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Permit C ITY OF TIGARD PLUMBING PERMIT 4, DEVELOPMENT SERVICES PERMIT #: PLM2005 -00341 44) A I DATE ISSUED: 7/28/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD -11200 SITE ADDRESS: 07737 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 010 JURISDICTION: TIG Project Description: Installation of backflow device. 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 12755 SW 69TH AVE # 100 Description Date Amount PORTLAND, OR 97223 • [PLUMB] Permit Fee 7/28/2005 $36.25 [TAX] 8% State Surcha 7/28/2005 $2.90 Phone : 503- 620 -8080 Total $39.15 Contractor: MARTIN SANDERS GROUNDS MAINTEN PO BOX 307 NORTH PLAINS, OR 97113 REQUIRED ITEMS AND REPORTS • 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 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: St, ( 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. • Jul 27 05 02:12p Martin Sander 503 - 647 -9151 p.4 Pe a A Iit� �' rat: < City o�Tig rd <f 1 .F ,a`t r �.13 13125 SW BhQ, Tisant OR �` e / Phooc 5031.639A171 Fay 3a3.39fit � • :i / 7�: Rsoe[ Na �* • .)--- I y/ 24^ Row �DEc�4t75 `1 /1 n1 i .• OtecrPoaais J7 :!> M `\ \'•' 1 �V t3 SorAtc2fr CI �� - .� OlIR2' Far QtY Es- :i.- ; ?' _►- ,c..sra r. _, [Yew l- Toad • [] 1 - � r �r.:e: ' : - +; +__ : %:..- `' i ■' �-M SFR(1)batA ��rndodtt /OD � 2- Away El NMI 2t9�0 Q Act-mealy amp sFR bola 3sROo Q © It3asoerbod� �R(3)bottc 349.00 tc o ��i g ❑ Other: : Baas additional battAdesbeaa eS00 n t-___. _ �„_ ; i ` 4 Lt 3MI EI sprinkler( W ) > ge 2 hYE 't 1 t� warreser a` Y�rrlZip I►�' � 1 Caleb bash or dais ME e • _ 1660 Sulteibleginnt I !, e g' r � Dq.reB. Icach lid or aau3, drain I AGO no.: /Project/1A= I .if ! Footing dada (no. tinter ft: ) MUM C m s M*7uf� 110.00 aed borne utilities MZeha)es 16.a) Rain dram eaastutcr 16.60 SanIwIy sewer (no. Straw IL• .) Prgt 2 Storm sever U r g e : * n r fL•__,) / / . �a / / j � wai aviec (no. lunar R= ) 1111111 ® — Reran, or Rom 4VMVIM = '�.•' .: ."I W' Abaor}reoa�ralYe 16.60 _ 16.60 t� Oath= w•zber 16.60 • Obliviasixr • .rc'. L__ - �••i�';,Cfiti��'�': ;[��' 'C''� pricking r6.ao E . , ia�stf� mi. ricer =.s 16.60 ..� : �.J � ail Lj � lam. ' was %tea 1660 >�aa MI 16.60 Efecunoscanp 16.60 i CSO ) (.J � - / � /I I'� ctrai+r/SoarcrnlrlbnD 1 t -�: ., � • 16.60 MI- fi'g:. _ . 26.60 / / / _� / toc n>ikQ 16.60 Contact flame 1 � -- IaEb orPte a ere), _ 16.60 S ) AddreAddress: Ar 0 Dx " Tdladicai gas (rat(rah= _ 0 City/Swamp; 1 /Y ' • 1660 Ci Pbone ) t iO 7 st�v 7 Fao _ c :3i � :7 — 975/ Sial inna..m p ENNEMIIII 16 .60 Tvlstellowerfsbawer pro 16.60 IIIII is lac- rr� —t�..' _ �� ,,, :f:MM = . "' '.. .,- ...11% v =V d� _ 711cM do. 16.60 Urinal - - .41 �t -� Water - 16.60 Address: /` 16.60 city/swamp •rdai l . I s/ r rG ' / sabletal a:imam wrath em S72_50 Pb°ac (.54:1. (o ` 7 7 - ,4 7 F (Sb3) b`17 9/s/ Residmlo] Dxffilow� � Ifr• minimum =wit Etez S36.25 IIII Aar Sim ' � � > am s9.. S trvicw orperink > sundae= ( fee) I �i � $ D .. 1 Gi TOTAL PERMIT FEE 05 P mt application umpires War. • • 7 � '1•bt resaa:t a wK eDesfwad ..hpin IE0 day. atfer it boa Gcen `' vr+a ttAO 'Fen mctho4ology set by Tci- County Braiding Industry h as Service S. bo- 4ranyrNiB/coQranna CITY OF TIGARD ` BUILDING DIVISION PERMIT #: PLM2005 -00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2005 Phone: (503) 639 -4171 %4� i1 1- Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/12/2005 TIME: 7 :06AM PAGE: 15 SITE ADDRESS: 07737 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMSACH GROVE LOT #: 010 TYPE OF USE: PROJECT NAME: HAMSACH GROVE DESCRIPTION: Installation of backflow device. OWNER: LEGEND HOMES, PHONE #: 503.620.8080 CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503 - 647 -5587 Inspection Request Scheduled For: Date: 8/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 013477 -02 503.647 -5567 N Corrections /Comments /Instructions: i f �A' vim — • Y i,H, PASS 0 APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 072,J Date: ? , Phone #: (503) 718-