Permit .
I q CITY-OF TIGARD PLUMBING PERMIT
Ill'. ` COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00400
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223, 503.639.4171. DATE ISSUED: 9/5/2007
PARCEL: 2S102DC -03100
SITE ADDRESS: 13892 SW BRAYDON CT ZONING: R -4.5
SUBDIVISION: MCDONALD WOODS LOT: 004 JURISDICTION: TIG
PROJECT: MCDONALD WOODS
Project Description: Install backflow device.
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
Owner:
FEES
WESTVIEW CONSTRUCTION
PO BOX 230935 Description Date Amount
TIGARD, OR 97281 [PLUMB] Permit Fee 9/5/2007 $36.25
[TAX] 8% State Surcha 9/5/2007 $2.90
Phone : 503- 784 -4328 Total $39.15
Contractor:
TRUSCAPES INC _ '
21600 NW ANBERWOOD DR.
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Cr
z I
Contact # : PR1 503 - 969 -2144
FAX 503-531-9216 O
Reg #: L1C PLUS BACKFL
Ek IRE
PLM 7962 1' ' I (Q/b Jl6
.. .
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 B ` / A i Jam, , Permittee Signature: Pppkot-71-0/
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: /_ J . /) REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection - Description PASS Date By ' ✓ - Code InspectioiiDescriptioii - 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 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 - Stricture 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
920 Suppression trip test 310 Crawl drain
315 Post /beam plumbing
995 Misc. inspection: •
o
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 V 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 \ Forms \InspCard- AOP- Blank.doc 02/02/07
IN CITY ®F TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00400
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171. DATE ISSUED: 9/5/2007
PARCEL: 2S102DC -03100
SITE ADDRESS: 13892 SW BRAYDON CT ZONING: R -4.5
SUBDIVISION: MCDONALD WOODS LOT: 004 JURISDICTION: TIG
PROJECT: MCDONALD WOODS
Project Description: Install backflow device.
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
Owner:
FEES
WESTVIEW CONSTRUCTION tion D escri
PO BOX 230935 Description Date Amount
TIGARD, OR 97281 [PLUMB] Permit Fee 9/5/2007 $36.25
[TAX] 8% State Surcha 9/5/2007 $2.90
Phone : 503- 784 -4328 Total $39.15
•
Contractor:
TRUSCAPES INC
21600 NW ANBERWOOD DR.
HILLSBORO, OR 97124 . REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 969 -2144
FAX 503 -531 -9216
Reg #: LIC PLUS BACKFL
PLM 7962
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 B / ./ % i ./L. , Permittee Signature: I�
P p1 0 j �
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: PGM 2, cr)4.66 REQUIRED ON GREEN INSPECTION CARD.
.✓ Code' Inspection Description' • PASS Date_ , By :✓ Code" Irispeetioii °Description • PASS Date B •
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
I — 287 Suspended ceiling 615 Mechanical rough -in --
I 295 Misc. inspection: 620 Hydronic piping
F 899 MFG - Structure final 625 Duct work
r 498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
'640 Exhaust hood _
695 Misc. inspection:
699 Mechanical final P
BUP - Fire Protection System Permit
905 I Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam 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
L \ Building \ Forms \IOspCard -AOP -Blank doc 02/02/07
- » r
pp ! CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00400
TIGARD DATE ISSUED: 9/5/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102DC -03100
SITE ADDRESS: 13892 SW BRAYDON CT ZONING: R -4.5
SUBDIVISION: MCDONALD WOODS LOT: 004 JURISDICTION: TIG
PROJECT: MCDONALD WOODS
Project Description: Install backflow device.
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
Owner:
FEES
WESTVIEW CONSTRUCTION
PO BOX 230935 Description Date Amount
TIGARD, OR 97281 [PLUMB] Permit Fee 9/5/2007 $36.25
[TAX] 8% State Surcha 9/5/2007 $2.90
Phone : 503- 784 -4328 Total $39.15
Contractor:
TRUSCAPES INC
21600 NW ANBERWOOD DR.
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 969 -2144
FAX 503 -531 -9216
Reg #: LIC PLUS BACKFL
PLM 7962
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952- 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
_ ' g E i e , Ppp Issued B � ; ` � i Permittee Si nature: �)
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
n A . IP 44.
Plumbing Permit Appl
cation
FOR OFFICE USE ONLY "
, 4 2007 Plan Review ' . - 4 E City of E4 f Tigard Received 9 / 0 - SL1� Permit No.: PL M 2001_ tOJ00
=
v 13125 SW Hall Blvd., Tigard, OR 9�2,23D y
Phone: 503.639.4171 Fax: 503.54$ 0 Other Permit No.: / 1 S72
Inspection Line: 503.639.4 7,5 w� , Date Ready/By: lu s: ®See Pa e 2 for
1GA1ZD Internet: www.tigard -or.gc ; 1 1 U TI -
r. 1L Notified/Method:
� Supplemental Info
R 5 ' " ' let DIRT I s jON.' • FEE *. SCHEDULE, "
ii?f New construction ❑Demolition For special information use.checklist
Description I Qty. Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION - . - SFR (I) bath 249.20
X1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE 'INFORMATION AND' LOCATION . Site utilities
Job site address: 13 0 1 •y 1 g ei oN at Catch basin or area drain 16.60
City /State /ZIP: 11 6/1 r -40 O(Z 9' 7 2 Z 3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: Footing drain;(no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes . 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: /V P 0 ON � oO O s I Lot no.: Water service (no. linear ft.: ) Page 2
/ Fixture or item
Tax map /parcel no.: Absorption valve 16.60
I A 1 DESCRIPTION OF WORK Backflow preventer
) Page 2 3( 25
N & Mk $ 4 (4CiF j,0 W P C V) Backwater valve 16.60
Clothes washer 16.60
1✓ • Dishwasher 16.60
.. PROPERTY OWNER ' ❑ TENANT Drinking fountain 16.60
CO A) 1.6.60
Name: 111/4f ES - ► V �� / E (A) CO JJ S S f T? UN Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) , Garbage disposal 16.60
APPLICANT - ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
INS PEE, . LL C t
Interceptor /grease trap 16.60
Contact name: h-e,y PE NI 14 K Medical gas (value: $ ) Page 2
Address: 20000 N tikl AM t g- W O p 6 Dig, Primer 16.60
City /State /ZIP: H I (Lc g b t o . 9 ' '7) 2, Roof drain (commercial) 16.60
Phone: (5) ' cm_ 21 Fax: a ) 5 3 I - 1 2 j Sink/basin/lavatory 16.60
1 / Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR, Water closet 16.60
Business name: ` AOS cmPFS (.,(.. Water heater 16.60
Address: 21 6(0 0 N W AM Q E Q,�l 000 v R Other:
City/State/ZIP: 1" p kf Subtotal
y 0I l.,S g ba l 0 R 1 1 I / // Minimum permit fee: $72.50 �,/
Phone: (l)3) 9 6 1 - 2I (f ( Fax: (Sb 3) 531- ci t i 6 °J Residential backflow minimum permit fee: $36.25 ✓t�. 25
Plan review perm
i (25% of it fee)
CCB Lic.: L �A rp # - )1( 7 1, 4 8:A, Plumbing Lic. no.: 0
Authorized signature: State surcharge (8% of permit fee)
�p p (1 / / TOTAL PERMIT FEE 301 • t S
Print name: I G f�i C t N I U I�- Date: t{ / o1 This permit application expires if a permit is not obtained within
t 111 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
I. \ Building \ Permits \PLM- PermitApp doc 12/27/06 440- 4616T(10/02/COM/WEB)
•
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Sate ;Utilities . . Qty. Fee (ea) Total Square Footage:, Permit `Fee:
Footing drain - 1' 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
Storm & Rain Drain - 1st 100' 55.00 Valua Permit Fe
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) I 27.55 Z ). s & and including $25,000.00.
Rain Drain, single family dwelling 65.25 . $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
each additional $100.00 or fraction thereof, to
Inspection of existing plumbing or
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof.
Fixture Work:
Are you capping, adding or replacing fixtures? If "yes ", Plan Review for Plumbing Installations
please indicate work performed by fixture. Failure to Plan review is required for any of the following.
accurately report fixtures could result in increased sewer fees Please check all that apply.
Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and
Fixture.Type: : Replace greater, except systems designed and stamped by licensed
Previous Capped Added Existing _ engineer.
Baptistry/Font
Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918- 780 -0040.
- Jacuzzi/Whirlpool
Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities.
Drive tall I=1 Any multipurpose fire sprinkler system.
Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040.
Dishwasher - Commercial
Domestic Submit 2 sets of plans with any of the above.
Drinking Fountain
Eye Wash .. Isometric :or Riser Diagram
Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings
3 >, that meet the qualifications above.
- 4"
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar /Lavatory
Bradley *Note: If the fixture work under this permit results in an
- Commercial increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter plumbing permit can be issued.
Washer- Clothes
Water Extractor
Water ' Closet-Toilet
Urinal
Other Fixtures:
i:\Buiiding\Permits\PLM- PermitApp doc 12/27/06
CITY OF TIGARD us -4-,A. ?„.....a.,......4- s'
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 � ,(
Inspection Requests (24 Hrs.): (503) 639 -4175 :j'
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: Lit Are SeS CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
• NTRACTO i. : 3J S 4 stiL ■/ Q ��1/\ S Q.e, ` 1.41/` 1ONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
"— S c l 6 1 �. ci-e. - 44 - Le .-gin
Corrections /Comments/ Instructions:
2-(040 1 4 f .. C P1,H X 0(0 -00 3
t 2- S ra.,
•
0 — oa
CA 7 I--1 l t V 1 I Cam C P l,o--t -zw-6'? — 00 136
T•1.15 1 ■— 77 .12 s
1 2 ei Le ‘7_,..1 t4 ' AV--e_ . C P Lk-i( -- z.,40 a (fi, -o 0 Lliq 1 )
s (-7AA. -t wo — _—S -
10 - 7;7 62 9 6 Ar . L ? u.‘.--t - 2,0 - zr - 7 - 040 1 S12
.mss 1,--a...u1.. -- 152 -s -4-E.d —
14 '214 )( i'rv-az • (_ po--i Zuz 7 - o d q 3 7 )
rf.:4s I-x.. 4_,* — - 3 --- ___-‘ 4-‹_& —
S
3{ lik k.0 MQ S ¢-7.`,1 —
k 3Us2 (3 tAiU 014/J . v28 . C ' - co )
I I s
PASS PARTIAL APPROVAL ❑ CANCEL - - r ° 2 1 NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Ai: Date: Phone #: (503) 718-