Permit CITY OF TIGARD
PLUMBING PERMIT
A DEVELOPMENT SERVI DATE ISSUED: O6 • PLM97 —O404
PARCEL: 1S135DC -02000
SITE ADDRESS...: 11865 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..:R 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 49 — 60
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 Signa ure:
Issued By: A LIO !-. , :
Call for inspection — 639 -4175
04/18/97 08 :55 'x`503 881 7297 CITY OF TIGARD R1001 /001
ciy'OF TIGARD Plumbing Application Reco Re 1'... 011 44
1.x''125 SW HALL BLVD. r Commercial and Residential T ""'°
i IGARD, OR 97223
Cate so
',503) 639 -4171 dale to sr
awful a P141/14 - 0004
Print or Type Rented SWR s
Incomplete or illegible applications will not be accepted caned .
.1 Name OeveloomenriP►olept FIXTURES (Individual) QTY PRICE ANT
Job 1 Villa La Paz Si* rz 9.00 1a'5"
Address r s . spates j Stale r+q uratary 1 ! Z • 9.00 /0V
_
I I 5K S. W. 91st I uni S To or ruaSAo..er Camp. 9
31.79 = Wry/State Zia _ 900
Tigard, OR 97223
v
--3 aRre water Closet (, O m r♦1 u N I Osnwasner i 9.00 / og • ( a t � r 9.00 _�
Owner Misting Address lid i rte �p Garoago Oisotasat
9.00
•
wawa; Mac/tlne 9.00
CarStale Zit Phone ROW Cram r _
. 1 9.00
Marie t. a P at �' 9.00
-
mul family residential 4 9_00
Occupant MaingAdaresa Suite wafer >ieena 9.00
tannery Room Ti, 9.00
City/State ap phone tarsal.
9.00
N Olney F „tti►ey ISOecyl 900
R. D. Plumbing, Inc.
I 9.00
Contractor Nailing mama Suite
9.00 j
13900 NW Springvilll Rd
1Pnor to issuance CityiStare 9.00
aopilcant Portland, OR 972291297-7422 9.00
• orowoe a0 Oregon Co Cont. Bears ties I Exp. Cate 900
1
nal.
can,raco 73913 106/25/98 j
iiaense PttMmprn Lie. 9.00
g E. Date Sewer_ 1st f00•
information 26 -313PB 06/25/98 CA, 30.00 sewer
for COT CDT 5usrresa.Taz or Metro x e,rp pate' each aaeitklral 100• 25.00
estabasat. 1094 07/01/97 woo:tSer/lee 30.00
Name Wafer Serums ee
• sun aOOihonai 200' 25.00
Architect Stone a Rain Oren - tat 10tr 30.00 1 1
OP Malin Address State Stone & Rain Oran • east aoarsenal 100' 25.00
Engineer city/State Zip ' Phone A lebitetna5papa E 25.00
Camntdeat Baal Flaw PrevaurOn Oevtee or anti. IS
I 1 •
P09ution Oe'riee j 25.00
25.:.:be were New p Addison C Alteration 31" Repair C Resaenval 9aeL3ow sreventron Cewc -
. t e lone: rie=.aentrai y+ Nan - residential 3 I 15.00 '
a
-. aitanar desalotan of wars ny Trap of :Nate Net Conneeed'le a Fixture 1 I 900 1
Catcsn Basin
I
L 4A0 1
y
t; �esp. of csrsang r unmet) I •0 .00
, l �"r✓Zr'� Cyr /Gt , :l�ti.' penny J
s�sdnq use 7f Soeciady Requesting insoeawns J .0 1
: op
steno or orerty 11,41.4 d /:7 ' ..1 4"r r i oerhr
1) I ( Ran Crain. single .airy crafting
I i 30.30
-emu; use of Gust T raos
:arcing or property I i 9.00
1
Are .ou peeing moving or rOpl ag any facure r s� yes No r s•e1.ec x *sir ragmen.' rawr QUANTITY TOTAL 13K� 1 I
Of yes see back of ferret ee manly ray y > a l
•ereoy aacncwge ma I have reap ;NO aoofcation. Oat me lnlormauon ' SUBTOTAL
;;Iv en rs corret : scat I am to owner or autnonzeo agent of :ne owner. and 5% SURCHARGE 1 I 32
* a
mans sue:nines are :- ;amoliance with Oregon State taws (Q
Signature of OwnaNAgert Date -' PLAN REVIEW 25% OF SUBTOTAL '
;cameo Ira 4 lute or tome > ;f
n.� _ 5 . I 1 TOTAL
7 ntatt Parson Name I Phone
! �3(�p •
"
A RID
rdlnrrnam puma fee is 525 - 5% sum - same. except Reeiaenoal 9ac.Aow
Prevention 0evrrs. wn,e is 515 - 5% surerarge
easts'.pu"apo.aoc 9/56
`ai q-q - 60
• ,- . . CITY OF TIGARD BUILDING INSPECTION DIVISION• • ` ,. • - •
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: • v r 5 A.M. ` ' "P.M. . • MST:
Location: - I I 8 _5(.0 `7 I, t ao-e, BUP: _
V I LLA l__A PAL ��
Tenant: /) � S u i iteee: Bldg: MEC: 0 / /] (/ i
Contractor: C l J PJ / k JA'/T ,0T(Ai 7 r' Phone: � t — 7 ` - D--a- PLM: 7 — 0 T V 7-
Owner: (. Phone: _
�, C . z,c� 6V F" a. .:� -- n a.a ..• ., -. �► ,. ELC:
� �. `9 ..�. � �,,:.. rt ri r • � � �n« r te.
4i.s1 - ' .4i :: ft ,,;.3+ 4--. - [ !, ` ; :& 1Y, f ., r „ � 1
,. EL-
R:
.4.1` i N• � - v - t i ' _ 'l A. 4 ` " i ec 1 .,}, ' c . ' + 1 1e : ^ r a t `��- 4: c�
w: Jw. r r94.1 c A..64.. 1l...f< M:. i. e t.. . ift C. a r,.• '_.Y141 .- � [Y a ? ...._ . S1T
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 1, Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
_z Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump • Low Volt
Approved gprove)d Approved Approved Approved
Appr /Sdwlk • Not Approved Not.A..proved Not Approved Not. Approved Not Approved
FINAL r FINAL") FINAL FINAL FINAL
/ ' i /- S 5 + 4 0 kD ( % 4
e ,/ A Ili.lq ,(,
•
O Call for rein
eins'° tiori 1 O Reinspection fee of $ ( required before next inspection O Unable to inspect
Inspector Adi � r rb� `' Date: ;t� �� Page of