Permit CITY OF TIGAR® PLUMBING PERMIT
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COMMUNITY DEVELOPMENT Permit #: PLM2010 -00155
T IGl4RL)' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/13/2010
Parcel: 2S109AB12000
Jurisdiction: Tigard
Site address: 14296 SW ALPINE CREST WAY
Subdivision: ALPINE VIEW Lot: 1
Project: Alpine View
Project Description: Install residential backflow preventer for irrigation.
Owner: FEES
WEST HILLS DEVELOPMENT Quantity Description Date Amount
735 SW 158TH
BEAVERTON, OR 97006 1 ea Backfow Preventer 05/13/2010 $31.27
PHONE: 503 641 -7342 1 12% State Surcharge - 05/13/2010 $8.70
Plumbing
41 ea Minimum Fee Adjustment - 05/13/2010 $41.23
Contractor: Plumbing
TRADEMARK LANDSCAPES INC
P. 0. 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 estions . •UNC • calling 503.246.6699 or 1.800.332.2344.
Issued By: 11 1, $ Permittee Sign t e:
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.
Plumbing Permit Application Hh Taolo - o 9 3
Building Fixtures :OFFICE USE ONLI -
FOR
Received i Permit No.:
City of Tigard P a n ey: 7 ? as PLn' / - 00165'
111 111 It' v 13125 SW HnIlBlvd., Tigard OR 97223 Plan Review
la Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.:
T I G A R DF Inspection Line: 503.639.4175 Date Ready/By: lu El See Page 2 for
Internet: www.tigard Notified/Method: '77O Supplemental Information
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Demolition For special Information use checklist
® New construction Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection)
a; < ' r it 4 y ti' <,� * r ' 312.711
i f,r 3 Y,:,'�3'i "•u.:' /a �+rrt`iTaiLi -5 34 /\a9), Olp Y,tl t(��1I1EIST �, xt�.i Y t'!? ci' SFR(I)bath
�....._
® 8
SFR (2) bath 437.78
I- and 2- family dwelling ❑ Commercial /industrial SFR (3) bath 4 37.7
❑ Accessory building ❑ Multi-family Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
r , ,t y1r 0,.7c ° •Y 79 1 lo t n (a -ej u ( t ., .tt.. Site utilities:
Catch basin or area drain 18.76
Job site address: 14296 SW Alpine Crest Way
Drywell, leach line, or trench drain 18.76
City/State/ZIP: Tigard OR 97224 Footing drain (no. linear 11.: ) Page 2
Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes I 18.76
Ram drain connector 18.76
Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Pngc 2
Subdivision: I Lot no.: 1 Fixture or item:
Backflow preventcr I 31.27
Tax map /parcel no.:
. a a.ryt
�ar.�+-n ._. �,. ,.;,; �, ti„ 3, q J'S`S'� w�,� Backwater valve 12.51
`t r `' 't '' :oo 1- ' 1 a Vi a get.4.1 . ' i `"
«it Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
rr , ^fi g �� 4,0 Ex ansion tank 1251
•- y " • � . ! \ ..5'-0 ••:-••••-• •' 1 . � ,- - ) ,`sr P..k ^i'h , • ••• ;- • 1. 4.� � =J • t X e •u° _ p
ti yu •x r i - ...�..
-- �-�-'- Fixture/sewer cap 25.02
Name: West Hills Development
Floor drain/floor sink/hub 25.02
Address: 735 SW 158 Ave Garbage disposal 25.02
City /State/ZIP: Beaverton OR 97006 Hose bib 25.02
Phone: (503)641 -7342 Fax: (503)641 -7661 Ice maker 12.51
s: r to t i S 1 Interceptor /grease trap 25.02
Medical gas (value: $ ) Page 2
Business name: West Hills Development 12 51
Primer
Contact. name: Angie Cook • Roof drain (commercial) 12:51
Address: 735 SW 158 Ave. Sink/basin/lavatory 25.02
City/State/ZIP: Beaverton OR 97006 Solar units (potable water) 62.5
Phone: (503) 641 -7342 Fax: : (503) 641 -7661 Tub /shower /shower pan 12.51
Urinal 25.02
E -mail a acook arborhomes com 2
OVA � � rx r _, _ z ,,, r , � � 1 , -�-• Water closet 25.02
s., s rk; *,. St ,,:::;. - t .. _tOR, 3',.- s! . -'• °' -a Water heater 37.52 •
Business name: Trademark Landscape Water piping/DWV 56.29
Address: 19088 S. Redland Rd. Other. 25.02
City/State/ZIP: Oregon City, OR 97045 Subtotal
( )
Phone: (503) 631-3893 Fax: 503 631 -4737 Minimum permit fee: $72.50 "7 2- - 0
Plan review (25% of permit fcc) -tr
CCB Lic.: 1 61 9 Plumbing Lic. no.: State surcharge (12% of permit fee) ,
A
Authorized signature: TOTAL PERMIT FEE $ i . P.
Date: This permit application expires If n permit Is not obtained within 180 days
• Print name: Steve Ellis otter 11 has been accepted as complete.
•Fee methodology set by Tri- County Building Industry Service Board.
1. lauilding U'crmitAPLMU- PermitAPPdoc 10/01/09 4404616T(10/02/COWWH0)