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Permit -_T CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00441 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/26/2007 PARCEL: 2 S 110AC -00400 SITE ADDRESS: 14723 SW 109TH AVE 1 -4 ZONING: R -12 SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG PROJECT: TIMBERLINE APARTMENTS Project Description: Fire repair in Unit #1 CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES TIMBERLINE APARTMENTS LLC BY WPL ASSOCIATES Description Date Amount 522 NW 23RD AVE [PLUMB] Permit Fee 9/26/2007 $99.60 PORTLAND, OR 97210 [TAX] 8% State Surchart 9/26/2007 $7.97 Phone : Total $107.57 Contractor: MP PLUMBING CO P.O. BOX 393 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact # : PRl 503- 655 -9161 FAX 503- 650 -7050 Reg #: LIC 5002 PLM 3 -17PB 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. Issue By: Permittee Signature: � d C• Call 503.639.4175 by 7:00 a.m. for an inspection that busi ess 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. • From: 09/25/2007 16:12 #697 P.002/003 -ri, EV 4 ED Plumbing Permit App 1 t L 2 0 1 FOR OFF 1(N 1 ` . S ON ,\ City of Tigard SEP R`eeived � /�p Q Permit � G/ ` ' p07�0 13125 SW Hall Blvd., Tigard, OR 97223 p�t.�/ ®F " t ;1 P 1/I Phone: 503.639.4171 Fax: 503.598.1960 I ` ; - i ' "` Other Permit No.: 24- H inspection Line: 503.639.4175 B% " "' V ,, rr/ ) � i B I r� Date Ready/By: y: • 65 See P 2 for Internet: www.ci.tigard.or.us Notifred/Metbod: j Information Supplemental r atlon - ' €:f 'EYrti " . tcJ .e s d. !' i Y t � ti w� �11,�, f� ,y -. » n :�{: •rte Rs � ;?1 €r ,r ry^ r � rr,x -c. + . :., - t�l �• ��.�;,,r� (•t� r�s�il �{�„ F `�!�"� .� ! �5 •- . r Y., '� uif{� �3 ��'7,�at cirti'tdy�. u,� • � �� . j�n s':� :3 , ;^s�l:'a,� � ,.� r«a.•�;•'_'L � � i N E r.3, r t:. c # 0 a di >,: k 1 , «; s 5, , 1911 iR i r a` tk�? tligjei K, d j , ., .1r iti;lC`� ^R+ i�F I • f it . s:N O F y .3 a 11' C " tax �s' ��. ��. 1�: 3�is� ra` rll.:_ at'' ��. �u t_- , ....:�.r.t:�C!:t.�s:���s.�t�s. ice?_! ��: �: ���: 1,_+: �• �: i! a_;: �e:,: cu,��a".'�'�.'�.�1,:�+,:.���r�d �_ lr.. � � uo. r�4,= i��: r�?�:. h; ��asa-z< ti: r�z- ���a�Y;> :'�:rar��."�„�.r�'.at;..wl�:�}3 :��u�t�. ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. I Ea. I Total P.1 Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) � y ` ti' Fst; t ;N y 1 f ae r,.JV ..7. n-'i }t ` w l.,r i' St r a 4- br,� i+"i'+ i �`0f T 7�t' })"J + .r t- • L „"' 1 7 T ` Ji . l i � , a Gt q>.)t _ ti a tarp s SFR(1)bath 249.20 ..t.�.u.. � . {L. 1� . �t>.W �'j.� tt. ac � • �'��'tu,.w.,. � _ ..:._,tJ,f�. ,,,,. � _. +Irn r�2. ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building Multi•famitly SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: 4 i°t �°• "'r � ' " +' 3 .r3 J� 7�lxG•� ,�t .d 1 s� F, 'T '� Htrc„•t �, i ' Fire sprinkler ( sq. ft.) Page 2 t} ':v.� ii its tt. ,:i u 1 + iA��. it i�. 7 Rili Ae :f.figp'iag; i:'Ts f ^ ' rr in ^ :z£s�1a.,...1..tti - _sz -e21 , xY.ra ek.,1c.. 1, 17'6 ,?Cr c ' -. ... ..: : .rt t."_ f a Itri.o #Ii4 _ Atfi Site utilities Job site address: /4/113 �, id, - ../ i . Catch basin or area drain 16.60 City /State /ZIP: `a9' /PIP / 7n1 • Drywell, leach line, or trench chain 16.60 Suite/b1dg. apt. no. /r I Project name: ,/,///// J ddiffQ Footing drain (no. linear ft.: ) 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 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.: Tagiri J 1 4 1 1. i 4 l� I ir.y51l64 f 4 f 141,1 6 ,!'ggil. u r yt ll Y�, Absorption valve 16.60 ' 1 �U b . U :12.1 - _.t , ' ap .r...;''wr r , .:..-.1 i ,.>LIJ ::11 t. i-?i' .y i .i1II .c.=s ,te �j.# ' Backflow preventer Page 2 /Ili r2,/v 1/7 j/ 1i/ $ f Backwater valve 16.60 Clothes washer / 16.60 , Dishwasher 16.60 / 4 1 - gin '(`E'3; ca y l iV tit i �,�'s,"'' y' i `'ir t 1 , -a F. r it ,i + ,r`�1 ss r Drinking fountain 16.60 ,r ._..W'_ s .-s,.r... t xt , 5 4.1:1.-n.111,!,. ''h ? ` fit r > tr llt,...ti l§th l g s�aG., .i.._� a g•. «+. �... u.a,tvr . .. tir..i<ia3s 3«c -. »q E)CCtOt$ /sump 16,60 Name: 9f111 / ;, - / f Expansion rank 16.60 Address: Fixture /sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 _ 'y y •G+ F' tea - n ,. r z F11 n , ti iavi- gif s t ii,U , . J i s i Hose bib 16.60 1,"'' 1+ ±�ta t "s � l {�t e c l'ri .iVe � '(j..2 1 -'l lliI I r � r f e/ Z e , 4 q , .::r v. ws., . I.:.a ,. ,. .,4.i•..x..".{_...,.,�s .. r.... •.. +U..,:�. 1.- .�.,s,..E i.�.,5' �`s,.t_r'._. > 7, ":5 * .:ci Ice maker 16.60 Business name: MP PLUMBING CO. Interceptor /grease trap 16.60 Contact name: TAMI Medical gas (value: S ) Page 2 Address: PO BOX 393 Primer 16.60 City/State/ZIP: CLACKAMAS OR 97015 Roof drain (commercial) 16.60 Phone: (503) 655-9161 J Fax: : (503) 650-7050 Sink/basin/lavatory 16.60 4 14 Tub /shower /shower pan i 16.60 E-mail: ` 7 Urinal 16.60 i- t '1 :5 )? r , } :1- °t tr.;: l i+L Y % "'1: = ;.r:S,0 t 5.- .I'li T S 11 L� t t .r 5{'" �Z � .tS.s i -1mraa e...�'.+.. -,. .. .._.. ,. ....'I+ ;cw .1,w�J..:?c N.. �: tiw� was Water closet � 16.60 Business name: MP PLUMBING CO. Water heater / 16.60 , t- Address: PO BOX 393 Other: - City /State/ZIP: CLACKAMAS OR 97015 Subtota fl, �� ' Subtotal Minimum permit fee: $72.50 Phone: (503) 655 -9161 Fax: (503) 650 -7050 Residential backflow minimum permit fee: $36.25 CCB Lie.: 5002 Plumbing Lic. no.: 3 -17PB Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: Zt t!/ TOTAL PERMIT FEE r , Print name: TAMI GEORGE v� I Date: i ts i7 7 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ''Fee methodology set by Tri -County Building Industry Service Board. 1: 1Building \Permits1PLM- PetmitApp.dae 06/05 440.616T(10/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007- 00441 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2612007 Phone: (503) 639 -4171 kfloj�l Inspection Requests (24 Hrs.): (503) 639 -4175 . � 11.. INSPECTION WORKSHEET FOR DATE: 12/6/7007 TIME: 7 :01AM PAGE: 66 SITE ADDRESS: 14723 SW 109TH AVE 1 - CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Firo repair in Unit 01 OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: MP PLUMBING CO PHONE #: 503-655-916 Inspection Request Scheduled For: Date: 12/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 060774 -01 603-655-9161 Y Corrections/Comments/Instructions: r L4 fr. PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (1 Date: 12 \ � (D Phone #: (503) 718- CITY OF TIGARD , - - , . BUILDING DIVISION PERMIT #: PLM2007- 0044'I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9f2&2007 Phone: (503) 639 -4171 tiu4n ( l Inspection Requests (24 Hrs.): (503) 639 -4175 —..,_,W I I.. INSPECTION WORKSHEET FOR DATE: 1/127/2007 TIME: 7 :01AM PAGE: 40 SITE ADDRESS: 15723 SW 109TH AVE 1 - CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Fire repair in Unit #1 • OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: MP PLUMBING CO PHONE #: 503-656-9161 Inspection Request Scheduled For: Date: 11/27/2007 Pour Time: • Code # Inspection Description Confirm # Contact # Message 8999 Plumbing final 06029401 603 -655 -9161 Y Corrections /Comments/ Instructions: ijj K-e-� ►-) A Lo c ( . f o x M' A e re-: PASS ❑ PARTIAL APPROVAL ❑ CANCEL Lf NO ACCESS g FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I Inspector: keN/M --} \mss-- Date: 1 1 (Z , 0-2 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ... ; PERMIT #: PLM7007 -0 •11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: cy?6J�w007 Phone: (503) 639 -4171 *u ilfi Inspection Requests (24 Hrs.): (503) 639 - 4175 112. INSPECTION WORKSHEET FOR DATE: 9128/2007 TIME: 7:00Am PAGE: 65 SITE ADDRESS: 14723 SW 109TH AVE 1 - 4 CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Fire repair in Unit #1 OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: MP PLUMBING CO PHONE #: 503-656-9161 Inspection Request Scheduled For: Date: 8/2812007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 066641 -01 503 - 655-9161 Y Corrections /Comments/ Instructions: K PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 'ii'- "f 1 V\- Dateq (2fl "-? Phone #: (503) 718- . + l V INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: h„.1`1 2C� I- DUL� , REQUIRED ON GREEN INSPECTION CARD. Code Inspection Description PASS Date By Code Inspection Description PASS Date B BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG- Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit • 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 6 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin • 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 12S70 cr1"1 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07 • 1 el CITY OF 1 IGARD" PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00441 'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/26/2007 PARCEL: 2 S 110AC -00400 SITE ADDRESS: 14723 SW 109TH AVE 1 -4 ZONING: R -12 SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG PROJECT: TIMBERLINE APARTMENTS Project Description: Fire repair in Unit #1 CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES TIMBERLINE APARTMENTS LLC BY WPL ASSOCIATES Description Date Amount 522 NW 23RD AVE [PLUMB] Permit Fee 9/26/2007 $99.60 PORTLAND, OR 97210 [TAX] 8% State Surcharl 9/26/2007 $7.97 Phone : Total $107.57 Contractor: MP PLUMBING CO P.O. BOX 393 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 655 -9161 v FAX 503- 650 -7050 Reg #: L1C 5002 PLM 3 -17PB 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. Issue By: /1 ;� Permttee Signature: •_ - ��4 i � C � � �i� Cv�� Call 503.639.4175 by 7:00 a.m. for an inspection that busifi 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.