Permit • ° ' CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00066
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/16/2007
PARCEL: 2S 109AC -03900
SITE ADDRESS: 14543 SW ANGUS PL ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 013 JURISDICTION: TIG
PROJECT: WILSON RIDGE
Project Description: Backflow preventer for irrigation.
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.
4230 GALEWOOD ST #100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 2/16/2007 $36.25
[TAX] 8% State Surcha 2/16/2007 $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: � f�1 Permittee Signature: .(, A
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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. li ...... Ifi .: Ql LOB: 7804
Plum }11 1 , ex l r__IP ii r 1 'LW FOR OFFICE USE ONLY
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3125 SW Hall Bly. 0. v•fi�e J ' Daie'13y�
tea ti �� � Plan Review Other Permit No.:
Phone: 503.639.4171 ax: 50 . `..1 ,
0 so- ` _ agy4 � D ote / B y;
24- Hour Inspection Line: 503.639. I75 r pate Ready/By. 3 miz a See Page 2 for
Internet: www.ciiigard.or.us - Noti iedJMethod: Supplemental Inrormation
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition • For special information use checklist
Description I Qty. I Es. 1 Total
❑ Additionfalterationireplacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath ' 350.00
❑ Accessory building ID Multi-family SFR (3) bath 399.00
Each additional bath'kitchen 45.00
❑ Master builder ❑ Other.
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION ' Site utilities
Job site address: 14543 SW Angus Place Catch.basin or area drain 16.60
City/State /ZIP: Tigard, OR 97224 Drywall, leach line, or trench drain 16.60
Suite/bldg.iapt. no.: Project name: Wilson Ridge Lot 13 Footing drain (nn- linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SW Bull Mountain Road
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2 •
Storm sewer (no. linear R.: ) Page 2
Subdivision: Wilson Ridge Lot no.: 13 Water service (no. linear IL: ) Page 2
Fixture or item
Tax map /parcel no.: 655 a62
Absorption valve 1 6.60
DESCRIPTION OF WORK Backflow preventer - Page 2 .47, SS
Landscape Backflow Device Backwater valve f 16.60
Clothes washer 16.60 •
. Dishwasher 16.60
Drinking fountain 1 6.60
I® PROPERTY O'W'NER ❑ TENANT
Ejectors /sump 16.60
Name: Don Nlorissette Homes Expansion tank 16.60
Address: 4230 SW Galewood Fixturc/sewer cap 16.60
City /State/ZIP: Lake Oswego, OR 97034 Floor drain /floor sink/hub 16.60
Phone: ( ) : Fax: ( ) Garbage disposal 16.60
® APPLICANT
Hose bib 16.60
® CONTACT PERSON
lee maker 16.60
Business name: Landscape Oregon, Inc. Intcreeptor,'grease 16.60
Contact name: Ellen Sparrow Medical gas (value: 8 1 Page 2
Address: 12200 SW Myslony Street Primer 16.60
City / State/ZIP: Tualatin, OR 97062 Roof drain (commercial) 16.60
Phone: (503) 692 -5945 Fax: : (503) 692 -0768 Sink basm/lavatery 16.60
- Tub /shower /shower pan 16.60
E -mail: i Urinal 16.60
CONTRACTOR : Water closet 16.60
Business name: Landscape Oregon, Inc. Water heater 16.611 i
Address: 12200 SW Myslony Street Other.
Subtotal
City/State/ZIP: Tualatin, OR 97062
Minimutn permit fee: $72.50 '
Phone: (503 - 692 - 5945 Fax: (503) 692 - 0768 Residential lrackflow minimum permit fee: $36.25 3 = • .S
CCB Lie.: 7804 Plumbing Lie. no.: Plan review (25% of permit fee) '
� V --- State surcharge (8% ofpermit fee) : 42'0 Authorized sigttature ;�diL L • TOTAL PERMIT FEE ' 3`z, /S
Print name: Ellen Sparrow Date: 02 /15/07 This permit application expires it• permit is not obtained within
180 days after it has been accepted as complete.
phone: 503.692.5945 • fax: 503.692,0768 • 12200 SW My 111t attdot!tgy 1011112til6p n9M062y' Service Board.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2//6/21007
Phone: (503) 639 -4171 & f l l tl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: .2/2712007 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 14543 SW ANGUS PL CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 013 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
DESCRIPTION: Backflow prcventer for irrigation.
OWNER: DON MORISSE.l I E I INC., PHONE #: 503 - 3137.7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 50592 - 5945
Inspection Request Scheduled For: Date: 2/27/200' Pour Time:
Code # , Inspection Description Confirm # Contact # Message '
399 Plumbing final 044000 -01 503 -692 -5946 N
Corrections /Comments /Instructions: "
d 5/9, c
PASS ❑ PARTIAL APPROVAL Li CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / (` j am/ Date: _ I Phone #: (503) 718-