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Permit 1 • � CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00570 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/28/2006 PARCEL: 2S115AA SITE ADDRESS: 10548 SW KENT ST ZONING: R - 4.5 SUBDIVISION: DOVER LANDING NO.2 LOT: 061 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 ETHAN PARKER 10548 SW KENT ST Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 111281200E $36.25 [TAX] 8% State Surcha 11/28/200E $2.90 Phone : 503 -598 -9908 Total $39.15 Contractor: INNOVATIVE LANDSCAPING 9630 SW OMARA ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact # : FAX 503- 670 -7632 Reg #: LIC 6917 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: r Permittee Signature: s Call 503.639.4175 by 7:00 a.m. for an inspection that usiness 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. .. pp Permit Application EQ FOR OFFICE USE ONLY Plumbing Pe pp City SW Tigard Hall Blvd Nov 2 2006 RD ai ie :/ / ©6 ,...-1 Permit Noi'\Ni ^ (O 6i O3 t7 0 a 13125 SW ., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598. fny G I' I I GARD Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juri� la See Page 2 for Internet: www.tigard - or.gov Notified/Method: ) Supplemental Information .s. - - - _ TYPE' E''OF WORK - • _ FEE* - SCHEDULE ❑ New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total %Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) 'CATEGORY O F :CONSTRUCTION SFR (1) bath 153Ci- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 ,, -. '.. u • JOB•, SITE INFORMATION .AND LOCATION - - - Site utilities Job site address: /45 � 1-f. �� _ Catch basin or area drain 16.60 City /State /ZIP: 17,5 y G rte( 0/2_ 97 .2a V Drywell, leach line, or trench drain 16.60 no.: �/ Pro�ect name: I , 1 Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. Par �G to l- 12 e sl�t•.46e� Manufactured home utilities 110.00 Cross street/directions to job site: ,t'/ �i Manholes 16.60 Q // ,t ken L c$& _ b i en Sic) /D7 o- ` / d Rain drain connector 16.60 Gwen e_S' . Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OE WORK : : - Backflow preventer / Page 2 • I t e 41 . ,4-.G 1( Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 PROPERTY OWNER, ° '_ I ❑ TENANT , _ ' _ Ejectors /sump 16.60 Name: ...111.4 A. Pa rkt r Expansion tank 16.60 Address: /Osi/g 5&) , ' --k a - Fixture /sewer cap 16.60 City/State /ZIP: 17 / 7 fL 97aa V Floor drain/floor sink/hub 16.60 Phone: ( spa ) sy • / 7,r) g' Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 ' APPLICANT' ❑ CONTACT PERSON - Ice maker 16.60 Business name: 1 nM,, Valli).e ` kt.dSC -G. P[hu Interceptor /grease trap 16.60 Contact name: .a5f ' 1 ° !J H /1L D` // _ Medical gas (value: $ ) Page 2 Address: n 3 O c sk j (),,,,,, _Primer 16.60 City /State /ZIP: 17 It_ci ©l. 9 7 0a 3 Roof drain (commercial) 16.60 ( 5 0 3 ) 93 -Coo 1/7 ) Fa x (5,3)67,5- 753 a Sink/basin/lavatory 6.60 Phone: Fax: : Tub/shower/shower pan 16.60 E -mail: Urinal 16.60 CONTRA_ CTOR' Water closet 16.60 Business name: n O(J1Rrli, e _ , j Water heater 16.60 Address: 9l��.0 Sic) OntAr� �� Other: City/State /ZIP: �' 0 97.2-a t/ Subtotal �..r. d r Minimum permit fee: $72.50 Phone: 5 3) 471_760 3 Z Fax: ( so3) 670 - 75:3 , Residential backflow minimum permit fee: $36.25 CCB Lie.: (Qq I .7 Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized sign.ture: TOTAL PERMIT FEE g��. 4 Print name: ', ' f Date: . . , - l „ 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. t \Building \ Permits \PLM- PermitApp doc 06/26/06 440 4616TO 0 /02/COM/WEB) _ CITY OF TIGARD '-: ; • BUILDING DIVISION / ' pERK4|T PLhN2DO{�OQ37Q | 13126SVVHaU8|vd..Tigard, D/�E|SSUED� 11/2O/2DDG Phone: (503) 639-4171 Ai t Inspection Requests (24Hmj:(5O ) 639-4175 * � 2w�� � ^ � � � INSPECTION WORKSHEET FOR DATE: 1/1212007 TIME: 7:04AM PAGE: 34 ��� �uY�6�1 / ' SITE ADDRESS: 10548 sw KENT sr CLASS OF WORK: SUBDIVISION: DOVER LANDING NO.2 LOT #: 081 TYPE OF USE: PROJECT NAME: PARKER DESCRIPTION: Bac|d|mwprmvmnter for irrigation. OWNER: PARKER, ETHAN PHONE #: 503-598-9908 CONTRACTOR: INNOVATIVE LANDSCAPING PHONE #: 503-570`7532 Inspection Request Scheduled For: Date: 111212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 396 Misc. inspection 043059-01 503-070-7632 N Corrections/Comments/Instructions: dc \ PASS . I I FY\RT|ALAPPR{�VAL El CANCEL 0 NOACCESS ��.|L CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED Inspector: cii'p Date: / / 'Z_ A 7 Phone #: (503) 718- __ZCZ/4/