Permit • f
CITY TIGARD PLUMBING PERMIT
IA DEVELOPMENT SERVICES PERMIT #: PLM2005 -00220
II DATE ISSUED: 5/31/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD ZONING: MUE
SUBDIVISION: BEVELAND LOT: 003 JURISDICTION: TIG
Project Description: Commercial irrigation backflow.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B 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
ANDRUS, MICHAEL RYAN Description Date Amount
7155 SW BEVELAND ST
PORTLAND, OR 97223 [PLUMB] Permit Fee 5/31/2005 $72.50
[TAX] 8% State Surchan 5/31/2005 $5.80
Phone : Total $78.30
Contractor:
GREGORY LAW LANDSCAPE LLC
PO BOX 23663 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97281
Phone : 503 639 - 0968
Reg #: LIC 7232
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 503-2466.99 or 1- 800 - 332 -2344.
Issued By: I!„ i _ a Permittee Signature: 77 u'i ter _
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.
.: . Rp',3 0 /2004 071,17 FAX 5 0,7.1Z.i)51,5130 C111 OF TIGARD e0(12
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piumbine r . on .., pi .. at! oti- ' : '' ".'- i't ?IL OFFICE 1. ON.1..1
I Received
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City of Tigard %LI: Finn5 •-•:•.';‘...:11': Dattat 5" ,."-- A") vv"ING.: i h, - 00 '',.- 00.2a
)3 t23 SW Hall Blvel- Tigard, 0V8.1gi Plan Review
Phone: S03.639.417' Far. 503. 9960
3 2 .....Luo : , ,_.1.,„12..;
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.,..:. aS ; Other PtIlliii Nal
7A- 'Hoar Inspection Line: 503.6.35.4175 ,...„.1-rArIARD_.1 Lt. ' 4 . 1 1 ma Readvay: • , 110 SAO Page 2 ler
Interact www.ci.ligatd-orACITY Or ,J .1-,) - - 7siz --- NeeMaciIviathod; ftepralmeximal feelmnAdion
' • •"Or." , i , '.: j P : •%: 1 ' '' ' . I 1 Pi i V -'' .1 4)C11 • • • ='; r . • !. ' : ..','' ;.'' '..1 'F' ; •-'‘ ,:-.' . 'WEE • •S • - - .
,jaNew oonsiructioe 0 Demolition PDT ‘ :eke 1 , mazion ir.Sri clumidist
Des c ltion 5! i Ea. TOW
0 A.dditionAdteration/rcplacensect EI Othen
New 1.34amity dwelling, (includes 100 ft. tbr each utility connection)
. .,
'' ilii :5i:I . , ;i; , ;''N'. :.". SFR CO biAll. I 249.20
0 I- and 2-tatnily dwelling
___ ZrCotbrestoialAnctuartiel 5F1k (*bath , - 350.00
.......
9.00 t 1 35
C:1 Accciaory building In Multi-famity STI ( *th
yi s Eseli additional liathneituban 45.00
C3 Master bnilder 0 Othi l_. ,,. . . The gprinkler ( 1 9. ft) page 2
tilizOggk 1. • :11i.iiii.1
iiiii '.. .■ :',.. 1 . 101! , .•,.,' . _4 ::. , • : - • • i:' Site tltgitio -
,...
lob site addcre9sc. 1 / 51 '. ,?? ( 5f 7,3earee.--, Catch basin co drain 16,60
_
_ -
tZ,-3 Diyw1ali, tonsh line, or trench *Kin 16.60
Pouting drain (no. !Incas it: .) Page 2
SuitcalbidgfaM. no.: .' .. ect LIELMIN
.,.
- 11danofactured hiwoo utilities 110.00
Q aura/directions to Jo17 tire-
lete l---- = - . Manholes
. 2Zi- I .41., 4 64,/c-i4T _ ,ftnia drain connector 16.60
16.60
-- SarlItaly 3cwcr Oho. linear &: __J Falic 2
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"O 4 r--
Storm sewer (no.. linear fl.: )
Page 2
Water scrwice (no, lIncar ft _____) Paze ,2
Subdivision: LoL no.:
--' Pixtare or Item
Tax map/Viand no.: / -
Absonnton valve 16,60
211 i' w 6T,', : ..;.. .:, .... .... „:.,.: .. , .Y : vi!:-!ii.::::1',:..:...•*: :. :'• . • Baddiew pnwenter AA/110 k rili tIM AA. 1111ffill Page
taclo/niwr valve I 16.60 IIIII
- - - , ----..-..,,,■-.-
Clothes .40er 16,60
- ..
e
A/ Dishwasher ... 16.60
16,60
: 1.4! '.10 . i !:.1.11 cl. 0 7'1.FiltNkirt;!..'i,..11:11:::101 . • • 1111 l IS rtO Mill
Name:
1 _ ■ -■ A Ji - 41 Mrpanstcm tank 16,60
Address: '1 t, C 'D .., ., I 1 I 1 Pixture/Aawer ey .1111 1 " C EMI
Ill. h...
City/State/ziP: 1 110,)k • - 7c9-0- 3 Floor drainifloor aiialahub _
E i t 6 6.6 6 :
Pbong; ( ) FaX: ( ) , Oarbago .14
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I. • • • , .- ,-•::-+ ' irN .. . - -o!y.;11-110,? : 1=1„ ; .:: , . lc tidiaakern. rj• • - e • • •' 0;,,:'
1.4...';'•';•.; :;Vil! 1 %dm • •• . :N•dt 4' .1 , i:r •••• 0 1 - .... 0 711:vi 16,60
. •L i• •• .' • "'"'"k. '• “V.••' Ise =kw 16.60
Business name; ,refA-- . , (xi .../....,t-- Intereentatigreabe tAtp 1640
Contact name: . . Medical gas (value; S ) Pnge 2
- -............... -
Addrem Printer . 16.6o
Cit)'/State/ZIP: - ,..--.-_. ....,--..
Roof drain (tiorrebereial)
- Sitildhasin/tavatory 16.60
Pb tote: ( ) flaX: : ( )
- -....' ...r . Tulilshrowcrisherwear pan 16,60
, "
38-Inatii: kleinal 16.60
- ..4%.
., A rl .
• .., .... • - u !, t:141
l.- ••.. L ;,,r ,- 44 ,:29kri.4th i‘ ,,c • ,Iye,i:14.rfp:: : : :0:!1'
, '1Ki T.1% 't id...1! ; •, • • • ..• . ,.. .... Water closer III 16.60
Rosiness mune: G. .4 ( e y e/ th/4, d WA heated- 1040 •
Addreisee 40,, (0 , i 6 , 6 - , Other; Ell 1111=1
, Subtotal WIPAM
CStarc/Z1P; ' .77Th' lot AIMIlitir . . ..
Mininnainpennit tee: 572-30
-
Phone: (SW) & s. ?" _ • 44 Fax: CS, ) ( 44 -,_ _ Residential backflow f0InIrna1n • ermit fee: $3615
CC s Lit.; 7Z. 3 a plumbi. Lie-tm..: , Plan review (23% otpannit ibe) IIMIM
- , State surcharge (8% of permit lee) IlifF.,.4La
Authorized signature: . ... TOTAL PERMIT FEE
,.
1 Prigt mune; 6- 44-i 1 pat. 5 Thie permit tiPplIcaluft ax Ira permit Ls eet obtained within
i 1)30 days after h ion( been accepted as cewaplIca..
'Foe entilticicaY (Pa by Tri Building Industry erviee 13004,
Isuaugeentrt•Ado\Pt..WP vsktfot uitl ate A .4.‘_i_l___: 44cwksierovowoollivion C -C
$1 , I°C) - 7 3°
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200S -00220
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2005
Phone: (503) 639 -4171 &µp4pu�i; p ;I
Inspection Requests (24 Hrs.): (503) 639 -4175 ill..
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 40
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ANDRUS
DESCRIPTION: Commercial irrigation backflow.
OWNER: ANDRUS, MICHAEL RYAN, PHONE #:
CONTRACTOR: LAW LANDSCAPE LLC, GREGORY PHONE #: 503-639-0968
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
325 RP /backflow preventer 018247 -01 503 - 639 -0968 Y
Corrections /Comments /Instructions: � ��__SL(zs
_ // %ice _VA* _ ' it
It-PASS PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /77
� Date: 10 i_ 6 ,5 Phone #: (503) 718 -
e.