Permit C ITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2006 -00131
- - L P DEVELOPMENT SERVICES DATE ISSUED: 4/12/2006
13125 SW Hall Blvd., Tigard, OR 9 7223 503 - 639 -4171 PARCEL: 2S109DB -04700
SITE ADDRESS: 13225 SW SUMMIT RIDGE ST ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT: 126 JURISDICTION: TIG
Project Description: 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 COMMUNITIES, LLC. Description Date Amount
4230 GALEWOOD ST #100
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 4/12/2006 $36.25
[TAX] 8% State Surchari 4/12/2006 $2.90
Phone : 503 387 - 7538 Total $39.15
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD. REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Contact # : PRI 503- 692 -5945
FAX 503- 692 -0768
Reg #: LIC 7804
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -000 ! 4 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
callin ; 03-246 .99 : :00- 332 -2344.
Issu . d By: • Permittee Signatur •
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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i uilding_Fixtures Ntit'go05 ' 3 j$ 5�
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Plumbing Permit Appli ,111Q •;r EcEl r FOR OFFICE USE o,�f v
City of Tigard �/ Received L / 4 6 'tit- �l, (/ -Lol 3
3125 SW Hall Blvd., Tigard, OR 97223 Date : 7
'hone: 503.639.4171 Fax: 503.598.1960 APR 11 ' " "4'" �'' � ':\ Plan Review DateBy:
Other Permit No.:
4- Hour Inspection Linc: 503.639.4175 n'' I Date Read B it See Page z for
J Y
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ntemet: www.ct.hgard.or.us Notified/Method:
lea n
l Supplemental Information
- .:�: ,. >' �,;XP ��' , _ � J a . � a .,:�'• ., ... .ye, .;,ii' . :FEE *, -II:E` • • ' . :•..11,....: -
y * N i T For special in ormation use checklist.
!New construction �'- i olth 0f t 6 o� Description Qry. 1
Ea. TotaI
Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection)
;,:.. , .i":1 I „ :.k 9 RY'. : C . T5 TRFf . 0 9:: ? : i _ , SFR (1) bath 249.20 i
Al- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
] Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional batMcitchen 45.00
] Master builder El Other: Fire sprinkler ( sq. ft.) Page 2
RNjA - s, :' . N i ` ., �. t
...�._ . ', 1;�1: JQ$�$T�'wl. TT� . , . � T � . ... site utilities
tb site address: f 3 3a- S •w S LI- hrtn,L ale, ST Catch basin or area drain 16.60
T ] CI it y Drywell, leach line, or trench drain 16.60
Lllt_ o� ��aa�
g ap 5l.1•n el ry1- R -1C-Lei G (p Footing drain (no. linear ft.: ) Page 2
>1ttJbld J t no.: Project name. Lt Z
Manufactured home utilities 1 10.00
toss street/directions to job site: Manholes 16.60
W IC t? c Ct e--t'' Rain drain connector 1 6.60
Sanitary sewer (no. linear ft.: __) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no• linear ft.: -_) Page 2 i
R:,1 ubdivision: S urYl Al Li l,l ` 'e' Lot no.:
Fixture or item 16.60
ax map/parcel no.: L S 'Cj valve S , • Absorption _
Page 2
DESCR)SPTis :,®It , :WOR1C''.'. a ' : r ' :. ' ' ,.: -. Backflowpreventer . 16.60 •
. , .. .� . ..: f lL .:_�/ ir /; ^ _ `' • :.),,) ! e •- . : 16.60
./ )C t . el_ �f r ! Clothes washer 16.60
Dishwasher 1 6. 6 0 ---1 D fountain
' 1 6. 6 0
R 1:, ': c:i•. r ::. _.,.` . :1• . 16.60 •
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IIIII
[ mU , 4 FS ::: 16.60
Name: biry1 i nog, S'S .t f _
L 16.60 -
Address: J L= J `1)...., C.77, 1 ` C ` - i tC t Floor drain floor sink/hub I 16.60
City/Slate/ZIP: (....C. !< c' .
(, 1 L . /...) ` C! �'� Garbage disposal 16.60
• Hose bib 16.60
.
Phone: ( ) ' , 1�1 TAG F : PFItSQN:.: .;' :. 16
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1 t name: i1 r / I. /`!
. - _ , Medical gas (valu $ 16.60
Contact name: L .;,' ; :/ 1 'D ` / ! ?. t 16.60
�U (commercial)
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L B r a t Roo drain (cornet ) 16.60
Address: f Z L� L! rY • 7f . ( , S i n k/basin/ lavatory
L IL lA . CG ( -
City/State/ZIP: Tub /shower /shower pan 16.60
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Phone: ( IL C /7 - �/ 3 am 16.60
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Other:
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e i S(' % l .i.e • errr it fee: 25 3 fe • $72.50
Business nam : Lf A M in i mum P
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Address: /
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200$ -00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4112/200:
Phone: (503) 639 -4171 itt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/25/2006 TIME: 7:00AM PAGE: 82
SITE ADDRESS: 13225 SW SUMMIT RIDGE ST CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT #: 126 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 3
DESCRIPTION: Backflow prevention device for irrigation.
OWNER: DON MORISSETTE COMMUNITIES, LLC., PHONE #: 503.387 -7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 -692 -5945
Inspection Request Scheduled For: Date: 4/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 028594 -01 503 - 692 -5945 N
Corrections/Comments/Instructions:
\ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ) P Date: Phone #: (503) 718 -