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Permit • C ITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005-00340 �'' I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/28/2005 PARCEL: 2S112CD-13300 SITE ADDRESS: 07764 SW CYPRESS LN ZONING: R -12 SUBDIVISION: HAMBACH GROVE LOT: 031 JURISDICTION: TIG Project Description: Installation of backflow device. 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 LEGEND HOMES 12755 SW 69TH Description Date Amount SUITE 100 [PLUMB] Permit Fee 7/28/2005 $36.25 PORTLAND, OR 97223 [TAX] 8% State Surcha 7/28/2005 $2.90 • Phone : 503- 620 -8080 Total $39.15 Contractor: MARTIN SANDERS GROUNDS MAINTEN PO BOX 307 NORTH PLAINS, OR 97113 REQUIRED ITEMS AND REPORTS Phone : 503- 647 -5567 Reg #: LIC 5742 • 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: -27-Z �e Permittee Signature: 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. • Jul 27 05 02:12p Martin Sander 503 -547 -5151 p.3 Plumbs' ne Permit Applicativa ", rut 11. h i t 1? I F `I City oirYngard ( xr , �a /� 13725 SW Blvd, Traattl, OR ^ nK 3 ® `b-+ o>�a Q� • Y c/1 ` Pc,aett o,?1M��05 90 39?) P1roat 503.639A171 Fat 509 1 05 haRccri+r 24- Hour b 1..ine 303.639.41'75 � � ' t L© , s - ,': P R` Br Odic- Parini. Pin, harms~ wwvr iaisardomno .. ue 4: =i� Y Q�C� D 'N fulio4 - 0 Sot reed2 [r E ere ho nsitamuu V r [C ,lition r; ar-r" • - _ - - ❑ A,ddf� Q OIL • - ay r� Total }R37i: ' 't',�:y"' #? = :,_Ti. <. '. ��_. s. New 1- 2- fuser' ding (Inc Yd4 100 d- kir tads nblity ) -. '- �f.:_1�r3Li T�""' 3.M ...J ..._.' .� t a • SF R-( 1 } 24920 Q I- and z ' rd "' 0 Ccommenziefrndnsaial SFR (z) bash 331100 Q Aeces9cey Dm7 © M tt � ' n 1 Y SFR (3) basis 399.00 Q . ° ! Master builder © 3�tis Eachodd3ticwlbsti itcben 45_00 i 1 of :V� 1 L -.5..: 'rs ._' • F}7l5Pfl1*1d ( dQ. 1L) Pic '� - .-{?' ; Q : Site a107itlec Job site 74 , et 4.51-1I pr .mss (.r,. --r-i.�_ resat basin or arm drain z>F: T 16.60 �_ 4 � � Z 2Y Dt loath lint, or trench drain 16,60 s ,,� >n ) > ,1 F{a -►-, a � � 'Footing ;a leer I R: ) 2 Cr033 s>�wait» to job sit= Manufactured name tma6lies 110.00 Manholes 16.60 • Rein drain cporKetar 1660 Ssoitnry =wet (a0. f f1 -: ) p, 2 Storm =war (no. linen.. R ) Pack 2 Subdivisietrc ` ,„ 1 I c / • ' i Lot % 3) 3Vatcraayice (no: linear R.: ) Page 2 Tax map/pared ter.: } {; Fblisra or item a wow -� • +.. ` ..L - `� : - ?jam Pace �� tiorknoicr vane 16.60 Clothes wy•t1 16.60 y �`� �'rrA!s c _?a h 36.60 f�r '7. w - = ra ;. x . .7 '•'" "8 €anatavl 16-6 Halt 1 ' L _ A .. - a � Co 1.1f. ' 1 7 s t�.!�L. r � �� 1 6.60 Address: ^7 ) © /],, Expansion tonic 16.60 / .5-5- . 1/V � , ! A - le 1Cxj sink hub 16.60 F»c4tndSewtr pP 16.60 c )starel7.� ' If , mi • Flow drtidtlo ■ E (� t ri el pir; ?r.;rit4 � t mr "1 ^ (5r. ) • , ' - 7r r<: Garbage disposal 16.60 t ir_:7?R- k.:.r. •:' ' it ' a� �:. 'A : ' Hate bib INN 16-6 Business Lam= +rT•� . -31 _ _ . 10C soaker a I a - ... A. 11.1L- 16.60 Cct mama iii.. Pt6dgKm�se trap 16.60 Modica! sus (rabic: S ) p Address: . 0 ' • Box - 3 - 1> Prober 16.60 it Pi' i i-r f (a.,,/3! .S (.71 . . R l4 .' 7 / ool drain (commercial) . )6 60 (o zi 7 - .5=5' 7 I Fax (5-3) x`17 - 7 /5/ sm>�t�in,la.�tta,, 16.60 E- ..veil: rubtthow esi,..r Urinal -fir ..9 #t- ^, 16.60 '°�' = t7' ..ti. ' ~_ ��4%%_`J �'''. 16.60 >natnC - 3 i�kr * ? Vi w..,-.1. V V . \ ■ . w A . in )ttst<s 1660 "oldness: fy, L) , ,/1 ox 3° - 1 Qtr. [660 Cib'`stat : ' I a i i SP/ - iC / p 6°3 �y 5� F»= es Minute, permit lc= Subtotal x.50 4f 7 - 9 /s/ R esidcnt i s1 bsddtow mininamu want fix 536.25 CCH Lid.: Plumbing U. no.: ! barized J 9- • pu. (2311. of permit Ea ) Ant I {p, w �I A `, -� Sate (g'1 c permit fee) ° Print ' ✓ t !u1' f'1 U L.= K / Dram z D This permit PER ... vE 3G-251 P�1t application capita' if a perm :c. is mat abcalaed saran, 1150 days aster it has Brea snowed as coreaphm ' a onyos.ov n.,i trw•Ye„a sm..a arm a o.sta'rrror� ,w�� Fee methodology set by Tri County 9tAldmg Industry Service 80. • CITY OF TIGARD . BUILDING DIVISION PERMIT #: PLM2005 -00340 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2005 . Phone: (503) 639 -4171 11/' ��Hglfl Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7 :07AM PAGE: 50 SITE ADDRESS: 077641 SW CYPRESS LN CLASS OF WORK: SUBDIVISION: HAMBACH GROVE LOT #: 031 TYPE. OF USE: PROJECT NAME: HAMBACH GROVE DESCRIPTION: Installation of bacl4low device. OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080 CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503 - 047 ..5567 Inspection Request Scheduled For: Date: 7/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 012447 -02 503 -647 -6567 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: n ; Date: 7 /3 Phone #: (503) 718 -