Permit '' CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00490
T t . .
1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114AB - 09100
SITE ADDRESS: 16282 SW 93RD AVE ZONING: R -4.5
SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 093 JURISDICTION: TIG
PROJECT: ROLEY •
Project Description: Installation of residential backflow prevention device for irrigation.
.CLASS OF WORK: ALT 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
BEN ROLEY
16282 SW 93RD AVE Description Date Amount .
TIGARD, OR 97224 [PLUMB] Permit Fee 11/2/2007 $36.25
[TAX] 8% State Surcharl 11/2/2007 $2.90
Phone : 503 -522 -1733 • Total $39.15
Contractor:
SOUTHWEST LANDSCAPE LLC
11654 SW PACIFIC HWY #9
TIGARD, OR 97223 . REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 620 -0149
FAX 503- 620 -0590
Reg #: LIC 8516
•
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 callin• 13.246.66 or 1.800.332.2344.
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Issu = • By:, 1 !!1 4 Permittee Signa re: , i '4,41 i l—
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: l REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description • PA Date By ✓ Code ; Inspecpon;Descri PASS Dace` By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /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 Ceiling 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 /spa /pool
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 -up 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
915 Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
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 X 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
1 \ Building \ Foam \InspCard- AOP- Blank.doc 02/02/07
Case Activity Listing , to /g /loos
CCEL/ _. Case #: PLM2007 -004
lr 8:50:53AM
90
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
PLM1010 Application received 11/2/2007 None RECD DEB 11/2/2007
DEB
PLM1020 Permit created 11/2/2007 None DONE DEB 11/2/2007
DEB
PLM1030 Check for parcel tags 11/2/2007 None DONE DEB 11/2/2007
DEB
PLMI260 PLM signature on 11/2/2007 None DONE DEB 11/2/2007
application DEB
PLM1280 Issue permit 11/2/2007 None DONE DEB 11/2/2007
DEB 1,
[ 7110 61A}
472/0 AiO t ra_
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