Permit J
CITY OF TIGARD
PLUMBING PERMIT
i n n O
COMMUNITY DEVELOPMENT Permit #: PLM2009 -00179
Date Issued: 07/08/2009
T [CARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S110BC11200
Jurisdiction: TIGARD
Site address: 12018 SW STRINGER LN
Subdivision: Lot: 0
Project: Bull Mountain View Estates
Project Description: Install backflow preventer for irrigation.
Owner: FEES
BULL MOUNTAIN ESTATES LLC Quantity Description Date Amount
735 SW 158TH AVE
BEAVERTON, OR 97006 1 ea Backflow Prevention - RES 07/08/2009 $27.55
1 12% State Surcharge - 07/08/2009 $4.35
PHONE: Plumbing
9 ea Minimum Fee Adjustment - 07/08/2009 $8.70
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 $40.60
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: ct ji W1 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.
=JUL -02 -2009 THU 09 44 AM ,
FAX N0, P, 02/04
• licatiO>n RECEIVED
Plumbin Permit A Vr w, sr ( f �r�� r8 9k a k 1>Ez p'
J U L 0 2 2 009 > = h " , ' ii. z. Es
Building Fixtures �'' '
Received \ 1\ Permit Nap ,� b • - 0 �j
"� Ci ty Rece
of Tigard C ITY OF TIGARD pule
1 `' OiltcrPemiitNo.;
1, . • 13125 SW Hall Blvd., Tigard, 9�2 Plan Review
0,,.... 04 Phone: 503.639,4171 Pax: 503.59EMDING DIVISION DnIe/e
Date Read lli SE 61 See Page 2 tor
Inspection Line: 503,639.4175 Y Y' Supptcmiutnl1nformntinn
Ii A Ic'C1' Notified/method: tl U a I I I I �'' 'f ° i
:,i Internet: www.tigard- or.gov
' a lll�l�rlll� f ��11� 9��1�1 �1���L����iE� � 1 1i �1�1� f��bla�� l i ��>E 1 �+,' �J R [Pk �!� l Y:I r O a = ■ � �t,:. �i ItIa ll..t,N.. aI iii
El For special in ormarJon me checklist
Ncw construction ❑ Demolition Dcscri -lion Q[y. Ea. Total
0 Addition /alteration /replacement I' }I7 {Ip �Np� u 7 µ {I 0 j O Ncw 1- 2- family dwellings (includes 100 L. for each utility connec
r thee: N Ir��rpf111r) +7I�r Ir'ryJpJq�J( I r P(p� , ryr +pJ} I+�ppp(1yppp'Jppp'ryI l.iun)
BI I�i'J II Irll�lily�lfl�l�llll lll� I�� GIC,����� �i�ull�tJfiltllLlllf LfJUJlllt�llt��Cii'UI NIIGI�� r11li�Il�Aitlli��fiVJ���AIIt IN Ir.I� lif�Allfll dVJUI
SFR (I) bath 249.2
SFR (2) bath 35000
® 1- and 2-family dwelling Commercial /industrial 399.00 -
SFR (3) bath
Accessory building ❑ Multi- family
Each additional bath/kitchen 1 5.00
Page 2 2
[] Master builder Other: Fire sprinkler (` sq. it.)
RM N ' d iES SE , ' MORSU ll BI r[h Site utilities
Catch basin or CUM drain 16.60
Job site address: 12018 SW Stringer Lane prywell, leach line, or trends drain 16.60 City/State/ZIP: Tigard, OR 97224 Pagc 2
Footing drain (no. linear it , )
Suite/bldg./apt. no.: Project name: Bull Mt View Estates Manufa Lured home utilities 110.00
Cross street/directions to job site: Bull Mt
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft,: Page 2
Storm sewer (no. linear ft; ,) Page 2
Water service (no, linear f1..: ,___) I Page 1
Subdivision: Bull Mt View Estates no.; 10
tcs Fixture or Item
pfax map/p p ar ( e fl l l � n Iy o. . : �� 2 JI S11 �) 1 � 0BC p 1 �1 1 + 2 , 00 �, ��� y pr� y( � J fyl +.Jf� f + J �� J')y'+J�J Absorption valve 10,60
Bilk � [Ullr l lfU�dtlN IWLI���fMUlldl�Rf vi 6_ !� °1 td ��°'+}ue E'dllwi�r !IJrud Uli ('1Ulllfl[♦Ifl!(i�Ul @�f+EII�U JUNr I Backilow prevcnter 1 Page 2
Backwater valve � 1 6.60
Back Flow Permit for backyard landscape -
Clothes washer ill I 16.60
Dishwasher I 16.60
1)rinlcing fountain 16.60
' l � I '� Ir111��i� ; ��1> si lex %� ? ' �;� ; f,� � r1lt��J��IN I� �l ��tj1��II+� a I i4� �1;� 1 1�11J11I Ejectors,snmp 16.60
Expansion tank 16.60
Name: West Hills Development 16.00
Fixture /sewer cap --
Address: 735 SW 158 Avenue Floor drain /floor sink/ hub 16.60_
City/State/ZIP: Beaverton, OR 97006 Garbage disposal 16.60
Phone: �� ( `+ 5 IIJ1 0 � ( 3 � ) � 641- (( ,�f f�+ pf Fax: I ( � 503 p J ) � 641 1 -7661 ' ,f I�y �+ f�f� 16.60
: I.8 i nNfPJ11f�IfUI1UlNfJ I n1�lill� �F��Il aludMl�l� nifil�lill�GJfI���i I flfll uluJld�✓� 1 f u ,11u a�l_41 lf� ij H e maker 16.60
16.60
Medical gas (value: $ ^ -)
Business name: West)rTilis Development Interceptor /grease trap P 16. 0
Contact name: Miriam Wilson 16.60
Address: 735 SW 158' Avenue Primer 16.60
_
City/State/ZIP: Beaverton, rton, OR 97006 - Roof drain (commcrciaq
Sinldbasin/1avatoty 16.60
Phone: (503) 726 -7033 Fax: : (503) 641 -7661 Tub /shower /shower pan 16.60
Urinal 16.60
p�� f + mill; m J+ w J+ f i � lsn � n + J� a q � J+ n , � bo +� +f + ��Jf +�� +I+�J tfi.60
IlllU �(t><i�lllllJ�� �1 }1111 11ll�U1111UJ �Yrlf flJt�rfll�II�1G11}mfr�i +�PUII� ' ,� ���NfI:tJ SINEEi .. u�•� I�lr Water closet
Water heater 16.60
Wa
Business nano: Trademark Landscapes Inc Wa er;
Address: P.O. Box 2410 _
Subtotal
City /State /ZIP: Oregon City, OR 97006 - Minimum permit fee: 572.50 1
Fax: (503) 631 -4737 Residential bnckfow minimum permit fee: $36.25
Phone; (503) 631-3893 Plan review (25% of permit fee) •
CCH Lie.: 6796 Plumbing Lie. no.: 2383780 State surcharge (12% of permit lee)
TOTAL PERMIT FEE (. ()
Aulharized signature: - _
Date: 10/21 /08 This permit application expires If n permit is not obtained within
Print name: Miriam Wilson 180 days rafter It has been accepted an complete.
*Fee methodology set by Tri -County Building Industry Service Board,
440-4. 1 OT(10 /OJCOM /WCD)
1: 1nuildlnN \PunnlatTLhll'- PermilApp.dot 12/27/06