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Permit
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • T I GARD July 22, 2008 • Landscape Oregon 12200 SW Myslony Rd. Tualatin, OR 97062 Attn: Daniel Edmonds Re: Permit No. PLM2008 -00303 Dear Mr. Edmonds: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: • Site Address: 11034 SW North Dakota St. Project Name: Dakota Glen, Lot 22 Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $32.48. ❑ Trust account "deposit" receipt in the amount of $ Notes: Per applicant's request as they applied for two permits at the same address. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, d/14 Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds\ Administration \LtrRefund- CancelPermitdoc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be • attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Landscape Oregon DATE: 7/22/08 12200 SW Myslony Rd. Tualatin, OR 97062 REQUESTED BY: Dianna Howse Attn: Daniel Edmonds BTT TRANSACTION INFORMATION: Receipt #: 2008 -2505 Case #: PLM2008 -00303 Date: 7/16/08 Address /Parcel: 11034 SW North Dakota St. Pay Method: CreditCard Project Name: Dakota Glen, Lot 22 EXPLANATION: Per applicant's request as they applied for two permits at the same address. Refund • 80% of permit fees. • 'REFUND INFORMATION: , . • Fee Descriptio — kFi•m Receipt' ' Revenue Accoun6.No:: , x n'iple:h' (BUILD]: Perrntt Fee . „ �` ' Example:'. 245,` 0000 - 432000 . ; 1 ` : `.-- [PLUMB] Permit Fee 245- 0000 - 431000 $29.00 [TAX] 12% State Surcharge 100- 0000 - 207020 3.48 TOTAL REFUND: $32.48 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board ,,;:: • - ::r•. • .FOR•:TIDEMARK SYSTEM ADMINISTRATION USE ONLY = > ± Case Refund Processed: I Date: I �) Z / i f" I By: I 1: \Building \ Refunds \RefundRequest.doc 05/23/07 ill .. CITY OF TIGARD 7/22/2008 . 13125 SW tlall Blvd. 3:35:45PM ' : Tigard, OR 97223 503.639.4171 TLGARD+ Refund Receipt #: 27200800000000002577 A-V i i,9 Date: 07/22/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid • PLM2008 -00303 Reversal - [PLUMB] Permit Fee 245- 0000 - 431000 (29.00) PLM2008 -00303 Reversal - [TAX] 12% State Sur 100- 0000 - 207020 (3.48) Line Item Total: ($32.48) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal LANDSCAPE OREGON - DANIEL 004545 Fax (32.48) EDMONDS Refund Total: ($32.48) • • • Q y ^ Q ^ f� o 2 0 61 .. !.1 0 4 W , y a a x ▪ a o . .4 k . � v ‘ o R '• o ° vow ° a e� CI GO 0 1 A � � , w 8 b w & . w .z' a . �x ° �V , ° W 0 Z ca 4z .��,M s py §“'°9'8614, w .i., \ g V v ��-,Q a i L,' V :: a a. ti aff N \ 1 • A E° w a P. A cncccipi• 1 • a . or I o : CITY OF TIGARD 7117/2008' 13125 SW hall Blvd. 3:30:33PM Tigard, OR 97223 503.639.4171 .TIGARD Receipt #: 27200800000000002505 N? /L A/4 -e— Date: 07/16/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid PLM2008 -00303 [PLUMB] Permit Fee 245 -0000- 431000 36.25 PLM2008 -00303 [TAX] 12% State Surcharge 100- 0000 - 207020 4.35 Line Item Total: $40.60 Payments: Method Payer , User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard LANDSCAPE OREGON / DANIEL BTT 004545 Fax 40.60 EDMONDS Payment Total: $40.60 • • cRecclill.rol 1':l_c I of I Landscape Oregon, Inc. 12200 SW Myslony Rd. Tualatin OR 97062 (503) 692 -5945 LCB # 7804 Fax Cover Sheet To: Building Permit Department - Savannah Company: City of Tigard Fax: 503 -598 -1960 From: Ellen July 17, 2008 Fax: (503) 692 -0768 Phone: (503) 692 -5945 Number of pages including cover sheet: 1 Hi, When I faxed over requesting backflow permits for Dakota Glen Lot 22 11034 SW North Dakota Street.....the first time I faxed the papers got smooshed on my end so, I re -faxed them! Sorry..... now there are two backflow permits for this job site Permit # PLM 2008 -00300 and PLM2008 -00303 Which one would you like for me to use? Thanks! Ellen 1..d 89L0 uell3 dL9: l0 90 L I Inf CITY TIGARD PLUMBING PERMIT ° a COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00303 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/16/2008 PARCEL: 1 S134DB -12000 SITE ADDRESS: 11034 SW NORTH DAKOTA ST ZONING: R-4.5 SUBDIVISION: DAKOTA GLEN LOT: 022 JURISDICTION: TIG PROJECT: DAKOTA GLEN Project Description: Installing backflow preventer. 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: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft • Owner: FEES DON MORISSETTE HOMES INC Description Date Amount 11034 SW NORTH DAKOTA ST LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 7/16/2008 $36.25 [TAX] 12% State Surch 7/16/2008 $4.35 Phone : 503- 387 -7538 Total $40.60 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 692 -5945 FAX 503- 692 -0768 Reg #: LIC 7804 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. ! /y Issued By. Permittee Signature:�.22 • /.�J ' C/\./ 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. • '-I Plumbin2 Permit Application 09 Building Fixtures Ord FOR OFFICE USE ONLY City of Tigard C3 N. 1154 Recci .,,, ,, _ Permit No.: / 4.1 a _ a . .... d • 13125 SW Hall Blvd., Tigard, OR 97223 ' ,.. 1,1 PIatiRevkw • # • Phone: 503.639.4171 Fax: 503.598.1960 ,v‘A. Dategy: Other Perealt No.: Inspection Line: 503.639.4175 ..elq 0 IN TIGARD cy• ' v‘ sC, v Daze Ready/By: kris E1 See Page 2 for Internet: www.tigard-ongov Notified/Method: Supplemental Information .::71:y10:4(:;it*Itr' 7' , .A :;:: '5 ,,i1=Y ,- , : 1 . :: :i ,.:. ,.-' iat§iggi# "New construction 0 Demolition • Far special information use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1- 2-family dwellings (includes 100 ft. for each utility connection) ;1- ' '..:,•:,-„.'.: fi E :: : j . ;',..-CATEcolRYA . 0 ; .:-. .-:;:)..: •I r:; z SFR (1) bath 24920 K-,7 .... 2-family dwelling 0 Commercial/industrial SFR (2) bath 350.00 SFR (3) bath 399.00 0 Accessory building 0 Multi-family Each additional bath/kitchen 45.00 0 Master builder 1 . 0 Other: _ . _ . Fire sprinkler sq. ft) Page 2 :.1 t -3 0 * ::' , -.•;iC -'.' i il site utilities lob site address: / i q- iv LrYY71 j) aka Catch basin or area drain 16.60 City/State/ZIP: r'iq a e t 0 9 - 7 .2 . a 3 Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: ) Page 2 Suite/bldgiapt. no.: I Project namebaK.0 (.4 -ti 1._ ;P--, - Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 . - Rain drain comiector 16.60 Sanitary sewer (no. linear ft.: ___) Page 2 ' Storm sewer (no. linear R: ) I Page 2 Water service (no. linear ft.: ) Page 2 -,9 Subdivision: bel.je0 f C.; / e...,, I Lot no.: ?-.7)-- Fixture or item ar Map/pcel no.: t Absorption valve 16.60 i• 1 t_ i' - „-: - - r t:E, Ztr-IPP. :.. •:i --' -,-"•: r- '] . Backflow preventer x Page 2 l Landscape Irrigation Backflow Device Backwater valve 16 60 eft Clothes washer 16.60 Dishwasher 16.60 ;:.:4;,;,.,..;4 ,.. ...--:., , i L -,,,:,-; :':.,,:..4 ",- f ,-.):::. ',.::, s - , : Drinking fountain ri' ';';. - t i , ; .,;1 " -iX...0k9.*:#1,......Y.,7 1 - . . 1 - 4 1: ! - :::•::•'•t!'7,•1!glri. : :''';'''i:- :• , - -;:." r ' . • f --'-'' Ejectors/sump t 16.60 16.60 Name: Stone Bridge Humes LLC Expansion tank 16.60 Address: 16869 SW 65 Ave #505 Fixture/sewer cap 16.60 City/State/ZIP: Lake Oswego, OR 97035 Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Hose bib - Phone: ( ) Fax ( ) 16.60 ; N 4I X 40.---'-° ' Cl'r ' ':; ''''-'4:i•L' Int tor/grease trap Ice maker 16.60 Business name: Landscape Oregon, Inc 16.60 ercep Contact name: Ellen Sparrow Medical gas (value: S _ ) Page 2 Address: 12200 SW Myslony Road Primer 16.60 • Roof drain (commercial) 16.60 City/State/ZIP: Tualatin, OR 97062 Sitalc/basin/lavatory 16.60 Phone: (503) 692-5945 I Fax: : (503-) 692-0768 Tub/shower/shower pan 16.60 E-mail: elletglandscapeoregon.cora .. .. , „4 Urinal 16.60 YeArA146.f04..!-:.1,K,ItIV!-tl.:g.iitiii.:-1-t-':, Water closet 16.60 Business name: Landscaper Oregon, Inc Water heater 16.60 Other: Address: 12200 SW Myslony Road Subtotal City/State/ZIP; Tualatin, OR 97062 Minimum permit fee: S72.50 36.25 Phone: (503) 692-5945 Fax: (503-) 692-5945 Residential backflow minimum permit fee: 536.25 Plan review (25% of pennit fee) CCB Lie.: 7804 Plumbing Lie. no.: - Stare surcharge (12% of permit fee) 4.35 Authorized signature: TOTAL PERMIT FEE . 40.60 . - Print name: Ellen Sparrow I Date: 7- / Co -(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 Tri-County Building Industry Service Board. 1:\BuilcEngTerrnits\PLMF-PermitApp,doc 12127106 44046 1 61110/02/COMME I, ' d 89L0 uele e9C:60 80 91. IT ? City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • • • • II . • . . T I GARD July 22, 2008 Landscape Oregon 12200 SW Myslony Rd. Tualatin, OR 97062 Attn: Daniel Edmonds Re: Permit No. PLM2008 -00303 Dear Mr. Edmonds: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: • Site Address: 11034 SW North Dakota St. Project Name: Dakota Glen, Lot 22 Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $32.48. ❑ Trust account "deposit" receipt in the amount of $ Notes: Per applicant's request as they applied for two permits at the same address. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. 1:\ Building \ Refunds \ Administration \LtrRefund- CancelPermitdoc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Landscape Oregon DATE: 7/22/08 12200 SW Myslony Rd. Tualatin, OR 97062 REQUESTED BY: Dianna Howse Attn: Daniel Edmonds BTT TRANSACTION INFORMATION: Receipt #: 2008 -2505 Case #: PLM2008 -00303 Date: 7/16/08 Address /Parcel: 11034 SW North Dakota St. Pay Method: CreditCard Project Name: Dakota Glen, Lot 22 EXPLANATION: Per applicant's request as they applied for two permits at the same address. Refund • 80% of permit fees. REFUND'INFORMATION: - Fee Description From Receipt Revenue Account No. - • Refund .Example: [BUILD] Permit Fee ' Example: 245 - 0000 - 432000 . $ Amount [PLUMB] Permit Fee 245 - 0000 - 431000 $29.00 [TAX] 12% State Surcharge 100 - 0000 - 207020 3.48 TOTAL REFUND: $32.48 APPROVALS: • If under $500 Professional Staff If under $7,500 Division Manager `; •Lr— If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY ' - Case Refund Processed: I Date: I 2 r t 1 1--- By: I iZ; I: \Building \Refunds \RefundRequest.doc 05/23/07 7 /22/2008 :_ i 13125 SW Flail Blvd. 3:35:45PM • � Tigard, OR 97223 503.639.4171 A � ARID' Refund Receipt #: 27200800000000002577 X E'7/c2.5,94— Date: 07/22/2008 Line Items: . Case No Trait Code Description Revenue Account No Amount Paid PLM2008 -00303 Reversal - [PLUMB] Permit Fee 245- 0000 - 431000 (29.00) PLM2008 -00303 • Reversal - [TAX] 12% State Sur 100 -0000- 207020 (3.48) Line Item Total: ($32.48) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Credit Reversal LANDSCAPE OREGON - DANIEL 004545 Fax (32.48) . EDMONDS • Refund Total: ($32.48) • N k . Q z ^ . O 0 0 ' . ! '..= v 20 W -0 o n cvs � 4 " �-, 0 .x w q o > .. v Ts v' v J T. a� 0 • H<c a +^ � ° v v" o O ci) LL, a o w W x V ° W I . \ \ CI 4 ' M g ti ° V N d r y U. N W D d. /' M 1 \ C) W 0 • O IN . . M N Ty h 01 0 - 0 b- ci l \ • 'g A [ a: r=4 P. a citcccipi.rpi o , or I - CITY OF TIGARD 7/17/2008 - 13125 SW wall Blvd. - • 3:30:33PM .... Tigard, OR 97223 503.639.4171 COMA • • Receipt #: 27200800000000002505 oie ( :.✓,4 - c� Date: 07/16/2008 Line Items: - Case No Trait Code Description Revenue Account No Amount Paid PLM2008 -00303 [PLUMB] Permit Fee 245- 0000 - 431000 36.25 PLM2008 -00303 [TAX] 12'4 State Surcharge 100- 0000 - 207020 4.35 • Line Item Total: $40.60 Payments: • • Method Payer i User ID Acct. /Check No. Approval -No. How Received Amount Paid CreditCard LANDSCAPE OREGON / DANIEL BTT 004545 Fax 40.60 EDMONDS • Payment Total: $40.60 • • • • • cltrccipi.pi Pau,: 1 or I i a 0 Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard - or.gov FROM: p Owner ❑ Applicant ❑ Contractor 4City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) ® Mailing Address: V O City/State/Zip: " Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCEL PERMIT APPLICATION. EFUND PERMIT FEES (attach receipt, if available). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: / 2/M O $—(Zk)3 Site Address or Parcel #: /„S/3 ' - O(X-- Project Name: /kJ e Subdivision Name: Date a) Lot #: EXPLANATION: C error. (a /et c ,eaet v - two c& saw ,l(Arlkivy ciri,'c&75r,e! 4 ,s 6 - 6 -- /°LJ1/42O, ' -® i. Aff F Signature: Al- �/ _ ` Date: /I Print Name: 6 ) 1 ii Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date 7 n t r By " - Rte to riglgAdmin: Date y,2, /0E- By i �' Refund Processed: Date 9 z�/o F By 6 . Invoice Processed: Date ! By Permit Canceled: Date z.vo J- By -. Parcel Tag Added: Date By Receipt # Af -a1S05 Date / /6 // Method (' a, Amount $ I: \Building \Forms \RegPermitAction.d c 07/26/07 1% Landscape Oregon, Inc. 12200 SW Myslony Rd. Tualatin OR 97062 (503) 692 -5945 LCB # 7804 Fax Cover Sheet To: Building Permit Department - Savannah Company: City of Tigard Fax: 503 -598 -1960 , From: Ellen • July 17, 2008 Fax: (503) 692 -0768 Phone: (503) 692 -5945 Number of pages including cover sheet: 1 Hi, When I faxed over requesting backflow permits for Dakota Glen Lot 22 11034 SW North Dakota Street.....the first time I faxed the papers got smooshed on my end so, I re -faxed them! Son v..... now there are two backflow permits for this job site Permit # PLM 2008 -00300 and PLM2008 -00303 Which one would you like for me to use? Thanks! Ellen L'd 99LO Z69 -£09 Ue113 dLg: L0 90 Lt. or 0 . Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: v i ® City /State /Zip: 2A`/ ' Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCEL PERMIT APPLICATION. FUND PERMIT FEES (attach receipt, if available). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: "2/M0 " — Lb . k)_ Site Address or Parcel #: /3f3 '/ €UCX) Project Name: o` ( G /A/ Subdivision Name: Data 4( Lot #: EXPLANATION: r 4J f + dor - e rror. ra7kec r7'r� ?G o ( 17,410 0 17/ty Sai/n , AArlkby ce,i, doc /'L.i1.2©. -e Signature: / _ / `, _ �� Date: F Print Name: OiJTA "N 1-- ie Refund Policy 1. The Director or Building Official may authorize the refund of a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date 7 r) t r By " Rte to Admin: Date - yamz/n, - By ,,r'�' Refund Processed: Date 9 ;2A.G F By Invoice Processed: Date By Permit Canceled: Date a.2 /p j By < Parcel Tag Added: Date By Receipt # d�- 5e5 Date /6 / / e ,f Method (' _ Amount $ I: \Building \Forms \RegPermitAction.d c R 07/26/07 C ITY OF T I GA R D PLUMBING PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00303 MENT Tip/ k 9 13125 SW Hall Blvd., Tigard,• OR 97223 503.639.4171 DATE ISSUED: 7/16/2008 PARCEL: 1S134DB-12000 SITE ADDRESS: 11034 SW NORTH DAKOTA ST ZONING: R - 4.5 SUBDIVISION: DAKOTA GLEN LOT: 022 JURISDICTION: TIG PROJECT: DAKOTA GLEN Project Description: Installing backflow preventer. 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: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES DON MORISSETTE HOMES INC Description Date Amount 11034 SW NORTH DAKOTA ST p LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 7/16/2008 $36.25 [TAX] 12% State Surch 7/16/2008 $4.35 'Phone : 503- 387 -7538 Total $40.60 Contractor: LANDSCAPE OREGON, INC. 12200 SW MYSLONY RD. TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 692 -5945 FAX 503- 692 -0768 Reg #: LIC 7804 • 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: .2 )0 ick/ • 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. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: &a REQUIRED ON GREEN INSPECTION CARD: I ✓ Code I Inspection Description PASS Date B ✓ Code Inspection Description PASS Date B 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 (tebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit • 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 - 915 Fire alarm rough -in 305 Plumbing undetslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing • 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 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 !\ 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 \ Forms \InspCard -AOP -Blank. doc 02/02/07