Permit CITY TIGARD PLUMBING PERMIT
1 4` DEVELOPMENT SERVICES PERMIT #: PLM2006-00324
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/30/2006
PARCEL: 2S 109DB -03000
SITE ADDRESS: 15028 SW 132ND TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 068 JURISDICTION: TIG
Project Description: Backflow preventer for irrigaton.
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
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: __ VIN(/\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.
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Building Fixtures jum 2 9) 2006
Plumbing Permit Application
GArD FOR OFFICE USE ONLY - • . - .
Cii t Y OF TI
• ...
City of Tigard Received '
Date/13y: kja V l‘ PL-1■- i\\V,2.06 -'t6D,,a74/
13125 SW Hall 13Ivd., - figard, OR 97223
Phone: 503 Plan ReviYIN .639.4171 Fax: 503.598.1960 iiR,41,011h\ Date/By: Other Pennit No.:
24- Hour Inspection Line: 503.639.4175 BUILDING DI\ ' 4 N Pernt No.') \ (
.011. - .'_.j Date Ready/By: 1 ." 5 ,:r,,, El See Page STor - --
Internet: www.ci.tigard.er.us
Notified/Method: "rikj Supplemental Information
k h l New construction [,=] Demolition For special infornzation use checklist.
- -
Description I Qty. I ha. !- Total
El Addition/alteration/replacement 0 Other:
New I- 2-family dwellings (inellides i GO fi . lot each iiiiii ty eu:inctii'inj
-1- . 1
CATEGORY or : CONSTRUCTIONl: • ' :'. •••.' ' • • :': ' ::' SFR. (I) bath 249.20 1
1■ I.- and 2-family dwell i rig CI Commercial/industri . al SFR (2) bath 350 00
_
___ .....__. . _ _ . __
___ _
SFR (3) bath 399.00
El Accessory building 0 Multi-family
Each additional bath/kitchen 45.00
0 Master builder El Other:
--
-- -
Fire sprinkler ( sq. ft) L Page 2 I
.J013 SITE 'INFORMATION AND , '• • . , • - .', •
••• - LOCATION .. • " " •• ,---: . ' ', • ' Site utilities
Job site address: i C-- ..>0 .;1. ,'''' SI.0 12 2 - 114 7 C" Catch basin or area drain i 6.60
City/Statc/ZIP: 'Ti c) a i . 4.- t ),z . 9 - 7 ..,D.__LI Drywell, leach line, or trench drain 16.60 ' --
Suite/bldg./apt. 110.: 1 1..1-Yie... t rY) lei-- C il e (°
-- f Footing drain (no linear ag.:
Cl.: 11.: )
Manufactured home utilitie..i; 2 I
I to.1)! 1 ---
Cross strewdirection.-; to j... site:
_. _...
- - - 10.601
. Manholes
- -
t. (.) A-;t e c ,l_c_z•vtD Rain drain connector .
I fi no ;
1
Sanitary sewer (no, linear ft.: ) Page 2
- •
Storm sewer (no. linear ft.: ) Page 2 '
_
-- - . - ------ - ---- - ---, - -
Water service (no linear l': : ) 1 , Page L_, .
sithavisio ry) ill L i - A l 4 C ' • I Lot ii7) : g 7-----
-- Fixture or item
Tax map/parcel no.: 1
1 ---
____ Absorption valve I 6 ) C
.,:..:....,. ' ... . . .
DESCIOTION.:OF , WORK • ''.... ,. . . • ,• .. -:. -; ' : . Bacicflow preventer I / Page 2 ...).%)
,,'• • , 1,.. . ...,. Backwater valve 16.60
,'.
Clothes washer 16.60
Dishwasher _ - Iii.6 - 6 - ---
• .
- . . .. Drinking fountain 16.60
',..-1:EL.PROIT IOW OWNER_ ... .:: .1 '.-] ,i ..'i,..!.:, ......,[1.: .....:•,;.' . • ::-
, -
Ejectors/sump - 16.60
.
Name:70.•r,,..._ vA\r. -* LAA ( nT) in a 11,1,17 C S L t expansion tank I 6.60
Address: .'• 7 .: 2 , 3 4 0 C ' ....e
Fixture/sewer cap 16.60
City/State/Zip: \ f 631 .. : ,._. 5'10y37: Floor drain/floor sinlo'hub
. 16.60
Phone: ( ) Fax: ( )
----
. --Q..1.- . Garbage disposal 16.60
_
' . . .„ - ---- ---- ------ - , ......., . .. . , , • • • - .60
:
..., . APPLICANT .. • ': - ;-; ':, .S,L PERSON Hose bib 16 : '•;-.
.. .
, •----- • -
Ice maker 16.60
*I3usinoss name: ' , • _______
Interceptor/grease trap I o 00
. 7 7 '
.
Contact name:
.. , . „
Medical as (value: $ ) Page 2
. .. .,., .
- --- .
r- -
Address: : :., . ; . . 2 : .,..t .' ;', t•I , i /c' Ili Primer 16.60
Roof drain (commercial) 16 60
City/State/7TP: " - c .. --/ - 0 . , -.,.. L-. •,....
.....
_ _
--1---- Sink/basin/lavatory I 6 60
Phone: ( 0 • ) . . Fax: : ( : , ;) ,_ - . _. . • ' . .
i
Tub/shower/shower pan 16.60
E-mail:
Urinal ' 6.6
7 -
. . •, . .. .. . . .. ,
• CONTRACTOR' . ' ' - 1: ,. '•. " • ••:' •• '' . '. Water closet 6 nil
Business name: • Nc" . 3 A
, '
0 ' 04 42jk....' / _ Water heater - 7 - i 6.60
--- - - - --
•
Address: ,...'.....„. .4.10.P ' •. .. .2.577..4,..._,...- Other:
Subtotal '
City/State/ZIP: 7/.2' .;•,' " .- 4f A ..e... er-,- yc..,_-_,_
IVlin i MUM permit ice: ii.72.5:
Phone: c';: =, ) 1,-,!..- '. ,: .'',.:... -;.. - Fax: (f5( - -1 - 3) LI 9 - 07 4--i E Residential backflow minimum permit ree:
Plan review (25% of permit fee)
CCII Lie.: 7 ..i L • , _. Plumbing Lic. no
'
State surcharge (g'% of permit !'ert)
Authorized signatuEcfr - ,.-:( /Yr 1 , 1 ,, 7,. ? r
.
TOTAL PERMIT
_ -
Print name:AL-r .., -
1: .., 9 Ol j This permit application expires if a permit k not ohtiiiin_li - 'i In n
180 days after it has been accepted as complete.
'Fee methodology set by 1ri-County Building hid:Li:try 8ei 01.
Liniigitingsii'ci,,ii.A1-1.N:l. V, 1.1 . -,, I, I. , I'll
445-4615T( i0/02,'COMIWP3)
U 8 I I 3 egi7:90 90 G2 unC
2 ' 01 89LO -ass -EOS
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PUN/12006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2006
Phone: (503) 639 -4171 :nu @ti @� I h
Inspection Requests (24 Hrs.): (503) 639 -4175 .J.:� .
INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7.02AM PAGE: 65
SITE ADDRESS: 16028 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 068 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION:. Srdckfiouv presenter for irrigaton.
OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 - 307- 7538
' CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 -692 -594,
Inspection Request Scheduled For: Date: 7/712006 Pour Time:
i
Code # Inspection Description Confirm # Contact # Message r }
399 Plumbing final 032753 -01 6603 -692 -5945 N
Corrections /Comments /Instructions:
. . ,,, C(/ ) '( '
K2 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: AZ Phone #: (503) 718- Z