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Permit ..... . • 711 ,,,�� �� CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00276 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/27/2007 PARCEL: 2S 104AB -05400 SITE ADDRESS: 12235 SW 131ST AVE ZONING: R -4.5 SUBDIVISION: MORNING HILL NO. 4 LOT: 083 JURISDICTION: TIG PROJECT: ROBINSON Project Description: Install back flow preventer. 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 ROBISON, ERIC S + PAMELA R 12235 SW 131ST AVE Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 6/27/2007 $36.25 [TAX] 8% State Surcha 6/27/2007 $2.90 Phone : Total $39.15 Contractor: CASCADE LANDSCAPE & IRRIGATION INC PO BOX 754 SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 625 -4112 FAX 503- 625 -0739 Reg #: LIC 7832 SUP ALL PHASE & This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. —\ Issued B : A ,/,/ Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 0E/27/2007 07:19 5036250739 CASCADE LANDSCAPE PAGE 01/02 ti , � ° 6.. tg r t. E > .. .. Piumbin' Permit A • i lication 1 (.13. • )• 1: I :1 O\I., - City of Tigard JUN 2007 D t /Sy 2 a StA permit No,: 0 y at, ' 4 '2:L. _' 13125 SW Hall Blvd,, Tigard, 08,92 r 3 d ' Plan Review L. phone: 503,639-A171 Fax 513,, 9j r I Datc/By; Other PannttNos: Inspection Line: 503.639.4) =7 �5 ate Ready/Sy 1 See Page 2 for n ti$ard -or. 0 flfi •, C r, Zf" Internet: www. g � )(, I� I 0 on ` t '3 t• 1. • .1 ',;t' e;. a( \�' Fit i. n a ' 8 t r1 i' I . \ rr '21', ' + ' w h ; .w,, r,:. `: ,.t R � ' '' b; l ? r e ��,:. 4^�. ,') °�TX. e :1.,S:i1�� c 4; . �: i } {� " ; k 1P.. �1'.. r,�f b %�, ° i.n,,�.A '.}P, ..t0,0;* Ka:dti „ .� 7 6 e 1� A ., ❑ New construction ❑ Demolition For s a ecial i ornta1Jou use cheCk118ft Descri ° ion NM. Ea` Total ❑ Addition/alteration/replacement t:1 Other: back. I1ow q a �� New 1. 2- family dwelling4 (includes 100 R. for each utility connection) l,g. i<54 - * v C' "K' , t{ ‘c,';‘,',' ';.a ak..a� �aI i?•�tti S FR (1) bath 249.20 ��: � "?td 1 � ��\ 1 °s��k'+°A: �� ;. 1 ° r.. � �� � . F . .. M 16 4, t, a \..�man } \ ;�� ,� ,43'Ff ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 - SFR (3) bath 399,00 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 45.00 ❑ Master builder ® Other: residential p 2 ' Fire sprinkler (__ sq. ft.) age Y ;{,' �';g.i iii' ;,:- " i" *. t , ,�,, ©.':, r " iii'. n %i�u ;r( Ste ut!hties r , Job site address: ict ¥ V-� Catch basin or area drain 16,60 �� I Atywell, teach lino, or trench drain 16.60 . City / State/ZlP. � t Suite/bldg. /apt. no.: Project name: BACICPLOW Footing drain (no. linear ft,: ) J Page 2 Manufactured home utilities , 110,00 Cross street/directions to job site: 16.60 Manholes _ Rain drain connector 16.60 T Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: • • ) Page 2 Subdivision: - I Lot no., Water service (no linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: . Absorption valve 16.60 ' • t " k _ I r:r_l \ N a c ., '-ia .S6 G i `\ t ,(h�5 ,, � . .,. ��� .. ..� t � � � . � �" . �. �,+ �' ��t +` s i�?"��:i�z� .a � ' �+� , e�i "� '� °1� p � Page �� .25 �. u , .!a\�, ���.t Backflow revontcr 2 BACK-FLOW Backwater valve 16.60 Clothes washer 16.60 - Dishwasher 16.60 ;.� r '`vtg,zg a - 3 ; 4 t; :: r: ', - - ,�., , , t . . i �, , Drinking fountain 16.60 � . '� �� � \ - n�' + �.g:,di- ,y 7ti \\ ''�c1 � i � t' � 1�s "; `,`•. : ,;t•s ? r>r�'t�r�'`.� " � ` ,,,a ; ... sa• °,�� ,•� r' +'„ .. •..... r >.fi:... n..1. . X. i. �jectOrS /sump 16.60 Name: / net • • •1 D pi - Expansion tank 16.60 Address: 151 13 Z Fixture /sewer cap 16.60 City/State/ZIP! O - _ 17 2-2- 3 Floor drain/floor sink/hub 16.60 Phone: (503) 5 ; s' Fax: ( ) Garbage disposal 16.60 p ••rrte,�,,, i iR M • = ; -' " +'� R 3 - ),,- i,��.�. , - t - Hose bib 16.60 q�:'' ; ::i • r t {' o E ' 1 t;�,t a ,;,� \ 'l± •. a - i",: '' t, } �t f :t P7 � aFv ` ;, ,,1i,,, .Al � •. . „ sr -p,Y n :F `i,t?� i, ,.. . - rAx , . wy) ifi Ice maker 16.60 Business name: CASCADE LANDSCAPE AND IRRIGATION INC Interceptor/grease trap 16.60 Contact name: BERNIE/LILY Medical gas (value: S ) Page 2 Address: PO I30X 754 Primer I 16.60 City/ State/ZIP: SRERWOOD, Olt 97140 Roof drain (commercial) 16.60 Phone: (503) 625 -4112 I Fax: : (503) 625 -0739 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: CASCADELANDSCAPE@VERIZOINI.NET U 16 "60 ':. ',: =, ,,,s , A, , , NVi� "`�� 7: -,A:i,. , �- rr ;v� . ' .. ir " N A'w,y �, t"�` ,:D wci a e. :''. . $ : C C !.�� ii\; . , ,v•'E ';§:' ti+ :,^""T..•t ' Xa � ` ; •.. a k, _,as: 4 d•g Water closet 16 "60 Business name: CASCADE LANDSCAPE AND IRRIGATION INC Water heater 16.60 Address: PO BOX 754 Other" City /State/ZIP: SHERWOOD, OR 97140 Subtotal Minimum permit fee: $72.50 / Phone: (503) 625 -4112 Fax: (503) 625 -0739 Residential backflow minimum permit fee: S36.25 3`p .ZS CCB Lic.: 7832 Plumbing Lie. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) 2 10 Authorized signature: r f/ A TOTAL PERMIT FEE 3 , 1 5 Print name: BERNARDO BRAVO Date: /774 V 1 Tbis 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, T \ nuildi „o\PermiuSPLM- PcrmitAov.d6c 06/26/06 440-4616T(10 /02 /COMIWEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007- 00776 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27 /2007 Phone: (503) 639 -4171 °aUli'�ih3 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 71 SITE ADDRESS: 12235 SW 131ST AVE CLASS OF WORK: SUBDIVISION: MORNING HILL NO. 4 LOT #: 083 TYPE OF USE: PROJECT NAME: ROBINSON DESCRIPTION: Install back flow preventer. OWNER: ROBISON, ERIC S + PAMELA R, PHONE #: CONTRACTOR: CASCADE LANDSCAPE & IRRIGATION INC PHONE #: 503 - 6254112 Inspection Request Scheduled For Date: 7/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 052186 -01 503 - 6254112 V Corrections /Comments /Instructions: �Q cif 004, le C` c' - cf tee d— S e T r i - rt0 Care. Slot^- • P �`I {f 1 lw„w�IM,5 f ' ! 9,-) K PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ch') )4 Date: 7) t 7 Phone #: (503) 718- .