Loading...
Permit I' CITY ; TI OARD 'PLUMBING PERMIT i DEVELOPMENT SERVICES PERMIT #: PLM2006 -00136 �I DATE ISSUED: 4/13/2006 A - -� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134DB-06800 SITE ADDRESS: 11124 SW TORLAND ST ZONING: R - 4.5 SUBDIVISION: TORLAND ESTATES LOT: 006 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 LORI RIES 11124 SW TORELAND ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 4/13/2006 $36.25 [TAX] 8% State Surcha 4/13/2006 $2.90 Phone : 503- 658 -2685 Total $39.15 Contractor: GREEN DAY LANDSCAPE PO BOX 2613 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 658 -2685 FAX 503- 658 -5342 Reg #: LIC 8046 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 B y : - 7 1) I1.4.6473 Permittee Signature: c_p.e , 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. APR /1 /2006 /THU 02:37 PM P.002 Plumbing Permit App 1- ' "tr 0 `Vi m- r) FOR OF hl('i`. USE ONLY rt City of Tigard ` ` Received p y V 3 ��'R Perntjt No 41 pO 6 Do ) 13125 SW Hall Blvd., Tigard, OR 97223 i i e Phone: 503. 639.4171 Fax: 503.598.1960 �l 1 20 Ptae Review e r�ir . r! b_ 6 .�� I \ Date/By other Permit No.: 24- Hour Inspection Line: 503.639.4175 , i II Internet: www.ci.tigard.or.us "" !TY ,Q,F,TI.,C,4A .. ., IV ...;; � � $uppleme j g - New construction ❑ Dcanolition For special Information use checklist Description I Qty. I Ea. Total ❑ Addition/alteration /replacement ❑ Other: _ New - - y dwellings (includes 100 ft for u r connection) • , m each t n a C sty C ' SFR (t) bath 249.20 p-1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 El Accessory building ❑ Multi- family SFR (3) bath 399.00 Bach additional bath/kitchen 45,00 Master builder - O b t r - . - it � f . . ::1rr= ': =;�::M Fire sprinkler sq. ft. • . .,, . ,.;_:........ V.: ;.: _ . �d•.r�.: -':_ ±�.'.:. ° "'':�:'. �' .'•'. :�P au ........ 31 ...; ...: ..., s: ::�.: �" . Site utilities - Job site address: / ii 4 51- Ai 91.A.) �o'ne.Jayl ct. SI. Catch basin or area drain 16.60 City /State /ZIP: TC 0i d I 612, 41_3- 2 2•P „ 3 Drywall, leach line, or trench drain 16.60 Suite/bldgJapt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job sic: home utilities 1 10.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 ^ Water service (no. linear ft.: ) 1 Page 2 Subdivision: I Lot no.: Tax map /parcel no.: Fixture or Item -,: - _ -_ _ �.�.,•- , ? . _ Absorption valve . : .: • _ : .„ ...:. _' - p _ (trig :21F:: =' :1 ter: ? _d;;':::: }: . ... . . :..•: ...... _..-.. sim' - : r'..,} : :: _.C11y:. !iv Gc� " � _.- ._...._ ••• - -•- �'�''' Backflowprevetttet' Page 2 5 i ■14_bee- bus {zLLaz Backwater valve 16.60 1,56- _Clothes washer 16.60 Dishwasher 16.60 -;.:.;:,--:":!.:.,.:4i.3..751 .' . moo ' ^ t b :.0 }.?�; - ,C+ ' ® �;,, _JKtis� Drinking fountain 16.60 Name: Lt ��,,, - Ejectors /sump 16.60 Bxpansion tank 16.60 Address: / / /p.c.! •Frul rart 1 gx - rt d f'. Fixture/sewer cap 16.60 City /State/Zip: 77-d , tS' _ 9 - 4 - 9'a 3 Floor drain /floor sink /hub 16.60 Phone: (913) ( 4- it q } - Fax: ( ) Garbage disposal 16.60 .............. . F , - y fir. rn t _•: E` ; ci. , “ ,:r_ Hose bib 16.60 :.; .:::.:.:, :,, `, _° :. - a :c -.-:. . ... }:'.- .. _li ' :'., -Ie - . VI 6 • _. ,.nom w V . ' y r :ai Ice maker 16.60 name: me: { w ¢ ,~ � _ V , f' n � _ �� =- 1 �'Lt. G rc ' Inteeptor /grease trap 16.60 Contact name: :}.�n 4^^ Medical gas (value: $ ) page 2 Address: Po , e? 6 x_ e 13 Primer 16.60 City/State/ZIP: ,� G,y� d„S t / I-D(5- Roof drain (cotnmeroinl) 16.60 Phone: (61,5 ) ( sT - 2.( y r- I Fax: : ( ) Sink/basin/lavatory 16.60 E -mail: Tub /shower/shower pan 16.60 ::,. : �; - _ - -n. :.,, _ _ 16.60 ,.:,, . ...,_.. . .....::: •: : -: , . _ =::x .....;,, - - - �;3•':R. �: . ::-_ ! ; i .ii " ':.....;.:_ -.:._, o Water closet 16.60 Business name: e • . 1-4.r4J-S , iSA--. `_ • - Water heater 16.60 Address: T d ?A N_ g. ( Other: - City /Stete/ZIP: U4sa_k ./ ERN l 9. -?. Subtotal 9-1- .56 �--p Minimum permit fee: $72.50 Phone: ( b ) 1'.2 J U - ?Is f 5 Fax: ( ) Residential backtlow minimum permit fee: $36.25 ‘.314 • gc C613tic.; • _ Plumbing Lic. no.: 614 a-, r,- Plan review (25% of permit fee) Authorized signature: , � State surcharge (8% of permit fee) • q Q TOTAL PERMIT FEB 9.l6- print name: 1, e r Date: ii (g D L( This permit application expires if a permit Is not obtained within Of 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i.'Duitding\P ni tstPLM_pgnr:Upp.doc 12/03 440-46161110/01/CO24/MB) CITY OF TIGARD BUILDING DIVISION - PERMIT #: lol.M200'j- 00136 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /13,`200:; Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 7:07AM PAGE: 66 j o c Y> >41( SITE ADDRESS: 11124 SW TORLAND ST CLASS OF WORK: SUBDIVISION: TORLAND ESTATES LOT #: 006 TYPE OF USE: PROJECT NAME: RIES DESCRIPTION: Badftow preventer for irrigation. OWNER: RIES, LORI PHONE #: 503-658-268.5 CONTRACTOR: GREEN DAY LANDSCAPE PHONE #: 503 2685 Inspection Request Scheduled For: Date: 4/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 028048 -01 503`658 -2685 N FOAL h1 L3 OZg r -C ) r Corrections /Comments /Instruc ions: (1 Z ©Et 1 3V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , Date: L P/ ° 6 Phone #: (503) 718 -