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Permit C ITY OF TIGARD PLUMBING PERMIT r DEVELOPMENT SERVICES PERMIT #: PLM2006 -00389 �I DATE ISSUED: 8/18/2006 ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25111 DA -12100 SITE ADDRESS: 08999 SW PIPPEN LN ZONING: R -7 SUBDIVISION: APPLEWOOD PARK NO. 3 LOT: 114 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 DENISE OLSEN 8999 SW PIPPEN LN Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 8/18/2006 $36.25 [TAX] 8% State Surcha 8/18/2006 $2.90 Phone : 503- 809 -9319 Total $39.15 Contractor: DENNIS' 7 DEES LANDSCAPING 7355 SW JOHNSON CREEK BLVD PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 777 -7777 FAX 503- 777 -2399 Reg #: LIC 5009 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: -- D - 14_1 . 1 Permittee Signature: _IAA, 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. ..AUG - 18 -2006 FRI 08:47 AM DENNIS SEVEN DEES FAX NO. 5037772399 P. 01 Y . -•. (prj(e PittrathiggrgpnitApARECEIVED City if 't !gat d oat u : Pennil N Lr " Vt � O( 0Of Z 1)145 Sw 1 m a ..i , Tigard, Olt 972 )1 AUG 1 8 2006 Plan Review Other Permit Na.: Phone: 503.6 I1 1 • 303.598.1960 M :' ,a . " l • 'i Pale/By: - - - - (r1 24- }lttttrhrspd�tirrul.ine. 503.659.4175 CITY OF TIGA'.;.!al. . -� ^ Dale Ready /Ready/13y: ions 0 See Page 3 for u humid: Kttiu ei.tigard rK.us BUILDING DIVI Notified/Method: �l V I S P plemea(allatormallon ,._ ;•:f;S (*.WORK : .__ _ 1 - . ;FEE SCH .. . ? • : , ;..'.,. _ _..._., _ For special information use checklist. - [ ) Demolition -_ ~ [ Nave ctr:Ntiuttcti _ __. ___ -_. ___- . Description _ 1 Qty., J _ Total [J Axi< litiott /ttltera'ic4t/rcplacettient CO Other: LANDSCAPE New 1- 2- family dwellings (includes 100 ft. for each utility connection) . :i''." :i- ".•. :•. . �: :, '(,'ATFiGOili CoNst`Rt,CP .....,! °: .- ; 4'• - -. -._- -- SFR 1 bath _ _ _ -- - - - - - - • SFR (2) bath 350.00 - , .�- and 7-fionily do. idling 0 ,ommercial /industrial _" -- -._.- __ ---- • - -• - -- - -.... _._..- ___..- _._.. __ $F'R (3) bath 399.00 [ M ulti- family _____.•____ -- - - - - - -- -' __.. _.__ _- (,;� Accessary 1 ntl,Iulg Each additional bath/kitchen 45.00 O Master b.)il ter - Other: Fire sprinkler ( . __ sq. ft.) } a e 2 i •3fifl Sri t•' i st ANI) LOCATION • .. - Site utilities _ r+ ' (,� ' >t�j /} f _ _ _ T Catch basin or area drain - _ 16.60 Job site adJ)•::s: - 5` /r7 C L? _ _ . - -- 1_._ ___- .r - -� °•-•�•-• °���� " , � Drywclt, leach linc , or trench drain _•• -- - 5660 _ -� City/State/11P: /(r�q Jr �;'� ( /f_ . _ JI ' l ! _. _ _. - - - -- - Footing drain (no. linear ft.: ) - Page 2 Suite /hide,. /;flit. xla,: j F';ojc.ct name: 0��..6 - t- L - - ___. ___ - _ - home 110.00 __ -_ -. -• - -. "-- -•.- • -, •... _ • __ .. ; .- .1- ......__ . .. _..- Manufactured home utilities C eus, strteU16lac- ctini•'; to job situ; h 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: - - -) _ Page 2 _ „ - -_ _..,._._.... __....._...._..._...._ ..........._ _........._.._..__....__._. -..- - Slonn sewer (no. linear ft.: _ ) 8•e2 . _ -_ •_ __ Pa __. _ _ __ ...... ... ...... .._...._ ___ __......._ ....... ..... .._. ___________ .__._...M.__ - - -_ Water service (no. linear ft.: ) Page 2 Sutti'avision: Lot no.: - ___._- .-- -•- -• - - -- • -.__ __ . -_- _...- ._..___...____.__._._ Fixture or item __ Tax map/parcel rtn.: _- Absorption valve - - -- •16_60 _ _ ' jf : ``- t)F' (:IL1Y 'ION Of WORK+ ..•_ _ ._. ' .� - _ .._ Backftow prevcntcr ~ 1 _.- Page 2 ?4 L 1NSTALL 11ACKN'L0W Dt,V.ICE Backwater valve 16.60 Clothes washer _ - --- __- 16.60 _ ^ .. _........ __.,... _..._.. __ ._....... _._ .._ _ - -•- - -- - 16.60 ._...._.. ._. _... Dishwasher ft . • .. - • ,..... - ... ` --- r• Drinking fountain - __ _ -- - 16 60 -.--- !i•. . R. C]'TEN - P 16.60 Nil"' l; i ref )» - • �1 27/1 � !,_��S 4,�, Expansion lank 16.60 .r; 1. �.:..•__.::......_. _7_77_7_._____. -_�_ _._ -�- -• -� - -- . -__ -. - _..,...,__ _.. _ .. .. _77_ _7_7. .. _ 1- ' Fixture/sewer cap 16.60 _777_7. - - ---- .. - � - � -- _ City /State /ZIP. Floor drain/floorsink/hub I_6 60 _ ___ . ` _ ... -_� - ) __ __ _ -_ _ _ . __..-- - Phone: ($f /� r. ) - �~ / / Fax: - Garbage disposal _ . -._-_ _ _ 16.60 ..- 16.60 - r 1 •' l• r . -. ..- _.._ -„-•- - -- - -r-= =". H ose bib _ : 7777 ; _ 77 : _.. `11 : st l ' L•L. }C r� V r D.CON1'A- '-- -- LSON -- Ice maker __ - -. = 16 . 60 __._. 11irsie.css manse: - Interceptor /grease trap 16.60 ___.. 7_777__ - 77_77_..-- •- --- •- -_ -. Connect !Luria: _ - Medical gas (value: $ ) __ .__ Page 2 Primer 16.60 - AdrltCSS: _..-- - - - _. _.. _ •_.__.. .... ...... ___. _ . ....... _...._..._.._... __ _ ____-__._- __7___-777____._._. -._..- .. ___ _ - Roof drain (commercial) 16.60 (:ity/St:,dr. /ZIP: .____ -- _ . 16.60 _ _..._ 7777_.. -• • . - - - - hhc nc: ( ) Fax:: ( ) 16 60 7 /shower pan li -mail: Urinal _ - IG 60 Wt closet 16.60 ._._ _. -•-- - ' r.1! `ONTIttA(.sCOIt . ":;..f 't': t' r water cs !'' ' : +, - .' . :. 7777...,�._ • •r _� _ :" 1:�.., liu:,iness * hair.;: UE:NNIS' DEES LANDSCAPING, INC __ - Water healer - - -� 16.60 • •' •-� _._.. r Ad rite. 7 5 E JOHNSON CREEK BOULEVARD Other: - --- -• � - -- Subtotal City/State /71i roft7'f,ANI), O. 97206 ---"- - - - - - -- -- Phone-. - Minimum pennit fee: $72.50 l J /_ _ /ly . ( 503 ) 77 7 -- /77 / Fax: (503 ) 777 -2399 Residential backllow• tninimum fee: $36 . _. -..... ._ 7 777 . Plan review (25% of permit fee) COI 1 le,: 5009 Plumbin Lie. no.: 05LIBDI - ... _ ....... _ ....... _. / . � ` / State surcharge (8% of pt:rmit fee) • ?C.) Authoriz16 rl sILLI (l i . 4. � t°G jYf/ / /f _ - - 1 OTAL PERMIT FEE 15 Pri 7 rtt na777•. me: . ... DEAN AN SN01)G1t AS S Date: This permit application expires if a permit is not obtained within ..... .._ ( 1 _ 1 _.._._. _ • �•... .. - , . .. ..... _____ _....... __. L _ _ "_ _ __ .. - 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i Vlu,ldiny rerds.r(r't M e,111 ;. doe I7.'0) 4 :CoM.nvl a) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006-00389 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/181201 Phone: (503) 639-4171 i iA Inspection Requests (24 Hrs.): (503) 639 -4175 W p'! I .. INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6 :58AM PAGE: 57 SITE ADDRESS: 08999 SW PIPPEN LN CLASS OF WORK: SUBDIVISION: APPLEWOOD PARK NO. 3 LOT #: 114 TYPE OF USE: PROJECT NAME: OLSEN DESCRIPTION: Baclflow preventer for irrigation. OWNER: OLSEN, DENISE PHONE #: 503. 809 -9319 CONTRACTOR: DENNIS' 7 DEES LANDSCAPING PHONE #: 503-777 -7777 Inspection Request Scheduled For: Date: 8/21 /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 035275 -01 503-777 -7777 N Corrections /Comments /Instructions: SP. . "T Q ✓K 1 'A?: Po .. b I C Li t -ro L)(4 # r H ✓ �l�e ✓. c art f) / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1: --/` " Date: /121 I a 1;. Phone #: (503) 718- . L