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Permit li CITY OF TIGARD ' ', PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00126 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/25/2008 PARCEL: 2S 104DB -06400 SITE ADDRESS: 13252 SW MAPLECREST CT ZONING: R -4.5 SUBDIVISION: MAPLECREST LOT: 011 JURISDICTION: TIG PROJECT: MAPLECREST 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: 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 WINDWOOD CONSTRUCTION INC 12655 SW NORTH DAKOTA Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 3/25/2008 $36.25 [TAX] 12% State Surch 3/25/2008 $4.35 Phone : 503- 780 -4375 Total $40.60 Contractor: BURNESS LANDSCAPE 9330 SW LEHMAN ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 432 -8525 FAX 503- 432 -8525 Reg #: PLM 13007 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 • _�� _ l Permittee Signature: pCs—P ���� ,.'� -2f r,,,,..f - i 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. MAR -24 -2008 12:39 PM THOMAS.S.BURNESS 5034328525 P.02 to a permit Ao nli o 1. � k X0 7- 00/DO ! bi Q fit■ B uilding Fixtures REC 1 1 City of Turd MAR 2 4 / i , . (Jk r { 1--- PIrnitNo. : ,Ld�7t�I& -c cal Il ' 13183 8W Hell Riad., Tigard, OR 97223 '.° N none: 303.639.4111 Fax: 503.398.1 PL AR , „ w Oder Permit No.: inspection Line: 503,639.4175 1 D � !`� 1 � 1 1 guitar ® �,. 3 �t�)�7- vulCX� Internet vwrw.tigardor.gov B� No Mid; .,..,. tdls,hrmadon for t 1+ 4 r, TI'r r' , '.'tiary ,yy ',PI- L/ i I 1 ' i t'' p 1 St W rix p yEsr�ae 711 1 6= 4U � (, r , `'' 1 fY t � � j} { "}�� } �I r { t t si �f� ?, tioi� N � p �u i t_;k I 1 i�d� h� � � j�� �17 I11� 4�fL �y�iilVP:i�rdMti�, �+.��/I�i..IF..,tl It � l r � .� 1 �7f le.'_`•h' 1 :.41 : '.�l Fr��7��.1�1..1tiY111 Ia7lSin. 1 .rh. ® New construction 0 Demolition Fm 'pedal hiformdfon was eheaaltse 0 Addition/alteration/replacement ment 0 Other: �Qi ' I Qtr• l r Total tuna 1- 2- 6eeily dwellings (Includes 100 IL he each utility connection) till L7 �11 � {3714• 1 {H6 { PJ1 Bbl. fr JN �h,' ti 9 1' R 7. t l t ire r ? , 01 +O t j '. t r ) 1 ff ! i L p 17 1 A ! * ern Cil f;i tSrdhiN.aF:f!:fl�l:� l , iVi:c;:i:,. ;P V1! 1 ...s Mt ,;i s t'e l i-i 1 i 1 L ?t, /;�t r%r i ;, SFR (I) belh 249 1- and 2- ihmlly dwelling © Conmercia1findusleal SFR (2) bath 350.00 ❑ Ate' building D Mtdd-family SFR (3) bath 399.00 Master builder 0 Other per additional bath/kitch 45.00 yy en + n t 4'1 r if t.7a uKrn "'1 1 , r 1 1 t , i J r r r' 'z . r L Fire sprinkler (,___ Hi it) Prl 2 - 4 h 7 Y +1 1 , , IJsar.1, � 11 IIfil f5 1• 4∎1 I . j , f i� c t { ii �ItL 1�1 r tl t J j l f o;t f4e11t'�Y �,! , :, .�.5 7•a, ' 13! t +tilt. t IiR�I �. . ti¢thu,4ruktr�i,n § i,a,0,7$�01:oi1tY....l,t J.f,u t�k 1t t�i• • " {�•1 r a� �`•a, site motes Job site address: /5852 H ' Atizt*Sr tr. Catch halo or area drain -- 16,60 City/State/MP: Tigard, OR 97223 Drywc 1, loads line, ar breech drain 16.60 Suite/bldg,/apt. no.: T Project memo: WO.- C'-k-i-'y / Footing drain (no. Seem ft: _.) Page 2 Cross stroet/dir�etxions to job site: SW Greenfield M�olaued home utilities 110.00 Manholes 16.60 Rain drain for 16.60 Sanitary sewer (no. limier ft.: _) Page 2 Storm sewer (no. linear ft.: ,•„.,) Pap 2 Subdivision: Maple Crest I Lot ao.:11 Water service (no. lhmar ft.: Page 2 Tax mop/pmvel no.: q ♦ Item I r t •11 f l I ll e l � Vt� y,A4, J Ft�,f t�. i+Y111.7 r i � 1 r .' Absorption 16.60 1 i(t ss )f t 1 fi r T f2 '�6t jr! L ri+ ' tK { ( el t Q F t8 /141l4 9 ;�i!t l ! s i nnxi:/// F;wtgl4T ii.41,trii ..t »:I i } 4`: 'i r gaddkny praecox 1 Paget 36.25 landscape irrigation Backwater valve 16.60 _Backwater washer 16.60 Olahwashor 16.60 r 1 1 } i ' +rk La „n TYr \ � Utl t ;. / 1 n i + ib{mtale ' 16.60 11 .: ,tir1 �At /l:I:1„l „ :_Sai. Itoi'do'tslts; ii t { r !L! °Vf.a‘ e +.,;?' . { 141 . E t +t R. Ya °' sump 16.60 Name: Wlndweod Homes t r Expansion tank 16.60 Address: Fbcbpe/aewer cep 16.60 City /Slate/ZIP: Floor drain/floor sink/hub 16.60 Pte ( ) Far. ( ) _Garbage sge disposal 16.60 �r�jp�{��i,raf�'� x f?VI t� 1p eee.ppp 1 p t el {r��,.r:�tt S� Y } j ���� R �}�p . , i `t� t � r 1 1r+' 'j ff Hole bib 16.60 ll?II7,:N!;1��. • i'fTrvsr.R l;liR.ry bi { 1 'acR GT'TY �lIVT� Ii< {G17. . 9/.. ;y :}l,I , !2 1 t ', o n i^ ); ) , i1 c ice mater 16.60 Business name: Burnes, US - intemptor /grease trap 16.60 Contact name: Teal 19arneas Medical gas (value: _ ) Page 2 Address: 9330 SW Lehman St Primer 16.60 City/State/ZIP: Tigard, OR 97223 Roel'Mein (commercial) 16,60 Phone: (503) 432 -$575 1 Fa:c : (503) 4324525 sbddbas1Ntavatory 16.60 lub/sbower/shower pan 16.60 &mail: urinal 16.60 )r it :r {•1 A y i.... 4 1, f\tre i' r ,. ,Nn' J N .k rti [t t,* -.,r1 r t r i :, ,e el o isii r �5i 4� r&r7 '* 1 ' l , f I y 1 •, • . ' 1 ', i t',` - f 1. ; ' r +0v Wli closet 16.60 tRifi�. < i'l.., +: , ?<t. -,i H ::h l �. 1 ,i. f•,...: Business nemo: see above Water heater 16.60 Address: . Other. , total City/State/ZIP: S Minimum permit fee: $72.50 36.23 Phone: ( ) I Fax ( ) Residmtlal backftow minimum penult he: $36.25 CCB Lie.: 13007 Plumbing Lio. no.: Plan revtow (25°rfi of permit the) State surcharge (12% of permit Bee) 4.35 Authorized signature . TOTAL PERMIT FEE r 40.60 Print name i /'� .11111111 Date. 7L o i a,1 lids permit application expires Ito permit is not obtatoed within 180 days alter it bits been ample/ as complete. epee methhnelnkeev ,sot by Tri-( ottnty Rtdldln• fntheAnr Service Rim' CITY OF TIGARD .„.... , BUILDING DIVISION Ati , PERMIT #: PLM2008- 00126 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/200a Phone: (503) 639 -4171 r Inspection Requests (24 Hrs.): (503) 639 -4175 ..'�i.L INSPECTION WORKSHEET FOR DATE: 7/9/2000 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 13252 SW MAPLECREST CT CLASS OF WORK: • SUBDIVISION: MAPLECREST LOT #: 011 TYPE OF USE: PROJECT NAME: MAPLECREST DESCRIPTION: Installing backflow preventer. OWNER: , IMNDWOOD CONSTRUCTION INC, PHONE #: 503-780-4375 CONTRACTOR: UURNESS LANDSCAPE PHONE #: 503- 432 -8525 Inspection Request Scheduled For: Date: 7/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 3 Plumbing final 072396-03 503-860 -1203 N Corrections /Comments /Instructions: c re. c I V' C... c 4 pc..., g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ki4—t—J X L3 •-^�- Date: P ) ( c t I OT Phone #: (503) 718-