Permit a�
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00204
•
TIGARD DATE ISSUED: 5/12/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DC
SITE ADDRESS: 07157 SW ASH CREEK CT ZONING: R - 4.5
SUBDIVISION: ASH CREEK ESTATES LOT: 003 JURISDICTION: TIG
PROJECT: ASH CREEK ESTATES
Project Description: Installation of residential 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
WINDWOOD CONSTRUCTION INC
12655 SW NORTH DAKOTA Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/12/2008 $36.25
[TAX] 12% State Surcha 5/12/2008 $4.35
Phone : 503 780 - 4375 Total $40.60
Contractor:
BURNESS LANDSCAPE
9330 SW LEHMAN ST
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 432 -8525
FAX 503- 432 -8525
Reg #: PLM 13007
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 B : Z - .4/ / Permittee Signat
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.
,MA „ -07 -2008 11:26 AM THOMAS. S.BURNESS 5034328525 P -02
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amigo /�a� Permit AaoOcat3�gj
Building Fixtures ,-.. °° a . I r ri; III I it I I `.I ?I`d RELf C 4 ' V Erifi 7 D Perm No.: , 16�'A>a
City of Tigard g 9 ,
1 111 1 , r 13125 SW Hall Blvd„ Tigard, OR 97223 P „ .
phone: 503,639 Fcac: 503.598.1960 MAY 0 , 2 Q G Date/B : Other Permit No..
Inspection Lino: 503,639.4175 Date heady/13y: ill gei Page 2 for
' ' ' ` ' _ Nofliiad/Nietlwd: / d Su • • t l Information
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Pi New construction 0 DoriAili m' Description f Q1Y. I En' J Total
Q Addition /alteration/replacement 0 Other: New 1- 2- family dwellings (includes 100 ft, for each utility connection)
c I 1, ia taod, +1 t A a + u A I +stn i $ y l n 1 t
Miti IIIIIIIIII
' I I . , ' i , , I i l lr„0 l ' ' ° I j W Amino 11 o " Nurataci 1a ,a4.4. , if . ,, v ..,1 .. ,r !t S. FR (i) bath 649.20
II
1 1- and 2- Ihrnily dwelling 0 Con SFR (2) bath 350.00
SFR (3) bath 399.00
[] Accessory builcltn ❑Multi- fatrtily
Each additional bath/kitchen 45
Master builder Q
Other: Fire sprinkler ( sq. ft.) Page 2
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Job site address '7 / 5'7 O�1JJ H etc f.. k c.-, Catch basin or arcs drain 16.60 MIN
th
City/Statc/Z1P: Tigard, OR ywe0, leach line, or trench dram III 16.60
Suite/bldg. /apt. no.: Project name: A bit Footing drain (no. linear ft.: __ ) Page 2
Manuthctured home utilities Illi 110.00 r
Cross gm-el/directions to job site
Manholes 16.60
Rain drain connector 16 -60
Storm sewer (no" linear ft.: __.) IIMII -
Subdivision: Ash Creek Lot no Water service (no. linear ft.: Page 2
. Fixture or item
Tex maplparoel no.: g Absorption valve 16.60
l °''',(i 4l Jt
I. I ri (..;; I ",4; °^ r �11y . b.6ri a i nt ro r r r �£ 9 �tkt Ile 9�sc Backflow preventer Will
landscape irrigation Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
I 11 1arpNe nn a i1 a' u a r z I x � % a Drinking foprRain 16.60
„
1 i I 1 4 r + 1 1Miau nuiaYti r� M'�cii:e i g � "P. a7tA ■> '.11ka , . tc li "�"�, I A rr , i .�.._,,.„..-
Ejectomump 16.60
Expansion tank MI 16.60
-
16.60
City /State/ZIP: Floor drain /floor sink /hub 11 16.60 III
Phone: ( ) lax: ( ) -- Garbage disposal 16.60
a n, t r, a ryar f 1t , t 4 ' l e -1 i.r x' , Roe bib 16.60
i C 1 ,' v ° ri�< i I u : a t ' "' , - { b°i ia, 5 ate a . F t 6,,„,. , u t
�I,��� 1 ( �� I ' P � �� n � , i .k�)� � � � � � � � a � l ce ma k er I6.60 I=
Business name: Barnes; L/5 - Interceptor /grease trap MI 16.60
Contact name: Tom Rurnaisi Medical gas (value: $ )
Address: 9330 SW Lehman St Primer 1111 16
City /Slate/Z1P: Tigard, OR 97223 Roof drain (commercial) 16.60
Phone: (503) 432 -8525 LFax :(503) 432 -8525 Sink/basin/lavatory III 16.60
Tub /shower /shower pen 16.60
E-mail: y t g p� p`�y�� Urinal am 16.60
I ��1',t" ��o C I`1 , �,3�.i�� f.,Il r, . 1'i , „ „,�{ M,��sFW1t3)'y,,�' O ` lfia M1 Y' �/aJ', , I�r, ri '1 � ` W ater closet 16.60
El r 1 A. , I �6 7W'1.R{ ,' . ".1 i I I S i t.
Business name: see above Water heater 1111 16.60
Address: • Other;
_ _ - "-"r"'- ` - .. Subtotal
City/State/ZIP: I Minimum permh fee: 572.50 36 -25
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lie.: 13007 - . P. bin ' • no.: Plan review (2594 of permit fee)
State surcharge (12"/ nt'permit fee) MiEll
Authorized signature: , TOTAL PERMIT FEE 40.60
Print name: Thomas Burnes* Date: 5/7/08 This permit application expires if a permit hi not obtained within
- - 180 days after it has been aecepted as complete.
*F 9r methndnlnnv yet 1w Trf- C'nnn/v Rnilriino Inehtttry Rrrvirn Rnard
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2000-00204
Aiotimo
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5l12/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 x
INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 07157 SW ASH CREEK CT CLASS OF WORK:
SUBDIVISION: ASH CREEK ESTATES LOT #: 003 TYPE OF USE:
PROJECT NAME: ASH CREEK ESTATES
DESCRIPTION: installation of residential bacIdlow preventer for irrigation.
OWNER: WINDWOOD CONSTRUCTION INC, PHONE #: 5 0 3 - 7 8 - 4 3 7 6
CONTRACTOR: BURNESS LANDSCAPE PHONE #: 503-432-8525
Inspection Request Scheduled For: Date: 7/10/2008 Pour Time:
' Code # Inspection Description Confirm # Contact #,' Message •
399 Plumbing final 072452-03 503-860-1203
Corrections/Comments/Instructions:
C
PASS I I PARTIAL APPROVAL CANCEL NO ACCESS
FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: (11\1 Date: ) 1(0 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION 4 PERMIT #: PLM200B -00204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: d1 2J200f
Phone: (503) 639 -4171 ' �ivV � �
Inspection Requests (24 Hrs.): (503) 639 -4175 41.,
INSPECTION WORKSHEET FOR DATE: 7/0/2008 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 07167 SW ASH CREEK CT CLASS OF WORK:
SUBDIVISION: ASH CREEK ESTATES LOT #: 003 TYPE OF USE:
PROJECT NAME: ASH CREEK ESTATES
DESCRIPTION: Installation of residential backflow preventer for irrigation.
OWNER: \NDWOOD CONSTRUCTION INC, PHONE #: 503-780-4376
CONTRACTOR: BURNESS LANDSCAPE PHONE #: 503'132 -8526
Inspection Request Scheduled For: Date: 7/8/2000 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
399 Plumbing final 0723211-05 503 - 860 -1203 N
Corrections/Comments/Instructions:
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rDA-t_i2._ F--z-ox pc-..„5 , (6 / e) , ,./
I I PASS ❑ - TIAL APPROVAL ❑ CANCEL NO ACCESS
, 4 FAI rA ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: — Le __ -` Date: 7 / v
� Phone #: (503) 718 -