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Permit CITY OF TIGARD , r, PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00176 TIGA1tDs 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/1/2007 PARCEL: 25111 DC -12800 SITE ADDRESS: 15955 SW OAK MEADOW LN ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.11 LOT: 624 JURISDICTION: TIG PROJECT: WILSON Project Description: Installing back flow device on irrigation system CLASS OF WORK: OTR 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 WILSON RUTH ANN 15955 SW OAK MEADOW LN Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 5/1/2007 $36.25 [TAX] 8% State Surcha 5/1/2007 $2.90 Phone : Total $39.15 Contractor: CHRISTIAN PLUMBING INC DBA CROWN PLUMBING 5429 SE FRANCIS REQUIRED ITEMS AND REPORTS PORTLAND, OR 97206 Contact # : PRI 771 -9449 F I Ck AX 503- 771 -9454 F ` Reg #: LTC 42671 I. , z.i © LI ad ` "' � _ � 4 ' PLM 34 -70pb VI 6 4,6 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 _ /, / / e /. j ( / B Permittee Signature: Tet, / v / t . j ai 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. 14 - n - CITY OF TIGARD PLUMBING PERMIT DATE ISSUED: 5/1/2007 T[G D COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00176 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 -" ; -° " PARCEL: 25111 DC - 12800 SITE ADDRESS: 15955 SW OAK MEADOW LN ZONING: R - 7 SUBDIVISION: SUMMERFIELD NO.11 LOT: 624 JURISDICTION: TIG PROJECT: WILSON Project Description: Installing back flow device on irrigation system CLASS OF WORK: OTR 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 WILSON RUTH ANN 15955 SW OAK MEADOW LN Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 5/1/2007 $36.25 [TAX] 8% State Surcha 5/1/2007 $2.90 Phone : Total $39.15 Contractor: CHRISTIAN PLUMBING INC DBA CROWN PLUMBING 5429 SE FRANCIS REQUIRED ITEMS AND REPORTS PORTLAND, OR 97206 Contact # : PRI 771 -9449 FAX 503- 771 -9454 Reg #: LIC 42671 PLM 34 -70pb 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 B • / , / Permittee Signature: /1,4r/24-i011 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. 111111,007 09:34 5037719454 CROWN PLUMBING PAGE 02/02 'lut tz Permit Applica,; ',r CEVFD l"Ol (11.1.11(' 1 I iSE ONH . , ' City of Tigard a.eivcd ,, pare. • 13125 SW Half Blvd.. Tigard, OR 9 �j3p 3 / UU / _ Plan Review N . , I 1. err iI No. a }. w i � _ i f Phone: 503.639.4171 Fax: 503 .5 1 c 0 Plan :� _� Dmr/gy inspection Line: 503.639.4175 Tr ?her Permit Nn.: r _ '1'I c.i n t: I) Internet www.dgard- nr,gov CITY OF , iGARD 1 untc Ready /By: lure,: El See Pete 2 for TY Err OU C ()IVIS�� otificd/Mcthod: Supplemental information PE OF W vu' r K - l ' ', • IEEE* SCHLDUL11 Nov construction ❑ Demolition. For special information use checklist Description Qty. Ira I Total ro . Addition /alteration/replacement ❑Other: New 1- 2- family dwelling (includes 100 ft for each utility connection) ' CAT OT CONSTR00111 YN i I - SFR (1) bath 1 ® I- and 2- family dwelling Q Commercial /industrial SFR (2) bath 350,00 LI Accessory building 0 Multi- famil SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ['Other: ( sq. ) Page 2 •! sr P rc sprinkler a . ft, rS.18 $TIC ENFOR1VMATId ' AND I;OCATION y:;, - ,.., ;' ...1i;�',,;Gi�!I .. , Site utll Joh site address: 15955 SW OAKMEADOW Wild' L.k) Catch basin nr ama drain 1 6.60 City /State /7TP: TIGARD, OR 97224 Drywcll, leach line. or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear R.: ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: Manholes _ 16.60 Ram drain connector 16.60 Sanitary sewer (no. linear ft.: _ ) Page 2 Storm sower (no. linear ft.: ) Pagc 2 Subdivision: T.at no.: Water service (no. linear it i ) Page 2_ Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK: . . 1 i.:.:: i :'i,: !..; .' „ •m: ' Backflow preventer I Pagc 2 INSTALL .BACK FLOW DEVICE ON IRRIGATION SYSTEM Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking )P fountain `,: ; �':: �. R OtE11tb' 'OWNER 'OWNER �] l 6.60 ' ' "TL"'iN'I': AN . • ,.. I:,,;:I Ejectors /sump _ 1660 • Nam c: RUTH ANN WILSON Expansion tank 16.60 Address: 15955 SW OAKMEADOW WAY Fixture/sewer cap 16,60 City /State/7..TP: TIGARD, OR 97224 Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 >•. ..... sc aPptI��tNT`icYf°>tAi'h` »yER5�3 bib 16.60 ,, '''' Ice maker 16.60 Business name: CHRISTIAN PLUMBING, INC. DBA CROWN PLUMBING Interceptor /grease trap 16.60 Contact name: DENNIS UNDERWOOD Medical gag (value: $ ) Pagc 2 Address: 5429 SE FRANCIS STREET Primer 16,60 City /State/ZIP: PORTLAND, OR 97206 - Roof drain (commercial) 16.60 Phone; (503) 77 -9449 Fax :: (503) 771 -9454 Sink /basin /lavatory 16.60 Tub/showcr/showcr pan 16.60 E - m a i l : Urinal 16.60 CONTRACTOR „„ c "' �i: >::: %: ` ` Witter angst I 6,60 Business name: CHRISTIAN .PLUMBING, IN DBA CROWN PLUMBING Water heater 16.60 Address: 5429 SE FRANCIS STREET Other; City/State /ZIP: PORTLAND, OR 97206 Subtotal • Minimum permit fee: $72.50 36.25 Phone: (503) 771 -9449 Fax: (503) 771 -9454 Residential backflow minimum permit fee: $36.25 CCB Lic.: 42671 Plumbing Lie, - 70PB Plan review (25% of permit fee) State surcharge (8% of permit fee) 2.90 Authorized signature: �/ / TOTAL PERMIT FI F 39.15 Print name: DENNIS UND E Date: 04 / 30 /Z o e T This permit application expires if a permit is not obtnlned within ISO days after it has been accepted as complete. "Fee methodology set by Tri- County Building Industry Service Board, 1 3uildinePer ,nitA1P1,.M- POrmicAon.doc 06!26/06 '14O.46to'rtlo /n3,VOM,WE11 . INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: PLM 2001 — Mil t REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description _ PASS Date By ✓ Code Inspection Description PASS Date I 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 1 230 Underfloor insulation • 195 Misc. inspection: _ 235 Shear walls /anchors 199 Electrical final • 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit i 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 ! in 615 Mechanical rough-in I 287 Suspended ceiling g - 295 Misc. inspection: 620 Hydronic piping 1 899 MFG Stricture final 625 Duct work ___I 498 Grading final • 630 Fire damper _ - - - 1 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood _ 695 Misc. inspection: i 699 Mechanical final _ BUP - Fire Protection System Permit i 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab r 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 322 Shower pan 999 Sprinkler. final 330 Water service 335 Rain drain 340 Storm drain _ SIT 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 X 399 Plumbing final _, 210 Foundation walls • 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer I _ 498 Grading final _ 595 Misc. inspection: 499 Final inspection • 599 Final inspection I: \Building \Forms \IncpCard- AOP- Blank.doc 02/02/07 z CITY OF TIGARD L � BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ll 1put i I� Inspection Requests (24 Hrs.): (503) 639 -4175 O I I., INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: LA S 1-to S sSe C CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: - -OWN.ER, PHONE #: &NTRACT0119 NS 4. 44. A . A ....e S V , LC S PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message ... 3q (Ct-Clte■ ' ci 6■■.‘) 0-ed1/4h 't--A. Corrections /Comments /Instructions: 1 , c 1 01 Ct `f' - f' 2.. L Pl Za o — oc) { o " •s c 'c -vin - 'TQ-s "1 cl. -! 14 6 (6,5 CI L( ,. C ELM Za 0 4- o 6 S i a) i.J Cli.LIA ii,..4 L-vvs -- 1 \ .__ — 11( -1 1 4 5 . t,1/4.iev, leyvz.r P.t... VS C P 1,t1 - 2.-c) er)- 660cs.5 ) (a 1 - 2 < L ( Cvra.Q.B2 Dr L P l.� - a - ao L'? S — i id- \& C. P 1, 2.6`7 - 0 0-01,3) -ro_c"' A--e---. - ________,,r,72..„(A.,..A-- c_i„,. .._ ■ 0 6C57, r; +- -G.,„ lit • C PAM e- 6d L 4 A a k - ' r e s A---:e__ S- I. 4 G 4 p. o . i 2 LtJ (_ P I,l‘t - z o U d I") (p) S \ Jl Lii%1,..• — - r — .I 1 1 4 0 ev r o I 64--. L0- n PASS PARTIAL APPROVAL n CANCEL TJ�S NO ACCESS n FAIL I I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-