Permit 4,, CITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2006 -00213
�,i DEVELOPMENT SERVICES DATE ISSUED: 5/15/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 PARCEL: 2S109DB - 04800
SITE ADDRESS: 13249 SW SUMMIT RIDGE ST ZONING: R -
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT: 127 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 5/15/2006 $36.25
[TAX] 8% State Surcha 5/15/2006 $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.
Issued By: Permittee Signature: ")- CC. 212 ' Ca- 4 C
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.
Bui Fixtures REICE1
Ptah g Permit Applicat( 1 io1 . 21)06 FOR OFFICE USE ONLY
City of Tigard ` j IG ��® Dav i & i 0 Permit No..) - , Cgr - Oca 13
13125 SW Hall Blvd., Tigard, OR 97223 Q;i OF
Phone: 503.639.4171 Fax: 503.598.1`` � �1 G pIVISI a t. , • :, Plan Revie Other Pemtit No.:
24- Hour Inspection Line: 503.639.417 IF� 14 I. Date/By:
Internet: www.ci.tigard.or.us °^� --, Date Ready/By:
Notified/Me 3u ® See Pace Z for
temenca
ti 's •tiC '.,; - � SOPP 1 lnformotlon
p
..`Y11Y- d' F .
New construction ❑ Demolition For special information use checklist.
Description
❑ Addition/alteration/replacement ❑ Other Qh • Total
:;; New 1- 2- family dwellings (includes 100 ft. for each utility connection)
:t `= '.. ` ".. ; ".:, ;.:;C4,'I'EG'OR\' OF;� � .. sue..,., , .0.O $?" UgI`:IO �r:
,., ..:. : .: , , . ...', SFR (I) bath 249.20
1 - and 2 family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ • ccessory building ❑ Multi-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑Other:
' '1 ,7 � fis._ Fire sprinkler( ft.)
.,r:.. �;.9. >. -�. � e, ...,,, .. sq. ft. Page 2
,�. _ �� r i ` 4 ;dG S 17E P� . T.t4 .....4pC.4 .0.0: ' : s'. �c
� , . , •.., ' `:' � .. ..: ` �:':`;;::. Site utilities
Job site address: / 3 ;ay 9 t,) .S../...Len n-) /.1 / Catch basin or area drain I 16.60
City/State/ZIP: T/CfC.i't_ a y . , _Z/ ` Drywell, leach line, or trench drain ' 16.60 I ,
Suite/bldg./apt. no.: Project name L .Th "1 Li - 12LC(7 Footing drain (no. linear R.: ) Page 2
Cross street/directions to job site: Manufactured home utilities 110.00
n Manholes 16.60
.. 1LU e. e i - .-'LL / - e Rain drain connector I
1 6,60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) I i. Page 2 i
Tax map /parcel no.:
Fixture or item
.. Absorption valve
,; sor 1 6.60
: _t,.,:' D ES C RIP TtON :
: QF, W f3 r: ir, : .
: O , .. :: :...' • _' . L:, Bacicflow preventer / Paget 7 S S
//6/7 S(. a. :T.✓!l /_tr ,. irc, (Lee f ;' I /
/: , � ,':�r� ; ; i Ba ckwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
p f
fp WJV , k , 5 Drinking fountain 16.60
Name: De in � /�l�l C,.� ti •� '.: , Ejectors/sump 16.60
J ( -L � YYn Mil - ..17 CS L -LC-Expansion tank 16.60
Address: t-f,a 3 L. S Lt_t L ( e e_ 0 U r et. Fixture /sewer cap 16.60
City/State/ZIP:Les / <c, C el t i c" y0 (;)/L '•7 .7 (_..✓ S Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
`.;i° :ti5 , `)PAC' ¼ '• 1 , ' Hose bib 16.60
• Ice maker
business name: Lai i c Cli �... . c r -�,� , 1-",--.) 1 6.60
/' / Y\ Interceptor/grease trap 1 6.60
Contact name: /----71 off) ...-Sf 4f.:4-! ` V
C) Medical gas (value: $ ) Page 2
Address: / D- DO ... (1.-) /Y) y / 1 ti RD Primer 16.60
City/State/ZIP: TWO iLti op_ , - - 70(c' ,-- Roof drain (commercial) 16.60
Phone: (SU 3) ( �/ - _� � J Fax:: 2 , Sink/basin/lavatory 16.60
(✓ t 3) E' V t - L-' ' : / c:' .:1 _
E -mail: _
Tub /shower /shower pan 16.60
: y . ., Urinal
16.60
:':: ;; :.. : : r• I':.. ; I, :. Water closet
. ... ,. -.. . ... : I 16.60
Business name: Lan S( t.. 4.. OTt9/ iin Z:C C Water heater 16.60
Address: / -.)-GO S (.. PA S - f c: R.b Other:
City/State/ZIP: ,,. ' 0 ' -q 7U � Z Subtota
Minimum permit fee: $72.50
Phone: 66;3) (pQ SAS' Fax: 6°3) (9(? - L)741 c Q• Residential backflow minimum permit fee: $36.25 :31 • t)-S.
CCB Lie.: 7 fU Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized sign t t 4 r ..-L/J_,e 7 State surcharge (8% of permit fee) off, 9 0
` TOTAL PERMIT FEE 3 9 ./&----
Print nature • j/ en i,a1'n Dat'$ j S ... C. This permit application expires if a permit is not obtained `s :thin
/' 180 days after it has been accepted as complete.
`Fee methodology set by Tri- County Building Industry Service Board.
iA BuildinglPerrmc s\PLMP- FemoraApp.doe 12/03 440 46I6T(10/0l/COM/WEB)
2•d 139L0- 269 -EOS Uaii BIO :8O 90 ST R W
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200G.00213 1
13125 SW Hall Blvd., Tigard, OR 97223 ,. • DATE ISSUED: 5/
Phone: (503) 639 -4171 /�a ,��p,Ey' j
Inspection Requests (24 Hrs.): (503) 639 -4175 R__..
INSPECTION WORKSHEET FOR DATE: 5/26/2006 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 132.49 SW SUMMIT RIDGE ST CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT #: 127 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 3
DESCRIPTION: Backflow preventer for irrigation.
OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 503 -3B7 -7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 - 692 - 59.15
Inspection Request Scheduled For: Date: 5/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
39:3 Plumbing final 030647 -01 503. 692 -5945 N
Corrections /Comments /Instructions:
. -.. . A/-
0 .P,ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: IV) � ) Date: ` _ t Phone #: (503) 718-