Permit CITY OF TIGARD
PLUMBING PERMIT
C OMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00219
T�G nti0 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/15/2008
PARCEL: 2S112CC
SITE ADDRESS: 15766 SW 81ST AVE ZONING: R -12
SUBDIVISION: GAGE FOREST LOT: 003 JURISDICTION: TIG
PROJECT: GAGE FOREST
Project Description: Irrigation backflow.
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
TIMBERLAND HOMES INC
12670 SW 68TH AVE Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/15/2008 $36.25
[TAX] 12% State Surch 5/15/2008 $4.35
•
Phone: 503- 620 -8860 Total $40.60
Contractor:
HERITAGE LANDSCAPE GARDENING
11709 SE WOOD AVENUE
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 - 317 -7152
FAX 503- 794 -8619
Reg #: PLM 6963
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: Permittee Signature: 797 /0N
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.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIV12008-00' 19
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2002
Phone: (503) 639 -4171 r∎ilia
Inspection Requests (24 Hrs.): (503) 639 -4175 s': °�
INSPECTION WORKSHEET FOR DATE: 8/14/2008 TIME: 7:00AM PAGE: ,
SITE ADDRESS: 157€s SW 131ST AVE CLASS OF WORK:
SUBDIVISION: GAGE FOREST LOT #: 00 TYPE OF USE:
PROJECT NAME: GAGE FOREST
DESCRIPTION: irription backflow.
OWNER: TIMBERLAND HOMES INC, PHONE #: 503.620.81360
CONTRACTOR: HERITAGE LANDSCAPE GARDENING PHONE #: 503..317 - 7152
Inspection Request Scheduled For: Date 8!14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 074200 -02 503- 737 -8888 N
Corrections/Comments/Instructions:
P
Ca it t e c - L --- L ( 9„)
5k PASS ❑ PARTIAL APPROVAL ` CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cp\-- vkA..ri I l +� Date: T-1 LI `.O? Phone #: (503) 718-