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Permit - kIN CITY OF TIGARD PLUMBING PERMI n ° COMM UNITY DEVELOPMENT Permit #: PLM201000227 Date Issued: 07/21/2010 T t G ARE; 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S109AB16500 Jurisdiction: Tigard Site address: 14039 SW ALPINE CREST WAY Subdivision: ALPINE VIEW Lot: 46 Project: Alpine View Project Description: Backflow for irrigation. Owner: FEES WEST HILLS DEVELOPMENT Quantity Description Date Amount 735 SW 158TH BEAVERTON, OR 97006 1 ea Backflow Preventer 07/21/2010 $31.27 PHONE: 503 641 -7342 1 12% State Surcharge - 07/21/2010 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 07/21/2010 $41.23 Contractor: Plumbing TRADEMARK LANDSCAPES INC P. O. BOX 2410 OREGON CITY, OR 97006 PHONE: 503 - 631 -3893 FAX: 503 - 631 -4737 Type of Use: Class of Work: 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: / 'e��1 rmittee Signature: (),,,, c„,„-h__ 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 �1�� 1� • ':NOT "'"?',7t. . ° k 4 ,, FOR 01'. 1� ICC USE 0. 0NL1 r *` J' G r 4 : )� Building Fix_ tares .•: ,w_ = �� %,. eccived n Perms No.: 11/11, stx .)'a -?.7 a" City - of Tigard IN:: Date/By: (. 1 1 I tl 47Y y 13125 SW Hall Blvd., Tigard, OR 97223 tJ e 'ew E w \ Other Permit No.: 157 J ...... t(} C � Phone: 503.639.4171 Fax: 501598.1960 `` \\ \ V ..� /' , .-+ s' Inspection Line: 503.639.4175 , � � c ady/gy: Juris RI See Page 2 for TIGARD c rr ° Su Icmcntnl Information IJ aw,awra,! Internet: svwvvtigard.orgov CP. otifiedlMethod: _1 <t�cy PP r tr'-'-+' w s . , -r ,.s r.. =.,�t�.s N, �. . .r ; ..:a 1 ,:" s - - F ,,c- ( D I �� - 1 .1-4* ,,, ,, ,,„ n1. � fig 4i .l:, r . y r ♦ �.a4 y. t A J:Q G:O �, ..- .w-R. t,.L.'411 5iiA �,:1 1 ..+t_r:. s e•as tr_ _ . - . Demolition For.spedal Information use checklist. ® New construction Description 1 Qty. 1 Ea. 1 Total ❑ Addition /alteration/replacement ❑ Other: New New 1- 2- family.dwellings (includes_ 100 ft. for each utility connection) ,x -''t1. tiiitr T. 1,,J!,( -IPA fK garl**' �..*,, S FR (1) bath I I 312.70 .sera. ��, � t , 437.78 ® I- and 2- family dwelling ❑ Commercialr SFR (2) bath ndustrial SFR (3) bath 500.32 ❑ Accessory building ❑ Multi-family , Each bath/1 itchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 f f , .. - Y - d M a° ac Si t e c ,` i o „[ r".= #w, .,. Site utilities: § 11: -. 14039 SW Alpine Crest Way Catch basin or area drain 18.76 Job site address: 1? Drywell, leach line, or trench drain 18.76 City / State/ZIP: Tigard OR 97224 Footing drain (no. linear ft.: ) Page 2 Suite /bldg, /apt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. dinar ft: Page 2 Storm sewer (no. linear ft.: Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: Alpine View I Lot no.: 46 Fixture or item: Backflow preventcr 1 31.27 Tax map /parcel no.: _ 1251 wswR�•. - ::.+:r:s :r °5a z." �iT <.. �. Backwater valve N °�`.,�` i0 "`rt Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 rt1i - T 'r' 1 to '• f © �� � v Expansion tank 12.51 �y,� tS� -..�^ r /'� s 0 � ' 11 a - �e ��. � t Y I � ;t t'?�._ w��'� -�-' 1 ij. G � 11 4,, ' ' 1'3`L. E " - -- 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 + * '. ' �l ��t t' it c� *r�zN'�! -v- tt t t ' ±_ .: ' p t - c , -�" "�.' ` : 51 Inlcrccptor /grease trap 25.02 tom } "ssk�:� I,.. titAri$,. Ir i ,-. AVIOKCII_ , PQ • , •..Y. Page 2 Medical gas (value: $ ) g Business name: West Hills Development Primer 12.51 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) 62.54 Phone: (503) 641 -7342 I Fax: : (503) 503 641 -7661 Tub /shower /shower pan 12.5.1 Urinal 25.02 E -mail: acook@arborhomes.com Water closet 25.02 >; r,�' f �ONfB.R iGTtU`R o,: x 14 - '" ' d ' 37.52 .;. �, .xt.;.,r e , , Water heater Business name: Trademark Landscape Water piping/DWV 56.29 Address: 19088 S. Rediand: ftj 6C/R Other. 25.02 Subtotal City / State/LIP: Oregon City, OR 97045 Minimum permit fee: $72.50 �+-.9w Phone: (503) 631 -3893 Fax: (503) 631 -4737 / -� q5„ Plan review (251/4 of permit fcc) CCB Lic.: 11353 Plumbing Lic. no.: (Y State surcharge (121/4 of permit fcc) g- J Authorized signature: 5../k....0624, TOTAL PERMIT FEE T( i- r 6/4/ 10 This permit application expires if n permit is not obtained within 180 days Print name: Steve Ellis Date: niter it has been accepted ns complete. •Fee methodology sct by In-Comity Building industry Service Board. INBuildinow erniiis\PLMU- PcrmiIAPP.d0C 10/01/09 440 1616T( 10I0LC061/1vE13)