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Permit 1 CITY OF TIGARD PLUMBING PERMIT a '' COMMUNITY DEVELOPMENT Permit#: PLM2021 00214 Date Issued: 5/20/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB26000 Jurisdiction: Tigard Site address: 13066 SW AUBERGINE TER Project: River Terrace Northeast Subdivision: RIVER TERRACE EAST 3 Lot: 3 Project Description: Backflow preventer for irrigation. Location is behind home in right of way near Roy Rogers Rd. Contractor: CASCADIAN LANDSCAPERS, INC. Owner: POLYGON WLH LLC 36700 SW BLOOMING FERN HILL RD 703 BROADWAY ST STE 510 CORNELIUS, OR 97113 VANCOUVER, WA 98660 PHONE: 503-647-9933 PHONE: FAX: 503-647-9922 FEES Quantity Description Date Amount 1 ea Backflow Preventer 05/20/2021 $31.27 Specifics: 1 12%State Surcharge- 05/20/2021 $8.70 Plumbing Type of Use: COM 41 ea Minimum Fee Adjustment- 05/20/2021 $41.23 Plumbing Class of Work: OTR Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law, 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. Pluihbing Permit Application - tlek ". site Utilities RECEIVED FOR OFFICE USE ONLY City of Tigard Received /� y L/ : t+ Permit No.: Ail _co�.1 I 13125 SW Hall Blvd.,Tigard,OR 97223 lr,,,Y 0 3 7�J2? Date/By: j i ��-- c Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No. Inspection Line: 503.639.4175Date Re CITY OFTIGARD Ready/By: ® See Page 2 for TIGARD I Date Read/B Jens: Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: --r* .e Supplemental Information TYPE OF WORK FEE* SCHEDULE Iji New construction 0 Demolition For special information use checklist 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(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder ❑Other: Each additional bath/kitchen 25.02 Fire sprinkler( sq.ft.) Page 2 g JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1 1 S Catch basin or area drain 18.76 City/State/ZIP:T 0 9-4-1 rywell,leach line,or trench drain ft.: 18.76 Footing drain(no.linear ) Page 2 Suite/bldg./apt.no.:J 1 Project name: 120 Q PA ( Manufactured home utilities 50.03 Cross street/directions to job site: y -- u K3 Manholes 18.76 �{`AA►L�O I C) 1 si- Si/ e, Tj(1 �(� ✓✓✓Rain drain connector 18.76 ' V" '1 t l "Cr I_e f n'n n ® Wvn�` O,v,.✓M _r Sanitary sewer(no.linear ft.: ) Page 2 W�riruind i� �I II33IIXf� ..CVV5GG//II LFA.v 1� 1n 1A`-CI'tm(1 StormWater sewer(no. (n linear ft.: ) Page 2 ��n ttr l IA i Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow7J preventer 31.27 1, DESCRIPTION OF WORK Backwater valve 12.51 /r"�,' ly] �%f ' t Clothes washer 25.02 L'VI J 601� ."ct-clo .L Dishwasher 25.02 \J Drinking fountain 25.02 Ejectors/sump 25.02 pi PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:wash;net�p Co U d1 Fixture/sewer cap 25.D2 7� Floor drain/floor sink/hub 25.02 Address: I Sr) r;YSf Ave,Y� (� /1 Garbage disposal 25.02 City/State/ZIP: WI I ISV)OYO 1 0 q' z`T -1 Hose bib 25.02 Phone:(503) o , I I Fax:( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: \.Clia../tcl` av l 1 v d S('O 1 C(yam I i oc Medical gas(value:$_) Page 2 I Primer 12.51 Contact name: kart- '` Roof drain(commercial) 12.51 Address:34)300 bl� R1 nir/yt FjXvi 111II1�•� �� Sink/basin/lavatory 25.02 City/State/ZIP:COMA i IASI O 1/ 0I,'-}ul'4f); K Solar units(potable water) 62.54 Phone:(1 jb6).p4- -. 9 3 3 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: 1``tdVi , CRC-adjail (Or UAJCa c , c.d Urinal 25.02 CONTRACTOR 1 " `� ' Water closet 25.02 (ilk 'n Water heater 37.52 Business name: s.add.y Land6CapU, if !L• Water PP Y�1 in WV 56.29 Address:a/00/�A) I M BID f Fen') �1" 2r� Other:F� 25.02 City/State/ZIP:l�l/ (1 AS. � ' II13 Subtotal 31,2-/' Phone:(9V)Vet.' Fax:( ) Minimum permit fee: $72.50 32 S1!/ CCB Lic.: ��/3 ,pltunbing Lic.no.: Plan review (25%of permit fee) r State surcharge(12%of permit fee) Co,{- Authorized ' TOTAL PERMIT FEE �I n Print name: Ay-(- MO 5x Date: II" 2' 12,1 This permit application expires if a permit is not obtained within I80 days "� after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pormits\PLMU-PermitApp.doc 10101/09 440-4616T(10/02/COMIWEB) 0 • ■ CE; CC 13044 ?3 l^•/' U) t!! 6 • I ■ a • • M 06D0223 13050 • E 0001 . _---- - ■co -1 -- --.---- IN T- ■ 13054 O13066 Pipe B • N ■ 13 072 ■ ii - ---- I - ■ ■ - - Pipe: A? • A 13078 ■ ■ ' ; • fa , t •160001 • 6D0016' is PIP + Purple: 550 Pipe ' 13086 i k 120\1 Xs Rd M 4. I uascr Mtkr Inc ` uvk. 3 fDOIt .:...... 7160011606D0115 ,-8 DIP ____..,-.. .w ,---1 60 J114 r is i i l T 17091 17075 ' , 17041 � 1 706 7 17015 600I I i17083 17023 \ 0600120 17059 1 7007 —,;a- tr ,t.: 0600125 18 DIP _ IPipe A ___.... . i t ( 11 17066 17018 Pipe B 17082 17048 17034 i 1709.4 1 70 52 17004' 008 17070 r 6D0130 _ O i{ i cc W r i r { j A. `. } ' AV06D223 ' ' ' O 4 • • J I I ��GlSTE,p�0 • 1 1_—J_ mt�' ._. „ 398 1f .. m31 -- • _�_ • _ L 1 igital s�gnea�o.�.r.nwd�o. `— -� � � �• . . 1 no _.mVy_ W�__��_1'._. II Dr- tY MwveKLmn F-• _ I �� . IF — 23.o 13 ns 12\ r " 91OREGON �' m m g 34" 1• 20.4 1k" N dJ, s/aTsa ® CAPE ARe NIR MAINLINEomocootok '—...'' `_�:��'y ` mm z,�,z 21.0 10 y za wwmz +�f+t OS" �,/1 ' II 717.8 n iv a36 h aZZ rn 1( 11C' 11# � Or ` O LANDSCAPE PLAN SCALE I r1 i�FEET I 40 20 0 40 80 1 N O Ini _ F NOTE: 0 tg i LAYOUT OF THE IRRIGATION SYSTEM AS SHOWN ON DRAWINGS IS C Z '¢ -. DIAGRAMMATIC.IRRIGATION LINES SHOWN WITHIN PAVED AREAS ARE FOR ! 6Q GRAPHIC CLARITY ONLY.IRRIGATION HEADS AND PIPES ARE TO BE PLACED IRRIGATION CONTROLLER,INSTALL c I BEHIND SIDEWALK,SEE DETAIL B1L30. S z WITHIN LANDSCAPED AREAS WITH THEIR LOCATIONS MODIFIED AS REQUIRED TO COORD EXACT LOCATION IN THE 1 s c AVOID PLANT MATERIALS UTILITIES AND OTHER OBSTRUCTIONS. I ■ a?"e I I L 1 I I I I L FIELD WITH LANDSCAPE ARCHITECT ■rr A /// C 1 . I 2• BF c n — — �. IR MAINLINE co 27.0 3 � F n) `zI Z [ O o 1n^ O� y W O mm 1 11 o c IA � a m I I m %T D o I 025.0 FURNISH 8 19.1/ \ P.O.C.#Z BACKFLOW I n RI a g O .v . IMF INSTALL POWER i}�• SEE DETAIL DEVICE AS --a 6 1 Y P I FOR IRRIGATION I �i 51L30 FOR PER CITY OF z 8< O CONTROLLER, ro m; Ce .c.. ••I COORD.WITH DETAIL STAND I a i - rcec + STANDARDS Ig r g YY ELECTRICAL DWGS. _ 1R^- -0.___ -- 0 m—_m- ® ® 9 r mm w®uo m W s .m. m m m I' ri ROW . _ 100255 a¢ 4 O LANDSCAPE PLAN SCALE 2 FEE- 2894„�TM 40 0 0 40 e0 L28