Permit 1, •
`' CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00549
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/13/2007
PARCEL: 2S110DB -91071
SITE ADDRESS: 15371 SW 114TH CT 107 ZONING: R -25
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO LOT: 107 JURISDICTION: TIG
PROJECT: FOUNTAINS AT SUMMERFIELD
Project Description: Backflow preventer for irrigation. Located in planting bed on the So. end of the garages in from of
Bldg. #15371. Backflow preventer is behind tree next to garage.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SFA 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
SCHOUWEILER, ALLYN H + JOAN C
15371 SW 114TH CT #107 Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 12/13/2007 $72.50
[TAX] 8% State Surcha 12/13/2007 $5.80
Phone : Total $78.30
Contractor:
WILLAMETTE LANDSCAPE SERVICES, INC.
18480 SW PACIFIC DR
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 625 -9600
FAX 503- 625 -9714
Reg #: LIC 6949
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 B • � /; l Permittee Signature:
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.
,, `bt 2007 10:50AM WILLAMETTE LANDSCAPE SERVICES No. 0928 P. 2
Plumbing Permit Application, ; , • EORR Orrlt•E. 1 SE ONi
City of Tigard ' - R eceived
C E V �
l Dale/9 : 13 p hi P . _ i / ,, ,
q 13125 SW Hall Blvd., Tigard, • ' 7223 a 007 Plan Review
t . • Phone; 503,639,4171 Pax; 503.5g82€60 �.
8 1 60 2' 2 Datemy: Other Permit No.:
Inspection Line: 503.639.4175
I Ci A ll I..) hrternet: www.tigard- or.gov �� Rat® Dale Ready/13y: Jan . see Pope 2 for
(�t�� ® z Notifird/Method: J Supl)lementat Incarnation
TYPE .OF 1334:1711% ®�N L �IIY�.�BG +� FEE *'.SCI1EDUL
I=1 New construction Demolitio,ti For special bjornmrlon use checklist.
Description hQiy, Ea. I Total
XAddition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
• CATEGORY OP CONSTRUCTION SPR (I) bath 249.20
0 1- and 2- family dwelling ❑ Cotmnercial/industrial SPR (2) bath 350.00
El Accessory building vlulti- family
SPR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
•
• -JOB •SITE. INFORMATION AND LOCATION , - Site utilities •
• Job site address; 1 53 7 1 tJ l f 4'm Catch basin or area drain 16.60
City /State /ZIP: '1-..4.. v,c 1 0 I,. t9rti t qt-' ,� Drywell, leach line. or trench drain 16.60
Suite /bldg. /apt. no.: -, ( I Project name; Pooling drain (no. linear ft.; ) Page 2
�OC��6.A�
tA (� ��r a r
Cross street/directions to job site: Manufactured home Minks 110.00
� i4 Q. I )r c_ L\G1 �� • Manholes 16.60
b ttG� die .A....) `d Gc4 r<e9 i w Ot,cL,w,4.1n5 b A ow, 4 Rain drain connector 16.60
_1...N.... ttnA 1't ■C,. (pre...Ay -0 '1,.{'►rotn. elk- lalal A* Sanitary sewer (no. linear ft.: ) Page 2
153'7 I A j1,4,ic,t,kt91..0 i 5 z c_ n st -) Storm sewer (no. linear ft.: _) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: [Lot no
Tax map /parcel no.:
•
Fixture or Item
, -- Absorption valve 16.60
DESCRIPTION OF WORK n/ Backflow pro/miter Peae 2
A:Siv l ( CtQl .e.)0S1 - 1A.t li 15€ L0CfLatia e-Q UJ'(C Backwater valve mm 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ •PROPERTY' OWNER , ❑, TENANT
Drinking fountain 16.60
Pjcctors /sump 16.60
e
s 4 t t, pension tank 16,60
Address: Address: 156,0 54.7 Elk -h 0.. ow / „. 4. Lei
Fixture/sewer cap 16.60
City /Slate /ZIP: ` l ® p v,:i_ dea .( Floor drain/floor sink/hub 16.60
Phone: (50's) 0 a ti_ .3 7, u 6 Fax: ( ) Garbage disposal 16.60
` • __ ' Hose bib 16.60
❑ CANike. c!" ❑ CONTACT PERSON -
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: - - - -- - Medical gas (value: $ ) Page 2
Address: Primer 16.60 I
City /Slate /ZIP: ` Roof drain (commercial) 16.60
U Sink/basin/lavatory 16.60
Phone:
( ) I Pax::( )
11M/shower/shower pan 16.60
E -mail:
• Urinal 16.60
CONTRACTOR • . . - Water closet 16.60
•
Business name: ` 1 y . , , ur9 ere T , , • < , u, Water heater 16.60
Address: 0:1 (-11:0 u,) . _ AA/ Other:
City /State/ZIP: ' l,►.�a.t.,1.,>t�) 04, �.1 06 a Subtotal
Minimum permit fee: $72.50
Phone: (5'0'5) 4, 2 w r O Fax: 603) bbl ; - l "') i q Residential backtlow minimum permit fee: $36.25 '1 Q ,Stp
CCB Lic.; 1_,G il (4,14,0l . Plumbing Lie. no.: Plan review (25% of permit fee)
State surcharge (8% of permit fcc) •j ,
Authorized signature:/ "A . / 6,M/ -1 TOTAL PERMIT FEE 0 ,
Print name; cim r S , 5 t..n.attr■ Date:l, / q l 07 J This permit application expires If a permit is not obtained within
180 days after it has been accepted as complete.
'Pee methodology set by Tri- Counly Building Industry Service Board.
•
CITY OF TIGARD a.
BUILDING DIVISION PERMIT #: PLM2007 -00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J13 /2007
Phone: (503) 639 -4171 AntitAiir
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 15371 SW 114TH CT 107 CLASS OF WORK:
SUBDIVISION: FOUNTAINS AT SUMMERFIELD COND LOT #: 107 TYPE OF USE:
PROJECT NAME: FOUNTAINS AT SUMMERFIf=t IJ
DESCRIPTION: Back flow preventer for irrigation. Located in planting bed on the So. end of the garages in from of
E3Idg. #16371. Bacldlow preventer is behind tree next to garage.
OWNER: SCHOUWEILER, ALLYN H + JOAN C, PHONE #:
CONTRACTOR: W LLAMET6E LANDSCAPE SERVICES, INC. PHONE #: 503 -G2& 9C00
Inspection Request Scheduled For: Date: 3/2412008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 '` Plumb final 067180 01 503-572-8427 Y
Corrections /Comments /Instructions:
�•� !, e C Q Q Q (
C. a
A PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:.:C]'a vv c\l Date: 0./M' Phone #: (503) 718 -