Permit CITY TIGARD PLUMBING PERMIT
I As DEVELOPMENT SERVICES PERMIT #: PLM2006 -00460
DATE ISSUED: 10/6/2006
�-� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 109AC -W R001
SITE ADDRESS: 14554 SW ANGUS PL ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 001 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 10/6/2006 $36.25
[TAX] 8% State Surcha 10/6/2006 $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 By: �� Permittee Signature: S -,
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.
Plumbing Permit Application� FOR OFFICE USE ON Lv
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City of Tigard Date / d /yJ !0 �/r�J P ermit N � M 7 a'
13125 SW Hall Blvd., Tigard, OR 9722 C T 2006 Date.B v i e `� r/ ,� �_ `m V GO V60
Phone: 503.639.4171 Fax: 503.598.1960 �ooU Plan Review
24- Hour Inspection Line: SU3.639.4175 t'I Date By:
Other Permit No.:
I TV O F TIGARD Date R 2c l: if/ 0 See Page 2 for
Internet: www.ci.tigard.or.us BUILDING ICItiminnt Notified:Methahod: 1
Supplemental Information
TYPE OF WORK FEE* SCHEDULE
For special information use checklist
® New construction El Demolition
Description I 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
® I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkler ( sq. R.) Page 2
JOB SITE INFORMATION AND LOCATION
Site utilities
Job site address: Wilson Ridge 01 1 Li 55 L. , J') us F/( ? , Catch basin or area drain 1 6.60
City/State /ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Wilson Ridge Lot 01 Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: SW Bull Mtn Road Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear IL: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Wilson Ridge I Lot no.: 01 Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: 655 A7 Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK
Backflow preventer r Page 2 a7. SS"
Landscape Backflow Device Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
0 PROPERTY OWNER I 0 TENANT Drinking fountain
Ejectors /sump 16.60
Name: Don Morissette Homes
16.60
Expansion tank 16.60
Address: 4230 SW Calewood Fixture/sewer cap 16.60
City /State /ZIP: Lake Oswego, OR 97034 Floor drain /floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
® APPLICANT II CONTACT PERSON Hose bib 16.60
Business name: Landscape Oregon, Inc.
Ice maker 16.60
Interceptor /grease trap 16.60
Contact name: Ellen Sparrow Medical gas (value: $ ) Page 2
g'
Address: 12200 SW Myslony Street Primer 16.60
City /State /ZIP: Tualatin, OR 97062 Roof drain (commercial) 16.60
Phone: (503) 692 -5945 Fax: : (503) 692 -0768 Sink/basin/lavatory 16.60
E -mail: _
Tub /shower /shower pan 16.60
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/ZtP: Tualatin, OR 97062 Subtotal
Minimum permit fee: $72.50 22!!
Phone: (503 -) 692 -5945 Fax: (503) 692 -0768 Residential backtlow minimum permit fee: $36.25 e • o�_
Plan review (25% of permit fee)
CCB Lic.: 7804 Plumbing Lic. no.:
Authorized signature �.i 1") � CL1.,LrL7�Jl� State surcharge (8% of permit fee) eQ , q C
TOTAL PERMIT FEE 39 fS
Print name: Ellen Sparrow Date: 10/06/2006 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tti -County Building Industry Service Board.
i: BuildingTcnnits\l'LM- PermitApp, dot: 06/05 440 -4616T(I 0/02 /CORN W Eta)
I'd 89L0- 269 -EOS uaII3 d81 :20 90 90 1-00
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00460
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 1016/
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 . IL
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM PAGE: 69
SITE ADDRESS: 14554 SW ANGUS PL CLASS OF WORK:
SUBDIVISION: WILSON RIDGE LOT #: 001 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
DESCRIPTION: Baridlow preventer for irrigation.
OWNER: DON MORISSETTE HOMES, PHONE #: 503-387-7538
CONTRACTOR: LANDSCAPE OREGON, INC. PHONE #: 503-692-6945
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 038476-01 503-692-5945
Corrections /Comments/ Instructions:
. A
0 V
%N -ASS I I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
1 /1 y .... t /
Inspector: V d \ Date: '1 Phone #: (503) 718- gi
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