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Permit l CITY TIGARD PLUMBING PERMIT ,f DEVELOPMENT SERVICES PERMIT #: PLM2005 -00314 c �' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/14/2005 PARCEL: 2S 109BA -07600 SITE ADDRESS: 13740 SW LEAH TERR ZONING: R -7 SUBDIVISION: DAFFODIL HILL LOT: 002 JURISDICTION: TIG • Project Description: Irrigation backflow preventer. 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 ARBOR HOMES Description Date Amount PO BOX 91551 PORTLAND, OR 97291 [PLUMB] Permit Fee 7/14/2005 $36.25 [TAX] 8% State Surchan 7/14/2005 $2.90 Phone : 503 297 - 1881 Total $39.15 Contractor: • CATANDELLA IRRIGATION + BACKFLOW REQUIRED ITEMS AND REPORTS 5334 SE DEL RIO CT HILLSBORO, OR 97123 Phone : 356 - 8022 Reg #: PLM 7022 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 rul °s or direct • o sions to OUNC by calling 503 - 246 -66.9 or 1- 800 - 332 -2344. 1 Issued By: —.or/ 1 400'` Permittee Signature: Call 503 - 639 -4175 by 7:00 a.m. for an inspection the t b - siness day. This permit card shall be kept in a conspicuous place on the job si - d ntil completion of the project. Approved plans are required on the job site at the time of each inspection. Building Fixtures ,° !C F D Plumbing Permit Application " ' `` FOR OFFICE' USE ONLi 14 , 0L . 1 ;2 005 . ... ,, , ._ City Tigard y , Re c e ived � q J � f PermitNo. Lyy - _ -/ S 13125 SW Hall Blvd., T OR 97223 Date/By . t YOB' P Plan Revi hone: 503.639.4171 Fax: 503.59 1'960 I leARb ed /w/Pp '.� , Date/By: e Other Permit No.: 24- Hour Inspection Line: 503.639,4175LDH \Q OI VI II • ��8� c. � � ' ` Date Ready/By: hills H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: 'j1 Supplemental Information . - TYPE OF WORK . FEE* SCHEDULE /°' New construction ❑ Demolition For special information use checklist. Description I Qty. Ea. Total ❑ Addition /alteration/replacement ❑ Other: - New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) .. ,CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ›1- and 2 -family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 / Accessory building ❑ Multi- family SFR (3) bath 399.00 1:: Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 ' JOB SITE" INFORMATION AND LOCATION Site utilities Job site address: 13 L 1 0 S' L� , " �,,,, - t-Q 4 ---- Catch basin or area drain 16.60 City /State /ZIP: - n C ,_ L 0 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: - f, _] l \-k -'t Footing drain (no. linear ft.: ) Page 2 Cross street /directions to job site: 4? 1 Manufactured home utilities 110.00 t Manholes 16.60 )l , A ) +�?.., Qrr v!\. 1-.-Q. L 'er""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 Tax map /parcel no.: Fixture or item Absorption valve 16.60 . . '.'DESCRIPTION OF WORK . ' - Backflow preventer X , Paget -- Z, I - {-- y r-4 ' ca- 3 t'l-,e__ ("lb � Backwater valve 16.60 i Clothes washer • 16.60 Dishwasher 16.60 _,..,, " - Drinking fountain 16.60 ;❑' PROPERTY OWNER::;;. :-;' TENANT Name: A t- oo r \ o - _, S Ensn 16.60 ^ ' �C � p 1 Expansion on t taank • 16.60 Address: �� ,z..,..) \ I-. /4 may -5 V n 1 D I 6 141 �- Fixture /sewer cap 16.60 ' City /State /ZIP: ` d Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 16.60 . ❑';APPLICANT ; • • ❑ :CONTACT PERSON;; '' 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: Sink /basin/lavatory 16.60 ( ) Fax: ( ) Tub /shower /shower pan 16.60 E - mail: Urinal 16.60 C Water closet 16.60 Business name: C .4 % 4 / ,,,,e4 /, ,.» ✓kix, Water heater 16.60 Address: . 5 2,; , c) C.4 Other: City /State /ZIP: Subtotal l Hs' > ro 0 c? / 13 . Minimum permit fee: $72.50 Phone: ( ) 3 5-76 8 v .z, 7. Fax: ( ) Residential backflow minimum permit fee: $36.25 - - CCB Lie.: 7,© 2,7 Plumbing Lie, no.: f f 7 t Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: / TOTAL PERMIT FEE _ Print name: . ,/ ./ I Date: 4'y 1� � This permit application expires if a permit is not obtained within / 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. is \Building■Perm MF- PermitApp.doe 06/05 4404616T(10/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005- 003141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2005 Phone: (503) 639 -4171 ."�ud a �l1t Inspection Requests (24 Hrs.): (503) 639 -4175 . �_ INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7 :08AM PAGE: 23 SITE ADDRESS: 137/40 SW LEAH TERR CLASS OF WORK: SUBDIVISION: DAFFODIL HILL LOT #: 002 TYPE OF USE: PROJECT NAME: DAFFODIL HILL DESCRIPTION: irrigation backflow preventer OWNER: ARBOR HOMES, PHONE #: 503 -297 -1881 CONTRACTOR: t':ATANDELLA IRRIGATION + PHONE #: 35& 8022 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # • Inspection Description Confirm # Contact # Message 399 Plumbing final 0179130-02 5n515-3804 N Corrections /Comments /Instructions: f - —�— ,_ - / l / / . 7 I i ' _ ( PARTIAL APPROVAL_ _- n CANCEL _ n_ NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _ ./ ) / i4 Inspector: Date: 6 I Phone #: (503) 718-