
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.
Issued By() ,6640) Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the • ext business day 1�
4
Pl Permit Application .. F OR FOR USE ONLY -
City of Tigard '/
Date/By: 11 G 7 % Permit No.: L}��Ag _�5
13125 SW Hall Blvd., Tigard, OR 97223 P lan Review
Phone: 503.639.4171 Fax: 503.598.1960 /i\ #111 i 1t1 Date/By: i f -jek5 Other Permit No.0 �aqp (1 c031/?
24- Hour Inspection Line: 503.639.4175 .
� Date Ready/By: Juns: p See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
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K New construction ❑ Demolition For special information use checklist. _
Description , Qty. Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection)
�'` ;: �y; �-. �" z�� s, �, �., ��,> s �„ fis«.+>° "a = sM� x a �.v,�� 4 .:� s°
•wr 3 £ $ CAT over I STRLICTI ON� - � $;� � • SFR (1) bath 249.20 -
❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath • 350.00
El Accessory building Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other
Fire sprinkler ( sq. ft.) Page 2
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Job site address: i t0 b () L t•t3 (Q '. 4 $ 1L A Catch basin or area drain 16.60
City/State/ZIP: -r £2,23 9 6 V .16 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: A. Project name: DAY- ' Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site6s.do Lopx. � oru� A_J _�D
""� Manholes 16.60
• Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: l] p /
. 4 Absorption valve rho , 16.60 /C ; ‘ d
s i =t r w DESG'RIF fa OF i Vii ° " l��'> tt 0
L't * � . "ic *,...1 � . r u : „ZI k t" . - ,� ` A � - .n J :A Backflow preventer Page 2
?W LI V
� 7. r w- tti At7 'S , Backwater valve 16.60
c( t..-1 cty�l[7 A t, o p f Clothes washer i 8' - 16.60 Z1'$',80
Dishwasher 1 S i 16 60 0 11 1' 70
1
16.60
Name:
,- �;y. 1 0 1 F .ey P Drinking fountain 16:60
�� n,�': t PROPERTX;�®WivER''' ��'<� :® TE�ANT .. . . '=
L � Ejectors /sump
Expansion tank 1 16.60 ,291x. fro
Address: < -(a-R- .sq-u CAD A1 t . 1a) Fixture /sewer cap 16.60
City/State/ZIP: L�► �C01.O � Gt'q,. Floor drain /floor sink/hub 16.60
Phone: ('G �7._ �-"�� Fax: G03. 6- Garbage disposal 1 16.60 age' vQ
r , � PLICr1N= f „ y6 aM Hose bib 2 16.60 33. 0
" i .' � . . , ;:: '" .,!ii • 'Y et "`aaL TA T E Q 4
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name:
Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State /ZIP: Roof drain (commercial) 16.60
Sink/basin /lavatory 2 1 -' 16.60 3y� 4 0
Phone: ( ) Fax:: ( ) Q
Tub /shower /shower pan 2 i 16.60 3'S, (so
E -mail:
r¢ ;ems., n.4. :,�,,,.r; Urinal 16.60
k,, ,. ` < tt C.ON RA E ' � ..; Water closet O
;' , .0 t da �' .: . , 5:4' t,._ ° �,. �x,��_ < > ,.� ..a. 16.60 3y�• �o
Pi
-, TAPANI PLUMBING Water heater / 4g .. 16.60 .2/5• ge
p ' PO BOX 1458 Ot her: _ _ • • __
'.
C, M
BATTLEGROUND WA 98604 =;;W:. =;;W:. - � Minimum Subtotal
SG, i nimu m permit fee: $72.50 .�
li 206 - 687 -3983 Residential backflow minimum permit fee: $36.25
d CCB: 60958 PLBG: 37-269PB review (25% of permit fee) 6 y:7. y a
Authorized signature: f4 , _ State surcharge (8% of permit fee) Q , j
TOTAL PERMIT FEE 3vvy, /7
Print name: ¢ C S �• d ll Date: i t l / - .2a .6 Ed 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.
i:\ Building \Permits\PLM- PernutApp.doc 12/03 440-46 1 6T( 10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule:' r Residential Fire Suppression Systems:
t. f . it ' A "�" , ,'.. , •T g S s Y CB »(eA)t. i wait; .. �.. ,� _
Site TTt�I><tre . n, q
. �. _ _ ;� . ;:a x: s 1 :- ,,. ,: iS ,�_aTe Foo Perm `t" fee;:
Footing drain - 1' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40X ° ?, : „'r_
Va ivatian .._,
Storm & Rain Drain - 1st 100' 55.00
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
each additional $100.00 or fraction thereof, to
Inspection of existing plumbing or and including $50,000.00.
specially requested inspections - per hour 72.50 $50,001;.00 and up, $742.00 for the first $50,000.00 and $1.20 for
Subtotal: each additional $100.00 or fraction thereof.
•
Fixture Work:
Are you capping, moving or replacing existing fixtures? If
"yes ", please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees * .
Ant,.
Quanq_tukiy (F►xture� FI?orkPer
Yak txtt}reType�� 5 Replace "
.
L't �� '� `°tMovea^� g�tsttn capped Comments regarding fixture work:
r Baptistry/Font
Bath - Tub /Shower
- Jacuzzi/Whirlpool
• Car Wash -Each Stall
-Drive Thru
Cuspidor /Water Aspirator
Dishwasher - Commercial
- Domestic •
Drinking Fountain
Eye Wash
Floor Drain /sink - 2"
-3"
-4"
Car Wash Drain
Garbage - Domestic
Disposal - Commercial *Note: If the fixture work under this permit results in an
• • - Industrial
Ice Mach. /Refrig. Drains increase of sewer EDUs, a sewer permit will be issued and
Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the
Rec. Vehicle Dump Station plumbing permit can be issued.
Shower -Gang
-Stall
Sink -Bar/Lavatory Quantity Total
-Bradley " Isometric or riser diagram is required if fixture quantity
- Commercial
- Service
�° total is >9.
Swimming Pool Filter
Washer - Clothes
Water Extractor / ` Plan Review
Water Closet - Toilet Plan review is required if fixture quantity total is >9.
Urinal
Other Fixtures:
i :\Building\Permits\PLM- PemutApp doc 3/03
r -
CITY OF TIGARD
• .
BUILDING DIVISION PERMIT #: PLM2004 -00624
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2005
Phone: (503) 639-4171 i Nlm�i�lf'�I�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7 :03AM PAGE: 79
SITE ADDRESS: 16005 SW 108TH AVE BLDG A CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building A - 18 units. Other fixtures: (1) PRY, (18) expansion tanks, (2) hose bibs.
OWNER: OT2 LLC, PHONE #: 503 - 620.4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206-687-3983
Inspection Request Scheduled For: Date: 9/1512005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 015748:01 360-518-2712 N
Corrections /Comments / Instructions:
1
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II, or r �. �'`i, -/D r
or
/
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(79-
PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 / 5) Phone #: (503) 718-