Permit CITY TIGARD PLUMBING PERMIT
, DEVELOPMENT SERVICES PERMIT #: PLM2004 -00526
- � l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/11/2005
SITE ADDRESS: 16105 SW 108TH AVE BLDG B PARCEL: 2S115AA-OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: 24 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 24 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 24 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 30 OTHER FIXTURES: 27
TUB /SHOWERS: 30 SEWER LINE: ft
WATER CLOSETS: 30 WATER LINE: ft
DISHWASHERS: 24 RAIN DRAIN: ft
Remarks: Building B - 24 units. Other fixtures: (1) PRV, (24) expansion tanks, (2) hose bibs.
FEES
Owner:
Description Date Amount
OT2 LLC [PLUMB] Permit Fee 1/11/2005 $3,535.80
5437 ROSALIA WAY SUITE 100 [PLMPLN] Plan Review 1/11/2005 $883.95
LAKE OSWEGO, OR 97035
[TAX] 8% State Surcharl 1/11/2005 $282.87
Phone : 503 620 - 4373 Total $4,702.62
Contractor:
TAPANI PLUMBING
21707 NE 206TH AVE
PO BOX 1458 REQUIRED INSPECTIONS
BATTLE GROUND, WA 98604
Phone : 206 Rough -in lnsp
PLM /Underfloor
Reg #: MET 00001629 Top -out lnsp
LIC 60958 Final Inspection
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: /�) s' pv` Permittee Signature: Z
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the/next business day
Pluhnbing Permit Application FOR OFFICE USE ONLY
City of Tigard Received / / Permit No.: 1
13125 SW Hall Blvd., Tigard, OR 97223
Date/By: / � (l'`(�OQ - 065-01.6
Plan Review x
Phone: 503.639.4171 Fax: 503.598.1960 iH/ii;',hi Date/By: / I7lOS gl- Other Permit No.A)ZIjQl� DUd9.1)
24 Hour Inspection Line: 503.639.4175 -.
___ Dat Read B Iuris:
0
-� Ready /By: See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ethod Supplemental Information
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It New construction ❑ Demolition . For special information use checklist.
Description Qty. Ea. Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
SFR 1 bath 249.20
, -�;t� ;� , .�.�.;F?�=;�� - c'.�-�Y ?�'+�aT' =- ^= e' �= e* s= w' s•:,:_>* �. �,; : h'r..-- y,��•�..r:
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❑ I- and 2- family dwelling . ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building V) Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
,`f3 .:a tiM.W =era :,t;y -: a ,... r .; Fire sprinkler ( sq. ft.) Page 2
�� : IQB', SIi1 JIPIFOX2MAT.I`QN'KNIII®CAT`ION - +'
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c � � � `` ^..ti Slte UtlhtlOS
Job site address: (�.� c p„0-- p„0-- to .� ` \ i� Catch basin or area drain 16.60
City/State/ZIP: °1r1�D oil_ at--4--z7,3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I& l Project name: V Ay_ 1_ T� Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job sif tc,l�0- • Sw W' 7Q
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.: ) Page 2
Tax map /parcel no.: Fixture or item n �l
', i `t=k" . . ..:z I.r y mw a.;z ,sr : ; : ,, t Absorption valve p R 0 1 ✓ 16.60 /X 6 0
-w .NfA . DESGRIPTIOIV O3.: , - ' - - '
�. ,V4a ' . _. _..'., rn�.. . ,4 . > ?i,74.t. , , 441m Backflow preventer Page 2
Otis * -? ..rLUsL -C ) P L p. -(t Q .7 Backwater valve 16.60
' (it,I. i�i.i.--/C-1 ' i �� L.7 6..)cTS. Clothes washer 2 - 16.60 ? < </ U
� Dishwasher a `/ 16.60 3 9 j/ a
#% ,,; M' "w ; ii t
i sab , mi,, s } ,: r a t:,,,,,- : ,' .v,: ,� f 1.�N Drinking king fountain 16.60
., ROPER .O -A? ; "t ' 11'4* xI" g TENAN 4"Cg 1 _
��- .:�;�,� �� � � . 1 � �� ��;,: - � ..vnt Ejectors /sump 16.60
Name: OT Z. L Expansion tank 24.1 - 16.60 3 .95?, t 0
Address: < 14a - ;+„ 'GAIjA / f . CPy Fixture/sewer cap 16.60
City/State/ZIP: LA4 . i.)S G� t £ Floor drain /floor sink/hub 16.60
Phone: ( - � Fax: 603. 620.` 2A Garbage disposal I --- 16.60 3 e2s. q
� _'::,�� - �;��<.rr - ? , > ;� � ��»., � �,:��,. ,: *'�� - ��_;�: �:°�•�� :�:�. �:�^.;�.et�•��a' ose � H q
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I .N,it -i0 ° ?-�_. -,. .. <� Oki el. 5 , I��C,4 T PERSbNh _ 1660 3
.. a.= <n as s •_ :'_ Ice maker bib 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
Phone: ( ) Fax:: ( ) Sink/basin /lavatory 30 -- 16.60 c /9 co
Tub /shower /shower pan 3 0 < 16.60 y (-7,,j. W
E -mail:
_Wa € =.,Y 4<a' .r a� :,. Urinal 16.60
t -t 1 ° 4 : ON I`RAGTQR "� M � 4/ 9
`..r,.«a:.e......�5. ?'ig:_gs;pa't..;x:aa....,'�`'� . " � Water closet 3Q 7 / 66 �. :,:�;. <,� ,� .. _ ..... .�I_� 16.60
P TAPANI PLUMBING water heater Li ,-- 16.60 - 9 y0
Other:
w.:. -
,8 I / , j : � R • _• 1 .. I
PO BOX 1458
Q, BATTLEGROUND WA 98604 0 A I p Subtotal 3�
2 13 Minimum permit fee: $72.50
F 206 - 687 -3983 Residential backflow minimum permit fee: $36.25
d CCB: 60958 PLBG: 37 -269PB _ _ Plan review (25% of permit tee) ,3, 9S'
State surcharge (8% of permit fee) ^ y 1
Authorized signature: i / ,yt��i' '
TOTAL PERMIT FEE q 70,2- `
Print name: �J , 0 ni Ja 60 ` Date j i, g ,, Q L/ 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- PemutAppdoc 12/03 440- 4616T(l0 /02 /COM /WEB)
CITY OF TIGARD \,
r
BUILDING DIVISION PERMIT #: PLM2004 -00526
A P PIIH 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2005 Phone: (503) 639 -4171
ia p '1II
Inspection Requests (24 Hrs.): (503) 639 -4175 ..::, __..
INSPECTION WORKSHEET FOR DATE: 9126!2005 TIME: 7 :12AM PAGE: 91
SITE ADDRESS: 16105 SW 108TH AVE BLDG B CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building B - 24 units. Other fixtures: (1) PRV, (24) expansion tanks, (2) hose bibs.
OWNER: 0T2 LLC, PHONE #: 503 -620 -4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206-687-3983
Inspection Request Scheduled For: Date: 912612005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 016540 -01 360 -518 -2712 N
Corrections/Comments/Instructions:
CliA' r
r PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
11 AIL 1 I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: �',���i� " Date: . _ Phone #: (503) 718-