Permit " CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00171
��i DATE ISSUED: 5/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 108D D -14900
SITE ADDRESS: 14934 SW HUNTWOOD CT ZONING: R -7
SUBDIVISION: VALLEY VIEW LOT: 024 JURISDICTION: URB
Project Description: Backflow prevention device 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
KIMBALL HILL HOMES Description Date Amount
4137 NE THURSTON WAY #100
VANCOUVER, WA 98662 [UPLUMB] Permit Fee 5/1/2006 $36.25
[UTAX] 8% State Surchu 5/1/2006 $2.90
Phone : 503 - 546 - 5357 Total $39.15
Contractor:
STRUCTURES IN LANDSCAPE
425 SW 150TH AVE REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97006
Contact # : PRI 503- 807 -1599
Reg #: LIC 6997
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 - 1.0- tbirough OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calli n 03-246-6N r 0- 332 2344.
Issu d By: /, / i C % .-4 Permittee Sign.t r i All-7 - -��
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.
Plumbing Permit Application I cif; it 1 1. I l �1 i` I
City of Tigard n`mia .-e i PeT t No.. ' 606-66 /7 /
13125 SW Hall Blvd., Tigard. OR 97223 , - Plan Review
Phone: 503.639,4171 Pax: 503.598.1960 " DatclB7: ()Met permit Nn.: -
24- Hour Inspection Line: 503.639.4175 ..LJ. i� Thee Ready/By: luriM TA See Page 2 Tor
Internet; WWW.ci.tigard.or.us Notified/method: 9vppleareaplInformation
TYPE O WORK • FRE *'SCHEDU,LE.. _
Naw construction ❑ Demolition
Par al In o►malloR 41sT. cHerkllst.
Description • Ea. Total
Additien /elterntion /replacement ❑ Other: New 1- 24amily dwellings (includes 100 ft. for Cat* utility connection)
CA'1i'LGbRv'0)F'. SFR (1) both 24920
1- and 2- liimily dwelling ❑ Commercial /industrinl ? PR (2) bath 350.00
❑ Accessory building [] Multi - family _5FR (3) bath 399.
. ❑ Master builder Each additional bath/kitchen 45,00
❑ Other: Fires sprinkler
'. JOB.:91T',R RNPORMATION AND LOCATION p sq. ft..) Page 2
- ,,,, -_•„ Site utilities
• Job site address: I LICI.7-14 " I_V ntw Catch basin or even drain 16.60 •
City /State /ZIP: c . t . y , 02 , C- - `; D „ fhywell, leach line, or trench drain 16.60
Ruite/hltlg. /opt. no.; Project name: Footing drain ( no, l inear �.,: _�) Page 2
Manufactured home utilities 1.10.00 '
Cross street/directions to ,job site: Manholes 16,F0
Rain drain connector 16,60
•
Sanitary sewer (no. linear ft.: ) Page 2
h ` • Storm sewer (no, linear ft.; ) Page 2
- Subdivision: V iA, 1•` 9 {Ix.i, .E�T_(i / LLcrt no.: ( 2t i Water service (mi. linear ft.: .) Page 2
Tnx map /parcel net: i0
Fixhtre or Item
Absorption valve 16.60
. 2:' •• . ,
O CRiPTION OF WORK Backflow preventer t — Page 2
31 (A,(.UA, ' )�' i,('(,k. ik 1 - ,:J Backwater valve 16.60
r
Clothes washer 16.60
Dishwasher 16,60
! P)FtC1P$Att7' OW1�TTl;R'. ' jr] TENANT Drinking fountain 1(i,60
/ j ec p 16.60
Namc: ' w 1l�ar (i,I a f t w ��n : S r Expansion tank t ro nk -
t i 16.60
Address: Li -3l I -7 .r - 1 l��l, r.. ( (, „ - 0 Fixture/sewer cap 16.60
(r
City /State /ZIP: J j; i;�.a,r• i LL A ...
i • _Flom drainmoorsink/hub 16 -60
Phgnc: (36C:' ) qtb : cA 7 ('3 ; (,4 Fox: )N, -c; ' k' i 1.6.60
Garbage disposal ' •
_,
a ;APPLICANT ', . ' 0 . CONTACT' Pi8IMON Hose bib 16,60
Business name: , Ice maker 16.60
t�j j �-�1 °� - Interceptor/grease [
Contact name rap 16.60
Address: J Medical gas (value: $ ) Page 2
l_ i• _. il /'(1,.LA 4F 100 Rimer 16.60
City /State t i ... t � , ( , ��. • Roof drain (commercial) 16,60 —
Phone: (3 O) F) &' `�� i rnx:: CS Sink/basin/lavatory
L.-, 5 =, 16.60
E -mail: Tub /shower /shower pan
> - • Urinal 16.60
_, �CONTItACPOR Water closet
16,60 .
Business name: $Tpp
Address: r�t�� r� e, #4 1.yr}NOSG,y�r� Water heater 16,(10
Sw Other:
City/State/ZIP: . - 0
7 04 Subtotal
Phone: ($+1 ) . r] •• 7 Fax: ( ) Minimum permit fee; $72.50
Residential haekflow minimum permit fee: $36.25
t CA Lic.: 6947 Plumbing Lie. no.: Plan review 25% of
[.t0 641'9 ( permit fee)
Authnrired signature: �� State surcharge (8% of permit Fee)
Print name: fjq�4 w - TOTAL PERMIT FEE
_, T j note. 9 /z4 f� Thla permit npplfryrrion expires If it - • '
P per' is not obtained within
180 days after It has been accepted as complete
1 7-
CITY OF TIGARD
BUILDING DIVISION ............._ PERMIT #: PLM2006%00171
,
13125 SW Hall Blvd., Tigard, OR 97223 -. DATE ISSUED: 5/1/2006
---•
Phone: (503) 639-4171 i
Inspection Requests (24 Hrs.): (503) 639-4175 ..,_._tsk %-,....
INSPECTION WORKSHEET FOR DATE: 5/16/2006 TIME: 7:02AM PAGE: 2
SITE ADDRESS: 14934 SW HUNTWOOD CT CLASS OF WORK:
SUBDIVISION: VALLEY VIEW LOT #: 024 TYPE OF USE:
PROJECT NAME: VALLEY VIEW
DESCRIPTION: f3aci4I OW prevention device for irrigation.
[
OWNER: KIMBALL Flat HOMES, PHONE #: 503-546-5357
CONTRACTOR: STRUCTURES IN LANDSCAPE PHONE #: 503.807-1599
Inspection Request Scheduled For: Date: 5/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 029965-11 503-490-6058 N
•
Corrections/Comments/Instructions:
O l t "
1/4......1■"." ....' ,
\i-Qo.-A, 7 Li I ‘75-ep • Ck-'
. t ,
t PASS EI PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL 0 CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
C jiti
Inspector: Date: q 1 /6/ 6 6' Phone #: (503) 718- 1 tif I V