Permit CITY OF TIGARD
DEVELOPMENT SERVICES PLUMPING PERMIT
PERMIT # : PLM97 -0400
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/03/97
PARCEL: 15135DC -02000
SITE ADDRESS...: 11905 SW 91ST AVE
SUBDIVISION ° ZONING: R -7
BLOCK • LOT - JURISDICTION: TIG
CLASS OF WORT'...: REP 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 fixtues per unit: units 1 — 12
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 *:
Contractor
R D PLUMBING INC
13900 NW SPRINGVILLE RD
PORTLAND OR 97229
Phone #: FAX 297 -7344 $ 340.20 TOTAL
Reg #..: 000739
REQUIRED 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 Signature: ,
41r
Issued By: , , ( �eLr
Cal for inspection — 639 -4175
IMISMINS
04/18/97 08:55 'S03 884 7297 CITY OF TIGARD - } 01
C11TY O ' TIGARD Plumbing Application Reel 12L1 �✓ 4--
t 3125 SW HALL BLVD. Commercial and Residential Oats Rec ..__ `--;I
7IGAR®, OR 91223
Date to P E.
.,5O3) 539 -4171 Date to OsP
Print or Type RNd SWR a ■ ate
Incomplete or illegible applications will not be accepted Cued
Name at oeveiepmenuaroiec FIXTURES (Individual) QTY PRICE AMTj
Job , Villa La Paz
Sine 900 _�
• Address j Sweet Aacires3 I st I - 1'2-
F j Lavatory I i Z 9.00 14
q 5 S . W . 91st No/Shower rub er Shower Como. 900
B'•rg a C•ty'State Zip • Sl+ Otuy — -
9 Tigard, OR 97223
Na
Closet ------.
�. d f1 l Y}1 l.( Vl I I -_ Orsn»asner 1 Z
9.00 9.c0 I O cY
g�CYT ► -Z/ '
Owner Moiling Ad0r � t A ■ 1 1554, Garoage O 9.00
Washing AAUNN)
.,. Ap Phone Fleet Oram r 9.00
1 9.00
Name L PaL 2 ' 9.00
mul ti family residential 900
Occupant Mailing Address Suite W ater Heater 9.00
CItY a Lamely Room Tray 9.00
P hone Wino-
_ 9A0
Na • Other Fixtures l5oeahl 9
R. D. Plumbing, Inc.
9.00
Contractor ng A direst Suite 9.00 j
N arll
13900 NW Springvill Rd
IPner to issuance City/State ZIP I Phone 9.00
applicant must Portland, OR 97229 297 -7422 9.00
orouloe au Oregon Cont. Cont. Board tics I Exp. pate
czreaaors 73913 106/25/98 9
license Plumbing Lie.* + 9.00
26 -313PB
106/25/98 6 Ct., J 25.00
information Sewer -1st 100" for COT COT Business Tax or Metros p pat • eadf additJons1100' I 25.00 aataoasel. 1094 /01/97 tMatu seroca• 1St too j 30.00 Name :'rater Serena • seen a0ebonar 200' J 25A0
Architect stem, a /lain Orain - :at loo
30.00
Of ling Ado►ess i swot
, Storm It Rant Crain - each additional 100' 25.00
Engineer Ghrstate uo ?hone ' M0°rk Home Spatz 23.00
Commensal Bata Farr Preuenoen Oevttte or Anti- s' + 5.00
/ Polkeion Device J t
:sb! went New C Addition 3 Alteration IRepair C Aerrdemlal 9aci low 5 revena0n Cevree'
_ce none: Resrderttral Von- resu;enlial 0 I 1s.0o
LCO3•:ona1 eesenotoon of wont any TraD or Waste Net Carotece0 boa Fixture I I 9 00 I
Caren Basin (
ins or ;xis I 9.00
Gl r Ve 1ti� <1r� G�,�_,` P. tang vttm,ng 25.05
. tiring use er $o oily Re4uested I '0.00
J � r ns0eaions 1 40.00
Acing or property r `1Au�J7 ' „11144 I , :truer
U / I Rain Crain, single tam,/ ¢welting 1 00.70
- course use of ! Crease Traps
• = u,Cing or property I 1 9,CO I t
Are .ou car o rg mitring or replaan any fizn,ncsy r OUANTTTY TOTAL I I l t .
Itf Yes see back of term► 9 Y es No tie, x neartkagtan remove 4 dr.t nay tom, :s > a I
' ,v - "ereoy acknewieege ;net : nave read his application. that .ne information 'SUBTOTAL 1 I 4
;en is carnets :hat I am lie owner or autr,onaeo agent al :Ile owner. area 3°A SURCHARGE !1 I
: ~at plans Set; pried are to mpliance with Oregon State Laws- i ‘ .) v
S ig tune of Owner /Agent Date
PLAN REVIEW 25% OF SUBTOTAL '
a0wnw vHV 1 ar¢' a
sty li
- 5- 7 7 . I TOTAL
zntaa Peraon Name I Phone k 4 Q
'Mlnrmum permit tee is 525 - 5% sureiarge, e:r•apt Residential Backilow
Prevention Oeviee. wind is 515 - 5% surcharge
casts'.plmapp.00c S&SS
tt4/61 . CitiTIAP t ( 0---- ,
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
. tV i
Date Requested:. [ -, P.M. MST:
40 K
Location: I 1 1 6s e) 9/ L BUP:
Tenant: V I 1, L- LA PA Z Arp TS Suite: Bldg: MEC:
Contractor: Phone: -2-c/ 7 7 L 3- D- PLM: e7 7-- 0 Z040
Owner: , C Phone: ELC:
t , 1 t r5 I I D--- ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam •o :earn 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 , C wll/Found Dr Heat Pump Low Volt
Approved � ez' Fo Approved Approved Approved
Appr /Sdwlk Not Approved . _L.. oved Not Approved Not Approved Not Approved
FINAL FINAL' FINAL FINAL FINAL
_T ; ' its 11 .li. .. t?.: / 34
I _ �L /L..�l _ - I_ r ,. `„ ` ALL r /
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector:. Date: / Ag j 1L�y Page t of /
■
l
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: Q , /, 2 . U — 7 7 A.M. P.M. MST:
Location: 1 1 ( O 5 Phu) q l 4, ao1/4e. BUP:
Tenant: VI L A 1r.4 PAZ Vie: 34- (4. Bldg: MEC:
Contractor: _.:41 I " 41 t/ Phone: 2)1— I t f 2.7 PLM: q 7-O4O0
Owner: Phone: ELC:
' ELR:
- - - - - .SIT:.
BUILDING BLDG (con't) PLU ' MECHANICAL ELECTRICAL SITE
Site Post/Beam o s earn Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab f � Rough -In Ceiling Water Line
Slab Framing op Out (W(Irr 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 _ • ere. Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
•
FINAL FINAL FINAL FINAL FINAL
9 C I 3? zZ
O Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: 1# 9 . 77 ..... / .. -----„ Date: , 2// 45 <9 2-- Page ` • of
6