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Permit CITY OF TIGARD PLUMBING PERMIT 111 11- g , . COMMUNITY DEVELOPME Permit #: PLM2010 00265 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/13/2010 Parcel: 2S109AB12900 Jurisdiction: Tigard Site address: 14204 SW STELLER'S JAY LN Project: Alpine View Subdivision: Alpine View Lot: 10 Project Description: Installation of residential backflow preventer for irrigation. 12/10/10, Reprint to correct street name spelling. Contractor: TRADEMARK LANDSCAPES INC Owner: WEST HILLS DEVELOPMENT P. 0. BOX 2410 735 SW 158TH OREGON CITY, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 641 -7342 HONE: 503 - 631 -3893 FAX: 503 - 631 -4737 FEES Quantity Description Date Amount 1 ea Backflow Preventer 08/13/2010 $31.27 Specifics: 1 12% State Surcharge - 08/13/2010 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 08/13/2010 $41.23 Type of Use: SF Plumbing 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 -0090. You may obtain a copy of the rules or direct ques - 011NC by calling 503.232.1987 or 1.800.332.2344. CT Issued B (! Permittee Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. 71 a CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2010 00265 t 6 D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/13/2010 -E Parcel: 2S109AB12900 Jurisdiction: Tigard Site address: 14204 SW STELLARS JAY TER Subdivision: Alpine View Lot: 10 Project: Alpine View Project Description: Installation of residential backflow preventer for irrigation. Owner: FEES WEST HILLS DEVELOPMENT Quantity Description Date Amount 735 SW 158TH BEAVERTON, OR 97006 1 ea Backflow Preventer 08/13/2010 $31.27 PHONE: 503 641 -7342 1 12% State Surcharge - 08/13/2010 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 08/13/2010 $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 No • • on - • -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or dire questions to OUNC b - •ng 1 3.246.6699 or 1.800.332.2344. Issu• • By: 1 6., / /p " Permittee Signatu lithillA" 4 //JOE 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. • -Ie -a y ry 1 t i l r' i`.. :i • Plumbing Permit Application 1 "`' . Building Fixtures AUG 1 3 2010 s oR or( 1CCY ONLI F : . � rip' > * r tfq ^ n 60 .2106 Ci ty of Tigard CITY :� T IGARD Re ceived Permit Nn.: I o ur� Date/By $ � ��0 1y Ya2ol0 It q 13125 SW Hnll Blvd., Tigard, OR 97" p�ING D'VIS'ION Plan Revi : ew C Phone: 503 °639.4171 Fax: 503. ?y8:1..9 0 Dat c/By: Other. Permii NG.: ).6r� �07 (� Inspection Line: 503.639.4175 Date Rcady/By: torts: ®See Page 2.fo T` .° Internet: w'w r.tigard- or:gov 1Yotified/Method: PP Su lemcntal Information K-., r t�+ w r1..T� .R .^^•! ,. ! ��^ve`r.:..'�klti, �`_ +ry.:T- .•- r-+z•e R f ''��rif `�i'1IISi!t�, ��: 4 , ix, . • , to , t - ,,„ .. 1 « A Q ` gcla wUL': i ' 4-1 r'i•: `. .1 ift:E r`rg DUitL /tar . :i _.tr v?.'V ❑ Demolition Forspecia l Information use c/recklist. ® New construction Description 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- fancily dwellings (includes 100 ft. for each utility connection) •nc 'x „z' r ,r . z c , t -. of Q a `� t I, c p ���{�j,' �.i p+ z i� SFR (1) bath 312.70 n i � » ,�...fi�r��.a 4 , .�.- C.,;•t� �. � t��� eto ... - s�.�. .�._,� •:t� :�°9_ a4i KitR y F't ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi-family Each additional batli/Idtchen 25.0_ ❑ Master builder ❑ Other: Fire sprinkler ( sq.-ft.) Page 2 A.V4M-i 5 0 1 It O BIIO AVAMINEM Site utilities: Catch basin or area,drain 18.76 Job site address: 14204 SW Stellars Jay Terrace Drywell, leach line. or trench drain 18.76 City/State/ZIP: Tigard OR 97224 Footing, dram (no. linear 11.: ) Page 2 Suite /bldg. /apt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain connector 18.76 Sanitary sewer(no.,Iincar ft.: ) Page 2 Storm sewer (no. linear ft'.: ) Page 2 Water service (no.)inear.ft.:___) Paget Subdivision: Alpine View I Lot no.: 10 Fixture or item: Backilow preventer 1 31.27 Tax map /parcel no.: c kwatcr valve �•, ,�,.•.:: • :: �ti- t: " - a g „ l � " ?`:!7:.rr =fit iska'•..a iD R. IO �;y i f 3t'izi 1 - °c �. ii 12.51 �°sF•LF:Q • .z. r rz 25.02 L r clothes washer Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r 7 , 1 ;4 i" 6 `BR R of . M 4 .; r. n1. si'.''. iii3 z t "^,'11 ,y. ; Expansion tank 12.51 "Fixture/sewer cap 25.02 Name: West Hills Development Floor drain/Boor sink/hub 25.02 • Address: 735 SW 158 Aye 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 ��• ► �� t r^� i" " "" , Interceptor /grease trap 25.02 ,.. t � { ; j4 ��,�,,.+ °. , t 0 . 1n r .r{ .v. ^ . j� © nlgSr�O',y�,T .. si °L MN r.i�. -n.�. :j. �:S � •� �kll���:ilD(.=3mL1 +. �� 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) 62.54 Phone: (503) 641-7342 Fax: : (503) 641 -7661 Tub /shower /shower pan 12.51 Urinal 25.02 E -mail: acook @arborhomes.com 25.02 ... y ,. ra+. r...m - :+,�lG . q«" ! Water closet '��0 ,C�R::w >x � Water heater 37.52 Business name: Trademark Landscape Water piping/DWV 56.29 Address: 19088 S. RedlandRd. Other: 25.02 City / State/ZIP: Oregon City; OR 97045 / 'Subtotal 503 631 -4737 Minimum permit fee: $72.50 '77.O Phone: (503) 631 -3893 Fax: ( ) Plan review (25% of permit fee) -e- CCB Lic.: 11353 Plumbing Lic. no.: State surcharge (12% of permit fee) g. 70 Authorized signature: 4 j . ���� TOTAL PERMIT FEE This permit application expires era permit is not obtained within 180 days Print name: Steve Ellis Date: after it.has been accepted as complete. •Fee methodology set by Tri•County Building Industry Service Board. 1.\ Buildin5 U'crmits\PLMU- PennitApp.doc 10/01/09 440- 1616T(10 /02/C0MAVE0)