Permit CI TY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2004 -00530
111, DATE ISSUED: 1/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE PARCEL: 2S115AA OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R1 FLOOR DRAINS; 3 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: 0 SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 3 OTHER FIXTURES: 4
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Remarks: Building F - Clubhouse. Other fixtures:(1) expansion tank, (2) hose bibs,(1) primer.
FEES
Owner:
Description Date Amount
OT2 LLC [PLUMB] Permit Fee 1/11/2005 $301.85
5437 ROSALIA WAY SUITE 100 [PLMPLN] Plan Review 1/11/2005 $75.47
LAKE OSWEGO, OR 97035 [TAX] 8% State Surcharl 1/11/2005 $24.15
Phone : 503 620 - 4373 Total $401.47
Contractor:
TAPANI PLUMBING
21707 NE 206TH AVE
PO BOX 1458 REQUIRED INSPECTIONS
BATTLE GROUND, WA 98604
Sewer Inspection
Phone : 206
Water Service Insp
Reg #: MET 00001629 Underfloor /Underslab
LIC 60958 Top Insp
PLM 37 - 269PB Rain Drain Insp
Final Inspection
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: /4 ; �e/ Permittee Signature: r • Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application - - . FOR OFFICE JOSE ONLY ...
Cit y of Tigard
Received ' 1
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Date f1 at A J./as," - Q(> 5 r
Phone: 503.639.4171 Fax: 503.598.1960 ii III . I'� Plan Review
H2� tk "' Other Permit No.: 4� � _�35
(II) \ Date/By: /7 /b�t/
24- Hour Inspection Line: 503.639.4175, d
Internet: www.ci.tigard.or.us Ili Date Notified/Method. S Juris: See Page for
Notified/Meth a supplemental Information
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X New construction ❑ Demolition For special information use checklist.
Description I Qty. Ea. Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
;:i °lam i >'t' <. ;, t e a,.; ir.,r;�
"" ' i tIa" ;� , C OF :'GO STRiF 'f i ,e : ; `` ``' ,e .l:� SFR (1) bath
��r.da` �? - ��a,I:"«'> �# a.nw^;�x�:r -ir :. ti <;.��' s^ �'. �_ �a: ^a�3...a��g�'�:;�#�.eF�"4 ` 3 �� K� < � 249.2 0
❑ 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building Multi- family
SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
q- :x� >a`.` n µ...P, .., a. "r r � -, r• . ..,, ._, Fire sprinkler ( sq. ft) Page 2
r - " , k�',� ai S41 L INFO -RMA 19F1 x V 1®N =`
A x- ` � ,w,�,. ,, . n . , .4,9,6. , z.: k . , :Pa � ` Site utilities
Job site address: j S. Z 5 (0 ii' 4.0...... (C� � Catch basin or area drain 16.60
City /State/ZIP: / --t'I4 C t (- p l- \ Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: DA'- +-6. Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SiN I 0- v . 1 k. A 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
Tax map /parcel no.: Fixture or item
:x° ;r . .< - ":v;�; � ra::rss -. , *v,:�:;vn..�- ....�a. Absorption valve 16.60
:�.:f& .z" - ;r'``: "D "ECRIPT10kV QX 'i Tt1C' r :.. v.,..
',` " -` ,� 7��� <:�:cR.�� �r> �- s.. ,.x.��:.,.:� �_�.•.�;�:;���x#`•. ��,��;.'-"'" e;_, "�% =ta Backflow preventer ...23-- A ,�;�.:�:`,;.. � Page 2 .5
� _ , . - Ll(�,liJ( F, - _____ c . e_,_ (,44f r Backwater valve 16.60
UE,t..-iril -fit '% Lt Lu ��S.- Clothes washer 16.60
Dishwasher 1 16.60 /C,, 6 0
�:s�<.�.�: F t r :� �:N�; =��:rva ,y '.:� " <•:' ,r" ��- 3ra lam. ��;., ��:w - - ::::taIn 6 0
R w ;� = � �,°� r.`o-��c�rs:�� " ,�� NT��fi; �' a � E ; ��,.s;�. ' " 16.60
Name: OT Z- LL Expansion tank 1 16.60 /6,.. 6 0
Address: < - 0 vSALIA- ()4( - 61-t6Fzi,(� " Fixture /sewer cap 16.60
City /State/ZIP: (A jy .4l✓ (7 G� Floor drain /floor sink/hub 16.60 (./ 1 , d 0
( G2 � Z -3 Garbage disposal 1 16.60 ,/ (, 6 0
Phone: .�-� Fax: �� � ?,�.
:. - ", =: m , Hose bib
�.`,;�.;_ '_,�. �, ..,. ,,.,_ ,��'�`� - � �"� -�.�- rte,
f 4 �";: ® 1 `' `s;� x'� '� � Z 16.60 „Z- U
iAP :=44-1.404; r ; z VAI ® CO A-g 1'E V1.1at4.' " 2
. i ^ -' �p:::;��"�..``w'"e,,•_ ` sX� ;,��drdtxaiza',rx..:,e,"4:vr� -'^� "' -"„ .
_� �;�#�`;;`;�:j�.��iem�.xa, ��+e� Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: J Medical gas (value: $ ) Page 2
Address: Primer 1 16.60 ) 6 . ‘ 6
City/State /ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax: : ( )
Sink/basin /lavatory 312, 16.60 y 9, '' ()
Tub /shower /shower pan . 16.60
E -mail:
& '`3 n:s a ";',w ;. :.M< •k. Wes; �.� Urinal 16.60
`' ,.�_��:�� '�; ::�:� == �� -,uVf QNTRACTO �`� �, �; �•�.��`�,, ` ,; �'�`.'::r,;��a
„" :,.f �?,:g„$, ,r t '_„ , m k �. , r ' mi: , ; .: it E- , water 2 0
_ � �= ��:. � -��4�, �.-�.. �� � - � w. ��:- er clos 16.60 ,3.� a�
j
B Water heater 1 16.60 6 ` b
A TAPANI PLUMBING o ther: LaK SANK J
PO BOX 1458 Subtotal
BATTLEGROUND WA 98604 To 44,1 I y O ). V5.- Minimum permit fee: $72.50
P 206-687-3983 i Residential backflow minimum permit fee: $36.25
c CCB: 60958 PLBG: 37 -269PB xt Plan review (25% of permit fee) 1 S'11
3 State surcharge (8% of permit fee) 9 c/ )5
Authorized signature: 9/Y 1 ! z"(- tf TOTAL PERMIT FEE o /,,,,ii
. Print name: �-e c M �9 at e y. Date: , / 1, a . !9 This permit application expires if a permit is not obtained within
(� y 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
i:\Building\Permits\PLM- PermitApp.doc 12/03 440- 4616T(I0 /02/COM/WEB)
Accumulative Sewer Tally ,
Parcel # :2s1�5AA�'OTQOA:, � , `�' ;x,�
;.5 'r.
.. ar
`: Teiian`tNaFne ":4 -,B C u6ho see`: This SWR #:2004'= .0,0354z��'��= �. >.,, <° ��,_.;, ..
' 055. S1N °�� ' ,r. :
Sife Address:" ;1'6 - �__ �_ _� � � .; -� ��� � This PLM# 2004_,00530,
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off #s count # value #s values
Baptisery/Font 4 0 „ 0 •
., 0 0 0
Bath - Tub /Shower 4 ; 0 - ;a ;; 0 x °..; ;: 0 0 0
- Jacuzzi/Whirlpool 4 • <:; 0 0 0 0 0
Car Wash - Each Stall 6 ;; . 0 ;A:::, , 0 N ^' - 0 0 0
- Drive through 16 0,K;x <:x? ^` 0 - .`''.1`` 0 „ K:xn . ;' 0 0 0
Cuspidor/Water Aspirator 1 ,5 F 0 %i , 0 ; s'` 0 0 0
Dishwasher - Commercial 4 N:' _ 0 ;;< � = A 0 ]N ) 43: - 'v 4 1 4
- Domestic 2 ;1 0 0 t " ''`° ,4 0 0 0
Drinking Fountain 1 z' x E e 0 ix ', µ ; A 0 � :1 1 1 1
Eye Wash 1 \ ^' \zT= 0 P.'!-7. .. 0 •
s, t �„ , 0 0 0
Floor Drain /Sink - 2 inch 2 �`' W `';n „.' 0 is "k`y” 0 ''-`:,' 3 6 3 6
- 3 inch 5 `. �`; . • 0 � ; � ��. �. 0 f;~ ;���;�:�k '° 0 0 0
4 inch 6 � - ,w- ` 0 ' %x, zk.
- Car Wash Drr 6 1. •0 ,^ iii:; ;`% 0 11 0 0 0
Garbage Disposal
- Domestic (to 3/4 HP) 16 fi, „„ w , 0 2 ?- > w' 0
- Commercial (to 5 HP) 32 g?':-, ., 0 Mari
- Industrial (over 5 HP) 48 ;;: ; ` y ` k >;
Ice Machine /Refrigerator Drain 1 �";;�: . 0 F °° 0 , 0 0 0
Oil Sep (Gas Station) 6 y ' -*P ; 0 0 fix;';' 0 0 0
Rec. Vehicle Dump station 16 ”" °:k ;t , 0 ' ``'g:l 0:'' a 0 0 0
Shower - Gang (per head) 1 , , . ;: 0 0 0 0 0
- Stall 2 't ' =.•'>3 0 a:°; 0 x;: ,:I 0 0 0
Sink - Bar/Lavatory 2 litil 0 U ,:.. -; - 0 . j 2;_-r ; 4 2 4
s' -%- , ;x -
- Bradley 5 �:�> 0 �,` 0 �;�.�,,.• x:
y r ..:;e ; � � ° ` �`ti ��< a�. K � �.� „'M. , r
- Commercial 3 0 0 w'�'2 6 2 6
- Service 3 an • 0 = a , :: ° ` 0 0 0
Swimming Pool Filter 1 `` 0 0 <:'_- ` 0
0
Washer - Clothes 6;;� 0 0} e,' ` ; 0 0 0
Water Extractor 6 -:-. ,x i^s` "-?;1 :: y
:r� -r��,y :c am. ;:'•
Water Closet - Toilet 6 „ ,, ; ;,4 0 rk 1 ,? 0 " ' c2 . 12 2 12
v� K:
Urinal 6 rrlia 0 a.:05,1,:',.. 0 w:k <:
Previous EDU Count ,r`;', „ - 0 0
Capped EDU Credit 4 ',' 16
TOTALS 0 0 0 0 12 65 12 49
Current Fixture Value 49 divided by 16 = 3.1 Current EDU 1 EDU = $ 2,500
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 49 divided by 16 = 3.1 over (under) $ 7,750.00
Enter EDU Change Here ..' 4 1`_-
Notes: Demo credits from BUP 2004 -00427
Signature:" i c. /0 ., Date: ;..__,'j .. . / E. -- , ---- Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher
which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
is \Building \Sewer Tally \SewerTallySheet.xls 11/19/03
CITY OF TIGARD .
BUILDING DIVISION . PERMIT #: PLM2004 -00530
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2005
Phone: (503) 639 -4171 40 491 II+
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 911/2005 TIME: 7:14AM PAGE: 93
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: O0A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building F - Clubhouse. Other fixtures:(1) expansion tank, (2) hose bibs,(1) primer.
OWNER: 0T2 LLC, PHONE #: 503 - 628.4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206 -687 -3983
Inspection Request Scheduled For: Date: 9/1/2005 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 014640 -01 360 -518 -2712 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED
Inspector: fit fi - Date: 94 J I'osi Phone #: (503) 718-