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Permit i n CITY OF TIGARD PLUMBING PERMIT lr C COMMUNITY DEVELOPMENT Permit #: PLM2009 -00362 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/23/2009 T 1 G A R D' Parcel: 2S 109AB 15200 Jurisdiction: Tigard Site address: 13326 SW ALPINE VIEW DR Subdivision: ALPINE VIEW Lot: 33 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 1 12% State Surcharge - 12/23/2009 $8.70 PHONE: 503 - 641 -7342 Plumbing 41 ea Minimum Fee Adjustment - 12/23/2009 $41.23 Plumbing Contractor: 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 OUNC calling 503.246.6699 or 1.800.332.2344. By: \ _ Permittee Si nature: Q _ / Issued B / ! / g 0 /,/4 G./ C� }—/ /O # . 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. DEC -23 -2009 WED 10:56 AM FAX NO, 5036417661 P, 06 3, ._ Twinning Permit Application Building Fixtures IUE City of Ti r Received - b z 3 �'a, <. a.'.{ { n 13125 SW Hull Blvd,, Tigard, OR 97,2,44 Diaday: /a o20 o 1' Permit No l� ; .: fl Phone: 503.639.4171 pax: 503,59M&a. A IP Lu Plan (teviow y 0Q - 00 .7k_02_, 'F I i ( Inspection Line: 503.639,4175 Dute/f{v: Oilier Permit No, n Ra lnterael: tvww,tigard•or.gov OF TIGARD DaleJoady /By: / /� ©� /= O �11�1 1111 'I ' trl''1 II'I'I'P19'II'fl'I'I'II'Il ' rinl l " „In„ NAlifod /Method; Se o1'uga2 fer 1��I��,141k1 I II II I 1111 I' ;III:'r ",i mni 1 ;',11I'ill'Ij''Iri l',tl.,pr . 9 4`�Id�1l�I111,1�11111 19 �ll 111.1I ll�ll•III,II�ll1 1 .11 l .1 1 ,,:al l l JI 1 1 ' I IU, t,1i7Il l,ll VI II II !tL II'lll llll1 �41 p l l l,t p rr , , u rtiVi[ ntnl informa►iun II,1 �Ia,JIL..:..,..ni.., ;.:4. i Il, 11 161 1l4r.11'�11,,I iti!I�I�!I111,,IItll111111 11, 1 I 1, 1 J1I � II II I k P l llliiii il I` 1Vi rlll t IY I I, ,,IhI R , i , 4 . nlction Nl1 114111., 1, 11 i11dd1 ,1�11,1�.IlII�.YL,1,ll II ,lal!11�, 1111, 111��, II�, I� , dl, Illu ,�I,I�hllij�lilil,.71[i`,I'.it 1, u��l�ll�ll�1111 !ly 141 ' �h111lillllill'il i i11.1!1 � I!ib El New const Q Demolition For r ecialIn ormation nee checklist ❑ Addition/alteration/replacement Desert Ilia rI rl I PI' rl P I I I I un n 111 I,I ❑ Other: st Otv Ea. Total ��1 ��111itIIly�IlII I1 III III I�lj1e e °), ° {I 'I jl i,1. t e1�.��r'.Irq l I r 1',p 1, 1 1 , 1 , 1 .,, ,, New i - 2 - family dwellings (Includes 100 ft. for „11d,1� 1, , t�. 1, uun�ll a , l :m1•.m i lc hid „II ∎1to11nlllllel�n ° i I il.dr: lal I1 Il ?ll Ili. I q I II,p,I��ly4 I i i 1 each utility connection) ��ll 111, 1, Ild IId LI IJ111 ',III���I � 1.111 31230 Q 1- and 2- family dwelling Q Commercial /industrial I SFR (2) bath 0 Accessory building ❑Multi - family SFR (3) bath ..11•111311:11 500.32 , ter bui 0 lder udder Each additional bath /kitchen MN 25.02 Ma, Other: >�� II II I�1' 14 1 { 1 1 1 1 1 1 ` l ` I I' 1 1�IhI i1 11 II 1 1i 1 1 1 11 11 `l '. 1 1 , .lyll!l l ln' 4 r. ` llll l ll p ;1'.11t tit'dl. air. y p• a p' il' d � "t' ;, il. ,lC,6 I'l „;,r'r l'Ir' �� 11 ���� 1l Iti ti 1141 aIS 111111, I I,1 1!I , I I II II,itl,1`. ,'F e l 11 '., 11��i11Ii' 1 1n+ilihli,ll,!Inii,c ll 1 I1e 1 11, 1 I 1 ,�Idliil.IliI1 1 11 �l[C tthlhie4: � � Job site address: 13326 SW ALPINE VIEW DRIVE Catch basin or area drain 18 76 City/State/ZIP: TIGARD, OR 97224 ryw ell, leach line, or trench drain 18.76 I D Suite /bldg, /rant. no.: Project name: Footing drain (no, !incur ft.: :) Page 2 6 Crass sere ddire dians to job site: Manufactured home utilities _ _ 50.03 �_ Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: ALPINE VIEW � Water service (na linear ft.: ) Lot no.: 33 Page 2 Tax map /parcel no.: ,•• g 1 0 Fixture or item: ' P 1 r '” 1 1 I' 1„ 111 1 rl 9 1 '$J Backflow preventer M � ��� 1� � � ( I I III . I 'i.'�! I fj�'r!i l !�I�rUtl!rc' , i! all; 1 '1 Ip ".:� . 1 31.27 IILI��L�L��,�1�1�1���1�11�tiI� i l i !i,, I , ic 1,1, ��l I �� I, Il l d 6, 1 II �i 1 1 1, lit!1111x.�1nl��li,if,III',1`, iiiillill,.ii',III,11111!11,1 ,1 11! Iiill1, 16�l11�IlIllilli ,iiiilIIi,II�IIiII�IlI, Ili. iiii11i1g111I1l11i111d1 !iiliiiiill'uzi,11Il .1,l DackWatervalve � � BACK BLOW PERMIT Clothes washer 25.02 25.02 02 ----- I pll II`` Drinking fountain 25. IIIIIiII��I�( 1h11��( tlh'' jliuuj,, l', nl: lilir, l'. , iratilillpllltlrliliilqu 'l,l,,l�11y1'r11" III' IrlpI' prIPI 'Ly`lll'11`,1,1111'tpp, g' ;p,r! x1,,1. Ejectors/sump 25.02 11 11 I,' i1 �ll �i ui 1 �, l�t ai (i i �,o:II II` 1 IIII Expansion I ,111,II,,..11.Id,�, ll al ,, . ,, L. 1 111. fa�ntil 1'. IL, r �14d 1 d :1L1111 p lank Mg 12.51 Nurne: WEST RILLS DEVELOPMENT Fixture /sewer cap 25.02 � Floor drain /floor sink /hub 25.02 Address: 735 SW 158 a City/State/ZIP: BEAVERTON, OR 97006 ~� —� . Garbage disposal 25 02 Phone: (503)641-7342 — Fax: (503)641 -7661 I Hose bib I``l on IIeI II`` ` `` l 25.51 �11��11�111t111��111111���111111�1 1 11441IP1ry�I141t}1i ``illlhFFiiilrl�lCl n ljl 1 11 1 1 1 f y 11 !'ll �l 1111'!';;1'II ;,(tI',,tr,l toter,! nl'.ly,',11111;1', p `II ., , Inte 1• Ice maker 12.51 11111 i ; I, I, tl9l.t......1..,11 P ll!., I dIIJt ll.`'I x111 l.i11111 l lr 11 1nI IPit ll rcc to I Ln ,u lLlx. , let L l ,, a. n u la. ILl lw, I LLnx 'd lltLll,d,lldlll p dgreasc trap 25.02 Business name; WEST HILLS DEVELOPMENT l Medical gas (value; $ �) Page 2 Contact name: MiR1AM WILSON Primer 12.51 Address 735 SW I51fTrr AVENUE Roof drain (commercial) 12.51 , a City /Stale /ZIP: i3EAVERTON, OR 97006 Sink/basin/lavatory 25.02 Solar nails (potable water) 62.54 Phone: (503) 726-7033 Fax: : (503) 641 -7661 ( ) Tub/shower /shower pan E-mail: mwilson@a rho rhomes,com 15.51 - 5 �I1 'IIf1`y14yI `lll,``IyI'I' I'I' II.I rl l l r`' I' . ' „I'l'll,llll'' LIIlaiill'1!111 I' I, Urinal 25.02 R11� 111 `���1 i' iiI�h 1 ,IIjI iii ,i i all s; , 1 11 1 i111�i1 1 � I 11� I Li I l 1 , � 1 1�� I4I1 1 111 ` I �� 11111I4l11171111 i 11' 111I1 II I tI1 j !' I ' I I' I I' 1 11 j ' 1 11 �`'IIti� 11 '� I I 9 Water Closet 11hI11111�111111d11!4ul,I1111. 111, I !111!II�lIId,11,1.�141,1d1,IlI 25.02 Business name: TRADEMARK LANDSCAPE I: Water heater 37.52 Address; P.O, BOX 2410 — i Water pipins/DWV 56.29 City /Slate /ZIP: OREGON CITY, OR 97045 TI1.0U,er' _ 55.02 Subtotal 31,27 Phone: (503) 6313893 Fax: (503) 631 -4737 I Minimum permit fee: $72.50 72.5 - ' CO Lie,: 6796 Plumbing Lie. no.: 2383710 1' Plan review (25% of permit fee) Authorized signature. V W_ State surcharge (12% of permit. tee) cf...., w I Print name: MIRIAM WILSON TOTAL PERMIT FEE , / c Date: 12/23 1 This permit application expires Ito permit is not obtained within 1111 day. after it boa been accepted es complete. ■ 'Fee methodology set by 9h'- County Building Industry Service Dowd, is IBuildingVrenniull 'IMU- PermltApp.dac 10/01/09 440.a616T(1 Wog /COM/WgB) This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. BUILDING DIVISION TIGARD TRANSMITTAL LETTER a TO: DATE RECEIVED: DEPT: BUILDING DIVISION Lji RECE IVED // NOV I g FROM: V (MG' �' ZOO COMPANY: 6U NG p I V ARD ISION PHONE: (o5) - 7 i'% 20 L I "Z' By: RE: S � e7� adres A` �‘ V V � , '()SerrM��ase' Numer) ©O 1 O (Pr name drsubdiJfsibn name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: (I escr' tion: Additional set(s) of plans. X \ evisions: ' 4 SQc ( . €9 , o 4 hp Cross section(s) and details. Wall bra 'ng a r d/or lateral analysis. Floor /roof framin . Basem: t ant retaining walls. Beam calc 'ons. Engi seer's 'alculations. Other plain): ■ - REMARKS: ' tQ p V',,, J - 1 Cab\ 1 0 A-e Ir. V >r -- ...S V FO ' FF CE 0 ' Y Routed to Pe • echnici Date: t/ c:,... Initials• , ' 70. CO Fees Due: ' - ❑ No Fee Descn tion: Amount ue: $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: t/ Date: 4(.E A_Q-0-41 Initials :( l:\ Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07