Permit C - CITYQF TIGARD PLUMBING PERMIT
: :. ` COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00353
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/8/2007
PARCEL: 2S 104 DC -02400
SITE ADDRESS: 13381 SW CLEARVIEW WAY ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 024 JURISDICTION: TIG
PROJECT: CINCOTTA
Project Description: 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
CINCOTTA, DANIEL + LISA M
13381 CLEARVIEW WAY Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 8/8/2007 $36.25
[TAX] 8% State Surcha 8/8/2007 $2.90
Phone : NA Total $39.15
Contractor:
SOUTHWEST LANDSCAPE LLC
11654 SW PACIFIC HWY #9
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 620 -0149
FAX 503- 620 -0590
Reg #: LIC 8516
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ /
Issued By: - : / 4`e , j Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
08/08/2007 WED 9 :34 FAX 5036200590 SW Landscape LLC ?001/001.
a,_
Plumbing Permit Ap i , FOR OFFICE USE ONLY
Cit y of Tigard Date! t C g ,9 .1 7 Permit N .:
wg �C.l�1207CO33
AUG
13125 SW Hall stud„ Tigard, OR �D07 at
NI: Plan Rcv.cw
Phone: 503.639.4171 F ' 4 3.59$,1960 Other Permit No.:
Inspection line; 503.639 4115 Y 01+ L U Date/B
Internet: www.tiga it /
TIGARD Date. Ready/By: lux El Sec Page 2 for
Notified/Method: SupPterucntal Iuformal,un
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❑ New construction ❑ Demolition For special information use cfreekliar.
Description I Qty L E.a. i Total
Addihnn/alt
erttion/replacenlent ❑ Other: New i_ 2_famlly dwellings (includes 100 It. for each utility connection)
Aft , d4 : . ' ; Kai, r't. T s 1{ '' Mr. ,,. ,r Fz'r 0. t •7.' x1, rim . a;ry}, r ,. { SFR (l) bath 24920 .
El 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
CI Accessory building CI Multi-family SFR (3) bath 399.00
ID Master builder Each additional bath/kitchen 4 5.W
.a�:2h,�tiR�.r�+.tK 'h f ' r r::: r.'r'r.uirr ,�..V�� 4`:1`A:_'..:.. rt.r:°i,x',:xv.,:aur. �M n.,: o q Other:
,:r...._'::: _.:... _ Ficc sprinkler ( sq. ft.) Paget
V .11::;I: '. F rr., eWru ,'� m h '.:.'.v .. � ,tl 4f r dr.:. eT, . . . ■
. y • .KS V� "� , .. ^iM + ww. n fi�w��n �'. tIM'r'wafw. c � � .' eve .' .�1k1.1W, l�nn�M. r.'�Q�.rev�v�ypq � x Site IItiIltlCS
Job site address $\ : l - ,D - C '.. ;..0 - vQ ,3 Catch basin or area drain 16.60
City/State/ZIP: 5\ c)Q C A7 - 1 - --. Drywell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name; Footing drain (no. linear ft.: _) Page 2
Manutictured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
r . No �• _ .. Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision- [Lot no.: Water service (no. linear ft.: ) Page 2
Fixture or item
{ / r . . r. ,.PwN r = ,. i1 {a ' . �.,. r Absorption valve 16.60
Tax map pare no,;
e �fil r a „1 �t Backflow prcvcntcr 1 Page 2
.. ^ ,\(' 'C \('` • _) Backwater valve 16,60
Clothes washer 16.60
' Dishwasher 16.60
. \ T.:: / l r1 v n tl m„ % %S 'r ° , .11';''': . ,% Drinking fountain 16.60
; N 4 x '... s ap ' _me, , 1 .Z. ;,,, t' sf 'i ' .a.u,, Lmtrx N• �
` Ejectors/sump 16,60
Nsmc:
11 r �` Expansion tank 16.60
Address: ��'� %\ -) - C i,., �` 7 , n \ Fixture/sewercap 16.60
City /State /Zl1'77 " \ CL-1.----a---S Floor drain/floor sink/hub 16.60
Phone: (r. ,�,) Fax; ( ) Garbage disposal 1 6.60 tyhc
1, '..I'lsI m„ k'; k , ' ', ..:.; « K i)' i , . ..- , 'r'am uan , !r ° ^++ mMry� hose bib 16,60
Bus name: --v- - > St xn„ ;� ..r.. ,:rr_' -
rr rcc makes 16.60
= ' Interceptor/grease trap 16,60
Contact name :'�T— ft-L. Medical gas (value: $ ) Page 2
-
Address: \\\.._(:)._.,\ _� C__,.. _ Ilk. Primer 16.60
City/State/ZIP: . y 9 - 7 w--' Roof drain (commercial) 16.60
Sink/basiic/lavatory 16 -60
~ H=one.: -9 ----) O\%\ _ Fax :: (5 - ) (_4,•0 _ Tub/shower/shower pan 16.60
E -mail:
5�`F .' \. k tl A� " 5, � , � 1 1 x,x:rr g , :. r.ha. ��� -`a..�#�l{ARi { i,:i•:: id , ,�.ad:'�M� :l$.ili :xrn,�,�� i " i § Mi i�4:ii
Urinal t
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� 1 �' ' . „�,�' ` �? �` r `' ��� � Water cl set
13usln s name; '. ,a- .r....x.a.n...... A :r�;n 0 16,60
q Water heater 16.60 Address: 3� D 3D < � Other. ^
City /StatcJLiP: l_ . 4 Subtotal
i / / 7 Minimum permit fee; $72.50
Phone: ( ) Fax: ( ) Residential hacktlow minimum permit fee: 536.25
CCB Lie.; Plumbing Lie. no.: Plan review (25% of permit fee)
Au thorized signature;
State surcharge (8% of permit fee) -
.. :/ / .� TOTAL, PERMIT FEE 3,,, /
Print starve � 'l..� " +\-c. Date" -(::51 This permit application expires if n permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building lndustty Service Board.
0.1.m. ildin z \vcrrnicc \pi_m_ver.I,App 05/26/05 440- 4616T(10 /02/cOM/wrts)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00363
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 818/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' W'
INSPECTION WORKSHEET FOR DATE: 8/13/2007 TIME: 7:01AM PAGE: 32
SITE ADDRESS: 13381. SW CLEARVIEW WAY CLASS OF WORK:
SUBDIVISION: BENCHVIEW ESTATES LOT #: 024 TYPE OF USE:
PROJECT NAME: CINCOTTA
DESCRIPTION: Baclflow preventer for irrigation.
OWNER: CINCOTTA, DANIEL + LISA M, PHONE #: NA
CONTRACTOR: SOUTHWEST LANDSCAPE LLC PHONE #: 503 - 620.014.9
Inspection Request Scheduled For: Date: 8/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 053841 -01 503620 -0149 N
Corrections/Comments/Instructions:
14 %.-T 00,6 C t-, c 2t/ t v t S17,4
C re
NI PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 0 -; Date: ? 1 131, 7 Phone #: (503) 718