Permit Ng CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00020
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/24/2007
PARCEL: 1S134DB-10500
SITE ADDRESS: 11381 SW MEGAN TERR ZONING: R -4.5
SUBDIVISION: DAKOTA GLEN LOT: 007 JURISDICTION: TIG
Project Description: Install residential backflow prevention device 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, INC.
4230 GALEWOOD ST # 100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 1/24/2007 $36.25
[TAX] 8% State Surcharl 1/24/2007 $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 callin 503.246.6699 or 1.800.332.2344.
lssu By: / L l/ —iI Permittee Signat 1111111.) 4 1,1r AIL
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.
t ,t l
Plumbing Permit Apli-4 ion'
om
SAI L ` FOR OFFICE USE ONLY
All44:4411 Itecei veil I Clty of Tigard DutcrDy: ( Ai/ D7 /t>( Permit No.. `f4 7.00G>PC
131 S W Hal! Blvd, Tigard, OR 97223 A� , P1 a n ev iew Phone: 503.639.4171 Fax: 503.598.1960 jai 21 ; Other PermitNo.:
_ �I+ DateBy: - 24- Hour Inspection Line: 501639.4175 �,i. Dote Rcady 0 Sec page I for
Internet: www,ei.tigard.or.us �, i p,,
TYPE T ttutilietl%Metlrrd: $D Supplementallnformation
-11 tpi, I ju? `
p" t ; � r NT1I 11reTI�� FEE* SCHEDULE
® New construction 4 y �! 1 1 1 'LJ l ... htion For special information use checklist
Description Qty. { Ea. 1 Total
' ❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 R. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (t) bath 1 249 :20
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
C1 Accessory building CI Multi-family SFR (3) bath 399.00 •
Each additional bathrkitchcn j 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. II.) I Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 11381 SW Megan Terrace Catch basin or area drain 16.60
City/State/ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name: Dakota Glen 07 Footing drain (no. linear it: ) Page 2
Manufactured home utilities 110.00
' Cross street /directions to job site: SW North Dakota Street
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear it.: ) Page 2
Storm sewer (no. linear ft. ) Page 2
Subdivision: Dakota Glen Lot no.: 07 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: 655 C 2
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Landscape Baekflow 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 Halewood Fixture/ sewer cap 16.60
City /State/ZIP: Lake Oswego, OR 97034 Floor draitvfloor sinkrhub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
® APPLICANT ® CONTACT PERSON Hose bib 16.60
[cc 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 I
City /Stale /ZIP: Tualatin, OR 97062 Roof drain (commercial) 16.60
Phone: (503) 692 -5945 Fax: : (503) 692 -0768 5in[obasin']avatory 16.60
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 lee: 572.50
Phone: (503 -) 692 -5945 Fax: (503) 692 -0768 Residential backllow minimum permit fcc.: $36.25
CCB Lie.: 7804 Plumbing Lie. no.: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Authorized signature:
TOTAL PERMIT FEE
Print name: Ellen Sparrow Date: 01/23/07 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:'.Bnilding \Penn its '.PLM- PermitApp,doc 06/05 440 -16 16T1lOO2
8•d 89L0 - 009 ueIIE etZ :90 LO 17Z unf
. . _
. . ,
, ,,...
CITY OF TIGARD .
BUILDING DIVISION
PERMIT ----T-
(: PLM2 T-00070
4/2007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: vp:0)
Phone: (503) 639-4171 ' Pooftiliii- '
Inspection Requests (24 Hrs.): (503) 639-4175 ,-,-.491. ■ 6 ' .1
INSPECTION WORKSHEET FOR DATE: 218/2007 TIME: 7:03AM PAGE: 28
SITE ADDRESS: 11301 SW MEGAN TERR CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 007 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: Install residential bacidlow prevention device f or irrigation. •
OWNER: DON MORISSETTE HOMES, INC.. PHONE #: 503-387-7530
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503-692-5945
Inspection Request Scheduled For: Date: 2J812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 043110-01 503-692-5945 N
Corrections/Comments/Instructions:
00
•
A I r DASS I 1 PARTIAL APPROVAL EI CANCEL I I NO ACCESS
I I AIL P2( '1 L FOR INSPECTION 7 ADDITIONAL FE; S ASSESSED
Inspector: 718- Date: . 5 Phone #: (503) 718
7*.
111111/ ■....._
........_
_ . ,