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Permit • CI TY OF TIGARD PLUMBING PERMIT I DEVELOPMENT SERVICES PERMIT #: PLM2005 -00242 �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/3/2005 PARCEL: 2 S 112C D -10700 SITE ADDRESS: 07797 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 005 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 : 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: 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.5 ( cr1; ( ..n: I. 1i I 1 -:.F it l E II Plumbing Pex ALWOrk � City arli "Renew' . vomit Wm: • )6„.., 135 41, 13125 SW 11.11 Blvd_ regard, OR 97223 Plan ba p�p�,.�.:t Phan= 503.639.4171 Fax: 511.3.59$1.1_9603U I ti 0 2 20 - , f dooda i 24- Hour i Lime 503.639.4175 . 4.. ' I ¢ Et i rose 91 sot Page fa f mterner v+ery et e .oe Qsrd oa r T n T I G A 14o lledl)fa S!pt!�e° asw t t.fan. f f.y P "' t a` . . ,. d � . FOrteadd ia, j�naesQa+ ►t New c0o6'fitucrian , 0 Demolition E Qry ol , i EN- i To ❑ Addltio Easbonintol ioement ❑ O1Let_ r (rats- t - Z t&a daeJ>lttg (iacLrda 100 !L for each lltlly connection) uW ei is.'1 _ii�r �m� 35001 1- and L- d* ©rope airmausa al 5> - WAD) ball% 399 ❑ Accessary bailing © -feint Dm% additional batldldhobes 45.00 0 Vaster builder - yes, n, alr�ss> �co�- n j - • as-t� '+x',`'• -� L�°� Fn`f�einkler[__ea4 -ft) Pa®`Z' rgriN t om. 3t -n s SiteoSiteniFeliec Job site addresz C 2e&s 7.7 s iA ! /A -7 .r ,S f .. Casco *rosin aroma drain 16-60 • ti / t a e4 4{ � 7 ; (.� IZf ` ! z,2—"/ tea• loth tine, as- mach drain Petit } 660 Gtyl$ ` J Footing drain (no• Hoods R.: __,� SoitrJh dg Jape no-: F.1 � f gr I �G /1 - -/ /l.J bbonititeened home utilities l 10.00 Crow strraldtect aac to job site Manholes 16.60 Raft' drain connoceor 16-69 Sanitary se.v (na. linear R.: ___) » 2 Semen ernes- (no. linear ft_: ) Page I I Waver (no. limas- R: _) i 2 I Subdivision: HA- 8v -C / •a_ ,e D -, ll�L,� Lot ire_: S - --vv Fissure or item g. i. gua r ,�,� ) ?l - ::::7.:-. . • Had�owpreveata ��ES rd}i�f'ii4b / Page -�'.LS � / Q 2/ [J/ V Bad valve ` ` 16 -60 L D. t C]atbm vmsbcr 16.60 Dislowasho 16.60 I , _ fountain 16.60 ie ;a _•_:•" - a_ i -` ji �4i rl �� '� � n � 16.60 Numc Lam'` /•�Gsi . /D /S 6mnbia3 tmtic , 16.60 .Address: /Z 7< S 5 t (o 77 .-/ &. Flutinehewer o, 16.60 . CV/Stan/ZIP: - r- c_ 5 , ,---,4, 0 C 1 - • Z Z ` I Floor o r b pb 16.60 anC (5'3) C72-0 _ I gv ' (� 59 g vJ aim Is.60 Hose Ws 'c.- i1tc = �. 8 � } - -Y.. >. i lcainslcn 16.60 Bnstams too j,-kx S e. r,Al2 $ ('') tND VYl S t.4.a-NL i . benteptotfgrgse asp 16-60 Contact name k Q !--1- Mc ica1 gas (vela= S , ) raze 2 Address: (P • s / J 3 (7)-1 (7)-1 �� q Primer 16.60 CsryiStatr/TB': Ck •�-h I ( - J / �' 5 kibssi hr am:Y ) 16.60 � 16.60 Pbonc (5 i j) 6 7 7 S C� Fax /,5 Tubltbsonerisbinwer pm 16.60 E-mail: Urinal 7 6.60 a— 1 r f=t�t'�a Water closet 1664 Wider heater 16.60 Address: • .... V . l ("2....› D v -2 Otber S.Mxai 3 0 , L • CilYnLae'aiR KD - i e l.c v . 3 t 0 97 / 33 Minimum pernsit fro rn30 {� Phan= (SG 6 Y2 _ -S S 0 7 FIX: ( Si& ) (v f7 - y /.SJ Residential bacMlow minimum permit let 53625 __l L no. Plan review (25% orpenmt nee) GCB Lin 5 7 4-12-- Plumbing slate surr]nage Mb ofpamot fee) -r - Authorized sigmas= c-- i7- TOTAL PERMIT FEE j, , is Pthat oat= j'rijll�i--f - 01 s .-&.. 1 1:114 L • r _ C75' 1 TbIs t appliattian expires if a parade it neat aMataed Mitb1a 1 ISO days atter it has beet aneepted as eamphoa. *Fez melbodology cat by Tri -County Building Industry Service Bout. x18 7disnlVnoit rt,m4omcApu.en 12103 4404et6T0o,n21COMRVED1 I CITY OF TI GA RQ . BUILDING DIVISION PERMIT #: PLM2005 -00242 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/3/2005 Phone: (503) 639 -4171 a"o11tntIil�t�j�l?� Inspection Requests (24 Hrs.): (503) 639 - 4175'__.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: BB SITE ADDRESS: 07797 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 005 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: Installation of backflow device. OWNER: LEGEND HOMES, PHONE #: CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503.647 -5667 Inspection Request Scheduled For: Date: 7114/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 325 RP/backflow preventer 011351 -01 503-647 -5567 N • Corrections /Comments /Instructions: • i kPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: h i> j 't Date: //V76 Phone #: (503) 718-