Permit "„ CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00520
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/20/2007
PARCEL: 2 S 109AC -04000
SITE ADDRESS: 14519 SW ANGUS PL ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 014 JURISDICTION: TIG
PROJECT: WILSON RIDGE
Project Description: Irrigation backflow.
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 GALEWOOD STREET #100
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 11/20/2007 $36.25
[TAX] 8% State Surcha 11/20/2007 $2.90
Phone : 503- 387 -7538 Total $39.15
Contractor:
LANDSCAPE OREGON, INC.
IN MYSLONY RD.
TUAL ATIN, OR 97062 REQUIRED ITEMS AND REPORTS
UAL
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: / 4, i _ ■ Permittee Signature: fJ 6
j
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.
klov 20 07 11:49a Ellen 503- 692 -0768 p.2
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Plumbins Permit App 'cation FOR OFFICE USE ONLY .
Plan Re
g NOV O X1 Received / O 7
City of Tigard [ 1 / �_1jY PermitNe.P �o5'aQ
13125 SW Hall Blvd., Tigard, P ard, OR 97223 a Re 'TY� z
Review
Y ur l t ` Y�l�ij Date/By: Phone: 503.639.4171 Fax: 503.5 i wsfi'! , a, Other Permit No,:
24- Hour Inspection Line. 503.639. a _1 IL. Date Ready/By: 7u'S: I 0 See Page 2 far
Internet: www- c i.tigard.or.us V - Notified/Method: ' Supplemental Information
TY O F W ORK :. ', I l SCIfE LLE
_
® New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. Total
❑ Additiorvalterationhrplacement E Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEC
ORY OF •CONSTRUCTION SFR (1) bath 24920
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath '
El Accessory building El Multi-family 5FR (3) bath 399A0
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
-
JOB INFORMATION AND LOCATION __
.. .. _ :... - Site utilities
Job site address: 14519 SW Angus Place Catch basin or area drain 16.60 1
City / State/ZIP: Tigard, OR 97224 Drywett, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: Wilson Ridge Phase 1 Lot 14 Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: , ) Page 2
Storm sewer (no. linear ft.: ) • Page 2
Subdivision: Wilson Ridge Phase 1 , Lot no.: 14 Water service (no. linear R.: ) Page 2
Fixture or item
Tax map /parcel no.: 655 A7 • -
Absorption valve ' 16.60 • . . . DESCRIPTION OF. WORK : . ., :... Backflow preventer i Page 2 ;17 . as'
Landscape Baekflow Device Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
�I Drinking fountain 16.60
- ®. PROPERTY_ OWNER ... . , - D .TENANT - _
Ejectors /sump 16.60
Name: Don Morissette Homes Expansion tank 16.60
Address: 4230 SW Galewood Street Fixture/sewer cap 16.60
City /State /ZIP: Lake Oswego, OR 97035 Floor drain /floor sink/hub 16.60
Phone: ( ) F ax: ( ) Garbage disposal 16
::.. ® APPLICANT _ . _ ® CONTACT PERSON Hose bib 16.60
. .::,.
Ice maker 16.60
Business name: Landscape Oregon, Inc.
Interceptor/grease trap 16.60
- Contact name: Ellen Sparrow Medical gas (value: $ ) 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 Stnk basin/lavatory 16.60
Tub /shower /shower pan 16.6D
E -mail: Urinal 16.6D
CONTRACTOR --
Water closet 16.60
Business name: Landscape Oregon, Inc. Water heater 16.60
Address: 12200 SW Myslony Street Other:
City /State/ZIP: Tualatin, OR 97062 Subtotal
Minimum permit fee: $72.50 3 �S
Phone: (503 - ) 692 - 5945 Fax: (503) 692 - 0768 Residential backflow minimum permit fee: $36.25 '
GCB Lic.: 7804 Plumbing Lic. no.: PIan review (25% of permit fee)
p,, State surcharge (8% of permit fee) .2 . 9 U
Authorized signature: G ) / 0 / I (L ,-..,- .) TOTAL PERMIT FEE J %. / S
Print name: Ellen Sparrow Date: 11/20/07 This permit application expires if is 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:113 aildingl Permici,Ptld- PertnicAap -doc 06/05 447- 16t6T(10/C2.1CCM/WEB)
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL M2007 -005 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I1 /{I /g;;7
Phone: (503) 639 -4171 4011111t
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 :00AM PAGE: 60
SITE ADDRESS: 14519 SW ANGUS PL. CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 014 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
DESCRIPTION: Irrigation backflow.
OWNER: DON MORISSETFE HOMES INC, . PHONE #: 503-387 -7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 - 692 -5915
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 060416 -01 503-692 -5946 N
Corrections /Commen /Instructions: ,`
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PASS PARTIAL APPROVAL ❑ CANCEL l NO ACCESS
µ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ ( -k '`'" Date : l ( 6 ? Phone #: (503) 718- L/