Permit CI TY OF TIFVARD PLUMBING PERMIT
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DEVELOPMENT SERVICES PERMIT #: PLM2006-00459
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'�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/6/2006
PARCEL: 25111 CB -01712
SITE ADDRESS: 10155 SW HOODVIEW DR ZONING: R -3.5
SUBDIVISION: HOOD VIEW LOT: 011 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
BILL & SUE CARVER
10155 SW HOODVIEW DR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 10/6/2006 $36.25
[TAX] 8% State Surcha 10/6/2006 $2.90
Phone : 503- 913 -0568 Total $39.15
Contractor:
DENNIS' 7 DEES LANDSCAPING
7355 SW JOHNSON CREEK BLVD
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 777 -7777
FAX 503- 777 -2399
Reg #: LIC 5009
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 , jC.6 U `'� Permittee Signature: 'P , C
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.
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Plumbing Permit Ap FOR OFFICE 1:SE n \Ll
CI Of TI 8rd a " 6 Received / j /� � J perntit No J ��; l
131 SW Hall Blvd., Tigard, OR 97223 `j 1 DateB}' n (1Q J/ 1 `\ `�`i /j 0 (�t���
CI Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 \ C w '\ Date/By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 ` w. 0-0 -0 O O Ow " .: i . Date Ready /By: Juris/ 63 See Page 2 for
Internet: wwci.tigard.or.us ttt�,�t� Notified/Method: ""1 Supplemental Information
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❑ New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ® Other: LANDSCAPE New 1 2 family dwellings (includes 100 ft. for each utility connection)
t ; li ili „ c CATEGORY OF CONSTR UC`I iO SFR (1) bath 249.20
r I- and 2- family dwelling ❑Commercial /industrial SFR (2) bath 350.00
❑ Accessory building El Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fu : x .;a::. r� - °- IND= r Y Fire sprinkler ( sq. ft.) Page 2
J SITE INFO RMATION, A _, N g
.� ...�, - QB � ._,. _ .. - -., .. < _- ... .r ,_.. . Site utilities
Job site address: ./J/55 $(..J //061D0 L6(.../ ii/ /�/2.- Catch basin or area drain 16.60
City /State /ZIP: 97 .y Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: KU Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 1 6.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) 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 ::
p � Absorption valve 16.60
:W
-< ''DESCRIPTION;�. ., .O ,. __ _ ,URIC'1
-, _. .� , ._.._.. _ _ __ a•<`_ �.��- - - _�,_ __ Backflow preventer 1 Page 2
INSTALL BACKFLOW DEVICE Backwater valve 16.60 •
Clothes washer 16.60 -
Dishwasher 16.60
r',:ic r,E a .p << $%,. .< ",:., Drinking fountain 16.60
�EI tO .. .... : O WN ER:: ,- >;a,, w N A . -.
�'_ � ' . , ... Y' _ :,(; .�z <4-F, :,, . �`�a� ,. ,. ,. _.. .. ,; ,,z „� . _ Ejectors /sump 16.60
Name: _. /3/4_6, _ ;` f saz. , 61112_ / L
Expansion tank 16.60
Address: 5A £ A"S d VL Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60
Phone: (5 913.- (2(j Fax: ( ) Garbage disposal 16.60
^'" ''_ Hose bib 16.60
, ❑ .:APPLICANT , , , ,ES O.:$;;; U >CO NTAC f .'.PERSON ms ?'
- Ice maker 16.60
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
Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
:� "`_ � . - � sus
., _ :� �. , ,., . ` •�` ... -�:�. a CONTRA(TI'OR __. ... r ..... _ .. . -__o _ . - .. Water closet • 16.60
Business name: DENNIS' SEVEN DEES LANDSCAPING, INC Water heater. . . - - .16.60 -
Address: 7355. ' SE JOHNSON CREEK BOULEVARD Other: -
City /State /ZIP: PORTLAND, OR 97206 Subtotal
Minimum permit fee: $72.50 /
Phone: ( 503 ) 777 - 7777 Fax: (503 ) 777 - 2399 Residential backflow minimum permit fee: $36.25 3�
CCB Lic.: 5009 Plumbing Lic. no.: 05LIBDI Plan review (25% of permit fee)
)) State surcharge (8% of permit fee) 2.
Authorized signature: ��{ - / TOTAL PERMIT FEE 3 (, (S
Print name: DEAN SNODGRASS Date: /7 /246; This permit application expires if a permit is not obtained within
f 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
i- \ Buiidineermits \PLM- PermitApp.doe 12/03 440- 4616T(10 /02 /COM,/WEB) .. .
Plumbing Permit Application - City of Tigard
Page 2`- Su'pplei<nental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities ,, « Q „ Fee (ea) Torah Square`Footagei` :_ ` Per nit`Fee
Footing drain - 1 ",t00'. , 55.00 • 0 to2,000 $115.00
'Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
Sewer: Bt 100' 55.00 3,601 to 7,200 $220.00
. . 7,201 and greater $309.00
Sewer.- each additional 100 ' , 46.40
Water Service - ; 1st 100'. • • . . 55.00 • Medical Gas Systems:
Water Service - each additional 100' 46.40
•;
nt;t4s.m=g: ',Teri :ee.
Storm & Rain Drain - 1st 100' 55.00
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture: or Ifem' .;Y, .
additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
• Residential Backflow Prevention Device - each additional $100.00 or fraction thereof, -to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $ 100.00 or fraction thereof, to
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work:
Are you capping, moving or replacing existing fixtures? If
"yes "; please.indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees * . .
•
�.f y T =:N -.„ 3 r . Quantity:by.(Fixture):work Perfo'rii ed ;:
Fixture T ` ' e :1 4 40)1_
�v;� ,.P!
av`
r a work:
xe Comments fixture Commen s re ardin
Baptistry/Font
Bath - Tub /Shower
- 7acuzzi/Whirlpool
Car Wash -Each Stall
-Drive Thru
Cuspidor/Water Aspirator
Dishwasher - Commercial
- Domestic
Drinking Fountain
Eye Wash
Floor Drain/sink - 2"
-3 „
-4"
Car Wash Drain
Garbage - Domestic
Disposal - Commercial • *Note: If the fixture work under this permit results in an
- Industrial increase of sewer EDUs, a sewer permit will be issued and
Ice Mach./Refrig. Drains
•
Oil Separator (Gas Station) fees assessed for the sewer increase must be paid before the
Rec. Vehicle Dump Station plumbing permit can be issued. '
Shower -Gang
-Stall
Sink - Bar/Lavatory
Quantity Total
- Bradley
Commercial Isometric or riser diagram is required if fixture quantity
Service total is >9.
Swimming Pool Filter
Washer - Clothes •
Water Extractor Plan Review
Water Closet - Toilet Plan review is required if fixture quantity total is >9.
Urinal
Other Fixtures:
u.'Bwlding \Permits\PLM- PermitApp doc 3/03
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CITY OF TIGARD
- BUILDING DIVISION PERMIT #: PLM2006- 00459
13125 SW Hall Blvd., Tigard, OR 97223 )' DATE ISSUED: 10/60006
Phone: (503) 639 -4171 :Nil l
Inspection Requests (24 Hrs.): (503) 639 - 4175 . ___
INSPECTION WORKSHEET FOR DATE: /2/14/2005 TIME: 7 PAGE: 47
SITE ADDRESS: 10155 SW HOODVIEW DR CLASS OF WORK:
SUBDIVISION: HOOD VIEW LOT #: oil TYPE OF USE:
PROJECT NAME: CARVER
DESCRIPTION: 82claors : ra,�enter 6dtsati +ttM•
OWNER: CARVER, BILL & SUE PHONE #: 503 - 913 - 0568
CONTRACTOR: DENNIS` 7 DEES LANDSCAPING PHONE #: 503..777.7777
Inspection' Request Scheduled For: Date: 12114/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 041070-01 503 -777 -7777 N
Corrections /Comments / Instructions:
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2--) I o V I b C ! 5 ReL. F L G 1,1 r eV 7-t d AI i (2. ESL) c" c
FZoio... L1. z._
f PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: G14 Date: /Z /y d' Phone #: (503) 718 - Z-61/.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00459
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 10155 SW HOODVIEW DR CLASS OF WORK:
SUBDIVISION: HOOD VIEW LOT #: j TYPE OF USE:
PROJECT NAME: CARVER
DESCRIPTION: Bac:kflow preventer for irrigation
OWNER: CARVER, BILL & SUE PHONE #: 503,913.056a
CONTRACTOR: DENNIS' 7 DEES LANDSCAPING PHONE #: 5c3-777_7777
Inspection Request Scheduled For: Date: •2/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 IViisc. inspection 041327-01 603-777-7777
Corrections/Commen s/Ins ructions:
4
cbLEAss I I PARTIAL APPROVAL 11 CANCEL I I NO ACCESS
I I FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: c-14-/ Date: /Z r.,e7 06 Phone #: (503) 718-