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Permit CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PE DEVELOPMENT PLM2005 - 00243 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6(3/2005 PARCEL: 2S 112C D -10800 SITE ADDRESS: 07791 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 006 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 6/3/2005 $36.25 [TAX] 8% State Surcha 6/3/2005 $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: 77,.6 1 J 1 f' Permittee Signature: ] Or\N 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. Jun 02 05 12:54p Martin Sander 503 - 647 -9151 p.6 Plumbing Permit A 1 U c cation r LU.1 I t - F i SF (' ' t 1 City offTl .11 a Tigard, OR J/4 0 2 2005 =';` - .3 BD S161-- i. Na IN,71(0f 5'G(lug%1 13176 SW Thane: 503.639.4171 Farr: sat3sva_196u RD Rai**, za , Inapeetiore s�.6391i f,� Y O F TIGA Mo d8a� '! i . Duc 1 y: 61 Sot Pawl for mrt:mob wwat i.ligu:l.urmt 5 401 DIV 151 Norifmddoictk,� T 1 Saves -sael tdorw va 0 Newcansancban , , 0 Domolition For spesrLaflafinwwt+aa waakeoklit[ Description i QtY. ( Es- I Thai 0 Additamalallaatialshepltrettneat 0 Other tic.r 1- 2- farwly d t 3fl (ndudts 100 fl_ roc each utility connection) i =,,.:y;r+4':s' :7119 1-+ 1*_.�a + -e;- SFR(1)bath 24920 �. 1- and 2- tetody dwelling [] CommatiaUiadasAial SFR ( bath - 350.00 SFR bath 0 Arceracry building ❑ Multi-randy (3) 399.00 Each additional bath/kitcben 45.00 © Master builder 0 00= s1 Fite sprinkler L� sti. It) Page 2 ~ Job situ addles -7 7 9 / S `- , T 1 / 4-(0,--,S1 . Garret basin or area drain 16.60 Cly/StaxdZ�: 773 ; u rd / 0 12_, / 7z 2-V ,,) Ty*'eR• :each line, or trateh drain 16.60 Suitd ric / b1dgJapi. no.: I Project nit - /A 'Los ,arm /...t C-' /axe / I v` , Footing drain (ta. line ft: _,__) _ Pn6z z Manufactured home utilities 1 %0.00 Cross straa/ditmeions to job sktm Herdlike 16.60 Rain drain connector 16.60 J Sanitary sewer (no. linear fl.: _) Page 2 Storm rawer (no. lime rt.: 1 Page 2 Subdivision Wa cr service (no. hams- R_ 3 Page 2 H •� tti. t C 2 / ��: I ,Lot no.: (o Fixture urinate Tax map/pan:el no.: - p yam 16.60 = :,� ; 4: ' _�" 1 '+. 0 ` a •. . - a d®owcow ate �R ,E•itll / Paa2 ' :.S I kn/,r0,SC,'1/ / . / 6477 - - - d vr tot: aro �K ` f 16. Clothes %washer 16.60 Dishwasher 10.60 16.60 [ # '1 t'? 1 i: w E rouatafn 16.60 Nat= L�6 /Ll /7 �� Expansion tank 16.60 Address: /2- ? S S t..-0 c7 77-1 / . Fuh,r&tewre cap 16.60 GtylS1etdZIF: ` ��r � trz � C ct `) '22 - How dtsintfoar 16.60 Nam= II Nam= (5"3) �v2-0 - < tic) Felt (.S23) 59 g ` n / 0 0 C+a'Ixrtcdisposal 16.60 ;�;. ` p ,,' HoaM3 16.60 a 1 •�rsg :- 1. - ... .. ' ai. 2 t +: - :' � A `: ?= �Y7� - teetnakQ 1 6.60 Easiness Dan= 1,./GC,r -f" \\(1 S 6- rvA.Q...s ( -.rocam- S. h(wYti . Intesatptor /greasctrap 16.60 C.ontset Dam= a ! .1.,'\, \ Medical gas (value: S ) Pe=e 2 Address: e. v r � J� Primer 16.60 City/Stnte ZIp. 10zre i T , J" I,c._ S - 9-7, 3:,3 Roofdtain (commercial) 16.60 Pborta (S 03) (E7 /7 - ,SS b 7 IFatx:: (Sep) G? 17 - ` 7 /S l ? t/sbowewoowrer pan 16.60 E-mail: Urinal 1 i .. 4' . 4�.1ti •` • a li �. Urinal 16.60 : - .vi�':�: Y_ • - =_'i -` :% . ,, 1i. � "•: v .e ; :5 :: 6.60 Business Bin= �ci, r 't7Y-3 , ce Gi_ -% /� Gj roc /% Jas J . ,L warn heate 16.60 Address: Other r -() ., � C � �'v'� � Subtotal % rZS City/Snarl !D z7Yfi1 =‘ �" Low :1r1 .. , U/` / / z 33 Minimum permit rec mS0 phase ( S.3) C G 7 ..... �j 0 7 Fax: (S:�) (v - f7 - y(S! Residential boddiow minimum permit fig 53615 CCB Lie.: S 7 Y2._ Plumbing Lie. no.: Plan review (25% of perM1tit fee) Stele s rehaEt (ass of prtntit rte) - f - Autherrixed sigma= f7 S / -. 5 /) 1 OTAL PERMIT FEE , ,gig , /S Prfaa name: `f- ire - -,-1)1'1 : SGt � /.6_ { c 1 1 6 � - & } This Perna application empires if a pertw.t a sec.beataed wattle 180 days atter it has beta accepted as oon$pk+ta. °Fee methodology set by Tri- Cotmty Building Inlusuy Service 13curtl. +awlm,giv.mxrvtw•rn+aitm.me t.N7 , u4- alsrporancom Wa'Oi CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005.00243 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/312005 Phone: (503) 639 -4171 "D' iIiIl' Inspection Requests (24 Hrs.): (503) 639 -4175 L INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 86 SITE ADDRESS: CLASS OF WORK: 07791 SW ALDER ST . SUBDIVISION: LOT #: TYPE OF USE: HAMBACH GROVE 006 PROJECT NAME: HAMBACH GROVE DESCRIPTION: Installation of backflow device. OWNER: LEGEND HOMES. PHONE #: 503.620 -8080 CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: J03.647 -5567 Inspection Request Scheduled For: Date: 7/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 011352 -02 503- 647 -5567 N Corrections/Comments/Instructions: rA" • A ..p.4ss ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \Z Date: .7 /d one #: (503) 718-