Permit F \
CITY TIGARD PLUMBING PERMIT
11, DEVELOPMENT SERVICES PERMIT #: PLM2006 -00349
G` -1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/9/2006
PARCEL: 1 S 125DC -00400
SITE ADDRESS: 09750 SW 74TH AVE ZONING: R -4.5
SUBDIVISION: BOULEVARD HEIGHTS LOT: 028 JURISDICTION: TIG
Project Description: Site utilities for new subdivision.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 3
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 0 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 1,000 ft
Owner: FEES
WINDWOOD CONSTRUCTION INC Description Date Amount
12655 SW NORTH DAKOTA
TIGARD, OR 97223 [PLUMB] Permit Fee 8/9/2006 $522.30
[PLMPLN] Plan Review 8/9/2006 $130.58
Phone : 503-625-6526 [TAX] 8% State Surchan 8/9/2006 $41.78
Total $694.66
Contractor:
NEW WEST CONSTRUCTORS INC
PO BOX 19588 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97280 -2909
Contact # : PRI 503- 977 -2909
FAX 503- 977 -2920
Reg #: LIC 105212
PLM 26 -783PB
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
9 - 0001 -0010 through 9AR 952- 801 -0100. You may obtain copies of these rules or d'rect questyn sto OUNC by
ailing 503 - 246 -6699 7/1:81,3 2-22344.
C2
By: /� /U:�� d� f / Permittee Signature: Lf /,
Cali 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_,
Plumbing Permit Application . - F012, F F FICE : : ISE ON LY' , -�
G : City Of Tigard J UL 9 2006 Deceived '7 _ .
. Q fJ 4 Permit No T 0 1 <f9
q 1 3125 SW Hall Blvd., Tigard, OR 97223 1 Daze /By. /" / i
Plan v //
® ° Phone: 503.639.4171 Fax: 503.598.1960 // 2 ` /d � her Permit No.:
TIGARD DazeBy. Reiew
Inspection Line: 503.639.4175 CITY OF �
T IG A R D
( aze Ready/By: l � ®See Page 2 or
Internet: www.tigard- or.gov PLAN otified /Method: / %?' / i U Supplemental f 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 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ 1- and 2 -family dwelling ❑ Commercial /industrial b ` SFR (2) bath - • . ., 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
' ' Each additional bath/kitchen 45.00
❑ Master builder ❑ Otherpo 51/0/
Fire sprinkler ( sq. ft.) Page 2
, - JOB SITE 'INFORMATION AND LOCATION Site utilities
Job site address: ) 6-7- e i G� . 9 7n sW `, Catch basin or area drain - 3 16.60 91 CI
City /State /ZIP: �`7 _ a ,-,/ Qr[ q 7 2 3 7 <14'` "" Drywell, leach line, or trench drain 16.60
� J / Footing drain (no. linear ft.: _) Page 2
Suite/bldg. /apt. no.: I Project name: /g-5 4 ll7� L 35 Manufactured home utilities 110.00
Cross street /directions to job site:
Manholes 16.60
7/5 4,5 6 ` id ? e/ f' "d Rain drain connector 16.60
ar-6 .,, _ Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: r' Page 2 L 7,60
/ _ ) Page 2
Subdivision: / h C�z tC 4-s- /ir- Lot no.: Water service (no. linear ft.:
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
y DESCRIPTION OF WORK ' Backflow preventer Page 2
�F? fret -� (5%‘`r,✓1 Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
❑ PROPERTY OWNER ` I ❑ TENANT '
E /sump 16.60
Name: /0- 1 he / Ca A L Expansion tank 16.60
Address: / Cs- t5 6 0 /1j q ,L I DJ/e/e Fixture /sewer cap 16.60
City /State /ZIP: j b,,/ C ?/•-r" q'72 23 Floor drain/floor sink/hub 16.60
Phone: ( ) 4ac �6,sa ( Fax: ( ) Garbage disposal 16.60
Hose bib 16.60
❑ APPLICANT ❑ CONTACT PERSON
Ice maker 16.60
Business name: 5- m e Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone:( ) I Fax::( )
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
- - ' CONTRACTOR r Water closet 16.60
/f -
Business name: , . 6.„ ,C � h� Water heater 16.60
Q Y
Address: r , �( /5 fff I � S % 5 Other:
City /State /ZIP: / a an q -- 2, / 0 Subtotal 5;9 Minimum permit fee: $72.50
Phone: ( ) (j 0 C ' Fax: ( fb � 907 / Residential backflow minimum permit fee: $36.25
CCB Lic.: / ( C 2_ / Plumbing Lic. no.: 4, - 7 pj , Plan review (25% of permit fee) 130,5'
� _- State surcharge (8% of permit fee)
Authorized signature: TOTAL PERMIT FEE 1 v 6
Print name: " ■ IWAr Date: 7170 C 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.
1.\ Building \Permits\PLMF- PermitApp.doc 04 /06/06 440 -4616T(I 0/02JCOM/WEB)
Plumbing Permit Application - City of Tigard - -- -
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities , . Qty: Fee'(ea) ; . Total. Square Footage:" _ Permit Fee:, ;
Footing drain - I' 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00
7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40 Valuation: Permit Fe
Storm & Rain Drain - 1st 100' ` 0642 55.00
(1) f S $ 1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each addition100' l �i � 46.40 / $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item Qty. ` ` Fee (ea) TAO additional $100.00 or fraction thereof; to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Back flow Prevention Device each additional $100.00 or fraction thereof, to
. , . , ,(miniinum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $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 $50,000.00.
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
i ,
• Fixture Work: Plan R f Complex Structures
Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria
accurately report fixtures could result in increased sewer fees *. Please check all that apply.
Quantity by (Fixture) Work Performed ❑ Any new commercial building.
❑ Any new exterior plumbing site utilities.
Fixture Type: Replace
Previous Capped , Added Existing ., ❑ A commercial building with installation, alteration or addition
Baptistry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi/Whirlpool providing services to human beings.
Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service
-Drive Thru facilities where new plumbing fixtures, including interceptors,
Cuspidor/Water Aspirator are being installed for the food service area
Dishwasher - Commercial ❑ Any new residential building containing three (3) or more
- Domestic dwelling units.
Drinking Fountain
❑ Any NFPA 13 -D multipurpose fire sprinkler system.
Eye Wash
Floor Drain /sink 2" Submit 2 sets of plans with any of the above.
-3"
4" .
Car Wash Drain • Isometric or Riser Diagram
• Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
Disposal - Commercial three (3) or more stories in height.
- Industrial
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang •
-Stall
Sink -Bar/Lavatory
- Bradley
- Commercial
- Service
Swimming Pool Filter .
Washer - Clothes *Note: If the fixture work under this permit results in an
Water Extractor p
Water Closet - Toilet • increase of sewer EDUs, a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: plumbing permit can be issued.
i:\ Building \Pennits\PLM - PermitApp.doc 07/06/05
CITY OF TIGARD
BUILDING DIVISION _ ` PERMIT #: Rf M200600349
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: a/912006
Phone: (503) 639 -4171 4 Inspection Requests (24 Hrs.): (503) 639 -4175 :_
d
INSPECTION WORKSHEET FOR DATE: 8/1012006 TIME: 7:04AM PAGE: 29
•
SITE ADDRESS: 09710 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 026 TYPE OF USE:
PROJECT NAME: ASH CREEK ESTATES
DESCRIPTION: Site utilities for new subdivision.
OWNER: WNDWOOD CONSTRUCTION INC, PHONE #: 50'3..625-652G
CONTRACTOR: NEWWEST CONSTRUCTORS INC PHONE #: 503.977 -2903
Inspection Request Scheduled For: Date: 13/10t2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 034733 -01 503 -969 -6019 N
Corrections /Comments /Instructions:
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49 ./ /
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j 'ASS H PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
L4
Inspector: h Date: / 1 Ii Phone #: (503) 718- /,//
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006 -00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2006
Phone: (503) 639 -4171 *op ri, �i+r
Inspection Requests (24 Hrs.): (503) 639 -4175 ` { _I
INSPECTION WORKSHEET FOR DATE: 0f14f006 TIME: 7:01AM PAGE: 8
SITE ADDRESS: 09750 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 028 TYPE OF USE:
PROJECT NAME: ASH CREEK ESTATES
DESCRIPTION: Site utilities for new subdivision.
OWNER: W1NDWOOD CONSTRUCTION INC, PHONE #: 503625 -6526
CONTRACTOR: NEW WEST CONSTRUCTORS INC PHONE #: 503 -977 -2909
Inspection Request Scheduled For: Date: 8/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 03316 -01 503-969-6019 N
Corrections /Comments/ Instructions:
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_ _ , �� /lam / ice, /.- . . . . . . . . A li IF __.- ..
/
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1 . .0--- 3 ? - __,,..7z-/ ...23 '
PASS PARTIAL APPROVAL CANCEL n NO ACCESS
F FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector:. J (- ff ` V
Date: / / ' Phone #: (503) 718 -
r
CITY OF TIGARD L
BUILDING DIVISION • -- - _ PERMIT #: PLM 2006 0349
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8 / 9 /20 0 6
Phone: (503) 639 -4171 unM �
Inspection Requests (24 Hrs.): (503) 639 -4175 4 ■ 4 __..
INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7:O5AM PAGE: 23
SITE ADDRESS: 09760 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 028 TYPE OF USE:
PROJECT NAME: ASH CREEK ESTATES
DESCRIPTION: Site utilities for new subdivision.
OWNER: WINDWOOD CONSTRUCTION INC, PHONE #: 603-625-6626
CONTRACTOR: NEW VVEST CONSTRUCTORS INC PHONE #: 603. 977 -2909
Inspection Request Scheduled For: Date: 8/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 034978-01 603- 969 -6019 N
Corrections /Comments /Instructions:
1 `(
....---- s_______, ---- _3/j/
Allr' , ??
IF ' Ss [ 1 PARTIAL APPROVAL 1 1 CANCEL NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
/ 71( `/(./
Inspector: Date: Phone #: (503) 718- '24
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL112006 -00349
13125 SW Hall Blvd., Tigard, OR 97223 '' DATE ISSUED: 0/9/2006
Phone: (503) 639 -4171 qud
Inspection Requests (24 Hrs.): (503) 639 -4175 ___
INSPECTION WORKSHEET FOR DATE: 10113/2006 TIME: 7;00AM PAGE: 40
SITE ADDRESS: 09750 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: ASH CREEK. ESTATES LOT #: 028 TYPE OF USE:
PROJECT NAME: ASH CREEK ESTATES
DESCRIPTION: Site utilities for new subdivision.
OWNER: WINDWOOD CONSTRUCTION INC, PHONE #: 503 -625 -6526
CONTRACTOR: NEW WEST CONSTRUCTORS INC PHONE #: 503-977-2909
Inspection Request Scheduled For: Date: 10113/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Storm drain 0038144 -01 503 - 969.6019 N '
Corrections /Comments/ Instructions:
G - 1i � L/
SS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
`�7 n 1.3/161 n
Inspector: 1 Date: C v Phone #: (503) 718- /
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2006-00349
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 819/2006
Phone: (503) 639 -4171 -No ig Iii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/6/20p7 TIME: 7 :02AM PAGE: 35
SITE ADDRESS: 09750 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: ASH CREEK ESTATES LOT #: Q2B TYPE OF USE:
PROJECT NAME: ASH CREEK ESTATES
- DESCRIPTION: Site utilities for new subdivision.
OWNER: VANDWOOD CONSTRUCTION INC, PHONE #: 503 - 626.6526
CONTRACTOR: NEW WEST CONSTRUCTORS INC PHONE #: 503-917-2909
Inspection Request Scheduled For: Date: 216/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Pfurnbing final 042983 -01 503 -969 -6019 N
Corrections /Comments /Instructions:
:1 J
I 17i: ;
is
A Rsces- PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
7 FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
6 Inspector: D ate: 6 Phone #: (503) 718- &
A