Permit CITY TIGARD PLUMBING PERMIT
l n DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00525
s� F �I I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/30/2006
PARCEL: 1 S 125CD -08700
SITE ADDRESS: 07548 SW RED CEDAR WAY ZONING: R -4.5
SUBDIVISION: JACKSON WOODS LOT: 002 JURISDICTION: TIG
Project Description: Backflow preventer for irrigation.
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
NORTHSTAR DEVELOPMENT
9015 NE CLIFF ST. Description Date Amount
PORTLAND, OR 97220 [PLUMB] Permit Fee 101301200E $36.25
[TAX] 8% State Surcha 10/30/200E $2.90
Phone : 503- 262 -6538 Total • $39.15
Contractor:
LC LANDSCAPE
PO BOX 559
AURORA, OR 97002 REQUIRED ITEMS AND REPORTS
Contact # : FAX same
PRI 503- 678 -6919
Reg #: PLM 7938
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 .el
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.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200&00525
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/30/2006
Phone: (503) 639 -4171 1 V
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AM PAGE: 82
SITE ADDRESS: 07548 SW RED CEDAR WAY CLASS OF WORK:
SUBDIVISION: JACKSON WOODS LOT #: 002 TYPE OF USE:
PROJECT NAME: JACKSON WOODS
DESCRIPTION: Backflow preventer for irrigation.
OWNER: NORTHSTAR DEVELOPMENT, PHONE #: 503 -2€2 -6538
CONTRACTOR: L C LANDSCAPE PHONE #: 503-678-6919
Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
395 Misc. inspection 039607 -01 503. 678.6919 Y
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ■ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G14-11' Date: I //7S/ 6 Phone #: (503) 718- ZGYy