Permit , ,� .. ' a . CITY OP TIGARD
PLUMBING PERMIT
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° . COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00391
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/3/2008
PARCEL: 2S110DD -90361
SITE ADDRESS: 10885 SW MEADOWBROOK DR 36 ZONING: R -
SUBDIVISION: SUMMERFIELD BROOKSIDE CONDO LOT: 036 JURISDICTION: TIG
PROJECT: SUMMERFIELD
Project Description: Backflow for irrigation.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF 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
KADEL, PATRICIA H
1868 GLENMORRIE DR Description Date Amount
LAKE OSWEGO, OR 97034 [PLUMB] Permit Fee 10/3/2008 $72.50
[TAX] 12% State Surch 10/3/2008 $8.70
Phone : Total $81.20
Contractor:
WILLAMETTE LANDSCAPE SERVICES, INC.
18480 SW PACIFIC DR
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 625 -9600
FAX 503- 625 -9714
Reg #: LIC 6949
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 B / Permiftee 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.
Oct. 3. 2008 9:540 _ WILLAMETTE LANDSCAPE SERVICES No. 1964 P. 2
r. . t "
' 4 " : irambine Permit Application * Foil t)l 1E: t SE ONL1' .
City of Tigard 0 D; . 2r- , y Primit No.: /2407d'6lJ?-.-J
III 13 125 SW Hall Blvd., Tigard, OR 972 n /
i C Phone: 503.639.4171 Fax: 503. �oOD Plan Review Permit No
e/B y:
I l t, I) inspection Line; 503.639.4175 4 Q dyB m See Page 2 for
w
Internet: ww.tigard- or.gov L ethod: SupplementalTorokmotion
TYPE OF W Ok1IC. �` FEE* :CHEDI1TiE. • - • . .
❑ New construction ❑ Demob ���' For special i,lformation use checklist.
,`e Description I Qty- I Ea. I Total
Addition /alteration/replacernent ❑ Otherts‘ - New 1- 2-family dwellings (includes 100 f1, for each utility connection)
CATEGORY OF`.CONSTR 1CT1ON . SFR (1) bath 249.20
❑ 1• and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building 131 Multi - family SFR (3) both 399.00 -
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB :SITE; INFORMATION. .A LOCATION: Site utilities
Job site address; lo$`t% 5 5...3 1'le,,,eo,,,,, bv11912 Catch basin or area drain 16.60
City/State/ZIP: ; a ,,, c,t ) t R l an ti Drywctl, teach line, or Trench drain 16.60
d ^ Footing drain (no. linear ft.: �) Page 2
Stiite/bldg./apt. no.: ' 4 I Project name: 5v0DIJA zdt a �. Acw.til lie_ 1cQ
Monufoclured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Tr,ck{'tov.) deo j :5 )c, e‘ % Sanitary sewer (no. linear ft.: ) Page 2
vb i JG` I': A v< 4y S ht v‘•••• Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) _ Page 2
Fixture or Item
Tax map /parcel uo -: Absorption valve 16.60
D,4CRIPxidN 01r WORK BaCkflow preventer ` Pee 1
0- I , p, - C x6t1 l e.CycF1.0,,.2 Backwater valve 16.60
c°9(-0 � CC 6tG�ho W Clothes washer 16.60
�� �aCwttrA 0.r tint- 5.�. toy
04. 4i lov.�lfi f.,�.5) Dishwasher 16.60
. Drinking fountain 16.60
❑: PROPERTY OWNER 1.` ❑ 'TENANT Ejectors/sump _ 16,60
Name: '.V1,'er f l.)&/ ( PPO � 4.e,y J Expansion tank 16.60
Address: atpg 36 h /Htk .4VC- Fixture /sewer cap 16.60
City/ State/ZIP: R, ( ,k,,,,A t art co a l `l Floor drain/floor sink hub 16.60
■
Phone: (50 3) 33 - 0 3 bo Fox: ( ) Garbage disposal 16.60
' .01. APPLICANT . b CONTACT` "PERSON Hose bib 16.60
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
Sink/basin/lavatory 16.60
Phone: ( ) . I Fax: : ( ) - Tub /shower /shower pan 16.60
E-mail: Urinal 16.60
' • CONTRACTOR` Water closet 16.60
Business name: Q (tai q,k.Et ,L7V►O eeAP. SP.1/4/.Vi(.t (t„E,- Water heater 16.60
Address: ‘,7 5 ?4.c.4.4.... A Other:
‘,711.41.50 -
City/State/ZIP: Subtotal
lcACV tr F+ Ott C I 7 U Minimum permit fee: $72.50
y�Phonnee: (5b3) 6 2.5 , 16(.7o Fax: (503 ) 6 •• ill H Residential backflow minimum permit fcc: $36.25 i a •S A
Bitt -: I• (-6 11 6 1 (- ci Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (8% of permit fcc) `3', 5 D _
Authorized signature: Of.e,"." S , TOTAL PERMIT FEB
Print name: jCS5t rj }ec ��. I Date: ( 0/ 3 / osr This permit application expires if a permit is not obtained within
J 1S0 days after it has been accepted as eamplete.
`Fee methodology set by Tri- County Building Industry Service Board.
_
CITY OF TIGARD- 1
BUILDING DIVISION PERMIT #: PLM2008 -00391
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2008
Phone: (503) 639- 4171„�.ai�1�i'I�II .
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE 10/23/2008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 10f185 SW MEADOWBRUOK DR 36 LOT #: TYPE.OF USE:
PROJECT NAME: SUMMERFIELD BROOKSIDE CONDO 036 .
SUMMERFIElD
DESCRIPTION:
E3acldlow for irrigation.
OWNER: KADEL, PATRICIA H, PHONE #:
CONTRACTOR WILLAMETTE LANDSCAPE SERVICES, INC. PHONE #: 503 - 6269600
Inspection Request Scheduled For: Date 10/23/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
399 Plumbing final 077062 -01 503 - 572 -8427 Y
Corrections/Comments/Instructions:
fAa.e I 70/ 1 IAA. e - - T r Co .CC r=
ae VdCt 'r:crA -*mil,
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (1tivr.n_A\,.,..__ Date: I 0 V73 n Phone #: (503) 718-