Loading...
Permit CITY TIGARD PLUMBING PERMIT ' ° , COMMUNITY DEVELOPMENT PERMIT #: PLM2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/24/2007 PARCEL: 2S 112BD - PM001 SITE ADDRESS: 14736 SW 76TH AVE ZONING: R -7 SUBDIVISION: PROSPECT MEADOWS LOT: 001 JURISDICTION: TIG Project Description: 80' line work to connect to sewer lateral. Septic to be pumped and filled or removed. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 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: 80 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES LEGACY HOMES, INC 17825 SW FIELDSTONE LN. Description Date Amount OREGON CITY, OR 97045 [PLUMB] Permit Fee 1/24/2007 $72.50 [TAX] 8% State Surcha 1/24/2007 $5.80 Phone : 503 -544 -6783 Total $78.30 Contractor: LEGEND PLUMBING PO BOX 23338 TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 624 -0582 Reg #: LIC 163964 PLM 34 -470PB 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: �' � Permittee Signature: r , • 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. 01/23/2007 14:20 5036317283 LEGACY HOMES /TMR PAGE 01/02 - .. �. -. .. 'y' Wpd,• mid; .:Fci t:;,;:ww a. ; . r2 : "': " r:. . ;te; :.. �!'%. ■cr." 2.!. r F` PlUninbin Permit :a ca $t s � ) " a ''i'l ' k'" Ig`;:.�y J. , �x o;iA , �,, , r I . , CI) ,,, r lc F . r LlS 0M, { � ty YJ ,, r t -7 iii i' .rR + I City of Tigard l % 3✓ Received Tigard Pe N Ai ■ 13125 SW all Blvd., Tigard. OR 97223 4'1 0 4 Pl R , I ' db a00 / Phone: 503.639.4171 Fax 503.598.1960 ip N 2 J J� �1t Date /II Other permit _ ...I 24- .Flout' Inspection Line: 503.639.417 "W : y • 7-D >i V Internet: www.ci.tigard.or.us ,, s ^"; a' Na Ready ®S¢e Page 2 for t' s' ,/ UV "� "";'= 1 IA �� Notified/Method: In Supplemental In rormatiop • T '✓ o,E'ir. P"�t1TS< ' . ER ` SC}JE Sul ❑ New construction l Q Demolition Fors ecial ittformario use el. •eklist Description 'Z�Z ` '�V11 Total Addition /alteration /replacement ❑ Other: Nov I- 2- family dwellings (includes 1001t, fbr each utility connection) CATEGORY' OF CONSTRUCTION SPR (1) bath 249.20 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 NM ❑ Accessory building 0 Multi- family SFR (3) bath 399.00 ❑ Master builder - 0 Each additional bath /kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 308 SITE •iNFORMATIQN AND LOCATION Site utilities Job site address.1 , A f . Catch basin or area drain ea City /State /ZIP: r a v . Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no 1'ro ect nerve: r rr Footing drain (no. linear'ft.: ) �WE a re -.c, I' a . O r- 0 Manufactured home utilities 11000 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no, linear ft.: - 2) page 2 Stoma sewer (no. linear ft,: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.; ) Page 2 Fixture or item Tax map /parcel no.: a5 I/ a 6 0 c.W. 0 () -. Absorption valve 16.60 DESCRIPTION OP WORK 3ackllow preventer Page 2 Vr moo• g • '4 r AA r e II >„ :. 4, r . i • .O rK ' a -t 4 '.1 13ackwater valve 16,60 II Tru SGV..WS' iA o' n ° ,, • ID Clothes washer 14.60 — = Ati OEer *r ) Hote6t -ro `PFw�Q.." ton - KA-1- fiafAby f .- : Dishwasher 16.60 �1zopl�mTY OWNER • ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name I Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City /State /ZIP: Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Cart/age disposal 16, / Hose hib 16.60 • • 1P CANT . ❑ CONTACT PERSON 7 Ice maker µ 16.60 Business name: _ _ AC "t l v {�+ 5 i Interceptor /grease trey 16.60 Contact natin `J 1 t,,..\(......, Medical gas (value: S ) Page 2 Address: n R,c i 5 5u...) c ktas n c, L a,v-,p, Primer 16.60 City /State /ZIP: O� 0 ,, n c; _y .. L.4 OQ ' 01i O 1 Roo drain (commercial) 16 -60 - u t' `l / Sink/basin /lavatory 16.60 Phone: (SD '3) S l � � o 1 ? - ax :: (5p tD 1 t ` © ...5 - -) 3ia_ E -mail: 11 ,.\_, Tub / shower /shower pan 1 6.60 t Sl .` Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: L _, . i Water heater 16.60 Address: j7 Q Z_ a Other; City/State/Z1P: O a I Subtotal Minimum permit fen: 57230 Phone: (5 - 0 5 Q 1 Fax; ( ) /� i l Residential backflow minimum permit fee: S36.25 f 1,� cci3 Lic .: . no.: .- Y y Qf'..3 Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: 3/3 //0 TOTAL PrAmiT FEE A Print name: 1 , ‘'. �X.v . \ \ ` Date; 1 2 • j This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete_ *Fee methodology set by Tri- County Building industry Service Board. is \building \permits \p1.m.PeretitAap.dec 005 440•4416T(IO /02 /COM/WF.B) CITY OF TIGARD . / A .____ BUILDING DIVISION . ' 4 PERMIT #: PLIVI2007-00018 13125 SW Hall Blvd., Tigard, OR 97223 -- DATE ISSUED: 1/24/2007 Phone: (503) 639-4171 lardIPOlifit` Inspection Requests (24 Hrs.): (503) 639-4175 1.1. INSPECTION WORKSHEET FOR DATE: 2/1/2007 TIME: 7:01A1 PAGE: 4 SITE ADDRESS: 14736 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PROSPECT MEADOWS LOT #: 001 TYPE OF USE: PROJECT NAME: LEGACY HOMES/BRAD MILLER DESCRIPTION: ep line work to connect to sewer lateral. Septic to be pumped and filled or removed. OWNER: LEGACY HOMES, INC, PHONE #: 503-544-6783 CONTRACTOR: LEGEND PLUMBING PHONE #: 503-624-0582 , .t O ILIA- Inspection Request Scheduled For: Date: 7J1/2007 -f' ' Pour Time: Code # Inspection Description Confirm # Contact # M-;sage' pliAr 395 Misc. inspection 042854-01 503-764-2106 Y i () ."-a- • () , Corrections/Com nts/Instructions: <_. N o L , ‘ iiti 77 / 1. PASS 1 PARTIAL APPROVAL 0 CANCEL 1] NO ACCESS n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: V( /t ( 1 4_,,,, ,,,-- ----- Date: Phone #: (503) 718- V \ / &7- Zq 1