Permit CITY OF TIGARD PLUMBING PERMIT
a.: COMMUNITY DEVELOPMENT Permit #: PLM2012 -00189
T 1G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2012
Parcel: 2S109AB15000
Jurisdiction: Tigard
Site address: 13348 SW ALPINE VIEW DR
Project: Lennar Homes Subdivision: ALPINE VIEW Lot: 31
Project Description: (1) back water valve
Contractor: ASHLAND BROTHERS LANDSCAPES Owner: LENNAR NORTHWEST INC
2153 MOLALLA HIGHWAY 12013 NE 99TH ST #1650
WOODBURN, OR 97071 VANCOUVER, WA 98682
PHONE: 503 -981 -6131 PHONE: 360-258-7900
FAX: 503 - 981 -1058
• FEES
Quantity Description Date Amount
1 'ea Backwater Valve 07/10/2012 $12.51
Specifics: 1 12% State Surcharge - 07/10/2012 $8.70
Plumbing
Type of Use SF 60 ea Minimum Fee Adjustment - 07/10/2012 $59.99
Plumbing
Class of Work: NEW
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /( ►I����' d 1 Permittee Signature: O , r n , �1 P i e _ - r
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.
Ashland Brothers Landscap 503- 981 -1058 p.2
Plumbing Permit APPlicatioIAEC
Site Utilities
Iteeeiv
City of Tigard JUL 1 0 2012 onteiB ' f D 6 7' P ` r mh No.: Puil 1 a _
NI o 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev
8 . Phone: 503.713.2439 Fax: 503.598 D ate/By:
Inspection Line: 503.639.41751' Other Permit No.:
OF TIGARD Date Ready/By: Jr 6 ®See Page 2 For
TI Internet: www.ti and -or. ov
g g U! LD IN( DIVISION Notified/Method: Suppkm
meal Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description Qty I Ea. I Total.
t ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 0. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
❑ Accessory building ❑ Multi - family S (3)� 500.32
Each additional bath/kitchen 25.02
El Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 13348 SW ALPINE GB1VX1' i tad basin or area drain 18.76
T t'
Drywell, leach line, or trench drain 18.76
City /State/Z1P: TIGARD, OR 97224
Footing drain (no. linear fl.: , _ ) Page 2
Suite/bldg. /apt. no.: 1 Project name: Manufactured home utilities 50.03
Cross street/directions to job site: SW 132 PLACE Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear fL: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear IL: ) Page 2
Subdivision: ALPINE ESTATES I Lot no.: 31 Fixture or item:
Tax map /parcel Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 1 12.51 12.5)
Clothes washer 25.02
SPRINKLERS Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump • 25.02
❑ PROPERTY OWNER ❑ TENANT Expansion tank i 12.51
Name: LENNAR HOMES Fixturclsewer cap 25.02
Floor drain /floor sink/hub 25.02
Address: 2103 NE 129 ST STE. 100
Garbage disposal 25.02
City/State /ZIP: VANCOUVER WA Hose bib 25.02
Phone: (360)258 -7900 Fax: (360)258.7901 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name:
Medical gas (value: $ ) Page 2
Primer 12.51
Contact name:
Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 2.5.02
City /State/ZIP: Solar units (potable water) 62.54
Phone: ( ) I Fax:: ( ) Tub/shower/shower pan 12.51
E -mail: Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: ASHLAND BROTHERS LANDSCAPES Water piping/DWV 56.29
Address: 2153 MOLALLA RD Other: 25.02
City /State/ZIP: WOODBURN OR 97071 Subtotal 12.51
Phone: (503) 849 -2531 Fax: (503) 981.1058 - - Minimum permit fee: $72.5O6 9 :Et6 sr
CCB Lie.: LCB; 7174 50 Cl I . Plumbin Lic. no.: Plan review (25% of permit fee) 0
" ' - 4 ' State surcharge (12% of permit fee) g7(' 8,64• K
Authorized si mature: .. . , .... " - `":"-------` -- 1` TOTAL PERMIT FEE 81.11 14-
This permit application expires if a permit is ant obtained within 180 days /.20
Print name: TOM ASHLAND D 7/10/2012 after it has been accepted as complete. b
.Fee methodology we by Tri County Building Industry Service Board.
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