Permit '" ` } , CITY OF TIGARD, ; — PLUMBING PERMIT
� ° : COMMUNITY DEVELOPMENT
PERMIT #: PLM2007-00040
„ TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/6/2007
PARCEL: 2S 105 D D -07400
SITE ADDRESS: 13835 SW SANDRIDGE DR ZONING: R -7
SUBDIVISION: COSTIUC PARTITION LOT: 001 JURISDICTION: TIG
Project Description: Backflow for irrigation.
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 --
DAVID VERDADERO
13835 SW SANDRIDGE DR. Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 2/6/2007 $36.25
[TAX] 8% State Surcha 2/6/2007 $2.90
Phone : 503 - 506 - 2960 Total $39.15
72
Contractor:
LANDSCAPE SOLUTIONS LLC
7101 SW STEPHEN LN
PORTLAND, OR 97225 REQUIRED ITEMS AND REPORTS
CIO
• Contact # : PRI 503-224-6549
Reg #: LIC 12078 ENP3 QED 0
... , 47' cV° c( . '
- 6 - • .
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: 41 / ! _e Permittee Signature. , f
d 1-7' 7+
t
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. L--_.
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. PLM2007 -00040 REQUIRED ON GREEN INSPECTION CARD.
✓ 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 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 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test
995 Misc. inspection: 315 Post /beam plumbing
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- Blankdoc 02/02/07
CITY OF TIGARD 200- 0 as `k6
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 lI�
Inspection Requests (24 Hrs.): (503) 639 -4175 =�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: e s'7 44,1„.. 1 i• . Dil"CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: . •4 (Z.- So I S PHONE #: Z 24� 65..4.6
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Con firm # Contact # Message 'arva
144 r e
Corrections /Comments /Instructions:
1 1
w S S •�•
r -f - / o - 3/t "r/d -) ( S.)
+CS - - , //
V fi--1 4/
•
❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
KVNIZA
ill `
. a oU
lel v°' . , 2008 RESIDENTIAL BACKFLOW ASSEMBLY TESTER LIST
ff Updated February 5, 2008
widiat
Dear Water Customer:
Foryour convenience, a list of certified backflow assembly testers working within Tigard Water Service Area is provided below. This list is not inclusive.
Testers are private individuals or companies. Testing costs vary, so getting quotes from several companies is recommended.
COMPANY ADDRESS PHONE NUMBER
A & A DRILLING PO BOX 585, CLACKAMAS (503)284 -3701
ACCURATE BACKFLOW 2715 HARVEST COURT, FOREST GROVE (503)357 -1444
AFP SYSTEMS 19435 SW 129TH, TUALATIN (503)692 -9284
ALL SEASONS BACKFLOW PO BOX 1811, BEAVERTON (503)644 -4913
ALOHA BACKFLOW TESTING 5074 NW STABLE CT, HILLSBORO (503)693 -1720
AMERICAN BACKFLOW SERVICES 5905 N INTERSTATE AVE, PORTLAND (503)289 -1745
AQUA -TECH BACKFLOW SERVICES 14655 NE RUSSELL CT, PORTLAND (503)251 -1683
BACKFLOW PREVENT. DEVICE TEST PO BOX 751, TUALATIN (503)692 -2885
BACKFLOW SERVICES PLUS 17675 SW FARMINGTON RD '# 118, BEAVERTON (503)629 -8200
BASIC FIRE PROTECTION, INC 8135 NE MLK JR. BLVD, PORTLAND (503)285 -1855
BEAVERTON PLUMBING, INC 13980 SW TV HWY, BEAVERTON (503)643 -7619
BWE BACKFLOW TESTING 16923 KING RICHARD CT, SHERWOOD (503)625 -4083
CANBY PLUMBING INC. 805 NE 4TH AVE, CANBY (503)266 -2091
CLEARWATER BACKFLOW 717 E BURNSIDE, PORTLAND (503)703 -7821
COLUMBIA CROSS CONNECTION PO BOX 9217, PORTLAND (503)235 -6141
COOKMAN BACKFLOW 17895 NW TILLAMOOK, PORTLAND (503)645 -0296
DENNIS SEVEN DEES LANDSCAPING 7355 SE JOHNSON CREEK BLVD, PORTLAND (503)777 -7777
DON MARTIN PROPERTY MAINT. 2255 SE 73RD, HILLSBORO (971)570 -7630
DRAKE'S 7 DEES, INC. 16519 SW STARK, PORTLAND (503)256 -2224
FARR BETTER BACKFLOW TESTING PO BOX 389, BORING • (503)475 -9080
FIRE EXTINGUISHER SERVICE CTR 3460 SW 209TH AVE, BEAVERTON (503)356 -9445
FITZERALD LANDSCAPING 10835 SW TIGARD ST, TIGARD (503)620 -4761
GARDENVIEW LANDSCAPE IRRIG. 1095 NE CORNELL RD, HILLSBORO (503)693 -6823
GREEN DAY LANDSCAPE, LLC PO BOX 2613, CLACKAMAS (503)658 -2685
HEATH BACKFLOW TESTING PO BOX 1565, SHERWOOD (503)625 -8553
JACK HOWK PLUMBING PO BOX 20698, PORTLAND (503)235 -8784
JANE GANSER & CO. 8960 SW DOLPH ST, PORTLAND (503)247 -9562
KENNEDY PLUMBING, INC 13985 SW FARMINGTON RD, BEAVERTON (503)643 -5535
LANDSCAPE EAST & WEST 8850 SE 76TH DR, PORTLAND (503)256 -5302
LANDSCAPE ENTERPRISE PO BOX 436, WILSONVILLE (503)682 -3343
LANDSCAPE SERVICES CO PO BOX 1623, CLACKAMAS (503)656 -6890
METRO SAFETY & FIRE INC 14324 SE STARK, PORTLAND (503)231 - 2999
MP PLUMBING PO BOX 393, CLACKAMAS (503)655 -9161
NW BACKFLOW INSPECTION & TEST PO BOX 1536, HILLSBORO (503)695 -3286
OREGON BACKFLOW TESTING 212 SE 3RD ST, TROUTDALE (503)491 -9402
OREGON IRRIGATION 15916 S AMES ST, OREGON CITY (503)656 -9826
PM BACKFLOW PO BOX 981, WILSONVILLE (503)830 -0171
PROGRASS, INC 29895 SW KINSMAN RD, WILSONVILLE (800)776 -4727
ROTO ROOTER 25599 SW 95TH AVE STE B, WILSONVILLE (503)682 -9774
Approved Residential Backflow Tester Listing Updated:
Page 1 of 2 2/5/2008 3'01 pm
COMPANY ADDRESS PHONE NUMBER
SUNRISE LANDSCAPE PO BOX 665, BORING (503)658 -1828
T &R BUILDING SERVICES 6880 ROGUE LN, WILSONVILLE (503)318 -6313
TIMBER VALLEY PLUMBING PO BOX 34, CANBY (503)266 -4300
TOM HEMPEL TESTING 82696 WILSONVILLE RD # 184, WILSONVILLE (503)579 -0923
WATER METRICS 16120 SW 72ND AVE, TIGARD (503)603 -9988
WESTERN STATES FIRE PROTECTION 13896 FIR ST, SUITE B, OREGON CITY (503)657 -5155
WOMACK WATER WORKS, INC PO BOX 608, BEAVERTON (503)643 -0466
A current public list of DHS- Certified Backflow Testers is available at:
http: / /oregon.gov/ DHS/ ph /crossconnection /publiclist.shtrnl
Approved Residenoal Backflow Tester Listmg Updated.
Page 2 age 2/5/2008 3:01 pm
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00040
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/6/2007
Phone: (503) 639-4171 iosill
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 56
SITE ADDRESS: 13835 SW SANDRIDGE DR CLASS OF WORK:
SUBDIVISION: COSTIUC PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: VERDADERP
DESCRIPTION: Backflovy for irrigation.
OWNER: VERDADERO, DAVID PHONE #: 503
CONTRACTOR: LANDSCAPE SOLUTIONS LLC PHONE #: 503-224-6549
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final CA4837-01 503-970-7877
Corrections/Comments/Instructions:
171. PASS PARTIAL APPROVAL fl CANCEL r7 NO ACCESS
I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
• )
Inspector: r Date: . Phone #: (503) 718-
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:
w • S 4e S ' PHONE #:
ONTRACTO TOR: d L- 1 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
64a. v bRAJ" CA.
Corrections/Comments/Instructions: C PLI-47,00(p p� C 1 c 0 b iJ r'CJ" O& Q -A. IN . - 0 0 i 1 "1 S /
t547AA1 mow;,, - r rest -e£—
v3320 € '3 LP. (PLoc7 -OO !'I'i)
FA - • ) re s- 1-..e_e —
1 c . ( Pt zo-oo - J )
rri- =
r Li zi \ 2- ' PL . (eL
/
01Z0(e r { s s l • C PLH - oo 444)
l 36 —6 v o )
1101-0+ 113 r ( L 1-4 Zcs b - 6-6 S 0 8
s\- k —ram . / - r.� s �-a --
lAiz-Olp 2LA 14 * - o 4-6 a)
I PASS ARTIALAPvP�RO h/'i^ �-e - "e ms
❑ CANCEL �I NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-