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Permit , 1 rR f , CITY TIGARD PLUMBING PERMIT 4 DEVELOPMENT SERVICES PERMIT #: PL 12/200 -00321 +L - II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/12/2004 SITE ADDRESS: 12056 SW WHISTLER'S LP PARCEL: 2S103CC -12200 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 069 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: Irrigation backflow preventor install. FEES Owner: Description Date Amount DON MORISSETTE CUSTOM HOMES [PLUMB] Permit Fee 7/12/2004 $36.25 4230 GALEWOOD STE #100 LAKE OSWEGO, OR 97035 [TAX] 8% State Surchar! 7/12/2004 $2.90 Total $39.15 Phone : 503 387 - 7536 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED INSPECTIONS P RP /Backflow Preventer Phone : 503 692 - 5945 Final Inspection Reg #: LIC 7804 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: Permittee Signature: c 44.7c/k_ Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day Jul 09 04 09:49a dan edmonds 503 - 692 -0768 p.2 Buil w Fixtures . Plumbing Permit App 0 FOR OFFICE USE ONLY City of Tigard Receives 13125 S W Hall Blvd., Tigard, OR 97223 �p Date/Sy: 7/! R.-/o y Permit No. � �UO -003, Phone: 503.639.4171 Fax: 503.598.1960 JUL ��� I , , r; ;• . .,''�� ' Date Ready/By: Juri, Date/By e 24- Hour Line: 503,639.4175 " , Other Permit No.: our Inspecti n 03.639.4175 , 24- H oC www.ei Li e: 5 - - r �oFrY OF TIGARD' Notified/Method: -Ft Supplemental See Page 2 for . �' , - = �:�= ' ^ ;.,;_.;•:�ysr;a+k. �.1{,. , - •.,, *� ,, d - FIG � Supplemeatat inCOrmatton �'�r �R�� " �:�• ?" e L � i' S i, - t +� m, r 19tY;r c *+ror�t:rc -..r �.:.. �',7F:.:: • V.,.;; + vs �L" +`i •, - �ni ,-- „' /.,,; },1:.•i,li 'x^- „� ^•,'� :. 'T N�' �•� ^s '_1� ly 'f' '':�; .n,. ,�;, . , ; , :.7 -� v , �.,, }�fi��t. :`•2;'f�• . .,. .i- %'�•:, �: , L �..�. .: • :. New construction ❑ Demolition For special information use checklist 1 ❑ Addit ion / alteration /replacement Description Qty. Ea. �_ Total ❑ Other; New 1- 2- family dwellings (includes 100 ft. for each utility connection) z a ,. 3a; Ri7t2i 4 Lam' t: r::. r 4 ,,f,-» i }; A` � *r. ,0 l a.041: : : - �. SFR 1 bath -,�.•- L- ,..` °- � .:.��• +�� . • .r- •...�,rt () 249.20 tk1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 899 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other 1. . 4 " ' -s " i r�";u` 708" .., t i" b N e ' t -V t • i q ' Q .. -. :w -=- t Fire sprinkler ( sq. ft.) Page 2 Job site address: /� S LS r .: �S y :, „ :+ s ' " v `, " Site utilities C5 / � ! t Y 6.7.q D Catch basin or area drain 16.60 City/State/ZIP: -r! � � - o / L 9 c.-..D- 3 Dryweu, leach line, or trench drain 16.60 Suitc/bldgJapt no.: I Project name: be CO :EL L f j r k , CI Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 1 10.00 (..0 / f Sr 1 C' Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 L0 h. S1 q -S Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft Subdivision: ` .= _ j �� . ar .: g -, y W� / = I Lot no.:(O ( ) Paget Tax map /parcel no.: 1 S 6 Absorption or item "r ; s`, =�`;4 )I r; • • r. : , Abso tion valve ' . :, = . ,,, ' ..'A . hi ii,i �d _ :W (r ,• ,:, 3 '.: i f.. <'t•• ; ' r P 16.60 ,,/ r, - • d w.. . : ', Backflow preventer i Page 2 a7,, SS" "! -5c_ a_ e, i rr, Q cc/ uYi hat-el 'w Backwater valve 16.60 / j Clothes washer 16.60 Dishwasher 16.60 i,: '.. 4.71.-i �.� , Y IE q a a x y ' ,v.„ - .,. t r a ..„ y , ,, 4, - • Drinking fountain a, i :7 w 7 . ' } r. t 16.60 y ° ` Ejectors/sump 16.60 Name: !J cry1 )o-v-/ S S a'f't / -fcyy) &S Expansion tank 16.60 Address: L-fvZ .30 S W &lc.(L' L-0 O 0CC Fixture/sewer cap 16.60 City/State/ZIP :Lai. /G 0 S (,U •C70 Og-. q 03 S Floor drain/floor sink/hub 16 60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 i ,._, .,'. ; kC :iigit �sg...7 .1';', : r 0 3 t NX . 4 :.. 4' Hose bib 16,60 , •� ._ .: +�.,•, � t• 411.1;.,:N:4'.. Ice maker Business name: �� a $ C c , a �i UNf ( T� 16.60 `�i Interceptor/grease hap 16.60 Contact name: .s 04.r Medical gas (value: S ) ' Page 2 Address: / - a - OQ S-11) iln JW y RD Primer ■ City/State/ZIP:- At lt 4 CAL_ , cl 70 ( Roof drain (commercial) _ 16.60 Phone: (5d3) (p 9 - .S: 2 7(1,5 I Fax: : (.5 2 , e - O '74,�i Sink/basin/lavatory 16.60 E-mail: Tub /shower /shower pan l 6.60 , ,g _ w + ^, Ai�rr� ": ; ":�;�; .e . , ,ji ^ +iF" e P +r,�T 4'i ; v.'£N i .. �..t._ . Z - v r Urinal I6.60 r'�. ,-� a ,, . ti �.i i • .-.: ,... . j��yyy ©I t] " r;c : J w at,z.a ., . ' w„ ' + - ^ ' . .A.'.},1� - .:��' • t.G �.',� j + r •,' F .' i S�'•• �F'�h \�...s, .. , �,. � , ��• Water closet , Ot t''; - ;j.. 16.60 Business name:LaAtis Q7 n � ) G Water heater 16.60 Address: i,a -D-0a s� m y.�r��y gin Other: _ - City /State/ZIP: `�►U.u.�•�� -•2�'1 C)2. 7 �-- / Subtotal - 7. „SS Phone:) �(a/a S--�ax: Minimum permit fee: 57 0 � 7� s Fax: (5�3.) (090? 0 7 !08' Res backflow minimum permit fee' 3 (.0 CCB Lic.: 7 f() / n Plumbing Lic. no.: Plan review (25% ofperma ee) Authorized sign e.go t State surcharge (8% of permit fee) .V. �f Cs / TOTAL PERMIT FEE J $ Print name • i/ en array - r c) I Dah lc/leg This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. 'Fee methodoloav set by Tri- f'.nimty Rtriblinv in,lirch -v Cvrviro Rnar,i CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP S Location f c� 0 (0 ICJ Suite MEC Contact Person Ph ( ) l ' PLM c " 0.=. Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing rn/ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL • PLUMBING Post & Beam Under Slab Rough -In • Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: ate✓ PART FAIL CHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm • Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date 4 !� // Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. • PASS PART FAIL