Permit •
, � v CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00205
DATE ISSUED: 5/12/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DC 08800
SITE ADDRESS: 07172 SW ASH CREEK CT ZONING: R -4.5
SUBDIVISION: ASH CREEK ESTATES LOT: 021 JURISDICTION: TIG
PROJECT: ASH CREEK ESTATES
Project Description: Installation of residential backflow preventer 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
GOODLETT MARSHALL BUILDING
PO BOX 91551 Description Date Amount
PORTLAND, OR 97291 [PLUMB] Permit Fee 5/12/2008 $36.25
[TAX] 12% State Surcha 5/12/2008 $4.35
Phone : 503- 297 -1881 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 Permittee Signature -
LAW' r y— (--_
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.
I.-
.A`AY -07 -2008 11:29 AM THOMAS. S.BURNESS 5034328525 P.05
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Building Fixtures „,„ ,,, i Il , , ,
City of Tigard t,_ h t ��� ' a 0 ° "" b B lj (/ Permit N u.: I. (� J o
l ig � .� r 13125 SW Hall Blvd., Tigard, Q1t -97223 .. 'riles R �
4r Phone: 503.639.4171 Piz: 503.598.1960 Pi 200 e :: char Permit No.:
Inspecion line 503 639.4175 M PI ® e Ready/Bs:
I ' i ' ' Internet woes tigerd..or gov t t NotiHad/Mathod:
gn 1787 SY�CCI , , 1, e r Wy�� iit d d k dprr 4fit t k� 1I1. i �u. 4 l q; 1u 7Vy3 ■ AEI. r , .. 0,, ■ �} x p,x3 r u y l a : � i f m t � tr;'' '1 ,1�,v, t ,3 ;1 '�� y ,,
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® New construction in 1 q� 1?emolition' For special lnJon ate checklist
Desc4on ( Qty I I. ( Total
Q Addition /alteraliott/re 0 Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
,,'j � i i l�i
,':Il l�ara ' «.t u r f) t r � �! �p t SFR(1)kWh
1liS IIFIl9 ! , K It } o r. it s, r tr kifa , . in.-' 3. t � <ii 3 4 { ;' 1 24920
I- and 2- family dwelling 0 CornmerciaUitldustrinl SFR (2) bath 350.00
0 Accessory building Q Multi-family
SFR (3) bath 399.00
Each additional bath/kitchen 45.00
J Masker builder 0 Other Fire sprinkler ( sq. ft.) Page 2
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{{ K h ill a, Y, 111; +Y irr . , Y9a i ,�yrr '0 Ya h; I hi li o b
� a L it r YS k y , S:f �Y , I t g ,t ' ,
��ii P v '4P14/1 r01 , P +, Site utilities
' 'J 93 . � �� "��` ,or � ., . _ • ' +, r • asr�
Job site address: 7/ 7.R , _ t'iunda�a i;ali�1..�. ! a : �
/ . Catch basin or area drain -1111113
City/State /ZIP: Tigard, OR f Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: '1 �>rti/ 2.S - Footing drain (no. ]hoar ft.. ) Page 2
---- Manufactured home utilities II 110.00
Cross street/dlrections to job site: Manholes 16.60
Rain drain connector 16.60
, Sanitary sewer (no. linear ft.: _,.,_. IIIIIIIIIZMIIIIIIIII
Storm sewer (nu. linear ft.: _1 Page 2
Subdivision: Aah Creels TI-4:4 no.: 21 _ Water service (no. linear ft: _) Page 2
- Fixture or item
Tax map /parcel no.: -
r r�retp rat �g� y Absorption valve 16.60
MEN
9 "' . • I I, r• ' t l ' ' k 4.' I'1,; I . . n t a t eg xazYwa tltei i ss44.4 �iF iS,14'ii11b'r a14 l V B widow preverder II Paget 36.25
landscape irrigation Backwater valve 16.60
clothes washer 16.60
Dishwasher III 16.60
� $ � �� � a''�� {{ rar i1Y
m�1 ��t� n R, y , g,r v' it (, t t' r a ,,, t r : k t yty$� Drinking fountain 16.60
Ir t'A � ,EFM Y� sa titllil 7 � 1, , ,era ,h,;,g1.1 41.:(In i ws gr�
'/ f . ' ' ' , �� E JLCtots/su 16.60
il ' '- ". � Expansion fink 16.60 .
Phonn/sewer cap 16.60
Flout draain /floor sink/hub 16.60
Phone: ( ) Garbage disposal 16.60 • ‘j.1.4' �" `,' ° iv r ' Y ° I ..t, 0+ t.t. f1.r y t ybr +q P �'81; u Hose f11b . 16.60
' i1Pll 2 L ( 4 ",ai 1 ' x V 1 Sh:� r'0!Iela rtel'iltk ;h b .alaY aulM,4 i13 Ice maker 16.60
Business name: Burners US Interceptor/grease trap 16.60
Contact name: Tom Durum Medical gas (value: S ) Page 2
Address: 9330 SW Lehman St Primer 16.60
City /State/ZIP: Tigard, OR 97223 Roof drain (commercial) 16.60
Phone: (503) 432 -8523 Fax: : (503) 432-8525 Sink/basin/laystory 16,60
tub /shower /shower pan 16,60
E-mail Urinal 16.60
i l> il'.` ��, {tV ' i i v uJN4 1N tuMh i, • a , fi r , 8 R A
�j,);I i #il6l , i } d , '4 tl, F,4, .0 � bar 4 a,,;'. ,f'1 "t. , '`' 1 <' t ,:,, ? .4 Water closet MIN 16.60
Business name: nee above Water heater 16,60
Address: Other;
City /State/ZIP: Subtotal
, Minimum permit fee: $72.50
Phone: ( ) Fax ( ) Residential backtlow minimum permit fee: 536.25 3625
CCB Lie.: 13007 k bi - : ' . no -: Plan review (25% of permit fee)
Authorized s' State surcharge (12% of permit fee) 4.35
tgnatalre; � ' TOTAL PF?RMI'1" PEE 40.60
/L
Print name: Thomas BuraesA This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Pees m,thndnlnvv ant Iw 11i- Cnimty Rt,iltiinv 1n,lnatry Service Annul
.. .
CITY OF TIGARD
BUILDING DIVISION A A PERMIT #: PLM2008-00205
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 5/12/2003
Rhone: (503) 639-4171 J94!,iitiiil
inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/6/2008 TIME: 7:01AM PAGE: 9
SITE ADDRESS: 07172 SW ASH CREEK CT CLASS OF WORK:
SUBDIVISION: ASH CREEK ESTATES LOT #: 021 TYPE OF USE:
PROJECT NAME: ASH CREEK ESTATES
DESCRIPTION: Installation of residential bacidlow preventer for irrigation.
OWNER: cooDLETT MARSHALL BUILDING, PHONE #: 503-.297-1801
CONTRACTOR: BURNESS LANDSCAPE PHONE #: 503-432-8525
Inspection Request Scheduled For: Date: 6/6/2008 Pour Ti e:
Code # Inspection Description Confirm # Contact # Mes- .
395 Misc. inspection 071029-02 503-537-8654
Corrections/Comments/Instructions:
l Y
d -pASS n PARTIAL APPROVAL CANCEL n NO ACCESS
El FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Date: (e/ (e. (o r Phone #: (503) 718- 2---