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Permit Er - CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00314 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/23/2008 PARCEL: 2S11100-01300 SITE ADDRESS: 10195 SW CENTURY OAK DR ZONING: R -7 SUBDIVISION: SUMMERFIELD LOT: 010 JURISDICTION: TIG PROJECT: OLIN Project Description: Irrigation system CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: 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 CARL OLIN 10195 SW CENTURY OAK DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 7/23/2008 $36.25 [TAX] 12% State Surch 7/23/2008 $4.35 Phone : 503- 639 -0529 Total $40.60 Contractor: FOREST LANDSCAPE, INC 40437 NW VERBOORT RD FOREST GROVE, OR 97116 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 357 -3808 FAX 503- 359 -1908 Reg #: PLM 8253 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: .:-BV1 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. • Plumbing Permit Application . Building Fixtures ' ro , ; . lore UFI'I(E l yl- 0Ni.s^ ' City of Tigard l °� Received ,, , 1� ! a� 179re/s 1Pe it N Y LM a6nF - DD 3 I j a 13125 SW Hall Blvd., Tigard OR + ° fi -_- -- T . ! .' a Phone; 503.639A 171 Fax: 503. Z"r Cr " kst i "` Other Permit No.: PLM „246 g o0251 QQ D ate 139; Inspection Line: 503.639.4175 � ,09 Il t 61 ir I. I t t Internet www tlgard -or gov i ` ` �J ,, �,� Date Ready/By: Notified/Methed rww. Supplem See rap lntormadon •TTY'tilll OF :si3ORi : I ... EIt,E'* i 5 DULI © clol in ornardun use checklist: ❑ New consurttetion )�r- /DX Fur s e -- �� Descrtlltion Qt . Ea. Total ❑ Addition/alteration/replacement New 1- 2- family dwellings (includes 100 ft, for ea(:h utility connection) 249.20 M 12.1- and 2- family dwelling D Ctunmercial /indusnrial SFR (2) bath w .- 350.00 El Accessory building _m.w -❑ Multi family SFR (3) bath 399.00 Each additional limb/kitchen 45.00 ❑ Master builder D Other m-,. Fire sprinkler ( sq, ft.) Page 2 �6I3 3Tt* 'IiVFORAL LION AND )Ea(M- 4'IIQN , Site utilities - lob site address: E'^ Catch basin or area drain -___ - �. 16.60 City /State/ZIP: Drywell leach line or trench drain 16.60 Suite/bldg./apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 -- •• Manufactured home utilities 110.00 C ros Css street/dim: ions to job site: -, --- Manholes 16.60 Rain drain connector 16.60 _, - ^ Sanitary sewer (no. linear ft.: � ) Page 2 - Storm sewer (no, linear ft.: ) Page 2 Subdivision: Lot Water service (no. linear ft.: ) Page 2 Fixture or item Tax map/parcel no.: " r _ Absorption valve 16.60 D T2 loN 0 W(llpllk Backflow prcvcnter 1 Page 2 _ ""C' .C_� K.A. ,_\`tr'0!'t3C _ ' • .�`'rwri ..-‘,0 Backwater valve µ 16.60 �J Clothes washer 16.60 - " " Dishwasher 16.60 � --� T Drinking fountain 1660 _ M � ki t4Y k k: C►Wi t;tt '1` l- S47'i. , „,._ Ejectors /sump 16.60 ,T • Name. (.t;1. .,� . A r, w, _ Expansion tank 16.60 Address: \ ( )'\ � . 1 1L Fixture/sewer cap - 16.60 City /State/ZIP: is Floor drain/floor sink/hub _ 16.60 Phone: ( - . - .') Pax: ( ) Chrrbage disposal - _ - 16.60 11ose bib 16.60 ' . ....slLt N t . , . I COhd'Y:....l . . w_ 16,60 lee maker Business name: L - , , y,� ' , . '�. i.. Interceptor/grease trap 16.60 Contact nam ' c Qe r .x Medical gas (value: $ _) Page 2 Address: \ \ k \ � Primer m -- 16.60 Ciryl5tatelZ]P: Roof drain (commercial) , 16.60 Cl' '`"rt' �'l'!�'�l --. * �" ,, Sink/basin/lavatory 16.60 Phone: -R Y b. . Pax: ' , As. jc/ _ICI _ T ub/sho wcr /shower pun m 16.60 E -mail: c.. .a .+. .l! ' ` - ''ti •, .1h C" ' IA Urinal 16.60 Citl[tACTt?t .. Water closet 16.64 - business name: -c Ye`. . _ ^( 7C 'r ' fi 3-..of Water heater 16,60 -- Other Address:. 2, 4 1∎10 y _ (� _6_ „_ Subtotal City /State/ZIP: -�� `1' 0 as \ r ( Minimum permit fee: $72.50 Phone: Fax: �� � _ `fit Residential backflow minimum permit fee: $36.25 2 . cam Ply r (25% of permit fee) -Lich- LLZ, ., • - Plumbing Lie, no.: T „, r. ., permit State surcharge (12% of permit fee) H m� Authorized signature_ fikil 1 juiLiikie TOTAL PERMIT FEE Prim name: c ' ) Date: - ) ., This permit application expires if a permit is not obtained within tiC t � 1 � c� { 1$0 days after it has been accepted as complete. *Fee methodology set by Tri- County- Building Industry Service Board. r:\ Buildhng \Permits\PLMF- PdrnitApp.dxt 12/27/06 446A616T(10102✓COMwwsn) . E0/Z0 ADVd DNI 3ddDSQNt77 1S3NOd 808T6SEE05 B5 :VT 8032 /ZZ /LB • CITY OF TIGARD BUILDING DIVISION PERMIT #: MA2008-0031.1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7123/2008 Phone: (503) 639 Inspection Requests (24 Hrs.): (503) 639-4175 JI 411. INSPECTION WORKSHEET FOR DATE: 8/5/2008 TIME: 7:00AM PAGE: 18 SITE ADDRESS: 10195 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD LOT #: 0 TYPE OF USE: PROJECT NAME: OLIN DESCRIPTION: irrigation system OWNER: OLIN, CARL PHONE #: 503-639-0529 503357 CONTRACTOR: FOREST LANDSCAPE, INC PHONE #: Inspection Request Scheduled For: Date 8/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 073740-01 503-357-3808 B cAcAk etok..) Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS I I FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: lVii---I\ I \\ Date: CZ1S 67‘) Phone #: (503) 718-