Permit CITY OFTIGARD
PLUMBING PERMIT
' DEVELOPMENT �������U�����
� ~=�~�n�=��" "�"°�"� " =°"�""="~�"�=* PERMIT # ^ PLM97-0406
IL, 13125 SN/ Hall BAvd., Tigard, OR97223 (503)639-4/7l DATE ISSUED: 06/03/97
PARCEL: 1S135DC-02000
SITE ADDRESS...: 11845 SW 91ST AVE
SUBDIVISION ^ ZONING: R-7
BLOCK ^ LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE ^MF WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R1 FLOOR DRAINS • 0 TRAPS : 0
STORIES ^ 0 WATER HEATERS • 0 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS ^ 0 SF RAIN DRAINS.....: 0
SINKS ^ 12 URINALS ^ 0 GREASE TRAPS • 0
LAVATORIES....: 12 OTHER FIXTURES....: 0
TUB/SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 12 WATER LINE (ft)...: 0
DISHWASHERS ^ 0 RAIN DRAIN (ft)...: 0
Remarks: Adding three fixtures per unit: units 73 — 84
Owner: FEES
VILLA LA PAZ APARTMENTS type amount by date recpt
11865 SW 916T AVENUS PRMT $ 324.00 GAO 06/03/97 97-295232
TIGARD OR 97223 5PCT $ 16.20 GAO 06/03/97 97-295232
Phone #: •
Contract or
4M MECHANICAL INC
13025 SE ORIENT DR #51
BORING OR 97009
Phone #: $ 340.20 TOTAL
Reg #..: 001090
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. 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.
^_
/ permittee Signa ure . /
Issued By:
Call for inspection — 639-4175
04/18/97 08:55 '$503 684 7297 CITY OF TIGARD iJ001 /001 •
cr(r OF TIGARD Plumbing Application Rica 8t'
' 13125 SW HALL BLVD. Commercial and Residential Date Reed 3 4
TIGARD, OR 97223 Cate toPE. :__
;503) 639 -4171 Dale to OST
p E 1M47 67. �
Print or Type Ream SWR s
Incomplete or illegible applications will not be accepted caaeo
{ Name of Oevatepmenuvroiect ' FIXTURES (Individual) QTY PRICE A T
Job i Villa La Paz Sur t z 900 t
Address I S;:eetaaareas Sui10 -7 11 h 1 9.00 1
1 I.g.4 S S. W. 91st f units rub or ruashowcr Coma. y r~_
3i -rg s C.Nrstate Zip ' Sneerer Only 4
Tigard, OR 97223 Water Closet - 900
v (,Omfyll,(,vi i •�'9 lJaI� �S - fhl&IG., •Osn+ssner ,7/ 9A0 _1
Owner Mating Arairess J W I VW', 4.- .
Guw9e Oisoosat
1 9.00
wastwea Mac/tine i t 9.oa
-'ty'. iale 2'm Phone
Flow Gram r ' �_
9.00 i
Name L a 9O. 3. I 9.00
• multi family residential 4 - -H
Occupant MardngAddress Suite wataMeaer 800
" 9.00
'
C wState Zip phone Laundry Room tray 9.00
Urr+aA F ----
Name
O>J+er Fames ISoeafy)
9.00
} R. D. Plumbing, Inc.
9.00
Contractor maiimg rladres.s suite
9-00 T '
13900 NW Springvill Rd ,_
iPnor to issuance City /Stara - Zl p _ 9,00
aopiican mtr
tst Portland, OR 97229 -7422 9.00
oroviae all Oregon ConsL Cont. Soar* t ias + Exp. flare 9.80 i
I contra 73913 06/25/98
license Plyfnpwig l ic. i 1 9.00
E. CA, Sewer-tst 30.00
information 26 -313PB 06/25/98
for COT COT Business Tax or Metros Sewer eater aoaiUonat t00' 25.00
aataeaset. 0 7p/ Date 9 7
1094 water service • tst loo 30.00
Name :'later Service • sun aoaieonai 200' 25.00
Architect - Storm L Rain Oran -1st 100' '-- 30.00 J I
OP Mailing aaaress sp Stone B Rain Oran . earn aaamonai 100' 25.00
Monde Mane Space I - 25.00
Engineer CtyiSiate Zio Phone Canttneroai Baait flaw Preven non Oeee or
Pollution °meta tn.inw { 25.00
as -:be work New C Addition - Alterauen a" Repair C Resaermst 9acti5aw a?event�on Cevice' J
. co lone. rcesidentrai "Nan- resiCential O 1 ` t I
..a tonal aesrn000n of wont any ran or Ware Not Can+eeea to a Fixture I S#.00 00
I
Catch Basal
9.00
u+sp, of �srsbng vrnang X0.0 0
•
GI t r�. �'GZr f t r't /"ez , :!_c�� peen,
t sing use Of SeeVady RegYemec Inspections '0.00
:acing or tuoberty 11. ii : ' t ' I I
U I Ram Crain. single :amity melting i 30.30
•:eosea use of rats i 30.J0 I
Grease
:Lacing or property _ I ;
:L
1 1 94°
Are - .au cagoule moving or reWaon any r
I QUAT0TAL I 7 1 _ l i I
e
_ 111 r yes see back of fermi 9 y iatur*a veal No r x awrrogr>iie s is+ree ai l .y rar is s a I
' ' tra
ereOy eeknewieege it t have react his aootcta Met at one inforrnauon ' SUBTOTAL `/
;even is correct hat 1 am me owner or autnonzeo agent at :ne owner. ana 5% SURCHARGE I � 7,
~at :tans sutmatea are :- pii
11mance with Oregon State Laws. ( I Pj
Sig re of Owner /Agern
I Date PLAN REVIEW 2S% OF SUBTOTAL ' Y w"
,!7 ,cur -i 7
ae�i•ee au, r maw MY wia s • 3
enact Person Nam ^ e I TOTAL I
1 Phone
X, )
'Mlnrrnum permit foe is 525 - 5% surrtarge. ear-apt Resicential Bacatl ow
Prevention Oewce. wnic9 is 515 • 5% surcnorge
easts'.purraoo.00c 5196
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: l L� - — A.M. P.M. MST:
Location: 'I. I g'45
I I BUP:
Tenant: Suite: 1 3 -- g MEC:
Contractor: C' R o 9 'J i Phone: D--� 1 — 4 42J 2 - PLM: 47 1 a dt
Owner: 1 Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved (Approv- i Approved Approved Approved
Appr /Sdwlk Not Approved •o :1y. oved Not Approved Not Approved Not Approved
FINAL I - FINAL FINAL FINAL
O Call for r , # O Reinspection fee of $ required be ore next inspection O Unable to inspect
Inspector: A ' Date: /6/f 3 / 7 Page of