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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00200 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2008 PARCEL: 2S 111 CA - 10100 SITE ADDRESS: 09845 SW KABLE ST ZONING: R -7 SUBDIVISION: TAMI PARK LOT: 008 JURISDICTION: TIG PROJECT: WOO Project Description: Installing (1) backflow preventer. CLASS OF WORK: ALT 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 JUDITH WOO 9845 SW KABLE ST Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 5/9/2008 $36.25 [TAX] 12% State Surch 5/9/2008 $4.35 Phone : 503- 620 -9437 Total $40.60 Contractor: CASCADE LANDSCAPE & IRRIGATION INC PO BOX 754 SH ERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 625 -4112 FAX 503- 625 -0739 Reg #: LIC 7832 SUP ALL PHASE & • 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: 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. ' Permit Applrcatio p, Building Fixtures C EIVED rc,r: ► :�► I lc. "; 15r: �;.1,; ' = ' City of Tigard Reueiv IN { q 13125 SW Hall Blvd., Tigard, OR 9722YAY 0 8 2008 B y t orr /6/' ' ermit No.: /2„`r) c ._ i 503639 Ph one: 503.639.4171 Pax; 503.598.1960 Plan R °we<v Date/By: Other Permit No.: . , Inspection line: 503.639.4175 CITY OF TIGARD Date Rcady,Th runt: ® See Page 2 for • . .: I P Internet www tigard -or gov • otified/M hlsa M .. t f � $>x . N Suppreasaental Information :1P v� 'i : `:"i. `n i .' v >,�'v �,*?�� _ � , 0 tto ❑ New construction [l Demolition For special informahan use checklist Addition/ alteration/replacement Other: FLOW QtS Ea Total D „ ^ %;`a " .., . y _ • 2-fatally dwellings (includes 100 ft. for each utility connection) ' BACK FLO Addition/Description ion �,. A ,- Ncw 1. 2 -far i' rtV ? 4\f''t 40104 k 0,0 kV. 3 , i y SFR (I) bath . - .,- v <. ... a: i;� 249.20 ❑ 1- and 2- family dwelling I ConunerciaYindustrial SFR (2) bath 350.00 ❑ Accessory building ❑ Muhl-family SFR (3) bath 399.00 [] Master builder Other: — W Each additional bath/kitchen 45.00 r: RESIDEN T'IAL Fire sprinkler .; " fi t;' '� ., tn: w tt 1r . t'a.t ' P ( sq. ft.) Pagc2 — ' 1 qI �, ,,.: .. . . Site utilities Job site address: 1r f r j (z-(t b �-i— - Catch basin or area drain 16,60 City/State/ZIP: i • cur Q— q V3,3 D leach lint, or trench drain 16.60 Suite/bldg. /apt. no.; Project nantc Footing drain (no. linear ft.: _ Page 2 Cross street/directions to job site; Manufactured home utilities 110.00 „- Manholes 16,60 1t &in 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 Tax map/parcel no -: Fixture or item pz w ` S Y " F ;yy�x „ Absorption valve 16.60 r ``' Backftow pmventer / BACK FLOW ` Page 2 Backwater Valve 16,60 ✓ Clothes washer 16.60 Dishwasher 16.60 1' ° k i l , . . . f "fi+ i f54. [ -M2 e :teet a � �,d 3 t k s 1 ; ; y � � ., Drinking fountain ' <,., � : z'' „r ' . Y 16.60 Ejectors/sump 16,60 Name. l V WOO Address: (] 1 Expansion tank 16,60 q 9,5 �� 1 C ob ` F. t- Fixture/sewer cap 16.60 City /State /ZIP; 'TD + ©� C A 7 1 2.2 s) Floor drain /floor sink/hub 16.60 Phone (' Off) ( • c 'I Fax ( ) 4 � Garbage disposal V 16.60 � , < r q a h � . a , , ;, �� > , � n � Y r , sr �,�, „ - Hose bib 16.60 tee molter Business name: CASCADE LANDSCAPE & IRRIGATION INC .. 16.60 hnterceptor /grease trap 16,60 Contact name; BIJRNIE / LILY Medical gas (value: $ - _ ) Page 2 Address: PO BOX 754 Primer 16.60 City / State/ZIP: SHERWOOD, OR 97140 Roof drain (commercial) 16.60 Phone: (503) 625 -4112 Fax: : (503) 625 -0739 Sink/basin/lavatory 16.60 E -mail: CASCADELANDSCAPE@VERIZON.[YET Tub/shower/shower N 16.60 "� ^% a _6 Mti F ' "t tat w Urinal 16.60 ;,;.;':10`;0" ' 1 r ',` ,M ,.6 h, a' W,F i t 1 . . � t ti y ;,.:..4,,,,... Water closet 16.60 Business name: CASCADE LANDSCAPE & IRRIGATION INC Water heater 16 -60 Address: PO BOX 754 O t h er: City /State /ZIP: SHERWOOD, OR 97140 - _ Subtotal Phone: (503) 625-4112 Fax: (503) 625 -0739 Residential backtl M nimum permit fee: 572,50 � _ ow minimum permit fee; $36.25 CCB Lic.: 7832 Y Plumbing Lie, no.: -_ Plan review (25% of permit fee) Authorized Signature: _� State surcharge (12% of permit fee) �_ U. , I TOTAL PERMIT FEE if V C26 Print name: BERNARDO BRAVO Date: 6 «; This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri - County Building Industry Service Board. tlBuildrter •naitslPtMF- PcnailA 12/27/06 440- 4616T(]0 /02/COM/W5a) ZB /Z0 39dd 3dkOSQNd 3Qt7OSV3 6EL05Z9E95 OZ :17T 80BZ /80/50 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008-00200 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2008 Phone: (503) 639-4171 $W 411 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/30/2008 TIME: 7:01AM PAGE: 41 SITE ADDRESS: (19845 SW KABLE ST CLASS OF WORK: SUBDIVISION: TAMI PARK LOT #: 008 TYPE OF USE: PROJECT NAME: WOO DESCRIPTION: Installing (1) bacidlow preventer. OWNER: WOO, JUDITH PHONE #: 503-620-9437 CONTRACTOR: CASCADE LANDSCAPE & IRRIGATION INC PHONE #: 503-625-4112 Inspection Request Scheduled For: Date: 5/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 39( Misc. inspection 070569-01 503-625-4112 201 c/k Corrections/Comments/Instructions: 7 Ter r-T D -r Wc..A-(V PtAvae. O tA.41 - te- , L 94..) tg,[ PASS 0 PARTIAL APPROVAL El CANCEL El NO ACCESS FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: MA4(m.ji Date: / 61 OT) Phone #: (503) 718-