Loading...
8045 SW CHURCHILL COURT t 0 0 r v+ En O G p H a0 b r• � H H h+ H PY H H u 8045 SW CHURCHILL COURT i 1 CITYOF 7 IGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLN11999-00255 - 13125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171 DATE ISSUED: SITE ADDRESS: 08045 SW CHURCHILL CT PARCEL: 2S112CC-02300 SUBDIVISION: BOND PARK NO. 3 ZONING: R-12 BLOCK: LOT: 051 JURISDICTION: TIG CLASS OF WORK. OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS- I OCCUPANCY G^P: k-' FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CA'rCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS- URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential backflow prevention device for irrigation system. Owner: FEES TRANK, MATTHEW R+ LAUREN K Type By Date Amount Receipt PRMT DEB 8/10/99 $25.00 99-317537 TIGARD, OR 97224 8045 CHURCHILL CT 5PCT DEB 8/10/99 $1.75 99-31753/ Total $26.75 Phone 1: Contractor: TRYON CREEK LANDSCAPE INC 11400 SW NORTH DAKOTA ST TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 624-2174 RP/Backflow Preventer Reg #: Li'. 00011525 Final Inspection F i 629E EXPIRED 1016-'l This 016- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable lacus. 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 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. ISEU By: , \�-�� Permittee Signature: - - - _ Call (503) 639-4175 by 7:00 P.M for an inspection needed the next business day .11 CITY OF TIGARD Plumbing Permit Apr11,1�ation Plan heck A� 13125 SW HALL BLVD. Commercial and Residr,.Wdl Rec ey TIGARD, OR 97223 Date t oc'd Date to P.E. _ (503) 639-4171 Date to DST Prin: or Type Permit: Incomplete or illegible applications will not be accepted Rermit0 Pb; _ WR Celled — Name of Development/Project FIXTURES (individual) QTY PRICE AMT r— Job Y�— Oy> Sink 9.00 Street Address suite Lavatory 6.00 Address Tub or Tub/Shower Comb. Q.00 Eli lty/Stale Zip Shower Only 9.00 -L-L iWater Closet 9.00 Name 900 Ar�'—15C Dl:,hwasher Owner Mailing Address .' 11 A_ Suite Garbage Disposal _ 9.00 C—`� t l C Washing Machine 9.00 City/Stele Zip Phone , Floor Drain/Floor Sink 2" 9.00 _ U �• 9.00 Name -- 4" 9.00 Occupant Mailing Address Suite — Water Heater v conversion O like kind 900 _ _Gas iiin�requires a separate mechanlcs+l permit._ Clty/State Zip Phono Laundry Room Tray 9.00 Urinal 9.00 Name 'S r AC Q y ta.J P f Ne(• Other Fixtures(Specify) — 9.00 9.00 Contractor Meiling Address Suite --- 9.00 Prior to permit City/State Zip Phone Sewer-1 at 100' 30.00 Issuance,a copy Sewer-each additional 100' 25.00 of all licenses areL t.Cont.Board LlcA Exp.Date Water Service-1st 100' 30.00 required If U fof C� 25.D0 — expired In COT Plumbing Lic.0 Exp.Date Water Service-each additional 200' datsbase Storm&Rain Drain-1st 100' 30.00 Name Storm&Rain U,aln-each additionel 100' 25.00 Architect -- Mobile Home Space 25.00 Or Mailing Address Suite Commercial Back.Flow Prevention Device or Anti- 25.00 Pollution Device City/State Zip Phone Residential Backflow Prevention Device' 15.00 Engineer (Irrigation timing devices require a separate i Drestricted energy permit.) Describe work to be done _ Any New O Repair O Replace with like kind: Yes O No O Trap or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial O Catch Bann 9.00 Additional de�sccription of work: � /I Insp.of Existing Plumbing 40.00 1 7U'wn-C Ci�tx L'IL V'9'�04 t W f n,- 1 I — er/hr Specially Requested Inspections 40.00 erRtr Rein Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? Grease Traps — 9.00 Yes O Nom If,yes,see back of form to Indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or dKr diagram is required M Ouantit 10911 is >s WORK COULD RESULT IN INCREASED SEWER FEES. 'SUBTOTAL I hereby acknowledge that 1 have read this application,that ittc Information _ -- ---- given Is correct,that I am the owner or authorized agent of the owner,and 6%SURCHARGE � that plans submitted are In compliance with Oregon State Laws. _ — Slgn tura of OwnerlAgent Date •'PLAN REVIEW 25%OF SUBTOTAL I V r'1 R ulred only B ndure qty total Is>9 `�_ � TOTAL ' Contact Person Nams Phone 'Minimum permit fee is$25+5%surcharge,except Residential Backflow -5(o . Ig7T- Prevention Device,which Is$15+5%surcharge ' ••ADI Now Commercial Buildings require plans with Isometric or riser diagram and plan review 1:ldslslpk,mapp.doc 111/98 PLEASE COMPLETE: by 1Alork Performed----- New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Water Closet Dishwasher _ Garbage Disposal Washing Machine — Floor Drain/Floor Sink 2" Water Neater �`----------- -- — — - ------- Laundry Room Tray ~� — Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I%datfN"app doc 717198 i cc 0 X M E c r, n r• r•� n rt 80-/5 SW CHURCHILL LOUR`.[' l }1 CITY OF TIGARD DEVELOPMENT SERVICES 13125 51M Hall Blvd., Tigan',OR 97223 (503)639-4171 ELECTRICAL PERMIT - RESTRICTED EIIERGY PERMIT #: EL R97-0 .9 DATE ISSUED: 08/:0/97 SITE ADORESS. . . :08075 SW CHLJRCH 1.LI_ f_ 1 PARCEL: 2S 1 12,CC-02600 SURD 1 VI S I ON. . . . :BOND PARK NO. 3 ZONING:R--12 BLOCK. . . . . . . . . . .. LOT'. . . . . . . . . . . . . :54 JURISDICTN: TIG Project Description: Add burglar alAre to existing SFU. ---------------- ---------- - ------------ A. RESIDENTIAL-- -__ --- B. COMMERClAL ---- ---- -- - ------------.____._______.___-- AUD T fl & STEREO. . _ AUDIO & S I E KEU. . INTERCOM & PAGING. . : BURGLAR AL.ARM. . . . : r BOILER. . . . . . . . . . : LANDSCAPE/I RR i GAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . , . . . •. . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL . : INSTRUMENTATION. : �JTHER. . : Owner. -------------------------------------------------- TOTAL # OF SYSTEMS: 0 __.--- V EES -----•---- --__-_ CHOI, WON & REBECCA type Amol_tnt by date reept 8075 SW ('HURCHJLI. COURT PRMT $ 40. 00 GEO O8/20/97 97-x'98467 TIGARD OR 97224 5PCT $ 2. O,h GEO 08/20/97 97-298467 Panne #. HONEYWELL INC $ 42, 00 TOTAL 15455 SW SEQUOIA ��(r>tIRED -- STE 100 - -- _-- REQU I RED I NSPECT I ONS PORTLAND OR 97224 ��- Ceiling CavFr Low Voltage Insp Phore #: 9F,8-3333 `� /3/ Wall Cove- Elect' 1 Final Reg #. . : 000578 This persit is issued suh,lect to the regulations contained in the Tigard Municipal Lode, State of Ore. Specialty Codes and all other -ppli:able laws. All - ork will be done in accordance with approved plans. This persit will expire if work is not started within 180 days of issuance, dr if work i, suspended for Aa + than 180 days. ATTENTION: Oregon law regAres you to follow rule adopted by the Oreycn Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-NI-O88. You say obtain copes of these rules or direct questio Co at 15031246-1387. IsC,.ied hv�-�► 1-'ermittee SignatLrr 10 -OWNER INSTALL.AT:iON UNl_Y---- ----- ----- ___----.-_-_---_-_ 'The installation is being made on proper-ty I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: _ DATE: INSTALLATION ONLY------ ---- ---------- ----- - i SIGNATURE OF SIIPR. ELEC' N: _ _ ___ DATE: y or LICENSE NO: ++++++++++++++++++++++++++++++++++f-}++f++++++fi•.++++i•++++++++-F-f-++++f+++++++++++++ Call 639-4175 by 6:00 P. M. for-, an inspection needed the netct business day I +++++•4.+++++++++++++++++i•+++++++++++•.++++++++++++i++++++++++++ h+i.+++++4•+4•++•!.+++++ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL_APPLICATION Recd by 13125 SW HALL BLVD Date Rec'd:_ d - TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit#: ,F-0-7-­o;3c F -503-664-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE= OF WORK INVOLVED - RESIDENTIAL ---- - -- -- --- f estricted Energy Fee........................................ $40.00 (FOR PLL SYSTEMS) JOB Street Address Ste# Gheck Type of Work Involved. ADDRESS 80755 Churchill Ce. City/State Zip1 Phone# ❑ Audio and Lteren Systems .2 S Nathe !!�� I Burglar Alai m WC n 4'R"O ec e'2 C!A i_1 ❑ Garage Uoor Opener' OWNER Mailin Address _pct a s ei 6 o ve- ❑ Heating,Ventilation and Air Conditioning System' ^' City/State Zip Phone# Name ❑ Vacuum Systems' ❑ Other CONTRACTOR Mailing Address .-- 5 At /00 TYPE OF WORK INVOLVED -COMMERCIAL (Prior to issuance a ity/St to Phone 1111 Fee Tor earth systemWW................................ $40.00 copy of all licenses (SEE OAR 918-260-260) are required If Oregon Contr.Bird Lic # Exp. Dat:, expired in C.O.T. QJ 7 L2X / 1-31 y Check Type of Work Involved: data base). Electrical Contr.Lic.# Exp.Date .26 L02 • V 7 ❑ Audio and Stereo Systems C.O.T.or Metro Lic.# Exp Date N_ 1 L'17 Boiler Controls Owner's Name ❑ Clock Systoms OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation CRY/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 ED 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 licelising. ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; ❑ 2. Cell for inspections when Installation under this permit are ready for Landscape Irrigetion Control* inspection at 503.639.4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls Inspection when the inspector is out to inspect under this permit; 4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspec.tol are done,and; ❑ Prolective Signaling 5. Assume responsibility for calling for a final Inspection when all of the corrections are completed. ❑ Other_ Permits are non•transferable and non-refundable and expire If work is not started within 180 days of Issuance or i'work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other Installations authorized to bind the applicant. D / G y• ,-� FEES: ENTER FEES :_ n• ,0 Signature 6%SURCHARGE(.05 X TOTAL ABOVE) : a• o Authority if other than Applicant TOTAL o W�— i Vesele doc 12/99 — --_