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Permit CITY OF TIGARD PLUMBING PERMIT • COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00304 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2008 PARCEL: 2 S 109AC - 04800 SITE ADDRESS: 14634 SW 133RD AVE ZONING: R - SUBDIVISION: WILSON RIDGE NO. 2 LOT: 016 JURISDICTION: TIG PROJECT: WILSON RIDGE II Project Description: Installation of residential backflow preventer for irrigation. CLASS OF WORK: ALT 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 STONE BRIDGE HOMES NW LLC 16869 SW 65TH AVE Description Date Amount #505 [PLUMB] Permit Fee 7/17/2008 $36.25 LAKE OSWEGO, OR 97035 [TAX] 12% State Surcha 7/17/2008 $4.35 Phone : 503- 387 -7577 Total $40.60 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 692 -5945 FAX 503- 692 -0768 Reg #: LIC 7804 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 c ' g`03.246.6699 or 1.800.332.2344. Issue By: / 14A...4/Li Permittee Sig • W i /44 // Call 503.639.4175 by 7:00 a.m. for an inspection that • usiness 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. Plulnbinti Permit Application L ' V � ` C. -., 4 !4, ' - 4 » '3i. Y s, t� hr " ° 0 , s t iro ", Building Fixtures qO ° ' r w) „ Building 1 % .. `- FOR OFFICE ;USE ONi l ,} , yi *K s .1 1. t fi'''t' • \` \\. ececed 4 .., Cify of Tigard i V ` k gt , , 7 Ile 0f' Permit No.: [./t�o�DOs't0 V R 13I2 SW Hall Blvd„ Tigard, OR 97223 to iH ®� `��1 Plan Re ew i Other Permit Ne.: ,� ;, Phone; 503.639.4171 Fax 503.598.1960 ir �� ! Date is TIG Inspection Line: 503.639.4175 �O Date Ready/By: 18 See Page Z for - late. «�w�n,tigard- or,gov v Naa6ed/Cdethod- Sapplcmeatal larormatio;3 s " ; TYPE: OF'womc FEE *' SCHEDUL : r ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration /replacement ❑ Other. New 1 - 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY; OF CONSTRIJCICION' SFR (1) bath 249.20 El 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 El Master builder Each additional bath:kitchen 45.00 ❑ Other: ;`- _'s -.. ; s '.a; :,._... :.;. .._. ire sprinkler ( Page 2 _ F' spr'nlrl r so. Pa e ' )OB SITE_ INFORMAT1O AI D 'LOC TLO:S :, , __ Site utilities Job site address: /L/& 3 U . c u . ) / 3 z -c( < u Catch basin or area drain 16.60 City /State /2IP: 'fl (�s'(,G,L� O&. 7 -7-,2--r--/ Drywell, leach line, or trench drain 16.60 g , p / J f . / 1 S^ ! i_ ../ / 6 " F drain (no. linear ft: Page 2 Suiieibld .l a t. no.: Project name W J / b ra , Manufactured home utilities 110.00 j Cross street/directions to job site: /� , i �1 Manholes 16.60 $'" - ^-_ {-� -) I - • Rain drain connector + 16,60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision:C LS- � Lo;n(a Water service (no. linear ft.: _) Page 2 Tax map /parcel no.: CO 5 Fixture or item Absorption valve 1 A 16.60 . 6 D,ESCiin ION Or'Ss'ORNC.,".'� �:, Baekilowpreventer x Paget 1 Landscape Irrigation B acldlow Device Backwater valve 16,60 Clothes washer . 16.60 Dishwasher 16.60 v.: .: ......:... :_ _,_._.: _ nn taut r D ' king fountain 16 60 = 0 7ROPERTl OWl R i = " a - TE1 - ' E ectors/sum 16.60 Name: Stone Bridge Homes LLC Expansion tank 16.60 Address: 16869 SW 65 Ave ii505 Fixturelsewer cap 16.60 City /State /ZIP: Lake Oswego, 0R97035 Floor drain/floor sink/hub I6.60 Fax: Phone: ( ) ( ) Garbage disposal 16.60 Bose bib 16.60 - © - API?LIC.: `T: ; ®I CQN'1`AdT YER50i'a Ice maker 16.60 Business name: Landscape Oregon, Inc Interceptor/grease trap 16.60 Contact name: Ellen Sparrow Medical gas (value: S _) Page 2 Address: 12200 SW Myslooy Road Primer 16.60 City /State /ZIP: Tualatin, OR 97062 Roof drain (commercial) 16.60 Phone: (503) 692 -5945 I Fax :: (503 -) 692 - 0768 Sink basitUlavatory 16.60 Tub /shower /shower pan 16.60 E -mail: ellenlglandscapeoregon.com Urinal 16.60 >•' �Y 5,:I I = �����> :LVl \ V R�=!- - _ -L• - " 'a � - l oset 16.60 - - sc a. ti� ater c Business name: Landscaper Oregon, Inc Water heater 16.60 • Address: 12200 SW Myslony Road Other: Cit, /State/ZIP: Tualatin, OR 97062 Subtotal Minimum permit fee: 572.50 36.25 Phone: (503) 692 -5945 Fax: (503 -) 692 -5945 Residcatial backflow minimum permit fee: 536.25 CCB Lic.: 7804 Plumbing Lic. no. Plan review (25% of permit fee) f State surcharge (12% of permit fee) 4.35 Authorized signature: �� TOTAL PERMIT FEE 40.60 Print name: Ellen Sparrow Date - `(, _C This 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. tlSuilding1Perrn3IAP LMY- PermitApp.do: 12/27106 440- 4615T(10 9•d 99L0 uall3 e69:90 90 96 IT .. , CITY OF TIGARD - c. BUILDING DIVISION PERMIT #: PLM2008-00304 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2008 Phone: (503) 639-4171 ;119impitit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7124/2008 TIME: 7:00AM PAGE: r J SITE ADDRESS:. 14634 SW 133RD AVE CLASS OF WORK: SUBDIVISION:r WILSON RIDGE NO. 2 LOT #: 016 TYPE OF USE: PROJECT NAME: WILSON RIDGE II DESCRIPTION: Installation of residential backflow preventer for irrigation. OWNER: STONE BRIDGE HOMES NW LLC, PHONE #: 503-387-7577 CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503-692-6945 Inspection Request Scheduled For: Date: 7/2412008 Pour Time: Code # Inspection Description Confirm # Contact # Message 3D9 Plumbing final 073158-01 503-692-5945 N Corrections/Comments/Instructions: ce Q e_ kp b/ AC- k c t o i-.1 14 PASS 0 PARTIAL APPROVAL pi CANCEL n NO ACCESS I I FAIL E] CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: OINvh.A...;1\ \ lia-A.—,_ Date:7 OA ( 0E) Phone #: (503) 718