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Permit CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 c �'I f 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/27/2005 PARCEL: 2S112CD -10400 SITE ADDRESS: 07855 SW ALDER ST ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 002 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 7871 SW ALDER STREET Description Date Amount TIGARD, OR 97224 [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: ,. S.c-e 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 . 05 01:13p Martin Sander 503 - 647 - 3151 p.4 REC 8V E P' Plumbing PgrThit Application rt.r. L11:/- lc 1- F 0N. i\ i. City of Tigard APR 2 6 2005 * y;��-6S 901- raaeilt►a3*oS � i�� 13115 SW Hall Blvd., Twit, OR 97223 run Review redder Odospetaniena: 1 Pbnoc 503.639.4171 Vas: 503-198.1.960 * 0 Set 3 for Pact 24- » $0].639141� O F iG .=_ !- 'i i., DateReara.By "`� s. a> � 1atineests.. l. 1 1 Nfliaiedrytened mtartcC ww.rdti�a+dat"e -I TT c� .a - :t . j T r^- c Fors doxidin elVew antsessetion . , 0DcroolibOn Description. 1 Qty. I es- I Total ❑ Addlrim+attrsalioYlhepttteassent 0 Orb= 1'reev a - ma y ~lbw (inckedcs 1000_ for ends wilily connection) �;:•.L`:F ?'�r,' a • SFR(1)tots 269-20 L.? :Z�r _ • :'e ..-. � . .- •t�.:Si'7'Y.:1 ::2:�Y_� *'31111^ �3 3�1_OD aa 1- sad Lfamfly d a © Caaomdallsodvrsttial si (2) blab '' SzR(i) 399 -00 bath ❑ Accessory b p Maki-family Eat* additional b.elrkitebcn 45.00 Q Master bolder' ❑ Other: - _ Fin sprinkler (_ - -av- it) 2 elf 4YL71 "-`= d-� 1'j-c Comb 16.60 Job sire -kites= - 7 R �S .4 w r � � .. ' City/Stoat/ZIP: --- . it r a G • dr L fin. leacte line, or t crach drain, 16.60 ( � Footing drain Coo. linear : _� 2 Suite/bldg./apt. ran RO�jeet - j2 s +1 h e C - Mendacused R• Fume utilities 110.00 Cross strcceditQtiens to jab s3> Manholes 16.60 Rohl drain e+0e.eersra 16.6D Sealing sc -.per (oo. gross R. __) Page 2 Storm scams (no. linear ft.: 1 Page 2 Waerserviec (oo- linear ft.: 1 Page 2 sltbdi w,Jision k� c. mrt e h f --P. n z s ).eat,ilea.: �1[j 2 M an or lte j Tax aplpatccl no.: Absorption � � ,.,tom 16..60 �LJ �^ g :;:-.:-.:-- • l71: " ' ' ' .: - ebiliow provuim 1 - P at el l V! } L - 1 _ t. ` ` '0 y r Backviecerval•e 1660 Clothes washer 16.60 1 Dishwasher 16.60 ,, fl iotmtaf0 16.60 tr• .- ..'_ s.1 :. a � -- . 7 .... s l a ..,..;• , l •i EJectors/sunip 16.60 Nmma Le c - ne.,\ tipples EVSIffIrielf tank 16.60 r t - s. Cty/Sate/ZIP: - r 0‘... - d 0 gZ 912-2-3 F7oot-drInv/Doorrinit/hub 16.00 • p (9).3 . 7,C? - : 0(50 Fs,c (503) 5 90v Garbage disposal 16.60 - ;� r _. ..... - ^: _ -7-...:.::‘ ' lnt f : ;' ioe rrakQ 16.60 c sus;»ess n , ' 1 a ex 1h 1.,? c.-Pr,l`)f e,< T-s�('Uvn ac c aeptodane355 tP 16.60 Contact carom K ,r• ti_ - ` ■ Medical gas Orono: S ) Pas'c 2 Address: P Q • ( 3 U'1 16.60 r City/StatdT.TF: . 16.60 Roof drain (cwnmctdnt) n v■• f 1 � , s - 0 - `� t 3 S;t a,ialtrratery 16 rnooc (SD3) (o Y. 7 - . �:s & Fait : ( 3) 6,-r7 - ors 1 Tubl6howeesleovier pan ; 16.60 E-mail: ptit,.4'111 s 0 _,,, j_ do. r:.•rn`05"1.1- d • 1to77»?9i! urinal 16.60 �� : - • e_ .: S r,�^T' " Waterclosct 16.60 Btnin DarAC 4-1 1 fl cke-r e 6 r17CM. S 4 CM C' • Water beater 16.60 - Address: • _ , - r3 .7 0 (Mier. CitgiStatorLlP _ . 0►2 Sonoran by--t f Icy `� !3 Mi iimu lit nee 572-50 pe» ( 5r r 3 ) 6' 7 - 6 $3 . •7 Fax (S03) &` - 91-5 Residea>ial bseldlow ntinin urn permit fte: 536.25 _ Plan review (25% ofpami fee) tO 2 >� no.: S (a%c penodfee) j r AtltberlZed EltRtaTY1C �/7 I OTAL PERMIT 7 EE A a r- I Pdat nag= kl .i_t N , S . '-r3- aea:. ' < < Ms l lr application =pit= ►f a parallel. es a eat .etal.ad ..teain '� ISO days atte r it ttaa bent acted as oolnp4eta- *Fee nlcdsodology Selby Tri- County Building Industry Service Busrd. LiBv'k6..e erroUtR.WneawkAts•.ae 12N3 .40-4ie6TreNeard6raew 51 79• IS CITY OF TIGAR1 BUILDING DIVISION w PERMIT #: PLM2005 -00168 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 4/28/2006 TIME: 7:24AM PAGE: 56 • I. SITE ADDRESS: 07855 SW ALDER ST CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 002 TYPE OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: Backflow device. OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080 CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503-647-5567 Inspection Request Scheduled For: Date: 4/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 325 RP /backflow preventer 005567 -02 - 503 -647 -6567 Y Corrections /Comments /Instructions: • .„ PASS ❑ PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS fl I AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: 9 Date: – ff Phone #: (503) 718-