Permit • r
C ITY OF TIGARD PLUMBING PERMIT
li�� DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00096
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/15/2006
PARCEL: 1 S135DC -02000
SITE ADDRESS: 11865 SW 91ST AVE MAINT ROOM ZONING: R - 7
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG
Project Description: Backflow preventer for irrigation. (located along 91st by 2nd entrance).
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 1
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: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
VILLA LA PAZ LIMTED PARTNERSHIP
BY COMMUNITY PARTNERS FOR Description Date Amount
AFFORDABLE HOUSING INC [PLUMB] Permit Fee 2/15/2006 $72.50
TIGARD, OR 97281 [TAX] 8% State Surcha 2/15/2006 $5.80
Phone : Total $78.30
Contractor:
NEW GROWTH LANDSCAPE
PO BOX 1571
BEAVERTON, OR 97075 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 848 -2404
FAX 503- 848 -2408
Reg #: LIC 7425
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: � ^ �/ ' Permittee Signature: e� (>
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/13/2006 08: 03 5038482408 NEW GROWTH LANDSCAPE PAGE 04/05
a.. BV ED
Plumbi Permit A►pUli_ u :., FOR ot:Fwl: LSI% ONLY
City Tigard °� P «nut
�� R g Dete/B / U'6 �� �t �do96
13125 SW Hall Blvd., Tigard, OR 97223 FEB 14 2116 6 Plan Review
Phone: 503.639.4171 Fax; 503•59$.1960 �%'+a.1 ^s"1T�t�i�'�` patdsy: i;ither Peanut No
24- Hour inspection Line: 503.639.4175 CITY O . -� at -- r ,,, Date R eady/13Y: tun 13 See Page 2 for
Internet: www.ci.ligard.or.tis -- g OF _ , a ;, . A . . ` 1 Notified/Metbod: 1- ) Supplemental Information
T1 pia . �. ;e. 11'A1 . . 7 ; PEE* SCHEDULE
r For special information we checklist
❑ New construction 0 Demolition -
Description r Q ty. i Ea. I Total
lit Addition /alteration/replacement ❑ Other: New 1- 7-family dwellings (includes 100 fl, for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bah 249.20
❑ 1- and 2- family dwelling Ell Commercial/industrial SFR (2) bath 350.00
" SFR (3) bath 399 -00
❑ Accessory building taMulti-fatnily - '
Each additional bal:h/kitchem 45.00
❑ Master builder ❑ Other; Fire sprinkler ( .. sq. t.) Page 2
JOB SITE INFORMATION AND LOCATION site utilities
T
Job site address: 11 B6 5 5 t-kl ( il S+. Plot Catch basin or area drain 16.60
I City/State /ZIP: T 01r0l 0- 9/.7_2_3. Drywc1l, leech line, Of trench drain 16.60
Suite/bldg. /apt. no.: Project name: (T(a n b >} 1 0 6,‘,4s l noting drain (no. linear £t.: _J Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16 -60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Stoma sewer (no. linear ft.: , ) Page 2
Subdivision: Lot no.: Water service (no. linear ft : ) Page 2
1_- Thture or Item
1"as, neap /parcel no.: -
_, . Absorption valve t6.60
DESCRIPTION OF WORK Backtlow areventer Page 2
_ I ns . C ok. O1) n (6) 6‘. • . .s '', Q1 11"k; Backwater valve 16.60
i � Y,r -_ )O v` , Clothes washer 16.60
�-
Dishwasher 16.60
Drinking ionntaiu 16,60
PROPERTY OWNER ❑ TENANT -
Ejectordetrmp 16.60
m
Nac: Vi lla 1 Z ii C4 (4filRawni ' n ti.( fir } ( fektO ' Expansiontank 16.60
Address: 105t30 this c ilo a ) 1. sit 0 _ ft)J Fixture/sewer cap 16.60
City /State/ZIP: "j t n�(4l ()C. 11 7_1 Floor drain/floor si1xk/hub 16.60
Phone:( - - , Fat: ( ) Garbage disposal 16.60
Hose bib 16.60
i APPLIC. 01 El CONTACT PERSON
Ice maker 16.60
Business name: (v .J (5 ,Pifti Lo1 .5t' Interceptor /grease trap 16.60
Contact name: ( �t 15 of o Z. (j( Z A L. 1 - Medical gas (value: $ � ) Page 2
Address: e n 6 ax ) S 1 I . Primer 16.60
Ciry /State7..,1P: ki,t(y On 'W. iitis Roof drain (commercial) 16.60
s I , �y Sink/basin /lavatory 16.60
Phone: (543 ) i `4 D ." 2_4104 Fax: : (S43 ) t1 9 LL ! zo g -
Y 1 m Tub /shower/ahower pan 16.60
E -mail: ( =_{, k. 1 ' . ✓ 7 1cl 1 Urinal 16.60
L CONTRACTOR Water closet 16.60
Business name: L L int Water heater 16.60
• a. p 1
A.ddrees: 4 _ 5v4 V ri-41' Of. . 4 7311 . .. der:
_ .. t�
DG'�tier , j( 11 7 : 572..50 cf /a, f D
City/State/ZIP: Minimum permit fee: 572.50
Phone: ( ) . J Fax: ( ) Residential backflow Minimum permit fee: $36.25 7a , 7 ? - )
CC$ I ic.: A/ 'lumbirig L1C. mo.: / F Plan review (2Y16 of permit fee) �-.1
State auroharge (8% of permit flee) c o t)
Authorized sign ature:
A ,f L , a . TOTAL PERMIT FEE 7i. (,)
pi name: Date: This permit application expires if a permit is not obtained wt
- 1 �p . 180 days a te,C It has bean accepted as complete-
ifj. G f
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: PLM2006-00096
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 2/15/2006
Phone: (503) 639-4171 l
Inspection Requests (24 Hrs.): (503) 639-4175 ...,..?..■ - ...
INSPECTION WORKSHEET FOR DATE: 6/21/2006 TIME: 7:07AM PAGE: 31
SITE ADDRESS: 11865 SW 91ST AVE MAINT ROOM CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Backflow preventer for irrigation. (located along 91sii by 2nd entrance).
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: NEW GROWTH LANDSCAPE PHONE #: 603-13418-2404
Inspection Request Scheduled For: Date: 6/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 032060-01 503-572-2611 Y
Corrections/Comments/Instructions:
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E ,PASS IfitARTIAL APPROVAL 0 CANCEL n NO ACCESS
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FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Ht I, 1--: 1 Date: , , i
Phone #: (503) 718- A-32-