Permit •
C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00325
DATE ISSUED: 6/30/2006
---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 109DB -05100
SITE ADDRESS: 15119 SW 132ND TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT: 130 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:
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 COMMUNITIES LLC
4230 GALEWOOD ST #100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 6/30/2006 $36.25
[TAX] 8% State Surcha 6/30/2006 $2.90
Phone : 503- 387 -7538 Total $39.15
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: _sip ,
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.
Building Fixtures
Plumbing Permit r) .p. . On
FOR OFFICE USE ONLY
City of Tigard 11 IN 2006 Receive _ 30 _ O
13125 SW Hall Blvd., 'Tigard, OR 9i22 U DatecTi � � Pcmvt N6 p �oo aa' [ ms 's
Phone: 503.639.4171 Fax: 503.59& yb r / j�o „t, Plan Review 1 r
T iGAR 11 l 1 (x Date/13y: Other Permit No.'
24- Hour Inspection Line: 503.639.4L7/5 w G-
� oc£ted/M e [ho '\ri io)i,- �7 -_ „.r Dat Ready/By: Juri.c 1 Supplement S Sec ent 2 1 for
Internet: www•.ci.tigard.ur.us BUILDING
...:... a Inl'urmalion
.; : ^.
New construction ❑ Demolition For special information use checklist.
❑ Addition/alteration/replacement — I Description l Qty., 1 Ea J Total
❑ Other: New 1 - 2 - famil • dwellings g (includes 100 ft. foi each utility connection)
L .... CATEGORY OC-CONSTICUCTIONs.:'.•;,,' SFR (1) bath 9.20
M I- and 2- family` dwelling -- _ ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399,00
•
❑ Master builder ❑ Other: Each additional bath/kitchen 45.00
. .; ' ......., : ,. .. - Fire sprinkler c ( sq. ft.) 2 l
J
JOi?.. SITE 1NTORM'A'I'ION,,;RND LOC,4T`ION,. ' •':. .... ;.• ,
F spri 1 I r s. ft. Page
Site utilities —
fob Job site address: - 6�. t y - b —
g 7 L. t. I _ 1. GQ Terra ( e Catch basin or area drain
16.6a L
City/State /ZIP: 7 -7 6 i LL L L C'f 4 , 6 l �i3 Drywcll, leach line, or trench 9x41:' 16 (,C
Suite/bldg./apt. to I 1'ruject&it ttrn m (.t Lq.c /3 Footing drain (no. linear fl.: ) Page. — —
Cross sUeeUdirectiuns Ili job .;itc l Manufactured home utilities 1 10,'00
—. — -
- n Manholes (i.6(i
j F C. / Qi l� t. k _ r � Rain drain connector —
1 6.60
-CL. (.._•
Sanitary sewer (no. linear ft.: ) p age
_ -- Storm sewer (no. linear ft.: ) Page 2
Subdivision b t . ym - k_t s 1 t ?_ Water service (no. linear (1.: ) Page 2
Tax map /parcel no.: �- -S S Fixture or item
valve • —..._ DESCK PTION 'OF', WORK,'..< /
Absorption �— I G 6U
. . : ' ' Bacic(low preventer / Page 2 7
. :4 , ./ ', , • / ' .. . ^/s : i . .). Bacicwater valve 16.60
`S S
Clothes washer 16.60
Dishwasher 16.60
I 'ItOPI K1 Y, nWNEIt , Drinking fountain 16.60 •
.. : :,• : :. a.) .. ❑ ,; TENANT.
Ejectors /sump I 16.60
Name - • • '; -- - -r (.. UM fi tank 16.60 .
Address:
- -- Fixture/sewer cap 16.60 —
CitylState /Z1P:, Floor drain/floor sinluhub 16.6u
Phone: ( ) Fax: ( ) Garbage disposal 6.60 -
AP.I'LICANT Hose bib 16.60 • .. ' . :.:.: : ' G O_, N TAC 'I ; l' ER S'O . 0 •• .
Ice maker 16.60
usiness name: ., ,. . -i: 1 - '- . %
B _+
— �— Interceptor /grease trap 16 Ott
Contact name: • • . _
Medical gas (value: $ ) Page 2
Address:
/ l
— t ( �' U Primer 1 6.60 •
City/State/ZIP:. - Roof drain (commercial) 16.60
Phone: ( ...' ';) l Fax:: (; ,) ' - ; _ . I Sink /basin /lavatory I 16.60 --
Tub /shower /shower pan —
E -mail: ] ' 16.60
. . ,.. . . .. —..— Urinal —
Ui 1660
• CONTRACTOR'.:. • , .. Water closet
16 60
Business name: ` 16.60
�� mil /
Address: -`� (� ' i� Water heater - —
=_� Other:
'� a (z:•,-, .,• --,,),,,.-,1. 7L1(O ..:1-- Subtotal
City /State /LIP:
/- Minimum permit ice: $72.50
Phone: (:'..;,,t. 1�(, i) ((. : y , t - Fix : -s 0'7 g. Residential bacicflow minimum permit fee: $36 CO l0 - •
CCB I.ic.: P lan review (2i% of permit lee)
?1 't Pl umb i ng Lit no.: vi
1 xi
F
Authorized si naL ° ( ! State surcharge (8% of permit lee) dj��
3'x5'' Y, _ - -'t . /. ? . -� A"t_. 7
TOTAL PERMIT F. ' �! i
r S
Print [tame r I l J
/ „ —_ _ „ _% '�^ � L ”) This permit application expires if a permit is not obtained •• thin
130 days after it has been accepted as eninplete_
* Fee methodology set by Tri- County Building Industry 5 rr■?:: koal(i
is \Bvildingw,,,,e4'I.Ol i' - ,,.S ' I.,,.., 040 -•Ie; IT( I Q4)2iCODL•W lilt)
\ 2'd 89L0- 269 -EOS uaii3 eTi7=90 90 G2 une
CITY OF TIOARP
BUILDING DIVISION PERMIT #: PLM2006-00325
, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2006
Phone: (503) 639-4171 AtHi :
,_, ,,„4 1
Inspection Requests (24 Hrs.): (503) 639-4175 1P
INSPECTION WORKSHEET FOR DATE: 7/10/2006 TIME: 7 : 06 AM PAGE: 2
SITE ADDRESS: 15119 SIN 132ND TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT #: 130 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 3
DESCRIPTION: Bt....tallow preventer for irrigation.
OWNER: DON MORISSE I E COMMUNITIES LLC, PHONE #: 503-387-7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503-692-5945
Inspection Request Scheduled For: Date: 7/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 032874-01 503-692-5945 N '
Corrections/Comments/Instructions:
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fl PARTIAL APPROVAL 0 CANCEL H NO ACCESS
FAIL CALL Mk\ INSPECTION El ADDI ION L FEES ASSESSED
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Inspector: i l k Date7 ( Phone #: (503) 718-24--Z3