Permit {
C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00356
; DATE ISSUED: 7/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S125DA -10200
SITE ADDRESS: 09400 SW 70TH AVE ZONING: R - 4.5
SUBDIVISION: PP1994 - 032 LOT: 001 JURISDICTION: TIG
Project Description: Backflow preventer 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
DANNY GODFREY Description Date Amount
9400 SW 70TH AVE
TIGARD, OR 97223 [PLUMB] Permit Fee 7/24/2006 $36.25
[TAX] 8% State Surcha 7/24/2006 $2.90
Phone : 503- 314 -2561 Total $39.15
Contractor:
CASCADE LANDSCAPE & IRRIGATION INC
PO BOX 754
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
Contact # : FAX 503- 625 -0739
PRI 503-625-4112
Reg #: LIC 7832
SUP ALL PHASE &
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: 7j Permittee Signature: _4
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.
JUL-23-2006 • 21:17 PAA FROM: CASCADE LANDSAPE 036250739 TO:5035981960 P. 2
U5/23/ZUU4 10:z1 LJ111. tIr LLUAMII
Building Fixtures . •
Plumbing Permit Application
N __,,,,,,,,, k 0 , ;:f)T 4 4 , ,.- ''..., - ' . ,". ;I' "... 4 .- ' r` -- 4.d .- ''''t ' -- ' ,4 '
City of Tigard trze137 / - Ot t /V(1 7 ‘O Etnnitm'r v - 001 A
13125 SW liall Blvd., Tigard, OR 97223 Phn Review
Phone: 503.639.411 Fax: 503398.1960 .*, -,' t, Dateflly: Otter Permit No.:
24- hour bupectIon Line: 503.639A1 , 4 j„...„4::.1 i 24. Due Reador 1 / El Sea Pagel far
Women vnvw.eitipard.or.us *--- No6fedihtsdardt" / Supplanting) illrOnnation
+IS:, :::Vir, ' '- :t ■ : C `' . ... '": ' s ,. :',`:-;;Mtit4t:4f 4`Natiiiiethai& i_:' ! ; 9 '.:
CI New eaustruction 0 Demolin For s , tio dal - enact& n use checklist
Jr' non Qty. Ea. I Total
0 AdditiuntalteretiOnlrepLiteMant i r Other 13gfiek - 1;Lfs1N 4 No I- 2-fanly dwellings (includes 100 ft. for each uti1ity connection)
s 717 bt i, 249.20
, . x., -
4 El 1-and 2-farnaly dwelling 0 CorainirclaVindostrisl *f 2) bah
.., 350.00
0 Accessory Wilding 0 Multi-family . Skt (3) bath
, 399.00
• 1 1 additional bath/kitchen 45.00
0 Master builder 4 Other: ' ..f I os 1 Fifa sprinkler (___ sq. O.) Pegg 2 ,
I - . . - - 2_ ,.•_. .r.. . ' - r:: - - ' - •'04.... • ' r, "_ '" Site utilities .
.---
Job site address: C1400 SW 1 o A 1 ke , ct:i th basin or area drain . . 16.60
City/Steternk. T 4 a rd Qg _ ci-- 22.3 1 ll
I We, leach line, ench or tr druin
, . 16.60
Suiteibldgiwt W.: I I Projsct nams: T-4 ' drain (no. line= ff.* ____) Page 2 .
A faetured Mame Utilities 110.00
Cross street/directions to job site: .
- - ' oles - 16.60
t-
1§90 drain cores= 16.60
I.
Page 2
,--.-,----4-
-------
Ste sewer (no. linear ft.: ) Page 2
.,,
itOt =ler servi (no. linear ft.: ) Page 2
Subdivision: Lot no.: , 1
tare or item
Tax mapipfutel no - - - •... ...,„ 1 ., v ..,.. _ _.,, , Actimption valve 16.60
*: 'ft:"i;, ; !,f • . ,.‘.. ''- , F' B 1d1 -
1 ...!t-.'..7'........._-_ - .._.1....... , ■ ,F. : '...:::__a_. e__. .- • _:,.._,_,____,_ li.“../._..h__, ■ , plk ow pra raga 7
1 . 1 ", - •,.. 6 va)vc 16.60
dioes washer 16.60
:*---- 16_60
16.60
4 - 72i. -- - - - .-, .- : 7- ... : . r'.. - •• - - . - . - - _ . ' -- - 4„ .. , • - -, - , . ••■•••■•■■•■•••■••*
,
_. _ ..,...- ... ____ : „ 1660
Nat= II/Ak IP/ 4 :..1.---...r.-------
, aosson tank
16.60
- _
AddIsSS: 14.00 r\A. o 4. K
,
itureJecwer cap 16.60
City/Stater/JP: --n et r, o 12._ at 7 VA.pf drain/floor sink/hub 16.60
-1--- . 1 6.60
Pncee: ( OP 1 - 25 , p ( ) C.sa tap disposal
-,.;____-.
. 16.60 .•
:i t* : ' 7 " , :v . .°t -:, '74,.-C;Ct',}7 7 ° i --1 ;; -,' - 57 r i ,' -, ',. ' .-. : - ,.. 7;7 ,' .,.;' % bill
-14..a...4 ' ,.-_ :•-•.' l ':• .; te . ..' ''.- ± ' 2` L. - : -.1: .- ::: -- --.2---- s 1-: " 7." ' - , ' • - - . ma 16.6o
Busiress Ca= ca l 14 k,.(1 • ' ..A. ILKOi. t sOn L- 6.;%reeptur/grraac nap 16.60
Coat name: ete,ntll 1 4, .-- v a 1 i N • Iix ' al 3U (value: 3 _ ) Page 2
Addre ,, ss: 'R. 0, ;,•,.. ald 1 41 4-- . 16.60
(Sty/Beata/2M '5VscrA/0001 e) le . 4 11 i 4r) ;', lof shain (=medal) .. 16.60
Phan= ee0DV 6 C-4112. i yal: ' 5°)(4 ' 21--el i 3°1 r-----d..,.i'7::::', 16.60
-
B-mail: Co Sezeuesil G. Lem "Os • IC caw w...riZOIA • 404 thisi 16.60
..1 l_w...'i clotlet 16.60
Burinit"YmmleacregaatraPe. -J2 1 cretehVen / • s 14 L ' t heaTzr ----- 16.60
Addres47:0,15M e
1 15- (i,her:
Subtotal
City/ZIP: Shortioc:oof • -. 7/40 ,
I Minitnunt permit few 372.50
Phone! (87), A -41i Fax; ( lits 4e2 4 /A. / Residential beeldlow minimurnyerinit fcc: $3625
Plan review (25% of permit fee)
=-tt Lie.: - -, Plumbing Lc- no.:
.. ..-
r,;-:/ ‘ _ . - sisilarin , . 7 • I . State surcharge (B% ofperrnit for) •
1 TOTAL PERMIT FEE
Mt/ tam e: caealCirct 0 p,v-evt, Date: 1 6 -...-, ['his permit appfreaden expires If a permit sa not °birdmen within
- ' • 280 diys after it has been steepled as entepleta..
' cc methodology set by Tri-County Building Industry Service Board.
inroastmeneuintrunsAinsanandoe irters 4.4044167(10102/CO24/w/ES)
.4
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006 -00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2006
Phone: (503) 639 -4171 laydopit i
Inspection Requests (24 Hrs.): (503) 639 -4175 ;
INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7:06AM PAGE: 64
SITE ADDRESS: 09400 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: pp1 0S4 -032 LOT #: Q01 TYPE OF USE:
PROJECT NAME: GODFREY
DESCRIPTION: Bacldlow preventer for irrigation. , -
-
/--
OWNER: GODFREY, DANNY ' ' PHONE #: 503 - 314 -2561
CONTRACTOR: CASCADE LANDSCAPE & IRRIGATION INC PHONE #: 503 - 625.4112
Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: --
Code # Inspection Description Confirm # Contact # Message
395 Misr,. inspection 034035 -01 503- 625`4112 N
Corrections /Comments /Instructions: 7 (
. V . , - r. '
J
1
/
A,
z .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
Inspector: 1 I. Phone #: (503) 718- _c1±1},i_