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Permit M f• ppg CEFY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00550 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/13/2007 PARCEL: 2S110DC -90011 SITE ADDRESS: 15695 SW 114TH CT G 1 -5 ZONING: R -25 SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO LOT: 001 JURISDICTION: TIG PROJECT: TOWNHOMES AT SUMMERFIELD Project Description: Backflow preventer (1 -1/2 ") for irrigation. Located on North end of building. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SFA 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 HOWELLS, JOHN + ELIZABETH ANN Description Date Amount 1280 NE TERRITORIAL RD #27 CANBY, OR 97013 [PLUMB] Permit Fee 12/13/2007 $72.50 [TAX] 8% State Surcha 12/13/2007 $5.80 Phone : Total $78.30 Contractor: WILLAMETTE LANDSCAPE SERVICES, INC. 18480 SW PACIFIC DR TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 625 -9600 FAX 503 -625 -9714 Reg #: LIC 6949 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 or 1.800.332.2344. Issued By: 411111t . Permittee Signature: "h 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. .. 12. 2007 10:50AM WILLAMETTE LANDSCAPE SERVICES No. 0928 P. 4 mb i Purltni Application hi t)iaat l: rm.', ONl,\ City of Tigard 1'ece i -ed dd ��JJ Permit q 13125 SW Hall Blvd., Tigard, OR 97223 . PII �3 9 -ir /,• , : 0 Phone: 503.639.4171 Fax: 503.598.1960 20(1 jDa Review Other Inspection Line: 503.639.4175 E C -:1-.... i \ It r Dale Ready/13y: runs: / - nil See Page 2 for Internet: www.tigerd- or.gov IT , - ' P. I Q Inblifed/ Method: / Supplemental Information . .. TYPE Olt WORK RUIP_ VIN DIVISICtN FEE SCHEDULE ❑ New construction I] Demolition For speciollnformafiol, use clrecklisf. Description I Qty. I 2a, I Total Addition/alteration/replacement ❑ Other: New 1.2-famlly dwellings (includes 100 ft. for each utility connection) • :CATEGORY Or..CONST1tUCTION SFR (1) bath _ 249.20 ❑ 1- and 2- family dwelling ❑ Conunerciallindustrial SFR (2) bath 350.00 ❑ Accessory building CaMulli- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler (' sq. ft.) Page 2 .0 JOB •Sf'NE•1NF.ORMAT10N'AND• LOCATION _Site utilities • Job site address; 1 S 6 ci, 5 (`t( f°t^ CA Catch basin or area drain 16.60 City /State/Z1P: ' V .kv e,R, (DJke, eta a - a fr ( Drywell, leach line, or trench drain 16.60 g Project Footing drain (no. linear ft.: T ) Page 2 Suite/bldg./apt. no.; (5 c G 5 f r 1 ecf name: h .�a �J� 5,,n w Cross street/directions to job site: �0 114 tr Manufactured home utilities 110.00 ""^� F34�a Q ` Manholes 16.60 - r� 4't'& . ki1dw -e,,c.Q 110 0- IS 4 9,S Rain drain connector 16,60 ' Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: _) Page 2 Subdivision: 1 Lot no.; Water service (no. linear ft,: ) Page 2 Tax map /parcel no.: Fixture or item . Absorption valve . 16.60 DE / $C1ltI1 PTY0N OE WORK r' � Backflow preventer 1 ,P aQc 2 n51. 11 / %kr tAL , + r tr�l eX. fv V..,) 'Er u-Q.1i0 ,f2e, 'LC'_ Backwater valve { 16.60 2 c iv5i,. Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 • . 0• PROPERTY OWNER f . ❑ )TENANT , • , . , _ BjecfOrs/sump 16.60 • Name: oI .(( (e, , kt. f Owt.s....e.A. Expansion tank 16.60 Address: 15 60 L, 5 w i i.iq G}- t.5v4 4 * 1,1 Fixture/sewer cap 16.60 Cily /State /ZIP: j� q,Z.aay Floor drain/floor sink/hub 16.60 Phone:. (5 ) 624 -r-t * ao ,(6 Fax: ( ) • Garbage disposal 16.60 • ❑ APPLICANT ❑ CONTACT PERSON bib 16.60 • - Ice maker 16,60 Business name: Interceptor /grease trap 16.60 Contact name: Metrical gas (value: $ ) Page 2 Address: Primer 16.60 Cily /State/Z1P: Roof drain (commercial) 16.60 Phone Sink/basin/lavatory 16.60 T ~ ( ) Fax; ) E -mail: --- Tub /shower /showerpan • 16.60 . - . Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: I. , tt1M[. , 04.5e 1 r. �� f , Water heater 16.60 . Address; ki 1.410 5,...3 Q ►'c. i'D Other; City /State /ZIP: Subtotal T � • • ,n �1 ©6 a Minimum permit fee: $72.50 Phone; (S03) go, g e i a 4,0 Fax: (50 ) (, 25 - oil (N Residential backflow minimum permit fcc: $36.25 13, .5 0 eB Lic.: L., C'5 i' 4, ' ill Plumbing Lie. no.: Plan review (25% of permit fee) 7 State surcharge (8% of permit fee) 5 c , . Authorized signature: j'l�,�s .'��� V TOTAL PERMIT 7', l/�l�v a print name: er g, 1 ' . fl�Ca1/� Date: t This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. *Fcc methodology set by Tri -County Building Industry Service Board, CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007-00550 131 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 IL INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 15695 SW 114TH CT G 1-5 CLASS OF WORK: SUBDIVISION: FOUNTAINS AT SUMMERFIELD COND LOT #: 001 TYPE OF USE: PROJECT NAME: TOWNHOIVIES AT SUMMERFIELD DESCRIPTION: Backflow preventer (1-1/2") for irrigation. Located on North end of building. OWNER: HOWELLS, JOHN + ELIZABETH ANN, PHONE #: CONTRACTOR: WILLAMETTE LANDSCAPE SERVICES, INC. PHONE #: 503625 Inspection Request Scheduled For: Date: 3/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 067180-02 603572-8427 Corrections /Comments / Instructions: 1 12/0i trt . C--e/te \\ Csa..pe._ CS L.,. Le-1J gl.A- it PASS El PARTIAL APPROVAL CANCEL E] NO ACCESS FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: (3 Date: 31 2R70 \--) Phone #: (503) 718-