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Permit CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT #: PLM2005-00174 �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/27/2005 PARCEL: 1 S133DC -03800 SITE ADDRESS: 13130 SW FALCON RISE DR ZONING: R -4.5 SUBDIVISION: MORNING HILL NO. 1 LOT: 031 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 GERMAINE BAZAN 13130 SW FAKCIB RUSE DR, Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 4/27/2005 $36.25 [TAX] 8% State Sul 4/27/2005 $2.90 Phone : 503 - 539 - 6939 Total $39.15 Contractor: CASCADE LANDSCAPE & IRRIGATION INC PO BOX 754 REQUIRED ITEMS AND REPORTS SHERWOOD, OR 97140 Phone : 503- 625 -4112 Reg #: LIC 7832 SUP ALL PHASE & BAC 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 -66 9 or 1- 800 - 332 -2344. Issued By: , Permittee Signature: 6r>1 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. ',PR -26 -2005 20:11 FROM:CASCADE LANDSAPE 036250739 70:5035981960 P.1 { a ] nicilt Fixtures r Flu l,iztw permit App1�tcatiqu CEIVE® k Foc. r» i'1cE r (INL qty of Tigard APR 27 2005 ;:; . , o 66 FennitNa' O ) • S -QQ / 13125 SW F1sU HMI, TSga & OB. 97733 • . • -�, 4; Phalle 503639.4171 Pa= 503.599.1960 orry tF T a. , • � �- + ' H I II :. - �" ; • MOW Nadal 0.: 24- t Eutectics Line: 5 3$394175 +i Daeal tma�dBy: ,,: . Aeir , � ® See 7 2 for Internet w w. dgenlordS ', , = s , • 4 tr -- -, i / ( 9 sal rare rwatlan :� .r N _ r .. hh r :4-FLIT-4-I- 1 S � y rr: -. ,stet. . - '•'Y 1 • ' ��., -. � � •4 - _ . __.�i- •I.A. j .Y,l. - �XSif i+lrdW9. i �.. r� w�� �' .e. rr �- [I New caa vci m ©Dernab>raa IMI111101111 Total ❑ Addidan/dtoratiot► 15 Other: , _ g OW N N. `:.l',1..Zanily dwetlinSs (mnludes 100 L fbr each utiliiy commotion) 1ST • . _ _ , _ r ' t - '( r _ .i aT • '•`' , �,il 1 i to b MI 249.20 • ❑ 1 - cord 3 -15m7y dwelling ❑ CatannirclaltIndustdel IIM to bat 350,00 o Accessory building 0 - In. ) bath 394.00 v arhrr= . • t1 �l ` ' . anat bath/kinks 45.00 p Mister btllldcr _ C �,j.��� e.4 ft) i 2 • . Job site addteaa: 1 r' �, _ .� _.... . / ' - - - --- 0; bada • or sron .. ..16.60 • �'St 'W } , • I ' 11?,,, IIM & teach lms. or trench drain .. 16.60 suit e/bldg./apt; no.: " PcojeCt Ds= - r 11!1W r,e °amain B Thum ft.: borne utilities NM 110.00 Cures sweet/ ze a t6 Job sits ' 16:60 mss, J I11 t it Rai •, connector 16.60 MI1111511111=1111111111 r\ Newer (nclinesrft.:_ _) Paea2 sewer (no. linear itt. _ _J 2 Subdivision: Lot uo_ service (nu linear $ . ) Pam 2 r : or ttrss Tax map/pared > 10 NM 16.60 •' . „y / gyp.,,. : r --"'2:. F ' L J LJ . - : ,, F w W 4 .) -14!! ? '+' ! • . � P� �� . 1cW . . CO i w. s - • { 16.60 « . 16.60 II LV al 16.60 . ti 16.60 • Ricae 1660 Name: L , /, 2M111FAMT111111111111111111111011 M on Unit 1660 Adth 1 o vV FA v[on - Dr • rm ., 1660 "W ' "" I. ' / rd Oa. c1-1?---3 log dam/aooraffiklEtsb IIIIII 16.60 Pliant. I • - - , 4 .' Fax: ( ) ", :. 16.60 ._ - ; I • . . . .. . - __ .- - -- -- _. -- - - - - - - - - - -- - � ' Ea ., 16.60 Business tusate i i 0. o u i e w /i . l • ■ migraine tr 16.60 Contact mane: 13 e Ai +L _ > 2 Address: f • T. dal 5 Brit . 16.60 • CiWi rtraIF: j11 Oar o7d , dtain(. - •...jj I NE 16.60 . Thom e' r Fes: Y (.��) 7 X0 . 16.60 .rash. edISCadetgne qPC. @ Vet' . zAtm" nv4 - 1060 ,,, _ ) � 1 �� �. , mot r -. 16.60 Business • ••• ♦Gn� e e 0 de.P% 1 , 41 4.- P tit ' 111 I G W " : hearer 1 _. Address: • Co � • M �:? Subtotal a( v ft .,o/ LDP. • 47 kid Mirduann pa7bit bac m.50 ply (,G^9 & AS' LEI 17-- Pax: (3b3 (, 2-s - 675/ , ■ ftesldcodal bacldlowmieltrunapenrilt £ec $36.5 • .CC13 Lic.: Plumbing Lie no.: 17f3 .). r, plan review cas9t, ofptrtttit toe) " stilt at l0a Anmar ned gloate & / / /f� /I��giP_L.fr TOTAL PiElialIT ' T , c Pzmtname: : . • : tr • Du= /01 . penult appikitbon tthpir'aa Ito permit 1s not obtained nrlthin �i 1 '- 180 dtly5later It has boas acapeea as complete. *1,• = nmthodolopy sat by TA-County Bolding Industry Service Board. IYtirSfitePosaaLME4rtnia Al04O wm 4e1r41116St1eO01aDt t; • y ', 7 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00174 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005 Phone: (503) 639 -4171 ���Ip�IGlt��hl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 62 SITE ADDRESS: 13130 SW FALCON RISE DR CLASS OF WORK: SUBDIVISION: MORNING HILL NO. 1 LOT #: 031 TYPE OF USE: PROJECT NAME: BAZAN DESCRIPTION: Irrigation backflow preventer. OWNER: BAZAN, GERMAINE PHONE #: 503-539-6939 CONTRACTOR: CASCADE LANDSCAPE & IRRIGATION INC PHONE #: 503 - 625-4112 Inspection Request Scheduled For: Date: 5/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 325 RP /backflow preventer 007675-01 603-625 -4112 N Corrections /Comments/ Instructions: (2 2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: p Date: 1 Phone #: (503) 718 -