Loading...
Permit C ITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 -00300 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/7/2006 PARCEL: 2S 109AD -15000 SITE ADDRESS: 14971 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE NO. 4 LOT: 132 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 COMMUNITIES, LLC. 4230 GALEWOOD ST #100 Description Date Amount LAKE OSWEGO, OR 97035 [TAX] 8% State Surcha 6/7/2006 $2.90 [PLUMB] Permit Fee 6/7/2006 $36.25 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: g 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. ,.. Bipiilding Fixtures Plumbing Permit Ap ieti: E(jcS, I V ED . .. FOR OFFICE USE ONLY . . • . . ...: City of Tigard Tigard, OR 97223 JUN i 7 2006 Received ' - Date/By: ib - e) ( ?L.,' Pcrroit Nrfil\Agaj' --- 13125 SW Hall I31vd., Plan Review Phone: 503.639.4171 Fax: 503.598.1960 AR A00'). 4. Daten3y: Oor Pei Intl No 24 Hour Inspection Line: 503.639.4175 crry OF TIG _ Intl i iit th Date ,... j.S141s• (ri co See P.ge 2 for Internet: www • ci.tigard.or.us SU Notified/M ethod: ) I Supplemental Information ...-::::,;.,l;;,7,:.::.l:::.:',.:,..:::;.;:::;,!...":...77.'.1,,:::11'71(,k,II.:•.91y...,L1*iii.K.::::,.:1.):.i7-;:.:.:::-:.:.:,:.-.:-:?i2.,:::.:::.,'.'.-:.'....::: .2,..: - ,7,.... ' '' spEok• sc ffifij'or,.E _,'.. • .•_...,.. _•:_______ [_ New construction - onstr uction - El Addition/alteration/replacement ILDING DIVIS 4.11:136- 6,..1 I 0 Demolition i 0 Other: ------- -- - - _ _ For specialinforotalion iese checklist. _ __ New 1- 2-family dwellings n:d gs 1udes 100 ft. for eaeh uttli!y connection , s' ''..;:', ' ' ..- .'' .' ''': i ' Olt' - :.:.oN s griiifilC11 . 4 .7 7.1 . 77 . sFR (1 ) bath 249.20 N and 2-family dwelling 0 Accessory building D 0 Multi-family Commercialtindus trial --- - b7 .-- ---------- - SFR (2) bath SFR (3) * 1 [ bath _._ _. _ _II__ _ 3)0.00 399 00 F ..___________. . Each additional bath/lcitehen 45.00 _ - E] t Master builder 0 Other: .. ,..... ,.....,.... .„ ._.7.77.:....__.__....... , .,., . ., ..:... , . ,... .,., Fire sprinkler ( sq. ft.) ''..,•.':',:,.:. : ,::: . :::: : . *1 .::1 ' .:2 , ...f . -,. : .: . .,;;/ 1 0$■ ' "SI:tE; INV gliMATP01; , ;k:11)1t . ,E.1 : 6CATION •••.', ' • -.• : . ... ; :- 1_. ___ ___ .__. _ _ Page 2 „ -- ---- - -- ---- City/State/ZIP: a 07,? 6-,z;ta /7 _ _ D Catc m h basin or area drain ryIL leach line, - Irench drain T 16.60 i ::.(.(..■ S u i tc/bIdL,7./ap r . no.: 1 Pmject narrierSt_p_r m ,... j,, fr_ic ? ... / 32 Footing drain (no linear II.: ) Page ------... . .. _ . .. . .. . - _ _ _ . . . - - • - - - Manufactured home Liti btu; • '0 00 Cross street/directions to job site: • 7 .. _ _ _ - tvl an h o Iti(i .-•S Lk) i?)C' e-r a-e../ 4._.,:e 1 ,2_D Ruin drain connector (6.60 ._--- --- - • _ - Sanitary_ sewer (no. lineaj I ( .,) . _ Fags 2 J • I Storm sewer (no. linear ft.: ) Page 2 __________ _-_-_ _ . _ ---- -•-- ".,. -- - -- - --' ' k i Lot no./ .____ ' Water service (no. linear Ct.: -) Page 2_i _ - SubdivistoSa ryovt Li - i a <:_.' - 3 z ---_--..------- -- - Fixture or itent Tax map/parcel no.: Co S - __. __,____.__ __ valve r - I ,,, 60 _ Bacialow preventer j -/ Page 2 ;I .. E ... V . __.• 41. -- • . - ---, i . ..-, .. : , .., •.,-- -- -- / - -, - ' • •, • , • Backwater valve it Clothes washer 16.60 - • - Dishwasher 16 60 Vis ::'' ..-- • .• -- •-• - .-': ,' .....:., • ,: • . '' i : ' : ' • - ' . ;. • ,. Drinking fountain _.. 16 60__ ___I ...• , •• • •• ., ..-- P........ - :'• : ,•1 .'t . ,,.- '''• LI 'TENANT. • : ' -::• : ,-.. .: : .. . • ,..- .....• • •••• ' ••••• , :•&'L- - ' '' • •' ' - ,••• - ' • - '-''' - " `""•-'--=-J-:-*-'-'-- Ejectors/sump 16_60 Name: D /7 -::: --, ==z7._:_:, e•-zny) /nit. YU, kti e..S L.1 ' . xpansion tank • • 16.60 1 Address: 2- 7 1 .Q_ 3 ' -, L. i,...' !..- "- . / l" (.. ': .. f_... <.--.1( Fixture/sewer cap - 16.60 --. -- - -- City/State/ZIP: /.. c., A.:(.:, t . ... ,-. i", . ,•',.?c• . (.:',/,,, -'-i . 7 • ' ,, • Floor drain/floor sinldhob i 6.60 , . ,__ i . Garbage disposal Phone: ( ) Fax. ( ) _ __ - - --- " - • • Hose bib 16.60 ] ' , ..- - .i,:,:;t" - -'.. --c,:.:.":• .'1APJP,IACA4`.41r•-: '.''' • : ... • -, • .: ..• : • ' -.• :•••• '. .,SON1. ACT rritsoN- .. ,. •• ____._ 16.60 8usmess name: / 4 , 1,- ,i- (-: /- . „• - . / ..-..4_ , Q, ..... 7 , . .,-- , - , .,___ • - . --- / -.) .....s 0 ,-,.. ,.• ,,.,,•: LC '''''-'7.--''''-/-------- ----- Medical gas (value: -, -'• ni _____________ _ Interceptor/grease lisp Contact name: $ ) -__________.__ i 6.60 Paae 2 - Address: j ', .,.) (..)(2: .. i s \ 1! • • • i ,: I /,, • i',! z.) PrirlICr 16.60 J V 71. I - i J . - _____ • City/State/ZIP: - /) L ti el t- 1 y, Roof drain (cornmerci_a_11 .___ _16.60 -•_--__i . 717 . i, Snk/basin/lavatory I 6.60 Phone: CE -.:„.... 4- - ..:_-;.'.:- , ''.,. I fax : (..i,, -;) ,i - .-- . i -- Tub/shower/shower pan 16.60 E -mail: __ _ _ • -1 Urinai 1 16.60 .: ..., ", -': c OH 7 • . . .. • - , . . .. _ . , water closa 1 16 150 ., 1 . . • • • Business name: / / i'l '•-• /- , , - / / /•-„, : -/- ,,- i , • Water heater ____________ _ /='..___, --). - / - • • ,..___ -..- • -- .____ ._ - - -• Ad dress: ,.• ,..,.. ,1,1 ---..: r, / /,,,;_.,.(,:__:,, Other . _ .. _. ..__.. __ _ _ i _ _ ___ _. -- - __ _ Subtotal City/Statc/ZIP: .7-i Ai' 4-- 6 ,-) • i -." i "=" 4 7 C () ...ra. - . , -- - • - - ivlinimurn pen-nit atc: -.) Phone: 3) /-,..'„, ..f.:, Fax (56 '.3) (..,,,■ 9:'-`? '' 1,1- '" Residential backtlow minimum permit fee S36.1.1). ---) & S _ _... . . __ . ____ CCI3 Lie.: 7 KO C. Plumbing Lic. no.: Pian revIeW (25% of perrnit feel _ .___. ___..-. ----7'4------------- ----- • -------* State surcharge (8% of permit fee) O. ./C...) (i , Authorized sig - : e" ( ,.._, .,..y,z, 0 wl ., . TorAi. PER/v1IT EE:: 1.3 C. / /5 ------ ____------- .---- ---- - --1 Print narne:e-- 0'e .,,,,,,. -),(..,/,,- • i.: (,..._ ) 113r1t4,7-7/6) 1 - This permitapplication cxpires il :111er:int iS rfOt Ohlaitluti • 'di iR - ___, _ -- 1811 lays after it has been accepted as comp/ete. '1'-'ec ,It,'Ilnclo■ogy sei hy Tri-Co:nty 1 lih.licaiy :ii. i I ;C. k1F PurnetApp rk■r. 12M3 .. / -.16 1: , T(11);(1.th:01 , 1;WI); u a 1 i3 e99:90 90 GO unC 2 ' 99G0-299-E0