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Permit CITY TIGARD PLUMBING PERMIT , S� , l 1 ' DEVELOPMENT SERVICES PERMIT #: PLM2006 -00169 .�I 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 511/2006 PARCEL: 2S 109AC -02101 SITE ADDRESS: 13030 SW BULL MOUNTAIN RD ZONING: SUBDIVISION: LOT: JURISDICTION: URB Project Description: Connect existing house to sewer lateral, 180 feet and sewer ejector pump. Septic tank is to be c e pumped, filled and inspected. ,t CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: J URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: 180 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES ALBERTA RIDER Description Date Amount 13030 SW BULL MOUNTAIN RD TIGARD, OR 97224 [UPLUMB] Permit Fee 5/1/2006 $118.00 [UTAX] 8% State Surch 5/1/2006 $9.44 Phone : Total $127.44 Contractor: LOVETT EXCAVATING INC 2925 SW HARTLEY DR REQUIRED ITEMS AND REPORTS GRESHAM, OR 07080 Contact # : FAX 503- 288 -1630 PRI 503 -504 -2847 Reg #: LIC 125507 PLM 26 -773PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 10 though OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by 9 1- calling 5 3- 246 -669 0- 332 -2344. Issued y: jc 444411/ Permi ttee Signature: �i�% Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 04/27/2006 08:39 r 5032881630 PAGE 01/03 FOR OFFI2'10 USE ONLY Ptiumb;ine Permit Appljca.tion, Roccivcd P nun No.; ii it/0k-- ©0 0 City of. Tigard Datc/ ' 1� 13125 SW 1'iall.131vd., Tigard, OR 9722 plan Review n Phone: 503.639,4171 Pax: 503.598.1960 �1 7oOF ! ` F �� jit ()ass /g : Other Permit No.: � ��� ,- __...e7 AP s 24- Hour Inspection Line; 503.639.4175 R v4 14. ,nc r l�t � Supplemental Information t { Dale Ready /By, r "�R El See F na+c 2 for lntcrnct, www.ci.tigard.or.us . ncc ic< c • TYT' -T >wW` . � W" : > EE'": SLlliittit;ii. • • g. I e/ %, 9. • - Fors ccialin ormalionusachcckii$t: � N construction _ d . v �-` t C emol ) tion Description Qty. .. fa. Total TA Addition /alteration /replacement 511 ' 0 Other: - Newt- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORV OF CONSTRUCTION .. . ' : • • SFR (I) bath 249.20 ; 350Ai) 1- and 2- family dwelling 0 Commercial /industrial SFR (2) bath — _ - SFR (3) bath 399,00 Accessory Encildinp 0 Multi-family - . Each additional bath /kitchen 45.00 0 master builder © ether: Fire sprinkler ( sq. ft.) page 2 • ,T0.13 SITE • INFORMATION ANl LOCATION sit ntititics _ _ __ • 1015 site a(idrCSt): j _ b� �� n .� (h Catch basin or area drain 1 6.60 City /State /ZiP: T Dilard q Drywell, leach line, or trench drain 16.60 ' �J 1 Footing drain (no, nicer ft.: ) Pagc 2 Suite/bldg. /apt. n0,: Project name: -----" Manufactured home utilities 1 1 0.00 Cross street /directions to jnh site: - — Manholes 16.60_ Rain drain connector 16,60 -� Sanitary Sewer (no. linear ft.' IJ)) Pagc 2 Storm sewer (ho. linear ft; ) Page 2 ` ^ ' Water service (no. lincar •ft.: ) Pogo 2 Subdivision; Lot. no.: Fixture nr item Tax map /parcel no.: Absorption valve w 16.60 � . ,�,r,,� 1> I( 1 1)TSCh1PTION OF WORK f3ncicl9owprovcntcr Page 2 _iti ci 1 1/Iati Backwater valve - - 16.60 ('Indic§ washer I 6.60 lC> 1 St n 16,,60 CCf r , Dishwasher d rJ l Drinking fountain 16,60 PROPERTY OWNER n TEVAN'P E /sunup - "_ 1 6.60 Nome: A L or ! ' i ' " " _ Expansion tank 1 6,60 Address: ( 3 . -, r L Fixture /sewer cap _ I6.60 City /Statc/7.1P� - a. 0.j-D Q 2 9 -79 -y Floor drain /floor sink /hub 16.60 Phone: ( ) Pax: ( ) Garbage disposal 1 6.60 . Hose hill 16.60 0 API'1 ; >1C ANT • © CONTACT .PERSON' - - -- — - - !cc maker 16.60 Business name: interceptor /grease trap 16.60 Contact name: Medical gas (value: `F ) • Page 2 ' ``J Address: Primer 16,60 City/State/ZIP! Roof drain (commercial) 16.60 Sinlc /basin /lavatory 16.60 Phone: ( ) Pax::( ) Tub /shower /shower pan 16.60 �1 E -mail: - Urinal 16.60 C7 � + CONTRACTOR RACTOR Water closet 1 6.60 w a,.„ ham,...- 1 6 Business name: LZjJ - E� -� _. ,,.r Address: a 5 3 , 0 1 . _ k Other: _ „� __ c1,:y/State/ZIP: Subtotal � �� � Minlnutm permit Ice: S72,50 9 l Phone: (r (:).(4 a 7 Fax: C563) . _ 0 � Residential backflow min iinum permit fee: 536,25 ` 'e CCB Lie.: ' • Plumbing Lie. no.: �6 - 7736 Plan review (25% of permit fee) • • • 0 T Stare surcharge (8% of permit tcc) �. Authorized signature: ` , � 1 TOTAL, PERMiT Fit 01,`t gra, Print name: �a it � l i (r. i)atc: C " L This permit application expires if n permit is not nhtaineo witmmn 1 -.. T s- -Y1 — • 180 days after it has been accepted rig complete. *FCC methodology set by Trl- County Building industry Service Board 1:\ nuildinu \met.c%11AP1 PCrmit App. dm 66 /eS 44e- 45I67(H0/42(COM/Wr.i3) • MEMORANDUM T I G.RD TO: Distribution List FROM: Bethany Stewart RE: ADDRESS CLARIFICATION WCTM 2S109AC -02101 & 2S109AC -02100 DATE: 5/12/06 For Parcel 2S109AC -02101 the primary site address is 13030 SW Bull Mountain Rd. assigned to the log cabin. There is a secondary site address of 13040 SW Bull Mountain Rd., assigned to the blue house behind the log cabin. The parcel owner's mailing address is the same as for Parcel 2S109AC- 02100. For Parcel 2S109AC -02100 the site address is 14850 SW 132 Terrace. If you have any questions, please contact me at 503 - 718 -2459 or bethanytigard-or.gov. Thank you. CITY A~����70�������� ��m m m OF mn�m��nm�� BUILDING DIVISION ' . PERMIT #: PLM20W00169 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: EV1/I006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ^ ��� INSPECTION WORKSHEET FOR DATE: 676/2086 TIME: 108IVI PAGE: 30 SITE ADDRESS: 13030 SW BULL MOUNTAIN RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: RXDFR DESCRIPTION: Connect existing house to sewer Iatral, 1l0 feet and sewer ejector pump. Septic tank to be pumped, filled and in . 6/3106 Replace drain for kit. sin. OWNER: RIDER, ALBERTA PHONE#: CONTRACTOR: LOVETT EXCAVATING INC PHONE #: 503 5047017 Inspection Request Scheduled For: Date: 5J50000 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 029374-01 503-5W'2847 N Corrections/Comments/Instructions: yfPASS �� APPRO\A�L �� �ANCEL �� NO ACCESS / �' ' ~ / / / / ri FAIL | | CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • ' PERMIT #: PLM2006- 00109 13125 SW Hall Blvd., Tigard, OR 97223 D ISSUED: 5//12005 Phone: (503) 639 -4171 4 #41101# Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 5/50006 TIME: 7:10AM PAGE: 13 SITE ADDRESS: 13030 SW BULL MOUNTAIN RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: RIDER DESCRIPTION: Connect existing house to sewer lateral, 180 feet and sewer ejector pump. Septic tank is to be pumped, filled and inspected. 5/3106 Replace drain for kit. : ink. OWNER: RIDER, ALBERTA PHONE #: CONTRACTOR: LOVEt r EXCAVATING INC PHONE #: 503- 501 -2f317 Inspection Request Scheduled For: Date: 5/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 3q5 Misc. inspection 029382.01 503-209-M33 Y Corrections /Comments /Instructions: • j ,./\ ar i„...,..., _ fi' i ! // _ s if I / - , All AlO ,/ / / li 1 _ 1 i / rdAr /ll j1 /�LL /l�.r ./ - i / , -- ) - . 7 ■ ...:;4_41 i /o - .i .r , ./ ' i sr _ �::. � A/ All - <—. PASS - ARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: i 1, 1"/ Date: 57,1 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: I'I-lv1200$ -001( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1l2O i6 Phone: (503) 639 -4171 reit Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: 5/3/2006 TIME: 7:06 AM PAGE: 5 SITE ADDRESS: 13030 SW BULL. MOUNTAIN RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: RIDER DESCRIPTION: Connect exiting house to sewer lateral, 190 feet and sewer elector pump. Septic tank is to be pumped, filled and inspected. OWNER: RIDER, AI_t3ERTA PHONE #: CONTRACTOR: LOVETT EXCAVATING INC PHONE #: 503 - 2B47 Inspection Request Scheduled For: Date: 5/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 029208 -01 50:866-0300 V' Corrections/Comments/Instructions: (\i\ 6 y) • PASS 4ARTIAL APPROVAL n CANCEL I I NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: ! ' CJ Date: Phone #: (503) 718 - `