Permit ,,, . , ;:I i i j �y PLUMBING PERMIT
I r j,;� , CITY OF TIGARD
E ' 7 ` C - COMMUNITY DEVELOPMENT Permit*: PLM2010 -00136
i(1 Date Issued: 04/29/2010
,TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 109AB 12200
Jurisdiction: Tigard
Site address: 14264 SW ALPINE CREST WAY
Subdivision: ALPINE VIEW Lot: 3
Project: Alpine View
Project Description: Residential irrigation backflow device.
Owner: FEES
WEST HILLS DEVELOPMENT Quantity Description Date Amount
735 SW 158TH
BEAVERTON, OR 97006 1 ea Backflow Preventer 04/29/2010 $31.27
1 12% State Surcharge - 04/29/2010 $8.70
PHONE: 503 - 641 -7342 Plumbing
41 ea Minimum Fee Adjustment - 04/29/2010 $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 by calling 503.246.6699 or 1.800.332.2344.
Issued By: � j `� 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.
APR -26 -2010 MON 09 49 AM FAX NO P. 03
I'Iu &Permit Application
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y 13125 SW I lull Blvd.. 9722 Plan Review
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• ,E * (I Phone. 503.639 4 171 Fax 503.598.1960 p
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Pars' ecin! in ormarion use checklist
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Ad, Iiliou /alleratiuu /replacemerll ❑ Other: New' L- 2 - hinuly dwellings (includes 100 fl. for each tnility connection)
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SFR (1) bath 312.70
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silt (2) bath 437.78
U 1- and 2- I:uuily dwellii1 ❑ Cummcrciuvindusu'lai . _
SFR (3) bath 500,32
11 A c eiisnri building ❑ Multi- 1'tmhily
Each additional path /kitchen 25.02
I_) Master !milder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
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Job IIIC a,I■lrc,s: 14264 SW AI.I'IN1', CREST WAY Catch basin or area drain 18.76
-- . ` Drywell, leach line. or trench dram 18.76
1'ily /Stale //I I':'l'ICARL). OR 97224 Footing drain (no, linear ft.: 1 Page 2
tiuile /bldg. /apt no.: Project name: Manufactured home utilities 50.03
l'roes su'eiUdiretlions 10 jl nile: Manholes 18.76
Rain drain connector 18.76
- - "" • - - --' - Sanitary sewer (110. linear 11.: _,_• Page 2
• --- ...... — — Sturm sewer (no. linear 11,: ^ ) W.— Page 2
_, Water sctvicc (no. linear IL.: ) Page 2
Subdivision .. A1,1`IN1 :VIEW' Lot no,: Fixture or item:
I1\ map/parcel CO.' 11 � +A�6 1 �a�(} Bacic(low vcntcr I 31.27 31.27
n. I l t, n o[ , i � , „ a, I,f b u t. I I C g, Ii I l i ,�� 1 d Eiacl:wu1er valve 12.51
',' ^'I''I. I . :' i l Illl'iii i!,q� 0 ?Il:�ligti`;rydi� 1.1f 4.E�� ?�I ldl�i i�.�Nl. �,'Eii ti�,if
C:Intics wtuhcr 25.02
IiA('I: 1L011" I'It 111111.1. Dishwasher 25,02
Drinking lountain 25,02
t Ejectors /sump 25.02
g IIlP I11Rl 1i, 1,� I rm1t1111rT ��1'1!1i1iI 1' ,� I,I III ., .��. ,11 .ib �' I �I�iI '�l hX LnnlC 12.51�
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Fixture/sewer cap 25.02
Name: 11 EST 1111.1 .S DEV LEO MIENT
Floor drain /floor sink/hub 25.02
Address: 735 SW 158' II AVE _ C Ftrhgge disposal :5 1)2
(.'il)' /`+sale / /.II': BEAN' LIt'1ON, 014 97006 Hose bib 25.
Phone. (593)641 - 7342 Fax: (503)641 - 7661 Ice maker ._._ 12.51
1 -T II �, ,nt x 11'x° I I III {''.� IlHl l`,, . ii 1 1�1 ,�,� i 1 r c�1111t ld 111 r klaia in[crccpror /grete trap 25.02
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prosiness n.a1u, WEsT 1111.LS UEVELOPIII ?NT
Medical gas (value: $ i 1 Page 2
-- Primer 12.51
Comae( name: i'IIRIAl11 1V11,SON Roof drain (commercial) 12.51
Address. 735 SW 15/1" AVENUE Sink/basin/lavatory 25.02
('ily /Slate / /.l l'. RE;A V h:IYI'0N, 01197006 Solar units (potable water) 62.54
Phone: (503) 724i -7033 tax:: (503) 641 -7661 '1 uh /ihuwcr /shower pan 12.51
. ---- _ Urinal 25.02
1' -11 I1 i 111wll %nnra'erbal humea tom -
ti In P I I i I Im l o{ rrtly „Ila 1 � , , 6 ,i7 I. 1 WarCl' OIOS 21
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li; I��I• I.. I, I�iJIJ. 1��t�llll, 1,' � 'di �IIxINTS^.I� y'lll .. 1 111 1 ! " l).t.iN.! �II� Water heater 37,52
Itutipness name: 'I'It%DENIA141: LANDSCAPE WaterpipinglDWV 56.29
Add.lre , : 1'.0. 110X 2-110 Other: 25.02 _
C'ily /`+kale / /.11': OREGON ( :I'I'1', 012 97045 Subtotal 31.27
- Minimum permit fee: $72.50 72,5
il (503)631-3893 Fax: (503) 631-4737 =
---- .. - -.. Plan review (25% of permit fee)
('('11 k i :.: 6796 Plumbing Lic. no : 2383780 -•
_ S i surcharge (12h of permit lee) f' d
Auihnrized signahn'c: IL)%/\- TOTAL PERMIT 1 gj, a6)
Unto: 12123 - I This permit application explrea if a permit b not obtained within 1ti0 d
mill nanme:1111111A111 WILSON nl' ter g Lhna bccnnacnpted :lyeu�uplcrc.
---- ' -' - "Fee medludology set by Tai -County Building; Industry Service Board.
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