Permit L ,
C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00490
4111111. DATE ISSUED: 10/19/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S104AD - 03900
SITE ADDRESS: 12600 SW WALNUT ST ZONING: R -7
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Backflow preventer for irrigation.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 0
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
CARLTON, MARK M AND Description Date Amount
DEMELLO, BRENDA G
12600 SW WALNUT ST [PLUMB] Permit Fee 101191200E $36.25
TIGARD, OR 97223 [TAX] 8% State Surcha 101191200E $2.90
Phone : Total $39.15 J
•
Contractor:
DOWN TO EARTH IRRIGATION
13075 SW PACIFIC HWY
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PR! 503- 684 -3500
FAX 503- 968 - 8297 (` ` 7 71 '
Reg #: LIC 8169 �/ 4/6
Y t C5-
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: LA/1221116/41teA � Permittee Signature: { I „ '
t
Call 503- 639 -4175 by 7:0C 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 ei-o 00 't'iO
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 ' ;'DATE ISSUED:
Phone: (503) 639 -4171 A_ - -
Inspection Requests (24 Hrs.): (503) 639 -4175 -i - '
INSPECTION WORKSHEET FOR DATE: 1.Q' 36 6 6 TIME: 0 I I PAGE:
SITE ADDRESS: \ 7 00 i'CI - N CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: 1) `� — � _ /vv PHONE #:
CONTRACTOR: Z
V W PHONE #: � J 6 0
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /Instructions.:
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❑ PASS YPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 - 2
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: PLM2006 -00490 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date By ✓ Code I Inspection Description I 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
615 Mechanical rough -in
287 Suspended ceiling •
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 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 \Inspection Cards \Forms \AOP- lnspCard- Blank.doc 12/09/2005
CITY OF TIGARD L4-,(
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 uaBgMu411141
Inspection Requests (24 Hrs.): (503) 639- 4175'��
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: L Aac\Arer.s . S CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
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ONTRACTO TOR: d L- 1 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Inspector: Date: Phone #: (503) 718-