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Permit y n CITY O F TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00241 ".,.� DATE ISSUED: 6/13/2007 ITIGAREi 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BD SITE ADDRESS: 14790 SW 79TH AVE ZONING: R - SUBDIVISION: BRITTANY MEADOWS LOT: 055 JURISDICTION: TIG PROJECT: OLSON Project Description: Replace 87' of water service to new meter location. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 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: 87 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES GRANT OLSON 14790 SW 79TH AVE Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 6/13/2007 $72.50 [TAX] 8% State Surcha 6/13/2007 $5.80 Phone : Total $78.30 Contractor: EAGLE PLUMBING ENTERPRISES INC 13801 S FORSYTHE RD OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 650 -8703 FAX 503- 650 -8720 Reg #: LIC 47914 PLM 3 -154PB 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 . es or .ire .uestions to OUNC by calling 503.246.6699 or 1.800.332.2344. / Iss ed By: _ 4 �/ � � �` Permittee Signature: 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. 1. , Plumbing Permit Application i iA. ` ,ztv . , . ?, z i, n i iF 4 , ; F i:, 4 � F n L � M Sn�,.. : L 1 : r tA''' + i . F Date received: f p Permit no.: 'LA i b1 "Oa, , ,. :,, y City of Tigard I , City b Sewer permit no.: Building permit no.: _ - - -- Address: 13125 SW Hall Blvd, Tigard, OR 97223 City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598 -1960 Date issued: By: Receiptno.: L and use approval: Case file no.: Payment type: �� 7 e r g. 7r T - A � � r i � � ' s ' - i , 3 , 444004 'f ', o ' . ;; �� ,ATE: O F ; PEEZMIT � + �k 4 . � ... ; - n .- _ ' , "'` Ni " 3 ' ' ' ' s w...Si +c . .- rr"xr,.. stsb .:.a r ..,..e '.. w4 r l 1 & 2 family dwelling or accessory ❑ Commercial/industrial CI Multi- family ❑ Tenant improvement ❑ New construction CI Addition/alteration /replacement 0 Food service ❑ Other: J'r 40. `JOB INFORMATION I 4 " " , ... FEEjSCIIEDULE (for spectal, u se checklis " .%' ' Job address: ' 4 ° 0 $GJ 7 :, ' i Descri tion Qty. Fee(ea.) Total Bldg. no.. Suite no.: New 1- and 2- family dwellings only: . (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: SFR (1) bath Lot: Block: Subdivision: SFR (2) bath _ —_ ' Project name: W , /e, �__. SFR (3) bath City /county: ; / ZIP: Each additional bath/kitchen _ Description and locat•on of work on premises: Siteutilities: ■-. Catch basin/area drain _ Est: date of completion/inspection: Drywells/leach line /trench drain _ u 44 ,, ; , , LUMBINGC r� 7OR , ,, .; ,, Footing drain (no. lin. ft.) =I s'., ; , 7 . F � 0P,ONI RAC, K � ` w t '' ,,,, Manufactured home utilities Business name: 4 �.� / Manholes — Address: P A.I. _..�, s / A-A_ Rain drain connector — t^ Stater/2— ZIP: q' wq Sanitary sewer (no. lin. ft.) IIMI , _ \ Phone: '' C S'o -a"7o3 y, , E - mail: Storm sewer (no. lin. ft.) MI . CCB no.: if `7 4 Plumb. bus. reg. no: S`c+ _ PA Water service (no. lin. ft.) MLM —I- ' ' . 'i City/metro lic. no.: 3 7 7 Fixture or item: . Contractor's representative signatures_ �_ : Absorption valve Back flow preventer ..1 . Print name: , r L rIeVS Date: A�' Backwater valve ',a t.45.,u1'.'..} ,;, t ° , YYi. . la I.*, , rt - '. ''- Basins/lavatory e '��'� CONTACT =PERSON � s Name: Clothes washer MI Address: Dishwasher _ —_ _ Drinking fountain(s) • _ City: State: ZIP: Ejectors/sump MI Phone: Fax: E -mail: Expansion tank - _ r u < �'' - a .? \\ u OW1 i1 ER , t 4 } , 4 n °', Fixture/sewer cap • Name (punt): A ,+` Floor drains/floor sinks/hub Mailing address: Garbage disposal _ Hose k M City: State: ZIP: Ice maker er Phone: Fax: E -mail: Interceptor /grease trap _ Owner installation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain (commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) _ Owner's signature: Date: Sump _ ts ?� LNGIIV> ER` ; '. , ' Tubs/shower /shower pan ��� Urinal Name: Water closet _ Address: Water heater _ City: State: ZIP: Other: = Phone: Fax: E -mail: Total " — n Not all jurisdictions accept credit , please call jurisdiction for more information. Minimum fee $ 701 __ Notice: This permit application Plan review (at _ %) $ tsa ❑ Mas r ye �� r * , - , . y. ; e xpires if a permit is not obtained �. r5 V re lit card numb i � Z.l:r i� 'r_ K . _�.�� . .•% 1 �� w i t hi n 180 days after it has been State surcharge (8 %) .... $ ,1, ---7 . . i _. - ��-� xpr s TOTAL $ I'5 . 1 )P Name of car. ,o r as sho on credit and accepted as complete. $ Cardholder signature Amount 440.4616. (6/00/COM) ? ,e CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00242 TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/13/2007 PARCEL: 1S13300-08600 SITE ADDRESS: 11692 SW 128TH AVE ZONING: R -4.5 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT: 123 JURISDICTION: TIG PROJECT: AMMANN Project Description: Installation of residential backflow preventer for irrigation system. 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 i Owner: FEES ANA AMMANN 11692 SW 128TH AVE Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 6/13/2007 $36.25 [TAX] 8% State Surcha 6/13/2007 $2.90 • Phone : 503 - 524 - 1840 Total $39.15 °Ir e Contractor: • OWNER ti 02, - - - REQUIRED ITEMS AND REPORTS 2 ---4\-/?‘C' •k: Contact # : ;d Q a 1 0 V n� E�� Reg #: }, . VI �/� r v 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.er°di - : esti. s to OUNC by calling 503.246.6699 or 1.800.332.2344. I A Issudd By: I� r �r iv//!, Permittee Signature: f( j�� �Allihil`_ _ 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 OF TIGARD - CLH- 1 0 0 2 - 42 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 **till l Inspection Requests (24 Hrs.): (503) 639 -4175 ,4A I.. INSPECTION WORKSHEET FOR DATE: 6 9Ok"' TIME: /'ge PAGE: SITE ADDRESS: \ \ (0 \2 4\ , j 4 : CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: • (6WNER . S PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message -P-4 Corrections /Comments /Instructions: NCO hi5 4 a cd ,.. ii,,eniLi ix , /� 4,r. ( IL( 0 • 'it, r 6. - t 2A . 0 - - - ''- 4 _,-,,a, .,,_ . 4, ,,,,___,--„,--/-,e_j- u 10e, .6 (7 4,,,,,-(-0Lii wi,i, „e !,A i2cr ti--f--4-.'e-t-, s'. ?(--, ___,J, i,„...A. . 1 I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES A ESSED 6 / Inspector: Date: ( Phone #: (503) V/74 Rr k d CITY OF TIGARD '...,:' 'LK2®O1"' 0 o �� • k. BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - Phone: (503) 639 -4171 � !/dill l iii ` Na'!'"" � Inspection Requests (24 Hrs.): (503) 639 -4175 ...�-±.��i i INSPECTION WORKSHEET FOR DATE: 6 30/6 e• 6e• TIME: /30 PAGE: SITE ADDRESS: \ \ 't2 \ 2- ' CLASS OF WORK: : SUBDIVISION: LOT #: TYPE OF USE:. PROJECT NAME: DESCRIPTION: OWNER, S a I N PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: `' - Code # Inspection Description Confirm # Contact # Message •'t P.&f --- -P6v0 ' Corrections/Comments/Instructions: s . Ai o ffi 5Peeil-fYi c6, rA 10 ,- .,.______ . .. k, , , \ .0 .. .:: . . , f il . tben1 V De P / ' - '. .' 4" i I .: - . . Ott: /I �� ` - 4 re. S c,,c.i --P s i /f . t-j;;\< 0 ,:-.:4-7) '1.t. c I c-t.A,,,(r , , - , : .„, .. 4 ai-7 a/s-e-A-7,1-e_49 - e.epc4-7;7, y ■#- -' A ` itk A z ,, z /1- 74 4..4- e › -..-.Ap>--vze_s,-- P arL-ei e_4.e_,e 6 ) / ,-;- b i ---- 4 j I 1 .. •-s. ,_.. 6s A .. A-,L.,.) ,.,, IF 40! ./(--4 t)'--- ' t- 1 _,..., 1 / $._ > e e k i n PASS ❑ PARTIAL APPROVAL 4 ' ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION I l ADDITIONAL FEES ASS Inspector: Da � / Phone #` (503) 718 -1 2 INSPECTOR'S SIGNATURES ARE NOT Required for: ON GREEN INSPECTION CARD. Inspections eq kile07-00; ✓ Code Inspection Description PASS Date By • Code Inspection Description PASS Date 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 MVIisc. 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 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post /beau plumbing 995 Misc. inspection: 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 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 I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07 • PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2- family dwellings only: FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection) One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 Water Closet 16.60 SUBTOTAL Urinal 16.60 8% STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain /Floor Sink 2" 16.60 PLEASE COMPLETE: 3" 16.60 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub /Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet 16.60 Urinal Other Fixtures (Specify) Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Sink: 2" Sewer - 1st 100' 55.00 3" Sewer - each additional 100' 46.40 4" _ Water Service - 1st 100' 55.00 `Nrier Heater Water Service - each additional 200' 46.40 Other Fixtures (Specify Storm & Rain Drain - 1st 100' 55.00 Storm & Rain Drain - each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps 16.60 - QUANTITY TOTAL Isometric or riser diagram is required if Quantity Total is > 9 *SUBTOTAL 8% STATE SURCHARGE **PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 - TOTAL $ * Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backfiow Prevention Device, which is $36.25 + 8% state surcharge. ** All New Commercial Buildings require plans with isometric or riser diagram and plan review. • ^�,��' aim �� ��I). i:\dsts \forms\plm- fees.doc 10/10/00 CITY OF TIGARD BUILDING DIVISION : -;--- PERMIT #: PLM2007-00241 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007 Phone: (503) 639-4171 .. tiklii f i l x Inspection Requests (24 Hrs.): (503) 639-4175 .i _SI■ 1,1. INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00Alvl PAGE: 23 SITE ADDRESS: 14790 SW 79TH AVE CLASS OF WORK: SUBDIVISION: BRITTANY MEADOWS LOT #: 055 TYPE OF USE: PROJECT NAME: OLSON DESCRIPTION: Replace 87' of water service to new meter location, OWNER: OLSON, GRANT PHONE #: CONTRACTOR: EAGLE PLUMBING ENTERPRISES INC PHONE #: 503-650.8703 r Inspection Request Scheduled For: Date: 6/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 050228-01 503.740-1216 N Corrections/Comments/Instructions: ta yo , • ■:N. PASS FiaRTIAL APPROVAL 1 1 CANCEL 0 NO ACCESS 1 FAIL / ALL FOR INSPECTION 7 ADDITION L FE S ASSESSED Inspector: Date: 6 / e Phone #: (503) 718- •