Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2004 -00532
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/11/2005
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE PARCEL: 2S115AA OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 , CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Building G- detached garage and carport buildings A -1, A -2, A -3, B -1, B -2, B -3, C -1, C -2, C -3, C -4, D -1, D -2,
D -3, E -1, E -2, E -3, E -4, E -5. Other fixtures: (1) expansion tank.
FEES
Owner:
Description Date Amount
OT2 LLC
5437 ROSALIA WAY SUITE 100 [PLUMB] Permit Fee 1/11/2005 $72.50
LAKE OSWEGO, OR 97035 [PLMPLN] Nan Review 1/11/2005 $18.13
[TAX] 8% State Surcharl 1/11/2005 $5.80
Phone : 503 620 - 4373 Total $96.43
Contractor:
TAPANI PLUMBING
PO BOX 1458
BATTLEGROUND WA 98604 REQUIRED INSPECTIONS
206 - 687 -3983 Water Service Insp
CCB: 60958 PLBG: 37 -269PB Rough -in Insp
PLM /Underfloor
Top -out Insp
Rain Drain Insp
Final Inspection
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.
4 01/
Issued By: 1.C f s Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the ext business day
Plumbing Permit Application 4/1140# FOR OFFICE USE ONLY - •.
13125 of Tigard Received // / �� C � ^
Date/By: g tB ! alp_ Pemut No.: /�� a J �f
13125 SW Hall Blvd., Tigard, OR 97223 C�
i S. .
Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Plan Revie uN /dJ Dg fW Other Permit No. � ,�[`�,,,Qe- 24- Hour Inspection Line: 503.639.4175 e` I Date Ready/By: Jur - 0 See Page 2 for
�z Cif t.t�
Internet: www.ci.tigard.or,us N
' ,, • `fltI, x .,f#A `.:.`r 1�'. a K,^' &.F'-VC•w__ iJ'x %" {.�e.,.:F?x•:ti."":4 n x:H " GU^':Y.Sn�-a :3 y ms_;::t•I O .d�^ - _ - .
tified/Method' Supplemental Information
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'New construction ❑ Demolition For special information use checklist.
Description Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
� •' � � s 3xTSt" • ,..,. x --_STM .a' Wig? "4 Y?- rg37 'c,' t
a ' _. ;. CATEGORY sOI!= 5 CONSTR T TION -. ' " -`may . .4 , SFR (I) bath 249.20
.,.,:.'�T;x�'szs!L�� :f ,'3i+9..:l:S�zA%i ^.rK:t��: • #`.��'l`CC� -tS . C,".f:�n >4+�w,.'L`'�L ,
❑ 1- and 2- family dwelling ❑ Commercial /itdustrial SFR (2) bath 350.00
0 Accessory building „,Aa r SFR (3) bath 399.00
„ 1�•- Each additional bath/kitchen 45.00
❑ Master builder Othe�
' ' fi rr s ,a�zh� , suKc =: races rkar�r- �* Fire sprinkler ( sq. ft.) Page 2
;� �, J ? O B�St1L�' :Ik�''FO ON-, L OCATION i t: % -p-w t4 Site utilities
WV,- . su.3 3eiffrk s -ek, .^ .c.:69J an d". _m - ,-a .'" ` reitr afr u.r'a?u s ,,-;vi ;io.,ve. 9I.at.-
Job site address: 11d),G. e,w lbQ - A ..•,rte Catch basin or area drain 16.60
City/State /ZIP: 9420 ca.... at��3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: DAR E, Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: C_A) Ccc •4, pUp4..4\--.` f,�
�rJ Manholes 16.60
• Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
�x .;. -� bs�_. , �,,... Absorption valve 16.60 .
r'- agge `'y , DESCRI 0a +�'; it6 l -'" ,- 1 ",
w n.x:44, :, ,.. ,. . ,.�.: ;w- ,,;.r, .� i,.,. , ; aap� � /� lotark,;•,s -,. ,. Lir' Backflow preventer Paget
�wbLLL�lI�`� CLlnti�� IL (t'i FA2,�'1, (,(fr Backwater valve 16.60
(- (ALV e, 631A Z A S� e- Clothes washer ' 16.60
Dishwasher 16.60
p .� .� E , ;•t, , .rl,, ..' _ ,, °±ix==�9r: ,:,,nom .sR+p : .mt °`t;; Drinking fountain 16.60
: ROPFsRT OWNER' * »- h la t 4,
;� �e I nti.�:� ,� � �' ><....�,.... w �xn:°.! sm �s,. *k:"<�e�v�i':.r:''� %«
j Ejectors /sump 16.60
Name:
Z L Expansion tank I 16.60 /‘, 6 0
Address: E. S •14Lm (
i,4A.1.( - G- t - trz1C0 • Fixture /sewer cap t 16.60
City/State/ZIP:,Ci ` l� y(� �� Floor drain /floor sink/ hub 16.60 •
Phone: ( (`�- 1.-{ Z_ Fax:6' 3, (Z0.l2' 3 Garbage disposal 16.60 .
:r:. s`�c i..1 ,•z`°w;r ° ":" x°l`pal.g. •s.:�'.c. X,,,A; tr mot" +"' `c�srr�-
�+r`t AP,•EI�ICt1A1T� � � °� �;t;: =�,�.� ��_�,�;••;r��• °N� s� Hose bib 16.60
n� "l+rM,.,? ,{ «..�i'*'±;C s �' �L�S:::: xc��.. �L[* 7+_�.�vcF,c%x,a3hi:°n's:2i'� 4. � 54
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: • Primer 16.60
City/State /ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax:: ( ) Sink/basin /lavatory 16.60
Tub /shower /shower pan 16.60
E -mail:
m _ yy R _ Urinal 16.60
s' ,., : i CON A y _ . i"
- �t�:����:�li:�.,�:^�az � %R � a`y �2M � ' w..a t:?4, Water closet 16.60
=k3,�.= ,`.°��.�s_ri,+.4.,.^ -• h -,s�._ .'*..vr'. €:tai- v!::r�.,. � _�r� '
'eil 's,i�a�sa ^ , :_'.,c :���..:�
1,-- TAPANI PLUMBING Water heater / 16.60 4 6 J
1 PO BOX 1458 Other: 1.4.4 54( I i 4. 6 0
S BATTLEGROUND WA 98604 Tmf , Subtotal
Minimum permit fee: $72.50 �/
1 206- 687 -3983 Residential backflow minimum permit fee: $36.25 72.) Q
CCB: 60958 PLBG: 7 269PB Plan review (25% of permit fee) I 13
State surcharge (8% of permit fee) J
Authorized signature: Q,...6 vy4 - ( - , ` TOTAL PERMIT FEE C
"ll S6. i3
Print name: (To e 9 l � o Date ( /..69,,/, O y This permit application expires if a permit is not obtained within
I 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i:\ Building \Permits\PLM- PermitApp.doc 12/03 440-4616T( 1 0/02/COM/WEB)
Accumulative Sewer Tally Parcel # .251:15AA=0p0A_ c �cn> F�; ':; ; ;'.:
TenanffNO_me;'` aktreel! Apts;x= "Garages kr.4.r;,p'o'rts This SWRt 00400355 °`,z
,z, z`
Site,Addre s 16055 SW ;':; R,- • . , ;, , • This PLM #'2004 00532 , ;` ,;,` ;, ; V .
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
#' value capped off value added added total total
count off #s count # value #s values
Baptisery/Font 4 0 0 0 0 0
Bath - Tub /Shower 4 0 0 : . U 0 0 0
- Jacuzzi /Whirlpool 4 0 0 0 0 0
Car Wash - Each Stall 6 0 " . 0 ';' 0 0 0
- Drive through 16 0 0 ; • - = � 0 0 0
`` • `` `
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher Commercial ,?,-;.t
4 0 0 `N `4 0 0 0
- Domestic 2 0 '.: 0 .., >. ' . � ` „ 0 0 0
Drinking Fountain 1 0 y.- 0 TF, %i, 0 0 0
Eye Wash 1 0 0 0 0 0
sT;;
Floor Drain /Sink - 2 inch 2 ,� ] - . 0 0 'A`5: 0 0 0
- 3 inch 5 _ 2 -" 0 ;/. 0 y ,• 0 0 0
max: :�:� .; �.: . � >.
- 4 inch 6 0:4 ir. 0
- Car Wash Drn 6 .. ,. 4 `;:.: 0 x 1, izi`. 'x 0 ,. , - .., F', . 0 0 0
Garbage Disposal
- Domestic (to 3/4 HP) 16 `` S AK3 ik` 0 FALIM 0 .Y '" '`k 0 0 0
- Commercial (to 5 HP) 32 f ;x 0 .- ;;=='Y 0 0 0 0
- Industrial (over 5 HP) 48 0 0 ':I`•�` ' "% - 0 0 0
Ice Machine/Refrigerator Drain 1 s 0 66101,F 0 '' N:;r ,f4 . 0 0 0
Oil Sep (Gas Station) 6 s; ";k' 0 4 .: • 0 ' ' " 0 0 0
Rec. Vehicle Dump station 16 ' a> 0 ^'. 0 `' ' � 0 0 0
Shower - Gang (per head) 1 151EV.r 0 -ZN r; f 0 x` i _: S<
- Stall 2 0 ' 0 0 0 0
Sink - Bar /Lavatory 2 i4' >. ' 0 NE P% 0 ° "' ' =`' 0 0 0
- Bradley 5 WNW 0 iIiiIiiil 0;'• <:r 0 0 0
- Commercial 3 • r " 0 112311: 0 .1411 3 1 3
- Service 3 h .,, 0 `; _::<_', 0 0 0 0
z ?n :q: : . 7: ,: :r a � ` }.xr„ Pik -
Swimmin Pool Filter 1 ,; 0 '4? = '. ' 0 ` n A 0 0 0
> 'fr y � , .., ; 4
i 4 ;1
Washer - Clothes 6 . u % - . L ilo 0 \; i% 0 f -t ` ` 0 0 0
er -s � , Y � �.._ _� � ; .; ; fin : ' -�;;
Water Extractor 6 ,' 0 '. 0 _ ,_ � 0 0 0
Water Closet - Toilet 6 k = , < : 0 x " 0 Px,: 3:V 0 0 0
`, =. ��., .;ifs
t.
Urinal 6 0 s :a; "`" F 0 ' `a'>' 4, 0 0 0
Previous EDU Count ;> 0 0
Capped EDU Credit '3 ,v, . 0
TOTALS 0 0 _ 0 0 1 3 1 3
Current Fixture Value 3 divided by 16 = 0.2 Current EDU 1 EDU = $ 2,500
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 3 divided by 16 = 0.2 over (under) $ 500.00
Enter EDU Change Here: 4
Notes:
Signature: ), 2, , - Date: / - -/ //',—
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher
which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
i:\Building\Sewer Tally \SewerTallySheet.xls 11/19/03
CITY OF TIGARD
BUILDING DIVISION ,
' PERMIT #: PLIVI200400532
13125 SW Hall Blvd., Tigard, OR 97223 !lb r DATE ISSUED: 1/11/2005
Phone: (503) 639-4171 . Jal I t
Inspection Requests (24 Hrs.): (503) 639-4175 „.
INSPECTION WORKSHEET FOR DATE: 11/7/2005 TIME: 7:05AM PAGE: 16
/1
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE NO, 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building G - detached garage and carport buildings A-1, A-2, A-3, B-1, B-2, B-3, C-1, C-2, C-3, C-4,
D-1, D-2, D-3, E-1, E-2, E-3, E-4, E-5. Other fixtures: (1) expansion tank.
OWNER: OT2 LLC, PHONE #: 503-620-4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206-687-3983
Inspection Request Scheduled For: Date: 11/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 020488-01 503-453-2991 N
Corrections/Comments/Instructions:
C ir. - PASS fl PARTIAL APPROVAL D CANCEL fl NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
0-
Inspector: 7 Date: , / Phone #: (503) 718-
_ .
CITY OF TIGARD 4
BUILDING DIVISION a PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: PLM2004 -00532
Phone: (503) 639 -4171 ,I 1111/2005
"pill
Inspection Requests (24 Hrs.): (503) 639 -4175 a. ' � .aI
INSPECTION WORKSHEET FOR DATE: 9/26/2005 TIME: .�. PAGE: 59
SITE ADDRESS: , CLASS OF WORK:
SUBDIVISION: 16055 SW 1081 H AVE 100 CLUB HOUSE LOT #: TYPE OF USE:
PROJECT NAME: OAK TREE NO. 2 APARTMENTS O0A
DESCRIPTION: OAK TREE II APARTMENTS
Building G - detached garage and carport buildings A -1, A -2, A -3, B-1, B-2, B-3, 0-1, C-2, 0-3, C-4,
OWNER: D-1, D-2, D-3; E -1, E -2, E -3, E -4 E -5. Other fixtures: (1) expansion tank.
HONE #:
CONTRACTOR: UT2 LLC PHONE #: 503 - 620 4373
TAPANI PLUMBING 206 -687 -3983
Inspection Request Scheduled For: Date: W26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 016608 -01 503 -888 -2082 N
Corrections /Comments /Instructions:
•
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
j ..
Inspector: Date: / Phone #: (503) 718-
, iii CITY OF TIGARD '. , ' -0,
BUILDING DIVISION PERMIT #: PLM200}4 001532
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1111!2005
Phone: (503) 639 -4171 : nb n Oi
Inspection Requests (24 Hrs.): (503) 639 -4175 ...-1,11-
INSPECTION WORKSHEET FOR DATE: 9/221200 J TIME: 7 :12AM PAGE:
SITE ADDRESS: 1505 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT # : 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building G - detached garage and carport buildings A -1, A -2, A -3, B-1, B-2, B-3, C-1, C-2, C-3, G•4,
Di, D-2, D-3, E -1, E -2, E -3, E-4, E -5. Other fixtures: (1) expansion tank.
OWNER: OT2 LLC, PHONE # : 503- 620.4373
CONTRACTOR: TAPANI PLUMBING PHONE # : 206-687-3983
Inspection Request Scheduled For: Date: 3/2212005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 016214 -01 503-888-2082 Y
Corrections /Comments /Instructions:
6/
iI _ _
,..dalrill.7, / f /
•
•
,
`t -ASS n PARTIAL APPROVAL El CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4/ ' . Phone #: (503) 718-
/
1_
CITY OF TIGARD , •�.
BUILDING DIVISION PERMIT #: PLM2004 -00532
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1!11/2005
Phone: (503) 639 -4171 : iF�gpup ��
Inspection Requests (24 Hrs.): (503) 639 -4175 W ! J..
INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7:12AM PAGE: 20
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building G - detached garage and carport buildings A -1, A -2, A -3, B-1, B-2, B-3, C-1, C-2, C-3, C-4,
D-1, D-2, D-3, E -1, E -2, E -3, E -4, E -5. Other fixtures: (1) expansion tank.
OWNER: OT2 LLC, PHONE #: 503 -620 -4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206-687-3983
Inspection Request Scheduled For: Date: 5/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 007712 -01 360 - 510.2184 N .
Corrections /Comments /Instructions: •
dJ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: )( 1 6.-- Date: ✓ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2004-00532
13125 SW Hall Blvd., Tigard, OR 97223 • . '' DATE ISSUED: 1/11/2005 I
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/8/2006 TIME: 7:10AM PAGE: 95
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building G - detached garage and carport buildings A-1, A-2, A-3, B-1, B-2, B.3, C-1, c-2, C-3, C4,
D-1, D-2, D-3, E-1, E-2, E-3, E-4, E-5. Other fixtures: (1) expansion tank.
OWNER: OT2 LLC, PHONE #: 503-620-4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206-687-3983
Inspection Request Scheduled For: Date: 4/8/2005 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
305 Plumbing underslab 004064-01 503.888-2517 N
Corrections/Comments/Instructions:
.,,A
r! PASS
tr 0 PARTIAL APPROVAL El CANCEL 7 NO ACCESS
FAIL Ej CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 0 _yilk-2_
Date: Phone #: (503) 718-
o '
BUP - Building Permit " ELC - Electrical Permit
4 Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
_ Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Ener y Permit
Roof nailing
4 Inspection Description Date Passed By
Firewall _ Low voltage
Tilt up panel Electrical final
Masonry /Reinforcement — Framing
MFG-Structure set-up MEC - Mechanical Permit
_ Insulation _
Drywall nailing Inspection Description Date Passed By
Suspended ceiling — Post /beam mechanical —
Engineered soils Gas line
Welding Lab Final Mechanical rough -in
Concrete Lab Final Fire damper
Bolting Lab Final Duct work
Structural observation Smoke detector
Fireproofing Lab Final Mechanical final
Final inspection
PLM - Plumbing Permit
BUP — Fire Protection stem Permit Inspection Description Date Passed By
Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top out
Sprinkler final —
• Fire alarm final —
RP /backflow preventer
Rain drain
Storm drain
Water service
• SIT - Site Permit
• — Sanitary sewer
4 Inspection Description Date Passed By Culvert /catch basin
Footings — Pump /fill septic tank
Foundation walls Plumbing final
_ Sprinkler supply lines
Sprinkler underfloor /slab
t; a Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04/17/01
/ CITY TI _. PLUMBING PERMIT
"R 3 +.� .. DEVELOPMENT SERVICES PERMIT #: PLM2004 -00532
" 4 ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D ATE ISSUED: 1/11/2005
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE PARCEL: 2S115AA OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
_ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Building G - detached garage and carport buildings A -1, A -2, A -3, B -1, B -2, B -3, C -1, 0 -2, C -3, C -4, D -1, 0 - 2,
D -3, E -1, E -2, E -3, E -4, E -5. Other fixtures: (1) expansion tank.
FEES
Owner: -- —_-___
Description Date Amount
OT2 LLC
5437 ROSALIA WAY SUITE 100 [PLUMB] Permit Fee 1/11/2005 $72.50
LAKE OSWEGO, OR 97035 [PLMPLN] Plan Review 1/11/2005 $18.13
[TAX] 8% State Surcharl 1/11/2005 $5.80 ` �
Phone : 503 Total $96.43
•
Contractor:
TAPANI PLUMBING BING
PO BOX 1458
BATTLEGROUND WA 98604 REQUIRED INSPECTIONS
206 - 687 - 3983 Water Service Insp
CCB: 60958 PLBG: 37 - 269PB Rough - in Insp
PLM /Underfloor
Top -out Insp
Rain Drain Insp
• Final Inspection
"I t
i
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 u.
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspendec
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregor
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.
Issued By: � ` 41. r e Permittee Signature: / . -------,
Call (503) 639 -4175 by 7 :00 P.M. for an inspection needed the ext business day