Permit •
CI TY OF TIGARD PLUMBING PERMIT
, DEVELOPMENT SERVICES PERMIT #: PLM2006 -00338
'�� : DATE ISSUED: 7/10/2006
"--� 13125 SW Hail Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S103BD -11200
SITE ADDRESS: 11740 SW ERROL ST ZONING: R -4.5
SUBDIVISION: CAPPOEN ESTATES LOT: 003 JURISDICTION: TIG
Project Description: Backflow preventer for 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
FOUR D CONSTRUCTION CO
PO BOX 1577 Description Date Amount
BEAVERTON, OR 97075 [TAX] 8% State Surcha 7/10/2006 $2.90
[PLUMB] Permit Fee 7/10/2006 $36.25
Phone : 503 -590 -0805 Total $39.15
Contractor:
CROWN LANDSCAPE INC
STEPHEN HARMS
PO BOX 883 REQUIRED ITEMS AND REPORTS
WILSONVILLE, OR 97070
Contact # : PRI 682 -1100
Reg #: LIC 6181 EXPIRE
t/4/6.
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes arid 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.
i
Issued By: ` ■ ` /._ ! /J, / r Permittee Signature: # / / J / •
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.
•
Inspections Required for: PLM2006 -00338
✓ 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 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 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 X 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading'fmal 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Inspection Cards \Forms\AOP - InspCard- Blank.doc 12/09/2005
C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00338
DATE ISSUED: 7/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103BD - 11200
SITE ADDRESS: 11740 SW ERROL ST ZONING: R - 4.5
SUBDIVISION: CAPPOEN ESTATES LOT: 003 JURISDICTION: TIG
Project Description: Backflow preventer for 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
FOUR D CONSTRUCTION CO
PO BOX 1577 Description Date Amount
BEAVERTON, OR 97075 [TAX] 8% State Surcha 7/10/2006 $2.90
[PLUMB] Permit Fee 7/10/2006 $36.25
Phone : 503 -590 -0805 Total $39.15
Contractor:
CROWN LANDSCAPE INC
STEPHEN HARMS
PO BOX 883 REQUIRED ITEMS AND REPORTS
WILSONVILLE, OR 97070
Contact # : PRI 682-1100
Reg #: LIC 6181
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: ,/ r Permittee Signature: _ern_ZAald_r_a&
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.
Building Fixtures RECEIVED
Plumbing Permit Application FOR OFFICE USE ONLY
JUL 1 0 2006 Receive
�� City of Tig ard Daze /By /i0 lOh ,2je Permit No. J IO(�� 0 e ) . 3 35 / 13125 SW Hall Blvd., Tigard, OR 811213 OF TIGARD G / �� ���yy �/
Phone: 503.639.4171 Fax: S DIVISION Date
/By. a 0lf��f i �'tNdr��� �0�0d
TIGARD Inspection Line: 503.639 Date Ready/By: Juris. ® See Page 2 for
Internet: www.tigard or.gov Noti fied/Method Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 Total
❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 R. 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 El Multi-family SFR (3) bath 399.00
El Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 1/ 7 ( t &x4c,L ST Catch basin or area drain 16.60
City /State /ZIP: 776./2-0 / o 0 2 - Drywell, leach line, or trench drain 16.60
SuiteNs4apt. i�7 ' 3 I Project name: !• ,0z9� A( s Footing drain (no. linear ft.: ) Page 2
Cross street /directions to job site:
Manufactured home utilities 110.00
Manholes 16.60
-
L✓A2.v'F r 1 //6 / e.oitriri Rain drain connector 16.60
7 me. sr: Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.:
Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK
Back flow preventer Page 2
aitLK / c L Det/ Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
PROPERTY OWNER ( Drinking fountain 16.60
❑ TE NANT
Ejectors/sump 16.60
Name: . _ D C 57. e Expansion tank 16.60
Address: "
P• O /Q /.S'7 7 Fixture /sewer cap 16.60
City /State /ZIP: .1 pl / O 9 7075" Floor drain/floor sink/hub 16.60
-
Phone: (5273 :5 t ^ 178-0 Fax: ( ) Garbage disposal 16.60
APPLICANT F CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Difv/, 4 /35 Medical gas (value: $ ) Page 2
Address: '6 4fiM Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
G�� Sink/basin/lavatory 16.60
Phone: (/� 3, 72 DO / Z- Fax: : ( )
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: 5 /» - Q,,� - Water heater 16.60
Address: � Other:
City /State /ZIP: Subtotal
Minimum permit fee: $72.50
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized signatur-. ,/
State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Print name: a . L _ ,, w , Date: 4 0 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.
I:\ Building \Permits\PLMF- PennitApp.doc 04/06/06 440- 4616T(l0 /02/COM/WEB)
CITY OF TIGA R D (,``c 'c�`,A,..,
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 � n , W�Wit
Inspection Requests (24 Hrs.): (503) 639 4175 __:.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
I
1 -t - o SITE ADDRESS: f ,,. , S !/� Af/AA4.--e sse c CLASS OF WORK: 1
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
I
„ OWNER: PHONE #:
ONTRACTOR� 5 L_, j ‘A se t 5 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
c
.- 3q 54_0(4-, Corrections /Comments/ Instructions:
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❑ PASS PARTIAL APPROVAL n CANCEL �� I NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VLIt
Date: Phone #: (503) 718-