Permit � ",, ' : CITY OF TIGARD PLUMBING PERMIT
` i e n COMMUNITY DEVELOPMENT Permit #: PLM2010 -00140
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/29/2010
TIGARDI Parcel: 2S109AB13900
Jurisdiction: Tigard
Site address: 14330 SW ALPINE CREST WAY
Subdivision: ALPINE VIEW Lot: 20
Project: Alpine View
Project Description: Residential irrigation backflow device.
Owner: FEES
WEST HILLS DEVELOPMENT Quantity Description Date Amount
735 SW 158TH 1 ea Backflow Preventer 04/29/2010 $31.27
BEAVERTON, OR 97006
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: , G%7 % � U LC e_ Permittee Signature: &/v �70/ / (
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 09:50 AM FAX NO P. 07
Plumb Perm Applica
Building Fixtures RECEIVE '', � i emvi�t (11 �1�'I[ I 1 Sl 5() '; ' 4 p i
City of Tigard ii
riii0,,,,a v it Il► 1'otmil NO.; n I/
111 '" rr 13125 SW Hall Blvd„ 'naiad, OR 97223 A P D By: t /I /d �tI /� -. d /O - 00 /g
R 2 6 2010 Due Plan ReV,iaw
t t� i B r 1Jule/B
Phone; 503,630.4171 Fax: 503,598.1960 r Other Permit No.:
41 h , inspection Line: 503,639.4175 CITY OF TIGARD Dote Re,idyll; y: n11: r. Sao Page 2 fur InIGAt : it .,1 Supplemental information
d P m iI rfla . Notitit information l�y;,y�.,c,,��r,� Internet: www.tigard- or.gav d! Mel ud:
' l 11111111 11111111 I�il IIII l[INIIII�[ l�«I�i���t o IM I ;[phis, IIIIIji�jpi � �w�filhi� l Ill �Ill�l�" I���� R11�[� .�1�� 1191." 1:1 ,), ,7, ,, lli i 1,, !! I 111 ill rig k .
EI New construction ❑ Demolition ; • For speda! Information sae checklist.
_. - 1 Description 1 Qty. Ea, Total
❑ Addilion/ulleration /replacement ❑ Other: ���� ;���� p g� New 1- 2- fancily dwellings (includes 100 ft. I'or each utility connection)
dill �[EIERI ��I1>l�110IG ��HH HH�1°I II�>u�IllfdiS�i�liit�l L"u`i9�f!lldIIIM ��I����� 1111 I SFR (1) bath 312,70
® 1- and 2- family dwelling ❑ Commercial /industrial
SFR (2) bath 437.78
SFR (3) ball, 500.32
❑ Accessory building .� ❑ Multi - family ; 1 Each additional bnth/l:itchcn 25.02
1[ ❑ M! asterbuiild l�iiftnillillr��� e (� �}� y f 1 ❑ Other: • 1 Fire sprinkler ( sq. ft.) Page 2
�(i I � ��ll fJ.11ltllEd��.l dl>g1:�1ti �uVJw �uiill! �� ni01 u�`il�Ull>�I lru '111111I&Ilpy)Ip 1pl 7`tE Site u tilities:
.lob site address: 14330 SVI' ALPINE CREST WAY Catch basin or arca drain 18,76
-- 1 Drywcll, lead, line, or trench drain 18.76
City /State /ZIP: TIGARD, OR 97224 I Footing drain (no. I inear 11.; ) Page 2
Stlile/bldgiapt. no.: Project name: • 1 I Manufactured home utilities 50.03 Cross street/directions to ,job site: 1 Manholes 18.76
Rain drain conneclor 18.76
-
-- ' Sanitary sewer (nu, linear ft.:,� Page 2
� Storm sewer (no. linear it _ ) Pagc 2
_ Water service (no. linear d.: ) Page 2
Lot no.: 20
Subdivision: ALPINE VIEW' Fixture or item:
J { I � /parc no.: ��J3II ' r 1 C. q��y I Qy ���g�' ( , ro f �R���tyJI {nglpp��IIIf�JIIyp�� & &�I II �IIf�I��`q�I lllr! Bacldlow prcvcntcr 1 51,27 1 31.27
[ rI�WB�IPI tIDISf �. I h i 11111111111.1111111 I W IIIOfifYl a�tllllr��Jll�`I'',.:l' I I: I. � I,Ii�ItIWGt+171V61141C1{Jp tl�[ 5 1!t1tIL4dlafllllll D Iot c5 windier 25.02
BACK FLOW PERMIT 1 Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
111[1111[1:111[11E ,5,iMiEN Diu S IMEI RIII Y 11 IN i'1 ! min il i. ll 11 Expansion tank - 12.51
Name: WEST i11 LLS DEVELOPMENT I'ixlurc /sewer cap 25.02
1 Floor drain /floor sink/hub 25.02
Address: 735 SW 158 AVE Garbage disposal 1 25,02
City /Slate /Z1P: BEAVERTON, OR 97006 Hose bib 25.02
__
Phone: (503)641 -7342 Fax: (503)641- 7661 12.51
��r��y Ice maker _.
[[11Ur1 CI11 !'��i, '� ��n �J� ii'�I. IIIMI�P i[11I1IIIIIIINIVIIIE it�l�i � niIfl�� 1 Interceptor /grease trap 25.02
Business name: WEST DILLS DEVELOPMENT Medical gas (value: S ) Page 2
Primer 12.51
Contact name: MiRIAM WILSON Ron f drain (commercial) 12.51
Address: 735 SW 158 AVENUE Sink/basin/lavatory 25.02
City/State /ZIP; BEAVERTON, OR 97006 • Solar units (potable wuter) 62.54
Phone: (503) 726 -7033 Fax:: (503) 641 -7661 Tub /shower /shower pan 12.51
I� I ARM Urinal 25.02
E -mail: mwilsun@arborhomcs.com
'I i c11 j Ci , I �; IiII �IYi�[��1�flJl lll8€I.� I [ I.i�lilud��iGl�i T u I �1 1�IWlll�lUlll it �r l .Elf ''i tlll��[NI6 jl W heater 3725.02
Business name: TRADEMARK LANDSCAPE Water piping/DWV _ 56,29
Address; P.O. BOX 2410 Other; ! 25.02
City /S[ute / OREGON CITY, OR 97045 Suhtotat 31.27
Phone: (503) 631 -3893 Fax: (503) 631 -4737 Minimum permit fee: $72.50 72.5
Plan review (25% of permit 1Ce) _
C93 Lic.: 6796 Plumbing Lic. nu.: 2383780 1
State surcharge (12% of permit fee) e, 7(?
Authorized signature: - i LK- TOTAL PERMIT FEE � '1 a 0
This permit application expire if a permit iy nut obtained within 1 do
Print name: MIRIAM WILSON Date: 12)23 after It has been accepted as complete.
*Fee methodology set by Tri•Caunly Building Industry Service Boar(
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