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Permit r s 11 .a�„ CITOF TIGARD PLUMBING PERMIT .: COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00234 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/23/2008 PARCEL: 2 S 110 D D -05700 SITE ADDRESS: 10660 SW HIGHLAND DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.4 LOT: 157 JURISDICTION: TIG PROJECT: FLETCHER Project Description: Installing backflow preventer. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: E2 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 GIBB FLETCHER - 10660 SW HIGHLAND Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 5/23/2008 $36.25 [TAX] 12% State Surch 5/23/2008 $4.35 Phone : 503- 329 -0225 Total $40.60 Contractor: AGENT PLUMBING, INC. 9340 SW JASPER DR. BEAVERTON, OR 97070 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -579 -3132 FAX 503 -579 -3132 Reg #: LIC 175492 PLM PB348 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. ,olimmi, f�, ./ Issued B B. �— Permittee Signature: /�A Gfv 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. , =f OM ;E NT PLUMBING- INC FAX NO. : 5035793201 May. 23 2008 02:57PM P2 _._.. R It PLE C � W 1�"I `i9,--mi i - Ninn1_ Plumbing Permit,Application Building Fixtures RECEIVE I i -pit tl, It 1: t: t >.t City Of Tigard Received 5—in ermitNo.: '/ ,1 �,�X)3 -t I ■ 13125 SW hall Blvd., Tigard, OR 97223 MAY 2 3 2008 Date. �� "�� �Y -' 1 PlanRuvi¢ry Phone: 503.639.4171 Fax: 50 3•598.1960 Other Permit No.: -- Inspection Lino: 503.639.4175 Da hey /B g Pa of . T IC A K II ' Internet: www.ttgard �' Y� 8 or.gov lemon orma f:.. y. .:..0 ;'. 1 .. \ .. �� .. •'.�..r ", I'• i '.4 'ro'!i ' .4i.:�' . "II � 4 Ur, ,1' CITY OF TIG ARII l d r t „ 4 . ,,..r... y�+a..r 1 N ,¢ e ' s � , �� '(i" Ott p T 1'i'� '^'�;�x`�' "y ' ) Il r , r Y I' 4� rr .�.�� A,;i0 ! t" n U�„ ;a i pA ''. j7 t4 a,r �r ,, •_�? \d' l 1 g ` C ' infd'Nk',';. i ' a : ?,:ggi��0 r-4,1 !,. C+ ��Y "•t;4;i ; � r ., 1 � '1: , " i:4; M � ; , "l , iNT.,;; A `, ,. ,, i, ; A ,,ql 4;∎ A Ji , - k, o ^.A,.D;l. i'Al^"C'I .,^' .a,;,. . ,v,.,! ,.. ,'.v,;;;, r •;,,_ r,. . , ,a [] New constructi ❑ Demolition For special information use checklist Description Oty. I Ea. i Total • 10 Addition/alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) v r' 7 , s n i , „ v a g.��,.,!�+u r,.cvr- r ar. n�� , s� AY t v r, , up ° ? p i , ', i `FEGOO O."i4 lr r..a // a, ; , yy,,, ; SFR (1 ) bath 24920 1 r �� YI ) 1,., \� �..r l,A. Md,. � r'Y'Y � Na it .t ,X,'.M,`,. t{ Y 1. M IL and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El Accessory building El Multi-family SFR (3) bath 399.00 - - -- Each additional bath/kitchen 45.00 ❑ Master builder 77 © Other: Fire sprinkler ( sq. ft.) Page 2 ' t < ,, v i. " r , \ 't r 4 w r '[; ^ N c, g I t�1",Y d --� * yev ,t�'\; 1 r'` ; 4O `i SIT, ?,> *; ;1' � ,. t'l,°a ti &R `t`i l,a; ,' 5 Site utilities ____ _ Job site address: 10660 SW Highland Drive Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR Drywell, leach line, or trench drain 16.60 mm Footing drain (no- linear R.: ,-,,,,,,,,) page 2 Suite/bldg. /apt. no.: Project name: - - Manufactured home utilities 110.00 Cross street/directions to job site: .. . Manholes 16.60 _ Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _„a _ Page 2 - Storm sewer (no. linear ft.: _„) Page 2 Subdivision: l Lot no.: Water service (no. linear ft.; ) Page 2 Fixture or item Tax map /parcel no. „ +;y +';� f F�: % %.; %�Jtr.a2p;!,,,',�.ii�.4.1a�,.r ',\,,,,,yr vv' d .: _eSilK'',9F��i ' ?,iii' " \�i �i�''41�yu1 i4r'',r" ��`, Absorption valve 16.60 :c w ol,: t� x tS!r, :r, �'„ � �Y�, i1114? a�' .: 4' Baclrflowprcventer ... 1 W Paget 36.25 Install double check for sprinkler system. Backwater valve 16.60 Clothes washer 16.60 - - - Dishwasher 16.60 i c w ,e�^ +� a F�J i f'ua0.' Drinking fountain 16,60 1 . 1,'We • r n ; ,^� l d k rr,Y1t75r 1t�c , i n . „ • - >` „14,.!i\ ' ,,x' -. .ro ,∎4 •r, l&.G' 1 . ,f . :� , ai: r fi , 1 16.60 E Name: Gibb Fletcher Expansion tank 16.60 • Address; 10660 SW Highland Drive _ , Fixture /sewer cap 16.60 • City/State/ZIP: Tigard, OR Floor drain/floor sink/hub 16.60 , Phone: (503)329 -0225 �{ Fax: ( ) Garbage disposal 16,60 .' 1 4 'f i H C 1' 1 r , � � , k n 1 c ' ' w` ,!, Hose bib 16.60 • '; !1 '' < „ ''� 1 a ����'h 2 ,�'����, ,�^,�`' ia � R' , � '�'+r !st: Ice maker 16.60 Business name: Agent Plumbing, Inc. Interceptor /grease trap 16.60 Contact name: Steve Moon Medical gas (value: $ —) _ Page 2 Address: 9340 SW Jasper Drive Primer 16.60 City/State /ZIP: Beaverton, OR 97007 Roof drain (commercial) 16.60 Phone: (503) 579 - 3132 I Fax:: ( ) Sink/basin/lavatory 16.60 Tub/shower/shower pan 16.60 E -mail: steve(aagentplutubing.com Urin l 16,60 1" a n x !, 1 IA > ' y Ua r. f � i a•� pr�7F'o' t�,Y'�1 �4^'' i i` ; W,, � °if<;ri/ �� il\ 'Ill' ` Water closet 16-60 � � • i° Iro��� ;� �� , • 4 r ed 1t ��' ''� } r � t, ' !:, Z." „".' .'� ,. ' b ^ �q lv t ?1 11,E t' r ° �n�d. ;. ",� t,'.B dx t �tlelq ds, 1:d N1r i Jx Business name: Agent Plumbing, Inc. Water heater 16.60 Address: 9340 SW Jasper Drive Other- - Subtotal 36.25 City /State/ZIP: Beaverton, OR 97007 , _ Minimum permit fee; $72.50 Phone: (503) 579 -3132 Fax: ( ) Residential backflow minimum permit fee: $36.25 36.25 - CCB Lie.: 175492 Plumbing Lie. no.: P8348 Flan review (25% of permit fee) State surcharge (12 %of'permit fee) 4.35 Authorized signature: -407/ F , TOTAL PERlvIIT PEE 40.60 Print name: Steven Moon Date: May 23, 2 008 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fcr, me,thrwinInfry set by Tri -Crnmty Rnildinv Industry Servicr. Rnard - - - CITY OF TIGARD BUILDING DIVIS ' PERMIT #: PLIv12008 13125 SW Hall Blvd., Tigard, CR 97223 DATE ISSUED: 5/2312008 Phone. (503) 639 4171 40/401,;i\ Inspection Requests (24 Hrs.): (503) 639-4175 - INSPECTION WORKSHEET FOR DATE: 612/200B TIME: 7:02AM PAGE: 23 SITE ADDRESS: 10660 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.4 LOT #: 157 TYPE OF USE: PROJECT NAME: FLETCHER DESCRIPTION: Installing backflow preventer. OWNER: FLETCHER, GIBI3 PHONE #: 603-329-0225 CONTRACTOR: AGENT PLUMBING, INC. PHONE #: 503-579-3132 Inspection Request Scheduled For: Date: 612/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 070627-01 503-579-3132 (36L4-1cetol,, Corrections/Comments/Instructions: O ice • • cotfut_ 9d tyl PASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS fl FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED LAJ ,A Inspector: Date: te \ \ Phone #: (503) 718- _ _