Permit . a CITY OF TIGARD PLUMBING PERMIT
II
''' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00175
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/30/2007
PARCEL: 25111 CC - 22100
SITE ADDRESS: 10330 SW GREENLEAF TERR ZONING: R -
SUBDIVISION: SUMMERFIELD NO.5 LOT: 279 JURISDICTION: TIG
PROJECT: SUMMERFIELD TOWNHOMES 2
Project Description: Install /replace existing 2" backflow devices located in planting bed between units 10330 and
10320.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R1 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
RUPP, MILTON V /MARJORIE H
10330 SW GREENLEAF TERRACE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 4/30/2007 $72.50
[TAX] 8% State Surcha 4/30/2007 $5.80
Phone : Total $78.30
Contractor:
WILLAMETTE LANDSCAPE SERVICES, INC.
18480 SW PACIFIC DR
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 625 -9600
FAX 503- 625 -9714
Reg #: LIC 6949
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 B ��� _ #// Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 41,9/;i4.796-7/
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.
/ Apr. 27. 2007 1:33PM WILLAMETTE LANDSCAPE SERVICES No. 0015 P. 2
k , xnbin Permit Application . FOR ;OFFICE USE ONLY'
t R eceived
; City of Tigard Permit No.:
't 13125 SW Hall Blvd., Ti ard, Date/B : PLI.r _�� - I
g Plan Review
III :. •. Phone: 503.639.4171 Pax: 503p 9c 7 20Q7 1Date/9y: Other Permit No.:
Inspection Line: 503.639.4l75 Date Read B luris: See Page 2 for
TIIGARll Ready /By! g
Internet: www.ti ard -or. ov C TY T Information
g . � NmiIIcd/ rvicthod: U 3u pp � 1 ' eme ntal In[orma ion
. TYPE 0 •:. t• +el T NeD 1R 1rE* : SCIIE U •
['New construction ❑ Demolition For special information, nse checklist.
Descri , lion 6 . Ea. Total
X Actditionialieration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
,•.. CATEGORY
:.;,.. ..:.' . . '' OF GONSTRCiCTION, , SFR (1) bath 249.20
❑ 1- and 2- family dwelling ❑ Commercial /industrial SPR(2)bath 350.00
III Accessory building (Multi- family SPR(3)bal 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
' JOB SITE INFORMAT.Y01 AND: L.:p;.CA'V'ION. ,'; ,`' ; ,. .... Site utilities •
Job site address: 1 GWtu04 4•WAlrA.GL y Catch basin or area drain 16.60
City /Start /ZIP: 1/4,,. Cu✓. 9. ( a'e CO Z e-1 Drywcll, leach lint, or trench drain 16.60
r 1 Footing drain (no. linear ft.: T ) Page 2
Suite/bldg. /apt. no.: Project name; 514,twVt�1 Fiett9 ler,,4,\k �, '�
l Manufaciured home utilities 110.00 IIM
Cross street/directions to job site: &NeetAkfc,t Manholes 16.60
w�
Sc.t-�eAl U e \c,Q (;Qv +Je Rain drain connector ■ 16.60
B
Sanitary sewer (no. linear .: Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2
1 lxture or item
Tax map /parcel no.: valve v e v 16.60
..: ,., .; : r
ll)1SCItY'PT)(ON: O .4S OY
. .. . , _ , . � : ! . 13ackflow prevunter k P�
1.‘' � . • B ackwater valve 16.60
- , 1 3 c e G \ 2 d'\t t. J - • k C.cir Cfx IA, 1 \e It k h , ,d, & t.J 2,e 4‘.. Clothes washer 16.60
1,03 30 \ e " o
Dishwasher 16.60
0. , PROP OWNER 1 TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: a • 7 & . f Bxpansion tank 16.60
Address: 1 \cog a 5 w C uk. _ . Or C,. ac_ Fixture/sewer cap MN 16.60 -
City /State/ZIP: ` TZ c. , 0 tr , otn • 1 a , Floor drain /floor sink/hub Mill 16.60 -
Phone: (5o3 ) 631 c 3 e% ‘ Fax: ( ) Garbage disposal 16.60
[lose bib 16.60
p 'APPLICANT q:;.CONTACT ;;I RS.QN �
Ice rrlsker 1 6.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ , .. ) Page 2
Address: Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Sink/basin /lavatory • 16.60
Phone: ( ) I Pax: : ( )
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR.:. Water closet 16.60
Business name: • . y rrt) ■ . r • v e li. _ Water heater 16.60 • ((��
Other: �
Address :l6yici 5%..7, lPc,c,34- th :ve
Subtotal
City /State /ZIP:
;v utTC .l' Minimum permit fee: $72.50 ,.
Phone: (Sol ) ea6 I6 D Cla Fax: (5d3 ) 6oZ , _ 4 1?/1 _ Residential backflow minimum permit fee: $36.25 i �✓
.661?-teie._ LC6 L. 4 6 Plumbing Lie. no.: Plan review (25 °i6 of permit fee)
State surcharge (8% of permit fee) 5 , to
Authorized signature,/ _ / TOTAL PE' IT FEE y$", -50
Print name_ /t'/ , „.., C. .T . PL .4,1 Date: 6 p,./ Zr� a? This permit application expires if a permit is tot obtained \vltldtt
( 180 days after it has been accepted as complete
*Fee methodology set by Tri- County Building Industry Service Board.
l:\ 8,.: 10;ng \Pemtity\PY_M•PenniiApp.doc 06/26/06 440.4616T(10/02/COMRYHH)
CITY OF TIGARD -
BUILDING DIVISION
PERMIT #: 4
13125 SW Hall Blvd., Tigard, OR 97223 i Ah
DATE ISSUED: 4/30/2007 1
Phone: (503) 639-4171 ,,,oplial#
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7:00AM PAGE: 65
SITE ADDRESS: 10330 SW GREENLEAF TERR CLASS OF WORK:
SUBDIVISION: SUIvilvIERFIELD NO.5 LOT #: 279 TYPE OF USE:
PROJECT NAME: SUIVIMERFIELD TOW41-10tVIES 2
DESCRIPTION: Install/replace existing 2" bacfdlow devices located in planting bed between units 10330 and 10320.
OWNER: RUPP, MILTON V/MARJORIE H, PHONE #:
CONTRACTOR: WILLAMETTE LANDSCAPE SERVICES, INC. PHONE #: 503.62
Inspection Request Scheduled For: Date: 11/612007 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
399 Plumbing final 059054-01 503-572-8427 Y
Corrections/Comments/Instructions:
D2v + ct Te (-4-e-.4. Lo c c. 1-4 Le, f7r s Az, 0 f sa-C 1°) 3 Li O1
R1,31,1 S 1 oi.e 01: 10330 S t.,) 0 w
C A rt ■ gve ytA
‘. ..
X PASS 111 PARTIAL APPROVAL CANCEL 0 NO ACCESS
I I FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: g-7)/1-ti 1 0 A....1.- Date: I n (, c Phone #: (503) 718-