Permit C ITY OF TIGARD PLUMBING PERMIT
l DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00289
- - I 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/2/2006
PARCEL: 2S 109DD - 11400
SITE ADDRESS: 15702 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: BELLA VISTA LOT: 044 JURISDICTION: TIG
Project Description: Backflow preventer for irrigation.
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
RIVERSIDE HOMES INC
1925 NW AMBERGLEN Description Date Amount
BEAVERTON, OR 97006 [PLUMB] Permit Fee 6/2/2006 $36.25
[TAX] 8% State Surcha 6/2/2006 $2.90
Phone : 503- 645 -0986 Total $39.15
Contractor:
STREAMLINE PLUMBING
2505 SW AUGUSTA DR.
ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS
Contact # : FAX 503- 379 -9543
PRI 503- 888 -6657
Reg #: LIC 142111
PLM 34 -370PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: 11.6 S ✓ � Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.
CITY OF TIGARD --
BUILDING DIVISION • PERMIT #: PLM200$- 002F39
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: :�./�.006
Phone: (503) 639 -4171 A �"1I A A
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'' `'' ,. 1
INSPECTION WORKSHEET FOR DATE: 9/28/2007 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 15702 SW GREFNFIELD DR CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 044 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: Backflow preventer for irrigation. 9/4/2007 Reinstated for (30) days for final inspection.
OWNER: RIVERSIDE HOMES INC, PHONE #: 5O3- 645 -0936
CONTRACTOR: STREAMLINE PLUMBING PHONE #: 5n888_6657
Inspection Request Scheduled For: Date: 9/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 056656 -01 971 - 246.1996 N
Corrections /Comments /Instructions:
'OQ.,) l cA.' \ :e r:- -.—q -e .z_ k eta "
Ca re - c ,--.A--..j. ik.)
Xi PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
/ ❑ ` FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
'
Inspector: _ t,, A -\ ‘""L Date: 9 Z,tr' `•®-'? Phone #: (503) 718-