Permit (J,
CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 -00589
4 L 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2005
PARCEL: 2S109DA -03100
SITE ADDRESS: 15327 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 008 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 SUITE 100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 10/20/200`. $36.25
[TAX] 8% State Surcha 10/20/200E $2.90
Phone : 503- 387 -7538 Total $39.15
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Phone : 503- 692 -5945
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: ju Permittee Signature: .. s .j 20 j el,,(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.
4 ,, EDuiMMMing Fixtures is
Plumbing Permit ApplicationCCE I '. FD FOR OFFICE USE ONLY • • •
City of Tigard ReceivedJ /7
13125 SW Hall Blvd., Tigard, OR 97223 OCT ,20"
Date/By:/ �,. �� �� /` Permit No 1 i �{
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review ✓
24- Hour Inspection Line: 503.639.4175
CITY jlhh1'�I''� Date/BY: Other Permit No.
Internet: www.ci.tigard.or . us o+ 7M ti sa_�t;' F ' Date Ready/By:
i y : 1otified/Method: lur' O See Page 2 for
a, j Supplemental Information
• TYPE 1 '�, tr iG DTV Wk FEE" SCHEDULE
0 New construction ❑ Demolition For special information use checklist.
❑ Addition/alteration / replacement Description Qty. Ea. Total
❑ O ther: New 1- 2- family dwellings (includes 100 R. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
i'S 1- 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 -DO
❑ Master builder ❑ Other:
JOB SITE INFORMATION AND LOCATION Fire sprinkler,( sq. ft.) Page 2
Site utilities
Job site address: . S 3 2.7 5-i) Cyreen C., t .
DK... Catch basin or area drain 16.60
City/State /ZIP: lc ti tile, Ct 9 '7 ii Drywall, leach line, or trench drain 16.60
I
Suite/bldg./apt. no.: Project name ,{„hl y f 1 ! : l o g Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: "� '( Cr Manufactured home utilities 110.00 I
Manholes 16.60
. .. 7C.e. - 8•t't.0 t''v
Rain drain connector 0
Sanitary sewer (no. linear ft.: ) Page 2
n y._ Storm sewer (no. linear ft.: ) �-
Subdivision �
rn C�nj e- Lot no� � Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: C G �,S A t- y ( Fixture or item
7
•
valve 16.60
DESCRIPTION OF WORK
/ 1 Backflow preventer / Page 2 1,p S
r)4SL pr, /rrr/ c. Ca7 C» U_ /�t' f �/'�2i i G : y/ _ Backwater valve 16.60 ? S
Clothes washer 16.60
,t
Dishwasher Drinldng fountain . n, PROPERTY,. OWNER , in TENANT • t
Name: ' 16.60
Address: Z--f a 3 U S c_1-s 6E;,._ L e. e c, 0 ocL. Fixture/sewer l6.60
City /State /ZIP:LLI.. /<e 0 cLi3 e,70 O/ . ma 03 5 .. .. 6
Phone: ( ) 7 Fax: ( ) Garbage disposal 16.60
Hose bib
APPLICANT •. . CONTACT PERSON 16.60
Business name: l6? L � ■ '
>! /'.0 . C: o d' CJ �� .
Contact name: l 7J ,Sp �'r ()
Interceptor/grease trap 16.60
r � Page 2
Address: e —J . 0 - W rn JS.. / «`I y 412.1) Primer 16.60 {
City/State/ZIP: 1,0_4, amt Up_ '7 76, (,, Roof 16.60
Phone: (5023) & C i c .--Z — .S %y5 Fax:: (,S2 6,, Y,2 - G' �) , 16.60
E -mail: 16.60
Urinal CONTRACTOR ' Water closet 16.60
1 6.60
Business name: ale '� z ^ .
JJ (/Y! �,- % C Water heater 16.60
Address: /' ?-,D-OG S / ,, Li S GY'i,L4 P.4 Other:
City/State/ZIP: / , Subtotal •
j� oG � Q /7062 /7062 :'i
Phone: („j[��) loY �C ��- ( Minimum permit fee: $72.50 .
Fax: 3) ( p 9d ° D % (� . R esidential backflow minimum permit fee: $36.25 .• ac
CCB Lic.: 7 R, L% Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized signa 4 p State
State surcharge (8% of permit fee) a. V
��- l �c.Y / TOTAL PERMIT FEE ��f S'
1
I Print natnegil ` r ,.� r -� J Da (J - O
e' t i �� 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.
1. \ 13eildinglPcnmts \PLMF- PcrmitApp 12/03 4 40- 4616T(10 /02/COM /W1313)
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CITY QF44
BUILDING DIVISION PERMIT #: PLM2005 00589
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:09AM PAGE: 66
SITE ADDRESS: 15327 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 008 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Backflow preventerfor irrigation.
OWNER: DON MORISSE I I E COMMUNITIES LLC, PHONE #: 503 -387 -7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 - 692 -5945
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 020699-02 503 -692 -5945 N
Corrections/Comments/Instructions:
5"
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V L-" _ . Date: \• t 7 Y Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00589
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 h r4
Inspection Requests (24 Hrs.): (503) 639 -4175 l
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 66
SITE ADDRESS: 15327 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 008 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Backflow preventer for irrigation.
OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 - 3877530
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 -692 -5945
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
325 RP /backflow preventer 020699 -01 5503- 691594 N
Corrections /Comments /Instructions:
G�-71
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .. Date: C. ' Phone #: (503) 718-
,