Permit 27...
A I l k CITY OF TIGARD PLUMBING PERMIT
"
00349
DEVELOPMENT SERVICES DATE PERMIT #: ISSUED: P LM2 0 4
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14234 SW WALNUT LN PARCEL: 2S104BC -07500
SUBDIVISION: BAILEY WOODS ZONING: R -7
BLOCK: LOT: 011 JURISDICTION: TIG
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: Install backflow device.
FEES
Owner:
Description Date Amount
BUENA VISTA CUSTOM HOMES
6932 SW MACADAM STE C [PLUMB] Permit Fee 7/27/2004 $36.25
PORTLAND, OR 97219 [TAX] 8% State Surcharl 7/27/2004 • $2.90
Total $39.15
Phone : 503- 443 -6033
Contractor:
TRUSCAPES INC
2200 NW CORNELIUS STE 200 4110t
HILLSBORO, OR 97124
REQUIRED INSPECTIONS
Phone : 503-531-9216 RP /Backflow Preventer
Final Inspection
Reg #: PLM 7962LCB
LIC PLUS BACKFLOW
8
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.
Issued By: � j Permittee Signature: ` n
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
BUP - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By -4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing
- � Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing 4 Inspection Description Date Passed By
Suspended ceiling Post/beam mechanical _
Engineered soils Gas line
Welding Lab Final Mechanical rough -in
Concrete Lab Final Fire damper
Bolting Lab Final Duct work
Structural observation Smoke detector
Fireproofing Lab Final
Mechanical final
Final inspection
PLM - Plumbing Permit
BUP — Fire Protection System Permit Inspection Description Date Passed By
Inspection Description Date Passed By Plumbing nderslab
Sprinkler underfloor /slab Crawl drai n
Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final
Fire alarm final RP/backflow preventer
Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection _ Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
t: \dsts \forms \InspRecordBUP.doc 04 /17/01
C ITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2004 -00349
jy � DEVELOPMENT SERVICES DATE ISSUED: 7/27/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14234 SW WALNUT LN PARCEL: 2S104BC -07500
SUBDIVISION: BAILEY WOODS ZONING: R -7
BLOCK: LOT: 011 JURISDICTION: TIG
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: Install backflow device.
FEES
Owner:
Description Date Amount
BUENA VISTA CUSTOM HOMES [PLUMB] Permit Fee 7/27/2004 $36.25
6932 SW MACADAM STE C
PORTLAND, OR 97219 [TAX] 8% State Surcharl 7/27/2004 $2.90
Total $39.15
Phone : 503 443 - 6033
Contractor:
TRUSCAPES INC
2200 NW CORNELIUS STE 200
HILLSBORO, OR 97124 REQUIRED INSPECTIONS
Phone : 503 - 531 - 9216 RP /Backflow Preventer
Final Inspection
Reg #: PLM 7962LCB
LIC PLUS BACKFLOW
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.
Issued By: aZILLethe Permittee Signature: -Q_ s Zr
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next busin�s v day
Jul 27 04 11:27a TruScapes 503 - 531 -9216 p.
07/23/2004 12:12 FAX 5035981960 CITY OF TIGARD LJuut
ildi>� Fixtures 4
B'i •
PIumbine Permit Applica ) • FOR R O F F i C E t.' S F ONLY �Q
City
1 25 Sal lvd . Tigard. OR. 97223 � j � �J d re. wo_ `�_ - 0 / 77' �(pV /
Pbooc 503.639A Ill Fate: SQ3.S98.1 (� i DatalBy. OdiwPa tNo:
24• Hour Inspcedon Line 503.639.4175 . O _.-4. j I Dara'EodyIHr. • Polz ® Sae.Pap
Inenars v.ww etasanior us ∎ Notilied+t'eed ed: • sappkmoatd r rv. n.ndae
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Q�Netraom Sinn ❑ - ; c :.,. retapoeta/ia�erseees
Q Admrionlakereaita l 0 N ew 1 - 2 . 1M/in 6e. Te
New 1- 2.Oim1])r dtadUtsp7 (includes 10011. for each uti6pe connection)
? - -- J ,= -- : 1, :", -.5 r ., SFR(l)tedi 249.20 .
r4 I- and 2,Krrai &Walling ❑ COmentecialfindosnial SFR (2) bath 350.00
SFR 0 Accents? toadies 0 Mnitidamily p) bath 399 00
❑ t►t > O ach=y • each additional baehadicbm 45.00
- - - -- - _ - - - � sprinkler L._ sq. ft) - • Page2
Job site r L I 023 L i - I5 f J I sit l i i • Caleb basin or area drain _ 16.60
City/State/MP: • --17-3 p, c v Deywef, leaeb line, or trench drain 16.60
SmeelbldgJ t no.: I �j� namee Footing drain (no linear fr.: __) Page 2
Gross strec d6eetioes ns job site
Maeedaeotrod home udlr�ea 110 00
Manholes 16.60
Nam dtttut connecter 1660
Sankey sewer (no. bane' !k: ______) Pape 2
Strom sever (no. linear 8.: Page 2
Snbdivisios I Lot no.:
W i n s s e r v i c e (am linear R.: _ j Page 2 -
Tan maplparod se.: Plstere or ices
- -- - Absorption valve I 1E60
!L (: f'.'�` z ltoetlbwproems 1 P4ge 2 ?(o'
Backwater valve 16.60 -
Donna washer 1660
Dishwasher 16.60
--- Drinking faunae • 16.60
16.60
Nalalc Z LAC inr,,. V I.5 -.. wok • 16.60
Adams's - Fnamdsewer cap 16.60 1 •
CdytSlater/jr: Hoar drain/floor siat/beb ' 16.60 I
•
Flaoac (- ) Fact ( ) Garbage disposal 16.60
Hose bib 2660 .
Ice vai= 16.60 1 1
Business name Te'lu... 00. 9 C S Li .1 - m grease trap 16.60 :
Convict woos A p 5._ lo W ` e (t [:..1-(Al1 Sr) ✓ _ Medical gas (vsl s ) Page 2
Address: Prima - • 16.60 •
Rae drain (mmroacia) • 1660
Flt4s: (7 5b 9 ' (� • 7 000 I Fax : ( ) SiaklbasmAnvateey 1660
•
•
�ttrsil: ty°er pan 16.60
__ _ 9 : Urinal 16.60 •
-- ":r -� - - _ F- - Ta i- .- � �..,L 6, -.:'-'ii: : _ e .
� �: - - - --1:.-..:.:4':_ � .' __..� - ` � : : � waladaeet 1 660
811210622 mmc T�A t.. r S- Water bears 16.60
r�rp . I'V r other
AAdrem: -
�`�-� � .n2�t u S Qe.�e�
t y eTr i t .0 tf) O i O o e_ Cf 7 /Q• `/ Minimum page Ebe: 672.50
P ('5 5 3 i `12 (v • Fax ' ( ) C y Residential bastdlo.r minimum l,a.edr 0� 53625 ,� /V
CM Lie.: ^ Plumbigg Ile. na: ° f (0 Flan review � permit fa)
soue f of ponds fee) p ; - el ID
Mandrel sigl>mae ___.- t TOTAL isX31iu�
TOTAL Fly ...?g
i Feint t ' I t f � I Daoc > -7 /Dt{ I Tab parade rpprrntien empires if a per+sr s is ash antalaed within
c NLOS e ` 160 days after k boa been aeeapted a complete.
'Fee methodology eat by Tei•Couaty B nlding btdaesy Service 8oard•
tu.,is.svwwsuusys aer 17,07 «o-owo Qn C0WW )