Permit r
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CITY TI GA R D PLUMBING PERMIT
1 DEVELOPMENT SERVICES PERMIT #: PLM2%%5 -00165
DATE ISSUED: 4/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112CD-13900
SITE ADDRESS: 07864 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT: 037 JURISDICTION: TIG
Project Description: backflow preventer for irrigation.
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 Description Date Amount
12755 SW 69TH AVE SUITE #100
PORTLAND, OR 97223 [PLUMB] Permit Fee 2/6/2006 $36.25
[TAX] 8% State Surcharl 2/6/2006 $2.90
Phone : 503-620-8080 [PLUMB] Permit Fee 4/27/2005 $36.25
[TAX] 8% State Surcharl 4/27/2005 $2.90
Contractor: Total $78.30
MARTIN SANDERS GROUNDS MAINTEN
PO BOX 307 REQUIRED ITEMS AND REPORTS
NORTH PLAINS, OR 97113
Contact # : PRI 503- 647 -5567
FAX 503- 647 -9151
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 -24. -6699 or 1{300-332-2344.
Issued By: s'r _nj_vc7 C 7 2 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.
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00165
' E''l DATE ISSUED: 4/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 112 C D -13900
SITE ADDRESS: 07864 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT: 037 JURISDICTION: TIG
Project Description: 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 Description Date Amount
12755 SW 69TH AVE SUITE #100
PORTLAND, OR 97223 [PLUMB] Permit Fee 4/27/2005 $36.25
[TAX] 8% State Surcha 4/27/2005 $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:
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.
Apr 26 05 01:12p Martin Sander 503 - 647 -9151 p.2
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r Plumbing Pe 't Application is uw, F.
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's , 131 SW 1 Blvd Tig rd, OR 97123 A P R 2 6 2005 � r Ober t'ermintvs:
Phone: 503.6394171 Fax: 503 .598.1960 1Tsrd9T
24- Hots hrspection Litre 503.639A17 r' 9 V Dam r ""
L A I T Y OF '- . .y i S s� : for
Internet vr.s'�.Ci- lisard -ar ttr, r . ^. . 1 ]vwBSedtY[tbvd Sept dl tarer�.tet..
e I i : ti . y +s ;. :M 1TN" __,� L : L tr l 'tP11 -9::7 .YU ? . s 2 g ...
For special Iaf rust sm scut deaedist
e„ oceion ❑ j)rjrlpiitipn Desertplhon ( Qty. ( Ea- j Total
Q Other Maw I- 2-family dweiBnS(includes 100 a. for each utility connection)
}�z nrrrs: SFR (I) bath *
•i1t1� - - . efi' - :: r '''r % �' - -- - - - - - , th 24920
• Ist � „ :,
ir:.7aL.� ce lea -` +sr y :iM. - stf ` ' •' -
I- and 2-family dwelling D CootmeradrusdUsnial SFR (2) bath 350.00
SFR o y 1 D Multi -f mi1y (3) bad' 399.00 i
Each additimal latMdtcbtn 45.00
o ,L
Master belider ❑ Other s: _ _ Fite sprinkles (...- a4 n) Pa¢ 2
- T II :.4. '•'i .= ' r. :'._,. . ti.!,.L " 1 4 r � :-•:. c-' Slte:names
J ob site address: - 7 ..j 5 ktJ A lei v -0� c C� l t? . 1 Guth basin or eta drain 16.60
Gry.StuccaZik i ^ cvA rut (, r,, cri z2_(-1 t DrYwe4 en
leach line, or trench drain 16.60
Suite/bldg./apt. no.: -J Project IA 6 v'- bel ,c1-.1 FOOp7aara6t (no. lines ft.: ) 2
Manufsereaed home utilities 110.00
Cress strectidi>ueons to job sib Manholes 16.60
Raip drain connector 16.60
Sanitary sewer (no. linear 11.: �.) Page 2
� F yc ElsRnn o orr Storm sewer (no. linear ft.: ) Page 2
Subdivision: 4c cc e h - Le.e.r J' ts)o -e' j la""*-: ( 1i. Wa ccEno. BoorR ) Pasc2
Rim
Tau toaplpareeI Do.: Absorption valve ( 16.60
. % n -.` l 1: 4 R. r . l .'+
iR ir ' _ ., .' : r.- •
. lincIdlous pt eya:ter 1 Page 2 :Ls
L , • st' ^- c r .: ' ' .0 _ [ Berea "ur valve 16.60
Clothes washer 16.60 �
Dishwasher 16.60
ti r4sc! . r''77;if Fi i' e,? `ir., l..e e ' y ' t` r ` Thinking' fountain
.. 16.60
,
!,: ` 4 ._ . ti.,r,.. �_ - ..� .. . : n y .e r..r. . i
• ? . k Think 16.60
i'fnmc Lee a zs n Expansion on& 16.60
Address: I C 4 SW 1 c9 - 1 - 1-t Ave - r Feature/sewer esp 16.60
CitylStmdzIP: - s .. Cck 0 n i 1 2-2-3 Float t3taio/floor si nkl1a b t 6.rso
Ph"' ( ) S (5�:3) 57g S�' / t il ` 7"i di 16.60 - -
�� . Zt7 °• O rates
'c � :_ . e ::: :. ': . i � `1 `. r. r ~• ' 'A "-OR 111 1 : T ee =Ic 16.60
. .
� e '!" '' J• � I + a maker' 16.60
Betness 140 K-T10 cp-k\.30€ a< tcOV (1ck i . Inrayspwdgressecap 16.60
Contact nano 1 - c-e- (t Cam_ r •-h L.,-, Marcel gas (value: S ) Page 2 .
_
Address: p . 6,,,,, 3o`i Primer 16.60
City/StatdZ1P. K. NilY 101 a , s - h b/s
' re_ - 9 1 133 Roof drain (commercial) - 16.60
Pllonc (Sir ) ; - • 6 Fax:: fg1..3) to - `i /S Tub/shower/shower w e vztowy 16.60
u b/so w �er/ rlshowcr Pan 16.60
Urinal 16.60
.:Y_ •3 :14 4_ 4 ,: ,- : i'i!:^ "Li)✓� ' Water closet 16.60 1
Business name h/ '41 a .• ' .:14../1L tJ • . Water heater 16.60
Address: T _ 0 s 1 7 6 .3 0) Other: i
Q Subtotal
City/State/ZIP: cJ-r- (,� ) l I ! 7 l-� Minimum permit fee. $713 -
Phooc (503 4,7 7 - SS (,� 7 Tax: (S 03) (Y 7 - *l-S1 Residential backllow minimum pe nt Ste: S36.25 ,
COB tic.: S y Z Plumbing 1 -te rot_: • Plan review (25% ofperrnit fee)
Authorized sigaaprrer /�� Starr surcharge OM of permit fee) ^ 9 D
L � t TOTAL PERMIT FEE -
I Prim seine: /.- ,-./i )-1 . Srr <r � l Omta' /"��'22$ I T rots pers appl ication empire' if a penult Is net stashed within
I$0 day, after it tut bees accosted at complets.
*Fee it thodology Selby Tri- County Building Industry Service Board
esusau,ay...aenrw -!e .tAp..me tun +wwir•rtnmmioowUIEl .3 i' • /
CITY OF TIGARD PLC
BUILDING DIVISION , PERMIT #: I—CJOS CI `(S
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..._._41.-
INSPECTION WORKSHEET FOR DATE: 7/- TIME: PAGE: I
SITE ADDRESS: 6 Y S/-:: CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: a .Gy ^ PHONE #: CA 9 > '-T c f
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 ve I
- 3 5 s 0 1., ( --r — -
Corrections /Comments/ Instructions:
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P
eAk i llir , ! i,......
i
1
1
f ■
. i
i l l ' SS ARTIAL APPROVAL I I CANCEL NO ACCESS
FAIL CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
irl Inspector: / 1( & Date: ;i/� l Phone #: (503) 718-
1
Ii
Inspections Required for: PLM2005 -00165 - .
_ Code Inspection Description PASS Date By ._
✓ Code Inspection Description PASS Date By •
BUP - Building Permit ELC - Electrical Permit
405 Excavation I 105 Underground/slab cover
410 Fill f 110 Temporary electrical service
415 Grading 115 Electrical service /reconnect
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover _
210 Foundation walls _ 130 Ceiling cover
215 Footing drain 135 Low voltage
. 220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool _
230 Underfloor insulation 195 Misc. inspection: _
235 Shear walls /anchors 199 Electrical final •
240 Exterior sheathing
245 . Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls _ 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final ,
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical -
285 Drywall nailing 610 Gas line
287 Suspended ceiling _ 615 Mechanical rough -in
_ 295 Misc. inspection: 620 Hydronic piping
899 MFG-Structure final 625 Duct work
498 Grading final 630 Fire damper -
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood _
695 Misc. inspection:
' 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab _ _
915 Fire alarm rough -in _ 310 Crawl drain
920 Suppression trip test _
315 Post/beam plumbing --
995 Misc. inspection: 320 Plumbing rough -in I
998 Alarm final X 325 RP/backflow preventer I l /0 'V 1 di
- 999 Sprinkler final 330 Water service
335 Rain drain — _
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin _
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing _ _ X 399 Plumbing final
210 Foundation walls _
215 Footing drain
420 Sprinkler supply lines _ SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer 1
` 498 Grading final _ 595 Misc. inspection:
499 Final inspection 599 Final inspection 1
I :12uilding \IVR \InspCard- AOP.doc 02/02/2005
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•
ITS OF TIGARD PLUMBING PERMIT --
- r„0 DEVELOPMENT SERVICES PERMIT #: PL M2005 -00165
§ 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4!27/21105
___ at .. ..... g PARCEL: 2S112CD - 13900
SITE ADDRESS: 07 864 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE T: 037 JURISDICTION: TIG
Project Description: Backflow device. `---- 0
r CUPA NCY ASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
ARP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
i 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 SUITE #100 Description Date —,— Amount
PORTLAND, OR 97223 [PLUMB] Permit Fee 4/27/2005 $36.25 -
[TAX] 8% State Surcha 4/27/2005 $290
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
re
Reg #: LIC 5742 EXPIRED
1 t ' . O C
,,,,/,,,
a
likti
N
0
0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR, Specialty Codes and all other
Ul
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 t
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.
0
Issued By: - . , �Z Permittee Signature: -e 1..,
. 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.
Vi
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD ' n
BUILDING DIVISION PERMIT #: PLM2005- 00165
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005
Phone: (503) 639 -4171 411: ,, 4�, I„ Inspection Requests (24 Hrs.): (503) 639 -4175 .,' �'
INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 54
SITE ADDRESS: 07864 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 037 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: Backflow device.
OWNER: LEGEND HOMES, PHONE #: 503- 620.8000
CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503 -647 -5567
Inspection Request Scheduled For: Date: 5/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
t J 325 RP /backflow preventer 007692 -02 503.647 -5567 N
��" Corrections /Comments /Instructions:
/■if ci -u Cam( l.il�,/\ `--
Te 5 's ,- Gz'_
U;(
(l PASS . p / PATITTAIL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S /Z� /Q S Phone #: (503) 718-