Permit } i ll „ CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00069
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2007
PARCEL: 1S134DB-10600
SITE ADDRESS: 11389 SW MEGAN TERR ZONING: R -4.5
SUBDIVISION: DAKOTA GLEN LOT: 008 JURISDICTION: TIG
PROJECT: DAKOTA GLEN
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, INC. Description Date Amount
4230 GALEWOOD ST # 100
LAKE OSWEGO, OR 97224 [PLUMB] Permit Fee 2/20/2007 $36.25
[TAX] 8% State Surcha 2/20/2007 $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 calling 503.246.6699 or 1.800.332.2344.
•
Issued By:~ O Permittee Signature: _x c 1p
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 Appk[�` ital � � FOR OFFICE USE ONLY
City of Tigard
U 2 ��7 ate . " Received q �(J �,® 2 q „ n 27 c n
FEB Plan Permit
� C�/ C '/ Z.. No.: \ (� I `'
13125 SW Hall Blvd., Tigard, OR 97223 plan Kevten
Phone: 501639.4171 Fax: 503.593. 1960 _ . l ' 1 ';y Dat-1By: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 G67Y G." l � '� � -• I� Data Ready/ ➢y: lur : 21 See Page 2 fur
Internet: www.ci.tigard.or.ue g�J11 WORK FEE* SCHEDULE
0 New construction El Demolition For special information use checklist
— Dcscnption I Qty. I Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
i Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. lt.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 11389 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 08 Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SW eateadountairpftwad- 73 C_1riU../L
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear IL: ) Page 2
Subdivision: Dakota Glen f Lot no.: 08 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: 655 a C._ oZ 1
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer f Page 2 , 7.. S S
Landscape Backflow Device Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 1 6.60
® PROPERTY OWNER ❑ TENANT
Ejectors/sump 16.60
Name: Don Morissette Homes Expansion tank 1 6.60
Address: 4230 SW Galewood Fixtureisewer cap 16.60
City /State /ZIP: Lake Oswego, OR 97034 Floor drain/floor sink/hub 16.60
Phone: ( ) j Fax: ( ) Garbage disposal 16.60
® APPLICANT J ® CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Landscape Oregon, Inc. interceptor/grease trap 16.60
Contact name: Ellen Sparrow Medical gas (value: S ) Page 2
Address: 12200 SW 117yslony Street Primer 16,60
City/State/ZIP: Tualatin, OR 97062 Roof drain (commercial) 16,60
Sink/basin /lavatory 16.60
Phone: (503) 692 -5945 Fax: : (503) 692 -0768
Tub/shower/shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: Landscape Oregon, inc. Water heater 16.601
Address: 12200 SW Myslony Street Other:
City /State /ZIP: Tualatin, OR 97062 Subtotal
Minimum permit fee: $72.50
Phone: (503 -) 692 -5945 Fax: (503) 692 -0768 Residential backtlow minimum permit fee: $36.25 �---) i. b - r
CCB Lie.: 7804 Plumbing Lie. no.: Plan review (25% orpermit fee)
.. j
Authorized ff _ 2 1l J � State surcharge TOTAL of permi t fee) , C-;.) uthorized si atur
�Z � C TOTAL PERMIT FEE 39./ S
Print name: Ellen Sparrow Date: 02/19/07 This permit application expires if a permit is not obtained within
1110 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Sery ice Boanl.
0 ..Buil din s. Perm ir'.IPL.M•Permit pp.t'oc O6/0 5 aa0 -06IGr(I0 /CO WAN Ea)
Z 29L0 uaii3 eZV60 LO 61 qad
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CITY OF TIGARD
B6ILDING DIVISION PERMIT #: pLiv12007-00069
• :13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639-4171 4 009titi
Inspection Requests (24 Hrs.): (503) 639-4175 lW 1.L
INSPECTION WORKSHEET FOR DATE: 2/21/2007 TIME: 7:00AM PAGE: 45
:•.•
SITE ADDRESS: 11389 SW MEGAN TERR CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 008 TYPE OF USE:
PROJECT NAME: DAKOTA GLEN
DESCRIPTION: Backflow preventer for irrigation.
OWNER: DON MORISSEI 1E HOMES, INC., PHONE #: 503_387-7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503-692-5945
Inspection Request Scheduled For: Date: 212112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 043626-01 503-692-5945
Corrections/Comments/Instructions:
o
pre e
I I PASS PARTIAL APPROVAL n CANCEL
I NO ACCESS
I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date: • Z 0 Phone #: (503) 718-