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Permit IN CITY OF TIGARD x' ' PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00129 ii4 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2007 PARCEL: 2S114BA - 15700 SITE ADDRESS: 16175 SW COPPER CREEK DR ZONING: R - SUBDIVISION: COPPER CREEK STAGE 4 LOT: 122 JURISDICTION: TIG PROJECT: LEONHARDT Project Description: Repair backflow preventer 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 CHRISTY & F LEONHARDT 16175 SW COPPER CREEK DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 4/2/2007 $36.25 [TAX] 8% State Surchart 4/2/2007 $2.90 Phone : Total $39.15 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS o . l Contact # : PRI 503- 682 -6076 0 FAX 503- 682 -2872 • eCI Reg #: LIC 8079 � N �� '14) lc 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 OUNCbycalling`5 3.246.6699 or 1.800.332.2344. / ,-- r) ,,,,...,_. • Iss(ed B ,)(1.(,_ i Permittee Si nature: Y /' ,L . �_ _ J 7 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. .,_ CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00129 DATE ISSUED: 4/2/2007 T1GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 114BA -15700 SITE ADDRESS: 16175 SW COPPER CREEK DR ZONING: R -7 SUBDIVISION: COPPER CREEK STAGE 4 LOT: 122 JURISDICTION: TIG PROJECT: LEONHARDT Project Description: Repair backflow preventer 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 CHRISTY & F LEONHARDT 16175 SW COPPER CREEK DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 4/2/2007 $36.25 [TAX] 8% State Surcharl 4/2/2007 $2.90 Phone : Total $39.15 Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 682 -6076 FAX 503- 682 -2872 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 ca ling 3.246.6699 or 1.800.332.2344. Iss ed By: , AG-CA/M)-4Z--? Permittee Signat re: _,� 11 trim 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. r 30 2007 8:03 ProGrass Inc 5036824975 p.2 Iiii i• • • ( 1 ) 1 1 ( 4 n 1 1 4(1 X Plumbing Permit Application FOR ur•t t •: LSE ONLY City of Tigard L0ob 0 i n V1/4 Received QQ Permit No.: v 1 3125 SW Hall Bivd., Tigard OR 97223 Date /B�: / 07 .., qV j''(10/�' p • f : I C Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit No.: Inspection Line: 503.639.4175 ;t r! Y B 7 1 i; A I. D H { -fir " ° t ` . . adyBy: Tuns: H See Page 2 for Internet: www.tigard- or.gov ( ' etltod: Supplemental Information 4. t 1 �.� 'T•' d 7 ❑ Demolition JP ❑ Ne construction For edaf in ormadon use checklist Description 1 Qty. 1 Ea. 1 Total Addition/alteration/replacement 0 Other: New 1- 2-family dwellings gs (includes 100 ft. for each utility correction n .. t t er ry .: ;,...' a ,.+• i ' SFR 1 bath 249.20 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 ❑ Crther �, T F Fire sprinkle ( sq. ft.) Page 2 " ;�iN' If O TfON ; _ (or W ...... .�..... !'? .:� Site utilities Job site address ` S() (, rr " °/►''r _ I\' Catch basin or area drain 16.60 City/state /ZIP: ({ ae a • r Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: y Project name: f � I Footing drain (no. linear fl.: ) Page 2 Manufactured home utilities 110.00 Cross streev'directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.:) Page 2 Storm sewer (no. linear ft.:) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no r,.� Absorption valve 16.60 ..._. , 4;(_., '::: 1',r ' $ I • .. : ... Backflow preventer ' Page 2 . 3 (A,t\--- Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 - Drinking fountain 16.60 <.t. t, I •,.,, '' 4` t ' ' 7 tai. k t : r'NA14�. t0 _ •• '•: ..: < Ejec rsisump 16.60 Name: Expansion tank 16.60 Address: _ Fixtute/stiwer cap 16.60 City/State /ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 t x n t , a'dx( :. .. Hose bib 16.60 3 r..... 11YF`PI'- ..'/ try tal umt - ACT r uttei IN cr Ice maker 16.60 Business name: I La i 'g •j Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 1 6.60 City /State/ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) J Fax:: ( ) Tub /shower /shower pan 16.60 E-mail: Urinal 16.60 r , '- 1 ' t t - fly I .."'` : :_::::: -1 rl N., - -.... 1 ... ..irv.t. ......_. ,... . .._. 4'+' - "r ' *•.",._. .. : Water closet 16.60 Business name: 1-t) -TSS Water heater 16.60 Address: p q $c S' 5 rl-� Red Other: City/State /ZIP: L) \ C5 1 1 4 D 4 7(5-2 O Subtotal Minimum permit fee: $72.50 Phone: (1 4 or • 4.. - .- Fax: ( � / Residential back flow minimum permit fee: $36:25 CCB Lic.: (9$ Lheif J07 9 PI ; / / U'7 Plan review (25% of permit fee) State surcharge OM of permit fee) Authorized sig : : �. ,r L A A� TOTAL PERMIT FEE Print name: i r j r k 1 _. Date: .. liis 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 1:\ Building \Pcrmits'PLM- PamitApp.d °c 06/26/06 440 -4616T( t 0/02/COMAVER) f INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: 44f2emecii$,9 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 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 j 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 345 Culvert/catch basin 405 Excavation 350 Septic tank 410 Fill 415 Grading 395 Misc. inspection: 205 Footing >e"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 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: otti Phone: (503) 639- 4171�� Inspection Requests (24 Hrs.): (503) 639 -4175 �'!,II�� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: LA , 2Z S c CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: _OWNER: � PHONE #: ( ITRACTOR~) • NS L, j �J �/� 4 X ,e (c S PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 3' 4 ( 4.0L - c j �' ern ,e.ai._.A Corrections /Comments /Instructions: tlell L I . friN)■-#2. • L P1)-1 --- Z_A) 0 -- 7 - 00 'sot 6 ) S kuc• LVv/1 — 742-c -�- .. -. 14 6(.., CIL C poi -2404- 00510) -i.., _5" 1-/A_Ail 4_4 L.-vv.% — T T" _._ — l 1 i+ Li 5 41,...t.." ,r P-e. U. C P ? L- coo S i-u.t t Lev — T" s 41/4 e.- — ) ` a C. \E -r Or C P L,1--A - 2,60 - 7 — (JO I I (e .3 Coy IA A (_. P� ---2.0 di - 0 1.3 ) A �,,, --1-., A.---e - ,\ o 6 Cc Z T - ; 4--6,„" C P1,_ I---t - a - co ‘. 4 G 64 (5, Li.) (IP L1•t - 2-0 07 - 06 n 6) .1 114 d IZVro L 64-. ( PLic'l 2c i 3 ( a - o 3 ) III PASS PARTIALOVAL 1.--..e...5 ❑ CANCEL Ch • NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-