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Permit • CITY TIGARD PLUMBING PERMIT : 4 , 1,11 , DEVELOPMENT SERVICES PERMIT #: PLM2000 -00072 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/08/2000 SITE ADDRESS: 12437 SW QUAIL CREEK LN PARCEL: 2S103CB -08600 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5 BLOCK: LOT: 035 JURISDICTION: URB 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 Remarks: Installation of a residential backflow prevention device. FEES Owner: Type By Date Amount Receipt DON MORISSETTE HOMES PRM4 GEO 03/08/200C $25.00 0000533 4230 GALEWOOD ST 5PC2 GEO 03/08/200C $2.00 0000533 LAKE OSWEGO, OR 97035 Total $27.00 Phone 1: Contractor: PROGRASS LANDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone 1: 682 -6076 RP /Backflow Preventer Reg #: LIC 00006136 Final Inspection PLM 11558 ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. .. ,frzig% () Issued By: i ��/ Permittee Signature: Call (50 639 -4175 by 7:00 P.M. for an inspection needed the next business day 06/06/99 TUE 10:57 FAX 503 59bLL960 CITY OF TIGARD a 002 CITY OF TIGARD hR( Plumbing Permit Application Plan Creckx 13125 SW HALL BLVD. MAR 1 c...v1 li ercia! and Residential �,� Redd By TIGARD, OR 97223 1 /�� Da :e Recd • (503) 639 -4171 COMMUNITY DEVELOPMENT Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit 46)4441 R000 - 000 7 ? Related SWR ft • Called Name of Deveiopment/Projec: = _Fq (eURES !iiiINidual r:_. = ; '.9Ty t'' PRICE : fiMT ;; Job --a-a' 401•1(3ti13 . (-0 3S sink 11.50 Address Street Address I Suite Lavatory 11.50 I a 43'7 'S 4 - t. - � Tub or Tub/Shower Comb. 1 11.50 • Bldg 7 • •• City/State Z ip I I�ly '2 UAL( ©. q 71-,3 Shower Only 11.50 • Name Water Closet I 11.50 Dcm mbYl SS lic hfari1G$ Clslwasher 11.50 Owner Maifng Address Suite Garbage Disposal 11.50 ya30, Sly 6 , V` / a s hing Machine 11.50 City/State Zip Phone F loor CraWFloor Sink 2° 11.50 Lake 5Swcya O12-. 790 6V SO Floor Name 3' 11.50 • 4° • 11.50 • Occupant Melling , ss Suite Water Heater 0 conversion 0 Ike kind 11.50 ' Gas piping requires a separate mechanical permit. • City /State Zip Phone Laundry Room Tray 11.50 I Urinal 11.50 .0 ' 1 ° 7-&r'& L1-14 Other Fbchues (Specify) - 15.00 • Contractor Mailing Address Suite a9l<9 5 SW krnsmart Pricr to permit City/State Zip Phone L.'?- Sewer - 1st 100' 38.00 Issuance, a copy 1,1)1 / Sin wilt. oR 97olo 6,074) a/7 Sewer - each additional 100' 32.00 of all licenses are Oregoq Cont. Cont. Board Uc.$ Exp. Date required if (013( 81311400 o Water Service -1st 100' 38.00 expired In COT Plumbing Lie.. S I Exp. Date: Water Service - each additioonal 200' 32.00 . database i Storm & Rain Drain -1st 100' 38.00 me Storm & Rain Drain - each additional 100' 32.00 I • Architect Mobile Home Space 32.00 or . Mailing dress Suite Commercial Back Flow Prevention Device or Anti- 32.00 • • Pollution Device Engineer I Cty/State Zip Phone Residential BacKflow Prevention Device' i 19.00 1y eo • (Irrigation. timing devices require a separate Describe work to be done: restricted energy permit.) New 0 Repair 0 Replace with like kind: Yes 0 No 0 Any Trap or Waste Not Connected to a Fixture 11.50 Residential 0 Commercial 0 Catch Basin 11.50 Fdditionai description of work: . lnsp. of Existing Plumbing 50.00 • per/hr Are you capping, moving or replacing any fixtures? Specially Requested Inspections p /n Er /'If Yes 0 No 0 Rein Drain, single family dwelling 45.00 if yes, see back of form to indicate work performed by Grease Traps I 11.50 fixture. FAILURE TO ACCURATELY REPORT FIXTURE ! WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL/ '1; /` I hereby acknowledge that : have read this appkcation, that the information Isomet exciter diagram Is required If Quan�iIv Tctat Is ? 9 1 • : =• I " l ei • given is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL . - t that plans submitted are in compilance with Cregon State Laws. _ -- a , Sjgaetertre sv ' a nt Date V9, 153 SURCHARGE Contact Person Phon "e "PLAN REVIEW 25% OF SUBTOTAL '.: Requi sc ardy h fbcure qty. total Is > 9 ' '.` - - "" •• Ft 1 AI it1 :1_�_ _ _ - r_ ;4:14r -gA- -, a. TOTAL _ -_ 7 _ I �a� 77L sI4�Fw'.� L.M,�.Q„r+.�+_ __ .- _ �r� -� �7cac_,.-xi.�.ni�. :y =z __ � _ � "-. I .�yp� - � Z�a __. .:: - i�F�+ "e_"' :'?.i.= �' =_+ 2, l:'i:.. �.s? •�. �. . • s e � . . . .. . :' � - = _ f s .FX ii _ _ _ _ ! : w: t 'Minimum permit fee is $50 + 5% surcharge, except Residential Backflow ��` ^� " ""° °' •" : " � -• ` ' y °' � ' `� `' � Prevention Device, which is $25 + 5 °,b surcharge fe 1 EA !344] O 2 �� t � � �Ob`;, sey reiSlotirt= s6vw�atid;_ � t� b •= ��`�= �°� "Alt New Commercial Buildings require plans with isometric or riser diagram - -_ =r _ -: a and plan review I: 1ds:s:'xms\alum app.dc: 5r, /S9 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Reuested 3 3 O AM PM BLD Location 4,2 �(/� �t l 2 o Suite MEC Contact Person Ph & 2'CPb76 Contractor (✓j � y Ph k y�OS SWR BUILDING Tenant/Owner ��JJ ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN F Slab �' SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation • Drywall Nailing Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL MBI13TD Post &Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains PART FAIL ECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA }} Approach /Sidewalk Other Date .Z 1 0 Inspector EXf Final ccc/// PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION M ( 9ggr00 2 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,c-�� BUP Date Requested 372-2--/a) AM PM BLD Location (Z L / QIAJiI C PJ/K Suite MEC Contact Person 966 Ph Z &7 / ' 3/ PL 200 Contractor Ph SWR (F�' BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm o Susp'd Ceiling d ar Roof Misc: Final PASS PART FAIL ` MBING) Post & Beam 7 _ Under Slab ' ; � / W `� Top Out / Water Service Sanitary Sewer Rain Drains PART C/ IL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 3/22 �� Inspector �� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.