Permit { CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00198
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/17/2007
PARCEL: 2S 109AC -03600
SITE ADDRESS: 14687 SW ANGUS PL ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 010 JURISDICTION: TIG
PROJECT: WILSON RIDGE
Project Description: Landscape backflow device.
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 SW GALEWOOD ST #100 Description Date Amount
LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 5/17/2007 $36.25
[TAX] 8% State Surcha 5/17/2007 $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 B i f" /
` /// Permittee Signature: pn '321
f 0
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.
� � A
Plumbing Permit Afkplic � ati t a � FOR OFFICE LSE , ONLY'
Ci of Te alyd R D ved e S Ii "1 r� IOR SI PennitNo.: M 7/ '� 3 ObI Q 1l� Q.
13125 SW Hall Blvd., Tigard, OR 9722.. 1 A Plan Rcvitw """'
Phone: 503.639.4171 Fax: 503.598.14M:1N I 1 U 2001 � i Datc B }: Other Permit No.: �p(,�. _ n��
M
24 Hour Inspection Line: SD3. w� $ {> ] 75 Date Ready /By: 116- ®Sec Page 2 for r ! J
Internet: ww.ci_tigard.or.us I0
( , ,• g Notified /Method: Supplemental Information
iT�PE;bF� FEES SCHEDULE
x
d � For special information use checklist • ® New construction • ❑ Demo itPoti
Description Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
® 1- and 2- family dwelling ❑ Commerciallindustrial SFR (2) bath 350.00 •
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 •
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler (_ so. It) Page 2
JOB SITE INFORMATION AND LOCATION .
Site utilities
Job site address: 14687 SW Angus limner f /Qe t� Catch basin or area drain 16.60
City /State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: Project name: Wilson Ridge 10 Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross streetidirections to job site: SWBuII Mtn & SW 133'" Street
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.: 10 Water service (no. linear fl. ) Page 2
Fixture or item
Tax map /parcel no.: 655 A6
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Landscape Backflow Device Backwater valve j 16.60 0-7 . Sc
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /stoup 16.60
Name: Don Morissette Homes Expansion tank 16.60
Address: 4230 SW Galewond Fixtureisew,x cap 16.60
City /State/ZIP: Lake Oswego, OR 97034 Floor dmin/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
Hose bib 16.60
® APPLICANT ® CONTACT PERSON
Ice maker 16.60
Business name: Landscape Oregon, Inc. Interceptor /grease trap 16.60
Contact name: Ellen Sparrow Medical gas (value: S ) Page 2
Address: 12200 SW Myslony Street Primer 16.60
City /State /ZIP: Tualatin, OR 97062 ; Roof drain (commercial) 16.60
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 1 16.60
Business name: Landscape Oregon, Inc. Water heater 16.60
Address: 12200 SW Myslony Street Other
._ Subtotal
City /State/ZIP: Tualatin, OR 97062 • Minimum permit foe: 572.50
Phone: (S(13 -) 692 -5945 Fas: (503) 692 -0768 Residential backtlow minimum permit tee 536.25 ,, a5
_ _
Plan review (25% of permit fee)
CCB Lie.: 7804 Plumbing Lic. no.'
f / . } State surcharge (8% of permit fee) % 0
Authorized sio ature%'g „' /f a.4_ `' �-' '1'O'IAL PERMIT FEE 7 -37 f
LPrint name: Ellen Sparrow Date: 05/16/07 This permit application expires if a permit is not obtained within
181) days after it has been accepted as complete.
"Fee methodology set by Tri- County Building Industry Sera ice Board.
Fauil , Pcrmits . .PLA4- PamitApO.dc 06105 440-45I6T( I R)
Z 99LO - £09 ue113 dOC :L.0 LO 91. /(FLN
CITY OF TIGARD
7 DIVISION !. PERMIT #: PLM2007- 00190
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1 7/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE:
SITE ADDRESS: 14687 SW ANGUS PL CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 010 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
DESCRIPTION: Landscape backflow device.
OWNER: DON MORISSETTE HOMES, INC., PHONE #: 503387 -7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503 -692 -5945
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 049737-01 503-692-5945 N
Corrections /Comments /Instructions:
* ASS n PARTIAL APPROVAL n CANCEL El NO ACCESS
AIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 1,4 Date: /2/# Phone #: (503) 718 -