Permit •
CITY OF TIGARD
PLUMBING PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00181
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/3/2007
PARCEL: 2 S 102 C D -02 705
SITE ADDRESS: 09625 SW O'MARA ST ZONING: R -4.5
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 026 JURISDICTION: TIG •
PROJECT: GARNANT
Project Description: Decommission septic tank, replace 140' of sanitary mainline and connect to city sewer.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
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: 140 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
DAVID GARNANT
9625 SW O'MARA ST Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/3/2007 $101.40
[TAX] 8% State Surcha 5/3/2007 $8.11
Phone : Total $109.51
Contractor:
APOLLO DRAIN + ROOTER SERVICE
2208 NW BIRDSDALE #8
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 239 -8801
FAX 503- 669 -9568
Reg #: LIC 49418
PLM 26 -533PB
• 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: / �1I Permittee Signature: Se-t A Ir (1.0 fin-Y1
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.
FROM APOLLO DRAIN 503-669-9568 (THU)MAY 3 2007 10:28/ST.10:27/No.6812889994 P 1
• Plum b in a Permit ii Eiv r - 1 ) FOB 01•11( 1:S1•1 ONI.N
.4a.emoA
City of Tigard Received ,- /,,, i _.
Dote/RY: 0 li10+ •51--i11 r' nnil No. PLA■i 2.004 - COS i
13125 SW Halt Blvd., 'figard. OR 97223 ,,, --
Phone: 503.639.4171 Fax; 503.598,1960(AT 3 1007 otmon4). Plan Review
,. , Ti_T.I . Other Permit No.: StAQ.2,CCif - 15C)10 I
24. Hour Inspection Line: 503.639.4175 -.1.4. . d Dale Riaalyilly: i'age 2 for
Internet; www.eitigard.orus • Zi I/ . Notifird/Meittud: Supplemental information
._ .. -
0 Ncw constniction 0 Demolition For special information use checklist.
Description r iTty. E1.7r,g'
litAddi non/alteration/replacement 0 Other: New 1-2-family dwellings (includes 100 R. for each utility connection)
:: :.. F ...:4.:. ; ;'•,... , ;:::CA#0610:0F:eO . P.i,S,TRIacri9r4"- ; :7:incl.' , :• :•.,.: il '',•::'::: SFR ( bath 249.20
'I-and 2-family dwelling 0 Commercial/industrial SFR (2) hath 350.00
SFR (3) bath 399.00
0 Accessory building 0 Multi-family
Each additional bath/kitchen 45.00
0 Master builder 0 Other:
Firc sprinkler ( sq. 11.) Page 2
. . • ...t...i...:. :. . 27! : .-'. . . :' Site utilities
Job site address: qt.g2.5 ZU3 Om&reL S+ Catch basin or arca drain 16.60T
City/State/ZIP: 1) p Y 0 \ 2 9-12_24 Drywell. tench line, or trench drain 16.60
Footing drain (no. linear ft.: 1 Page 2
Suite/bldg/apt. no.: 1 Project name: -.=-. - -- .. ......
Manufactured home utilities 110.00
Cross street/directions in job site:
Manholes 16.60
Rain &ill COMIOCLOr 16.60
- Sanitary sewer (fln. linoir ft.: LO,) Page 2
.....------.
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.:
Water service (no. linear 11,! ) Page 2
I
,-. Fixture or Item
Tax map/parcel no.:
, . Absorption valve - 16.60
. '. : I .:'-g: ' i t ifilegi: 5 4010 5 40, - .4 ,. ..i .14 A. 0.$.0_ Baoktin• penventer Page 2
0 c Loran t'S s'i•orl se pi. 7c 4 cualc, rr49/a..1.6 I 4O' Backwater valve 16.60
Of S an ii-a_rij rrteuvi. teo e 4 - Con m c.c:4- -et, Cloth's washer 16.60
scuscAr Piatsc i vibe" issued.- Dishwasher 16.60
• ' ' : • • ••• 1: 4 1 7. ilili0.WitOijki\V•IiiiiM ..r.ONictigt:Itri,j 071: • t'' Drinking fountain 16.60
16,60
Name: Crag 110.-ti.+" Expansion tank 16.60
Address: Fixture/sewer cup 16.60
(:ify/Statc/ZIP: Floor drain/floor sink/huh 16.60
Phone: (V tozq - 554 2., Fax: ( ) Garbage disposal
- 16.60
,. • . • ,:: ...„, Hose bib 16.60
. . ....;; .. .::::1;';,:;;:i:12kiji ,.,;;•• ...
• " Ice maker 16.60
Business mime:
Interceptor/grease trap 16.60
Contact name: Medical gas (value; S ) Page 2
- - .._. . ....
Address: Primer 16.60
(..:11y/State/ZIP:
konf drain (commercial) 16.60
-
Sinkkasin/lavatory 16.60
Phone: ( ) Fax: ; ( ) - -
Tub/shower/shower pan 16.60
E-mail: Urinal
1 , 16.60
•.' :: • .., .1. ' ..'•••.. : • ., ... '•: . ,'. CONTRACTOR . • .. :.:•:..'.. ::..':..;.••••••:•: 2... ;•••• .. Water closet I 16.60
-
Business name: Apr) it "Draiy) 4. P Iwo*/ ri 1 Water heater 16.60 -
Address: 3Zejttuk) eriSd41e - 41- g onict
Subtotal t L)1,.
City/Statc/Z1P: AL .'r : Olt Orlb 4f;°
--- Minimum pcnnit fec: $72.50
Phone: (503) 2,341 - Tis l Fax: (503 ) W4 4 1 - C97 Residential backflow minimum permii fee: 536.25 11)1•‘11..3
Plan review (25% of pcnnit fee) f23
"11 l ' ic " 44.4 0( Plumbing Lic. rm.:24 VG
State surcharge (1;1% of permit fee) IS . 1 t
Authorized signature; ' WI
a , TOTALPL
- ---
Pr int nle: ri clow 1 Date; 4 -30-0 This permit applientIon expires if a permit is not obtained within
I 81) days after it has been accepted as complete..
*Fee methodology set by Tri-County Building Industry Service Board.
: Iluilding Vc....o• PI dm. (16 0, .14(1-16 I Si i la IC COM Valli
AALLPUMP SANITATION SERVI
. " 4 Milk° Corp. \ 0
'191 4 f
13023 NE Hwy. 9 88 / E.$ 9 tc- , .t 1
Vancouver, WA 9 6At 00 /lir
(360) 887-2969 Port (503) - 80a.
9
/CUSTOMER'S ORDER NO. PHONE - DATE
NAME
ADDRESS
SOLD BY CASH C 0.0. CHARGE ON ACCT. MDSE. RETD. PAID OUT
QTY. DESCRIPTION PRICE AMOUNT
• • 4 Lk-
A I
I
- 4
.•
4—
Er Payoff this invoice.
30 days. Atomic:a charge of 11/216 per month
(1896 annum) Wt be charged on unpaid balanc:es.
TAX
Collection fees will be assessed if necessary.
RECEIVED BY
TOTAL
All claims and returned goods MUST be accompanied by this bill.
2566 To Reorder. ThankcYou
800.225 or nobs.:.,..,r5
G
CON VEYOREO AGGREGATE DELIVERY
$77 —$970
PO Box 218 • Stayton, OR 97383
Conveyored Delivery of Materials
Date .S /y / 2
Delivery Address: 9G.,
Directions: TC/
Customer; •0$ /l0 PirsOl4 4' P.O. # 45.49
Job Instructions:
Material @: Acct. Name: �' L'
QUANTITY PRODUCT PRICE PER UNIT TOTAL
PRODUCT ORDERED V� � j/ 5�
PRODUCT DELIVERED St TPA, is . 2 55,
HOURLY SERVICE e g TRUCK /00.
LOADER $40.00 •
OTHER A }'I A0.OD .lacy
••DISCOUNT FOR COD OR PAID BY $5.00 PER
THE 10TH OF FOLLOWNG MONTH HOUR
PAYMENT RECEIVED CHECK #
12111111PAIP TOTAL
�l gps z 3
1. Late charge of 11/2% per month (annual rate 18 %) is added to unpaid overdue
balance.
2. EZ Grade is not responsible for any damages or loss of time to person or prop-
erty, or for delays caused due to weather conditions, strikes, equipment break-
downs, or other occurrences.
3. Materials and services provided by EZ Grade are for street delivery. EZ Grade is
not responsible for damages beyond curb line sto Atoilaie for
mud tracked on public streets or private drive. Sig.
4. When towing or winch service is required due to job conditions, all charges are
assumed by the customer.
5. EZ Grade offers no warranties for any specific application of materials or ser-
vices provided, and assumes no responsibility therefore, unless such warranty
is specific in nature and in writing directly to the customer.
6. Customer assumes all responsibility and liability for helpers not employed by
EZ Grade. Sig.
Signature
By signature I accept the terms as listed above.
This invoice due and payable 10th of following month.
Liens: EZ Grade hereby gives notice of its reservation of the right to assert any and
all liens against purchaser and third parties arising under all applicable federal,
state, or local laws in the event the prices stated in this agreement are not paid
when due.
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM200'1 -00161
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/3/2007
Phone: (503) 639 -4171 I"
Inspection Requests (24 Hrs.): (503) 639 -4175 IL I
INSPECTION WORKSHEET FOR DATE: 514/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 09625 SW O'MARA ST CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACT S LOT #: 026 TYPE OF USE:
PROJECT NAME: GARNANT
DESCRIPTION: Decommission septic tank, replace 140' of sanitary mainline and connect to city sewer.
OWNER: GARNANT, DAVID PHONE #:
CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 503 - 239 -8801
Inspection Request Scheduled For: Date: 5/4 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message 2 p t �
505 S nitary sewer 047642 -02 50:3 - 2318801 Y r
corrections /Comments /Instructions:
— LI —(
('.-_,/,-..•-•:..
•
/ [ , )ASS ❑ PAR , L APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . * LL FO ; ' ION ❑ ADDITIONAL FEES ASSESSED
.4 W -- / / 11 / 51-- 4 Inspector: �- % Date: c Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2007
Phone: (503) 639 -4171 gr I4l
• Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/4/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 09625 SW O'MARA ST CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 026 TYPE OF USE:
PROJECT NAME: GARNANT
DESCRIPTION: Decommission septic tank, replace 140' of sanitary mainline and connect to city sewer.
OWNER: GARNANT, DAVID PHONE #:
CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 503 - 239.13801
Inspection Request Scheduled For: Date: 5/412007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
350 Septic tank 047642 -01 50.3-2' 8801 N
Corrections /Comments /Instructions: Aer.-1/ 9 < , /
•
' - i,
r / f
X PASS ❑ PARTI APPROVAL El CANCEL DI NO ACCESS
El FAIL ❑ / • - y / • ❑ ADDITIONAL FEES ASSESSED
-Air r r
Inspector: Date ( 0 7Pfone #: (503) 718264,124,