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Permit CITY TIGARD PLUMBING PERMIT ` COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00450 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/12/2008 PARCEL: 2S 102DD -04200 SITE ADDRESS: 13881 SW FANNO CREEK DR ZONING: R -7 SUBDIVISION: BRIDGEPARK LOT: 002 JURISDICTION: TIG PROJECT: GARRIETY Project Description: Install residential backflow preventer for irrigation. 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 BARRY & SU GARRIETY D 13881 SW FANNO CREEK DR Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 12/12/200€ $36.25 [TAX] 12% State Surch 12/12/200€ $4.35 Phone : 503- 684 -9370 Total $40.60 Contractor: FRONTIER LANDSCAPING INC 11402 NE ST JOHNS RD VANCOUVER, WA 98686 REQUIRED ITEMS AND REPORTS Contact # : PRI 360 -574 -8979 FAX 360 -574 -6862 Reg #: iD 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: d, I ` lI � ` I I • Permittee Signature: % I I,a L i 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. '42./11 /2008 16:33 3605746862 FRONTIER LANDSCAPING PAGE 02 . Plumbi Per mit Application Site Utilities I FOR. OFFICE US,I: ONLY .. City of Tigard Received yy) % , 4, 131 SW Hal/ 8lvd • T igard, `) _ -- w 0o � T) ata fl3 ,y . V 2 . ♦ � Fexmi `l m I . • : '. Phone:: 503.639.4171 Fax: 5 "..,98.19 1 Pla° Revia" r Internet; n Line: 50 3.639.4175 L c Rs Other Permit r.: VI p www.tigara d- or.gov L G `O `` Ready /By; una: }' H S�cQn 2 for tn ectio otaficd/Ma hed. e Date N Suppteteental Inthrtnat;nn TYPE 9 y*+*;iia:. L F r,1�K ,SCH IE D(WI ❑ New construction :. t , „ trn • For sflacial irrformiirion use dterlrlisP — Description ddition /alteration /replacctnent . '9tber; �Qh 1 Ea Taal El , a N eav 1,_ 2 dwelbans (inetudev 100 ft. for each utility connection) C&1E OIt1' ",OF tC)1`t5T)tCC "l1UY "FR(1)bath 249.20 r_'1- and 2- family dwelling El Comtne'cial /industrial S FR (2) bath _ 350.00 ❑ Accessory building Cl Multi-family - S FR (3) bath 399,00 • ©,Master builder Eich additional bath/kitchen 45.00 [� Other: — _ FIre sprinkler ( sq . fi) Page 2 J OE SI ' ,tNFOR: LtT,tOJ AND `LUG 7;TI(at� , ,- n ' `!te at111 Job site address: 1 Z1 5 t'ltL l i1_ Citch basin or area drain — - ��r�_k_ i t /� _ 16.60 City /State /ZIP:' , Q 922 2 3 .w Drywell, leach line, or trench drain 16.60 Smite/bldg./apt. no.: )?mjcct name: 1 .It j t + F,roting drain (no. linear ft.: )� Page 2 Cross street/directions to job silo; p - • ' ,. �r * i Manufactured home utilities 110.00 .tR��y Manholes � 16.60 j, a. ` c./� • Rain drain connector 16.60 - Sanitary sewer (no. linear ft.: ) Page 2 - Storm sewer (no. Iinear ft,; ) Pa 2 Subdivision; Lot tao. water service (no. linear ft.: ) Page 2 Tax maplpaPCel no.: mm J Fitture or item — - - rsorptt vale 16.60 I ,, j ��: BB.cicflowpreventer Page 2 • /1�1iL ` l '' ■ : A e /k /..11 Backwater valve 16.60 __,_ Chilies washer - 16.60 Di;hwasber 1660 r� k; 'P"129.PRAT'a ' ,OWlSiLt;<£ , _ 1]rinking fountain 16.60 Name: r�.� 3 J rY . 1 Eje ctors / sumo - 16.60 x= ` Expansron tank 16.60 Address: 13 ! 4 . , e) IR— filature /sewer cap 16.60 City /State /LIP: 1 7 Fie or drain/floor sink/hub 16.60 Phone. (5O6) ` i'— ! 37D Fax: ( ) Garbage disposal 16.60 — , L 1 , E '.CON t.°I P 111 "7 bib IG.GU — 13uairtoss name MW lee maker 16,60 . �' � J Intr:rceptoripease, 16,60 Contact name: ! , `��.,_— _ Medical gas (value: $ ) Page 2 - Address: 1 \ f`2-. ioE -" , � r Primer - -f __ I 16.60 City /State/ZIP; ( i 6, I (N fl., C.�p /„ _ Roof drain (oommercial) 16.60 Phone: ( ) r� �(r - -�/_' Fax' () I ) i 5_) / / 7 e? Sirkibasinilavatoty r / r I _ ) 57 •—e 16.60 P Email: lrn —•^ o t� e r pan k 6.60 _ J - Tulr /sh wer / _- F Unreal -� ONT 6 : i 16.60 1 078 Wa ^.er closet 16.60 Business name: ,( Ai , . ck > I w, _ Wa er eater - 16 w .dress: (I4 (2 z G 5L - .` 1 ' _ 4 Other: City /State/ZIP; i0 A ,C I °)0 \1 A A , —_ subtotal Minimum pertnit fee: $72.50 , Phone: ( -7 (./ 7 79 Fax' ( ) �V 6 Residential backflow minimum m permit fee: $36.25 C.- CCB Lic.: -7 ( ' • Plumbing Lic. no.; 7 Plan review 25% of permit fie) -- Authorized signatur• : State surcharge '12% ofiperrnit fee) Print aims. l r _ TOFAL PERMI "I FEE ~ r - . - ..� ._. _ti.__ 04. �' f ,Dale: 7 _/(1 / )g . This permit application expires if a permit is not obtained w1tlaiun 180 days after it has been accepted as complete. 'Fee methodology set by Tri- County Building Industry Service Board. r staid ng\rennits\1'l,Mu- Peamts 12/27/1)0 440.016 t aoaicomvwF, t3) .12/11/2008 16:33 3605746862 FRONTIER LANDSCAPING PAGE 03 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire S : ;h; t�; ; t (4 :11 ' : T Suppression Systems• Slte:U..t #lit>Ie ,, <, .; � Scare �ocrtsrA . -..�._ . , :: .. e: „' �'erma lh Fed: ,. ' Footing drain -1' 100' 55.00 0 to 2,000 , $115.00 Footing drain • each additional 100' 46.40 2,001 to 3,600 $160.00 Scwror - 1st 100' - - 55.00 3,601 to 7, 00 $220.00 ' 7,201 and 'rester $309.00 Sewer - each additional 100' T 46.40 Water Service - 1st 100' ervice .ach additional 100' _ 55.00. Water Se Medical Gas Systems: Stomt S Rain D - 45.40 v 1#,t1 , 0•lr1 •: p l'n ut Drain let l00' 53.00 a2. a-+el Storm & Rain Orsini each additions! 100' 46.40 5,0 0.00 51.00 to $5.000,00 Minitntun fcc $7% • - 0 100 to $1 0 00 $72.50 for the f2. t $5,000.00 d $ Fixture 4;1 It rn .," 9V : ' ,'.':T.etaf. additional $10o.11'Dorfraction,tlic t f ind s {t Commercial Back Flow Prevention Device I ". 46.4p including $10,00(}.00. _ $10,001.00 to 525,000.00 $14$.50 Pottle f r $10,000.00 and $1,54 for Residential Backtlow Prevention Device each additional $100.00 or fraction thereof, to _Sinainiinum permit fee $36.25) i 27.55 g.155 and including $25,000.00. Rain Drain single family dwelling 65,25 $25,001.00'.0 $50,000.00 $379.50 for the f 1'st $25,000.00 and $1.45 for Inspection of existing plumbing, or each additional $100.00 or fraction thereof to specially requested inspections - per hour 72..50 and including $5 1,000.00, Subtotal: , c $50,001.00 indup $742.00 for the 61st $50,000.00 and $1.20 for c� each additional $100,00 or fraction thereof • Commercial Fixture Work: ..... . Are you capping, « T:IK)i ; t V ew , . : � ill bilr }r ' �t 2.Q S`; . ' .;.: ` adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply, accurately reert fixtures could result in increased sewer fees *. 0 My new commercial building with "water service 2 " and Quniitit- hS (I!iiturel Vvoilt ye>� �iiiea'" greater, except systems designed and stamped b' licensed (rl fuireT�pe ': _.Repac l . engineer. • rxeviou , Capp�a L r ae6' �Mt�q„ 0 New exterior plumbing site utilities .I;or any complex structure 13aptistayl2 ont as defined in OA.R918- 780 -0040. W Bath - Tub /Shower - 0 Mectcal gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool 0 Any:mulbputposc fire sprinkler sysli;n Car Wash - Each Stall - Drive rhm - Li Any rnnplex structure as defined 2.z. OAl2918- 780 0040, Cuspidor /Water Aspirator I Submit a sets of plans with a',try of the above. Dishwasher - Commercial - Domestic Drinking Fountain ; .1i -u) a' rain', ': Eye Wash - • Isometric or riser diagram is required for new buildings floor Drain /sink - 2" 3 „ that meet theyualifjlcations above. - 4" • Car Wash Dram Garbage -Domestic Comments regarding fixture Disposal - Commercial _. work: - Industrial Ice Mach. /Refrig. Dtaina Oil Separator (Oat Station) - Rae. Vehicle Dump Station Shower -Gan2 -Stall __...- Sink -13ar /Lavatory - Bradley 'Note: If the fixture work under thi a permit results in an - Commercial increase of sewer FDils, a sewer penult will be issued and -Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. ■ - Clytl Water Extractor Water Closet - Urinal Other Fixiuras: • http: / /wswr. tigard -or, g ov/ c i t y_. hall / departmentsicci/docs /PLM(J-Petrfll tAp2doe CITY OF TIGARD r- .i BUILDING DIVISION \ PERMIT #: P 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1} ► 1f)L18 Phone: (503) 639 -4171 :a1ii11il G 1 0 1 Inspection Requests (24 Hrs.): (503) 6394175 Z�` INSPECTION WORKSHEET FOR DATE: 2/26/2009 TIME: 7:03AM PAGE: 9 SITE ADDRESS: 1 801 SW FANNO CREEK DR CLASS OF WORK: SUBDIVISION: BRIDGEPARI< LOT #: 002 TYPE OF USE: PROJECT NAME: GARRIETY DESCRIPTION: install residential backflow preventer for irrigation. OWNER: GARRIETY, BARRY & SUSAN PHONE #: 503 9370 CONTRACTOR: FRONTIER LANDSCAPING INC PHONE #: 360- 574 -8979 Inspection Request Scheduled For: Date: 2/26/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 000857 -01 350- 574 -8979 N Corrections /Comments /Instructions: S7 — l / cel 5 S 5z - E t1ee C n 42,2,42-e-Q., f /l c li PA , S,S7PARTIAL APPROVAL ❑ CANCEL U NO ACCESS 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VA( ( j Date: 24// 4 / Phone #: (503) 718 - 9 4 2