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Permit CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2003 -00606 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/3/03 SITE ADDRESS: 12410 SW ASPEN RIDGE DR PARCEL: 2S110BC 07700 SUBDIVISION: THORNWOOD ZONING: R -7 BLOCK: LOT: 048 JURISDICTION: TIG 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 Remarks: Install irrigation backflow preventer. FEES Owner: Description Date Amount DON MORISSETTE HOMES 4230 GALEWOOD ST [PLUMB] Permit Fee 12/3/03 $36.25 STE 100 [TAX] 8% State 12/3/03 $2.90 LAKE OSWEGO, OR 97035 Total $39.15 Phone : 503- 387 -7538 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone RP /Backflow Preventer hone : 503 692 -5945 Final Inspection Reg #: LIC LCB: 7804 PLM ALL PHASES - PLL • 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 - 010 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699. Issued By: d4,6A,A_ Permittee Signature: G 'l""" ' � Si9-1C-, Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day D ec 02. 03 10:13a dan edmonds 503 - 692 - 0768 p.4 , Plumbing Peri f it 0, I l :IP : lion Received FOR Ei SE ONLY' ' Date/B : ha- 3 03 $ Permit No.: ? L/21, % 3 QQ, City Of Tigard Planning Approval Sewer 13125 SW Hail Blvd. DEC 0 2 2003 A Date/B : Permit No.: Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/B :. Permit No.: Phone: 503 - 639 -4171 F U fe6 1 � UI 6R c SIO ■i41'.;• Post Review . k Land Use D Internet: www.ci.tigard.or•us __ ,.�,. s to I Contac : Case No.: 24 -hour Inspection Request: 503 -639 -4175 ° -+ Name/ Su See Page 2 for Name/Method: Su . lemental Information. ... TYPE ..OF WORK FEE* SCHEDULE special information ri •checklist) New construction ❑ Demolition Description Qty. j Fce(ea.) 1 Total (( Addition/alteration / replacement Other: :':•Ne 1- & -fami :d • C 4TEGORYOF CONSTRUCTION..:.:.;:; . ;:,"': (includes 100 ft. for. each utility 'connection) . I & 2-Family dwelling SFR (1) bath 249 20 's N Y g ❑ CommerciaUTndustrial SFR (2) bath 350.00 Accessory Building ❑ Multi- Family El Master Builder SFR (3) bath 399.00 ❑ Other: Each additional bath/kitchen 45.00 :JOB SITE INFORMATION and LOCATION: =:= Fire sprinkler- sq. ft.: Page 2 Job site address: %a t// .) .fif ty /e-cfy . ;. - ; : ;' ::::: .: < ::. :..._ !�!L''C. - -. ..... �,' ; SItCiitl11t1eS.'' : ` _:::: ' ' s. :• ' Suite #: 1 B(dg./ pt. #: Catch basin/area drain 16.60 • Project Name : Tho7 -.vc c--L. (y7- !� Dryweli/leaeh line/trench drain _ 16.60 Cross street/Directions to job site: Footing drain (no. linear ft) Page 2 Manufactured home utilities 110.00 L- 0 /1(L . Manholes 16.60 Rain drain connector 16.60 _ Sanitary sewer (no. linear ft.) Page 2 Subdivision: Tho-rft bloat, I Lot #: '=f 8 Storm sewer (no. linear ft.) Page 2 Water service (no. linear fl Page 2 Tax map /parcel #: t`p.SS 13 :.. ' ... _ OF WORK: ' .. :,. -• :`. Fiz `tureorltein .�::';':•i:: >,, Lap G Absorption valve 16.60 'DC.1CIC{1CLt �� f.0 Backflow preventer / Page 2 2'2_ ' Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ROPERTY OWNER . :.:: ... I . ].:TENANT. : Drinking fountain 16.60 Ejectors/sump 16.60 Name: by fv) (SY 1 &. _ M e . T c*--S Expansion tank 16.60 • Address:4. .30 .SL0 se ct- (w�'Qo C > - Fixture/sewer cap 16.60 City / State /Zip: i.1F c v� - i-� Cj']U 3 c' Floor drain/floor sink/hub - 16.60 i Phone: Garbage disposal _ 16.60 F ax Hose bib IAAPPLICANT: ` : ' . , Ice maker 16.60 'I�CONTACT:PERSON :- '.:'::- - Name: j cn ' po- r"t'0� 16.60 Interceptor /grease trap 16.60 Address: / .-o o 5,1.E rY95j f1 j RD Medical gas - value: $ . Page 2 City /State/Zip: - 11A_C tk.- 0 IQ 970 6 D-_. Primer 16.60 Phone Sa3 (o 90).- - { y,5 1 Fax S©3 ( < - 076 g Roof nk /bas (commercial) 16.60 Sink/basin/lavatory 1 6.60 Tub/shower/shower E -mail: • - P pan 16. 60 • CONTRACTOR _ : : _ ::.'..:.: ' .. :.. .: Urinal 16.60 Business Name: Cl) (gyp ;1LISCLC - Water closet 16.60 Address: I a D CO Q 6 Water heater 16.60 ` } h1 t � �� el:). Other: City /State /Zip : - p, o- - IQ_ L 70.0 D- Other: - Phone5A3 (�/a- SZ9L{ S Faxs33 G99,A - o�lo - , Phi/tibia Pcrtnit Fees • ` : CCB Lie_ #: 7i Plumb. Lic. #: /( -D'-/ , Subtotal $ • Authorized f - f �, Minimum Permit Fee $72.50 $ -- S Signatur - 1--/ 1 1L�LGLC� IZf ( 03 Residential Backflow Minimum Fee $36.25 � , tr� Date: Plan Review (25% of Permit Fee) $ E / / t o �S�a-r / State Surcharge (8% of Permit Fee) $ a , 0 • (Please print name) TOTAL PERMIT FEE $ 39. / S Notice: This permit application expires if a permit is not obtained within Al new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser p er diagram for plan renew. - `Fee methodology set by Tri- County Building Industry Service Board. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST // BUP Received 1 /9 1 e`f(P � Date Requested /— ( `S AM / PM BUP Location / 24/ D �Gt - Suite / ` -7 MEC Contact Person ( P4 -v-- Ph ( �, 3) - 2. - 9 170_3- 0.0 c7c, Contractor --41–cfAe Ok Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling f / Or _dr Roof �. Other: ` / Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower 0 S PART FAIL CHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Anal Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line � � ADA Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL