Permit •
•
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00526
13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 DATE ISSUED: 10/31/2006
PARCEL: 2S 109AB -00900
SITE ADDRESS: 13267 SW BULL MOUNTAIN RD ZONING: R -7
SUBDIVISION: ALPINE VIEW LOT: JURISDICTION: TIG
Project Description: Backflow preventer for irrigation for subdivision.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: 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
ECF ALPINE VIEW LLC Description Date Amount
1310 SW 17TH AVE
PORTLAND, OR 97201 [PLUMB] Permit Fee 10/31/200€ $72.50
[TAX] 8% State Surchari 10/31/200€ $5.80
Phone : Total $78.30
Contractor:
TEUFEL NURSERY INC
12345 NW BARNES RD REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97269
ISN
Contact # : PRI 503 -646 -1111
FAX 503- 641 -5356
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Reg #: LIC 5133 E i'VTD
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 - 000.1 =0010 through Q R 9 52- 0001 -0100. You may obtain copies of these rules -or direct questions to OUNC by
calling 503- 246 -669 r 1- 332 -2344. ! .
Issu s d By: y.s,. � �'l(1`� / Permittee Signature: ;'1
....._... - .. ....... - -. 4,:;:;;A
_c- `14�.I�.'
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.
CITY TICS RD PLUMBING PERMIT
Tu
IA' SERVICES PERMIT #: PLM2006 -00526
.4:A1( 13125
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/31/2006
PARCEL: 2S 109AB -00900
SITE ADDRESS: 13267 SW BULL MOUNTAIN RD ZONING: R -7
SUBDIVISION: ALPINE VIEW LOT: JURISDICTION: TIG
Project Description: Backflow preventer for irrigation for subdivision.
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: 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
ECF ALPINE VIEW LLC Description Date Amount
1310 SW 17TH AVE
PORTLAND, OR 97201 [PLUMB] Permit Fee 10/31/200E $72.50
[TAX] 8% State Surcharl 10/31/200E $5.80
Phone : Total $78.30
Contractor:
TEUFEL NURSERY INC
12345 NW BARNES RD REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97269
Contact # : PRI 503-646-1111
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 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 - 009. 1=001 -0- through • A R 52- 0001 -0100. You may obtain copies of these ryles -or direct questions to OUNC by
calli n 503 - 246 -669 6 r 1 -: 0= 332 -2344 -- -
Issu d By: P e rmittee Signature: ' �� �A11 �/�/ —��
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.
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for:k 005 a.4 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description 7 PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Under •round /slab cover
410 Fill 110 Temporary electrical service ■
415 Grading ■ 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceilin . cover
215 Footing drain 135 Low voltage
. 220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /ssa/.00l
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
. 240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit •
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set _ MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing _ 610 Gas line
287 Suspended ceiling _ 615 Mechanical rough in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood _
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation _ 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection: _
205 Footing )< 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final _ 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building\Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005
. -
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Piumbing Permit Application 1 oi.iic'b: usE oixi,v
City of Tigard Res erved
v 13125 SW Hall Blvd., Tigard, OR 97 n./By, / / Parn,it No. ; y 6 -
Iii
• Phone, 503. 639.4171 Fax: S03.59 Other Permit No.:
jj 2006 t'i Review
I"IGAIt Inspection Line: 503.639.4175
Date/By:
Date Ready /ay:
Internet: www,tigard- or.gov 1' Q1 t'age I ['ur
Notified/Method: ied/Method: // 1 , I uppi e l cotat turvrmutlon
,i, ;j };•:'i���•, ayy .0T , + �6F�:§n ;ti. 4 �44� k t�ff+�� 1VO r tr^rr„ aiti4774; !„ '�. �¢�t�r�.V F +y i N+ s x, -7t
�' .•' • -� ".. • mil .+.. 1°YF �'7� r :4 b{ .�a,rhFtr� rVi 4 � 3 ". "k; �� �b h"( '.� ,�d ' +n' 1 Ur� "7 l �$N6 +I,1l� I•i Kt�. t , 4 7 . �.; � ,'
❑ New construction ❑ Demolition PO, special information Jae checklist _
iti Addition/alteration/replacement Other: -_ Description 1 Qty. r Ea. 1 Total
❑ New 1. 2- family dwellings (includes 100 ft. for each utility cone
,ia. 5 7,01rQF-" ' '`Q 4 a #` "7i : Fr' 'a °'fit' �g'{ SFR bath
��'e : :�r.: - .;:'� :�,?a �: &fit 1 () 249.20
(] 1- and 2- Family dwelling ® ConunerciaVindustrial SFR (2) bath 350.00
0 Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bathflcitchen 45,00
❑Master builder ❑ Other:
ar .. Page 2
11 4_;;A:J•, I;, `1, : ,..,.. ,; •.4"." Site utilities
Job site address: _,_ / A �7 //f / fepaeft (:etch basin or arcs drain 16.60
City /State/ZIP: �,, 4i 972.2 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: !7 A Footing drain (no. linear fr.: Page 2
Cross street/directions to job site: St �� Manufactured home utilities 1 16 .
) 60
1 y , .S AA- Manholes 16.60
'Ti5► /� Rain drain connector 16.60
Sanitary se wcr (no. linear tt.: Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: } Page 2
Tax map /parcel ,to.: Fixture or item
-d: .�iF�.77 _ .} ,;, , . . h• .,,, ' _ ::+ , . . ,, /, Absorption valve 16.60
��:',' , ,� �: � ",,, , .. ... k3acktlow preventer Page 2
'P1 /��- _ Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60 • 1'R { t; .' • 'i5;i� . 'rsra :,. .11 4,,t r' Drinking fountain 16.60 •
/� o's /sump 16.60
Name: 6 / it a 41,44) .44c-
Expansion tank 16.60
Address: Zip c'W / 7 / Fixture/scwer cap 16.60
City /State /ZIP: 1Dy. �/ OR 97j20 ! - Floor drain/floor sink/hub 16.60
Phone: ( ) F ax: ( ) Garbage disposal 16.60
` l��' 01 ;'41'Xr�4. ',4:ii ?; W . (+ 1 . 1 11 .(.1 *. * i fit ,5�rQ° 1106 bib 16.60
`- 1 r.. . , � , '..i. �?r''.R9�,'*l, y',7i „�R f��'QI?il C!'�',. {C
- 0 Ice maker 16.60
Business name: 7C � urr,„-9 '2ZC
� Interceptor /grease trap 16.60
Contact name: J,y►'t. ZI k in er Medical gas (value: $ ) Page 2
� 1 ca g
Add � y
Address: �C(s' arms Rd- Primer 16.60
Ci /S tate /ZIP: s pOie . / +�L ,Ore 47...7-2/ Roof drain (commercial) 16.60
P1lurre: {62) (D'46 .-t 1 ti Fax:: (SZ ) r qi -5i Sink/basin/lavatory 16,60
E -mail: -,a ItS g 'r 4,,49,7„ Urin Tub/shower/shower 16.60
' " p�' �� - ...• -�, � Urinal 16.60
.. .Ji ' '*, s .1'" 9$/ ? .,... L : 4 �F-N�.,4,•'�. *.5�,�.. �.; :' �n 16.
;. . : . .+ :. ^A• :t: :474. :'i• :.a :.; ' 7fi,.l. Water closet 16,60
Business name: - �� .q , - Water heater 16.60
Address: ra • ; .. 1 / other:
T City/State/ZIP: 0 „,,, , 0 , 0 4 Q 7,Aa�R Subtotal �1(p - Z
Phone: (} Fax: ,t Minimum permit fee: $72.50 4.7�-
6, - 11. t j ($ b,7 )6 1 -g ' l(4 Residential backflow minimum permit fee: 536.25
C'Cl3 Lic.: • Plumbing Lic. no.: r • 3 flan review (25% of permit fee)
Authorized signature: API l t.! ` State surcharge (8%ofpermit fee) , 8d
�-�► TOTAL PERMIT FEE 7 8.30
Print fish...
J l,rr�- ///te,-- 1 Date: 0/40 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Hoard,
I Iluildingwa 'u+ilelALM- P 06/26/06 44U- 4616T(lutuyeuM/wEri
•
£0 /T0 3917d 3d'3SQNti113df131 0££T0£S£0S 612:Z0 900Z/0£/01
•
CITY OF TIGARD us4-.e_ic ?e_a_ws......4.5_
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 : , ���Ip��npi� ��Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 =�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: L.,z- Se-,S CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
•NTRACTO : y ,6 . t i JL \Ai/ 0 LMS ee `i^ +.4W,1ONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
- sq cl re,e._ cJ1-L - 44 _ -1J •c.Q - -„4,,,,..
Corrections/Comments/Instructions:
1 # 0 1 7 --J4" )13 ' Ai. P L.t`-t ?.,o v - bo 3
l 4 Z S ra,L- . ch-ooc
d
514.44_ — - \72s -4.--42....--
Oq Z ai Lt V 1 CA° C PL ZuZ1"?- 00. •35
r..+5 (1...A.A.4A L,A — 7 s $-1
124 Co k 33 w -- .r - v-C_ • C Pt., - z_ o yG, -o o -r I
vs - -s -
1 0 °-/;? (0 ci U = /fie . (? t i--t m - 7 - 00 t s
. .rs it .. _ -. 02-s I (—
14 14 -zlit' –` A 4 ., (- etL_H -0, - 06 4 -) )
rt■446 -- — - t - A.s 4-<.1
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El PASS PARTIAL APPROVAL ❑ CANCEL —T124 NO ACCESS
❑ FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: vt; Date: Phone #: (503) 718-