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Permit - • CITY OF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 -00377 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/1012005 PARCEL: 2S 109DA - 09400 SITE ADDRESS: 15184 SW OAK VALLEY TERR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 083 JURISDICTION: TIG Project Description: Installation of backflow device. 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 Description Date Amount 4230 GALEWOOD ST. STE. 100 LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 8/10/2005 $36.25 [TAX] 8% State Surcha 8/10/2005 $2.90 Phone : 50.3- 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 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: 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. • • Building Fixtures Plumlbin2 Permit Applit t 9 IVE, FOR OFFICE USE ONLY • City of Tigard Received _ 13125 SW Hall Blvd., Tigard, OR 97223 .] 20 Datealy: y-0 ()5 Permit No': \ ,�JO5 a ds 7 7 Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Y�-C� t `vim' 24- Hour Inspection Line: 503.639.4175 Lest/ . , 'I r.'1l� Date/By: Other Permit Na.: Internet: www.ci.tigard.or.us C Dam Ready/By; 111(1"' I Su No nfied Met ltod: Paen for •` TYPE 0 PPlemeotal See 2 [afortnation 1101 New construction FEE* SCHEDULE ❑ Demolition For special information use checklist. ❑ Addition/alteration/replacement 0 Other: Description Qty. Ea. Total New 1- 2- family dwellings (includes 100 ft. for each utility connection) • CATEGORY OF • CONSTRUCTION . SFR (I) bath ■ 1- and 2- family dwelling I 249.20 ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building • ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder 0 Other: JOB SITE .IIYFORMATIOIV .ANA _LOCATION': Fire sprinkler (� sq. ft.) Page 2 e I I _ Job site address: Site utilities I Si a Su.i C V • I Tc ' /'22C f , Catch basin or area drain 16.60 city /statc/ZIP: l iq a1<.0 p l e__ 7 .7-a - D rywa ll , l each line, or trench drain 16.60 Footing Suite/bldg. /apt. no.: Project name. / b _ C �t O p drain (no. linear ft.: 1 - !)1/hl.f �- L(� .3 • g ( ) Page 2 Cross street/directions to job site: Manufactured home utilities 110.00 S L 8e e, /b - � /to Manholes 16.60 Rain drain connector 16.60 • Sanitary sewer (no. linear ft.: ) 1 Page 2 • Storm sewer (no. linear ft.: ) Page 2 Subdivisionja_ Ld- 1 Water ) Page If !� �� E• Lot no.: (no. linear ft.: 2 Tax map /parcel no.: (o S.5 A 7 Fixture or item • . DESCRIPTION .OF WORK Absorption valve 16.60 • �n, S Backflowpreventer i Page 2 a • SS' rr 7 0)1 • e C u y/ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ' •PR OPER Drinking fountain 16.60 Name: D irY1 f� dY/ S S C ¢. f / 3y?'1 >v s Ejectors sump 16.60 Address: Expansion tank 16.60 �Q. 3 a S Lki G�(e e-A3 o oct Fixture/sewer cap 1 6.60 City/State/ZIP:Lp _fie D S t p © Qk / 70.3 5 Floor drain floor sink/hub 16.60 Phone: ( ) Fax: •( ) Garbage disposal APPLI 16.60 'L • (:ANT C PERSON Hose bib 16.60 Business name: Lan � . 0.0-e. Ice maker 16.60 Contact name: E7/ d/l c ^ are } Medical TAP' Interceptor /grease trap 16.60 a � ,sr Medical gas (value: $ ) Page 2 Address: my S-i rm L/ 2j) Primer City/State/ZIP: A n �, J 16.60 ' , a-[ !I'l..• , G2. q'j 70 Ca .- Roof drain (commercial) 16.60 Phone: (5)3) (G�/ _ 3 - l Fax: : C5 & ?e,1 _ G, 'j Sink/basin/lavatory 16.60 E -mail: Tub /shower /shower pan 16.60 Urinal 1 6.60 CONTRACTOR • Business name:�ntacra ^t, �, / , -& , • n �� G Water closet 16.60 Address: `-J `" `-� Water heater 16.60 ! �-�-GG • . 1 _ . Other: . City/State/ZIP: f i 0R. • 06, Subtotal Phone: (5(.:43) (Q '9 • Fax: (5 / 6, �� - 07� Minimum permit fee: $72.50 �U Residential baekllow minimum permit fee: $36.25 34. • • CCB Lic.: 7 i //�� P lumbing Lic. no.: Plan review (25% of permit fee) 4uthorized sigm t/ ^ l ,, State su charge (8% of permit fee) a Cl 'riot name`l TOTAL PERMIT FEE '3 9, / S I Dat o / S This permit application expires if a permit is not obtained within ` 180 days after it has been accepted as complete. ■BuildinglPermvslplJrlF -pe *Fee methodology set by Tri -County Building Industry Service Board. rtrutApp.doe 17/03 440.4616T(10/02/COMlWBB) Z' d 89G0- 269 -EOS uaii etPE =80 SO OT 2nd CITY OF TIGARD , BUILDING DIVISION - PERMIT #: PLM2005 -00377 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/10/2005 Phone: (503) 639 -4171 Ally , k 'I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6 :59AM PAGE: 44 SITE ADDRESS: 15104 SW OAK VALLEY TERR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: Q8 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 2 DESCRIPTION: Installation of backflow device. 8/22106 Permit reinstated for purpose of final inspection. Effective for a period of (30) days. OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 60.3.307' 7538 CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503.692.6a16 Inspection Request Scheduled For: Date: 8/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 035476-01 603 -692 -5945 N Corrections /Comments /Instructions: L A C rC. ' ,4 YG 5 111') . XLPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: aTh \fvi i 1 \\ 3b-,', Date: 712l'bd. Phone #: (503) 718-