Permit � v
_ r.
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00349
6'l DATE ISSUED: 8/4/2005
, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S115AD -03900
SITE ADDRESS: 10889 SW DOVER CT ZONING: R -2
SUBDIVISION: DOVER LANDING LOT: 020 JURISDICTION: TIG
Project Description: Irrigation backflow preventer.
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
Owner: FEES
DAVID FARRELL Description Date Amount
10889 SW DOVER CT
TIGARD, OR 97224 [PLUMB] Permit Fcc 8/4/2005 $36.25
[TAX] 8% State Surcharl 8/4/2005 $2.90
Phone : 503 620 - 7007 Total $39.15
Contractor:
BRAVO LANDSCAPE
1153 VANDERBECK LN. REQUIRED ITEMS AND REPORTS
WOODBURN, OR 97071
Phone : 503- 951 -0208
Reg #: PLM 14719
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- or 1- 800 - 332 -2344. �� Ft
e. By: Permittee Signature: e" L . Gam\
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. •
0B/u3/2005 l0: 3 0 503527561 0 VSPL PAGE 03/04
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Nan Review
Phone: 303 639 4171 Fax: 503.598.1960
Intel net. www c i. tigara. or. us
____ _For special itiformation use checklist,
izi New construction , [ii Dernol it ion ___.
El A ddi ti on /a Etc rati on/repla cement El Other:
New 1- 2--family dwellings (includes 100 il. Ibr each utility Gonnect ton)
i I_ ancl 2-family dwelling (11 Commere i a I/i mitts t r i a I SFR (2) bath 350.00
0 Accessory building, Ej Multi-family SFR (3) bath
- ----------- Hach additional batli/kitehen 45,00
Job site address: 10889 SW Dover CI Catch basin or area drain 16 60
Cay/State/Z1P Tigard, OR 97224 Drywell, leach line, or trench ch ain 16.60
j Footing drain (no linear 11.: _} _ Page 2 '
Suite/bldg./apt. no.. L Projecl mune ()indoor Sprinkler System Install _ .._. _ . _
Cross street/directions to job site: Durham Road to 108 South on toe to Dover Ct. ----------------
Rain dratn connector 16 60
Sanitary sewer (no linear ft._ ) Page 2
Subdivision, 1)over Landing
— Pim tire or item
Installation of outdoor residential sprinkling system for lawn irrigation. Backwal; valve 16 60
'Permit is for backflovv preventer Clothes washer 16 60
Dishwasher 16.60
pii.-•:4) Drinking fountain
Expansion lank 16.60
Address: 10889 SW Dover ,,Ct Fixturc/sewei cap 16 60
City/State/ZIP: Tigard, OR 97224 Flour drainaioor sink/huh 16.60
Garbage disiiosal 16 60
Business name:
-__ -- ~- _'`� ." �
conmmoomo�0"v�mp�r={� ' ----------' °' —-- ----- --�-------
. _ M^m�l�xhmo $� Page
Address 10889 S\v Dover Cl. rimer -----�---'-- ------ ------'-
' ______� _ ________________ ___ :nm ___
C/�/8mt�J|y:l�cx,d,0RY�J4 «*'«�«r"u`("»»moo/o0 16 60
____._ --_'____--_______-_ � -___--�'___-_�-__
phm`� �n3)7nz�»w» nur�( yVa>6zr~5o10 ---' _ _ __ 16.60
Phone:
---- ---- --- --- '-----
Tub/shower/shower poc 16 60
F.-mail ��rr�n��*xouc^� -'---'---------------__- __-- --'-_-----
nxvv| m.om
Water closet 16.60 y.qmcx,m^o/x Landscape ' Bravo 'o,or|,���--' ----' --- --' m -------� --
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-- ___---_ -
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Address zif3Y"mu=b,*kLuoc ^ Odle] ---' � / , ^ - ----^- -----�-- -__l_ -__-________
o�S u�3} Woodburn, _
_______________ Subtotal � Minimum permit fee: $72 50 ------ '-
Phone: (503) 951-0208 `_ Residential mxomoo�»onu`��$n6zs ��� ‘'Z�
__
COI / ` 1*719 ____________ r�"mxn' (�% "vn^no m")
, �_-_'
State surcharge (8%ot peirnit lee) ti - c
Print name: V ,,r, d i. v), :z . : ,. 1 ._ f . le t i Date- 2--Ao'f This permit appiication expires if a permit is not motaineti within
' --. - ' ______ 180 days after it has been accepted as complete.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005.00349
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005 •
Phone: (503) 639 -4171 im uyp��l ( i t Inspection Requests (24 Hrs.): (503) 639 -4175 _L `__..
•
INSPECTION WORKSHEET FOR DATE: 8/24f2005 TIME:- 7:08m' PAGE: 54
SITE ADDRESS: 10889 SW DOVER CT CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 020 TYPE OF USE:
PROJECT NAME: FARRELL - 1
DESCRIPTION: Irrigation back low preventer.
OWNER: FARRELL, DAVID PHONE #: 503. 620 -7007
CONTRACTOR: BRAVO LANDSCAPE PHONE - #:' 503 - 951 -0208
Inspection Request Scheduled For: Date: B!24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 014185 -01 503-820 -7007 N
Corrections /Comments /Instructions: .
- /--r`I G, (I 1- I vt A 1' - re 5-'1-r, O G K 0i 00w4a 1.c. (a+ (Jfr- (.J-e_
CAJ-4.- c,-,..A,A fr .
►a1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
Inspector: •crg l li wy- Date: ''2'f /05' Phone #: (503) 718-