Permit -` v CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00156
TIGARD'; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/15/2008
PARCEL: 2 S 114 BA - 15700
SITE ADDRESS: 16175 SW COPPER CREEK DR ZONING: R -
SUBDIVISION: COPPER CREEK STAGE 4 LOT: 122 JURISDICTION: TIG
PROJECT: LEONHARDT
Project Description: Replacing backflow preventer
CLASS OF WORK: ALT 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
FRED & CHR LEONHARDT Description Date Amount
16175 SW COPPER CREEK DR
TIGARD, OR 97224 [PLUMB] Permit Fee 4/15/2008 $36.25
[TAX] 12% State Surch 4/15/2008 $4.35
Phone : 503- 624 -2071 Total $40.60
Contractor:
PROGRASS LANDSCAPE SERVICES
29895 SW KINSMAN RD
WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 682 -6076
FAX 503- 682 -4975
Reg #: LIC 8079
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.
Permittee Signature:
�(
Issued B ` ,� �� � -�.— g �P � G� / >�
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.
Plumbing Permit A plication
"s gi ; t'4f,,, i: ,.1tTi g4 , $r'?Ir`- 7 ,-,.0 .'"nil." i5 3 �° 'ti r y R>+s.. -, 1 -r _
1 ` 1: '() Ri 1 1 ( F:;.
t► \r ' ; ) a 1
Building Fixtures t . . � i , . ' CS .4.- � .. _ . , ,• ... r.
III City o f Ti ; R e d �A C)8 Permit � ( . ��
g B
13 125 SW Hall Blvd., Tigard, O' 9 23 pl Review
Phone: 503,639.417I Fax: 503.598.19 Q$
Date/By: Other Permit No.: ._
��R 15 20 y.
�-
r 47! #,, ,, Inspection Line: 503.639.4175 Date Ready /By: lur 0 See Page 2 for
C f • hlin
Ate ,rx� . Internet: www.tigard or gov [ � V Nora &cdiMcthod pptomentallnrormatloo
7 Y t ti yp. y*c 'rt .1' .;i.;w' =..!' .a cr tt!: 1.. a a . t y ,. . re -.. r !. 1 , .,.. , 1 1f w,. , &,Fi!?.. ., x,. - ;tl ¢ ' .. . ,[g7i
:;� ` 1i:fr W f! .. �'r;x�� Y ,t.4 ' , . � 0I X47 r N?J, rt ,0x,: � V'. 'I. i �'' ` ' � . 75 � . of f 1 �4 t i k1
P.; '� r'.,tN,«:i .* i,,:: : ��5:/::128Lbe.1K:I§P.IL:%4.i.I !17.7.tat6;*,: * , .....4 ..gr :v1• � 14- S:'?.: 's 3if4 41,4..,-,,,,,,A,,,-`,-- , - - ; } I .. w . , ;.1.. - 4,r - - S.... L9.�si� : - :
, - `, +R,r! i ..,a:,l�,.a.3iz~
"`� s- , k ? .. For spec in ormat use checklisx
❑ New construction �!! fi oltfion
Description WOE Ea. Total
14 ,.. dition/alteration/replaccmcnt ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
vt :a1 / a w < < t r R n i 6 't' 6 G \ 7 2> -iel t t ?+7a f ^" aa�o ob r .r c h1 K 3, ryyA�-�f Y f '' �. t o ,'J E, IIII
�}1 '-r ll '043 1 ``II� 4 f 1 � 4 t . t'�S f ,.;%zi S ...f ail..l�fitli^!��� t ;:t.�.1 5 iu�p A.' 4. S (1) bath _.. ii 24920
FA_ and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 WWI
- Each additional bath/kitchen II 45.00
❑ Master builder ❑ Other
,e / � .� rx ic ' I b f t -, r � t v ?.0 e'C', '� `i?*11,fdf • Lt :F'r r `lh�. ..1 I"lit} k ,�3v. Fire Sp1'Ln1C1Cf ( SQ. ft.) Page 2
r , ' r�N r td W' r x ,, y �! I , .t x .� a is i r Y i: 4 .,1.:7,.. ..U.,;fff H Carr SiY11.4..ul }: Site utilities
, rn.t; � y,... 4. .a f �... +L rr..,.,. :3 : ..R . kel,.�.rl lr.4a l�p::it � i
, ea
Job site address: 0 % - r looLL i E.. } ''- Catch basin or area draitl 16.60
City /State /ZIP: tq e. if-d, .� • Drywell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name: Footing drain (no. linear ft,: ___ Page 2
Manufactured home utilities 110.00
Cross street/directions to job site Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: _) _12:121�
Subdivision: W Lot no.: Water service (no. linear ft.: _) MIME
~- Fixture or item
Tax map /parcel no
> .r 2 f �, ,4}9 FW x �� � 1 k,�t n ti y 5� ,,,„..., ,c . ,; Absorption valve 1 16.60
I 1 3 r ' yF i � k i 'iPr . ,_�trl'� �.d .: 'ii °PI.,.:.:.4,S u� , 1t2 %a� J�...rf.�_ Baeekflow pr'eVenter P 2
,.. ,. ,:�su t ......CI' ,: , . t C ;;i d „?( ... � �_a.,
+ ` P J r7 O. ` Backwater valve
Clothes washer 16. i
Dishwasher 16.60
y p , Y n t a vt Drinlong fountain
., , 16.60
{ ) � +� t J 1 l ?1 L I r'x t S S
! �s.,, i �` x��., �> �� i�?�, Ir�e�. e��Y�> it: x�a, �r'..,. r, i ,._:.�.Jy:: ;�'�F�,.,�.�rt ]Jjeo[ois /sump
. � 16.60
Name: ,5 .4 ) i_4 1 i\a/\..AL Expansion tank 16.60
Address: / / J & I - 7 5 �. -tO ' i'Jp. Zr Q.�( e YV .Fixtu_re/sewercap 16.60
Ciry /State /ZIP: l (Ian 4 9 --'D ( 4 Floor drain /floor sinlc'hub 16.60
l Garbage disposal _ 16:60
Phone: (,. Fax ( )
/
. . x ' ' z f t r 44 �' .7 1•Iwc bib 16.64
a � 4 t x . r C i�fi rl uldv lnA • 1:,1: , ['' 1:.,".1'...,',", N x,: G � ' t " - aw� � 44:; .1...
• i.: 4 .,. set .,,. r a m a , .s ..t.,.,.a Ice maker 16.60
Business name: ct__c C Interceptor/grease trap 16.60
Contact name: Pt ` .I Medical gas (value: 5 ) Page 2
Address: ^' gi, (,(,) P ( y 1 1 Primer 16.60
City/State/ZIP: w j r- y'11_J ` t. 0 • . b Ruof drain (commercial) 16.60
f Sink /hasinllavatory .111111 16.60
Phone:
( ) i `$ .-D, 0" 4 2.d Fax:: (. -) „ •'a - L.4 -q-( ( 3 -
Tub /shower /shower pan _ 16.60
E-mail: v- A lAoi b Gt-tQ D + Cb"- Urinal _. 16.60
4u 11. ? S
#.. Z . ,r, hrS r C "y r .r 1 f t 12 7 r ; :ci �. e '1 Y a . ; ,4 ;V444:: Water closet _ 16.64
�rl
Business name: Water heater 16.60 all
Address: Y 1 ` . Other:
~ - Subtotal
City /Sralc/ZIP.
Minimum permit fee: 572.50 , ` q-�
• Phone: ( ..) Fax: ( ) Residential backflow minimum permit f ee: 5 L. i ' . o>
CCB Lic.: , o' . Plumbing ic. no.: Plan review (25% of permit fee �
/ON State surcharge (12% of penult fee) 1 J, 35
Authorized signature: ,. l ; �� 0 1
r TOTAL PERMhh FEE DEMO & 0
Print name: 1 A. .. r + • Date: `� 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 Scrviec Board.
I:'BuiIdi 0,Pcamile`FLMF- P4xmi4App.doc 12/27/06 440.16167(10,02 /COM.WEB)
Z0 /Z0 3 OVd 'ONI `SStiZlOOdd 5L617Z89E05 8t :bI 8002/gt/120
•
INSPECTOR'S SIGNATURES ARE NOS'. ,
Inspections Required for: ck REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By I ✓ Code I Inspection Description I 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
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:
998 Alarm final 320 Plumbing.rough -in
999 Sprinkler final 322 Shower pan
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 7( 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