Permit I el Crit OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00143
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/11/2007
PARCEL: 2S112AD
SITE ADDRESS: 14800 SW SEQUOIA PKWY ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HOME DEPOT
Project Description: &enf w,0 lOWAS PT III Few C. .t.cXw! Sra talurrJtr.w
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: M FLOOR DRAINS; TRAPS:
STORIES: 1 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
HD DEVELOPMENT OF MARYLAND, INC Description Date Amount
POBOX 105573
ATLANTA, GA 30348 [PLUMB] Permit Fee 4/11/2007 $72.50
[TAX] 8% State Surcha 4/11/2007 $5.80
Phone : 770-433-8211 Total $78.30
Contractor:
WOLCOTT PLUMBING CONTRACTORS
PO BOX 20698
PORTLAND, OR 97294 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 235 -8784
FAX 503- 491 -2932
Reg #: LIC 23847
PLM 26 -208PB
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: i k k Permittee Signature: SCE_ A r ? C Al
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.
n
Plumbing Remit •A lica ' CEIVED
FOR OFFICE USE ONLY
City of Tigard Received •�
0 13125 SW Hall Blvd.. Tigard. OR 97 00) 1 DRt y A Permit No r
' . C • Phone: 503.639.4171 Fax: 503,598. ( y1) - •plan Rcvicw L M .�� _
Dale TIGARD Inspection Line; 503.639.4175 CITY OF TIGARD D D By Other Pcrmir No,:
Internet; www.tigard or.eov _ ale Reedy /13y: x: See dent 2
t a . ii , Notified/Method:
TYPE OF WORK Sap emenrol tnPormntlou for
FEE" SCHEDULE;
0 Ncw construction " ❑ Demolition Fors ecio t oror oso checkllsL
K Addition/alteration/replocernent ❑ Other: Description MM
Total
CATEGORY OF CON BP - a , New I.2- family dwellings (includes 100 ft, for each utility connection)
SFR (l) bath r 249.20
Ef / IirCommcrcial/indu; trial SFR (2) bath
❑ Accessory building 350.00 —
■ • u 1- atnt y SFR (3) bath r 399.00
9.0U
0 Master builder Other; Each additional bath/kitchen 45.00
•
. JOB SITE INFORMATION AND LOCATION Fire sprinkler ( sq. ft.) Page 2
Job site address: / �j'7 /r/P 1 ��� Site utilities
I " � ' „L� Catch basin or tuea drain 11.11 16.60
City/State/ZIP: /State /ZIP: � /�+�' .
' ` - "- kg„ Dtywell, leach line or trench drain
Suite/bld / t. no,: 16.60
g aP Frujcci name: 0 A Footing drain (no. linear ft.:1 Page 2 NOM
Cross street /directions to job site: Manufactured home utilities 110.00
I N
�� ! � Manholes
16
KJ V �_ , 60 immin
Rain drain connector 16,60 _
Sanitary sewer (no, linear ft.: ) Page 2
Storm sewer (no, linear ft.: �) Pa e 2
Subdivision: B
Lot nn,. Water service (no. linear ft.: 1 Page 2
Tax map /parcel no.; Fixture or item
�e
IlESC'Ir,IPT10N UF'WORK Absorption valve
��i
16.60
r 07 - r ` l / Backflow =enter r �. 0 Ai r
6/ Backwate v alve r 16.60
P /, 132811111 16,60
;-
Dishwasher Inn
!= 1'RpPt RT.Y "OWNw;It .. t m
e
0
TF,1V:41V'1'::: ' :::•:..:.::•,,,•, 1 6,60
Name: J 0- j� Ejectors/sump (6.60
Address: V f . l
Expansion tank 16,60 ME
( Fi xturc/sewcr cap 16.60
City /State/ZIP: 4 1. 'if /� , 7 II■ i
Phone; ( • ,/ 41")....,-*/ ��� Floor drain /floor sink/hub 16,60 a
�/ �• ( Garbage disposal RIMINI..
, P., 4p.pi, f∎tt .; :... Hnsc bib I fr.60
.
�..CU •PEkiStJN;
.. .
B -. t, ; -: WOLCOTT dba J ...,, • H t. - NJAMIN FRANKLIN put
maker 16.60 MEM
) P
Contact name: Interceptor/ ace tra p
/ / � ��/ Medical gas (value: Page 2
Address: P.O. BOX 20698 $ � age 2
Primer 16,60
City /State/ZIP: PORTLAND OREGON 97294 Roof drain (commercial)
1 6.60
Sink /basin/ lavatory 16.60
Phone: (503) 235 -8784 Fax; : (503) 491 -2932
E -mail; Tub/shower/shower an 16,60
... .
Urinal 16.60
CONTRACTOR :,;
Business name: WOLCOTT dha JACK HOWK aka FRANKLIN PLUMBING Water heater 1660
Address: P.O, BOX 20698 — IG,60 MEM
Other;
City/State/ZIP: PORTLAND, OREGON 97294
Phone; (503) 235 -6784 - Subtotal A /J?!`i
Fax; (503) 23,5 8784 Minimum permit fee; $72.50 �I
Residential backflow minimum permit fez; 536,25 .-410
CCB Lic,; 23847 • mbing Lic. no.: 26 -208PB Plan review (25% of permit fee) MINIII
Authorized signature: ', 0 / _ State surcharge (8% of permit fec) 'LIMP)
Prlrtt name: �� / `� TOTAL [l-
. PERMIT F: p
o ' - e
4/ Dat, 1 �� T.hio permit application expires If a permit is not ob . • , e ,
/' ISO da , ecept6i,.., . , plete,
• �:uaunn: FAX BACK TO J •ec methodology set by Tri- County Bul O t i Service Board,
ACK r nWT n iza2l Ant
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2007 -00143
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 � "'I
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 14800 SW SEQUOI A PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: 13ackflow preventer for commercial irrigation.
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #: 770. 433 -8211
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503-235-0784
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Misc. inspection 046881 -01 503 - 235 -8784 Y
D � ✓ 5 3 Z C
Corrections /Comments / Instructions:
Pi 3019
•
�7 7 N y
/ Lf- r(c 1-17 To GJA.-k/ ���v ..,r - • •
•
•
izt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C5 ' NU'' ` \ 1 ` Date: y /23/07 • Phone #: (503) 718-
•