Permit C ITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00461
•
, 4w A I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/6/2006
PARCEL: 2S109AC - WR009
SITE ADDRESS: 14662 SW ANGUS PL ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 009 JURISDICTION: TIG
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
4230 GALEWOOD ST SUITE #100 Description Date Amount
LAKE OSWEGO, OR 970035 [PLUMB] Permit Fee 10/6/2006 $36.25
[TAX] 8% State Surcha 10/6/2006 $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 B , Permittee Signature: S� � re) 0,f
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.
Plumbing Permit Application
City of Tigard \c u Received ! /
13125 SW Hall Blvd., Tigard, OR 97223 T ® 2006 Dater'By: /D 6 'st � )) Permit No \\ 2 0t - Il i // /
Phone: 503,639.4171 Fax: 503.598.19(0, 1 Plan Review 1 � ![/TJl1 V 7i�
1' Date By: Other Permit No.:
24 Hour Inspection Line: 503.639.4175 Bp .''
Internet: www.ci.ti ardor. us �F TIGA i i Date Ready runs:
g C • rr: ni JlS tO% b -" NotifediM S See page 2 for
TYPEJOF� '� Supplemental Information
FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. ! Total
❑ Addition /alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 fl. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® I - and 2- family dwelling El Commercial /industrial SFR (2) bath 350.00
CI Accessory building ❑ 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
Slte utilities
Job site address: 14662 SW Angus Place Catch basin or area drain I 16.60
City /State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: I Project name: Wilson Ridge Lot 09 Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: SW Bull Mtn Road Manufactured home utilities 110.00
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 I Lot no.: 09 Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: 655 A7 Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK
Backflow preventer f Page 2 a.'7 S -- S --
Landscape Baekflow Device Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER I ❑ TENANT Drinking fountain
Ejectors /sump 16.60
Name: Don Morissette Homes
16.60
• Expansion tank 16.60
Address: 4230 SW Galewood
Fixture/sewer cap 1 6.60
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 (6.60
Business name: Landscape Oregon, Inc.
Interceptor /gn;ase trap 16.60
Contact name: Ellen Sparrow Medical gas (value: S ) I Page 2
g'
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/basin/lavatory _ 16.60
E -mail:
Tub /shower /shower pan 16.60
Urinal 16.60
CONTRACTOR Water closet 1 6.60
Business name: Landscape Oregon, Inc. Water heater 16.60
Address: 12200 SW Myslony Street Other:
City /State /ZIP: Tualatin, OR 97062 Subtotal
503- 692 -5945 Minimum permit fee: 572.50
Phone:
( ) Fax: (503) 692 -0768 Residential backflow minimum permit fee: 536.25 36, • �S
CCB Lic.: 7804 Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized signature: State surcharge (8% of permit fee) e2 e v
LL 2�1L TOTAL PERMIT FEE
Print name: Ellen Sparrow Date: 10/06/2006 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.
ir. BuildingTerrni ts\PLM- 1'crmitApp,doe 06/05 440- 4616T(10:02 1COM/WEB)
z' d 89L0- 269 -E05 U dzz =ZO 90 90 1-00
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: PLM2006-00461
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2006
Phone: (503) 639-4171
Inspeotibn Requests (24 Hrs.): (503) 639-4175 JJ IL.
2 ••, ••'
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM '\ PAGE: 70
SITE ADDRESS: 14662 SW ANGUS PL CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 009 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
DESCRIPTION: Backflow preventer for irrigation.
OWNER: DON MORISSETfE HOMES, PHONE #: 503-387-7539 •
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503-692-5945
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 038474-01 503-692-5945
Corrections/Comments/Instructions:
fr Ir,„01/ 41P" 0/%01P"
/./ " A .. t‘"(
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[ I PARTIAL APPROVAL CANCEL 0 NO ACCESS
fl FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: )71 7,ig Date: I / _ Phone #: (503) 718-,,ZY__