Loading...
Permit U CITY OF TIGARD PLUMBING PERMIT 1111 - I COMMUNITY DEVELOPMENT Permit #: PLM2011 -00130 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/22/2011 Parcel: 1 S125DC07700 Jurisdiction: Tigard Site address: 7017 SW ASH CREEK CT Project: Ash Creek Estates, Lot 10 Subdivision: ASH CREEK ESTATES Lot: 10 Project Description: Installation of residential backflow preventer for irrigation system. Contractor: BURNESS LANDSCAPE Owner: ASH CREEK PROPERTIES LLC 9330 SW LEHMAN ST 12655 SW NORTH DAKOTA ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503 - 432 -8525 PHONE: FAX: 503 - 432 -8525 FEES Quantity Description Date Amount 1 ea Backflow Preventer 04/22/2011 $31.27 Specifics: 1 12% State Surcharge - 04/22/2011 $8.70 Plumbing Type of Use 41 ea Minimum Fee Adjustment - 04/22/2011 $41.23 Class of Work: Plumbing 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 • ' -{a OU by calling 503.232.1987 or 1.800.332.2344. —,� Issued By: ' ` J S Permittee Signature: C1:519(2/-----..., / / �- C;; 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 co of the project. Approved plans are required on the job site at the time of each inspection. APR -22 -2011 03:40 PM THOMAS.S.BURNESS 5034328525 P. 03 rlunibinn Permit Appiiciltiop Building Fixtures 1) E f x,,, i I, I , Tigard City W Hall Blvd., Ti gard, OR 97223 CEDED ∎ " J' d ' ICE CI r ' -,, - o 3 I I Phone: 503,718,2439 Fax: 503,598.1 Plait iatber PermitNo.: Inspection Line: 503.639,4175 internal: www.tigard-or.gov R 2 2 7 n, / D Ready/By: - ride: m Bee Pap 2 for igard -or gm' N e rt � N Olifid/M �h, - 1,41 � oriental Infirnawttrm , fd S � l , n ' A ' c 6 rx P -, T .1 ,'+ A , D M!' 11,'...? A r r I , ,, i i., q h roe .r ii 1, /i t '4 r'' ✓•,w 494 F+ ,, ,. ,,. Y, lI {n , I ",' a L , .4: Y {r» r,, .j A , . ;1 .1 'f ." v , i ,A1 . III,: 1 ) y t of i t fAl '1 .'�, l A V r•7 I iix @{ , J S , I ;::: , 1 f It yi. p, {4 N t , , ... . 1 +1., , , IA l' a, ,, � „d li� III,Yft i . r�k iluf4 � , � , b , �!r a ' • , { , , i ,,,, , xr , . I t `, �,� � ,' � a l' c : r E �It, 4 Y,. "r , � ,, s . y� V 1 � i '''', gr411 1 rl u e, 6 ' w. :e4' 14. 0r 4.)L ,N 4.. , m d r I , '4 ∎YIW t .:::M: r '' ' l' I' »1''''' , rA xli',: ra x �,lv<twrtrl,f' ,D m,l d �ix;' .�N✓ a ,. :. i,, w 1, .,flr�4a.If , ® Ncw construction [3 Demolition oP !peels/ iwfavatarlon use o6eok Description I Qty. ( Ea. I Total ❑ Addition/alienation/replacement ©( mew I- 2 -family dwellings (includes 1(X) ft. for _each utility connection) „ i•.'ir 4 `Ar rJ ;i p I , , , ,'. rt' k,, �;' ,,, ! .,1 ,,A { ��N�q? dlRfl,iel' ,rr a w to i ; r l :� ,yl 3FR(l) bath 312.70 ., ,,,I u ,i Ara,ta xrhe.A, a,rPl,D' 'YAJ.>ft ±,'''"I 6 • \ ' 'J''''''''''' ,1., , tr:rlt.^ „,tii ! p 1 1, x1 ,{ rS ..... -....._.._..._.,- ,....... - ....,.,...,. -- ...,. 3 f � 1- and Z- Parnily dwelling © Commcrcial!utdrrstrial . 8rx (2) bath a37,78 ..,.... , ❑ Accessory building 0 Multi - family gl >7 ( bath Rach additional twtWkitclion 25.02 0 Master builder ❑ Other! Fite sprit_ildta' (_ eq. n.) Page 2 �}: tIV J rO1f1, , r' x.'+r In y1r I , r 1ay,nkro x � f r q , l ,' '' V r rti i i � II r , _...�� _ - - -- 1 a ,4 � ,r 10,' , 1 t Y l i 1 ' ril,r pp,, j , , i ,� silt/ ntllitlee: � :, ;�� d1 l i n � � },aniw N a Ah. ��F%1R l d d♦d3 dIA 4, lth`i.x L,d „p lr,Fti..�h, ,, r, -., � u . 1 �4 � ,r,, , r. -' ----' ^— Cy ( Latch basin or area drain 18, 7(i Job site address: 7017 Ski iNY� ` --- - - - -. -- City /Statc/ZIP: Tigard, Oft 97223 lhywcll, leach line, or avrach drain 18.76 Footing drain (ana linear R: - ) Page 2 Suite/bldg. /apt. no.: Project name: Ash Creek Manufactured home utilities 50.03 Cross atreet/direotiona to job cite: Manholes 18.76 Rain drain connector 18.76 ....- ........... .. - -.. _,...- ,__.......... _., Sanitary sewer (no. liaacar fl.: _._) Pag 2 Storm sewer (no. linear ft.: -,,,, J lErn ..-,...- ....,.. .:... „,.m-..... -... ,.,.:.,,. . ,.,.. ..._.- ._. - -.. Water service (no. linear ft.: �) Page 2 Subdivision: Ash Creek Lot no.: (Q Finere or item: _ Tax nt8p/pazvel no.: Baakflow watcr pmaretntel - ,. ....,- _...__ I 31.27 e n „ , , yy l w t ,''I :' 1 a t T3ackvalve 12.5! x'�i�I rnW1, ( I „iitn i br100 ∎1 +Jr , 1 0 1 , '. , e, b r i M,x,r. , ' . . . 0 i r xh , t ,... , . k 1 %;w ",' . - - ,.T clothes Washes 25.02 haeknow Dishwasher 25.02 Drinking fountain 25.02 P 25.02 t ,a J. , l ' .. r " ” l l r o ' l ' VI , k I x{ I t! { Ix �I, , r. , .. ' IJX tns tank 12.51 t Y i „ u , Val -. :. S t , : u , ,1i , m,,.. ilx, ∎N'∎,, tN „ r4, ,.5„ .nl , � tapt. ,,,,., i J , IAry, , J 'W1 , , , i c , . I f N IV , c , ■■ . ' , �' L , !; A ! I , . � E .- .._......— i_.— _,..-- .._.... -- , Fixlw /xcwcr cap 25.02 Namp, Witadwood Hr><nt:N Floor drain/floor sink/hub 25,02 Address: Garbage disposal 25.02 . City/State/ZIP: Hose bib 25.02 Phone: ( ) _ __ _ .._..- . Fax_ ( ) Ice maker 12.51 J R { C hr at , 1 { rr , " i � Intercepts /gtease trop 25.02 i ; t11V I AA 6i, I I iJ . i:„'',;•,,•1' I n 6i1 /.w4.1Kr.tA {,l!. Vr,,40o 4ff81P6,, ,, nU krrlr 1 , N.r , , r � ,t , I ., ,. Medical gat (voles: $ _ ) Page 2 .n. W ..._.._—_.- .. (va ...,._ .._..",- . -- "--........,.....�, ., ... ...... M..– ._. ..- -.,._. T.J Business name: Contact. name: 12 -51 ---..._., .,...........»,..- ...........,- Roof drain (commeroial) 12.51 Address: - .. Sink/basin/lavatory 25.02 City /State/ZIP; Solar units (potable water) 62.54 '1ub/ehower/ahower 12.51 Phone; ( ) I g ag:: ( ) E-mail: Urinal 25.02 ,� x ��i ? � IJ� , Y: it . b rt ' •. r rt 4 ''J � r rw . . : ,, III ri.+J ' I t' Water closet 2s 02 1 ,., I YJi ,i fs I l''',"„: . k, , Rt ryscr _.__... .. -- j,l,:Im,i i 'ai„tv. , 1. , .,rt °.x ,d,, .- ' ' ! \ { i s C. l ) r , / ,, I, h J , I , ly� . i�G;� '� tf } W a tenc � atcr 31.52 Business name: Bernesrt1S / ., f r1/Z1 // Water piping/DWV 56.29 Address: 9330 Other: . C 25.02 , _ , City/State/ZIP: Tigard Or 97223 Subtotal Phone: (503) 432 - 8525 Tax: (503) 432 Minimum permh fee: 57250 7,Z . CCB Lic.:p (r7 0t0 7 /t 7 Plumbing Lk, no,; 1'le» rcvia w {2596 ofpctmit fix) /— - � - - State sarrchargc 46 of permit the) .7() Authorized signs T(�TAi. Pf•RM1T I'EIs ( 0 This permit applleaNnn explree If a pe malt (12 h not ebtainari'Mtbka 150 days Print name: Tom mesa — Date: 4 after it has been accepted as complete. *Fee methodology set by Tri•Cousty Building Industry Service Board. Mneltalee'rnewnPra+rarereIA gg.,as Inotme 410 4616T(10/e2cotvwr.)