Permit r
' IN ,-.'' CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00001
TIGARD DATE ISSUED: 1/2/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB - 00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD ZONING: I -L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: FANNO CREEK PLACE
Project Description: Installation of commercial backflow preventer for irrigation.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: UNK 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 _
OPUS NORTHWEST LLC
1500 SW FIRST AVE. STE. 1100 Description Date Amount • PORTLAND, OR 97201 [PLUMB] Permit Fee 1/2/2008 $72.50
[TAX] 8% State Surchari 1/2/2008 $8.70
Phone: 503 -916 -8963 Total $81.20
Contractor:
TEUFEL NURSERY INC
100 SW MILLER ROAD
PORTLAND, OR 97225 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 - 646 -111 1
FAX 503 -641 -5356
Reg #: LIC 5133
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 rf 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 copie's of these rules or direct questions to OUNC
' by calling 503.246 6699 or 1.800.332.2344. -
Issued y: & ,1 f Perm ittee Signa
001111
iv�J
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
Thls 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.
RECEIVE.'
Plumbing Permit Application FOR OFFICE USE ONLY
City of Tigard DEC 2 p 200 Received / At 07 Permit No: ' t2odg .eceIp
IN a 13125 SW Hall Blvd., Tigard, OR 97223 r Plan Review
e • Phone: 503.639.4171 Fax 503598 eL I ITV py E t1f1Rl' p gy; Other Permit No:
sp EU D , ] u ®See Page 2 for
T1 GARD
Inspection Cane: 503.639.4175 v1`71 ..te Ready/By
Internet: www.tigard -or.gov . itled/htethod. CCa Supplemental loformation
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For special information use checklist.
qr
• ew construction ❑ Demolition Description I Qty. l Ea I Total
❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
�� , t n e,i 1. �( G_ 4 i 24920
.. { � L w l a y { I Et u k 1 I: /,� V IYiN •''0 ,1.;1f'R, ,1'°'030 ' fit;,! - � ,, 1 �T'F''. Y. SFR (l) bath 249
gilt w%J7 F� �Viri` �yy�; , �6.._IErI�� . , a�1 I .I�.. : f'�
❑ I - and 2- family dwelling IN CommerciaVnduslr.al SFR (2) bath 350.00
SFR (3) bath - 39900
❑ Accessotyybuilding ❑Multi- family 4500`
Each additional bath/kitchen
. ❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) g 2
�v` 4 F:t� I . f . . �i . h iM y tA f! ' ^ j y4`� Pa s
f ; ' ;.Atiat. , ` '' OI3''S��� .'_ 4 I � i �t tVC� - R 1 . 4 , , l gii l, Ri t, �lt!z � 1 ` S ut iliti es
; ...4,, ,, ,- :... !r a r+fri.. ,. ..-. v u- 'I- ... - ....r°r hu�=7•
Job site address: / 3 7 SA) op 0o0'104 ,Pry-4 /20( Catch basin or area dram 16 6'0
City /State /ZIP: / 4,zufivt) O� 1722`{ c Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.:
I l P roject name: O e�_ /( ac , Footing drain (no. linear ft. _ J Page 2
. ( _Footing Manufactured home utilities 110.00
Cross street/directions to job site: J S Ex, am 1 Manholes 1660
etebt fir\. U I / Q� t��J�J y �I( / Rain drain connector 16.60 ,
1 ll Sanitary sewer (no linear II.: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Water service (no. linear tt.: Page 2
Subdivision: Lot no.:
Fixture or item
Tax map/parcel no.: Absorption valve 16.60
l � �x. e r e n.,�� nx.+' rti'i /nr ^. 1������Pkl ..� }�!'' ,
tit jrr i M1' Cj,l 1 5i1 1 �, 1r 1�_ 8f1 t • Page 'S �1�`4ir�.•r.��E,` ;. r�t� • 7;'d%?:Ji. , -1�(f�- , .n C .•i�c �' F,'.!: �, � ..rV.��i�A� `, �:...r t Backilow preventer e 2 g
Backwater valve 16.60
Tr1Qmila'b` �OI,J C /� ` rte ��L
) �� Clothes washer 16.60
f Dishwasher 16.60
v - y , a . . r -' 'Y i d6 .;< I to r ��r , trv' ^, itt:'�y Drinking fountain 16.60
a
P? y r �'t. P O Eli• :01 � fir' ,.�;r r(��it - 1A 1 Wit- . ' �il. ��1 ill r 1'1 16.60
�(r, t � it •. ..tr r a: .,, �i ,�r. {!�kJ- +�]•a.�F"r.'- _di?.�it o- IPfi..' .=,r ^ t'!i'• ,xdt} Ej ectorSlsurnp
Name: OPt(S 11/1 Expansion tank -
_ 16.60
- Address• /S00 g 6 t ��J ;wilt f -/OO - Fixture/sewer cap 16.60
City/State/ZiP: earl-1444 f OR Floor drain /floor sink/hub 1660
Garbage disposal 16.60
Phone: ( ) Fax: ( )
IS rnr ,e r�,�ia.,w,l `�' YiJ�t:•r NS r 72of
'I�+.� i� tl'i .�}lip}i�i+','�'a�� i'Ct:l' l �� t H ose b i b _ t ?;r' +`�asi1'?{p?�Sitt,, `l i�Ir1rv ri ySiK ( ���bir'llu7Fd` 1 'n'dPl } ��f Ice maker 16.6C
Business name: I rc( rV(kes r / -l - Interceptor /grease trap 16.60
Contact name �jl'r1, �G �jt er— r Medical gas (value $ Page 2
Address: /00 SI /t / Ce tea. Primer 16.60
City/State/ZIP:
pdrlyAtid, r g722S— Roof drain (commercial) 16.50
Sink/basin/lavatory 16.60
Phone: (r43) 4414 _n Fa :: (nr) G�r "'SJ6• Tub /shower/shower pan IG.GO
�Q
E -mail. ft '(i.() rte Cam'` Urinal 1660
y w,: } � �' �ti' e �t , i ��.�& i ir��:. /� i.: iutle•ny,- �1,rr �;, i K�I HW "1 ^• i. ; . . Water c loset 1660
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Business name: , u/se . Water heater 16.60
Other:
Address: ! Sw M1 C k- Subtotal 44.44D
Cit /State/ZIP: /49 a, ex, C7ZZS Minimum permit fee: $72.50 7Z
Phone: (s03) Gc16 -tf (( I Fax: (T4Cc3) C,&1 I- 5.35{0 Residential backflow minimum permit fee: $36.25
4 jY,(O� Plumbing s� 33 Plan review (25% of pemti f ee) ?
CCB Lic.: 042 mbing Lic. no.: %r
/ State surcharge (8% of permit fee) (r
Authorized signature: '�y TOTAL PERMIT FEE
1 Print name: / v / d 1 , J , I{ f r . I Date:M/22 / O ' 7 This permit application expires If a permit Is not obtained withlry4
f 1130 days after it hus been accepted as complete. O`'
'Fee methodology set by Tri- County Building Industry Service Board.
I156061n0rrntus \PLM -Pa miiApp.doc 06(26'06 440- 4616T(10/02/COM/WEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008 -00001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/712008
Phone: (503) 639 -4171 A :�
Inspection Requests (24 Hrs.): (503) 639 -4175 '!�II�
INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: F Al4NO CREEK PLACE
DESCRIPTION: Inhallation of commercial bacl4low preventer for itiioation.
OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916 -8963
CONTRACTOR: TEUFEL NURSERY INC PHONE #: 503
Inspection Request Scheduled For: Date: 117!2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
393 Misc. inspection 062606 -02 503-577-9883 N
ri A/a I.
Corrections /Comments /Instructions:
D e ' • e. - t - -e r.+ S o_c_ ,A- '-I-- G.,( - Ize ieevo✓fi
Cr- e. ctv.cu--1_ 91,-
.
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr6 vtivt- A q1 Date: 1 l --) / nc Phone #: (503) 718-