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Permit CITY TIGARD PLUMBING PERMIT ►..,,, DEVELOPMENT SERVICES PERMIT #: PLM2005 -00666 +' I DATE ISSUED: 12/2/2005 '" --- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 103AC -06200 SITE ADDRESS: 11350 SW FONNER ST ZONING: R -4.5 SUBDIVISION: PP1996 -063 LOT: 002 JURISDICTION: TIG 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 JIM BURGESS 11350 SW FONNER ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fcc 12/2/2005 $36.25 [TAX] 8% State Surcha 12/2/2005 $2.90 Phone : 503- 708 -4051 Total $39.15 Contractor: DOWN TO EARTH IRRIGATION 13075 SW PACIFIC HWY TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Phone : 503- 684 -3500 Reg #: LIC 8169 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: `71�i6 Permittee Signature: va e Fl Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FROM FAX NO. : Feb. 14 2003 11:01AM P1 B nding Fixtures Plumbing Permit Apni o .L FOR U 1 F1(L t�sl. o��,�' City ofTigard ,r i - 05 fG > trro: ,/ QS ' 0 o 6 t 6 131.25 SW Ha11$lvd; Tigard, OR 97223 0 EC 0 2 2 OO ::, Plan Review other permit No-7 Phone: 503.639.4171 Fax: 503.598.1960 - .2 ,, , ; ., era - Hour Inspection Line: 503.639 -4175 CIT C F T I G , '• f __ . pate Ready/By » see ere 2 for . � Si p1amsoori Information Internet wtvW.et- h�rd.00.trs Noti e - R111'1_DING DI b U�� dllvI�d _r. s: ansJ. nom • .�. ` - `7. •, s� • l ' 7 'V r' , ,q. r tIj 1 'J ; ;; ;V.: o _ � r _. 4 iY4 .:: � �J "i/x ' ,� -4. 1. -•, -e•S♦ : ::REE go: Oi1I�1 - � i t y '; "1/.1+:..:':5•. c 'wiNin...-,-,.: /ii:.. P.,.. •N•.;_ - • , •• El New construction ©pemaiition For special infonrudiou use checT�is . Desatipaon I Qty_ I . TotaE I! -1 Mon/alteration/replacement 0 Other: New 1.. 2.famiiy dwellings (includes 100 ft for eachutility connection) 4S ..I`,yk •�d;?S'i'p 7.11 `r y t r ;. t 1 ,4 0. , i�' p ",$' i., `' f - 1i,+� A .. . 1 " 1 ' ;,q : " :_ :k. ■ . - :� SFR (1)bafh 249.20 �1 a � $ .� -d� �r er ro,'-. �:�iw. :v -4.; , a -and 2 nii1ydwelling 0 CommercislAndustrial SFR (2) bath _ 350.00 0 Accessory building 0 Multi- family SFR (3) bath - 399.00 ❑ Master builder 4 ❑Other Each ad�ditiooal bathhdtche 45.00 ` n 7' rrM rlk,'l `�l ` G HU P.!, •i o � 7 a ? i Ir. -eke. Ei. � Fire Y ��lClCt L � s- It) J - ...1 2 1)611 t rl Mry S4i1 r a .i..,. i : ? ; i '' a = . Site utilities Job site address: I/ 6 Catch basin or area drain 16.60 City/State/ZIP: 1r 1, ZS Drywell, leach line, or tcencb drain 16.60 Srtite/bldgJapt no.: - �, 1 project name: Footing drain (no. linear ft.: ) Page 2- cross strost/diraeu� to job site: " .. Manufactured home utilities 11040 _. . hi J manholes 16.60 f / Rain drain elector 16.60 Sanitary sewer (no. linear ft: ) Page 2 Storm sewer (no. ling ft.: ) Page 2 - Subdivision: Lot 110 Water service (no. linear ft.: ) Page 2 Tax map/parcel no.: Fir:Imre or Item wd. ? eM a' MOW-M. � %�$ :�m, +J g •' , , , i 2...` , 16.60 Absorption valve . '-v X n "'.` -.: - 1 . . n, .: ,.` - T... • Backilow preveettr ._ .Page 2 Backwater valve ' - 16.60 Clothes washer 16.60 � r �e c Dishwasher , 16 -60 it1, g `° �`n i � , 1': Drinldng forrnrain - 16.60 Name: G. ; : II • Ejectors/sump 1111111 16 -60 222 Expansion tank MI 16.60 •' Fncturefsewer cap MI 16.60 CSty/State Z1?: IMIIINLFEMIIIWEIEMIIIMIINIIIIII Floor dtaia/floor sirtidhttb MI 16 -60 !hone: (. 1.y ) cc a - z.° Garbage _disposal Eli 16.60 y , r , i ,1' 1 "� a • erF , Rase bib 16.60 13usitteas ttarr "` lee ntaloer MI 16.60 Contact Warne: ~• Intetar /grease trap 11.111 16 -60 Medical gas (value: $ ) 11.11 Page 2 Address: 1 C)7W W �� � ' Primer 16.60 City /Slat iP: '17, . ,) '. k n 2 - Roof drain (conimerciai) 1660 Phone: s Snildbasar/{a.$ " . ■ Y - ccr.) P'ax:: ( � 329' t 16-60 E-mail: 'tub/showerlshowerpan III 16,60 , :,. 4fr. ,y M • ,' i „ ,, - ` Urinal. - 16.60 :'X"x".'�1 rv >'�U��';,� �a�t3 , e9 .`X 4:�n� °;a:s.°Y?-`Z a =:;! " � " s F ' ' ' �= �.: , : : , i.,. Water closet 16.60 • Business name: ). - as • Water heater 16.60 Address: O 7'S � � ' , W Pt S r' )1 c.., pt.)," Other: City/StateJZIP: '.1 �,,,. : M 017 9_2_ ---1 1 111111111111111111111111=7231 Phone: . ,e./ 6 Fax: ( Minitatra permit fee: $72.50 (� w �L'' �r ? 7 Residential backflow minimum • - , t fee: $36.25 CCS Lie.: IP „ Plumbing Lie- no.: -. • Plan review (25% ofpertait fee) • Authorized sigCatutt State surcharge (8% of permit fee) - TOTAL PERMIT PEE 9 Print 31ame. ` co ..- Date: C +�7Lf �_Ti This permit application expires its permit is not obtained within I80 days after it has been accepted as complete. *Fee rnethndolosv sat by Tri- County Buildinn Industry Service Soard. CITY OF TIGARD _ , O BUILDING DIVISION PERMIT #:e4:0 L.9d$ --6 dZ6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / /3S b S 6 4 - ) e h E' k- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: J30c.,k( FLO ti DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message q $ R � Corrections /Comments /Instructions: C , (O ) PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 1 7 t�� e) Phone #: (503) 718- -1 CITY OF TIGARD #1/b--* ' BUILDING DIVISION PERMIT #: PLM200a -00606 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2000:i Phone: (503) 639 -4171 / iadryim010it Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/912.006 TIME: 7 :01AM PAGE: 55 SITE ADDRESS: 11360 SW FONNER ST CLASS OF WORK: SUBDIVISION: PP19;*063 LOT #: 002 TYPE OF USE: PROJECT NAME: BURGESS DESCRIPTION: F a *i<flow preventer for irrigation. OWNER: BURGESS, JIM PHONE #: 503 - 108.40:51 CONTRACTOR: DOWN TO EARTH IRRIGATION PHONE #: 50368 -3600 Inspection Request Scheduled For: Date: 1/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Mi €ac. i n VOW o!1 02454(i 01 503.626008G N Corrections /Comments /Instructions: A P/M—A. I I r. ' — Ai r ' . daA rr I 0 I 1 I r ■ Je_ _ _!. . . . r- . . . • a _ ............ 6 :$7 . '. 2 / 1-4 ) // .--- PASS H PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: W Phone #: (503) 718 -