Permit A CITY OF TIGARD PLUMBING PERMIT
,,�� DEVELOPMENT SERVI PE R MI ISSUED: O6/0P 977 -0401
PARCEL: 1S135DC -02000
SITE ADDRESS...: 11895 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 13 — 24
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 SPCT $ 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 Signat ie: .4,,,,, / T
Issued By: �►� �� /; < ��..y
Call or inspection — 639 -4175
■
Imo_ k
04/18/97 08 :55 27503 684 7297 CITY OF TIGARD 11001 /001_
CI f OF TIGARD Plumbing Application Ret:o :
4;125 SW HALL BLVD. Commercial and Residential Oa
a to P E.
r I " !�'
ARD. OR 97223
503) 639 -4171
Dale to DST
Pri nt or Type . �-� 0 0 f
Berated SWR s
Incomplete or illegible applications will not be accepted caned
t
Name of OeveiopmenuDroiea FIXTURES (Individual)
SNP CITY PRICE ANT Jo Villa La Paz 800 0 i
Address I en: et.tetirCU Sw _ �� • g,00
i 4 S " S . W. 91st ..e uni is N D ruasho..er camp. 9.00
Bt49 C-ty/State Zip Shower OM -
Tigard, OR 97223 9
vame water Close
LOmru.vat {-t9 g.co �.
l V u I e'�S �,� o �sf+.ras l,.r
Owner + Address 9.00
U41 u9
Garbage Disease 9.00
was+w g Mistime
c.ryoState Zip rnone , Floor Otago .,• 9.00 i
9.30 i
i . 1• 9.00 •
multi family residential • 9A0 r
Occupant maAn Address Susie water Meats ME 100
Laundry Room Tray 9.00 _
City/State Op phone lamal
9.00
N OI1 er FtWtGS 150aoty► 9.00
R. D. Plumbing, Inc.
1 Contractor N Address Susie 9.00
NW Springvill Rd =
(Pm to issuance CrtygStare Zi p 9.00
aopitcant Portland, OR 972291297 -7422 9.00
oro ide au Oregon Cont. Cont. 9oaro Lice I Esp. Cate
atuacors 73913 106/25/98 9.00
license Plump Lie. S 9.00
2 6 -313PB 06/ 2 5/98 'r-'u'00• 30.00
intonmatien �y
for COT COT Business Tax or Metto s Bap Cate rL �' aooiUa+a1 too' 25.00 _
1115302341. 1094 07/01/97 wow savior • IstIca - moo
Name water Service • seen addition 200• 25.00
Architect Storm & Rain Dram - tat 101r 3000
Ol Mailing Adam Swte Storm & Ran ma • t aamtr
I
ar l 100' _ 25.00
r Wale Mane Space
Engineer Ci h State Z I P rone _ .00
Pont O ni= Flom Prevention O or Anti- 25.00
�+ Pollution Oeviee
/at.:be were New QGi
Aicn 3 Alteration 4 Repair C esraemrat Sacidow revenfron Uwe
. ce none; Resaentrai Von resu:enU ��Y at 0 I E ts.00
-4:e :anal desolation of wont Trao or Waste Not CanneCed to a ueWre I I "0
Cato' Basin 2.00
tc c
insp. of Evan; urnt>tng I •.00
r, YGZrf't l t rat- (Le s.4--,' ennr i
. raang use or / J - Soniady Requested ittaposions e0.00 I
:dcanq or property /1/./.../ ./ . '1!"11ti(. 14 ■ i
U 1 Rain Crain. single !army oweiyng t Deem
•::died use of 30.00
:sawing or property Grease Trots I
I 9.00 I
Are •.ou raceme moving ar replaan an fixtures yes C r ONANTITY TOTAL I
Ill yes are back of form, 9 y No as s r r+sre5gr,u, 5 mired R Mayor, rem ! s a
, •`•ertoy aeirnewhege t1' :: have read ;his 110114:311115n. u ai :he rnforrnaoon 'SUBTOTAL
;en is cones : :hat 1 am ale owner or eumorrzeo agent at ;ne owner. and 13 � - I/
I :::ac :tans 3utm1reo are :- amaiiance wen Oregon State Laws_ 3 7. SLIRCILARGE
Signature of Owner /Agent Oats - " PLAN REVIEW 25% OF SUBTOTAL. ' 4
_ --c?7 qVCOSOT0 m a
tirenureoM vist>
z m
ntaet Person Nae Phone l TOTAL I Nv,
'Minimum permit tee is 525 - 5% sureaarge. eatcapt Residants' 9ac/Aoer
Prevention Device. err= IS $15 .5% suraveye
iasts'.prmaoo.aoc 5/95
,
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
--7 3 6
�1
Date Requested: < -/0 - / q A.M. P.M. 7 //
� , • J � � MST:
Location: I I ?75 S-k 9 A CU , e BUP:
Tenant: 11tJ,'a, c,' P/7 OC1 Suite: Bldg: MEC:
Contractor: CO ,(�. - I D UU 1 Phone: 9 'f 7 7 y 0_,:3___ PLM: q 7-40401
Owner: (J Phone: ELC:
A AA_ I I 1 5 • ELR:
SIT:
BUILDING BLDG (con't) PLUMBING 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 rov Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
•
ll
d >�
•
•
0 Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Af ������ Date: r ) / Page 1 of l
14 -31. , / /?d 2. - `� 1
q/t CITY OF TIGARb BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: q' 1?-q7 [_ A.M. P.M. J C MST:
Location: ��� Ji/() (W 4t a )1/416 BUP:
Tenant: Suite: -7 Bldg: MEC:
Contractor: ,4 ■ 'C 12. i. d i /. (A r4 Phone: c8 ! �7 5 - / .c PLM: 97-OLIO /
Owner: 0 Phone: ELC:
•
ELR:
SIT:
BUILDING BLDG (con't) ,-PLUMBIN e', MECHANICAL ELECTRICAL SITE
Site Post/Beam - . earn Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing op Out i dZ Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer �jA, 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 pprov Approved Approved Approved
Appr /Sdwlk Not Approved roved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL ,,,,,„. .
_ -- 2�- i` _ ..m.
,._
...„.., Fp 1 O Call for reinspection 0 Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: 7//9/ 9 ) Page / of
L • —
CITY OF TIGARD BUILDING INSPECTION DIVISION .
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 .
Date Requested: 16 (D--3\9.-1 A.M. P.M. MST: I T
Location: j I I g q 5 G I. BUP:
Tenant: V —LLery, L-0- Pe Suite `oZ Bldg: MEC: •
Contractor: C . D , Phone: 2 T7 --- LK2 ,7' PLM: 97 6 4 ®
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) _ B / 1 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 Approved' Approved Approved Approved
Appr /Sdwlk Not Approved ed • Not Approved Not Approved Not Approved
FINAL 4riN FINAL FINAL FINAL
•
•
•
0 Call for rein -' - � ' O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: AI '/ - Date: /0/=.2 3 / F7 Page of
s— -
'7114/La ?
CITY OF TIGARD BUILDING IN SPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
� y
Date Requested: 9-c„)6- A.M. 1 1 P.M. MST:
Location: //75 6() 9/.4 BUP:
Tenant: V /Z-M 4 )94Z Suite: Bldg: MEC:
^�
Contractor: �/ I _ ;d 2 410 "/ Vii / r_,L_ ,. Phone: / 7' 7 c; - d -- PLM: C 1 7 Q XD
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) LUMBIN MECHANICAL ELECTRICAL SITE .
Site. Post/Beam os Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out pore/L 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 Approved Approved Approved
Appr /Sdwlk Not Approved of Approved Not Approved Not. Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
2° c 9----
R.ffift.. ' - 0 ."
O Call for reinspection O Reinspection fee of $ required before ext inspection O Unable to inspect
Inspector: Date: 2 �) Page of
/
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