Permit i
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CITY OF TIGARD
PLUMBING PERMIT
"'� "' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00437
TIGARD 13 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/26/2007
PARCEL: 2S112BD -05900
SITE ADDRESS: 14714 SW 76TH AVE ZONING: R -7
SUBDIVISION: PROSPECT MEADOWS LOT: 002 JURISDICTION: TIG
PROJECT: PROSPECT MEADOWS
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
LEGACY HOMES LLC
17825 S FIELDSTONE LN Description Date Amount
OREGON CITY, OR 97045 [PLUMB] Permit Fee 9/26/2007 $36.25
[TAX] 8% State Surcha 9/26/2007 $2.90
Phone : 503 -544 -6783 Total $39.15
Contractor:
LEGACY PLUMBING 3
8985 SW HAZELVERN WAY
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 816 -8887 t "` . ' o ; . :- :.",:...� *; . �;. „,,
FAX 503- 297 -4587 ft .t, '
F
CO
Reg #: LIC 159281 j
M 26 517PB EXPIRED
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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:
E
er z tL i i .A_________
Permittee Signature: of 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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: PLM2007 -00437 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
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
910 Sprinkler rough-in PLM - Plumbing Permit
915 Fire alarm rough-in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
322 Shower pan
999 Sprinkler final
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 X 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 PLUMBING PERMIT
•
. COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00437
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9!26/2007
PARCEL: 2S 112BD -05900
SITE ADDRESS: 14714 SW 76TH AVE ZONING: R -7
SUBDIVISION: PROSPECT MEADOWS LOT: 002 JURISDICTION: TIG
PROJECT: PROSPECT MEADOWS
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
LEGACY HOMES LLC
17825 S FIELDSTONE LN Description Date Amount
• OREGON CITY, OR 97045 [PLUMB] Permit Fee 9/26/2007 $36.25
[TAX] 8% State Surcha 9/26/2007 $2.90
Phone : 503- 544 -6783 Total $39.15
Contractor:
LEGACY PLUMBING
8985 SW HAZELVERN WAY
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 816 -8887
FAX 503- 297 -4587 •
Reg #: LIC 159281
PLM 26 -517PB
•
•
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: 1( Permittee Signature: / i_,A. " 1L
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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: PLM2007 -00437 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 1.99 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
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drawn
995 Misc. inspection: 315 Post /beam plumbing
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
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing X 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
il ' CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00437
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/26/2007
PARCEL: 2S112BD - 05900
SITE ADDRESS: 14714 SW 76TH AVE ZONING: R -
SUBDIVISION: PROSPECT MEADOWS LOT: 002 JURISDICTION: TIG
PROJECT: PROSPECT MEADOWS
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
LEGACY HOMES LLC
17825 S FIELDSTONE LN Description Date Amount
OREGON CITY, OR 97045 [PLUMB] Permit Fee 9/26/2007 $36.25
[TAX] 8% State Surcha 9/26/2007 $2.90
Phone : 503 -544 -6783 Total $39.15
Contractor:
LEGACY PLUMBING
8985 SW HAZELVERN WAY
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -816 -8887
FAX 503- 297 -4587
Reg #: LIC 159281
PLM 26 -517PB
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: 'L,,LiL, Permittee Signature: �-� G�:�X' -���
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.
i7 11: 5036317283 LEGACY HOMES /TMR PAGE 01/04
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el Permi � p1ica . - N 1�r)I O1�1It 1 I:SE OM1.\
li A` R eceived
City o£ Tigard 00� A22e/Sy `/ Permit No. / ,O�c�,3.�
a 13125 SW Hall Blvd., Tigard OR 97223 SAP 2 5 2 Plan Rcvie w
Phone: 503.639,4171 Fax: 503,598.1960 [.?,',_e/13Y: : Other Per nit No.:
Inspection Line; 503,639.4175 �/ d 11 � e R . dy/Sy: Fa See Page; for
T lc A
RD Internet: www.tigard- or.gov i 1 \-12 T� •f 041)12.1) etbod: i Sul)Plamental Information • . . T'.10 O ' V W( D' a ! ` ..s ,., . ;':.: •: REE Cfi Ei)L ...... :..
New construction J Demolition Fora clal 1 orntaaon use cheaklrst
_ _ Description _ Qty. Ea. 1 Total
0 Addition/alteration/replacement • ❑ Other:
New 1- 2- family dwellings (includes 100 R for each utility connection)
CA'i'EGURS O CONSTRUCTION g (1) barh - .
249.20
12,...1- and 2- family dwelling 0 Corrumerciallndustrial •SFR (2) bath 350.00
- SFR (3) bath • • 399.00
❑ Accessory building ❑ Multi- family Each additional bath/kitchen 45.00 •
0 Master builder 0 Other:'. • Fire sprinkler ( sq. ft) Pale 2
, .TOR. SITE INFORMATION•'AND. LOCATION:. • : Site utilittes _
Job site address: t 41 C (� `1 (n ) - P'N tJ P Catch basin or area drain 16.60
City /State/ZIP: 7 1 d 0 � q � L-1- Arywell, leach line, or trench drain 16.60
1 ��� r � � Footing drain (no- linear ft.: , _1 Page 2
Suite/bldg./apt. no.; I ' Project name.. �� r te ; ,� ,, . Manufactured hone utilities 110.00 .
Cross street/directions to job site: _ Manholes 16.60
_ _ Rath drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
• Stoma sewer (no. linear ft.: 1• • page 2
Subdivision: I Lot no.: ��
Water service (no, linear ft.: _� I 1 Page
Fixture or item
Tax map /parcel no.: zs 1 \ -z p 0 G,,-, c Absorption valve 16.60
••• ID SCR I0: t O 15, • BarldJ ow preventer
.•..... .. .. ,,: . Page
� c Backwater valve 16.60
i�`�C?�� Clothes washer 16.60 CA cg 9 '1_0e) '- C‹) - - Dishwasher 16,60
r SY- . 1 4 . . ,-0 0 -1 . O c 0 d t* P - Drinking fountain _ 16,60
PROPERTY'OV R ; :; ' .' ` > l . :' : 0.; NAi T Ejeetots /sump 16.60
,. - 16.60
• Name: a . s •� A Expansion tan ..
n
�' Fixture /sewer cap' 16.60
Address: � ■ , I, � 1
- ; Floor Floor drain/floor sink/hub 16,60
City /State/Z1P: � Yl C1 app t J -7 � S GazbagedispoSal 16.60
Phone: (SIN ( . • : (S D ) . (. - . _ Hose bib .11111 16.60
0 'CONTACT n RSON, lee maker 16 - 60
Business name: lntErc eptorfgteasemop . 16. 60 .
Medical gas (value: $ Prime ) Page 2
Contact mama: 1 � jr A M.1 1 A P�Y� '
Primer . 16
.Address: _
hoof drain (commercial) 16.60 l .
City/State/ZIP: - Sink/basin/lava?4ry 16.60
Phone: (.5c3) 6 - ( p.5 Fax: ( • ) Tub /shower /shower pan • _ 16.60
E -mail: . i kg, - 4. - . Lk) F-.S ' \/' • • thins! . _ 16.60 •
' �' OR . . : • . � Water closet
16.60
` � P Water beater 16.60
Business name : \rm.. Ey e ' t t� - lb ∎ -
t Other: _ _
Address: W LA Subtotal
. City /State /ZIP: Ti Q � t r `-, • .... ►_ Minimum permit fee: $72.50
V Fax: ( ) Residential backflow minimum permit fee: $36,25 • Phone: (s a (p Z r - _ Plan review • (25% of permit fee)
CCB Lie.: . _ ► . 1 . / f Plumbing Lic. rm.: a. •
' State surcharge (8% of permit fee)
Authorized signature: /7 /11Ir TO TA L PERMIT FEE . .
/ Date: This permit app
pplication expires if a permit is not obtained within
/ �� 180 days after it has been accepted as complete.
'Pee methodology set by Tri- County ) 3uilding Industry Service Board.
tAsundi0EAP its\N- WermitApp.doc 0526/06 440- 4616TOO/OZ/COM/WE13)
twi ii fE 9 E D
SEP 2 7 2007
CITY OF TIGARD
BUILDING DIVISION
CITY OF TIGARD u -k_ei< S
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 - 41711 @��i i�1 +�
Inspection Requests (24 Hrs.): (503) 639 -4175 =��
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: US 1-e S-QS CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
•NTRACTO : �yN 3 32... W/ 0 l/VNS e`. I` 1..1,1/, ONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
-SCI G1 & - 44 , r'l.a.1/4.)N` •c...2 4 c S
Corrections /Comments/ Instructions:
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I I PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
t Inspector: Date: Phone #: (503) 718-