Permit •
C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES
PE
DEVELOPMENT PLM2006 -00048
� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2 S 109AD -13200
SITE ADDRESS: 14899 SW LOOKOUT DR ZONING: R -7
SUBDIVISION: ARBOR SUMMIT LOT: 030 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
•
WEST HILLS DEVELOPMENT
15500 SW JAY ST. Description Date Amount
BEAVERTON, OR 97006 [PLUMB] Permit Fee 1/31/2006 $36.25
[TAX] 8% State Surcha 1/31/2006 $2.90
Phone : 503- 641 -7342 Total $39.15
Contractor:
TRADEMARK LANDSCAPES, INC.
PO BOX 2410
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -504 -2013
Reg #: PLM 6796
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: Permittee Signature: (:)Nci
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.
JAN-31-2006 TUE 11:18 AM FAX NO, P. 02
1'
Plumbing Permit App[i ENE i
ived
City of Tigard omRecee/ar l _ 3I - d , ie) • Permit Ner?ObK_ a DOV
13125 SW Hall Blvd., Tigard, OR 97223 1 21 i t Plan Reviety
Phone; 503,639,4171 Fax: 503.598.1960 JAN 4M x ,.., , 1 1•i . Date/By: v Other Permit No.:
24- Hour Inspection Line: 503.639.4175 z ti _ r . - n' i Dale Ready /By: Jurir: , I CZ Page: far
Internet www.ci.tigard.or.us o1TY pF TI Notified/Method: �I -�' Supplemental Information
TtirPli',OF�1{7`1G uN 1S1O pt .. FEE* SCHEDULE
• ® New construction ❑ Demolition For special lyonnation use checklist.
Description J Otv. I Ea. j Total
❑ Addition /alterution/replacemenl 0 Other: New 1-2-family dwellings (includes 100 ft. for each utility connection)
. CATEGORY OF CONSTRICTION SFR (I) bath 249.20
® I • and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building
Multi- family SFR (3) bath 399.00
0 ^ Each additional bath/kitchen 45.00
[] Master builder D Other Fire sprinkler ( sq. ft.) Page 2
• . JOB SITE INFORMATION AND LOCATION • • . ' . Site utilities
Job site address: I : ' ' SW • 0 a G()'f' P Y • Catch basin or area drain 16.60
City /State/ZIP: Ti GA .b 17 2.24 Drywell, leach line, ar trench drain 16.60
l Footing drain (no. linear ft,: ) 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.; ) Page 2
Storm sewer (no, linear ft.; ) Page 2
Subdivision: Arbor Summit Lot na.; 13 o Water service (no. linear ft.: ) Page 2
- Fixture or item
Tax map /parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK • Beckflaw preventer - Page 2
NEW CONSTUCTION Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
. Drinking fountain 16.60
El PROPERTY: OWNER. U, TENANT .. . . Ejectors /sump 16.60
Name: West Hills Development Expansion tank 16.60
Address: 15500 SW Jay ST. Fixture /sewer cap 16.60 ^
City /State/ZIP: Beaverton, OR 97006 Floor drain/floor sink/hub 16.60
Phone; (503)641 -7342 Fax: (503)641 -7661 Garbage disposal 16,60
Hose bib 16.60
13 APPLICANT • . .. • • ® CONTACT PERSON Ice maker 16.60
Business name: Same As Owner. _ Interceptor /grease trap 16.60
Contact. name: ��C LAN I ER Medical gas (value: $ ,) Page 2
Address: (SAMi k S Jae elOVE) Primer _ 16.60
City /Slate /21f'; Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: (503 ) 641 -7342 I Fax: : ( Tub /shower /shower pan 16.60
E -mail: aL. \ N\l lEg. w. '".. t1(LLSOevELOP, d Urinal 16,60
CONTRACTOR Water closet 16.60
Business name: ' •-[- RAD E RJ LAtMDSCAPE Water heater 16.60
: Other; ' PO Box '(C Other:
Subtotal
City/State/ZIP: �}(ZE�OrJ t✓(TY t �70• -tom Minimum permit fee: S72,50
Phone; (503) r 504_ '2 D 13 Fax: Residential backflow minimum permit fee; $36.25
Aik l�l� -o r Plan review (25% of permit fee)
cCB Lie.: • j t 353 EX • 1131'0 GlrYr . 6.;r
State surcharge (8% of permit fee)
Authorized aignuluri e • TOTAL PERMIT FEE 13g. /.' . 2 1
Print name: ! 7 , '�i to Da l 1 / ta = f g This permit application expires if a permit is not obtained within
1 I 180 days after Ir has been accepted ns complete.
*Fee methodology set by Tri -County Building Industry Service Board.
v b, a,. imF ..rlrermiis\PLM•PerndiAnn,dac 12/01 4,10- 16I6T(1 0ro2)COMMrEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI A42006_000,18
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1/31/200,:
Phone: (503) 639 -4171 41): l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..,-11 ^I L
INSPECTION WORKSHEET FOR DATE: 2«4/2006 TIME: 7 :03AM PAGE: 60
SITE ADDRESS: 141199 SW LOOKOUT DR CLASS OF WORK: ,.
SUBDIVISION: ARBOR SUMMIT LOT #: 03n TYPE OF USE:
PROJECT NAME: ARBOR SUMMIT
DESCRIPTION: Bac14low preventer for irrigation.
OWNER: WEST HILLS DEVELOPMENT, PHONE #: 503641 -7342
CONTRACTOR: TRADEMARK LANDSCAPES, INC. PHONE #: 503
i
Inspection Request Scheduled For: Date: 2/N4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 027514 -04 503 - 319.6963 N
Corrections/Comments/Instructions:
c__Ar'..-0 - Ad wo . , -'s--- s!Idi . ■ __41
- Peitroi . - 0 A •
' filiLf -411
t L (P
"Z= e
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL •CALL a R INSPECTION El ADDITI s. AL FE- ASSESSED
Inspector: AWNIVA,_. Date: Z' o - Phone #: (503) 718- 2_ _3
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