Permit ,;4r CITY OF TIGARD ..
PLUMBING PERMIT
.. ' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00135
. . , , „ . DATE ISSUED: 4/9/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DC - 04200
SITE ADDRESS: 09224 SW HILL VIEW ST ZONING: R -4.5
SUBDIVISION: MCDONALD WOODS LOT: 015 JURISDICTION: TIG
PROJECT: MCDONALD WOODS
Project Description: Install residential backflow preventor for irrigation.
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
WESTVIEW CONSTRUCTION Description Date Amount
PO BOX 230935
TIGARD, OR 97281 [PLUMB] Permit Fee 4/9/2007 $36.25
[TAX] 8% State Surcha 4/9/2007 $2.90
Phone : Total $39.15
Contractor:
TRUSCAPES INC
21600 NW ANBERWOOD DR.
HILLSBORO, OR 97124 R
. EQUIRED ITEMS AND REPORTS
_ ..
NI
Contact # : PRI 503 969 2144lU IR+ O
FAX 503 -531 -9216 r/
Reg #: LIC PLUS BACKFL 4/ Lk/6 L - li j `�p
PLM 7962 r %
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 Notifi e Center. Those rules are set forth in OAR 952 -0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these es or direct uestiennp 0 . C by calling 503.246.6699 or 1.800.332.2344.
'
sued By: $ g � Permittee Signature:
Call 503.639.4175 by 700 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.
CITY TIGARD PLUMBING PERMIT
• 'l ° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00135
DATE ISSUED: 4/9/2007
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
:p�'"� " - g PARCEL: 2S102DC - 04200
SITE ADDRESS: 09224 SW HILL VIEW ST ZONING: R - 4.5
SUBDIVISION: MCDONALD WOODS LOT: 015 JURISDICTION: TIG
PROJECT: MCDONALD WOODS
Project Description: Install residential backflow preventor for irrigation.
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
WESTVIEW CONSTRUCTION
PO BOX 230935 Description Date Amount
TIGARD, OR 97281 [PLUMB] Permit Fee 4/9/2007 $36.25
[TAX] 8% State Surcha 4/9/2007 $2.90
Phone : Total $39.15
Contractor:
TRUSCAPES INC
21600 NW ANBERWOOD DR.
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 969 -2144
FAX 503 - 531 -9216
Reg #: LIC PLUS BACKFL
PLM 7962
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 Notif - '- Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these es or direct • esti. OU ► C by calling 503.246.6699 or 1.800.332.2344.
I / .sued By: L / Permittee Signature y
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: ,t{9 )7 - A) f'J REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By ✓ Code 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 healing 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 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
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 305 Plumbing underslab
•
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 - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank •
•
415 Grading 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
CITY OF TIGARD us-c -ems ? 5
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 a ivjPlih Y
Inspection Requests (24 Hrs.): (503) 639 -4175 '' I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: US S4-$ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
S NTRACTO ` : v-•�/ 3 4 \A.1/ , ILA,, S e ,, I^ �/� ION E #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /Instructions:
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n PASS PARTIIAL APPROVAL n CANCEL s NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Vt; Date: Phone #: (503) 718-
Plumbing Permit Application ; v l OR ONI ;� -
' " City Of TI an Q 11114 Ty d Received g DateBy �/'/r 7 /�/ J Permit No.: C � , 5.5"--- 4 13125 SW Hall Blvd., Tigard, OR 97223
®� Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.:
Inspection Line: 503.639.4175 Date Ready /By: ® See Page 2 for
,. Internet: www.tigard - or.gov Notified/Method: / t p2' Supplemental Information
TYPE OF WORK FEE* SCHEDULE
. (New construction ❑ Demolition For special information use check list
Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 249.20
1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: q 2,24 J w t L,
41 ..V 1111,) Catch basin or area drain 16.60
City /State /ZIP: 7\(,f\ OF 6 11 2 , 3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: _) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
X " ti 2 Aid' Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: M f 0 Oti /,6 W 00 OS 1 Lot no.: i s Water service (no. linear ft.: _) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer / Page 2
Backwater valve 16.60
1 NS gkut{l A;J 0 � i ( t Clothes washer 16.60
t Dishwasher 16.60
IK PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: W ESN iE W CAMS NS Nut) C10 N Expansion tank 16.60
Address: 7 - r - ` 4 05 1 Y "5 Fixture /sewer cap 16.60
City /State /ZIP: -r l a , - /L't e, , 972-8'/ Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
APPLICANT ❑ CONTACT PERSON Hose bib 16.60
� Ice maker 16.60
Business name: . Mu S C 11' ES Interceptor /grease trap 16.60
Contact name: - 11. - 140 p c o .,4 c n Medical gas (value: $ ) Page 2
2,0
Address: 0 0 A4 W 4 M p c 0 0 0 A Primer 16.60
City /State /ZIP: pi LA,S • QU, of- 0 17 , 2,Y Roof drain (commercial) 16.60
L p rn7 qta, Sink/basin/lavatory 16.60
Phone: (St) �) ,G 1 - 2,1 y Fax:: () V J , r J 3 i - /
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: 'TWA So e FS Water heater 16.60
Address: Other:
City /State /ZIP: Subtotal
Minimum permit fee: $72.50 3 / n ' ,�
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 tf'
CCB Lic.: ut ti 'II O ' Plumbing Lic. no.:
Plan review (25% of permit fee)
State surcharge (8% of permit fee) ,. 90
Authorized signature: ` TOTAL PERMIT FEE �, /5
Print name: 7 D t � y \- Date: 4 .1-- - q_ 0 7 This permit application expires if a permit is not obtained within
�" t 180 days after it has been accepted as complete.