Permit III '0 a — CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00159
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/25/2007
PARCEL: 2S 112AD - 00900
SITE ADDRESS: 14800 SW SEQUOIA PKWY ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HOME DEPOT
Project Description: 130 ft water service from Home Depot to Hot Diggity, (1) 1/2 " double -check valve
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: 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: 130 ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
HD DEVELOPMENT OF MARYLAND, INC
POBOX 105842 Description Date Amount
ATLANTA, GA 30348 [PLUMB] Permit Fee 4/25/2007 $147.80
[TAX] 8% State Surcha 4/25/2007 $11.82
Phone : Total $159.62
Contractor:
LOVETT EXCAVATING INC
PO BOX 86280 REQUIRED ITEMS AND REPORTS
PORTLAND, , O R 97286
OR
Contact # : PRI 503 -504 -2847
FAX 503- 288 -1630
Reg #: LIC 125507
PLM 26 -773PB
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.
04/23/2007 13:@5 5032881630
. ..,, • PAGE 02/02
rt I 1' t
td. ,
.A - - REtaEi ..----3 .
—
1 01:F1(1: I ISE ()NIA , .. ..
Plum bin Permit A lication . ..
. City of Tigard ApR 23 2001 ryvq. • imicil1y erm
pit pLnizo _oo IS
-
gt 1 31:15 s\ 11:111 Blvd . TIV.:Irtl. ( )T■ ( >722.; I hi P.c.Z.v I )iller Permil N
IN
. 1 . 1 , 0 „,.. 50 1:n: in.; 5 Or 1110 ty: —. - •
Insilco imi I ire' 5(13.63 175 k../1 I 1 , - .. I- 7.0 - 0y/iiy': .......- -- ---. -- - -
i;;r rz .see 1 i. ttir - •
.. .-:■-' /method.
T 1 C.:A RI) , . ....._:..___ __... ___ :::t ITA:AVNICILM' . ' A •
,- i s in rorni n I ior1
Internet ww.v.,uzitrt.-
TYPE OF WWC' ; • ' • . - FEE* SCITEDI ILE,
---,------- •
.._ .. .. ... ........ . . _. ... ._ For cpeeigi information lINC Cherklist
0 Det . . — — -- - - - ...------- — -T-----1.---.-- 1- ,:::::
:i€,01
WISInicl ion.
. .„....... •...... - .--.
Addit int Valterai ion/replacement [3 ( Wier: ...NLw1,-._2_4am. y dwellings:Lincludes 100 II. for each utility
‹.:A.rEGoRy ov coNSURIICTION S112 (1) had;
-- hv - -- . •------ • - 1 IA . - .,. i u 1 , t SI (2) bath 350.00
i - : Iv (e llin e, ointnereinumt s rim
13 Accessory 1100(111w: 0 Mulli-rantily
. • - -- -- • • -• -- •----- "--- - • .---... -- 1:.ach additional hatb/kitchen 4.5.(10
a
r:3 Mster builder El "her: .. - . . 1
. .. .— .__ - .. ... ....--._ --...-._............ --.. —..-__......._....__. .- I-ire sprinkler ( sq, I .) L Page 2
.1101R SITE INFORMATION AND LOCATION
. site utilities
„.._........_. -...... ,
14)1) site -iddrcss
• ' " - 114%0 oiy..seE r 1 0,1011 twin or area drain 16.60
( - it.ISinte/All': LI_ a Divwell, tench line. or trench drilin I 6.60
...._.. ._._. .......... . F drain (no. linear 11, ) Nig': 2
Soilz/bIdelapi. tio.: rojeci mime!
• . . - • .- ••• - ions
-- _ . _. 7 . - . - ---- ------ - --- • --- •--- •- Mantilla:lured home utilities I 10.00
, • -
( ross streei/diree iii job sill:: 1
. . . 6.60
.... ........ . ... ....._
. . ... _ ...... .. .... - ,, ...5 a2-d.._.Amt- . _ ,..___._ _ Rain drain connector 1
Sanitary sewer (no, linear ft.: __) Page 2
. Storm sewer (no, linear h..: ) I've 2
..—.._.: ......_.6-6-Vb
_.. ---. •----- .- • • — ' —"
'L Page 2 i i t/' 4 /0
Subdivision:
__. .
Tax map/parcel no.: ____ _________ _________ -------.- Ahsiirption valve 16.60
.___. _______-.
. _
DESCRIPTION ()V WORK Backflow preventer Page 2
itilira_DI9i1.) Backwater valve 16.60
. .t.i.....ilb . .... m__ ,■). , f. a. v. . . ______. ....________. ____ .._
la.
.......__... __. h _
-
._._(. I , ) 'I i osl__ . I wa s w hncr s_h_er _____
16.60
16.60
•
.. _ . ...L. . , 16.60
T I making lountain
0 PROM'. TV OWNER 0 TENANT , ..-- --- --.... ----- ---- -- --- — ------,
._ .. ......._... _.... ... . I. ■_ -- -___ . .....-. . .. :jet:Airs/sump
I 6,60
—I -
Mune: • 1(xonnsinn Mak 16.60
• .. ._ _ ....._..... ...._. .. ._. ......
.... _ ._.
.. ... -... .... -. . .
Address: l'ixturesewer cap 16.60
,...„ __ _...
.__......_ __.. .
City/State/41P: Floor drain/floor sink/huh 16,00
-
. .. .... . .. ..._ ..__. .. . . (intbrigc disposal 16.60
Phone: ( ) 1-ii%; ( 1 10.00
0 AVM ICANT 0 CONTAC.T PERSON ..--.— .
16.60
_......_ __ ... -.------ -
Bind ness name; Interceptor/grease trap 16.60
( 'onlact tulnle: • - .' Medical gas (value: 15 ) Page 2
-----.. ...- -- ' - — - .-- ------ =-.- . -- - ---- - -- - --- --- - •-•- ------------------ ------ ---- - -- - - '
Address: 1 Primer 16.60
..._.... Roof drain (cm-Mei-Mal) 16,60
City/Stine/ZIP.: - ,. - -
1• ."-- ------- — — —' Sink/basin/lavatory 16.60
Phone- ( ) I-as: : ( ) —.--
I6,6n
1:.-111:111: 1Irinnl 16.61)
..---.—..
CONTRACTOR Water closet I 6.00
Business owe
... _L... ...:_ 1.DO.t.4_. ,al-eNN) _ . - _. . __ID-__._ ___ .,
._. W. . -tter healer , .... . . . 7_. _ 16.6(1_ .... .
Address:
_.? .t Asiy , :.
•. ... . ....... .. Subtotal
__ _._ ___., _____ _._---__ . q - 7
4
_
b)c_ criz,Bcp ..._ ............. mini,„„,„ p.ii r„...:.: s72.,50
..... ,.__... . . _. . .
• •
50 4,2s---1 .. _.. .. 14,,,, it,DD Residern tat hack flow minimum permit rec: $36.25
_____ . ._ _. • ......._ ._.._. Plan review (25 of permit feet
" 1 " Ac.: f-2.115:)4Y1 Plionbing I AC. no.: 21
... ..... ....... _ . Suite surchnrgc (8% of permit fe,c1 / / . ga....
All(110117,1111 ;11:1111,1 ^ . I 1 . { .....------- • - -'' — • ' • - • " enC.L.'.g To PFIRMIT VIT. /5 C r, 69?
... . _._ . ___. .._ ....
I P mr - MCA_ . 4 . ., t 1)til.L.:; 1 -1172.1r) - 1 1 This permit appliention expires if o permit is not r within
IRO dnyg sifter it has hem aceepted as complete.
... •.... .... ... . _ ......--- •..... .— --- • ..
*lice methodology set Ity ill-County Building Industry :%;ta-viee I limn I
■ SI IIIIIIIIII.(1PI,INIAIII.N1 11/010.0 •1411-11, INT( tohlVei IMANI
. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00159
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2E42007
Phone: (503) 639 -4171 - a
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 62
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: 130 ft water service from Home Depot to Hot Diggity, (1) 1/2 " double - check valve
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LOVETT EXCAVATING INC PHONE #: 503 -504 -2847
Inspection Request Scheduled For: Date: 5/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 047977 -01 503-288 -15527 N
Corrections /Comments /Instructions:
z
,%z / - ✓ - L ��
�l �u oaf-- s 2-- d1 7
$PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: fq 1 -e-- Dater / l / U - 7 Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PLM2007- 0019
l 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639 -4171 �I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 f L .
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:00AM PAGE: 69
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: 130 ft water service from Home Depot to Hot Diggity, (1) 1/2 " double -check valve
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LOVETT EXCAVATING INC PHONE #: 503504 - 2847
Inspection Request Scheduled For: Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Watfoolo -U ar t�', fi 047156.01 503-288 -1527 N
Corrections /Comments/ Instructions:
/s��sz
47/-4 4.1' I A, p r-a l L) r- tii Pc f a. _e,1 kfc d„ 4 .L. Pd I, (6 Lhe 61s)
� �
r, �`� 1 '!:,,.a�. �- .I -. � _ �_ - ate r a4110.11a...._.. -, • '
1 � 4
e
I D LI o .r '7-4 , 11 ( (4203. Li . °Z )
C ., lr ti,. -... to �-1 1--I Av ...a-7t.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r171 11�w ■ 1,-.-.-- Date: `[ /API 07 Phone #: (503) 718