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Permit CITY OF TIGARD PLUMBING PERMIT '• s COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00440 'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/26/2008 PARCEL: 1 S 125DB -04600 SITE ADDRESS: 07190 SW TAYLORS FERRY RD ZONING: R -4.5 SUBDIVISION: SHADY DELL NO. 2 LOT: 020 JURISDICTION: TIG PROJECT: STEIN Project Description: Extending storm drain approximately 200'. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 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: 200 ft Owner: FEES LAURENCE & STEIN 7190 SW TAYLORS FERRY RD Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 11/26/200€ $101.40 [TAX] 12% State Surcha 11/26/200€ $12.17 Phone : 503- 477 -6090 Total $113.57 Contractor: CASCADE LANDSCAPE & IRRIGATION INC PO BOX 754 SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 625 -4112 FAX 503- 625 -0739 Reg #: LIC 7832 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those r Lesare set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC calling 50 . 46.6699 or 1.800.332.2344. Iss ed By: O 4 1A \, _ Permittee ignature: �# /� ( f ir yl r Vi i , / r Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. a�I/25/2008 15:06 5036250739 CP#SCADE LANDSCAPE PAGE 01/03 - , Plurnbin Permit A�p1P lic� Ell NO v Building Fixtures f) � flllt oil, l`tt 1 l i ttr�r., City of Tigard ni (�" , e 1 a • DateBy: RECE 1 Received d` J �$ P No.: `, M 6-.CAJT 7 0 a 1 3125 SW Hall Blvd., Tigard, OR 9 7223 Plan Review Other Permit *10.: Ill " Phone. 503.639.4171 Fax; 503.598 `N OF TI A VILi Date/Bv. Mil t s , t 1 � Internet: www.tig,ard-or.gov Inspection Line: 503.639.4175 �d,,�� TI ix Ready/By /I awrr' see Page 2 for { I { fl% D I J S letneatal tafarmatioo v • Notified/Method � t y , , e >;L, ,,. ��"4tip4 s4 " , ,r ri For s • k • 'v i r, at h i t fi) i ',ny w t " . , Demolition pecrrd lnformukUn use checklist ❑ New construction C Description La. ❑ Addition/alteration/replacement ,2 Other: New 1 - 2 - family dwellings (includes 100 ft, for each utility connection) i �e . 'r' SFR (1) bath 249.20 oyz,e L 11"/) . .'N , V� 4' ,t" .: a.: .P:t ' x4' ; S se y ,,, ;; , .:‘f , ..:: r "" ,,,.,/ `d .r . ❑ Commercial/industrial SFII (2) bath 350.01) T ❑ 1- and 2- family dwelling W SPIt (3) bath 399.00 ❑ Accessory building ❑ Multi- family 45.00 Each additional bat /kitchen ❑ Master builder ® Other: RESIDENTIAL Fire sprinkler ( sq. ft.) Page 2 �'n <:¢i�`� J � itzt� ,( ��� �7..? ti * , . ✓,: n H , „ i,t . r .,^,.�'.m ` ���i, •, ��' ., r , site utilities Job site address: Ili 61 0 c 'Fa •,I. � k a' Catch basin or area drain 16.60 City /State /ZIP: -1-79 a , 93 423 .„ Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: -) Page 2 Suite/bldg. /apt, no.: Project > Fatne: - Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connecto 16.60 Sanitary sewer (no. linear ft.; -) Page 2 Storm sewer (no. linear ft.: Page 2 Water service (no, linear ft.: _,.) Page 2 Subdivision: Lot no.: ,_,_,_„ Fixture or item Tax map /parcel no.: Absa valve 16.60 r ',; , ,,. ,w..i , n b ';..1j.:;?;-‘:1 . "+e a "� ,d A ar ,t.. r ' ; :' Backkflow reverter Page 2 �.' { ';:.,,,,:•.;:;,' .A ' m t . , a "s4 r x(xatraF ., r� r, a JJ P ., . f r ° ; I. . ft l fey I Y1 <A e(7:4 (vl _ Backwater valve 16.60 Clothes washer 16.60 lb V w. C t /. r Dishwasher 16.60 Drinking fountain 16.60 ' ,', ` , ' "d t, u i ,{ ,," " . Ejectors /sump 16.60W - Name: UL(JfE y h( .- 1 - Expansion tank 16.60 Address: T (CIO 28AI lO cA3 2 ixtttrefsewer cap y • 16.60 City/State /ZIP: -71 Q,1/0 ( ) 0 72_2 -3 Floor drain/floor sink/hub 16.60 Phone r 0 Fax ( ) ( Garbage disposal 16.60 I6- 6 Hose bib 0 �l�� : ,i , *;Or A 1E•1w'' C - 16.60 • ' :e,'�{or,' h.eKt 'm' '4'i+ � . r •� 1eC tTlakel . - Business Hanle: CASCADE LANDSCAPE & IRRIGATION INC Interceptor /grease trap 16.60 Contact name: BERNIE/ LILY Medical gas (value; $ ) Page 2 Adrlress: ro BOX 754 Printer 16.60 City /State/ZIP: SIIERWOOD, OR 97140 Roof drain (commercial) 16.60 Sink/basin/lavatOry 16.60 Phone: (503) 625 -4112 Fax; : (503) 625 -0739 ' __ - Tub /shower /shower pan 16.60 E -mail: CASCADELANDSCAPEnVERIZON.NET Urinal 16,60 K . u,z4 :.;;.M. ".11,`�a '?"d _ ", ,r, ( , " W at r closet 16.60 Business name: CASCADE LANDSCAPE & IRRIGATION INC Water heater 16.60 Address: PO BOX 754 Other; , - Subtotal City /State/Z1P: SIIERWOOD, OR 97140 Minimum permit fee: $72.50 • ((e) Phone: (503) 625 - 4112 Fax; (503) 625 - 0739 Residential backfluw minimum .crmit fec: $36.25 / 0 ( ' M • CCB Lie.: 7832 Plumbing Lic. no.: , Plan review (25% of permit fee) �- State surcharge (12% of permit fee) / a. / 7 Authorized signature f ,� 0 TOTAL PERMIT FEE ji 'lj • 57 Print name' BERNARDO BRAVO Date: ( I '2' This permit application expirca 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. I Building\Pamii\PLt '- PermitApp.doc 12/27 /06 4404010( 10/02/COM/wEli) w1/25/2008 15:06 5036250739 ,CASCADE LANDSCAPE PAGE 02/03 Plim rm >a ui bin Pe it lication - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: o f .Tote ,' r.,.. -.. „ ,... :Utdlea : �, r .. �� ; > Sg ia i e Fo .. asst r:r, :..;; Prkiai # u Footing d rain - J. 100' 55.00 0 to 2,000 $115.00 - __ Footing drain - each additional 100' 46.40 _ 2,001 to 3,600 _160.00 3,601 to 7,200 - 5220.00 Sewer - lat 100' 52.60 7 201 and . neater $3 Sewer - each additional 100' 46.40 - Water service - 1st 100' 55.00 Medical Gas S steln3: + °! i f � Water Service - earth additional 100' 46 .4 1. 1 '1•�1 :a,,y!' "^te a' htiY ., . " t # i il i y • Stone it Rain Drain • 1st 100' I 55.00 $100 to $3.000 00 Minimum the $72,50 Storm & Rent Drain -each additional 100' 46.40 .1 `(} $5,401.00 to $10,000.00 $72.50 for the first $5,000.00 and $ 1.52 for each „ r . additional $100.00 or fraction thereof, to and 1 lrtw s , �Rr4*; ^ }AS,:�;: ,: QtYfK::F e e(ea) i Totel, ,: includ $I O 0.00 0. Commercial Sack Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 _ and ineludin&.$25,000.00. Rain Drain, single family dwelling 65,2-5 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or • _ and including $30,000.00. que apeoially rested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for m Subtatalttatalt - 101,44 each additional $I00.00'or &cation thereof. Commercilljl `ixt isre Work: :• � ;{ :11.'1 i0 ;t0i . 01 Xis alit tiomg ;- fi '`s Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following, please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees'. ❑ Any new commercial building with water service 2" and . ,. greater', except systems designed and stamped by licensed '(,, t"ne i � � �ti'•_�° '���;� , : �ujt�iti - .1 r e d 1v�k FeYtot'itred r „ • engineer. „, y •> ". bra ? i �, ,� 'v'� ��> � ; ,. ..,y: -r•� i f,�.. .:ho,'; is c., structure lY .;, . 7, f , t . - ,'' •;s .R i' ('' - ; . ' F :1 . :( !: v 4 Est . -�j,� 'Y ,,,,./1 '' � . ��� '<li: �"`.�,< - �oa Ca � , ' ;. �d�ed`.:.: Rslstte:'- ❑ New exterior plumbing site utilities for any complex afro Ba..s. /Font INIMII WWII as defined In 0A5918. 780 -0040. Bath -Tub /Shower -- •11111•1=1111111111111111111111MM ❑ Medical gas and vacuum systems for health care facilities, Jacuzllah l ❑ Any complex structure fur a sprinkler system, Car Wash -Each c h Stall tall 111 Any complex structure as defined in OAli91$- 780 -0040. - Drive Thru Cuspidor/Water Aspirator 111111111111111 Submit a sets of plans with any of the above. Dishwasher - Commercial - Domeatio . s�" �{ ,G�; _ i ,.,.�, x � ng _NM yr '; s . •.. = `1 o o>r; Rls,� DI*1 rii a` ' r. ak., : , • Drinking Fountain '- "�:,�...,,,,:., • r,� ..,�,.. m� ., d' � . :.. �. -,: � , ,:.. Weah 0 Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet•tbe qualifications above, - "�� Car Wash Drain MIN MilliiiilliM Garbage - Domestic Comments Comments regarding fixture work: Disposal -Commercial - Industrial lee Mach-RRcfri_. Drains MOM Mil Ili= - -- Oil Se orator Gas Station - - -. Rye. Vehicle Dom. Station m.1.111•11111MIE - Shower -Clang S_� -Stall IIIIII .111111.0.1111 __,,,, - Sink - Bar /Lavatory MOM= - Bradlee, *Note: If the fixture work under this permit results in an - commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. MI Washer - Clothes Water Extractor loser - _ II Water Closet - Toilet Urinal Other Fixtures: - MIMI i:W∎4;1 i..su•...i.APIAA- PermitAw.doa 12/27/06 CITY OF TIGARD ., ` s BUILDING DIVISION PERMITXMVU `��1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: ii O DQ Phone: (503) 639 -4171 . uyi A,d,i, l U Inspection Requests (24 Hrs.): (503) 639 -4175 _W INSPECTION WORKSHEET FOR DATE: ii .24, TIME: PAGE: SITE ADDRESS: / 0 /q Z 1e S leit Y 0 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT TI DESCRIP : % i � � //V 7 TIN OWNER: c_ � /f' Y / L 4 2 I, e ' 4Y'///9- PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description / ' Confirm # Contact # Message l ✓ kr Corrections /Com i nstruction s -- PkD� Jolla oKr x.0,1 ✓ 3.t/ AY RA-117 r, 41d2Rrn' o1#7 terse-' e A GP____- MI 2 %-i Li /6-14/©jtK 9JC rr//'r 9-1-(------- az/woo-7- ® ® lc 7 ?o V, e Pi. *� c- '1 A7 N2- ,4 �i ' W II C ✓77d &(' 71 'Y W'7U �c�lli�L. _ oak✓ T.> - P• -4-- v ® 2, �� e -21''''' � S I'' — ; Se.— - Klekitt 2 ig-ii /4 17 - To - leot / 7 7 1 /g- F i - A / eo `T0 t)dlii 0 \ --- o ie l ei---Le_.--IC e 91}40,41-/AK pl;77-/- 1 -----7 ; A6 ❑ P! S I I PAR IAL APPROVAL n CANCEL I I NO ACCESS FAIL II L FOR I JN ADDITIONAL FE S ASSESSED O Inspector: Date: Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PER#I00 Q0./..1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171Alytit 6f /' Inspection Requests (24 Hrs.): (503) 639 -4175 �� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: °I® C 11 /n ®S CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Ins ection D ription ► ;.nfirm # Contact # Message 3A/ faki ) 11--)Ar , Correc ons /Co m ents /Instructions: - p,,,,q5 . , / i j1 " f47 :------ - _ Afr, /'Ye_ -- \ 9 1 \ //// y A SS ❑ °''TIAL AP Vk L n CANCEL I NO ACCESS AIL V A LL.F.''i� IN ; '' ECTION I I ADDITIONAL FEES SESSED Inspector: A f , ," Date: "),Ca p Phone #: 50 7 - — e .