Permit CITY OF TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00338
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/15/2008
PARCEL: 2 S 104 D B - 05400
SITE ADDRESS: 13201 SW MAPLECREST CT ZONING: R-4.5
SUBDIVISION: MAPLECREST LOT: 001 JURISDICTION: TIG
PROJECT: MAPLECREST
Project Description: Installing (1) 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 8/15/2008 $36.25
[TAX] 12% State Surch 8/15/2008 $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 8677
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 callin• 503.246.6699 or 1.800.332.2344.
Issued By `,//A/ !„,d" j Permittee Signature
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.
' UG-15-2008 12:23 PM THOMAS. S. BURNESS 5 0 3 4 3 2E15 25 P . 0 2
Allib
lumbinsi Permit Application tiNTBD
Building Fixtures OC I.,,, ,.,,,, , , ,•, .. ,, ,
City of Tigard . 00 . . 1 7,1116 , , $ - I' Permit No .
... , 13125 SW Hall Blvd., Tigard, OR 97223 al A
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- - g v v Phone: 503.639.4171 Pa: 503.598.1960 - ..,,,GpS0 Detelly. Other Permit No.:Mg-Aja7--LUICA
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inspection Line: 503.639.4175 Ctr °V l I - ReadY/BY . ash: RI Res Pegs 2 tor
' ' I ' ' ' Internet: www.tigard•or.gov N ' '., , - - • llidonatien
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For special kronnation acs checklist
El Now construction 0 Demolition
Descriptitm I Qty. i Ea. I Total
0 Addition/alteration/replacement 0 Other: New I- 2-family dwellings (includes 100 It. for each utility connection)
SEEMMIEEni ' It: 57 7=IRINANSM SFR (1) bath 24910
RI 1- and 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00
SFR (3) bath
0 Accessory building 0 Multi-nanny 399.00
Each additional bath/kitchen 45.00
0 Master builder 0 Other:
Fire sprinkler ( sq. ft-) Page 2
_
i ' fl 'r : 5 : :0 :- ! , TIMESEifiliRili Site utilities
Job site address: 13201 sw maple crest et Catch basin or area drain 16.60
......- -
City/Statc/ZTP: Tigard, OR, 97223 Drywell. leach line, or trench drain MAr ------
Footing drain (no. linear IL: ) 1 Page 2
Suitabklg./apt_ no.: I Project name: Maple Crest Court
Mamdbertured homc utilities 110.00
Cross street/directions to job site: sw greenfield
Manholes 16.60
Rata Main oonagator 16.60
Sanitary sewer (no. linear It: 1 Page 2
Storm sower (no. linear ft.: _ ) Page 2
Water service (no. !incur ft.: ___,) Pose 2
Suhdivicitin: Maple Crest Comet I Lot no.: 1
Stature or Item
Tax map/pinea) no.:
,‘,.,, i, Abselpt on valve 16.60
' :.:: :.: ::'::: !'. !ir : S':::f: 1)10 * .' 1 '':". ii 'i' iff.
. Backflaw proreetter 1 Pap 2 36.25
- -
landscape Irrigadon Badkwater valve 16.60
- -
Clothes waiter 16.60
Dishwasher 16.60
16.60 ,
tOtf414H.: , . ::: r:M ::14." ..!; Drinking ibuntain
Ejecto is/sump 16.60
Name: Windwood Homes
Expansion tank 16.60
Address: Fixture/sewer cup 16.60
..
City/State/ZIP: Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phone: ( ) Fax: ( )
16.60
.f.' ! ..r: . ::: .' i ;.: : ,.. : JA!; Hale bib
Ice malccr 16.60
Business name: Burners 1)5
%Wayne/grease trap 16.60
Contact name: Tom Barnes, _ Medical gas (value: $ ) Page 2
Address: 9330 SW Lehman St Primer 16.60
City/State/ZIP: Tigard, OR 97223 Roof drain (commercial) 16.60
Plume: (503) 432-8521 I Fax: : 003) 432-8515 Slak/basM/lavatory 16,60
Tub/shower/shower pan 16.60
E-mail:
Urinal 16.60
ONNINE,115=Eginta Water closet 16.60
Business name: see above Water boater 16,60
e -
Address; Mar:
City/State/ZIP: Subtotal
Minimum permit fee: $72.50
3615
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25
Plan
CCD Lic.: 13007 Plumbing Lie. no.: review (25% ofpermit 11m)
i
State surcharge (12% of permit fee) 4.35
Authorized signature:
TOTAL PERMIT FEE 40.60
Print name: Thomas Rimless [Pate: 843.011 This permit application expires ifs permit is not obtaltted within
ISO days after It has been accepted as eomplete.
* P,j ! orcilitylelnev met lei Tri-Cncetv RuilriCer Inrinutry Service Rnsevi
CITY OF TIGARD - .
BUILDING DIVISION PERMIT #: PLM2008 00338
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/15l200t?
Phone: (503) 639-4171 , holit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/19/2008 TIME: 7 :00AM PAGE: 2
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION:
13201 SW MAPLECREST CT LOT #: TYPE OF USE:
PROJECT NAME: MAPLECREST 001
MAPLECREST
DESCRIPTION:
Installing (1) backflow preventer.
OWNER: 1MNDWOOD CONSTRUCTION INC, PHONE # 503- 780.4375
CONTRACTOR: BURNESS LANDSCAPE PHONE # 503. 432-6525
Inspection Request Scheduled For: Date: 8119!2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 074352 -04 503.660 -1203 Y
Corrections/Comments/Instructions:
care. IGe"1„,1 ;kJ
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ,k \ -• Date: Q1 \A,7$> Phone #: (503) 718-