Permit CITY OF TIGARD ,
DEVELOPMENT SERVICES PERMIT L
P # UMBING PERMIT • PLM97 -0403
--. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639 -4171 DATE ISSUED: 06/03/97
PARCEL: 1S135DC -02000
SITE ADDRESS...: 11875 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 37 — 48
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 #:
Contract or -
R D PLUMBING INC
13900 NW SPRINGVILLE RD
PORTLAND OR 97229
Phone #: FAX 297 -7344 $ 340.20 TOTAL
Reg #..: 000739
REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
Permittee Signattre
Issued By: .
Call for inspection — 639 -4175
tt
04/18/97 08:55 °x 689 7297 On OF TIGARD 0001/001
/ n (
CI O F TMC,ARI) i:eea eY ,(
Plumbing Application
®n ccc�/// 611-ei--
1X125 SW HALL BLVD. Commercial and Residential
Oats Res d 9 7
i IGARD, OR 97223 Cate to a
;503) 639 -4171 Dale to DST
Print Or Type Palates SwF s
Incomplete or illegible applications will not be accepted caned
Name of OeveloomenuProiec F7]CTI,IRE$ (Inafv7duaq
FIX QTY PRICE Mir 1
Job i Villa La Paz /2, 900 J
{ Address s :-eat Address i sw, {1 l Z 9.00 / o $
I O S. . W. 91st 117 units rrro ru ,sho+.er Como. 9.00
f
314] a C.ly'Sl to Zip __.., $n00V
Tigard, OR 97223 9'00 I
water I Vane Z 940
mryl L, vl i ' l (Ya f►l ers �p, p 1 4& os n* a:ner f ° � f
Owner ti1+g aearess �v d 9.
La f
Wroa90 Disoe
WI Ga t /1� 9.00 I
�..ry :gyp Phone -^ Waimea; Macrantr 9.00
scoot Oran 2 •
9.00 I
( "to -
ana L A 90.L 3- ( 9.00
multi family residential - I
900 I
Occupant Ma+,ne ,>,aaress Suite WaterM filler 9.00 1
Laundry Room Ira! 9.00
City /State 4 canons that .
I I 9.00
Flame
4 ot�efFawres tSoeofyl ! I 9.00 . D. Plumbing, Inc.
f �
I 19 Contractor ag Aaaress Suns • dtn 1
3900 NW Springvill Rd 9.00
(Pnar to issuance City/State Z10 P nce _ 9.00
aoellcantust Portland, OR 97229 1 9.00
m
Provide a Oregon Consi. Conn. Boar* tic.* 1 Esp. Oate
COntracors 73913 106/25/98 I 9.00 I
9.00
license Pluming Lic. s Oace Sewer -1st t00•
information 26 -313PB 06/25/98 - 25 I
for COT COT Business Tax or Mevo s cn Sewer • eaCn additional f 00' 25.00
07/01/97 a /97
staaaaet. 1094 tfuater Service • tst too' 30.00
Name &mar Senn • eacn aotukonai 200' 25.00
Architect _ east a
• Stone &Rain Oraat- tat 100 I
30.00
OP Ma't'n9 address ! State & Ran Oran - dddronat t 00' 25.00 w. I
I Moon! Homo Spaa
Engineer , city/slate Zia Po 4arort [J+nmao I ?none + 23.00
l B aca Farr Prt*venoon Om* or lino• j I 25.00
rea oev+a
tsa-;be wont New O Addition -Alteration y Remo C Resraeniat Hac sow orevenaon CevKe
. CO lone. Residential 4VNon- residential 1 I Any Trao or Waste Net Ca 9.00
- oat:onat aesenoton of wont Coil/aced to a Andre ( 1 4.00 1
Caossaasin frtrd L4.00
tf asp, of isrsttn wrong I •0.00 •
�r,. re-14-0 -14-0 L , Lt,� ,' paler j
. asanq use 5f Soeoan/ ReQUesiea lnsoeatens .0.00
or ardoe >` ' f �-
• .n9 rry ft�tu- .../ �ty��G 1 Perm
do
0 { I Rare Crain, seep :amity awetting I
: I 20.X0
:Pace use of / Traps
s
_timing or orooerty I 9,00
Are -.op cutting moving or repdaong any fixtures' Yes vo QUANTITY TOTAL I `f/ i I
• homey= ar ntrt Tern •e reerreer a Clare leer s s i I
III Yes see back of formt
I ' - °•e►eey aeknewieoge dice t have read Otis aPPiWtion. oat the rnformauen ' SUBTOTAL I N `,
;even is cones : slat I am ate owner or autnon2ea agent al me owner. ano 5% SURCHARGE 1 /6.' T
~ 1
at Mans Sutm mated are ;ampliance wen Oregon State Laws_ +
Signature of O Oate PLAN REVIEW 25% OF SUBTOTAL '
_ �' C/ C 6 ., 3 Q asereeo ae• ewe oh Leo► a 9
, nteet Pe Ptlo
rson Name I TOTAL Priam 1111 , st
- Mtnrmum permit fee is 525 - 5% surciame. ezcapt Resrdentrai Backil w
Prevention °ewe& wricit is $15 - 5% swa
ed.sts'odmaPP.aoc 5+99
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 •
Date Requested: — 7 / D r % 7 A.M. P.M. MST:
Location: I / F 7 S �- ) I 'Oh BUP:
Tenant: Suite: -7 `4 / Bldg: MEC: q
Contractor: R D e (� ./ Phone: - 7- / ,1 -,D- _ PLM: ! 7 O yO
Owner: Phone: ELC:
7 3R 3 ( 1 — 40 y 4 -- 42- 4 3 — LI — q s - 4 6- (17 ELR:
6- g$ SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof Un I/Slab Rough -In Ceiling Water Line
Slab Framing Gas Line Rough -In UG Sprinkler
Foundation Insulation wer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spkli /Alm Crawl/Found Dr Heat Pump Low Volt
Approved (Approve(1-- Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
•
O Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
777 Inspector: Date: /i(5 Page ( of /
3 1 3
" 9 , 3
fQ
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3 - . / ? ° qg A. M. ?:C(1 P.M. MST:
Location: / 1O � j 7 5 i 4 . , , q/ C..IIZ BUP:
Tenant: _ ! _/ _ /J ■ � t: t ' •t Suite: Bldg: MEC:
Ch X
Contractor:
/4.W, //L �j ��� Phone: �— — 4 0 c3 / 040 J
Owner: F Phone: ELC:
//.. _/ 37— I _2AN . __ /L fr 3 J
.39 -65/ MARV, `- S
BUILDING BLDG (con't) d u I t 1 MECHANICAL ELECTRIC • SITE
Site Post/Beam ' ost/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
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved
FINAL FIN FINAL FINAL FINAL
. at i i // /1.'1P / :
, �erlLL1 /!/v /rte MINZMW i�� .sr
� Ai /, Li ' i //
i / /
:LLP T S GL') 9'c . x;,65. — u1.31-1-5 I - rtAtz,0 ,..)c.„t4 4 g
,* t\l, (LW wti IZ , C TO V S r t t `L:‘ k \A1 14 i6 t t._) •
•
O Call for reinspection O Reinspection fee of $ required before next inspection ® Unable to inspect
i °� .3/ /(j g
tor: ,� �
Ins _.�/ Date: Page of
4