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Permit C ITY OF TIGARD PLUMBING PERMIT e rr lr� DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00521 ��I II DATE ISSUED: 10/27/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S114BA - 05800 SITE ADDRESS: 16530 SW GREENLAND DR ZONING: R - 4.5 SUBDIVISION: PICKS LANDING NO.2 LOT: 082 JURISDICTION: TIG Project Description: Fixtures: 1 ea. lay, toilet, tub shower and washer. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES JACK & JUD DICK 16530 SW GREENLAND DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 10/27/200€ $72.50 [TAX] 8% State Surcha 10/27/200€ $5.80 Phone : 503- 495 -5193 Total $78.30 . Contractor: OREGON MECHANICAL PLUMBING INC. PO BOX 12423 SALEM, OR 97309 REQUIRED ITEMS AND REPORTS Contact # : FAX 503- 378 -1055 PRI 503- 378 -7156 Reg #: LIC 41082 PLM 24 -146PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. / Issued By: i ,� Permittee Signature/ l _ p Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVED . Plumbing 'Permit Application OCT 2 7 2006 , FOR OFFICE USE ONL' " 19. : 71 City of Tigard Received ITY OF TIGARD Date/By. D 27 06 16 Pet - t ut N i it _ 0 , / Iv . v 13125 SW Hall Blvd., Tigard, OR 9„ w Plan Revie' Phone: 503.639.4171 Fax: 503.5 ING DIVI S I ON Date/By Other Permit No.: ` Inspection Line: 503.639.4175 Date Read e 2 for T I GAR D Internet: www.tigard-or.gov ov Ready/ 13y: El See Pa g g g Notified/Method: / Supplententallnforntation 1 y; n -, h a.,y1P, y?L.. ;i+'} yt�"'� i`Ys �` „''e;6' >''i 1' c'.� ,.vf'. , ,���'� i• » *w :+S 3vu,. '.�-+a ::'%;, .�`.� ,�� - �n. .. ? #..�: ':S' .s, ;,v -er ,�.;. form : - P C'E a ' ` OF-`'WO r: ra: _ , . rr, .. , , r, . c CE ,.SCIIEDULEi , •r.� �:"�, .� .:.�' ���,t <; 1'l?E. �,. RK vim ;�x: ��.��:,:• - „�- 1� =F - us..3y. ;...?1iti._�Zu.,*.'�.�"" tr�.+:r ?ew�u�..4vzik�.°a <.aath,�_s`d+sz�.r4-h�< ^r., ,��e'L`$'a' -.. �. .a.:.,:�m u!- :,.re a�•, -rr. >;'. ,. .. `�* -_ y....x,..;'a'�: ^= , :`2�z,: re� ._...r -n_ .i- ,.w -.: .. _..' _ ❑New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. Total Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) .�,:.M: z:�1';,"` "a• -s.;,• � ;i:. � •n:x : :� . -- tit.:. �;.,:rc�t. - .•.' : -. ,�'; , . m�. - i,; �j " - ^;: ,z'" * a`r `.'A , 2 - ig.: ,p , .'= " >; CA'PEGOR oOFr;;COlYSTR , ,; .; «:, , ,.. F_ :fqi SFR (1 bath 49.20 , � 4...:.._, Ma + k.- �T�t,...a; �:�' =sra'ms*�a:Yi�?s c-r�r� ^.,.: ,r .: , -.LL•� ,.>sak;';7°: rs;:' c.. �a@7. ,.�: .. 0 / 1 . - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building I=1 Multi-family SFR (3) bath 399.00 ID Master builder Each additional bath/kitchen 45.00 ❑ Other: s,= . ; - r :�; f... : , ;t , -- Fire sprinkler ( sq. ft.) Page 2 Y .S,•; K.r�t - ",, .u,x �*� €.. '..� - �.a jil' r 4 >,kr li';=a5 ``: „ 7 � ANll LOCATION .' » ; ' e .., .. .k. t �.+a: a_...,ca.r- Jr ,�w.. A',- >e+=.:S1Y,a:e^��, .a. •, ..,amc ,� _,� -. c:>n:f,vshR , T.y r jbz" "rr,.x 'its < 3 • >:a .S' ti es Job site address: ( (, 530 3 , G r <e,A lc,,,, Q u t . Catch basin or area drain 16.60 City /State/ZIP: T I e_ J Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: + Project name: Footing drain (no. linear ft.: ) Page 2 n Manufactured home utilities 110.00 Cross street /directions to job site: 1 V .e r CjdQ I� Manholes 16.60 , Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: - s>4r ;;.'c3.; p,�rv" 4r ,?`9r, ...°taA- ts, - �.` ., -' ,A } v.� � •i '-.ate;. -Cr.� ya,.• :v' - Absorption valve 16.60 I y.: .t�v , s": ;sk g1 - : DE . S C RIP TI OPI ^iO ,_. �. to : 1 . <.'; a' ,: ;a;;. s yr. WORI{ r "' ; ° .a:z..:.. ..._. :.mi^�' ?3 »ra,. ._.. .?nc�s�''��'�s;'�: =.,u, w�:,�,�asa ^ ° =r.� ���,:, _.�^�z- .::, .,,:,�.rt .:4 ��, ?n .,x� '�eti5:?r� . a;} Back n/1 n , .:wh = flow preventer Page 2 af 0 9 ( LA U $' I ("4(.._ vv x. a Backwater valve 16.60 4,44-0 (,.rl.,<, r { 12 (4 e { �,.A- Clothes washer I 16.60 ' Dishwasher 16.60 Thinking fountain 16.60 . ;; t OWNER '` ''' I; `r'.ke. ®TNAT,' _ v r s�..¢ , =Mv" �.: r.,. ` s, ?��� , .t�S° s Ejectors /sump 16.60 Name: _A L. IL $ .....1 LA. ct Di L e i/ e Expansion tank 16.60 Address: I ( S' 3 0 3 -i Cr r -t -e t- ( c_..�C p a- Fixture /sewer cap 16.60 City /State /ZIP: I t 5 .---j. Floor drain/floor sink/hub 16.60 Phone: ( ) - Fax: ( ) Garbage disposal 16.60 ' '" . - t, fir: f , t �,' S„ • -.0 L i r•,::Wii .. Hose bib 16.60 -.. >; ' API'LICANTz ;5w �, t:,, .. 4- �k ®nNTACT }�sP,EBS.., -. :C.a' 1 i e :: c...t ...."�' a- �•� � ax �t= •ea, , 5 , •- ,e., =��r^ � ...:;a.:r L , _n ._ � ✓1- x.' ft+ 5_- ,.n.iJt �'�:��:�*aa�lt,Na%�r.,•,,H.'�� S�uS; �+ , ....: �. i'„r. � -.,. �+. � - , r • - ''• � -" - Ice maker 16.60 Business name: Q2 iM,e .-I^ . P 1 r 4 3 . r a" C Interceptor /grease trap 16.60 Contact name: Z i' I I lL! r Medical gas (value: $ ) Page 2 Address: PC. a (a, a_ 3 Primer 16.60 City/State /ZIP: c ‘ e „-,..-1 (Die- 1 - 73 0 9 Roof drain (commercial) 16.60 t Sink/basi avatory I 16.60 Phone: (533) 3 7b'- 7/ 5 J Fax:: ( 5 - 63 ) 376. - /0 5 ub /showe shower pan I 16.60 E -mail: bt IIrz 6I„.{ 64, 4 . co v„� Unnal 16.60 ' .SL+'';?.r :?s.`,.' -: T +,r,i.,.., - 4;' `;tix k %'�."'rr: ,, :+'S'n':, . = V,c s'g':";�,C.W,':; , ;�, vi n iV w�4-'.,: 'r;i ? ?fi �it`y,�. r ;°CON,TRAG ''t< "•t , ,:•'=1` , t ',- ;'>`:-y'.''fx`'" : "' ..,�' ,,�a �:.�. aI� +aY,�. _ ��:'s TORS = " '•��,;.:��w "� -;..,. ,i� :�._sr'� �'�':� ���rt� ..:��:r;_..���, - nasr��.,r � �, ��a�'.,, r: �.: ��wr. �r.... a-_: N,. �- �t. �;: ae.} r >a',__..�,._s�,`��`;�rt:�.sw�a5 Water closet ( 16.60 Business name: W\ M-P (.., C., Pk w,, ‘) - r c Water heater 16.60 Address: Po ( • /� 4,1 Other: City /State /ZIP: S„ / 4 . , ©e ' 173 0.; Subtotal Minimum permit tee: $72.50 P h o n e : ( ) 3 7 5-6 / Fax: (603) 37,r"- / 053 Residential backflow minimum permit fee: $36.25 CCB Lic.: 44/ 06" / - � 1 + -a Plumbing Lic. no.: 47e- /-ic, , Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: 6 , L . - .....e d 1 -Q TOTAL PERMIT FEE 7y, I ' Print name: 2?)// ,_ t e e y 19.. Date: /()' 7 - 6(, This permit application expires if a permit is not obtained within ' 180 days after it has been accepted as complete. *Fee methodolovv set by Tri- Cottnty Building Industry Service Roard- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006.00521 13125 SW Hall Blvd., Tigard, OR 97223 'DATE ISSUED: 10/27/2006 Phone: (503) 639 -4171 �ma, ll Inspection Requests (24 Hrs.): (503) 639 -4175 : ' Ii.. ' INSPECTION WORKSHEET FOR DATE: 10/30/2006 TIME: 7 :05AM PAGE: 65 SITE ADDRESS: 16530 SW GREENLAND DR CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.2 LOT #: 082 TYPE OF USE: PROJECT NAME: DICK DESCRIPTION: Fixtures: 1 ea. lay, toilet, tub shower and washer. OWNER: DICK, JACK & JUDY PHONE #: 503-495-5193 CONTRACTOR: OREGON MECHANICAL PLUMBING INC. PHONE #: 503. 378.7156 Inspection Request Scheduled For: Date: 10/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 038976 -01 503-378.7156 N Corrections/Comments/Instructions: (17-4 V , PASS I l PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1/ / Date: / 1 ( Phone #: (503) 718 - - CITY OF TIGARD BUILDING DIVISION A PERMIT #: PLM2006-00521 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2712006 Phone: (503) 639-4171 hartio Inspection Requests (24 Hrs.): (503) 639-4175 .444; ''? 11, INSPECTION WORKSHEET FOR DATE: 3/7/2007 TIME: 7:18AM PAGE: 61 SITE ADDRESS: 16530 SW GREENLAND DR CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.2 LOT #: 082 TYPE OF USE: PROJECT NAME: DICK DESCRIPTION: Fixtures: 1 ea. lay, toilet, tub shower and washer. OWNER: DICK, JACK & JUDY PHONE #: 503-495-5193 CONTRACTOR: OREGON MECHANICAL PLUMBING INC. PHONE #: 503-378-7156 Inspection Request Scheduled For: Date: 3/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 044439-01 503-378,7166 N Corrections/Comments/Instructions: • OW _ , . ' e /71, i. " , r / I , • *ASS I 1 PARTIAL APPROVAL - fl CANCEL 1 NO ACCESS I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED P...) Inspector: (I \k Date: li Phone #: (503) 718-