Permit - CITY O F T I G A R D PLUMBING PERMIT
' ° ` COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00409
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/21/2008
PARCEL: 2S110BC -11100
SITE ADDRESS: 12036 SW STRINGER LN ZONING: R -4.5
SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT: 009 JURISDICTION: TIG
PROJECT: BULL MOUNTAIN VIEW ESTATES
Project Description: Backflow for irrigation.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
WEST HILLS DEVELOPMENT
735 SW 158TH AVE Description Date Amount
BEAVERTON, OR 97006 [PLUMB] Permit Fee 10/21/200E $36.25
[TAX] 12% State Surch 10/21/200E $4.35 .
Phone : 503- 726 -7049 Total $40.60 •
Contractor:
TRADEMARK LANDSCAPES, INC.
BOX
OR EGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
OR
Contact # : PRI 503 -504 -2013
•
•
Reg #: PLM 6796
•
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.
Issued By �i‘ Permittee Signature: iV/' "
Call 503.639.4175 by 7:00 a.m. for an inspection that business 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.
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: g_" REQUIRED ON GREEN INSPECTION CARD.
Code Inspection Description I PASS Date By I 1 Code I Inspection Description PASS Date By
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 UCWtr 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
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
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 1' 395 Misc. inspection:
)
205 Footing 399 Plumbing final
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
a CITY OF TIGA D PLUMBING PERMIT
-' l ' COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00409
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/21/2008
PARCEL: 2S110BC -11100
SITE ADDRESS: 12036 SW STRINGER LN ZONING: R -4.5
SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT: 009 JURISDICTION: TIG
PROJECT: BULL MOUNTAIN VIEW ESTATES
Project Description: Backflow for irrigation.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WEST HILLS DEVELOPMENT
735 SW 158TH AVE Description Date Amount
BEAVERTON, OR 97006 [PLUMB] Permit Fee 10/21/200E $36.25
[TAX] 12% State Surch 10/21/200E $4.35
Phone : 503- 726 -7049 Total $40.60
Contractor:
TRADEMARK LANDSCAPES, INC.
PO BOX 2410
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -504 -2013
Reg #: PLM 6796
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.
Issued By — 1‘ Permittee Signature: �# � " 4 _
Call 503.639.4175 by 7:00 a.m. for an inspection that business 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.
3CT -21 -2008 TUE 11:22 AM FAX NO 5036417661 P. 02
• Plumbing Permit Application
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Building Fixtures . t - � i r� ay n T r n ' r , JFS t . V
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City of Tigard Received
?� 1 . � ern Nn.; /2
'.t q 13125 SW Hall Blvd., Tigard, OR 97223 c� �.1` UurenJy; v c _L?e 8 tic)?
j� Plan Review
,i i. 6 ' Phone: 503.639.4171 Prix: 503,598.196V �� Other Permit No.:
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Tt1 c. h,R l Inspection Line: 5036394175
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- Internet: www.tigard or.gov i 1�Jotfied/Meffiod: �e SrrPDtemcnglllnrurmnpon
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i 1 r�1.,1I� II 11 1111 I�I,�Ia1� 1i LI1: ��i I>ti�,i t t '� 0 ?? .� i �,l,i „fill ,i � ! ��I ,i.l!1 �I� ,I�i ;!i ,1(I, I,:I„ I 1 I,.j gII,iII I!,I� -i'I I,► Il o p40 ,: I, , ; � t .�l� I,� �,;,ili'
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® New construction ❑ Demolition For special infurmat un use checklist
I)cscription 1 Qty. 1 Ea. j Total
j] Addition /alteraaionlreplacement j] Other New 1- 2- family dwellings (includes 100 R. for each utility connection)
OM NI I1j I. tl "jl f {l IrI alt nvn,ii I,�,InII:jI ➢,171, r ! illllyl� " ' jtl 'J ^h
IijIjllIll,Ij ( j6Lfl�hl(I(1�11j1��lflfl�ljl�1 r lla f� �It � �j�1 =1 . 'i l t . til , : 1 '<!' 1 �j ��1 SFR (1)bath — 249.20
N I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350,00
❑ Accessory building ❑ Multi - family SFR (3) bath 309,00
Each additional bal.)t /kitchen 45.00
❑ Master budder 0 Other:
Fire
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t i Mil t�u u+ n, I,,,p,llr n I I I, Il lllnnllll,. II • I i t t 11 P I ) Page
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X11 ! I 1 S utilities
Job site address: 12036 SW Stringer Lane Catch hu in or area drain 16.60
City/State /ZTP: Tigardd, OR 97224 Dtytvell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: I Project name: Bull Mt View Estates Footing drai (no linear h.' ) Page 2
Manufactured home utilities 110.00
Cross street/directions to, job site: Bull Mt
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Bull Mt View Estates 1 Lot no.: 9 Water service (nn. linear lt.: _) Pagc 2
Fixture ar item
Tax map /parcel no.: 2S110BC11100
, .I , ! I a , vt" I t [ i ,,o;nuat wt I rn �rl lnl n •.m, n, I li n np�, l u I +' i I f<''I`� I I�l "Il ,, Absorption valve 16.60
I il''li gi 1 j1 :jMill.i `?� t � �, , jII 1 [ I , t[(tNll,�! h!�,,li r ',111 ��,. Bad:
flow tj �j 111 1111! ,1 I �I tl1�4 1r u n jtl i!d•$ li,j II j I jll ! 6 ' II,,,, : I flow preventer 1 Page 2 ,77 57-
Back Flow Permit for backyard landscape Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
1111 6 ": , h 4 , II 1 I 1+' I`1 ' !� ±��7,((�tI ' 1 I Drinking fountain I6.60
1141 glue l pp N51P NTA IW101 .. , 1, li! 11�11� II Ihi' ! I k l 1,;!, ^`, erg.,, '111[ 1,1i 1,11��1ji11$11,:1!
Ejectors/sump 16.60
Name: West Hills Development
Expansion tank 16,60
Address: 735 SW 158 Avenue . Fixture /sewer cap 16,60
City /State /ZIP: Beaverton, OR 97006 Floor drain /floor sink/hub 16 60 •
--
Phone: (503)641-7342 Fax: (503)641-7661
Garbage disposal 16/60
( I , � �I�• I I ,�' � " 1'11 „1� 1 ' ' r 1-loscbih 16.60
1 1 ,1 1 ° 11) ' ! 4 1I`Ir l'i J l rI � ! . 11ry� (I � !��''1� `1 l llll jj�l l ' !I
11, 1,,,4,1 1Ji 7.j.j,i,..'.1* .t I �'L Il .4' . 111 1'I,1 l .7la,,a -.. ,�i ,I 1, l�...„....1., ,,,, .r. h li a ,' X1.11 ice mu ,. I 16.60
Business name: West Hills Development
interceptor /grease trap 16.60
Contact name: Miriam Wilson Medical gas (value; li ) Page 2
Address: 735 SW 158 Avenue Primer 16,60
City /Stale /ZIP: Beaverton, OR 97006 Roof drain (commercial) - 16.60
Phone: (503) 726 -7033 Fax:: (503) 641 -7661 Sink/basin/lavutory 16.60
Tub /shower /shower pen 16.60
E -mail mwilson @arburhomes.com Urinal 16,60
!ill i j r {Ij , 11 1 1 I,V 11 I ��1olrn y rinm I! 11h'l j ,4li j P I ,i I• {F, '�I,I� {' I 1 I. rfP
i.1111� ' ; i 110.I 11IIIl1!!v i1 Ij> : � I111114.I��Irl11(II��1t ` I f �1� tiil,1!ilIt1n i 1I .II�iljaj11111,111,11�l11.1!II,: I(jl!�Ih!6,ill! ll !11 Water closet 16,60
Business name: Trademark Landscapes Inc Water heater 16.60
Address: P.O. Box 2410 Other:
City /State /ZIP: Oregon City, OR 97006 I Subtotal
Minimum permit lee; $72.50
Phone: (503) 631 -3893 Fax: (503) 631 -4737 Residential had :flow minimumjcrmit fee; $36,25 34 i-�
CCB Lic.: 6796 Plumbing Lic. no.: 2383780 Plan review (25% of permit fcc)
Stale surcharge (12% of permit fee) L1 ' J 2
Authorized signaturk -. M..., :(�/�, /
TOTAL PERMIT PEE ii(), (
Print name: Miriam Wilson I Dale: 10/21 /08 This permit application expires if a permit is not obtained within
180 days after it has been accepted ns complete.
*Fee methodology set byTri- County Building Industry Service Board.
1\BuildinAPurn0tb \PLM.F -Pu nl;App,Qoc 12/27/06 440 -Iti r+T(I 0/1)2/C0M1 /w EB)