Permit CITY OF TIGARD
4,,,„,,,,,, DEVELOPMENT SERVICES PLUMBING PERMIT
t*- 13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171 PERMIT #.......: PLM98— 103
DATE ISSUED: 06/08/98
PARCEL: 1S135DC- 02000
SITE ADDRESS...: 11895 SW 91ST AVE #BI_D
SUBDIVISION....: ZONING: R -7
BLOCW...... ..... : LOT - JURISDICTION: TIG
CLASS OF WORK.. :NEW GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE.... :MF WASHING MACH......: 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP.. :A3 FLOOR DRAINS 1 TRAPS..............: 0
STORIES........: 0 WATER HEATERS : 1 CATCH BASINS - 0
FIXTURES LAUNDRY TRAYS a 0 SF RAIN DRAINS. -...: 0
SINKS.........: 1 URINALS a 0 GREASE TRAPS.......: 0
LAVATORIES....: 2 OTHER FIXTURES....: 5
TUB /SHOWERS...: 1 SEWER LINE (ft)...: 100
WATER CLOSETS.: 2 WATER LINE (ft) ...: 100
DISHWASHERS....: 0 RAIN DRAIN (ft)...: 100
Remarks: Plumbing for Community Center. 2 drinking fixtures & 1 sink are new
fixtures, all others are being relocated.
Owner: FEES .
VILLA LA PAZ APARTMENTS type amount by date recpt
PO BOX 12106 PRMT $ 207.00 DEB 06/08/98 98 -- 306350
TIGARD OR 97281 PLCK $ 51.75 DEB 06/08/98 98- 306350
SPCT $ f 10.35 DEB 06/08/98 98- 306350
Phone #:
Contractor- - - - -.- --
R D PLUMBING INC
13900 NW SPRINGVILLE RD
PORTLAND OR 97 229 - - --
Phone #: FAX 297-7344 $ 269. 10 TOTAL
Reg *a a : 000739
-- - - - - -- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sewer Inspection _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Service I n .
applicable laws. All work will be done in accordance with PL.M /Underfloor —
approved plans. This permit will expire if work is not started Top—out Insp
within 180 days of issuance, or if work is suspended for more Storm Drain Insp
than 180 days. ATTENTION: Oregon law requires you to follow rules Rain Drain Insp
adopted by the Oregon Utility Notification Center. Those rules are Misc. Inspection
set forth in OAR 952- m1 -0010 through OAR 952- 0m1 -0080. You may Final. Inspect ion
obtain copies of these rules or direct questions to OUNC by calling _____
(503)246 -1987.
Issued By. (...._ ' g 7 �-e- r
1= �ermittee Si nat� -ire
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + + + ++ + + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
JUN- 2 - 98 TUE 1 1 : 2 2 AM R. D. P I umb i ng, I'nc. FAX N0. 503 297 7344 1
r f , Rec'd B 1 "'
�ITY OF TIGARD Plumbing Application
9 (---" Date Rec 3125 SW HALL BLVD. Commercial and Residential . Date to P.E. 0 ' ir
IGARI1, OR 97223
!:/ Date to DST
503) 6394171
Permit # P LC : 1 — 6( 53
Print or Type Related SWR . ^
Incomplete or illegible applications will not be accepted Called
Name of Development/Project On beck Indicate Work Performed by fixture.
Job Villa La Paz Apartments FIXTURES ;l {3l s, " r QTY PRICE :AMT,
• Address Street Address - Suite Sink 1 ' 9.00 9.00
11895 SW 91st Ave Com Cntr ' Lavatory 2 9.00 18.00
Bldg # City/State Zip .
Tigard OR Tub or Tub /Shower Comb, 9 :c0
N e Shower Only
1 9.00 9.00
\__)? j .A-- Water Closet 2 9,00 18.00
Owner Reding A re s)4 6 Suite ' Dishwasher 9.00
0 r l �l `�! Garbage Disposal - 9,00
City/State Z'ip Phone Washing Machine pp
i t Cp► ` r2lJ (�
Name Floor Drain 2' 1 9 9.00
Occupant Mailing Address Suite 4* 9.0
9,00
City /Slate Zip Phone Water Heater 0 conversion 0 like kind 1 9.00 • , s 1
Laundry Room Tray 9,00
Name Urinal 9.00
R. D. Plusnb,ng, Inc. Other Fixtures (Specify) 9.00
Contractor Mailing Address Suite
•
13900 NW Springville hose bibs 3 9,00 IY.Ut}
Prior to permit r City/State Zip Phone drinking fountains , 9 18.00
Issuance, a copy _ Portland, OR 97 297 -7422 9
of all licenses are Or Cosst, Cont. Board LIc.# Exp. Date 9.00
required 11 73913 06/30/98 Sewer- 1s1100' /
.
expired in COT Plumbing ic. #
database 2-313PB 06%30/98 ewer - each onal 100' F,xp, ale Sewer additi' 25,0 3000
�
i ' 'Name Water Service - 1st 100'
/ 30.00 ` 3 0
Architect Water Service - each additional 200' P 26,00
Or Mailing Address SUite Storm & Rain Drain - 1st 100'
_./ 30.00 3
Storm & Rain Drain - each additional 100' 25.00
engineer City /State Zip Phone _ Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Atlti- 25.00
Describe work New 50 Addition 0 Alteration 0 Repair 0 Pollution Device
to be done: Residential 0 Non - residential O ' Residential Backflow Prevention Device' 15.00 '
Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00 '
2,000sf addition to existing Catch Basin - 9.00 '
facility Insp. of Existing Plumbing 40.00
per/hr _
Existing use of Specially Requested Inspections 40.00
, building or property _ _ per/hr -
Rain Drain. single family dwelling 30,00
Proposed use of ^ Grease Traps w 9.00
:uilding or property . •
I hereby acknowledge that I have read this application, that the Information QUANTITY TOTAL
Isornotric or riser dia Is required if Quantry Total Is > 9
given Is correct, that I am the owner or authorized agent of the owner, and 'SUBTOTAL ~ ~
that plans submitted are in compliance with Oregon State Laws_ ;`�
Signature of Owner /Agent Data b% SURCHARGE 2
Contact Person N::iile Phone PLAN REVIEW 25% OF SUBTOTAL /
! , , '7 O
;Required on if fixture c !
eq oily qty, total Is > 9
TOTAL • ie I) l
"Minimum permit fee Is $25 + 5% surcharge, except Residential Backflow
ti Prevention Device, which Is $15 + 6% surcharge
4
A
pl_A ` 4h AD P 1 h ,
w/ � L 1 � ,\ ,Y.-- l A , ill,
ti �.
I.klnLAplmoPP doc 5/97 ,. A ' , ' .. V� / /;
_/. , 4 , 4 �,. t �, ,,,, i.. O,
7,-;.;, •,„•• c c - 4 , 1 , , , - ,4=' - ' -, ';;, . ' . : : :::; - - ..- ,•,..- ::. ,. :;.. . .-; . .A ..1' ,.',"-; -:
L- - -,,- 4''-- 44 !f 8 -' :. -ttlitt-gv - ti=q-02- 1 : 7 - — ' ' ' - '-',' - ' ''.- -- ':'• ' • . .."''V,-" "r:', _:,s,:
• sr-
.,,...,. - ,4 '/..,- 0 Acs_urnylathqt7r Tally
.. . _. . _
• --.,,,,-- 0.:
( ea A-0-iii_A../t7 y c, £,Lit
Tenant Name v/r_i. Iv, ,_ . , _ „ . .. This SWR# Au) 4-4 g -0 t2'
i
'Address: ,/'q3 -) 64< WS 0494'1 ._ . ,... , , , .
' ' ' ..z.._ ----_-.--..-- . This PLM#: Pe--,1 9g -c)/5 t
Fixture. . ' , - --, Value Previous Previous Credits Capped Fixtures Factures New total New
# Value Capped off value added # added #s total
_ - - - Count off #s count value -. - values
Baptis . /Font • 4 ,
Bath - Tub/Shower 4
,
• - Jacuzzi/VVhirlpool 4 ,
. .
Car Wash - Each Stall - - 6
• - Drive through 16 . •
CuspidorNVater Aspirator 1
Dishwasher - Commercial 4
- Domestic 2
Drinking fountain 1
lye Wash 1
Floor /sink -2 inch 2
- ' ''' • :'-':' - 3 inch , 5
_ .
- 4 inch 6
.-- ' - Car Wash Dm 6
Garbage Disposal • 16
- Domestic (to 3/4 HP)
. .
- Commercial (to 5 HP) 32
• Industrial (over 5 HP) 48
. '
Ice Machine/Refri • erator Drains 1
Oil Sep (Gas Station) 6
Rec. Vehicle Dump Station 16
Shower - Gang (Per Head) 1
--Stall A 2 -
Sink - Bar/Lavato ' 2
- Bradle 5
- Commercial . 3
- Service 3
Swimming Pool Filter • 1
Washer - Clothes 6 - -
Water Extractor 6
Water Closet - Toilet 6 •
Urinal 6
. -
. , .; ,•
• TOTALS /c6 3 9
1
Total fixture values: ' / 4 divided by 16 =
HISTORY 1 I ,,, 9- - • , e/ • 0 1 5 f/z. 63i-ik_f_
, •
PLM# EDU# • SWR • PLM# EDU# SWRit
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# • EDU# SWR# PLM# EDU# SWR#
indststswrtaly.doc.
.-01klated*Wgek..... `tt;-' 75 47*- - f;,. A="g4.-iiik-tt.k":,f4.--,A---,--,1-:..,•,-;:0--747.-,70p-I„---;--;P=.*,..,,,,-.:i.i.y,f.-kftt.41:-fiZt,'j4Ni,4-..-*Mt4.-Oirrnta,„„Itr4,0,71',.---
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST Amid
BUP
//7 i.2;4, Date Requested / /K /9 AM PM BLD veavr
Location //175 < t) ��5/ Suite MEC
Contact Person C_ Jr/ Ph . % 7 - 75‘Z 2 PLM n d/-5
Contractor ‘2-1) P /cum h //i Ph SWR
BUILDING . Tenant/Owner //j /f4-_) / 6/,01, ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: A �— SGN
�
Slab PL-e- - �� �' ( SIT
Post & Beam (/
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler /
Fire Alarm
Susp'd Ceiling S �� [ '
Roof
Misc:
Final
F' • - T FAIL
Under Slab
Top Out
Water Service
Sanita Sewer
-in Drains
PART FAIL
MECHANICAL
Post & Beam
Rough In _
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA � '�
Approach /Sidewalk Date / g 7 7 Inspector ,`+ Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST ,aallt'
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �.��
BUP j`/_
151 1 41 b Date Requested /0 ° -16 "9 AM PM BLD
Location 1 (p 3 S "W q I GAre Suite MEC
Contact Person Ph 9g -0 15 3
Contractor Ph SWR
BUILDING , Tenant/Owner V 1 PAL CO AA 1, , Ci ELC
Retaining Wall ELR
Footing Access: / ^
Foundation /� �/ �_�. lG� ���/ FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler R r �'� 76f A .5 �GyC
Fire Alarm
Susp'd Ceiling _
Roof /'40 a �` %� ' J
Misc:
Final
PASS PART FAIL
LUMBING')
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer -- ./
Rain Drains
<
, ,/PART FAIL
M
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA V �.
Approach /Sidewalk / f 0 I Other Date 7 ✓� III g Inspect• Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
t��
BUP
l4014- Date Requested $'w AM PM BLD
Location 11 R q 5 x. kt) CT I 4-it Q.,i Suite MEC
Contact Person ch A A 4) Ph Z? 7- 7 4 -f2- Z PLM
Contractor " t Ph SWR
BUILDING Tenant/Owner ap14ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Cr l Drain � SGN
Crawl Dr Inspection Notes: l�YYI� '
P ost l SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART r <PUIVIBING
Post & Beam
Under Slab
op Ou
ater Service
Sanitary Sewer
•
Rain Drains
F i
A PART FAIL
E H ANICAL _
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE ; e
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector EXt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.