Permit CI TY OF TIGARD PLUMBING PERMIT
I A, DEVELOPMENT SERVICES PERMIT #: PLM2006 -00436
` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/2012006
PARCEL: 2S109AC -WR002
SITE ADDRESS: 14578 SW ANGUS PL ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 002 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 STE 100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 9/20/2006 $36.25
[TAX] 8% State Surcha 9/20/2006 $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 By: �� ^ Permittee Signature: co fe
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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Plumbing Permit Application t . , � h 1 ,� FOR OFFICE USE ONLY
CI of Ti and a P [. s Received /j Permit No.:
131 SW Hall Blvd., Tigard, OR 97223 P B 7 � C� J- Jv 1 M�?0b as VS6
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 SEP 2 0 u /r�. r Other Pennit No.:
J r ,; ( D ay:
24- Hour Inspection Line: 503.639.4175 h -• t
Date Ready /By: Ju1dy' 0 See Paee 2 for
Internet: www.ei.tigard.or.us NotifiedMethad: \ Supplemental In formation
TYPE i;OF yW91RK Po i ai:' -, FEE* J SCHEDULE
® New construction IIT TIE -` 1\)3emotl tion•' c ' ®! For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration /replacement ❑ Other: New l- 2- family dwellings (includes 100 11. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. It.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 3.90 SW Angus Place / 5/57 I Catch basin or area drain 16.60
City /State /ZIP: Tigard, OR 97224 Drywall, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Wilson Ridge Model Footing drain (no. linear ft.: ) 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 ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Wilson Ridge I Lot no.: 02 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: 655 A6
Absorption valve 1 6.60
DESCRIPTION OF WORK Backflow preventcr / Page 2 �-7. 5
Landscape Backflow Deived 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 1 6.60
Contact name: Ellen Sparrow Medical gas (value: $ ) Page 2
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Address: 12200 SW Myslony Street Primer 16.60
City /State/ZIP: Tualatin, OR 97062 Roof drain (commercial) i 6.60
Phone: (503) 692 -5945 Fax: : (503) 692 -0768 Sink/basin/lavatory 16.G0
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 1 6.60
Business name: Landscape Oregon, Inc. Water heater 16.60
Address: 12200 5W Myslony Street Other:
City /State /ZIP: Tualatin, OR 97062 Subtotal
Minimum permit fee: 572.50
Phone: (503 -) 692 -5945 Fax: (503) 692 -0768 Residential backllow minimum permit fee: $36.25' °�
CCB Lie.: 7804 Plumbing Lic. no.: Plan review (25% of permit fee)
�,/ �� State surcharge (8% of permit fee) Q. . 90
Authorized signatura'�� `Nr (��-�� TOTAL PERMIT FEE 3. /5
Print name: Ellen Sparrow Date: 9/20/06 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 .
i•lnuildingwermils'.PLM -Pt itAppdoc 06,05 4404616T( 10. %02 /COM/Wrsn)
2'd 89L0- 269 -EOS uaii3 01 60 =2T 90 D2 daS
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLIlrI 200 ; 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/20/7005
Phone: (503) 639 -4171 li
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 7.03A1y PAGE:
SITE ADDRESS: 14578 SW ANGUIS PL CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 002 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
DESCRIPTION: Bacidlow preventer for irrigation.
OWNER: DON IvMORISSEfTE HOMES, PHONE #: 503. 387 -753l
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 -692 -5945
Inspection Request Scheduled For: Date: 10/212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 037442 -01 503-692-5945 4
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
❑ FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: C2 d
Date: c Phone #: (503) 718-2vV1