Permit A
CITY TIGARD PLUMBING PERMIT
Z i n DEVELOPMENT SERVICES PE
DEVELOPMENT PLM2005 -00322
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/20/2005
PARCEL: 2 S 112 B D - 034 0 0
SITE ADDRESS: 07992 SW MARA CT ZONING: R -7
SUBDIVISION: MARA WOODS LOT: 005 JURISDICTION: TIG
Project Description: Installation of backflow device.
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
SAZEREIDE, KAREN
7992 SW MARA CT Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 7/20/2005 $36.25
[TAX] 8% State Surcha 7/20/2005 $2.90
Phone : 503- 431 -2223 Total $39.15
Contractor:
DOWN TO EARTH IRRIGATION
13075 SW PACIFIC HWY
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Phone : 503- 684 -3500
Reg #: LIC 8169
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: -e ell
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.
FROMb : FIX NO. : Oct. 01 2002 06:41PM P2
B Fixtures .
. .
Plumbing Permit Application [Olt o ici use ONLY
City of Tigard JUt. 19 2005 A Rearived 9� �� Permit No.. `
13125 SW Hall Blvd., Tigard, OR 97223 . Date/By: 7 „z - op 'i) 1 �erga) ,
Phone: 503.639.4171 Fax:. 503.598.19�ITY OF T Platt Review
24- Hour Inspection Line: 503.639.417 y
2 Other Parade No.:
BUILDING I:AVIS 1,,.,';'111. Daee/B
Internet: ww i w.e Ugaor rd us a , Date ed/Me y
I Mir' Page I for
me � v rd. hrx-Y -� -, Notified/Method: ' i Supplemcatallnformation
{L iM IL ' W I . II ,' r ". 9 fr ' i ` 1 4 T \ . a < •�1 t�IF! i ',4g r kl' 1?s. � rF;r !w'• �'r - yy 4 . 7 ,', ,, - • li {W.1l�.;i. o°ly !t ry �I., ow !.4 r ^ yy , IC �j 5 ii . M ., Mrt l Wi ti. C� - •
�. .� � ,. � M. ..� :.0 .• i � c: ._. ���:1w�: " ��K'.r, :ltL �4� a , .i - e .ti''Av. R'TT:=:
A rTew construction 0 Demolition For special tnjors,at on use elreeklrax
0 Addition /alteration /replaceazent a Other: - 2-t I Qty. I Ea. ' Total
: `�r.fi:cy ,.. ^' ��� 'I , '`T �� . �� ,. ���� 4v_ ` �� . � - Q ��•, New 1- 2- tamilydwellings (includes 100 ft. for each utility connection)
,. i G.' �s f.ti . a .r' �u •1 1�E� i LICI t w A `.Y+ T rl &.� 2k" _
:l;se�!s'�r • ; 4; .3-= :i?: +�«.- _�,.,c'>NL .. -..,�: � , . k� �:�I�;��. ': ,.� Sl+l'i (1) bath 249.20
r'and 2- family dwelling ❑ Commercial/industrial SFR (2) bath - 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
•
❑ Master builder 0 Other: Each additional bath/kitchen 45.00
re sprinkler �_ sq. ft) Page 2
k� tr i t1 : F If � e � ;;':.[ � L i i i. ✓`r � .ry ` 111 i' .. v"l �,SA - irliV � ' 1 Fi
-0 -
'xt 1 cL . :: :k a:1.t�_ 9, ,c , .36•! 1 4 r .f•" , t. } i ,i1 ..:+ , , p ��nG. •�Jkr 1,11 .Site utilities
Job site address: 79Cf Z 5fo 0 ., ( `p ` • c... - Catch basin or area drain 16.60
City/State/ZIP: - 1 . 1 0 1 l k.rd1/4 . . C - 7Z2 t( Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt- no.: [Project name: Footing drain (no, linear ft.: ) Page 2
Cross street/directions to job site:
Manufactured home utilities 1 10.00
Manholes 16.60
Rain drain connector 16.60 _
Sanitary sewer (no. linear ft: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.:
. Water service (no. linear ft.: ) Page 2
Tax map/parcel no.: Fixture or item
I; . qT 3 s a ' tl �_ ti I t ' I ` 4 Absorption valve 16.60
Ji l a , a �I 7 f-L ti l } T sr..ul`.7 .a 'I I 5.. w "� r ' ' Ti
,,11no n �, II r r , p • ( 7/ ` _ 1 L 9 1 . 1 -- t .'py .t a R r A I 'T '� k i 'r ,r .4 B ackflowpreventer Page 2 I
GY'.t..;., i = : I .. ? aJl.� o . 3'..'.._. �e,.�. � n� i� � "S '�-r . �� V
Backwater valve 16.60
• Clothes washer 16.60
Dishwasher 16.60
;iy'• >f: r; ;lir . 1x;IR ^!i t_s :::. M ,, ;1!`,.r.: y .,. 7 .. y .- <JF; r7 ?_- ;F r; ".; _ l nx d:GE; 7;! ! rp;;4.E• Drinking 16.60 j -
1'i ; � F 1 ,•( a� 7 �i r i,gi �� `V S i'' ; 17 yF Nrg J 1 g J
•U . ) r}T.,Ig ,..- ..r -�_ :.._ itiiJrl_t , :� -.: �i;:;,:c '• I''uIT..wr_L ,.24.- _r dl.i 2-.!,i Ejectors/ • 16.60
Name: Ic4' e 5p,,,z_e -ee: .142...
Expansion tank 16.60
Address: '7ciet 'L 5 (A ) p (4- Fixture/sewer cap 16.60
City/ State/ZIP: 'r'r t & p c1-722f Floor drain/floor sink/hub 16.60
Phone: 603 ) C f 31 f�'�2 -L Fax: ( ) Garbage disposal 16.60
7r9z+_i : « s ,- 11.. - AT : - •h' . } +2 - y T Y z- I, t l e:I Llosc bib 16.60
. N.I ��. r y,. -1 'Ar I . 2 _, 4 '1 t i I` 4r .c1 a :.:4'w, !, :*,,,,;:l... L .. -
?rk:C,.�....: ,_.._Tn. ,A"'�LC w„ . ,,.� t.t- I i_ . � �II a* 7,T�. i.
.,1 ._ I.,. _ -.� ....,:��.����IS ,. -? Icctnaker • 16.60
Business [tame 6 Qti► Ems'. Interceptor /grease trap -
` 16.60
Contact name: , �p ,o, too U. �_�• 1�/� . , 1 Medical gas (value: $ ) Page 2
Address: ,1 75 r) �e(C..'t � Tl1 E. ) y Primer 16.60
City/ State/ZIP: T� i `" �-� ��l �L / Roof drain (commercial) 16.60
Phone: ( 3 ) E OO 1 Fax::. 5�� ) gab � Sink/basin/lavatory 16.60
fi- Tub /shower /shower pan 16.60
�E1 i ^>x » � . r i t� -,:.x w t .4 F < , .v. Urinal 16.60
,
g nIF 4 - i'y.Ci� 5 t rli L 't S i ? n � .4 Lr 7. , :a,::7
.
.3. „_ : y?; 4k• . ' :.:_ _ :' ) r 11• . _7 r. s Yt-:_.• 1.b.,2e2.4 "� . ...c "n:, W ater c
f'JL I' .� 16.60
Business name: fb
• c^ \ � • Water hearer 16.60
Address: C 7-11::,71:\ c 7 w MIX z . 0 • tit() • Other:
City / State/ZIP: "'"r c i q 7 22 ,_ Subtotal
Phone: C_ - Minimum permit fee: S •
®Q _Fax: C� ) z. � Residential ba_kflow minimum permit fee: 4
CCB Lic.: f=3 L (QOI plumbing Lac. no.: Plan review (25% of
_ ( permit fee)
Authorized signature: . - State surcharge (8% of permit fce) j
e� // TOTAL PERMIT FEE : nd r�j ral
Print Marne: J Sh C��
u . Date: 7l This permit apprieation expires if a permit is not ob - 1e shin
180 days after It has been accepted as complete.
g enmlAppdoc 12103 4C0 �8t6r(1fV0 'Fee methodology set by Tri-County Building Industry Service Board.
Atkildin 1PemieatPLMP -P
5 7 r1
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM20L5.00322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2005 Phone: (503) 639 -4171 :
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7:02AM PAGE: 168
SITE ADDRESS: 07992 SW MARA CT CLASS OF WORK:
SUBDIVISION: MARA WOODS LOT #: 005 TYPE OF USE:
PROJECT NAME: SAZ_EREIDE
DESCRIPTION: Installation of backflow device.
OWNER: ,AZE :REIDE, KAREN, PHONE #: 603 - 2223
CONTRACTOR: DOWN TO EARTH IRRIGATION PHONE #: 603 - 6t34 - 3500
Inspection Request Scheduled For: Date: 2/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Misc. inspection 026199.01 503-684.3500 N
Corrections /Comments /Instructions: =( ✓
074 '7.
6 ._,/l/r6C ,(..o a )((
�r
t At
✓ice . .�._ / •���1� �_�-� i I _A../
LedillW - ,,, ,
P -d /- J q - q
r -1 -S PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 19` 3 6 6 Phone #: (503) 718 -