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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2011 00120 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04!14!2011 Parcel: 2S110BC10700 Jurisdiction: TIGARD Site address: 12059 SW STRINGER LN Project: Bull Mountain View Estates, Lot 5 Subdivision: Lot: 0 Project Description: Residential backflow preventer for irrigation. Contractor: TRADEMARK LANDSCAPES INC Owner: WEST HILLS DEVELOPMENT P. O. BOX 2410 735 SW 158TH AVE 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 04/14/2011 $31.27 Specifics: 1 12% State Surcharge - 04/14/2011 $8.70 Plumbing Type of Use SF 41 ea Minimum Fee Adjustment - 04/14/2011 $41.23 Plumbing Class of Work: OTR 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 Noti - .•1 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 dire- questions to ' . NC b calling 503.232.1987 or 1.800.332.2344. Issu . By: / / Permittee Sign. 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. Plumbing Permit Applicat�[i cEivED Building Fixtures FOR OFFICE USE ONLY IR City of Tigard APR 1 3 2011 Dact�eea 44 iii,/ Permit No or! -c e/ • • 13125 SW Hail Blvd., 'Tlgard, OR 97223 }g Plan Review taut Permit No. Phonc: 503.639.4171 Fax: 503.5 110 I OF TIGARD Date/fl TIGARD Inspection Line: 503 639 a 175 Date Ready /By turn BI See Page 2 for Internet www ugard- or.gov BUILDING DIVISION Notified/Method Supplemental Information E, � _ FEE* information ;� OF WORK Z New construction F ors ec ❑ Demolition i r special on use checklist Description I Qt GT. Total ❑ Addition/alteration/replacement 0 Other: New I- 2- family dwellings (includes 100 ft. for each utility connection) v' SFR(1)bath 312.70 ©l and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437 78 — SFR (3) bath 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire spnnklcr ( sq. ft.) Page 2 i '. JOB SITE INFORMATION t.'•ND LOCATION : Site utilities: � r- Catch basin or area drain 18.76 Job site address. L. 0 ..C.-, ' `� lt)....) e: •) p, fl 1 -- - \---k'� DgnvclL teach line, or trench drain 18.76 -� CitylState Z1P Tigard OR 97224 Footing drain (no. linear I1.: ) Page 2 Suite/bldg, /apt. no : Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rein drain connector 18.76 Sanitary sewer (no. linear IL: ) Page 2 Storm sewer (no. linear ft: I Page 2 Water service (no. linear It.: ,_.J Page 2 . Subdivision: ,31j1../„.. ,14/1/ I YAi ,i ) r i_ Aj r.- Lot no l.:-. Fixture or item: Tax map /parcel rio Backflow preventer I 3? 27 DESCRIPTION OF W ORK Backwater valve !_ -al • _ . _ Clothes washer 25.02 (N? < :) - 1(i t...t. -- PitAC t. IA) C y V - i= VVC L 1012 -- . Dishwasher 25 02 Drinking fountain 225.02 Ejectors/sump 25.02 -® PROPtRTV- O s$$NER 0 °TENANT - Expansion tank — 12.31 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 /StatetZIP: Beaverton OR 97006 Hose bib 25.02 Phone: (503)641 -7342 Fax: (51)3)641 -7661 Ice maker 12.51 API'LWANT . - j ❑ CONTACT PERSON Interceptor /grease trap 35 02 Business name; West Hills Development Medical gas (value $ _ ) Page 2 Primer 12.51 Contact name Angie Cook Roof drain (commercial) 12 Address: 735 SW 15'8 Ave. Sink/basin/lavatory 25.02 City'State/ZlP: Beaverton OR 97006 Solar units (potable water) 62.54 Phone: (503) 641 -7342 f Fax:: (503) 641 -7661 Tub /shower /shower pan I 12.51 • Urinal 25.02 E -mail: ucuull@arborhomes.com - -- Water closet 25.02 • ' CONTRACTOR' Water heater 37.52 Business name: Trademark Landscape Water piping/DWV 56 29 Address: 19088 S. Redland Rd. Other. 25.02 City /StateJZIP' Oregon City, OR 97045 Subtotal Minimum permit fee. $72.50 7 -sue Phonc:(S03)631 -3893 Fax: (503) 4737 - . Plan review 05% of permit fee) ....---- CCB Lic.: days FEE Lie. na. State surcharge t12% of permit fee) 1 ° lo�, t TOTAL PERMIT Authorized signature: /r, rvtPERMIT I C $ (.0�O I 1131 Dntt�} i, ` This permit Application expires tin permit is not obtained within 181) i Print name: Steve Ellis afar it has been accepted ns complete. *tee melhotto:0gs set by Tn -Cuunil Building Industry Service [lard I ll 'iuildloeermitSJ'LA1ud'nmitApp doe I arnli0^ %4O.4616T(10/02 COW/Fra)