Permit J
AIR CITY OF TIGARD PLUMBING PERMIT
��� DEVELOPMENT SERVICES PERMIT #: PLM2006 -00061
` '�I I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/3/2006
PARCEL: 2 S 109 DA -10400
SITE ADDRESS: 15432 SW OAK VALLEY TERR ZONING: R -
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 093 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 [PLUMB] Permit Fee 2/3/2006 $36.25
[TAX] 8% State Surcha 2/3/2006 $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.
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Issued By: , „ ,cLe G Permittee Signature: �p
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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■
Building Fixtures
Plumbin Permit A lica ' S FOR OFFICE USE ONLY
City of _ Petmil No 13125 SW Hall Blvd. Tigard, OR 97 1 0 DE I .4171 Fax: 503.598. 60 J ,ew
Phone: 503.639
CV O " " '''i : �r ' Other Permit No. , ` Date/By: : •
24- Hour Inspection Line: 503.639.4175 V t : , . `I I Date Ready/ J ar� 121 Se Page 2 for
Internet www.ci.tigard.or.us =
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• J•., .,- ... - ' '. � . '.FEE :
e e n Information
New construction ti p Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration /replacement 0 Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
'; �!! ' -' - ' 7 . ".CA GORY:: Q1 O ST C1'XOIr!,, ,. SFR (1) bath 249.20
■ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building 0 Multi -family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ er:
.c 7,:ei,,i;- ;:rr.:.Hu Q T7 „,, ,.... ,i, 1 n 2
-:.i..,.
l: 're sprinkler ( sq. ) g
1 •' tf
t
.,,,,t 'Y:: . N..'�f • r O$ 5S ;�QJ,'T . :ifuf�. - F ire �!1' -
, . ..:. . �+~ Y t : > ••�"� .. .. Site utilities
Job site address: 1 51/3 Z S)) C'CLI(. \J -Uc'4/ 1 _ _ Catch basin or area drain 16.60
City /State/ZIP: 1 (,t,,aGl o 9 7 .?-1--/ eac
Drywell, lh line, or trench drain 16.60
Suite/bldg./apt. no.: Project namrPtL�1/yl,.Uf' �a7 � 1 Footing drain (no. linear ft : ) Page 2
Cross street/directions to job site: Manufactured home utilities 1 10.00
CAA) g e e_ � / i4 Min drain 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
n . ? Storm sewer (no. linear ft.: ) Page 2
Subdivision:.. U...41 f re# 1�Lej I Lot no.:_iti Water service (no. linear ft.: ) Page 2
Tax map /parcel no.. tp G Pt`
Fixture or item
Absorption valve 16.60
°FaSC ' N.1::OI?': " t.Q. " ..° .:, s.
t. : ;;. ': _ Backflow preventer / Page 2 ,D. , ��
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e' , ( / ,_- (4/-7 , ....,7,-, h ck- f / <''',CI •,3, / _:: / Jf- , Backwater valve 16.60
! Clothes washer 16.60
Dishwasher 1 6.60
• ",.: r r J r. ' - Drinking fountain 16.60
�, �` ` - •
; • • "' ; Ejectors/sump 16.60
Name: b 6 in/- l s .L / 'Wl C.;�
Expansion tank 16.60
Address: L--f,....2 3 C' S LLti Lam=' ( C & 0 0 0 . C._ Fixture/sewer cap 16.60
City/State/ZIP:LL.CL %. C. C % LC 1 C yC) OA /7 % (2 _ Floor drain/floor sinlc/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
r , Ir . - ::. .. Hose bib I 16.60
f
' k" ice maker 16.60
Business name: r ii . /; // - ezte.. OKe- c '. " /
r j"77 T/- J Interceptor/grease trap 16.60
Contact name: ; = ; 1 5
C.74,1 .,/� ...Sp G..t - � : .�..� Medical gas (value: $ ) Page 2
Address:
J ; 0 (� Primer 16.60
City/State/ZIP:^ (to il. t 7 . C/ � "70 (in _1 Roof drain (commercial) 16.60
• . (5.5, Sink/basin/lavatory 16.60
Phone: (Cc' 3) f /.� --_ �- ) /t_J I Fax: : (5 3) E: Y =d - - ',74...--..c
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
, t - ... ... ,.. r i :: N T ..... .r... ,. ,:. Water closet 16.60 ,
Business name: "Ll CIS(v'p :e- 077 i i'Y1 TV) r _ Water heater 16.60
Adoress: ,� )-c'& Other. ;
City/State/ZIP: 712Z' ` () f , '�� `4. „t_ Subtotal
permit fee: $72.50
Phone: C 54. 3) (17QQ 5 _ 9f, Fax: x;03) 6 9a ) - 07 g' Residential bacicflow minimum permit fee: $36.25 3bD-
-7 / ) Plan review (25% of permit fee)
CCB Lic.: L ,
Authorized signs State surcharge (8% of permit fee) a . gG
1� te l f �4Plumb: Lic. no.: . 2 . i _ .. TOTAL PERMIT FEE 3q, `S
Print name ':/ ,- --� J Da 7 /,3 /O (0 This permit application expires if a permit is not obtained •.:thin
�/ "r 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board
is la uild inglPcrmitv\PLMP- PermitApp.doc 12/03 440.4616T( 10/02/COMIWEB)
2' d 139L0-269 -COS Ua[ eTEtTT 90 EO Gad
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM7lJt1E;.00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J31�)006
Phone: (503) 639-4171 t i g i'll
Inspection Requests (24 Hrs.): (503) 639 -4175 ° __-.
INSPECTION WORKSHEET FOR DATE: 2/EJ2006 TIME: 7:02AM PAGE: 2
SITE ADDRESS: 15'132 SW OAK VAL LEY . FERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 093 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 2
DESCRIPTION: EJac :I:flow preventer for irrigation.
OWNER: DON MORISSE TE COMMUNITIES, LLC, PHONE #: 503.38T -7638
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: +a03 - 915
Inspection Request Scheduled For: Date: 7J&2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 026340.01 503-692-5945 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: dd Date: Phone #: (503) 718 - 7---4-2—S