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Permit E CITY OF TIGARD _ PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2010 00138 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/29/2010 T1G�1RF? Parcel: 2S109AB13000 Jurisdiction: Tigard Site address: 14236 SW STELLER'S JAY LN Project: Alpine View Subdivision: Alpine View Lot: 11 Project Description: Residential irrigation backflow device. 12/10/10, Reprint to correct street name spelling. Contractor: TRADEMARK LANDSCAPES INC Owner: WEST HILLS DEVELOPMENT P. O. BOX 2410 735 SW 158TH OREGON CITY, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 631 -3893 PHONE: 503 - 641 -7342 FAX: 503 - 631 -4737 FEES Quantity Description Date Amount 1 ea Backflow Preventer 04/29/2010 $31.27 Specifics: 1 12% State Surcharge - 04/29/2010 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 04/29/2010 $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 jac„..„3„,..„ 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 q tions to O tN by calling 503.232.1987 or 1.800.332.2344. • Issued Permittee Signat e: " 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. i � ' a� �4� � CITY OF TUGARD PLUMBING PERMIT ; COMMUNITY DEVELOPMENT Permit #: PLM2010 -00138 1 d� Date Issued: 04/29/2010 TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S 109AB 13000 Jurisdiction: Tigard Site address: 14236 SW STELLARS JAY TER Subdivision: Alpine View Lot: 11 Project: Alpine View Project Description: Residential irrigation backflow device. Owner: FEES WEST HILLS DEVELOPMENT Quantity Description Date Amount 735 SW 158TH 1 ea Backflow Preventer 04/29/2010 $31.27 BEAVERTON, OR 97006 1 12% State Surcharge - 04/29/2010 $8.70 PHONE: 503 - 641 -7342 Plumbing 41 ea Minimum Fee Adjustment - 04/29/2010 $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 $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. APR -26 -2010 MON 09:50 AM FAX NO. P. 05 Plumbing Permit Application Building Fixtures ` ,�,,���a i'. �{ i t)I ,�, lI lO NI \ "1 . Fixtures tai ° �: r,,f . - 3 �t 1 81 i,,,ul P. ` ° msau,,,, . I' City Tigard RtlUeivcwt ' ' y of ,2 Poiytiit + , ^ a 2010 Date /13y: ,r / 9 /d /pL�fo20 /� ,..,66,71,9 n 131?5 SW fiAll f31vd•, Tigard,OR 97223 APR 2 - i,1°„ Revia„ t C ,. Phone: 503,63 9.4171 Fax 503,59$ Other Permit No.: Dule/Ry: r Inspection Line: 5 03.6394175 C ITY OF IGARD Dntc Rend !13 , n Ie: See Pa 2 rnr 0, y r �' d. w Internet; www.l or.gov , i , 0, 1 ikNotificd/Method: C (S Suuvlioneut I Information I���I I�I�i I III r I���Illll�llll� �Il'l��ll��� ll rd�;'°,:i W�iI � °i z'uIVi]ii1 � I�I�� I IIIIIIIII !l [ 1 Ill f:'i fI fl 11 .1 �+ �I Hai � i �111111 i4; 11 'E11, r ® New construction ❑ Demolition For special irlformatian use checklist. Description 1 Qty. J Ea. 1 Total ❑ Addition/alteration/replacement I J ❑ Other: �. New '1 2 dwellings (includes 100 ft, for each utility connection) MIENIM dy � iJr r�lu� i�i•��ld�i I�IiSa� a Il tfilL lu IL� - 11tlfl 111,1ll11111111I lUWHEl I SFR (1) balls 312.70 ® I- and 2- family dwelling 0 Conuncrcinl /industrial SFR (2) hash 437.78 Accessory building SFR (3) bath 500,33 © y g ❑ Multi - Family . Each additional bath /kitchen 25.02 0 Master builder g ❑ Other: Fire sprinkler ( , sq. r).) I Page 2 I ri`11. � R g�1 �i I �t11� j�Ni i ° i V m � dl°j�l�M JeM11 lll€II111tl111E Y k il Site utilities: r ' .lob site address: 14236 SW S'I'ELLAR'S JAY TERRACE Catch basin or area drain 18,76 • Dlywell. lcach line, or trench drain 18.76 City/State/ZIP: TIGARD, Oft 97224 ' Fooling drain (no. linear I1.: ) Page 2 Suite /bldg. /apt, no.: Project name: Manufactured home utilities 50,03 Cross street/directions to,juhsite: Manholes 18,76 - Ram drain connector 18.76 Sanitary sewer (no, linear ft.: ) Page 2 Storm newer (no. linear h.: _ ) Page 2 Water service (no. linear 0.: ) Page 2 Subdivision: ALPINE VIEW . f.ot no.: 11 Fixture or item: Tax map /parcel no.; -.Si � rl ' 13000 BncIctlow prcvcnter 1 31.27 31,27 �l�li �1 1;�� � 1111nl31111 2111111tHE MI ;EBEINI IIIERHIIRI �>�aId �o� valve Clothes 25.02 BACK FLOW PERMIT Dishwasher 25.02 Drinlcing fountain 25.02 �jfl j�I�I� !� � r �, III �� �{ Ii �j(� �(����j l y�I 0' ° jQ��1� III Ejectors/sump 25.02 N IdUIIIIIiUIN ��illm }31Q� w t1f IlfGtilglllll lliUllNIIIIMIll�iRIIIi III T �,dW�61a§III �1�Af�i;I lAflWtl 1 IIMI, P- xptmvion tank 12.51 Name: WEST HILLS DEVELOPMENT Fixture /sewer cap 25.02 Floor drain /floor sink /hub 25.02 Address: 735 SW 158 AVE Garbage disposal 25.02 - City /State /ZIP; UEAVERTON, Oft 97006 1-IOSC hill 25.02 Phone: ((5003 73 J( „�� Jyff , F g x: :l (503)641 -7661 ,I p �J ice maker 12.51 �!; j ?N1�W��GiA�lila7(<sJd18w 1' I �L���IpII��.,1�1�11( ll1Ui1.. n l��ti n a ilSfd�i�nls�ltflll tl Interceptor /grease trap 25.02 Business name: WEST RILLS DEVELOPMENT Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: MIRIAM WILSON Roof drain (commercial) 12.51 • Address: 735 SW 158 AVENUE • _ Sink/basin /lavatory 25.02 City/State/ZIP: BEAVERTON, OR 97006 Solar units (potable water) 62.54 Phone: (503) 726 -7033 I Fax: : (503) 641 -7661 'Tub /shower /shower pan 12.51 Urinal 25.02 E -mall: mwilsan@arborhomes.com , Water closet I l I f P' ,tOMB -ilKullllJ11llW tlld lIw kI11911.I1V1 IfiIlI dIJe . i IIII ulNNAt_fd i W a t er heater 37.52 __ Business name: TRADEMARK ( LANDSCAPE Water piping/DW V 56.29 ` Address: P.O. 130X 2410 Other 25.02 City /Slate /ZIP! OREGON CITY, OR 97045 Subtotal 31.27 Phone: (503) 631 -3893 Fax: (503) 631 -4737 Minimum permit fee: $72.50 72.5 Plan review (25% oI permll fee) CCI31..ie.: 6796 Plumbing Lic. mi.: 2383780 State surcharge (12% of permit fee) 7,0 Authorized signalu : 1 ` �' TOTAL PERMIT FEE. i �y, a 0_ Print name: MIRiAM WILSON Date: 12/23 I 'ihi% permit applIcntian expires if n permit iy not ubrolned within 1811 dnyx nftcr it hug been accepted an c°mpxctc. 1 "Fee medmdnl„ gy set by Tri- County Builtlinjo hickory service Ho : Uiuilding \PermitalPLMU- PermltApp, I0 /01/09 140.4616T00 /01 /COMIWf,h)