Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2010 -00354
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/27/2010
Parcel: 2S110BC10900
Jurisdiction: TIGARD
Site address: 12070 SW STRINGER LN
Subdivision: Lot: 0
Project: Bull Mountain View Estates
Project Description: Installation of residential backflow preventer for irrigation.
Owner: FEES
WEST HILLS DEVELOPMENT Quantity Description Date Amount
735 SW 158TH AVE
BEAVERTON, OR 97006 1 ea Backflow Preventer 10/27/2010 $31.27
PHONE: 503-726-7033 1 12% State Surcharge - 10/27/2010 $8.70
Plumbing
41 ea Minimum Fee Adjustment - 10/27/2010 $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: 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 Notifi - • - . ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direc • uestions to 06 C b calling 503.246.6699 or 1.800.332.2344.
Iss :d By: , Pe •• :e Signature: !;
1
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.
OCT -26 -2010 TUE 03:20 PM FAX NO, 5036417661 P. 02
Plumbine. Permit Applica CEIV
Building Fixtures 1.01 OFFICE 11.L ON1.1'
City Tigard OCT 26 2010
� ' an D a t e a 4-121:11/0 0 I / Pnnil No,: I L N , , - 9
13125 SW Hall Blvd., Tigard, OR 97223 Re
Phone: 503.639A171 .Fax: 503 :5®11rpo OF TIGARD Plan Plan DeletHy: :�+h� + No
t i ; - It h inspection lane: 501639,4175 BUILDING DI ��a R��9�Y al . IA sec Pap for
Internet: unv
w.ligard -ar :Soo NotifiedlMlelbud: 9u • nkmearal Information
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si New construction ❑ Demolition For special Inftuntation fire checklist
Description LQ'y ) Ea. Total
0 Addition/alteration/replacement 0 Other: New t- 2- famhy. dwcllings (includes 100 it for each utility connection)
;rrf:1 i;;ci; :, or U e.`!.:'1:I;I. jllie;.., FR(I)S • bath 31230
® 1- and 2-family dwel ling 0 Commercial /industrial SFR .(2)bath - 437.78
SFR (3) bath 500,32
❑ Accessory building ❑ Multi- family Bosh additional bath/kitchen 25.02
❑ Mostar builder ❑ Other. Fire .sprinkler ( sq.tl.) Paget
, •. I : .,. If, cl IIIU II .ld 1 i ii ,'. L I t It o irn 1 01 7 1 , I site utilities:
Job site address: 12070 SW Stringer Lane Cutch basin or area drain 18.76
Drywcll. leach line. or trench drain 18.76
City /State/ZIP: Tigard OR 97224 _ Footing drum (no. linear 11,; ^) Page .2
Suite/bldg./apt no.: I Prgjoct name: Manufactured home utilities 50,03
Cross street/directions to Job site, - Manholes 18.76
Rain dmin connector 18.76
Sanitary sewer (no. linear R: J Page 2
Storm sewer (no. linear It; _, J Page 2
Waterservicc (no. lineur.11,: Page 2
Subdivision; Bull Mtn View Estates I Lot no.: 7 Fixture or Item: _
Tex map/parcel nog Backfow'preventcr 1 31.27
cis , ;.-' ; r =" + -r� (K II r;: 13 nckwatcr valve 12.51
� (' •Ki ri 11 � / J II :�Irl it1 1�����< Ii i� ,fl) I l
L. .l s 7 `....�. f _.__.. ___ Clothes washer 25,02
• Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
. " i :il l ,i i( I I ; - i ' I T7• , - ..;,:i• Expansion tank 1151
Name: West Hills Development Fixtura /sarycrcap 25.
Floor drain/floor sink/hub 25.02
Address: 705 SW 150 Ave• Garbage disposal 25.02
City /State/ZIP: Beaverton OR 9.7006 Hose bib 25,02
Phone; . -7342 Fax: (503)641-7661 Ice milker 12,51
1 , . a 111 ,I i ,, ' lt-' liL' frl hill° 0[51 ' I1 )Iry:il� I l l4i '', Interceptor /gieu5e trap 25.02
Business name: West Hills Development Medical gas (value: $) Paget -
Primer _ 12.51
CantacLnttln6: Angie Cook Roof drain (commercial) 12.51
Address; 735 SW 158* Ave. Sink/basin/lavatory 25.02
City /State/ZIP: Beaverton 01( 97006 , Solar units (potable water) _ 62,54
Phone (503)641 -7342 I Fax :: (503)641 -7661: Tub/shower/showerpan 12,51
E -mail: acpolt@arborhgmes.com Urinal 25.02
r'; • r - .
1 " i; c71 • , I i 1.a 7 . I r t „ . u . V ? Water closet 25.02
•:
, ...i . :2';:- 1. 5 ! : _...._ .. .. a , _ -- I ,�q Water beater 37.52
Busineaa name; Trademark Landscape _ Waterpiping/DWV 56.29
Address: 19088 S, Redlantl Rd. Other: 25.02
City /State/ZIP: Oregon City, OR 97045 Subtotal
Phone: (501) 031 -3893 Fax: (503) 631 -4737 Minimum permit fcc: 572.50 - .
V CC8 Lip ; - 6 / 4 Plumbing Lic. no.: • Plan review (2596 of permit fee) .®-
n State surcharge (12% or permit fcc) fr. 7 0
Aullwrizcd signalurp: � r KY � TOTAL PERMIT FEE 4 / „?..4
Dale: 1 Thin permit 'wakened esniteelf a permit b net obtained within ISO days
Pont name: Steve Ellis 10/26/10 1 niter ILbas been emitted es complete.
"Fee methodology set by Trl- Cannty 9tdlding lwhwry Service Oared.
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