Permit •
•
C ITY OF 'WARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00296
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/11/2008
PARCEL: 2S115AA -03100
SITE ADDRESS: 10740 SW KENT ST ZONING: R -4.5
SUBDIVISION: DOVER LANDING NO.2 LOT: 070 JURISDICTION: TIG
PROJECT: PIATT
Project Description: Installation of residential 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
ROBERT PIATT
10740 SW KENT ST Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 7/11/2008 $36.25
[TAX] 12% State Surch 7/11/2008 $4.35
Phone : 503 -504 -4282 Total $40.60
Contractor:
KENNEDY PLUMBING
13985 SW FARMINGTON RD
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact # : PRI 643 -5535
Reg #: LIC 10967
PLM 34 -42PB
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 r _or_direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ed By: \ ! • $ 4 Permittee Signature: • '� �� �4/%0/1 / /
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.
M
?lumbinz Permit Applic } • ,.
. I
City of Tigard Received '7 i( Fr Permit No.: IN"lO10 _.
13125 SW' Hall .Blvd.. Tigard, OR 97223
I
C . ' Phone 503.639.4171 Far: 503.598.1960 Plan Review
Other Permit No.:
;' _ DateBv:
1nvpeetion Line; 503 Date Road ,B
Internet: www.ti Bf 5se 1'alee ai nor ,
r;a; t_,n.t <ri www.tigard-or.gov 9 y
g Notified/Method: 11 ' :pplevnc u rnrprmasee
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special irgrornrarioa use checklist
Description Laqj Ea. I Total
Q Addition /alteration/replacement - ❑ Other: New 1- 2- family dwellings (includes 100 ft, for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
and 2- family chvellidg ❑ Commercial /industrial SFR (2) bath 350,00
SFR (3) bath 399.00
❑ Accessory building [I Multi- family - - ^ Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( ., sq. fl.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities .
lob site address' 1 01 40 $ up Kip - iS Catch basin or area drain I 60
City /State21P: ,- f � 0 ( CI 7 Drywell, leach line, or trench � drain 16.60
Suit /bldg /apt, no.: " Project name: Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
-1 - Manholes 16.60
ilk _ `V" . Rain drain connector 16,60
�li - 1■ '- • •
Sanitary sewer (no. linear ft: ) Page 2
Storm sewer (no. linear ft.: 1 Page 2
Subdivision: Lot no_: Water service (no. linear I; _) Page 2
I Fixture or item
Tax map /parcel no.:
•• -- -- Absorption valve I6.60
DESCItU'TXON OF WORK Backflow presenter 1 Page 2
• v a V 10 ' 0, ( n tali -1.0 Backwater valve I6.60
Clothes washer 16.60
Dishwasher 16.60
PROPERTY OWNER ❑ TENANT Drinking fountain 16 -60
Ejectors/sump 16,60
Name: 9 i h��' „
Expansion tank 16.60
Address: Is 13!x °0002, Fixture/sewer cap 16.60
City /State/7TP: "4.0 A ( (:)1 -J R I Floor drain/floor sink/hub 16.60
Phone' (Ff)) 509. �2 S)2 . Fax: ( - ) Garbage disposal 16.60
0 APPLICANT 0 CONTACT 1 SON Hose bib 16.60
lee maker 1.6.60
Business name: Ye n n 0 4_ 9 (PI ld 1,-,--to u r' , interceptor /grease trap 16.60
Contact name: Medical gas (value; $ ) Page 2
Address: I < ;q S. 1 / J rn I n o d-on /e . Primer 16,60
City /State/ZTP: ✓°� f 1 or_921205 Rnof drain (commercial) 16.60 ,
Phone: ( 57, 2 ) 61-3, 55 Fax:: ( ) Sink/basin/lavatory 16.60
Tub /Shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR _ Water closet 16.60
Business name: Water hearer 16.60
Address: l
Other
City /State/ZIP: Subtotal
Minimum permit fee: $72.50
Phone: ( ) Fax: ( ) Residential bacicflow minimum permit fee: $36.25 O6. a
CCB Lic 1 ®C� L , ;.(, /1/ Plumbing Lic. no__ c Lf Lb_ (245 Plan review (25% of permit fee)
1 lV ' State surcharge (12% of permit fee) f, 3 5
Authorized signature: ` ' , - .k � t (F( TOTAL PERMIT FEE i 210 , @0
Print name: r r A 16. a Date: - 7 r 10,0 This Permit application expires if a permit is nut obtained with
180 days after it has been accepted as complete.
"Fee methodology set byTri- County Budding Industry Service Board.
t: lBuildingTermit , 31-M- PcrmltApp.el6e 17127dee 440- e615T(10JC7/CUM/W11B)
CITY OF TIGARD
r -
BUILDING DIVISION PERMIT #: PLM200B -00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2000
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 10740 SW KENT ST CLASS OF WORK:
SUBDIVISION: DOVER LANDING 140.2 LOT #: 070 TYPE OF USE:
PROJECT NAME: PIATT
DESCRIPTION: Installation of residential bacidlow preventer for irrigation.
OWNER: H ATT ROBERT PHONE #: 503- 5044282
CONTRACTOR: KENNEDY PLUMBING PHONE #: 643.653
Inspection Request Scheduled For: Date: 7//6/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 072713 -01 503-G43 --5635
( Y
Corrections/Comments/Instructions:
P u► I i w . W� 1 l env % Co o �e s-'r �-�p a ✓`r Q o� -
Se 2 A IQ- e -ipo ✓T.
Ca ��. F)1 1--71 9 6"
[Xt PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cri Date: °7 1 R 1 0?) Phone #: (503) 718