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Permit 0 i n CITY OF TIGARD PLUMBING PERMIT • '1!' COMMUNITY DEVELOPMENT Permit #: PLM2009 -00359 13125 SW H all Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/23/2009 T . 1 . ,, Parcel: 2S109AB15900 Jurisdiction: Tigard Site address: 13373 SW ALPINE VIEW DR Subdivision: ALPINE VIEW Lot: 40 Project: Alpine View Project Description: Irrigation backflow device. Owner: FEES WEST HILLS DEVELOPMENT Quantity Description Date Amount 735 SW 158TH AVE BEAVERTON, OR 97006 1 ea Backflow Preventer 12/23/2009 $31.27 PHONE: 503 - 641 -7342 1 12% State Surcharge - 12/23/2009 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 12/23/2009 $41.23 Contractor: Plumbing TRADEMARK LANDSCAPES INC P. O. BOX 2410 OREGON CITY, OR 97006 PHONE: 503 - 631 -3893 FAX: 503 -631 -4737 Type of Use: SF Class of Work: ALT 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 -0100. You may obtain a copy of the rules or direct questions to OUNNCCCbby calling 503.246.6699 or 1.800.332.2344. Issued By: 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. 4 a DEC -23 -2009 WED 10:56 AM FAX NO. 5036417661 P. 03 ' ; , uuli_In,, rernmApxyc ation Building Fixtures T _ d . • � a r t City of Tigard . ri Reived 'r 13125 SW } l Dlvd., TigardOR 9 ' C D al l e /By: •_ �g r V r Permit �� -Q� �S� ® Phone, 503 , 639 . 4171 Fax: 503 . 598 Plait Review Inspection Line; 503.639.4175 Uhl. 2 3 2009 l: Data /By: Other Permit No M in y`4`I*aatwtt @; Ayt'U. Intern= www. ligard- or.gov Dalp Ready /By: �� '/ /�� �III�I 7 `L 11 l l l��� l (�IIY���111h111ti1 l,l �l�l�l�l`l14l��ll`11y 4 �I41� '1 y I I1i or. ��4al' ltd 1�1 , l l llltli,l`�`r , lpll l l ; „�1 ll'; I I � I ;Iij 1 ' I Ij y'I r l� I r Nolitied/Methatl: 9le Pogo2for El '' I11�11t�llYl�(4lilSl �th�411II11fY�1�l�l� ,dl(il�lilirluh�11116��1I l` illi lA l ��11111 i 1�111��11�lii�l�til ' S1I41�i 1 : 1 I1 1 11f 1 , 1 1 11 11 11lllI 1I� I II t'Ituin;ltil n � l � n ups: mantal[nformotlnn El New construction ii r� � (; . ,i , _ ' ti 1 . 4 ��d 1411 1�4��� ;1��d1�114t�II,�ll4P�Y ��� , I �I til�lll l l �l� , l l � ll�� ' �111 � � I�14tititiI��I�LL'� ��I��k�l;��i LSt1,l;�� u�!,,>'!1� lltlll�il��111111t���1 j1 � 11h1 �1 ti f1l���i�1�1 Fors • dal it formation use checklist Addition/alteration/replacement Descri. don 1 � 1 Il d 1 I 0 Other: New 1- 2- titml1y dwellings Ot ' Total Adi lto 4i �� 1 1��4hllllll'I`ly`�4 I} 4IPpt l,'u'lllii'll, 1 , r,`l:jen'Ilryll lar , lo'.Inl,r l rlll'IIItII'Ir l p.l IIIpp IIL, SF72I b gs(includes100ft.foreac III!. III`" I � , tl, � l � l1 � 1111 � 14 � 41i �� 4 � y1, t1. ll ll(-) 1i1P1. Il lillti�n 11 L 11 :: 111 nI�It 1I ' ld nt�ls: ll llil( I, �I, I�ltliall l�lll Ill! ii�IIII ,§ () huuhty connection) tII I,d I l,l lid llll.11y�1 312,70 ® 1- and 2- Family dwelling n Commercial /industrial SFR (2) bath 437.78 0 Accessory building ^ - Multi - family 7 SFR (3) bath 500,32 d Master builder Each additional bath/kitcht n ❑ Other: Fire 44111 itll44� 14411111I'144�441I 44 44 I�ll + , 1LL' llll1 .01 l ''ll l lp lll'llll'�IL;�� iI:IISSItIIt Fired sprinkler �L!�IIAI���II�IIIi�IdllYll�� 1111 1�������� ENII ,, I ���} , 1 1J f, lI I 1t1� ll y t l ,911111I(((`I l 1 1 I 1 1I C p g�. ft.) Page 2 I IH III AIL, I,,n n 1i HI lII mi, llall^ d, It��IIII iIntlllilyllltidll:IlS�l{I'i;l' nil( tti�` Il, 1. �khiiil�tiiy{ i` l�hIII��I�Ilh1��114IVIll�ll�11� !1yi �,4�1�1.41Iy}yite utilities: Job site address: 13373 SW ALPINE VIEW DRIVE Catch basin or area drain 18.76 City /State/ZIP: TIGARD, OR 97224 Drywell, leach line, or trench drain 18.76 Suite /bldg, /apt, no.: Project name: Footing drain (no, linear ft.: __) Page 2 Manufactured home utilities g Cross sh'eeUdirections to job Site: 50.03 Manholes 18.76 Ruin drain connector 18.76 Sanitary sewer (no. linear ft.: `_) Page Storm sewer (no. linear It,; �) Page 2 Subdivision: ALPINE VIEW - g Water service (no. linear IL: ) Page 2 � _ Lot no.: 40 Fixture or itern: map/parcel no.: ..b i Bel m Tax a — I I t `I ` 1Qg i - Ut) Nackflow preventcr � l� 11 11 1 �11 ij l��llltl��ti�1111t111� �11111� llll l ���1� 1 141�� 1 i1(d4 Mini:luiagn,ni:f:lll1. lr l'du u�l�ll' pt i llf , j ,�' I 9 . I , ,1,1.j 1 ' I l i'I 1 12. 31.27 I ltpu: , 1 d. I. l�l l� �����rl' VIII( t1ll�diiL�I iis�dlti�d5i: dfl��filalhl�IL�I1; 11�1��yl���tdtl��1I��I�l�l: ���II, �II�IdIII�II�hIII�IS 'II�I�:��i�I��lll:�l�l� ulve BACK. FLOW PERMIT I 1 v 12.51 Clothes washer 25.02 Dishwasher 25.02 -- (rinking fountain 25.02 1' 1111 � 1 I t 4 t `4 . 141�'I`I' 1111:' �n' I1411�ppt lfsltS(yIILII^_I�Id)Iplgllt u i 1 131a I 'Iyloln•.I� 1 :If',it 1' r r I•I r I' I.j`I' l' l`, I l Elm — .a� �1l4Itll�IlIf4111171��111`' 111` 4ini l�ll4 'nflhlh0i11�Y11111'.IeI�1�ti l! �� I ;` 4 'Iili�at�aifl!iiI�11 1 �I1 11 1 �I��� `I li� 111 1 �ll�` IItI�Id` �I�4�11141, 114iIllinl��i ;I��IILI` ",�:n11'III�`�II I I : il �. _ 25A2 I I I Ill 1 l ���1��Ihdlal��I�l�� .�1y�141�114i.��1� Expansion ectors /1{t lap nk 12.51 Name: WEST HILLS DEVELOPMENT Fixture /sewer cap Address: 735 SW 158" AVE - — 25.02 Floor drain /floor sinlehub 25,02 City /Slate /ZCP: Bf AVERTUN, OR 97006 Garbage disposal - 25 02 Phone: (S03)G41 -7342 Fax: (503)641-7661 Hose bib I `I ; 1 ` V y ' 25.02 ' I I II 11 I l i llh�h�I�I I , �h hll�e1`I��Illillliilli' j {Ijl'�llll l' 1 ' �1 n l Ia t Ism it , I Itl ltl,ltl l I I I L Ice m_al:cr 12.51 ``I y ` 1II '`��''� 1 �ti� ' , h ' 11 Itti �l Ia�1�It' hltLill�ILl41u1, 1. 11, It1I1l�Ild, Il, Id�tl. Illlllallll, Il�1�LIh1l�Il�IIdLII��� ,ial�IliIl!�,iltiTl l l l ll�, ualViii �1 ?e� 'II�Il111l�ltll Interceptor /grease trap Business name: WEST RILLS DEVL Medical gas (value; $ ) Page LOPNIENT 2g 2 , 2 Contact name: MIRIAM WILSON Primer 12,51 Address: 735 SW I58 AVENUE Roof drain (commercial) 12.51 City /State /ZIP: BEAVERTON, OR 97006 Sink/basin/lavatory IIII 25.02 Phone: (503) 726 -7033 Solar units (potable water) 62.54 - Fax; : (503) 641 - 7661 ~� Tub /shower /shower pan E-mail: - mwilson rt. arborhomes.com 12.51 �I(hl Urinal _ 25.02 �ILI I I IlS�1 1 d�1L �11yy141ti�11�4i1��`�``444t hl�l I�(yllh`I,�l41II� IIIIII 11'j iI I rII II'� it Ill { 1111 I I ' Ifll Ilyj`1 PI' lr v rlI pli l jell p 114' l Water closet �I� I �t�t I 611114�11���hl.l���lll{ 1111,, 1l�llld. ddd I�. Inpw' n�, al. n�liii', IldGiilVu�ul•, fi4i����, dIJIIIdl�d ,Idl1I1�1,11SIt�.IIYIIIlI, 11111. 111111�lIII�I�IIII�II�IIIII�I��I1ylI�IIIII (IIIIdIIdIIIIIII�lllll 25.02 ~- Business name; 'TRADEMARK LANDSCAPE, W a t er h eater 37.52 Address: P.O. BOX 2410 Water piping/DW V 56.29 City/State/ZIP: OREGON CITY, 012 97045 Other; 25.02 Subtotal 31.27 Phone; (503) 631.3893 - - Fax: (503) 631 -4737 Minimum permit fee: $72.50 72.5 - i CCB L ic.: 6796 Plumbing Lie_ no.: 2383780 Plan review (25% of permit fee) Authorized sibnaturt kiiw `. - - State surcharge (12% of permit fee) g',70 ['riot name: MIRIAM WILSON T hin TOTAL PERMIT FEE ?/, ,;D Date: LIZ$ permit application eYpires If y permit is not obtained within 180 days c� after It h,t f been accepted as complete. Fee methodology set by Tri•County Building Indusiry Service Board. 1: 1 hI 11 WingTem , Ha 1 PLMU-PurmilApp.dac I WM/09 't40•41 6T(10/0; /C O.M/W EE )