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10135 SW CENTURY OAK DRIVE J F"J W cn y t .d �k ] 1 CD 1-4 � r Cs) 7� C� � 1r , i C -� U7 H 's7 O _ `[�sJ 7 H Ij �1 IV Lo J �txj ►� t14 r� t7 t I I I d- 10135 SW CEN'I'URI OAK DRIVE CITYOF TIGA,RD p_ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00123 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63�1-4171 DATEISSUED: PARCEL: 25111 CC-01000 SITE ADDRESS: 10135 SW CENTURY OAK DR SUBDIVISION: SUMMERFIELD ZONING: R 7 BLOCK: LOT: 007 JURISDICTION: TIG CLASS OF WORK: ALT 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: Ol HER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Residential backflow prevention device FEES Owner: Type Be Date Amount Receipt WHITE, GARY E PRMT BON 4/23/99 $15.00 99-314810 10135 SW CENTURY OAK DR MISC BON 4/23/99 $0.75 99-314810 TIGARD, OR 97224 — = Total $15. 15 Phone 1: Cont.'actor: _ PROGRASS LJ-,NDSCAPE SERVICES 29895 SW KINSMAN RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 682-6076 Final Inspection Reg #: LIC 00006136 PLM 11558 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 ,iot started within 180 days of issuance, ,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules ad)pted by the Oregon Utility Notification Center. Those rules are set forth in OAFS 952-0001-0010 thrcugh OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. r Issued BY 1�V1 �— _ Permittee Signature:�21�A Aff Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nex usiness day CITY OF TIGARn covEG Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Rec'dBy_ _ - TIGARD, OR 97223 r n �� Date Recd (503) 639-4171 APP, j ' Date to P.E l;OMMUf�i�`I pEVELOPM�N� Print or Type Date to DST ncortiplete or illegible applications will not be accepted Permit aM Z3 Related SWR 0 Called------ Nome of Developmont/Project FIXTURES (individual) QTY PRICE AMT Job �6aiii 1111 im h-1 Sink - - -� 9.00 Address SIret ddres� 9eir2 Lavaliry 9.00 11 11135 Sw (, pftf i Qk, l Tut r Tub/Shower Comb 9.00 Bldg* Gity/State I1j k"Zip -V - --- - -- LU�OK ver Only 9.00 Sha Name / Wa'.er Closet 9.00 Ljishwasher �J--- -- - 9.00 Owner Mailing Address' Sults Garbage Disposal j j- _ 9.00 .-fit Washing Machine 9,00 City/State Zip Phone !_ Z-3395 Floor Drain/Floor Sink 2" 9.00 Name 3" 6.00 U-.1(I -.1 4" - ---- 9.00 Occurlant Mailing Address Suite Water Heater O conversion O like kind 9.00 _ Gas piping requires a separate mechanical permit. City.rState Zip Phone Laundry Room Tray 9.00 ---- --- --. Urinal 9.00 Name . ams�ras S Other Fixtures(Specify) 9.00 Contractor Mallin Address Sulte 9.00 S�S S W KIiMiNAr?Rd, _ - - _ 9.00 Prior to permit C W/State Zip �y-7 Phone Sewer-tet 100' 30.00 Issuance,a copy l lsvnv1 11e oR 97V'`� 4082-&6Ik of all licenses are Oregon Const.Cont.Board L.Ic.# Exp.D to Sewer-each additional 100' 25.00 required If -�11� 9 Water Sr rvice-1 st 100' - 30.00 expired In COT Plumbing Llc.0 Exp. ate Water Service-each additional 200' 25.00 database _ Storm&Rain Din;n-1st 100' 30.00 Name Storm&Rain Dral1-each additional 100' 25.00 Architect - Mobile Home Space 25.00 ' or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City/Stale Zip Phone Residential Backflow Prevention Device- 15.00 r a (Irrigation timing devices require a separate l J' Describe work to be done, I restricted energy permit.) New Y Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential Commercial O _ Catch Basin 9.00 Additional description of wot I n'S `I ��C� r o i t ?`-,0�kyh0f1 'tPvr, CQr Insp.of Existing Plumbing 40.00 Fp r 610, cW� iWl'L'1 Cf d/7 d w ater Tk - per/hr00 Specially Requested Inspections 40.00 per/hr Are you capping,moving or replacing any fixtures? Rain Drain,single family dwelling 30.00 Yes O No O Grease Traps 9.00 If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURF. Iso,tetricorris ,diagram Isrequired 0Quent"yTotal is >9 WORK COULD RESULT IN INCREASED SEWER FEES. 'SUB?OTAL I hereby acknowledge that I have read this application,that the Information _ CO given Is correct,that I am the owner or authorized agent of the owner,and 5% SURCHARGE ' that plans submitted are In compliance with Oregon State Laws. 1175 Signature of Owner/Agent Date PLAN REVIEW 26%OF SUBTOTAL Required only H fixture 1 total is,9 s _ TOTAL ontset Person Nome - Phone 15,1r2 'Minimum permit fee Is$25+ 5%surcharge,except Residential Backflow Prevention Device,which is$15+ 5%surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan review I ldslslplumapp dor M198 PLEASE COMPLETE: Fixture Type _ Quantity by Work Pe.-formed __- - New Moved Replaced Removed/Capped Sink __----- —___ - -------- ----- ---_--1j Lavatory Tub or Tub/Shower Combination Shower Only ----- ��—� -- --Water Closet Dishwasher -.--- Gurbage Disposal - ------ Washing Machine Floor Drain/Floor Sink 2" 411 -Water Heater Laundry_Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 1 CIT ENER OF TIGARD — ELECTRICAL - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00096 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/23/99 SITE ADDRESS: 10135 SW CENTURY OAK DR PARCEL: 2S111CC-01000 SUBDIVISION: SUMMERFIELD ZONING: R-7 BLOCK: LOT: 007 JURISDICTION: TIG Proiect Driscription: Electrical alteration -landscape irrigation control A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALAKM: BO!I_ER: LANDSCAPE/IRRIGAT: X GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM' NURSE CALLS: VACUUM SYSTEM- FIRE ALARM: OUTDOOR L.ANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: WHITE, GARY E PROGRASS LANDSCAPE SERVICES 10135 SW CENTURY OAK DR 29895 SW KINSMAN RD TIGARD, OR 97224 WILSONVILLE, OR 97070 Phone: Phone: 682-6076 Reg#: LIC 6136 FEES Required Inspections Type By Date Amount Receipt Elect'! Final PRMT BON 4/23/99 $40.00 99-314810 M%J v'4 5PCT BON 4/23/99 $2.00 99-314810 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and alp 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 ru!es are set forth in OAR 9.52-001-0010 through OAR 952-001-.0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. () 6y Issued by Permittee Signature ti LTT OWNER INSTALLATION ONLY The Installation is being made on property I own which is not intended for sale. lease, or rent OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N A _ DATE: LICENSE NO: — Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD REC�(V ESTRICTiED ENERGY ELECTRICAL APPLICATION Recd by: (� 13125 SW HALL BLVD TIGARD OR 97223 APR 2 ?, 1990 Date Rec'd:_ PRINT OR TYPE .�1 V- 503-639-4171 X304 Permit#: r LF-(ew–ar,M0 F- 503-684-7297 fir,,,MUNI I 0I VII i"j bbMPLETE OR ILLEGIBLE APPLICATIONS Cust.Oall'd: WILL NOT BE ACCEPTED Name of Develupment Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY /1 ow -(,(/l� lr_& Restricted Energy Fee........................................ 640.00 (-. (FOR ALL SYSTEMS) JOB Street Adr.rtss Ste# ADDRESS d 1;-s CeWuv D k_ Th-, Check Type of Work Involved; City/F:aIeZip J Phone# Name CA., E] Audia and Stereo Systems r 1-3 35 ❑ 6A M Gu Burglar Alarm G� OWNER Mailing Address ❑ Garage Goor Opener' '"'Y`` A ' Q S City/State Zip Healing,Ventilation and Air Conriitioning System' Phone# Name ❑ Vacuum Systems' n AA `trQS� CONTRACTOR Me lin Address 5 Sw Kinsman Rd. TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to Issuance a Cit /Slate Zip Phone# Fee for each system.............................................. $40.00 copy of all licenses WI lsonv/ le ()�0 IV Z&07 (SEE OAR 918-260-260) are required if Oregon Contr. Br' Lia# Exp Date expired In C.O.T. tp('3 c 9 Check Type of Work Involved: date base). Electrical Contr.Licic.#��# Ex . Dale ❑ Audio and Stereo Systems C.O.T.or Metro Lic.# Exp.Date vZ ❑ Boiler Conf-its Owner's Name OWNER - Mailing Address IJ Clock Systems APPLICANT [] Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370.This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following. ❑ Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ 2. C611 for inspections when installation under this permit are ready for Landscape Irrigation Control* Inspection at 503-639-4175; ❑ Medical 3. Purchase separate permits for all Installations that are not ready for an ❑ Nurse Cells inspei-tion when the Inspector Is out to inspect under this permit; 4 Assume responsibility for assuring that all corrections rec uired by the ❑ Outdoor Landscape Lighting' inspecto, are done,and; ❑ Prolective Signaling 5 Assume responsibility for calling for a final inspection when all of the correctiol.s are completed. ❑ Other Permits are ncii iransferable and non-refundahle and expire if work Is not started within 1 i 0 days of Issuance or if work is suspended for 180 days. Number of Systems The person sign ng for this permit must be the applicant o,a person No licenses are required Licenses are required for all other installations authorized to bird the applicant. FEES: Signature - — ENTER FEES $_ OD S'6 SURCHARGE 1.05 X TOTAL ABOVE) $__r,��Q Authority if other than Applicant -- — TOTAL $ ¢d2,Pilo, 4lslsvesele doc 7/97