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Permit C ITY OF TIGARD PLUMBING PERMIT • COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00166 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/21/2008 PARCEL: 1 S 125DC - 07400 SITE ADDRESS: 07069 SW ASH CREEK CT ZONING: R -4.5 SUBDIVISION: ASH CREEK ESTATES LOT: 007 JURISDICTION: TIG PROJECT: ASH CREEK ESTATES Project Description: Installing backflow preventer. CLASS OF WORK: ALT 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 VERDE ASH CREEK LLC PO BOX 1188 Description Date Amount LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 4/21/2008 $36.25 [TAX] 12% State Surch 4/21/2008 $4.35 Phone : 503 -550 -2421 Total $40.60 Contractor: BURNESS LANDSCAPE 9330 SW LEHMAN ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 432 -8525 FAX 503- 432 -8525 Reg #: PLM 13007 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: i . / . Permittee Signature: -��r Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. APR -18 -2008 03:19 PM THOMAS. S.BURNESS 5034328525 P.01 r h ?iumbinit Permit Applie - It n Building Fixtures , ,, I I; i , I 1 1, t • 1 i i , , e City of Tigard R cEi\ia,,,: , 13125 SW Haul Blvd, , Tigard , OR 97223 7iI� = 6 Phone: 503,639.4171 Fax: 503 APR 8 200 , Other Permit No,: Inspection Line: 503 639 4175 • d Anh; H tier Pagel for Internet www tigard or gov r.? o w, i. Wiled/Method: od: Sa . , mal Information II l tY'fl 4 •ry , t91 A !'1$ °ti" �n' P, Y„ e IMfI { I �� �i. i ,yy I lr " i i i !t. I, ,)r y i p �- �, ` 4 6� I .. / i t , IN . d + „u da: r 1 . „ � \; . "' t '' " r t.»,4 �+p...' .f . ,ott'� # .. �t i A . t't I (n - .F ra New construction O r .. t3omolitioi, ' _ For c iol ilurmo8on use cbeekiisd Description L qt I I. I Total © Addition /altctati0ttheplacement �� �� �� [] Other: ( New 1- 2- family dwellings (Includes 100 ft. for each utility connection) ,I I' ; i l �i ll it i{ ;' f I"'' 1i' � ¢. i ) I i11da1G Y . 1 I 1t i� 'ni, a S��D 1'n'{ + SFR (I) bath ...._ „ 249.20 CO 1- and 2- family dwelling ❑ Commeccial/industrial SFR (2) bath 350.00 0 Accessory building 0 Multifamily S)/It (3) bath 399.00 -- Each additional bath/kitchen 45.00 ❑ Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 P' i � �, n ��p , Y� I � I; , �t �. ,tiY r %gRiwt ' , ... - r, 4 I � � ,! {' w , �,tvkw�ri k t r a I '' ' Site utilities lob site address: Ash Creek Lot 7 • %Mgr b area( Catch basin or area drain 16.60 - City /State /ZIP: Drywoll, leach line, or trench drain 16.60 Suite/bidg. /apt. no.: Project name: Verde Homes -- Farting drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directlons to lob site: - Mwdrvin;a 16.60 Rain drain connector 16.60 Sanitary sewer (no, linear ft.: ) Page 2 Storm sewer (nu. linear ft.: ___) Page 2 Subdivision: Ash Creek Fatah* I Lot no.: 7 Watts service (no. linear tt.; Page 2 - Ffitnre or Item Tax map/parcel no � 'l , � � .� : Absorption valve 16.60 � ry y lifri k ni,,,,10,,..:,':,,',, ,1 a i l , 1 d� uW I4�. (1 ,01 dl t , r , �.�, I ,. ' ' t w l'. ��� B ackllow p reventer I Page 2 36.25 landscape Irrigation Backwater valve Clothes washer 16.60 Dishwasher 1660 a 1! ?I�r 9�Y!"�3�?M>D w y y I �� z i Drinking Fountain 16.60 � '� ` I i ai¢� ti'ati id►�IttMAr11 �IAN'� � �, J1 , i a Y , ; , t � 7,I i ' t a i , 2A Y ';,d4 ` , V Y' . ' [:Jeehm> ,.... 16.60 Name: Verde Homes - , Expansion tank 16,60 Address: Fixture /sewer cap 16.60 City/State/ZIP: Floor drain /floor sinkirub 16.60 Phone: ( ) - Fax: ( ) Garbage disposal 16.60 p; , , a I N w r of ( I p , , , r s , ,a , . i a ,4 orn: ri,,,, pia; J , r, )} Hoge bib 16.60 , P 1 { �- „, {��t h Fs :1i k, - (,, i I { AI,v,; i w , 0 ), S,A„his, 1 4 :;et'tfti . iN _� I, maker 16,60 Business name: Burnam US -- . . Interceptor/Wine trap 16.60 Contact rrarne: Tem Barnes& - - °. Y. Modicr,l gas (value: $ __ -- ) Page 2 .. ~ Address: 9330 SW Lehman St Primer 16.60 City/Slate/ZIP; Tigard, OR 97223 - R oof drain (commercial) 16.60 Sink/basin/lavatory 16 -60 plume (S03) 432 -025 Fax :: (503) 432.8525 7'aldshowor /shower pan 16.60 E-mail: Urinal 16,60 It''l11 1 I I � J' I '1f C GI a l i rih ∎�l l l '''1!” I . /§ ' : " . I l� Iii fd.,''', .'; Y YGfi � ' Y fl . ','7 "I �1 ''9li tE . I Pl i t Wa lerc l oset 16.6!) Business name: are above Water heater 16.60 Address; : _ ' Subtotal City/State /[P: .... --.. —_ Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit Poe: $36.25 36.25 CCI3 Lie.: 13007 Pi bi no.: - Plan review (25% of permit fee) � J� State surcharge (I 2% (A - permit fee) 4,35 Authorized signature: TOTAL PERMIT FEE 40,60 Print name: Thomas Burmese I Date: 041808 'I'bis permit application expires if a permit is ant obtained within • 106 days after it has been accepted as complete. "Pee mrlthnrinlnpv AN by Trl -wain l iiiMinp lnrtn5rry Sol-via Aomori p LM 200S- 60166 CLIP! OF 111GAitD ,•c UilLEENNG DOVOSION PERMIT #: hif9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11119/2007 Phone: (503) 639-4171 Ah Ataltik • Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1(i2001i TIME: I; 01Am PAGE: SITE ADDRESS: 07069 SW ASH CREEK CT CLASS OF WORK: SUBDIVISION: ASH CREEK ESTATES LOT #: 007 TYPE OF USE: PROJECT NAME: ASH CREEK ESTATE; DESCRIPTION: SI OWNER: Vi::RDE ASH CREEK LLC, PHONE #: -0- 2121 CONTRACTOR: VERI)E:: HOMES INC PHONE #: 503 Inspection Request Scheduled For: Date: 6/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message '399 PlImptli n9 final 071032-01 603- 6E0 . 2421 Corrections/Comments/Instructions: c_ e L. 2.0 —0 0 / C - te , At 0 7-C C ■f C (7r- 9 )(PASS PARTIAL APPROVAL El CANCEL 7 NO ACCESS FAIL I I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: c) ell'1i Date: /0 7) Phone #: (503) 718-