Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00417
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/14/2007
. PARCEL: 2S102CB -03400
SITE ADDRESS: 09800 SW FREWING ST BUILDING ZONING: R -12
SUBDIVISION: CHARLOTTENHOF APARTMENTS LOT: 009 JURISDICTION: TIG
PROJECT: CYPRESS CREST APARTMENTS
Project Description: Installation of backflow prevention device of irrigation system in common area.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R1 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
FINKE, ALEX AND LOTTE I
PO BOX 23562 Description Date Amount
PORTLAND, OR 97223 [PLUMB] Permit Fee 9/14/2007 $72.50
[TAX] 8% State Surcha 9/14/2007 $5.80
Phone : Total $78.30
O
Contractor:
BIZON LANDSCAPE MAINTENCANCE C Q
25935 SW GRAHAM FERRY RD O
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
Contact # : PRI 682 -2424
Reg #: LIC 6131
VL70 r 44 5 •
•
•
EXPIRED
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 b Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may o c..ies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued :y: AL Permittee Signature:
r
t
l
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. t
This permit card shall be kept in a conspicuous place on the job site un 1 co pleti n of the project.
Approved plans are required on the job site at the time of ach in tion.
• .f :: ; CITY OF T I G A PLUMBING PERMIT
• iii
' COM MUNITY DEVELOPMENT PERMIT #: PLM2007 00417
TIGAKD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/14/2007
. PARCEL: 2S102CB -03400
SITE ADDRESS: 09800 SW FREWING ST BUILDING ZONING: R - 12
SUBDIVISION: CHARLOTTENHOF APARTMENTS LOT: 009 JURISDICTION: TIG
PROJECT: CYPRESS CREST APARTMENTS
Project Description: Installation of backflow prevention device of irrigation system in common area.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R1 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
FINKE, ALEX AND LOTTE I
PO BOX 23562 Description Date Amount
PORTLAND, OR 97223 [PLUMB] Permit Fee 9/14/2007 $72.50
[TAX] 8% State Surcha 9/14/2007 $5.80
Phone : Total $78.30
Contractor:
BIZON LANDSCAPE MAINTENCANCE C
25935 SW GRAHAM FERRY RD
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
Contact # : PRI 682 -2424
Reg #: LIC 6131
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 b .- Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may o% - • lies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued y: Permittee Signature; • r
I
Call 503.639.4175 by 7:00 a.m. for an inspection that bus ness day.
This permit card shall be kept in a conspicuous place on the job site un I co pieti .n of the project.
Approved plans are required on the job site at the time of ach in • - tion.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: Li /„9-DD7. ,007 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By F✓ . Code Inspection Descii,ption PASS Date B
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 dram 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 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
910 Sprinkler rough -in PLM - Plumbing Permit
•
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 Ram 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 C399 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
Plumbing Permit Application FOR: 1•1CL , -n \
City of Tigard Date /By: 9 /y 07 Permit No `4 / 7 -� y/ 7
q 13125 SW Hall Blvd., Tigard, OR 97223
r C '. Ph one: 503 Fax: 503.598.1960 Plan Review Other Permit No.:
Date /By:
Q Inspection Line: 503.639.4175
T I G A ` R D:; Date Ready/By: Ju 0 See Page 2 for
-., ,. -, - Internet: www.tigard - or.gov Notified/Method: / Q Supplemental Information
' TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use check list
Description I Qt I Ea. I Total
Z Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
El 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: 9800 SW Frewing St. Catch basin or area drain 16.60
City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: 1 Project name: Cypress Crest Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SW Ash Ave.
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear 0.: _) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: _ ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK' • Backflow preventer I Page 2 ye0, (10
Installing a backflow for a irrigation system Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
. ❑ PROPERTY OWNER .. ' I ❑ TENANT '
� Ejectors /sump 16.60
/�. /
Name: .J /k s-- Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain /floor sink/hub 16.60
( )
Phone: ( ) Fax: Garbage disposal 16.60
El APPLICANT ❑ CONTACT PERSON • Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: ( ) I Fax::( )
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
• CONTRACTOR Water closet 16.60
Business name: Bizon Landscape Maintenance Company Water heater 16.60
Address: 25935 SW Grahams Ferry Rd. Other:
Subtotal
City /State /ZIP: Sherwood, OR 97140 Minimum permit fee: $72.50
Phone: (503) 682 -2424 12 OQ Fax: (50 9 Residential backflow minimum permit fee: $36.25 72.50
CCB Lic.: LCB # 6131 1 l 7� uu / Plu , t •. no.: 12554 Plan review (25% of permit fee)
` 1' State surcharge (8% of permit fee) 5.80
Authorized signature: 1 Q
TOTAL PERMIT FEE 78.30
Print name: James Zandec Date: 09/14/07 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
CITY OF TIGARD L' s (leitoet,...)...c
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 T tNnj�l
Inspection Requests (24 Hrs.): (503) 639 -4175 F-__..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: L,I11i A j - esS-'e S CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: f ��1 - �
uj .i.t S W/ 0 Ls \SQL �� l..4 PHONE #:
O I RACTOR. s L , f b k PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
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❑ n P RTIAL APPR VA CANCEL I rIVO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-