Permit CITY TIGARD PLUMBING PERMIT
;i DEVELOPMENT SERVICES PERMIT #: PLM2006 -00531
.+` ��11! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/1/2006
PARCEL: 2S 109AC -03200
SITE ADDRESS: 13361 SW ANGUS CT ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 006 JURISDICTION: TIG
Project Description: Residential 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 HOMES, INC.
4230 GALEWOOD ST # 100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 11/1/2006 $36.25
[TAX] 8% State Surcha 11/1/2006 $2.90
Phone : 503- 387 -7615 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 ECIOQUAA Jo 1 - 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.
Ippr 1 06 10:31a Ellen 503 - 692 - 0768 p.4
Plumbing Permit A ; 'NED FOR OFFICE USE ONLY
City of d
Ti an Received Tigard
/ti cl Permit No.: ' l/
0 s 1 2OOS Re Date/By: ve 11 %f� L/ /G -� �
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1 9611
! 6e Y Other Permit No.:
24 Hour Inspection Line: 503,639.4175 T1% .A , .'" hjp� l ol l Date /By:
CITY �F ''t-'i Date Ready/By: �u la See Page 2 for
Internet: www.ci.tigard.or.us D ,�'S '� r
WV DING Notificd�Method: . /Cs. Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction El Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 R. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
El Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other: Fire sprinkler ( _ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 13361 SW Angus Court Catch basin or area drain 16.60
City /State /ZIP: Tigard, OR 97224 Drywell, Imeh line, or trench drain 16.60
Suite/bldg. /apt. no.: 1 Project name: Wilson Ridge Lot 06 Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SW Bull Mtn Road
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no, linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Wilson Ridge I Lot no.: 06 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.: 655 A7
Absorption valve 1 6.60
DESCRIPTION OF WORK Backflow preventer / Page 2 1 3-r? , SS
Landscape Backflow Device Backwater valve 16.60
Clothes washer 16.60
•
Dishwasher 16.60
® PROPERTY OWNER ! ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Don Morissette Homes Expansion tank 16.60
Address: 4230 SW Galewood Fixture /sewer cap 16.60
City/State /ZIP: Lake Oswego, OR 97034 Floor drain/tloor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60 .
® APPLICANT ® CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Landscape Oregon, Inc.
Interceptor/grease trap 1 6.60
Contact name: Ellen Sparrow Medical gas (value: $ ) Page 2
Address: 12200 SW Myslony Street Primer 16.60
City/State /ZIP: Tualatin, OR 97062 Roof drain (commercial) 16.60
Phone: (503) 692 -5945 I Fax :: (503) 692 -0768 Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: Landscape Oregon, Inc. Water heater 16.60
Address: 12200 SW Myslony Street Other:
City/State /ZIP: Tualatin, OR 97062 Subtotal
Minimum permit fee: $72.50
Phone: (503 -) 692 -5945 Fax: (503) 692 -0768 Residential backflow minimum permit fee: $36.25 3(p • aS
CCB Lie.: 7804 Plumbing Lic. no.: Plan review (25% of permit fee)
j/ _ State surcharge (8% of permit fee) 90
Authorized signakure: i ,4, - TOTAL PERMIT FEE 39,/ ..
Print name: Ellen Sparrow Date: 10/31/06 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
i:`.Building \Perm its \PLM- PermitApp.doc 06:05 440 -96 16T(10 /02 /COM /wEB)
CITY OF TIGARD
, BUILDING DIVISION • . A PERMIT #: PLM2006-00,531
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639-4171 esoilmovit\
Inspection Requests (24 Hrs.): (503) 639-4175 .441. - I I o • •
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7:00AM PAGE:
SITE ADDRESS: 13361 SW ANGUS CT CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 006 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
ESCRIPTION: Residential backflow preventer for irrigation.
OWNER: DON MORISSETTE HOMES, INC., PHONE #: 503-307-7615
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503-692
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
c , 399 7 ›11.kmk.)ing final 039843-01 •503-692-5945 N
Corrections/Comments/Instructions:
ASS Pel
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I I PARTIAL APPROVAL n CANCEL NO ACCESS
I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: I Phone #: ,f5p3) 718-
. .