Permit CITY OF TIGARD PLUMBING PERMIT
as • COMMUNITY DEVELOPMENT Permit #: PLM2012 -00191
T [ G A D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/17/2012 •
Parcel: 2S109AB14600
Jurisdiction: Tigard
Site address: 13370 SW OUZEL LN
Project: Lennar Homes Subdivision: ALPINE VIEW Lot: 27
Project Description: Sprinklers
Contractor: ASHLAND BROTHERS LANDSCAPES Owner: LENNAR HOMES
2153 MOLALLA HIGHWAY 2103 NE 129TH ST
WOODBURN, OR 97071 VANCOUVER, WA 98686
PHONE: 360 - 258 -7901
HONE: 503 - 981 -6131
FAX: 503 - 981 -1058
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 07/16/2012 $31.27
Specifics: 1 12% State Surcharge - 07/16/2012 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment - 07/16/2012 $41.23
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: J / f ��'�6WlhX GC Permittee Signature: OOki i. pp 1.4 CAi1, #d
� _t
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 ApplicatiErp „,Ep
Site Utilities (
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Ci2ssw . H n all � 6l a ..Tigard,oR 97223 Plan JUL 1 2 2012 �I�r• .. 1 l la' I�N°P�t�la -00/1/
Plan Review „ a � 2
Phone: 503.718.2439 Fax: 503.5986 TIGARD DatrJBy-
TI G A R D Other Permit NO dQ QOO
Inspection Line 503.634.4175 CITY j n OF 1 f Dale Ready/B ® v: See Page 2 for
Internet: www.ligard or.gov RIM 0 f I�7��1 NotifiedMklhod: I Supplemental Information
TYPE OF WORK FEE' SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. 1 Total
❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. 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 SFR (3) bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler (____ sq. ft.) Page 2
JOB SITE INFORVLATION AND LOCATION Site utilities:
Job site address: 13370 SW Ouzel Lane Catch basin or area drain 18.76
City /State/ZIP Tigard Or 97224 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite/bldgJapt. no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear It: Page 2
Water service (no. linear fl.: _) Page 2
Subdivision: Alpine Estates I Lot no.: 27 Fixture or item:
Tax map /parcel no.: Backflow preventer 1 31.27 31.27
DESCRIPTION OF WORK
Backwater valve . 1 2.51
Clothes washer 25.02
Sprinkler Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
❑ PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Lennar Homes Fixturt/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 2103 NE 129'" St
Garbage disposal 25.02
City/State/ZIP: Vancouver Vila 98686 Hose bib 25.02
Phone: (360)2A -7901 Fax: (360)258 -7900 Ice maker 12.51
0 APPLICANT .❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name:
Medical gas (value: S ) Page 2 .
Primer 12.51
Contact name:
Roof drain (commercial) 12.51
Address: Sink/basin /lavatory 25.02
City /Stale/ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Ashland Brothers Landscape Water piping/DAN 56.29
Address: 2153 Molalla Rd Other: 25.02
City/State/ZIP: Woodburn Oregon 97071 Subtotal _ 31.27
Phone: (503) 981 - 6131 Fax: (503) 981 - 1058 Minimum permit fee: $72.50 41.23
Plan review (25% of permit fee) 0
V CB Lic.: 7174 Plumbing Lic. no.: State surcharge (12% of permit fee) 8.7
Authorized signature: . -- '
� , TOTAL PERMIT FEE 81.2
This permit application expires if a permit is not obtained within 180 days
Print name: Tom Ashland l Date: 06/12/2012 after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industy Service Board.
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