Permit CITY TIGARD PLUMBING PERMIT
T. l DEVELOPMENT SERVICES PERMIT #: PLM2004 -00345
c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/2004
SITE ADDRESS: 12444 SW ASPEN RIDGE DR PARCEL: 2S110BC-08100
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 052 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 landscape irrigation backflow device.
FEES
Owner:
Description Date Amount
DON MORISSETTE HOMES INC
4230 GALEWOOD ST #100 [PLUMB] Permit Fee 7/22/2004 $36.25
LAKE OSWEGO, OR 97035 [TAX] 8% State Surchan 7/22/2004 $2.90
Total $39.15
Phone : 503 387 - 7538
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062 REQUIRED INSPECTIONS
P RP /Backflow Preventer
Phone : 503 692 5945
Final Inspection
Reg #: LIC 7804
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.
Issued By: Ar — Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
Building Fixtures 0
\I
IC CO
Plumbing Permit Appiicationj fi t\ \
� , 1 FOR OFFICE USE ONLY
City of Tigard .L'I, Received �r ,/-
13125 SW Hall Blvd., Tigard, OR 97223 ON'" �� Date/13y: -' / o Permit No., L u/7 p rj�
Phone; 503.639,4171 Fax: 503.598.1960 �, P ' Plan Review "V 7
���' t '')`'�f �" Y:
s
Daie R Other Permit No.:
24 -Hour Inspection Line: 503,639.4175
Internet: www.ci.tigard.or.0 (`( : .. Ready/By: See
:: ;3 n`- �DSiat;s•.::;'•-�:,'3 >, .o r, u .t•r ' '}�'ri� r•- •-.�y. ��\ n���" Date
Notified/Method: Page t
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-.,.�• uP Informs for
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A Si=: �:f�...TM7'7 Y•i�:.• ! r .0 :�,. ; � Q'.; :. ". : +�i�� t�f��, 1.,.,,•... .,� �!�:.r.
ElNew construction ; .
❑ Demolition
For special information use checklist
❑ Addition/alteration/replacement 0 Other. Description Qty, Ea. Total
- ; - y :Y_ hr' +, ,�,,,F , .. , .• o • • µms; , • % ,{�• _ x4j New 1- 2- family dwellings (includes 10011. for each utility connection)
'..'. . s::: a9:. a-,.. » . ' u: Q1�F:``;•.t,:::,.: .,;;.; k .. + ...: coon
at-� s« ��,,;.,., cd�w» Gcr ;,"�.`- ,- ''.':;4�w ^ SFR (l) bath
249.20
- and 2- family dwelling 0 Commercial/industrial SFR (2) bath
350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath /kitchen 45.00
ID Master builder 0 Other:
v'P f tfQB a 'i ` 4 ' e '" ,, N Fire s sprinkler ( sq. ft) Page 2
�Si ; . r� 9:F'�AA " ?ij�.,, .,:. �fl 0 ;yJ'.9 4�c.' i"i"
• . •e,.a «� : ,v,.. -% y A. .. , �.., ..4 ` tt . . L. .,.. s,t� S
/� �1 t� �.�-� �`'' ``��� "� ` `' :, � ; utilities
Job site address:
/ (: 7 Stu ' ' " e, i �4qe. 7) Catch basin or ar ea drain
City/State/ZIP: - 7--i'
-- 1. ,, �.' 16.60
I & LcL 0 X17 >, S/ Drywell, teach line, or trench drain 1 6.60
Suite/bldg. /apt. no_: + Project name: l Footing drain (no. linear ft.:
Tlr� ly c�Gt t S2_ ) Page 2
Cross street/directions to job site: Manufactured home utilities 110.00
.. Lk) 6 Lk t 1 N r` � Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: - T1 - oy - I LID c' O d, Lot no.: Water service (no. linear ft.: 1 y +� �• Wt ) Page 2
Tax map /parcel no.: to S� B Fixture or item
t :' '... . ' °YX _;a?7at ? p:;r::.. f, ,. - " , . . • , •a Absorption valve 16.60
�:_. , ,, - .. . • „�i'.; ..:i}`.ao.•. _ Otli :+ 141., - . +• �+:.+ .y .�'. ,q ..:. _ �,
'" ''' "' ..: +u •.,.+ „. .:.���:� �� k T', e �;;,. t,:. t,.� • Backflow p„ venter tL"z::: : * a _,,. Bac a enter Page 2
r, icr/ 9 a 7 CJI hum fiC2G act. y/( , Backwater valve 16.60
Clothes washer 16.60
?; Dishwasher `
q + . a •• 16.60
y t . •' o at �!t n ':. ;; F : t : w . ,� ... «�.::.:. .:::;
::t 6.60
1
Name: b Lh (Y )/7 S S C-74- f /-0 x paion to 16.60
/ eS Expansion tank
Address; '1,13 G , S w c - & O Oet , Fixture/sewer cap 16.60
City/State/ZIP :LeL P 16.60
!�C D S w I G o/` Gj '7 03 5 Floor drain/floor sink/hub 16.60
Phone:(. )
Fax: ( ) Garbage disposal
.
�t .•. � . ( y ,.., .., ,,q 16.60
.Y �!.Svy:' ' "'16wF -. L+'r. �r:�• `.. . •'f,Y.. �.r °-'r
:?` +; K .. '-kc ' {'t , u. ': z , ose bib
' • "•"�++' .riixr'a �;,. �.+ a: _ . CT.1',�SO�•��",..�i.a1'�? H 16.60
Business na me; Lur1C� S G C3!'!'C'L3Y� J�� i Ice maker 16.60
` Interceptor/grease trap
Contact name: el}/ Sp 16.60
�� Medical gas (value: $ ) Page 2
Address: / -a- pp Sea) ni ,. . / /S � 16.60 Primer g
City/State/ZIP:71 ' / t �.
-J
1 �-L- �•` �- 11'1. , 0 P..- Y 76,/ la ;)-- Roof drain (commercial) 16.60
Phone: ( 1 3) ''Z s'% 5 I Fax: : (S 3) 6 Y >Z _ 0 '16 Sink/basin/lavatory 16.60
E -mail: Tub /shower /shower pan 16.60
x: { "j1::ji y , ; - :p:: •:, r ` . _-.v W::+w r�. •e'f'�Ft^ ,.i.. + , Urinal 1 6.60
_Z:T :'Y ':,. ..'::`' e :•c;.:�:i. Water closet 16.60
Business name:Le./..ActSee, 0
"`7� an - f7 G Water heater 16.60
Address: /' � , S -OG . /J.) rn y 611. / Other:
City/State/ZIP: 7Z/- )n 0.2 "4 7O( --• Subtotal
Phone: (0 t." .S-o4- Fax: Minimum permit fee: $72.50
T � I (5 G 3 ) (O7 • 070 g . Residential baekflow minimum permit fee: $36.25 36 -.4-3
et
- D Lic.: 7 Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized signs State surcharge (8% of permit fee) G . 93 _,-.4f/a4,4_,1/7-0
?Ant rtame � f TOTAL PERMIT FEE 39 15
Dafl 71 d-3 /6 I This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -rrn mry R„ilrlmv In d+ +ciry g.r.,ir•p Rnar,1
_.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date 'equested AM PM BUP
J 'J,/
Location l `t `1 Suite h MEC
Contact Person P ( ) 92 S PLM
Contractor 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
Root
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan •
, r
41 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
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE EI Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA � x )/f�
Approach /Sidewalk
Other: Date 1 l U / Inspector r i r Eat
��
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL