Permit CITY TIGARD PLUMBING PERMIT
ik DEVELOPMENT SERVICES PERMIT #: PLM2006 -00052
�I DATE ISSUED: 1/31/2006
A - -BA 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S109AD - 13700
SITE ADDRESS: 12923 SW WAHKEENA CT ZONING: R -7
SUBDIVISION: ARBOR SUMMIT NO. 2 LOT: 033 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
Description Date Amount
[PLUMB] Permit Fee 1/31/2006 $36.25
[TAX] 8% State Surcha 1/31/2006 $2.90
Phone : Total $39.15
Contractor:
TRADEMARK LANDSCAPES, INC.
PO BOX 2410
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -504 -2013
Reg #: PLM 6796
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: 9
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.
JAN -31 -2006 TUE 11:18 AM FAX NO. P. 05
,, ' lumb Per mit A flea ����' FOR OFFICE USE °NI�Y
City of Tigard _ FOR
Date/By. (/ � Penny No P1 - '> /Q � ��
13125 SW Hall Blvd,. Tigard, OR 97223 JAN Review Phone: 503.639.4171 Fax; 503.598,1960 dd tD 1 �, :'. • 't, P Ry: ot1,e, Permit No.,
24- Hour Inspection Line 503,639,417 bate Rondylay: bile ad Sec Pap: for
In ternet• www.ci,ttgard,or.us CIIIIIP 0,IF if v Notified /Method' Supplemental information
TYPE 0 4.13 ' 4 ' `` =' On DAM ON _ FEE* SCHEDULE
® New construction ❑ Demolition Forspacln/ Information use checklist.
Descr tton Qty, En Total
O Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
® 1 SFR (2 and 2- fanuly dwelling ❑ Commercial /industrial (2) bath 350.00 L
11 Accessory building ❑ Multi -family SFR (3) bath 390 00
Each additional bath /kitchen 45 00
❑ Master builder ❑ Other Fire sprinkler ( sq. it) Pagc 2
JOB SITE INFORMATION AND LOCATION site utilities
lob site address: fjW 1/1/a � n� G f Catch basin or area drain I 16.60
City/State/ZIP: TI GAR'D 0- q 2.z.4. Drywall, leach line, or trench drain 16.60
Footing drain (no. linear ft.: ) Page 2
Suile/bldg./apt. no.: Project name:
Manufactured home utilities 110.00
Cross ttlreet /directions to job site. Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear 1}. ) Page 2
Storm sewer (no, linear ft.: ) .Page 2
Subdivision. Arbor Summit
Lot no.: / Water service (no. linear ft :. ) - Page 2 —
Fixture or item
Tax Wrap /parcel no. Absorption valve _l_ 16.60
DESCRIPTION OF WOIrIt'. Backh1ow preventer / Page 2
NEW CONSTUCTION Backwater valve 16.60
Clothes washer 16 60
- Dishwasher r 16,60
r TENANT Drinking fountain 16 60
® PROPERTY OWNER .. Q Ejectors /sump 16.60
Name: West Hills Development Expansion tank 16.60
Address, 15500 SW Jay ST. Fixture /sewer cap 16,60 -
City /State /ZIP: Beaverton, OR 97006 Floor dram /floor sink/hub 16 60
Phone; (503)641 -7342 Fax: (503)641-7661 Garbage disposal 16.60
� ----'—
I-lose bib 16.60
® APPLICANT ® CONTACT PERSON Ice maker IG.60
-
Business name: 5a me As Owner. e interceptor /grease trap 16.60
-
Contact name' 1�. . K L�4N I ER, Medical gas (value. $ ,) Page 2
Address, s Primer 16.60
Roof drain (commercial) 16.6
City /State /ZIP: (1
Sink/basin/lavatory 16,60
Phone; (503 ) 641-7342 Fax._( ) Tub /shower /shower pan 16.60
E -mail: R IAN i i&Co■ArSi NIU,SDfVEI,UPtitE•rCPM Urinal _ 1660
CONTRACTOR _Water closet 16.60
Business name: ' f `ADC AA P,X LAKrDSCA19E _ Water heater 14.60
L+ Other:
Address: ' {� C , 6 241G C — Subtotal
City /State/Z1P• ' ti [,"<ZtW C,Iry OR ci 70 5 Minimum permit fee: $72.50
Phone; (503) 1 504-- 1 Co 13 I Fax: Residential backflow minimum permit fee: 536.25
�^ _ i ti G 1 I 114 -1 1'f+ �G 77`'16.-, Plan review (25% of permit fee)
CCB Lie.: (I ? ,,,> ' j tin jC.. �j _. -- State surcharge (8% of permit t fee)
Authorized signature
• ... ' e l TOTAL PERMIT FEE
Print name: / E aus Date; ,e,'at 6 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
"Fee methodology set by Trl- County Building industry Service Board
— ud,...nn..eurr\P1 AA.PnrmhAnn dor 12,0] g•10.4016T(I0/03ICONVIVE13)
CITY OF ! IGARD
PLUMBING PERMIT
lira DEVELOPMENT SERVICES PERMIT #: PLM2006 -00052
' --" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2S 109AD -13700
SITE ADDRESS: 12923 SW WAHKEENA CT ZONING: R -7
SUBDIVISION: ARBOR SUMMIT NO. 2 LOT: 033 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
Description Date Amount
[PLUMB] Permit Fee 1/31/2006 $36.25
[TAX] 8% State Surcha 1/31/2006 $2.90
Phone : Total $39.15
Contractor: r
TRADEMARK LANDSCAPES, INC.
PO BOX 2410
OREGON CITY, OR 97045 REQUIRED ITEMS AND R V ORTS o
Contact # : PRI 503 -504 -2013
•
xx
Reg #: PLM 6796 U 0
� �
Ut
(iv
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 wili 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.
Inspections Required for: PLM2006 -00052
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
•
275 Framing -
MEC - Mechanical Permit
810 MFG- Structure set -up
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing X _ 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I \Building \Inspection Cards \Forms\AOP - InspCard- Blank.doc 12/09/2005
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Ply 0 6 00 0 ,51
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 411 l y ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: l 2_93 /h//L A £37 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: .
DESCRIPTION:
OWNER: PHONE #(g 3i 7 4,96 3
CONTRACTOR: PHONE #:
Inspection Reques chedule For: Date: 4 r 7.— O. Pour Time:
Code # In ction D scrfption Confirm # Contact # Message
39 a/-
Corrections /Comments/ Instructions:
•
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AO ./.41, .-.. - .
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g ez_ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
i
Inspector: ' i
,' Date: Phone #: (503) 718 -
I
CIT TIGARD fL i
BUILDING DIVISION PERMIT #: 200 __60 . 0,5-.Z._ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 '
• Inspection Requests (24 Hrs.): (503) 639 -4175 ^' I I
INSPECTION WORKSHEET FOR DATE: TIME: . PAGE:
SITE ADD: ` 9._g ?..3 t)�like �-
CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request eduled F r: Date: ii -,s- 0 Co Pour Time:
Code # Ins a . ..n Des / ' ion Confirm # Contact # Message
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FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
'' 6 6 Phone #: (503) 718 - ��
Inspector:
I Date: