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Permit
CITY OFTIGARD r ;m DEVELOPMENT SERVICES PLUMPING PERMIT PERMIT # PLM97 -0402 • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/03/97 PARCEL: 1S135DC -02000 SITE ADDRESS...: 11885 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 25 — 36 Owner: FEES VILLA LA PAZ APARTMENTS type amount by date recpt 11875 SW 91ST AVE PRMT $ 324.00 GAO 06/03/97 97- 295232 TIGARD OR 97223 5PCT $ 16.20 GAO 06/03/97 97- 295232 Phone •#: Contract or R D PLUMB I.NG INC 13900 NW SPRINGVILLE RD PORTLAND OR 97229 Phone #: FAX 297 -7344 $ 340.20 TOTAL Reg #..: 000739 REQUI RED INSPECTIONS This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection 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 Sign tore: Issued By: .f/ r Call for inspection — 639 -4175 a 04/18/97' 08:55 2Y503 684 7297 CITY OF TIGARD Q001 /001 CITY-OF TIGARD Plumbing Application Rat 8v A . i _ _ Date Recd 30 Q 93125 SW HALL BLVD. Commercial and Residential ,�-�- i IGARD, OR 97223 Date to O E ;503) 639 -4171 D ale to ST • perms a IV1 7 - OX Print or Type scam swa a Incomplete or illegible applications will not be accepted Called FIXTURES i)f OevelopmenuPrpi� CTURES (Individual) 1 Sob QTY PRICE AM! I Job i Villa La Paz 12; 9.00 .00 log f Address I Sr:eet.todress ' Sur{te 2 .9.00 l0 D II 09)5'S• W. 91st 1 ZS nits ruocrruast+o.•er 900 2 . 3l•Ig C Gty yip Sndwer0Po 9.00 Tigard, OR 97223 1 Mrat« a7oset l z 1 (✓0mrYttc vl1 O11Asienar 9.co log 1J�(YT►1Q�S �1 l?L , - I 9.00 Owner availing Address 140 tA41 /►5911 .4-- ( Garoage Disposal 9.00 ' Wishing Mamma 9.00 ti.tY stale bp ?hone Crain Ora r _ ► 9.00 i ^o+� a 0. t r 9.00 multi family residential i 4- 9.w Occupant Ma/in dr gdaesa Suite *leer mealier I 9.00 I City/State AP phone Roo" trir 9.00 Crrr+at . 1 9.00 ""-'-" N DUkf Fixtures 1s0eofy► 1 9.00 R. D. Plumbing, Inc. 9.00 1 1 Contractor Marrng.ledr's% Suite - 9.00 j 13900 NW Springvill4 Rd i tPnor to issuance City/State Zp Phone _ 9,00 aopfantmt,st Portland, OR 972291297 -7422 9,00 Drawee au Oregon nt Ca Cont. 9oafe tins 1 Exp. Cate 1 9 I ' ranttacors 73913 106/25/98 license Prumo"g Lie_ S E 06/2 D a g e / 98 ak, sewer '$11° 9.00 , 25.00 information 26 -313PB Sewer ° for COT COT i3usutess • Tai er Metro s cup Date • each additional 100• 25.00 `) It aoaaet. 1094 07/01/97 Watir Senna • 1st 100' - 90.00 ' I Name %%'ate' Sank* • seen aoaioonai 200' 25.00 Architect storm a Ran Oraet tat 100 30.00 Or Mailing address ; Suite Storm & Ran Oran - each aaamorw 100 25.00 ' - t Mot** Memo Span l . Engineer City/State Zia ?h _ Z5. 1 one Gmsneram Bagc Far Prevenporr Device or Anti- ( 25.00 00 Pou,aoh Device J , ts.:.;be went New C addiacn C alteration 40 /.." Rear C aesraenuai 9acxaow . Caviar . ce Pone: Resraenoai'Non- residential 0 I 1J.00 , at.ogionaf aesatot,on of wort any Trap Of Was:e Net Canrreeeo to a Fixture 1 ' g Catch Bash I L 9.00 n'sp. et cEx sang • union, '0.00 LI i - rGZt -0 1 tt_z- ,-; . r:s:,nq use Of SOecarN Requested l Perim naoeaions OM Acing or ornerty 1Lrud� fvjy ' / i oet/hr (J + Rain Crain, single :amity owning •::aria use of Braes I 20.J0 Grease .uleing or property I 9.00 I Are .ou cacc nq moving or reWaan any fixtures" res O�IANTITY TOTAL I .2, I I lit yes Pee back of term► 9 y No rree r nor *ovum ti mires . Or.sn^ TAa>r y a I ' • •areb aeknerriecge mat : have read ;his sooCcation. Oral vie information 'SUBTOTAL I f �� ;even is correct :hat I am - rte owner er autnonzea agent of :re owner. aria I mans sucminea are ;amptiance with Oregon State Laws. 37. SURCHARGE 1 / 8rgnat/Aro of Owner /Agent I Cate - " PLAN REVIEW 25% OF SUBTOTAL. ' lQ `at mans c osmium alai VACUA, aly Wait al > 9 ; ^intact Person Name S _ �� I TOTAL ��n T Phone 1340. 'Minimum permit fee is 325 - 5% sureiarge. °-rapt Residential Swan* Prevention Oeetee. wrrct is 515 - 5% surcharge edsts' 5,96 I 11431 a -6- 5 "3 CITY OF TIGARD BUILDING INSPECTION DIVISION 1 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 (,U Date Requested: / _ P.M. MST: Location: 1 ,, r &t �/ BUP: Tenant: Suite: Bldg: MEC: n/� ,�i Contractor: ...Ammo �— m" /L- � � ��/� Phone: ...D.- 7(/„.D......:,....._ PLM: ( Tr — Owner: Phone: ELC: ELR: SIT: BUILDING BLDG (con't) , e BING MECHANICAL ELECTRICAL SITE Site Post/Beam eam 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 1+t*:" Approved Approved Approved Appr /Sdwlk Not Approved ' , . P roved Not Approved Not Approved Not Approved FINAL INAL FINAL FINAL FINAL • CI Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect Inspector: f / 27 �! Date: . 24 Page l of J • \a • 0 Y CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: © 1 / ' Z- 0 `1- ? 7 A.M P.M. • MST: p Location: I I �3 /J 5 S-( � �! Az . BUP: Tenant: miter ..).._7 Bldg: MEC: /� Contractor: 1 � 4 , /ii 1I _ 'hone: L 7 ! 1 �� — am: / q 7 -© (� - Owner: / Phone: ELC: ,...._ Cm ELR: SIT: BUILDING BLDG (con't) LUMB MECHANICAL ELECTRICAL SITE Site Post/Beam ost/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab / Rough -In Ceiling Water Line Slab Framing op Out /i Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer I 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 Cad Dr Heat Pump Low Volt Approved Approved Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL _ FINAL AMP �� AIWII _ /- f.,,,,,,,, • ..../ / . c " 7 „,.,_ • 0 Call for reinspection O Reinspection fee of $ required before nex inspection 0 Unable to inspect Inspector: l . ✓� Date: Z 2 J 6 11 ' V'7 . Page L of /