Permit CITY TIGARD PLUMBING PERMIT
T .,I t1 DEVELOPMENT SERVICES PERMIT #: PLM2006 -00485
I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10!17/2006
PARCEL: 2S109AC -WR007
SITE ADDRESS: 13353 SW ANGUS CT ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 007 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 HOMES
4230 GALEWOOD ST SUITE #100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 10/17/200€ $36.25
[TAX] 8% State Surcha 10/17/200€ $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 ByS Permittee Signature: ,3f re ; 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.
FOR` OFFICE USE ONLY
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City of Tigard
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Review
13125 SW Hall Blvd., Tigard, OR 97223 ((��( 7 Other Permit No.:
Phone: 503.639.4171 Fax: 503.598.1960 V L , . 1 ew
, '' I $ X Da P lan n Rev O t h ® Se Page 2 Cnr
24- Hour Inspection Line: 503.639.4175 _1u .g Date Ready /By: Sup e e Pa 2 or ormation
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Internet: www.ci.tigard.or.us „ 'it i. \✓ Di' DU ° Notified/Method:
TYPE F R -i nqT k - FEE* SCHEDULE
I 1 a For special information use checklist
El New construction .1i Demolition Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
bath 249.20
CATEGORY OF CONSTRUCTION SFR (l) bat 350.0()
❑ Commercialiindustrial SFR (2) bath
® I - and 2-family dwelling SFR (3) bath 399.00
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 45.00
❑ Master builder 0 Other: Fire sprinkler ( sq. It.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Catch basin or area drain 16.60
Job site address: 13353 SW Angus Place
City/State/ZIP: Tigard, OR 97224 16.60
Drywell, leach line, or trench drain
Footing drain (no. linear ft.: ) Page 2
Suite /bldg. /apt. no.: I Project name: Wilson Ridge Lot 07
Manufactured home utilities 1 10.00
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
Water service (no. linear ft.: ) Page 2
Subdivision: Wilson Ridge I Lot no.: 07
Fixture or item
Tax map /parcel no.: 655 A7 Absorption valve 1 6.60
DESCRIPTION OF WORK Backflow preventer / Page 2 .3 `-) .
Backwater valve 16.60
Landscape Backllow Device 16.60
Clothes washer
Dishwasher 16.60
Drinking fountain 16.60
® PROPERTY OWNER i 0 TENANT Ejectors /sump 16.60
Name: Don Morissette Homes
Expansion tank 16.00
Fixture /sewer cap 16.60
Address: 4230 SW Galewood - 16.60
City /State/ZIP: Lake Oswego, OR 97034 Floor drain/floor sink/hub Garbage disposal 16.60
Phone: ( ) I Fax: ( ) 16.60
1 Hose bib
® APPLICANT ® CONTACT PERSON Ice maker 16.60
Business name: Landscape Oregon,
Inc. Interceptor /grease trap 16.60
Medical gas (value: $ ) Page 2
Contact name: Ellen Sparrow
Address: 12200 SW Primer 16.60 Myslony Street Roof drain (commercial) 16.60
City /State/ZIP: Tualatin, OR 97062 Sink/basin/lavatory 16.60
Phone: (503) 692 -5945 [ Fax: : (503) 692 -0768 Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR
Water closet 16.60
Water heater 16.60
Business name: Landscape Oregon, Inc.
Other:
Address: 12200 SW Myslony Street Subtotal
City /State /ZIP: Tualatin, OR 97062 Minimum permit lee: $72.50
Fax: (503) 692 -0768 Residential backtlow minimum permit fee: S36.25 3� , mss'
Phone: (503 -) 692 -5945 Plan review (25 % permit tee)
CCB Lic.: 7804 Plumbing Lic. no.: State surcharge (8% of permit fee) ,„2 • 1 76 1
�"' TOTAL PERMIT FEE �3`e • / ,S
Authorized signature: G,(? � Z-g--- p'� '�" ~'
Date: 10/16)2006 This permit application expires if a permit is not obtained within
Print name: Ellen Sparrow 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
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CITY OF TIGARD
• BUILDING DIVISION PERMIT #: PLM2006-00485
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2006
Phone: (503) 639- 4171
ectio d is
Inspection Re ues , 24 Hrs.): (503) 639 -4175
INSPECTION, WORKSHEET FOR DATE: 11/W2036 TIME: '7:03AM PAGE: 36
SITE ADDRESS: 13353 SW ANGUS (T - CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 007 TYPE OF USE:
. PROJECT NAME: 'WILSON RIDGE
DESCRIPTION: Bacl4low prGventer for irrigation.
• ' OWNER: .DON MORIS SETIE HOMES, PHONE #: 603.387 -7538
CONTRACTOR:' ` LANDSCAPE OREGON, INC. PHONE #: 503692-5945
Inspection Request Scheduled For: Date: 1118/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message.
399 Plumbing final 039417 -01 503-692-5945 N
Corrections /Comments / Instructions:
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-a PASS I l PARTIAL APPROVAL ❑ CANCEL ` I I NO ACCESS
( I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector : 'I' Date: ,jam_ Phone #: (503) 718 -