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Permit r.. r. tiTY O F TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 -00449 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/2/2006 PARCEL: 1S134DB-DGOOA SITE ADDRESS: SW NO ADDRESS TRACT "A" ZONING: R -4.5 SUBDIVISION: DAKOTA GLEN LOT: OOA JURISDICTION: TIG Project Description: Backflow preventer for irrigation. (Walking trail park). See attached map. 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 HOMES, INC. Description Date Amount 4230 SW GALEWOOD ST # 100 LAKE OSWEGO, OR 97062 [PLUMB] Permit Fee 10/2/2006 $36.25 [TAX] 8% State Surcha 10/2/2006 $2.90 Phone : 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: �� PermitteeSignature: i � \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. :°' ■ r• Building Fixtures !� r' Tl 1 � ' � • FOR OFFICE USE ONLY Plumbing Permit AppiicatYO _ 3 • \' Received +, y Permit No 1 - do I 7 City of Tigard ^ : � D ate/By: <® C� ( 1/ 13125 SW Hall Blvd., Tigard, DR 97223 �� ; L� Plan Review 1 f at • t Other Perini[ No.: 24- Phone: 503.639.4171 Fax: 503.598.1960 �c,, l t),ot:4� +` Date/By: Flour Inspection Line: 503.639.4175 7 1 ,1 Date Ready/By: A .6 '' See Page 2 �' :: m e For Internet: www.ciligard.or.us . ''' `- .-,r Yoe } "• Notified/Me Supplemental Information `tJ t �6 - : :,r i: :. f .<;.� « :;11. ^p+; s::/51� .'4: I' : '4 :- - ` ' 1 ' 4 �• IFi•. '. . . ;ct7ws ".F . sei�l BD +.`M.. �ir<ry'x�,�.!S .I^ . I: : ..,. w • ' � Q ..Pn,�,S .• Rl: . :c,::. g .A.:•: . +! 1:,: ‘ .1%t'' . .... ��. ,.;i'" .,. ._ _,■ ": �µ1tiF" �t'_>• id7: t! �? � ' e;' saf4f ' S;y' � tn.di�»= is2pE:' ;..: L.,• �,.: i,; �;: :r;�..; �:. _ ` ,:..:I tc . ....., ; I: � ;. information use checklist. For special info New construction ` ❑Demolition Description ] Qty. I Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) :,,_ .. . `t _ . •.t�,'t,.: SFR (1) bath 249.20 Ai:7"' ia:,::.^.' 7.t't ,: �`t t6ii XSlQP''u; , O�...:041 .�:' s„ q...: , ....:',','::';';'-••• : . s. - ... . .:�1` nib' li.4i, J,�il:'ar "':l:,:rr•;a �;i...n-' • r'.. ?7i....,r,•.i.e.n,'�.F.. :::1:-....,;',:;;: 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 SFR (3) bath 399.00 ❑ Accessory building ❑ Multi - family 45.00 Each additional bath/kitchen 0 Master builder ❑ Other: ( sq. ft.) Page 2 Of Fire sprinkler ,M an _.,a � ''��$.�•i1 '4 iii ;I��t�',�� 7ilA l ?eie Q / * t T W. Site utilities ]: ;J ,.M ,. , CSC J -. 2:. : w.- ,:.. -., .-1..t. d.W.:v .'41 ` ',... n,, :` . p�� y Yob site address: &f J) Cu - ' - y Q_LL• ' P & Catch basin or area drain 16.60 City /State/ZIP: '7`1G(,L/t.c , ( . 2/ - q 7 .D-� f Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: Manufactured home utilities 1 10.00 Cross street/directions to job site: Manholes 16.60 -fjj 1N o-rth b Q7' - Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no- linear ft.: ) Page 2 Subdivision: TDQ J Lot no.: Fixture or item Tax map /parcel no.: CO 3 16.60 Absorption valve 'a : `yjE,SCRIFT'T©4 . 4':OFF 2TC' `I' •.I` Backflow preventer Page 2 .„,/57 . / ,^/ S ' .r . , ,...... •:.. -. {� Q . l .- f Bacicwater valve 16.60 L -u /�tl L��'. ,' rYi Ci C�/" C�'■ hti_ ;l>vc,. ir . Clothes washer 16.60 Dishwasher 16.60 16.60 Drinking fountain p n " . , ,.. 't�. '•YQ 1 S ' ;; � k , : - - 6 • a & `:v ? s�9ryY:ti. y f•>i7 .. .�:.....s: . .. . ' ".:yl ? , ;: : :- _i��`,.p......., . = Ejectors/sump 16.0 . 4 ' Name: D e. in (7)/--/ S S f f ' '_s e-1- mLLrwi 1 C..S L-1 xpansion tank 16.60 Address: La 3 c. S LU (�G,_ (c° C C 0 ou L. Fixture /sewer cap 16.60 5 Floor drain/floor sink/hub 16.60 City/State/ZIP:L1� / i✓ (_--). LL) e<�C�l o�- y 7 �� Garbage disposal 16.60 Phone Fax: ( ) • ( :..1 )..., ; :.ti;:r- ,.:� -. - ; "r rt- ' +5. •,., rft•', -ty.�. T..L.t,,.:1C�CS i.:.a .'ie: Hose bib 16.60 i4.) ?;•�� ;.4,, i :11 - . ;,.j .... all :1 6it`tt ii,`,LA 1ER OI.t�,'.. ..;:.:: , 16.60 ':,. ^^lnV�r�� ti , .1 . i,.. "i :a' ,..•:.•.cs'• .,„. Ice maker Business name: I_(_/^ ; z • O,f.--C'_ oy, Z'�') Interceptor /grease trap 16.60 / + ) Contact name: El/ y� Cz,�%(;"t, J ,� r' Medical gas (value: $ ) Page 2 Address: / 9--DO ., / /ek/, ' /'�'ll.j Primer 16.60 / J Roof drain (commercial) 16.60 Ci / State/ZIP: ry'L� CJe� 1 7G Sink/basin /lavatory 16.60 Phone: (SGt3) Cc: C /:. J� -VU J Fax: : (52 62 Y :it - C` ■ 16.60 Tub /shower /shower pan E -mail: Urinal 16.60 .,: -.*: :iti : . :; f . 1 ;. ,. { h.. ;rO ?7dyd',i - „ Water closet 16.60 Business name: - .:rfk t .-jt� i f .. .ltiQ = .i� ^ ?: a}.�i.�f.�.:'�''. �'..:'.� ... i Lna am} Water heater 16.60 s /�- � ar / r y �� n c.' Address: / �-(JG S r m S 1 0/1 Li Other: 1 Subtotal City /State/ZIP: 7/2 7i UQ 7o& :.-,_ Minimum permit fee: $72.50 e�5 CO3 Lic.: / �y1 Fax: 1 G3) s9a - 07 co S" Res identi al backflow minimum permit fee: $36.25 . Phone: 64-,3) 3) �� Ya 5 7 � S Plan review (25% of permit fee) �C Plumbing Lic. no.: State surcharge TOTAL of permit fee) , c/o Authorized signat a , t ., 1 -- - � TOTAL PERMIT FEE .3V,. lS Print name Lr / -� CL/" uJ � Da / Q1i V ( 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. i:\ nuildingtPet rnits \PLMRPcrmitApp.doc 12103 440- 4616T(10/02/COM /WEB) E'd 89L0- 269 -ECG uaiT3 eGa :B0 90 20 qD0 it '■'` ." 4 -•• 17. - ^ •-. -- , - - - - i4. , ';-:` , +1 , 1- :4 ,,,,-.' '', '.-':'ir '' ' : ' l '''': 1.. ..:,,;, ; ! .1 6',.,- - .:,?...",4-,.,,,. ,..„,„ • ..,, ..., ....4.,,, ''''., ;,-:. ;',"...: 4A, X■40; `..''4.,..--ri-fr:::':j'-,11- ''''IV.'1;', . -...• :- ,--,,,,,•;.:.,-..,l'V.ii.C".. , . 7 ilW.;:?:',. ', . 1 *.1 -4 • " i l ;.‘ 07-•:„..,, , ''.:'-' , 6- ''.#4.,:f-r )rz: ,-.: ;.::-• ,., 4,, -„.., •:,.., , „4, ,,,,...„, , :: : , ,. , A • - .,-- , - - - • • ---.,#,.. ,-,-,. ; `• 4 , - ;•,7---- • ':,- --!;-' ',,,Y. '•-•'';'-,!--'kr.r P'''. -, DON : MORISSE1TE • ..' REALTY, INC. . . r , ....._, -,-- . . ., .... .:. . . 11P4cakcierrict elrlialles. FOR MORE INFORMATION CONTACT: BRIAN FOSNAUGH ...• - • 50a639-0497 • , . S.A. is85014 DAK0.4 9111 EEr. . . • . • . • • ' • .',' • - • • . ••• , .• • •...... • • . , :.";;.:'...'- "...,i;'.::. '. , --:• 1 ,:. , ' • . '''''',.'1, • ';:•• '' '-'.. ::,;......" . "A r • ., . '' , ; - • - -.--; i ..: , ,... , 2 '." ' '' 21 1 . 22 . 23 1 • •• ,:: '• • ....t''-. . ::. 5158SF..'... 6195sF .. . '7 ',:',:...":: 1.. : . 's''':„.:.,...': - '......:?.• ':::%:' ,:.%.,....?-:-.- ...'.:.' .. ''...;:-,:•• , :!. ''''-'.,:,.'''::: . i i . :: • .."'-' t . - ' -. : ....• . '''' . 1.• :. :,. 3 S : 'A if ..:P! ,-.'•''. 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V .I.6 - . : :, - ,. . ::.,1'...-i';'4" i . il , ' ''',•'"" .' ." 4 : ,,,, ,:. - .....y..1. , -1.•;.- , ---, ' kitinA,,Lli,-„jikl,' Qit* ' ..::..4.3-..2..:;. -----.1 -- ---- --- ci Preliminary Map subject to change .,.. ... .... . . Www.DMRealtycom . . .. . . . . . . _.. •..• • i CITY OF TIGARD. ;' . BUILDING DIVISION PERMIT #: PL_6':I 00'1 , 1' 3 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 1O000..(y3 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 5/1412007 TIME: 1'0 AM PAGE: SITE ADDRESS: SW NO ADDRESS TRACT A" CLASS OF WORK: 1 SUBDIVISION: DAKOTA GLEN LOT #: QUA TYPE OF USE: PROJECT NAME: DAKOTA GLEN • DESCRIPTION: I3 cld'low preventei fix • t'rig tion (Walking frail park) S.c l.ta[:hed ptal . OWNER: DON MORISSETTE- HOMES, INC., PHONE #: CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 F Gf,:1•1?1 Inspection Request Scheduled For: Date: 5/14/20137 Pour Time: Code # Inspection Description Confirm # Contact # Message 399. Plumbing final 048213 -01 503.692• 5945 N Corrections/Comments/Instructions: • / t i , / /;,/' • / / i %, V / Ca:/' /7 ii , ( .---''' U /,i''.� �} rj ` . C -' _ 1 1 . `T t. _ PASS I I PARTIAL APPROVAL CANCEL I I NO ACCESS 9 r n FAIL CALL FOR INSPECTION 'A I ADDITIONAL FEES ASSESSED Inspector: 1 i k --- ' Date: 2 / ) 1 L ) I Phone #: (503) 718 - 1 ' I