Permit CIT OF TIGARD PLUMBING PERMIT
I • DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00529
li 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/1/2006
PARCEL: 2 S 109AC -03400
SITE ADDRESS: 13426 SW ANGUS CT ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 008 JURISDICTION: TIG
Project Description: Residential 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, LLC
4230 GALEWOOD ST # 100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 11/1/2006 $36.25
[TAX] 8% State Surcha 11/1/2006 $2.90
Reversal - [PLUMB] Pe 11/1/2006 - $36.25
Phone : 503-387-7538 Reversal - [TAX] 8% St 11/1/2006 -$2.90
[PLUMB] Permit Fee 11/1/2006 $36.25
Contractor: [PLMPLN] Plan Review 11/1/2006 $2.90
LANDSCAPE OREGON, INC. Total $39.15
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: AO / i ce ��41// Permittee Signature:
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.
Oct 31 06 10:28a Ellen 503 - 692 -0768 p. 2
Plumbing Permit A licati 11 ED FOR OFFICE USE ONLY
City of Tigard V Received ✓J j../'/���,� 1•�
g � 06 Date/13y: %O 3/ fit/ '''''.9)11 Perini( No.: o/ yL°' •�t �S/J
13125 SW Hall Blvd., Tigard, OR 972 O
Phone: 503.639.4171 Fax: 503.598.1909r °� 2 ` Plan Review
f �I Date /By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 v p�� `.. . __y Date Ready /By: 0 See
Internet. f =
ww �� � ItG c 1Q� Notified Method: Supplemental Page 2 Inf ormation
T - tgoO d FEE* SCHEDULE
For special information use checklist.
® New construction ❑ Demo ition
Description I Qty. I Ea. ] Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 It. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® I- and 2- family dwelling ❑ Commercial /industrial SFR(2) bath 350.00
❑ Accessory building ❑ Multi- family
SFR (3) bath 399.00
El Master builder Each additional bath/kitchcn 45.00
❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 13426 SW Angus Court Catch basin or area drain 16.60
City/State /ZIP: Tigard, OR 97224 Drywcll, leach line, or trench drain 16.60
Suite/bldg./apt. no.: I Project name: Wilson Ridge Lot 08 Footing drain (no. linear It.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SW Bull Mtn Road
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear tt.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Wilson Ridge I Lot no.: 08 Water service (no. linear 4.: ) Page 2
Fixture or item
Tax map /parcel no.: 655 A7
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2 ,, 7 S
Landscape Backflow Device Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Name: Don Morissette Homes Expansion tank 16.60
Address: 4230 SW Galewood Fixture/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 ® 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
Sink/basin/lavatory 1 6.60
Phone: (503) 692 -5945 Fax: : (503) 692-0768
-
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
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: S72.50
Phone: (503 -) 692 -5945 Fax: (503) 692 -0768 Residential backflow minimum permit fee: $36.25 3
0, oZS
CCB Lie.: 7804 Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized signature '�-L �/ • State surcharge (8% of permit fee) a , ?c,
TOTAL PERMIT FEE 39, ` S`
Print name: Ellen Sparrow Date: 10/31/06 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.
ianui Id, g' Parrnts.PLM1M- PermiiApp.doc 06.'05 440 -4616T( I 0 /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200€+ -00529
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639-4171 i W 6 ° I(I
Inspection Requests (24 Hrs.): (503) 639 -4175 - __
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5 :07PM PAGE: 26
SITE ADDRESS: 13426 SW ANGUS CT CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 008 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
DESCRIPTION: Residential backflow preventer for irrigation.
OWNER: DON MORISSE.I I E HOMES, LLC, PHONE #: 503 - 307 -753t3
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503-692 -594
Inspection Request Scheduled For: Date: 11/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 039290 -01 503.692 -6945 N
Corrections/Comments/Instructions:
•
[■ n PARTIAL APPROVAL I I CANCEL NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
ett.6,
Inspector: Date: lt Phone #: (503) 718-