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
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® Phone, 503 , 639 . 4171 Fax: 503 . 598 Plait Review
Inspection Line; 503.639.4175 Uhl. 2 3 2009
l: Data /By: Other Permit No
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Addition/alteration/replacement Descri. don
1 � 1 Il d 1 I 0 Other: New 1- 2- titml1y dwellings Ot ' Total
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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
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^ - 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
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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
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, ,1,1.j 1 ' I l i'I 1 12. 31.27
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BACK. FLOW PERMIT I 1 v 12.51
Clothes washer 25.02
Dishwasher 25.02
-- (rinking fountain
25.02
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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
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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
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Water closet
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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 )