Permit `_. ,' 4 CITY OF TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00327
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/4/2008
PARCEL: 2S 103DB - 05000
SITE ADDRESS: 11165 SW NOVARE PL ZONING: R-4.5
SUBDIVISION: GENESIS NO. 2 LOT: 047 JURISDICTION: TIG
PROJECT: SNODGRASS
Project Description: Replacing 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
CHRISTINE MONTY
SNODGRASS, DREW M Description Date Amount
11165 SW NOVARE CT [PLUMB] Permit Fee 8/4/2008 $36.25
TIGARD, OR 97223 [TAX] 12% State Surch 8/4/2008 $4.35
Phone : 503- 670 -9898 Total $40.60
Contractor:
DENNIS' 7 DEES LANDSCAPING
7355 SW JOHNSON CREEK BLVD
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 777 -7777
FAX 503- 777 -2399
Reg #: LIC 5009
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: c��1 v
/j
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.
Plumbing Permit Application 0V57, O
Site Utilities �O FOR OFFICE USE ONLY
Received / �, p Q
q
City of Tigard //��G Dat 7 � ./,, / 7 Permit No.: �L�� 'I icu "K{I J.1"7
- A 13125 SW Hall Blvd., Tigard, OR 97223 ■ �p r
Phone: 503.639.4171 Fax: 503.59 v r�c'� Plan Review
Other Permit No.:
TIGARD Inspection Line: 503.639.4175 C- / �+ (� • , ' ateBy: 0. • eady/By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov ,0v �`CIT` i ( R,, ted/Method: (p Supplemental Information
TYPE OF WORK � b G ` r 0 \ FEE* SCHEDULE
❑ New construction ❑ Demo ��v For special information use checklist.
e Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ® Other:►SCAPE New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: //, ' s Jet/ /Gr�vd - re "e4C-� Catch basin or area drain 16.60
City /State /ZIP: TIGARD, OR 972?-3 Drywell, leach line, or trench drain 16.60
g• p I Project � /ZJ Footin drain (no. linear ft.: _) Page 2
Suite /bld /a t. no.: Pro ect 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: Lot no.: Water service (no. linear ft.: _) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer I Page 2 36.25
14 BACKFLOW DEVICE Backwater valve 16.60
/ *4e=e_ Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: /XW SO Vaise ,49-,S3 Expansion tank 16.60
Address: SAME AS ABOVE Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60
C G
Phone: ($p 7) ?U .- l �' O Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ 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: ( ) Fax::( )
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: DENNIS' SEVEN DEES LANDSCAPING, INC. Water heater 16.60
Address: 7355 SE JOHNSON CREEK BOULEVARD Other:
Subtotal
City /State /ZIP: PORTLAND, OR 97206
Minimum permit fee: $72.50 36.25
Phone: (503) 777 -7777 Fax: (503) 777 -2399 Residential backflow minimum permit fee: $36.25
CCB Lie.: 5009 Plumbing Lic. no 5LIBDI Plan review (25% of permit fee)
) � State surcharge (12% of permit fee) 4.35
Authorized signature: TOTAL PERMIT FEE 40.60
Print name: DEAN SNODGRASS/TB Date: ' This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1:\BuildingkPermitslPLMU- PermitApp.doc 12/27/06 440- 4616T(10 /02/COM7/WEB)
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: P1M2008 -00327
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/412008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 11165 SW NOVARE PL CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 047 TYPE OF USE:
PROJECT NAME: SNODGRASS
DESCRIPTION: Replacing backflow preventer.
OWNER: MONTY, CHRISTINE PHONE #: 503-670-9898
CONTRACTOR: DENNIS' 7 DEES LANDSCAPING PHONE #: 503777-7777
Inspection Request Scheduled For: Date: 8128/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 074771 -01 503.732 -3333 N
Corrections /Comments /Instructions:
De fie te - c.1.
Ca
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Wi./l.. . V\ __ — Date: g OB1 Phone #: (503) 718-