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Permit M I! CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00168 TIG RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/21/2008 PARCEL: 1S125DC SITE ADDRESS: 07041 SW ASH CREEK CT ZONING: R -4.5 SUBDIVISION: ASH CREEK ESTATES LOT: 008 JURISDICTION: TIG PROJECT: ASH CREEK ESTATES Project Description: Installing backflow preventer. CLASS OF WORK: ALT 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 4/21/2008 $36.25 [TAX] 12% State Surch 4/21/2008 $4.35 Phone : 503- 780 -4375 Total $40.60 Contractor: BURNESS LANDSCAPE 9330 SW LEHMAN ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 432 -8525 FAX 503- 432 -8525 Reg #: PLM 13007 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: /75? Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. APR -18 -2008 03:22 PM THOMAS.S.BURNES 5034328525 P.04 I "T , - .1 wilding Fixtures AP R 1 g 200 i 1 , ii i ti i .:, . City of Tigard T9GR� 'r; e p lit Na.: , t .r17 ; -- _ 6 a 13125 SW 503,639,4171 Hall 1 T Tigard, p3,59$, n Of 01\11Q‘ e t , a Review Inspection Lino: 303.639.4175 ®, AaroBY: Other Permit No,: fig )"7. -CO i /5- Date Ready/By: Julie El Ise Page 1 for Internet: www.tigard- or.gav Natiftednamhol: $• •plemeatal lafarputleu ON I 1 1 S 4d' 1 Vf 'R'� f/ 1 - v I 1P,? tl 9lSp I y ` ; -III 7 r � I,,� I I , o•, .I�,' " '�� K g 'r ��Y�• ,� � n � ! .• ' 1" + ,° " " ' r l� `'�� I i, , ,'I+'.a + I I� N '��iV.1tVDI?.. 'JnD ' ',4 - •,., t,., „,,,,1'a' 1 y Yep 6 i, 1 t'r -� , •! ` ;,1; �, eta ire w ri , ,R , .181 New construction 0 llernolition For special hsforsoalion ate checklist ❑ Additlm f &keratk,n /ropitwement 0 Other: Description city. j fu J total . i r f t>t tfA p r .n y)3' New 1- 2 faintly dwellings (Includes 100 ft. for each utility connection) 10 i 11 1, „ i s:' 1 ; C. ,h y t i rill a ' I r h, ia" i h els, l± lfl 1 .. l " 1 q 9 � ere :i SFR (I) bath 24920 el 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) balk 350.00 © Accessory building ❑ Multi-Wally SFB (3) bath _.. . 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ID Other --- r � . i , � � p sr ► a s tro aim s �� r , �.r•r r a 5 a 'Ft " , ` Fire $ptinklet (_ sq, ft,) l > a gc 2 , II'rC 11 I 1 ' 1'r';'i ? I Y ' i M`r 1 E 1 � ' 1 �) . rr 711 11 :1 A�i �� +FF f'' 1 1 I , `/r + _ ) 0 alto titilltiea Job site address: Ash Creek Lot 8 7 . • A �` I Catch basin or area drain , - 16.6 City/State /ZIP: brywell, leach line, or trench drain 16.60 Suitc/bldg. /apt. no.: r Project name: Wlnwnod lioea footing drain (no. linear 8.: _) Page 2 tn Manutlicturcd home utilities 110.00 Cross street/directions to job site: - Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear tt: _1 Page 2 Storm sewer (no. linear ft,: ,,,,_,,,,,.) Page 2 Subdivision: Ash Creek Estates I Cot no .• 8 Water service (no. linear ft.: - ) Page 2 Tax tnap/paroel ho.: Fixture or Item rr� hat � r sw Wly" , Absorption valve 16.60 atr4srt daxr`• , 41r4 A r n 1 10#014 14t : , Flack flow preventer 1 Page 2 36.25 landscape irrigation Backwater valve 16,60 Clothes washer 16.60 INghwashor 16.60 -- - MOB t" " "y!�;fr�"+"f -0" 1 " °5N1 ;1 -' I • 1 c y�pp era "; rti +Ifs i } nye$ DrinkingDrinking iQatrntain 16.60 .tt iil�llibltlri l " ,ICE 1 41, d , ,, , ' i 'r !� N i ■ i N1 . 1 i .. .........- ...« +........., -..., - .._.......... ......��,..._.., -m ..�.._- ' ,r °.,, s1, it , Aa . 't ' Njee ors /sump 16.60 Name_ Winwnod Humes Expansion tank 16,60 Address. Nixnire/sewer cap 16,60 City/State/ZIP; Floor drain /floor sink /hub 16.60 - Phone: ( ) � n Garbage disposal r 1660 it /i� 'y l t. i< "t t, I ; , , , c i wr '1 ., �9Ya ":r , 'a o m 4 r W sir' ,Tt' ow-14 ',, " bib 16,60 rut i' :r.,, qP . r 0 r. 1, kr , s . Y,,` 14<7MM ,ek4.hU +'31ri .1�i 1.'. Ice maker 16,60 Rosiness Tissue: Burners 1./S .--� -- Interceptor /grease trap 16.60 Contact name: Tom Burnes% Medical gas (value: $ ) Page 2 Address: 9330 SW Lehman St Primer 16.60 City /State/ZIP: Tigard, OR 97223 Roof drain (commercial) 16.60 • Phone: (503) 432 -8525 ( Fax: : (503) 4328525 Sink/basin/lavatory 16.60 Tub /shower /shower pen 16.60 E -mail: 1I '., I wnittq�y �wrz , Urinal L6.60 d I ) i I ( '� r4 ��.kv ,�„ i, ... ' � .. '� ' ' `- w t 1 1 � r ?� 4 ,): Y � r ► �t � r � f ' � . $ � E S a l� W. C 090f. . _ .- 16.60 Water beater 16.60 �m Tin m. Address: r te ; City/State/ZIP: Subtotal Minimum permit fee: 572.50 Phone: ( ) Pax: ( ) Residential backflow minimum permit fee: 336.25 3625 Cell Lie.: 13007 PI „bang no.: -, - Plan review (25% of permit tbe) l ior Authorized signature: State surcharge (12% of permit fee) 4.35 fX. Ds.-...- a . TTO1AL PERMIT FEE 40.60 ler Print name: Thomas Barn as Date: 041888 This permit application expires if a permit is not obtained within 100 days after It has born accepted as complete. *es,- mrthndntnvv art by Tri- Clnnnty Ritiltiino Tnduery .4ervtce Rasta CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM20O8- 00148 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/20013 Phone: (503) 639 -4171 ANgitiglih Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7 :00AM PAGE: 3 SITE ADDRESS: 07041 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 0043 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: Installing backflow preventer. OWNER: WINDWOOD CONSTRUCTION INC, PHONE #: 503 - 7843.4375 CONTRACTOR: BURNESS LANDSCAPE PHONE #: 503 -'132 -852$ Inspection Request Scheduled For: Date: 7/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 07245:3 -01 503-860-1203 N Corrections /Comments /Instructions: Cr a 9 1 . /.) • A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: "7' I o I C'.• Phone #: (503) 718- CITY OF TIGARD .. . BUILDING DIVISION PERMIT #: PLM2008- OO16$ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/2000 Phone: (503) 639 -4171 `> �j��j Inspection Requests (24 Hrs.): (503) 639 -4175 ...' J P:_.. INSPECTION WORKSHEET FOR DATE: 7/8/2008 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 07041 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 008 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATES DESCRIPTION: Installing backflow preventer. OWNER: W1NDWOOD CONSTRUCTION INC, PHONE #: 503 - 7804375 CONTRACTOR: BURNESS LANDSCAPE PHONE #: 503.432 -8525 Inspection Request Scheduled For: Date: 7/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final. 072328 -09 503 - 8601203 N Corrections /Comments/ Instructions: ; G – - s .{ ACC( �� t A U P vi�� / ,4—t— - ❑ PASS PP PARTIAL APPROVAL • ❑ CANCEL n NO ACCESS ;P CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED L/ Inspector: ` Date: 7 �� Phone #: (503) 718 -7