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Permit CITY OF'TI '3ARD PLUMBING PERMIT DEVELOPMENT SERVICES PE DEVELOPMENT PLM2005 -00410 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/26/2005 PARCEL: 2S 105DD -07500 SITE ADDRESS: 13825 SW SANDRIDGE DR ZONING: R -7 SUBDIVISION: COSTIUC- MLP2001 -00005 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 DARREL & A HONIGBERG 13825 SW SANDRIDGE DR Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 8/26/2005 $36.25 [TAX] 8% State Surcha 8/26/2005 $2.90 Phone : 503 -579 -8924 Total $39.15 Contractor: INNOVATIVE LANDSCAPING 9630 SW OMARA ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Phone : Reg #: LIC 6917 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: ,l Permittee Signature: � A� p 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. Aug 25 05 01:33p Steven McDill 503 -670 -7532 p.3 08/2,5/2005 10:51 FAX 5035981960 � O 1.11I 1.1 11UlUW -- • - Building Fixtures �� Plumbing Permit ADD on 156 1 ;; ■ . I i I( . r City of Tigard 0 0 1. > • _ 13125 SW Hail Blvd., 'Nord, on 97223 . Phan: 501639.4171 Pale 503398.1960 F (1G' Other Punk No: 24-Hour fovea= lisc 503639.1175 G � -�`( G • --u-+.1- .1 . B. t r 63 Sec Papa hr w Internet ww.d.tigard:ar.us WI Nod6adrJttc do I Sc piaaetallatormattoa MIEMalagat u T. a74•t3�c #• - s. ' nr.' A+ c� - � - ;` � 0y , ; ,�. : . i � - .� 1 . '- .- �•� a c:4�' '" - u. . _ -• .:1., . �, r, ice.: Y.+Lzy •:. ; <. " �=�: New ;anti cation 0 Demolition far xecidialaaaoaoa ax act-k iyt Dessiprim r . Ea. Total LZ' Additioo/ahsratia�h�eplaoemcnt 0 Other: Ne 2 ergs (includes 100 R. 6, utility corm wl- 2-Dimity 00 reach ae6aa ) r si -_-ar , .. s y s +�=` ::.: SPR 1 'y 24910 _ ��rYL� .x,.. =. ► ..il� ;1i•x•,:� _. :•�� ( ) bath 249 1. - end 2dtamily dwelling ' 0 Coastnergialfutdostrial SFR ( both 350.00 •■ Accessary bulIditg 0 trdsttisiladily SFR(3) bath 399.00 Each additional bathlkitchw ■ 45.00 0 Musts bmlder 0 Other: p 2 _ �_ Fire sptinkla(_ sq. � Job site Oddrebs: V-111:2,5- �. 1r..� . f ∎(7►. d/h�• Cobh basin or area drain 16.60 � l -\ C , 7 Z3 Dirndl, leach liar. or trench drain _ 16.60 Suite/bldg./apt go.: I Ptojeet tgppe: 0 � Puoting,droin (no. linear R _ : ) - Page 2 . \ Msoductarod home in0lues 1 10.00 Cross street/di to job sire: 1 Manhole; 16.60 �i 5�k71J- `_` • 5 " � ©t . . IL i Rain drain connector 16.60 • �: a Suitor/ sewer (nee linear I<: Page 2 0 1.3 F i - Storm seater (no. linear R: ) 2 Subdivision I Let as : Water eervioe (no. Baca! R: _3 _ Page 2 *Inert or item • i Tax map/parcel no.: ( 6.60 �, remit. c . • : `f. �•tt i_C•= " :rte ^ Bick$owPteYmtar I X Page 2 Z • -- W- 0 ,tv∎Pf - ( n °5-4 Badcwab: valve 16:60 -I Clothes washer 16.60 On 6) 16.60 . wr .Y ra--:. ,. �:7 Drinking footage 16.60 S�E]� , -,r - tits,:, 16.60 ' E ledraslsunp �,_ Saar. MX• L+ _� Etartsiantaak 16.60 Address: •Y a' .c a • Fitdarelsower an 16.60 City/State/l8: 16.60 d 16-60 a Floor deairJBow sir:WA* b Phone - ' Floc ( ) OnWge domain domain .'r; "r d. hire _ uire. `... tli. _ Nose bib 16.60 .i ' k ' o !_, ' .., '� • .Y• -? ..�.. :e � :�rr••#�. to maker 16.60 Business name: .- lateroeptm/grasetrap 16.60 - Contact name: - ` Medical gas (ralu o: S ) Page 2 • Address: . Primer 16.60 City/Stale/ZIP: Raofdraia (oornmerdal) 16.60 Phone ( ) j F es; : ( ) Siok/basin lavatory 14.60 , Tublabowerlshowcr pan 1660 Fans:!: Urinal 1 ? cab ; 1/Re 3+ 1 ti- '�'' %N "i :114 ; t. : water clout r 16.60 • Y.. er • � ,, t Benioces name: - 1 f�0QC4i e. L L.6 Want beater 16.60 Address: C V", 30 .S.w• VV\ Other. • Q Subtotal '301 •ZS Ciry/5tate/7Jw: '--T� -% r ( q. -2. ; INinirnnm paratt See 5'T2-50 • %+ Phone: (� ig� �i6 I. 3Z F ( C o - s C. � - Residential backflow ndmimum permit fee 53625 CcD Lin: 6 9 f 7 1 rr Lin era: Plea review (25% of permit fee) / Id State surcharge (M of permit reel Z Authorized signature: ,!' I , TOTAL maim. FEE 39 Print name: ♦ T AT� Date: I ,�� Ibis penult uppl oa empires Nto permit b sat obtlaned within JIr -� IN date mbar It Iran been accepted se eoapkt� !Fee methodology miry Tri•Canty Building Winery Service Baird. aa+ata>Ztarsr4tOM.es 1 . T CITY OF TIGARD` t BUILDING DIVISION ' :: -" PERMIT #: P(,i006-0110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Br28/2005 Phone: (503) 639 -4171 /46,„,uyoIri ll t Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/15/X05 TIME: 7:03Am PAGE: .92 /3 Eras SITE ADDRESS: 1382,5 SW SANDRIDOE DR - CLASS OF WORK: SUBDIVISION: '1OSTIE C - MLP2001 - COO LOT #: ()2 TYPE OF USE: - - PROJECT NAME: HONIGBERG - DESCRIPTION: k3ackflow prevent of f or irfiq ttios. OWNER: HONIMU'13ERG, DARREL & AMY PHONE #: E5798924 CONTRACTOR: INNOVATIVE LANDSCAtiPING PHONE #: 503-670-7532 Inspection Request Scheduled For: Date: 9/15,7005 Pour Time: " ), Code # Inspection Description Confirm # Contact # Message 325 RP/b:ackflow preventer 015718 503-935-6047 Y Corrections /Comments /Instructions: .. ad......e _ _, F C'') i �.= _ -- - - __ / / I r /_ i / `/, . / 0 :1,---' , (_ _-_, ° " 4: ' - . ----- A •72,--- - - - - ,i-7 _.....- l j 'pA V APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ F' 'IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 ._�(t Inspector: f Date: -11) Phone #: (503) 718-