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Permit :2; C ITY OF T I GARD PLUMBING PERMIT u ,t , . l DEVELOPMENT SERVICES PERMIT #: PLM2005 -00587 III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2005 PARCEL: 2S 112CD -12200 SITE ADDRESS: 16002 SW 77TH TERR ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 020 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 LEGEND HOMES Description Date Amount 12755 SW 69TH SUITE 100 [PLUMB] Permit Fee 10/20/200` $36.25 PORTLAND, OR 97223 [TAX] 8% State Surcharl 10/20/200E $2.90 Phone : 503 620 - 8080 Total $39.15 Contractor: MARTIN SANDERS GROUNDS MAINTEN PO BOX 307 REQUIRED ITEMS AND REPORTS NORTH PLAINS, OR 97113 Phone : 503- 647 -5567 Reg #: LIC 5742 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 -246-> 9 or 1- 800 - 332 -2344. Issued By: 1 Permittee Signature: /1 i , L ✓� Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Oct 19 05 11:42a Martin Sander 503 - 647 -9151 p.5 ilillrirlH)Q$ P irk A , ! _ . t n I ' 1 1 1 t ()Hi( 1 ( 1 : 1 1 0\1.1 City o f Tigard t Ravi e / t 3 ~ y J 1 0 (I t o ( Penns No.: L 1 0 2 0 0 5 , ; . . 0 0 13125 SW Ha11 Blvd., Tigard, OR 97223 Plan Review Atha t�crmit Na.: Phone: 503.639.4171 Fax: 503.5 1 960 �•; Date/By: 24- Hour Inspection Uric 5 4 9. 4 1 7) 2005 i `�_1.. Dale Ready/By: !"ci 1 t3 See Pecs 2 for Internet: www.ci.ligard.or.us No ifredFMethod: �(,t,i Sapplemeanf Information ORK FEE" SCHEDULE N Cwoonstruction 13U y ] ILDIRtG DIVISIO For specialinformatonusecheck5cst Demolition Description 1 QtY. 1 Fa- 1 Total ❑ Addition/alteralionlreplaccment ❑ Other. New 1- 2-Gamily dwellings (includes 100 ft for each utility connection CATEGORY OF CONSTRUCTION SFR (1) bath 24920 ❑ 1- and 2- family dwelling ❑ Commercial/undustrial SFR (2) bath 350.00 0 Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler (__ sq. fL) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address ' Io b0 I. W T H t • Catch basin or aria drain 16.60 - City /Slate/ZIP: Tip d i G� i 2-2- q Drywel1, leach Tine, or trench drain 16.60 Footing drain (no. linear It_: ) Page 2 Suite/bldgJapL no.: 1 1 Project tams~ Fl � _,t Manu6lclwcd home utilities 1 10.00 Cross Mitzi/directions tojob site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _j Page 2 Storm sewer (no. linear ft.: ) Page 2 U Water service (no. linear R.: ) Pace 2 Subdivision: t Gay%iGciA Cl i .,., 3 r Lot Z O - Fixture or item Tax map/parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Badtfltnv prcvenler Page 2 • to ftv ,j) 7 Backwater valve 16.60 La.nd.cCn Ll n 4 / d , Clothes washer 16.60 Dishwasher I6.60 ®. PROPERTY OWNER 1 ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 4atrt Lewd ttz. iftrvP Oer . C - _ Evpansieut tank 16.60 . address: ( 2^I Ss $ k. ,,,3 / v 9 Tt1 5Ur e ) [�t'� FoRiue/sewer cap 16.60 .ity /State/Z[P: 601. -- k�� r1 p� `. - 7 Z.-Z3 Float drain/floor sink/hub 16.60 'hone: 6 ( ? p - R b Ra Fax: (6-Z) SCL`g - g9 o0 Garbage disposal 16.60 Igi APPLICANT © CONTACT PERSON Haag bib 16.60 lee maker 16.60 tusiness name: m a_ r - i - M Sa e ___ y - 5 & J VDt f - IC [ . &,L-t• tntcttxptodgrcasetiap 16.60 'onlact name: 1�4,.. . 5 4 nasi7 , Medical gas (value: S ) Page 2 .ddress: r _ 0 . I. s>e - 7 Primer 16.60 - ity!StateiZIP: G Roof drain (commercial) 16.60 ii �� �! �� O 13 � Sink /basin/lavatory 16.60 Y 'tone: (SO$) (D 7- 5 S 4_, 7 j Fax:: ( (y y7 - `45 - , 7 ub/sho.,,er/sleower per 16.60 mail: Urinal 16.60 CONTRACTOR Water cioset 16.60 asincss name: 7l4 p � 1. 5 �� v yF e � b rL C�??r S Water heater 16.60 ldress: .p y , F? L O J � -ice ' % Other: / :� 5 � - tylStateJZIP: N het 49 i � cl -7 !3 .� Snbtatal Minimum permit fa: 571..50 (5* t lone: (5 t-f 7 - 5$ 67 Fax: ($D )9) (4 `T - • . e/ f .5 / Residential backflow minimum permit fee: 53625 ,B Lic.: 5'-] L Z Plumbing Lie. no.: Plan review (2s °.6 of permit fee) State surcharge (8% of permit fie) ,thorized signature /' i D - q TOTAL PERMIT FEE . L5 int name: /I 4 // I _ r�A i ii . • C Date: . • _ This permit application expires if a permit is not obtained within r� 180 days after it has been accepted as complete. 'Tee methodoloev set by Tri- County 8uildine Industry Service Board CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00567 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005 Phone: (503) 639 -4171 . sil l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 66 SITE ADDRESS: 16002 SW 77TH TERR CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 020 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: Baddlow, preventer for irrigation. OWNER: LEGEND HOMES, PHONE #: 503 - 620.8080 CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503- 647 -5567 Inspection Request Scheduled For: Date: 11/15/2005 Pour Time: C e # Inspection Description Confirm # Contact # Message 399 Plumbing final 021279 -04 503.647 -5567 N Corrections /Comments/ Instructions: G e/_ \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL Li NO ACCESS ❑ FAIL r I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ` /■ �/ Phone #: (503) 718 - G 1 CITY OF TIGARD .- I BUILDING DIVISION PERMIT #: P1.M2005 00507 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005 Phone: (503) 639 -4171 �� � Inspection Requests (24 Hrs.): (503) 639 -4175 1_.. INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:O2AM PAGE: 72 SITE ADDRESS: 16002 SW 77TH TERR CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 020 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: Backflow preventer for irrigation.. OWNER: LEGEND HOMES, PHONE #: 503-620-8080 CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503 -647 -5567 Inspection Request Scheduled For: Date: 11/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 325 RP/backflovv preventer 021279-03 503.617 -5567 N Corrections /Comments/ Instructions: n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Phone #: (503) 718 - Inspector: Date: