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Permit • �` k` CITY OF TIGARD 74 PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00124 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/25/2008 PARCEL: 2 S 104 D B -05900 SITE ADDRESS: 13297 SW MAPLECREST CT ZONING: R-4.5 SUBDIVISION: MAPLECREST LOT: 006 JURISDICTION: TIG PROJECT: MAPLECREST Project Description: Installing 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 WINDWOOD CONSTRUCTION INC 12655 SW NORTH DAKOTA Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 3/25/2008 $36.25 [TAX] 12% State Surch 3/25/2008 $4.35 Phone : 503- 780 -4375 Total $40.60 Contractor: BURNESS LANDSCAPE 9330 SW LEHMAN ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -432 -8525 FAX 503- 432 -8525 Reg #: PLM 13007 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. e- 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. MAR -24 -2008 12:41 PM THOMAS.S.BURNESS 5034328525 P.04 Plumbing Pe (t AVPbca ton 1 .- r - o' � 0 7- 000 V 7 Building FiYtures 1 1 I i r. + . 1 + I + , ' C E iVEI ,��. 1` 13115 SW Hell Blvd.. Tigard, OR 97223" AR 2 4 ill �d ' 1-, Phone: 503.6394171 Fax: 503.598.1 Other Permit No.: ' a ,, r q I Inspection We; 503639.4175 CITY OF f ! r ARD D„ A y,, Jade Internet www.daard-or.gov s- t t I+ i osi�udIMdhod: 1 I� Y� ,rp �� ,r' � ;+ � ` ,+ » tq+xwl lyi { � ,F� `M ; 1, I l i , � ?r»tf�j / i tl f, j � " M1�� yt, %y�4ii b f �Y x�p *1 ,+ �a�l� � r �� 31,,' : k[i % 0ibT..1, ; ., qt. . 4 1`,Avp. 4/4111A 1 ArMNfl, " S k 7it1.17,..0 . ,9r) C. 7 , ,,'+ V ' f .l (w, . i i i.. A Mie i 41.32.0331 t 1403..:: 3� 4j:1i�1h[Ir J : SI New construction 0 Demolition Forwo d berannallon au c*ec*flat 111 4.1. Re. Total ❑ Addition/Ghanaian/replacement in Other" New 1- 2- Virally dwellings (ncludes 100 ft for mach utility connection) 1 J 1 E' -v a r,ey 4v1 � �I, vH :4li 1 .at, J1 +�. •I ' �: !i i} p - / % IPIIIlfri�l 9 � Bra t " ri r V ie , T r' �, v) Y '' c t41 1 : } "if t r M1 i r t Frj,, <S {+ n SFR 1 bath 249.20 n A,1 ? :41101 5r iloet ter.. 11" 3144 Mtl,a ae,verl :,,.f s:. dell =f; t) t ,. , 5Y,! ,..., ( ) ® 1- and 2- ilrmily dwelling ❑ CaminerciaVinclustrial SPR. (2) bath 350.00 II ❑ Accessory building ❑ Multi- fitally SFR (3) bath 399.00 (3 blaster y f� © Other: Each add�i al bait/kitchen 45 -00 an 6 l r ! !k 1 r +' 7� r1` *112 ~ iu( {i� ry yl, 1 (��vm�f i c r � r i� + 7 t .�11 +¢ 1 i {c , � `},t l 1r ( Fir sprinkle ( sq. ft.) Page, 2r ]+t�� 7 f�itit(/ Aaa�f x to "rl�idrdx a *r.7k i. t •. itfr >awrt,, .�t •+t+. , 6 . 11,. +y:, ,1, iCr,:f) WI 1 ,. ), we n ews Job site a d d r e s s : /$R 9 7 , )IAPt'.iatS 1 Caleb basin er aria drib 16.60 City/State/ZIP: Tigard, OR 97223 Drywall, leach line, or trench drain 16.60 Salta/bldg. /apt. no.: Project name: / /rpLt- e2.1 5 Footing drain (no. linear ft.: _ _,_) Pager 2 Manaftwtured home utilities 110.00 Goss street/directions to job site: SW Greenfield Mediates 16.60 Rain drain connector 16.60 Smainify sewer (no. linear R: _-,-„) Page 2 Storm sewer (no. linear ft.: _,J Page 2 Subdivision: Maple Crest T Lot no.: 6 Water service (no. linear !t : _) Page 2 Fixture or Item Tex map/parcel no.: ` Absorption valve 16.60 K r �t IId!F I 1' Y � �1n u 1: lti 4 '+P1K M �+ I r��� iIft'� l �r rlj f�k ` , q }F� AI`r�vF�b i�' Z � { ' � 1 � t I *4:1,04 mA *t-.lYYYsiaa,Yl 9.r. SeIa «debt rai I �4 Badsflowpreventer Paget 36.25 lombefape b'Agtlllon Bedtwater valve t 6.64 Clothes waster 16.60 DielwNreeher 16.60 }1���,t 1 1 N^ 'Stin,!t111ri�w11 "'7,}i /gJ:�(YO, ;t'Y; ,. „ � l t , , . ���yy :. Drinking fblartaia 16.60 9ftIO NIii fi� ( fi Sf µr 72:Mtt A l t till 5i*, {..• L:, �- t' {Ira �y��{i.'1:,�. { I v, a l :.!.a5.'i!41!flfi bY6�EGS51 /? p.< 4 r..s ,1,1..(1 / Ejectors /. 16.60 Name: Wlndwood Homes tank 16.60 Address: Pieturelacwer cap 16.60 CHIP; Floor drain/800r sink/hub 16.60 Phone: ( ) Flu: ( ) Garbage disposal 16.60 1( , k 1 11. +�rt,1,•�r.>7r,rpy„ I".��g ,� '''''.:*,1;,', l 1 t r; time bib 16.60 Iltinii#!LIIIIt > !P(1`!fi >fu;7:si4l��WIg;Ytlat + t,�.,,;� xi;. ,'. . :; tan, { i'.'{'V;S Ice make 16.60 Business Demo gayness US bgerceptor/gtease trap 16.60 Centnot name: Tom Burnam Medical gas (value: $ ) Page 2 Address: 9330 SW Lehman St Primer 111111 16.60 - City /State/ZJP: Tigard, OR 99223 Roof drain (commercial) 16.60 Plume: (5(13) 4324525 I Fax : (503) 432.8525 - Slnft/basln/lsvudoty 16.60 Tub/shower /shower pan 16.60 Primed' Urinal 16.60 Yl q fq} l c (! 1 i '1 ¢' Q v s { ro vq y ?1 .p. 1 ! ,h r + 9 f f y tr.. , I I ' t + s • `i i I 6 t y r � { ) �p t i m i i r (�' 4 +lyY water closet 60 , ) 141;1 i.IA,!'t9 a llc ^ A . 4 I .!.'I., � O 0, -eiok, i .lt,;$1,k 1 4,1t r .4_,, 1? 0,(lJeC I I ry t !11'Z1It t2 16.60 Business name: see above weer heater 16.60 Address: Oa= City /State/21P: subtotal Minimum permit Re: $7230 Phone: ( ) Fax ( ) Residential bet ow minimum permit fec $3625 36.23 GCB Lie.; 13007 Plumbing Lie. no.: Plan review (25% of permit fee) State etueherge(12%ofpermit fee) 435 Authorized signature: TOTAL PERMIT FEE 40.60 Print name: I Date: {. y, 9 j This permit application expires If a permit is not obtained within 188 days after it his been accepted as complete. *Ike miehMntnav a!t by T6.enunty MTh-Mina rndnafty Rorvi s Roars CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200B -00124 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2008 Phone: (503) 639 -4171 "°i'91^ei i# Inspection Requests (24 Hrs.): (503) 639 -4175 1.E., INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6:59AM PAGE: 2 SITE ADDRESS: 13297 SW MAPLECREST CT CLASS OF WORK: SUBDIVISION: MAPLECREST . LOT #: 006 TYPE OF USE: • PROJECT NAME: MAPLECREST DESCRIPTION: Installing backflow preventer. OWNER: WINDWOOD CONSTRUCTION INC, PHONE #: 503.7804375 CONTRACTOR: BURNESS LANDSCAPE PHONE #: 503 - 432 -8525 Inspection Request Scheduled For: Date: 5/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 3935 Misc. inspection 070167 -01 503 -860- 1203 N Corrections /Comments /Instructions: 0 32 ■ c 1 . V--e 1/A c.A .c< t (12-Lvx✓- CaTC, 6..x, \,J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ \ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 ...1 \i \ ,., -._. Date: Cc A (A) Q1 Phone #: (503) 718- •