Permit 'CITY OF TIGARD PLUMBING PERMIT
r DEVELOPMENT SERVICES PERMIT #: PLM2004 -00261
" ,��I DATE ISSUED: 6/11/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12057 SW WHISTLER'S LP PARCEL: 2S103CC -14300
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 090 JURISDICTION: TIG
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
Remarks: Backflow preventer install.
FEES
Owner:
Description Date Amount
DON MORISSETTE HOMES INC
4230 GALEWOOD STE #100 [PLUMB] Permit Fee 6/11/2004 $36.25
LAKE OSWEGO, OR 97035 [TAX] 8% State Surchan 6/11/2004 $2.90
Total $39.15
Phone : 503 387 - 7538
Contractor:
LANDSCAPE OREGON, INC.
12200 SW MYSLONY RD.
TUALATIN, OR 97062 REQUIRED INSPECTIONS
P RP /Backflow Preventer
Phone : 503 692 5945
Final Inspection
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. ?,,
Issued By: s�r�`� W"' Permittee Signature: el 14
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
r
Jun 09 04 10:33a dan edmonds 503-692-0768 p . 2
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W .1fIll Sewer
CitY: Of Tigard ,... Permit No.:
13125SW Hall Blvd. • . '‘.) C .) it .
Tigard, Oregon 97223 --
liffi Pennit No
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Phone: 503-639-4171 Fax:/Art-ITT-1;w .F 47..;.-4...:.,,,.(;.. Post-Review
Date/B . Lind Use
C.ase No..1
4111.:711
Internet www.cifi or
gard__usr Ini mG DIVISI_ .. ...:;, ,'.j .
Contact MI ■ See Page 2 for
24 Inspection Request.B50S-59 .4
-4175 "" -- •-•''•"-"-••• • Name/Method: So . , lenient:it Information.
.. TYPE:OF-WORK' --'' .-, ',
blew construction Demolition Description / Qty. I Fee(ea.) I Total
0 ddition/alteratiordreplacemenTffq Other: ::.....• ::-....... -.•.,--•- .c..-• ..,. - itizi;24aingy:dyiellogs-f•• • 7:::: ..:. --. .. -
. -•,.. c ...,•• -.-....,(incliMes-100-11r-eye-iliiit iitifdy canner:66a): .:, • - ; - : . , . -
CATEGORYOF.CONSTRUCTION ,;:•.!'-.: :4
SFR (I) bath 249.20
0 I & 2-Family dwelling ' 0 Conunercialandustrial SFR (2) bath 35'0.00
•1- ccessory Building 1010Mtdti-Fanuly SFR (3) bath 399.00
.
0 Master Builder • 011 Other: ' Each additional bath/kitchen 45.00
:JOB SUE INFORMA.TIONand-LOCA.TION.-::::-:rW'-'. Fire ePrkicier - sq. It.: Page 2
Job site address: /a 0.5,77 Ste) Whistlers Loot, , ...,.: , :.:.;,..;:::....,.:-:.:.,x:-...,.:-;;;11;,.: 4: ::, :Me-Utilities: -, " '• • ... • :•••••-'-.- I .. - - ••• ..:' .
Suite #: I Bldg./Apt_#: Catch basin/area drain 16.6O I
rivell/leadi lints/trench drain 16.60 I
Project Name: 1.0h , sH ers IX( ute. phase, A c.dyr- go
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job site:
Manufactured home utilities 110
Manholes 16.60
Su-) 1 2 -1 SI' itl-u-t.
1 Rain drain connector 16.60
Sanitary sewer (no. linear 114 Page 2
Subdivision: Lchisticv.s Luart_rc, 2- i Lot #:C , swim 9L-Ever (no. linear It) Page 2
Water service (no_ linear ft) Page 2
Tax map/parcel #: j,2 SS'. eS.
,..: ;,...t.,. .. _ ....: 3 :: :71 ::--! oii/tp:ni• - :". : • .- .'.':'-•:',.' - -• - '-.
- "; :- ' ' - • ' - ..':=..:DESCRIFIrION-ORWORIC- ',:;,:'..!•**. •• L -: ',. y•f:•.,., -.•
Absorption valve 16.60
La-nd vac-lc-haw aw) Backftow preventer i Page2.1 Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
PROPP-RTICOVYNER'' . - - 7 . / l' CI TENAN1r.n -:-!•-,.....'•::-:••;•-..•: :.::•-•-_-'.'•': Eiectors/sunap , 16.60 -
Name: Dell ill 0ile- /401 Expansien tank 16.60
Address:4-. 30 44..13 " &z.L-04,_.100 GU Fixture/sewer cap 16.60
City/State/Zip: trafie... 0.S.weso g70.3.5 Floor drain/ floor sink/hub - 16.60
Garbage disposal _ 16_60
Phone: Fax:
Hose bib 16_60 .
ASLAPPLICANT :•:- :.: • : ...: . ' .: '• ilaCONTACT;PERS011:'.,3f,::? Ice maker 16.60
Name: 61 Lai .Z.pa-rra-Lo Interceritorlgrease trap 16.60
Address:1 .....c )e• Cu) n RD Medical gas - vain= S • Page 2
Prier 16.60
City/State/Zip: -- ii A- 0 t 17
, 0 to a . m
.,
Roof drain (commercial) 16.60
PhoneS213 (09a- - 91451 Fax Oa- o76g- Sinbasin/lavatory 16.60
E-mail: . Tub/shower/shower pan 16_60
. ..4,: • --. • ' • •:i -. • = • • i-.:- • '.. CONTRACTOR- . : ' -..: .7':7-'• ' • ,...;., Urinal 16.60
Business Name: Lo_nct.Ccape,... 0 1 -- r...ri e, Water closet 1660
Water hearer - 16.60
Address: I? ,LL) rY)14.gfirny tete- Other:
City/State/Zip: -b -icno(ou- Other: .
PhoneSb3 kfia - Wig S"" I Fax) S WA - 40'710e .. ..,-..!. t:Fe :;,2:71.s's '•:-.. ' • •-
CCB Lic. #: - 7fft)q Plumb. Lic.#: Subtotal S
Minimum Peunit Fee S72.50 S
Aull
Daj g • Residential Etackflow Artnirvann Fee 53625 `-.. to -
Si
Plan Review (25% of Permit Fee) S
eli en c..par ,
State .,- , 8% °Munk Fee $ c2
(Please print name) TOTAL PERnar FEE S 39. / 5 ,
Notice This permit application expires if a permit is not obtained within AU new comswereia' i loadings require 2 sets of plans with isometric or
180 days after It has been accepted as complete. riser diagram for plan review-
-. * Pee methodology set by Tri-Onsuty Building Industry Service Beard.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line:, (503) 639 -4175
INSPECTION DIVISION Business [ pine: (503) 639 -4171 MST
ff
Received Date Requested ( a 3 AM PM BUP
Location a' 7 w k-i-gl-teD/!D a Suite MEC
Contact Person Ph ( ) (o 9 ,-- - � Cts , `{ — Oda Col
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear ��
Framing __ U
Insulation
Drywall Nailing
Firewall i
Fire Sprinkler - .
Fire Alarm .
Susp'd Ceiling
Roof
Other:
Final
• \
PASS PART FAIL
Pam
Under Slab
Rough -In • rf
Water Service • 10} Sanitary Sewer '
Rain Drains
Catch Basin / Manhole
Storm Drain I
Shower Pan ,Q
O
"7"....
ther:
(�
e I. -;'
PART FAIL •
•
' ANICAL -
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final •
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab ,
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall.BIvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA tL /
Approach/Sidewalk Date ( V5/ l Inspector Ext
. Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL