Permit C ITY OF • TI CARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00245
w:� DATE ISSUED: 6/3/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD -13600
SITE ADDRESS: 07798 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT: 034 JURISDICTION: TIG
Project Description: Installation of 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
LEGEND HOMES
12755 SW 69TH AVE Description Date Amount
PORTLAND, OR 97223 [PLUMB] Permit Fee 6/3/2005 $36.25
[TAX] 8% State Surcha 6/3/2005 $2.90
Phone : 503- 620 -8080 Total $39.15
Contractor:
MARTIN SANDERS GROUNDS MAINTEN
PO BOX 307
NORTH PLAINS, OR 97113 REQUIRED ITEMS AND REPORTS
Phone : 503- 647 -5567
Reg #: LIC 5742
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: , � � Permittee Signature: _ ...e_ ()) `
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. ' u
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.
Jun 02 05 12:55p Martin Sander 503-647-9151 _ _ P • 7
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Plumbing Permit Antleatuott IV ED t of 1:11: E s SF l'iN1 N
City of Tigard rkeil ),'‘‘.! ( -1;(;3- - av P-04.-?\V‘..2,0 •(b.2-
13125 SW Wall Blvd, vend, OR 97223 JUN 0 2 2005 A Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Uattitly: Odes Permit thi.:
24 Hour Inspeerion Line: 503.639A175 C IT Y OF TIGAP4: •1 i Dwfuutea til Sot Page 2 ter
Wand: www.eitigard.orsta TM )N Divis .. .)1 . Nacilledallettod: T ifr Sapplleameuislhaerarsool•
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l ittir#P 2 C - .. -1 2 4 ■ 7 -4K .;: .• ; Wlt il t . i:i ii ?0 . 11";': ' '1: .4 , 1:. : t 'S :' 4 . 0*4• -; # 6 4 . 44 . '''. ''..'.. .1. .:..:,...
e
New construction - , 0 Demolition For special befannotion ens ckeeklist.
Description 1 Tow
0 AddIticminitrantionheplacerntal 0 Other: . lvew 1- 2-famBy dvrelangs (includes 100 IL for cab utility connection)
;.: .....` 1 :22=. 7 7. - 47... .11 .-:i:-,ts:ti-TAW_ 1: +tak SFR. 0) WI 2/1920
. _
1- and 2.-thstuly dwelling jo Comrsereiallindastrial SFR (2) bath - 350.00
SFR f3) bath 399.00
0 Accessory InnidiMg Ej Mutti-faragy ,
Each additional batWkitchen 45.00
0 Master builder Ej Other
FUe sprinkler (____ sq. ft) _ Pag= 2
Job site addretee ' 7:7 t S i-J .4 lde-r- ,S7L Ouch baskt or area drain 16.W
City/Statc/Z1P: / /30. v -ci) 0 /2_,/ . 7z_ 2, ei Drywell. leach line, or wench drain 16.60
SuiteftildgJapt. nraz I Projectrumsc: i-/A & „ H ci l 124 4.) ,.. Footing drain (no. lintar IL: _____) PaCc 2
- i. Manufacturral home utilities 110.00
Cross street/directions faith sit=
Manholes 16.60
- Rain drain auttneerar 16.60
Sanitary sewer (no. linear ft.: _.) Page 2
Stern, sewer (no. linear ft.: ) Page 2
Subdiv!LILAion: ce s:s . / k) 6,.._ 1 • , Wiser service (no. linear R.: j _ page 2 _
Mauro or item
Tax map/parcel no.:
Absorption valve 1 16.60
g?-174 zaa...C- Iklikititii€ ..___ . , .._. LW_ :.,P•iir .....:k Bnclidknv prevents: (66 i.o.."( / Pate 2
L kAleaS / , e-te/ . e T7 LA) Backwater valve r
16.60
Clothes washer 16.60
-
Dishwasher 16.60
a .; -... • . 7-kv: -,... ,. --.,..... ... , -_,1 Drinking fountain
:*lin:V.:1101111411111/140iBligViit j-a-m- ''
zt. GI., r• , rA • . ..-r.s-- ,•. • , - - ;"- ,',..."' ' ",, "' -^ '''''' . .. ''''''''" '" Ejectors/sump 16.60
16.60
Nam= Z__. - .. --- :C.4 - 10 h Expansion tank 16.60
Address: /2- 7._S_S 5 LA) ,,? 77 1 t ' . - ruihnerftwer cap 16.60
r
Oty/StaterEfP: - 71 . 5 . ..-,..1
Cif 1 1, -1 '-2.---7-- Floor drainkloor sink/bub
16.60
Phone: 0' ) ...Y.2--e2 - < 0 L KO Fax: (. 5• g - g---; oo Gmbm di1P°521 16.60
A1311-17-04310"41140actillimwi 4 na.
" Tee maker 16.60 ,
16.60 ,
-----:
Bilsiitess tom= Kk INV\ Se...r.A.(2_1-s (--) rx- .s. ka-klt. Interceptor/grease trap 16.60
Contact name: I e . .-..1.sv.. \ Malice! cm (vela= S ) Pace 2
Address: 1 c 6 -..)p< & D-1 Prima 16.60
C 10Cs-c e L&_. S 0 9 - 7 i ..:.;' Roof drain (commercial) - 16.60
/ Sink/basin/lavatory 16.60
Phan= (5 4 0 1 1 1 7 - ,S,S & '7 [Fa bH7 -c 7 61 -
Tub/shower/shower pan 16.60
2-roail:
Urine] 16.60
4A gi OAP WO . . :: .; - .41 ik . Water elosct 16
' f
Business nu= . ,ic-e_z•-,),,e- ( , d i s -- H,i Warr heater 16.60
Address: ). 0 . __, .,_ 0 „<- "..> i -- 7 Other: _ •
Salami 3c, , -z_s
City/State/ZIP: k) 2,-.r-1-1:: f Lex_ e.)12- 9-7i -33 Minimum permit fee: S72.50
Phnom ( Si)3) (, L(7 - ss 6. 7 Fax: ( Sii 6 -17- cy/s„/ Residential backflow minitnom Permit Fee: $36.25
H
CCB Lk.: 5 7.712_ Plunnbing Lie. no.: Plan review (25% ofpermit (ee)
State surcharge OM of permit fee) 1-
Anittutrized signatur= „ ,......-r 4._,..
TOTAL PERMTT FEE ...--r , /s
mut name: i-/-fil .S .kr je.„--c I r-Inta: .. / "1 1 This pernhte application empires if iit permit is not •pialited within
IS days atter it has bora' act:WM as conga
*Fee methodology set by Tri-Calmly Building Industry Service Board.
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• CITY OF TIGARD /
BUILDING DIVISION PERMIT #: PLM200S -00245
13125 SW Hall Blvd., Tigard, OR 97223 t DATE ISSUED: 613J2005
Phone: (503) 639 -4171 i aq�u�gYiIi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 85
SITE ADDRESS: 07798 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 034 TYPE OF USE:
PROJECT NAME: HAMBACH GROVE
DESCRIPTION: Installation of backfiow device.
OWNER: LEGEND HOMES, PHONE #: 503 - 620 -8080
CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503- 647 -55
Inspection Request Scheduled For: Date: 7/14/2005 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 011352 -03 503 -647 -5567 N
Corrections /Comments/ Instructions:
—FPS i--14-
C
d
1-41 . /
,Ii PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I!. n CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: ' r�� (A-- - Date: / / Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION , PERMIT #: PLM2006-00246
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/3/2005
Phone: (503) 639-4171 //* ' /
., pill
Inspection Requests (24 Hrs.): (503) 639-4175 ...,—ta■ '..1..
INSPECTION WORKSHEET FOR DATE: 7/712005 TIME: 7:10AM PAGE: 23
SITE ADDRESS: 07798 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 034 TYPE OF USE:
PROJECT NAME: HAMBACI-I GROVE
DESCRIPTION: Installation of backflow device.
OWNER: LEGEND HOMES, PHONE #: 603-620-8080
CONTRACTOR: MARTIN SANDERS GROUNDS MAINTEN PHONE #: 503-647-5567
Inspection Request Scheduled For: Date: 7/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
326 RP/backflow preventer 01093402 603-209-6346 N
Corrections/Comments/Instructions:
1 -- 1;05 120 (4 '2 ,
3 z
,K PASS $ PARTIAL APPROVAL El CANCEL El NO ACCESS
fl FAIL V CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
-143C( (AV ieser
Inspector: 1(_,I. cA,--- Date: 717/ Phone #: (503) 718-