Permit 7
n CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT
PE
COMMUNITY PLM2007 - 00354
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/8/2007
PARCEL: 2S114AD
SITE ADDRESS: 08910 SW WAVERLY DR ZONING: R -
SUBDIVISION: WAVERLY ESTATES LOT: 031 JURISDICTION: TIG
PROJECT: BLEVINS
Project Description: Install backflow preventer.
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
KATIE BLEVINS
8910 SW WAVERLY DR. Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 8/8/2007 $36.25
[TAX] 8% State Surcha 8/8/2007 $2.90
Phone : 503- 670 -8448 Total $39.15
Contractor:
CASCADE LANDSCAPE & IRRIGATION INC
PO BOX 754
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 625 -4112
FAX 503- 625 -0739
Reg #: LIC 7832
SUP ALL PHASE &
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 b ailing 503.246.6699 or 1.800.332.2344.
1
Issued = �//
i 14/ / 1 Permittee Signature: ) 'f
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.
4 .38 8/2007 12:12 5036250739 CASCADE LANDSCAPE PAGE 01/02
• ti
Plumbing Permit Application
HECEVE? iOIt t)ilR., ,,I: UN1.
City of Tigard AUG 0 8 Z 0O / e
Y. 1 1 '•7 Fennit N -: / 11 - 40 J
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
is Phone: 503.639 4171 Fax: 503.598.196M 1 I � TIGRri® DateBy: Other Penart No,:
Inspection Line: 503.639.4175 BUILDIt DI yr 7i I . Date Ready/By: Juno ® See Page 2 for
Internet www.tigard- or,gov Nocfied/Method: . 1. a .?. :: .11:.i. "a"
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` .K? , '.:Otx d •]; :?E, ;, ,:rs `# C 111. ',i. t•t. ,nT .-1,( , . : ? ?__. r "' ..5%
❑ New construction ❑ Demolition For special lnfotmatlon use checkrisR
Description I Qty I Ea. 1 Total
❑ Addition/alteration/replacement ® Other: back flow New 1. 2-family dwellings (includes 100 ft. for each utility connection)
�� ' • ]P;., Mai w - • Sf21`\ \ i O t ., 1tr:4
`;;;; %:,.=.f' :;,< ' , '. ', C• :• T�M�, .4- !,5 03. .14. . ,5 ' r- . � ,, ; ; ∎ V+ SFR(I bath 24920
n 1',i :t._ ,�l',., •P _ .. ' �l;� WettiM"!,; v ,sa „ ;,,, a :: ^• �;� ic.•., (I)
❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
-
1:1 Accessory building ❑ Multi-family SFR (3) bath p 399.00
Each additional bath/kitchen 45.00
❑ Master builder ® Other: residential Page 2
Fire sprinkler (- sq. ft.)
` °'. „,{' t•fu. , , .a,.; �r >1s $ite utilitieB
Job site address: li5C1 10 . J \ f m L . Catch basin or area drain 16.60
City/State/ZIP: , / r i a • Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt no.: Project name: 13ACICFLOW Footing drain (no linear ft: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site;
Manholes 16.60
Rain drain connector -
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear IL: _) Page 2
Subdivision: no.: service (no. linear ft.: Page 2
Fixture or item
Tax map /parcel no.: -
v . ," x z1' wY�� -t It , ii;;.. Absorption valve I 16.60
,.31,,,_„.,.. . ;,U?a "� ;�; . "��':� �� \�, •:-: , Backflowprevcntcr Paget lt p .�
BACK -FLOW Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16 60
-c^- "U _ - "ti 1 , , �..:, Drinking fountain 16.60
-
- , - , �, �. r� ' hw <w _ , - ..,,rN � : ; � �''''''" :4/ ' - '''''''''' ' ''''' `, ' Ejectors/sum) 16.60
Name: • - Expansion tank 16.60
Address: WWI II r . Fixture/sewer cap 16.60
City / State/ZIP: 1 aV t 8e- I 3 Floor drain/floor sink/hub 16.60
r� Fax; ( ) Garbage disposal 16.60
Phone: (503)
` $ � q. , $ ..rN . �- a�•.,, t: �y t •�ti�ar,:?'. � Hose bib 16.64
` ? ; r s : .. "'?' } %r ? . '�` s T r!s' r4 lee maker 16.60 '
Business name: CASCADE LANDSCAPE AND IRRIGATION INC Interceptor /grease trap 16.60
Contact name: BERNIE/LILY Medical gas (value: $ ) Page 2
Address: PO BOX 754 Primer 16,60
City /State/ZIP: SHERWOOD, OR 97140 Roof drain (commercial) 16.60
Phone (503) 625 -4112 I Fax:: (503) 625 -0739 Sittk/basin✓lavatoty 16.60
Tub/shower/shower pan 16.60
E -mail: CASCADELANDSCAPE@g VERIZON.NET Urinal 16.60
, s,1.: . v 9 �Q > 1 r > ` L �• k t' >k Water cl
_: -closet 16.60
i `'.:� ,. ":�l, • :•.4t �„� .;� � " 1' �!Y,ryP��y�:� "u'' „ J• ..\(. "��r t'f}•
Business florae: CASCADE LANDSCAPE AND IRRIGATION INC Water heater 16.60
Address: PO BOX 754 Other:
Subtotal 3C0.24
City/State/ZIP: SHERWOOD, OR 97140
Minimum permit fee: 572.50 .
Phone: (503) 625 -4112 Fax: (503) 625-0739 Residential backilow minimum permit fee: $36.25 , t .5
6,
CCB Lic.: 7832 Plumbing Lie. no.: Plan review (25% of permit fee)
�� //� State surch (R% of permit fee) 2 ,10
Authorized signature. I ��J"� ,- ,,e1 TOTAL PERMIT FEE I - ,18
Print name: BERNARDDO BRAVO Date: 5/810-) This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Trl- County Building Industry Service Board.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00:3541
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2007
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 ' "'I � ..
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 08910 SW WAVERLY DR CLASS OF WORK:
SUBDIVISION: WAVERLY ESTATES LOT #: 031 ' TYPE OF USE:
PROJECT NAME: BLEVINS
DESCRIPTION: Install bacldlow preventer. ,
OWNER: BLEVINS, KATIE PHONE #: 503- 670 -8440
CONTRACTOR: CASCADE LANDSCAPE & IhIG ` - - .PHONE #: 503.625 -A112
Inspection Request Scheduled For: Date: 8/23/210 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 054497 -01 503.625.4112 Y
Corrections /Comments/ Instructions:
Do . 1 .4,44 S t ru Ac *re/ VQe
•
car e •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cr3 \ M- Date: g 12,3 /0") Phone #: (503) 718 -
j�I