Permit p CITY OF TIGARD PLUMBING PERMIT
II COMMUNITY DEVELOPMENT Permit #: PLM2012 -00233
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/13/2012
Parcel: 2S109AB15400
Jurisdiction: Tigard
Site address: 14165 SW ALPINE CREST WAY
Project: Alpine View, Lot 35 Subdivision: ALPINE VIEW Lot: 35
Project Description: Installation of residential backflow preventer for irrigation
Contractor: TRADEMARK LANDSCAPES INC Owner: D.R. HORTON INC
P. O. BOX 2410 4380 SW MACADAM AVE SUITE 100
OREGON CITY, OR 97006 PORTLAND, OR 97239
P
PHONE: 503 - 222 -4151
HONE: 503 - 631 -3893
FAX: 503 -631 -4737
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 08/13/2012 $31.27
Specifics: 1 12% State Surcharge - 08/13/2012 $8.70
Plumbing
Type of Use SF 41 ea Minimum Fee Adjustment - 08/13/2012 $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
applicabl . . work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issu- • -, or if work I uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
U . ity Notification Center. Ti • e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
,r direct questions to OU ' • . Permittee Si Alar • '03.232.1987 or 1.800.332.2344. 111./(dAALNAL ' 7 Z
Issued By: , /� / 41Arp7 '
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.
•
'` CEIVED
Plumbing Permit Applic . ,
Building Fixtures • Al1G 13 2012 I Olt 0l Ic 1 US ONLY
City of Tigard De,usy g ®B� [h/�lo/a ODa,33
Permit No.:: 9
a 13125 SW Hall Blvd., T 11 2� TIGARD Received
Review
J ,, 8 .'. . , Phone: 503.718.2439 F b �1` a DIVI ®N Date/By: Other Permit No.: �iTdd�il �(�� ZD
Inspection Line: 503.639.4 11 Iv
l ri ; It!1); Ins P Date Ready/By: luris: See Page 2 for
., Internet: w�tw.tigard - or.gov NotifiedRvlelhod: _ Supplemental information
TYPE OF WORK FEE' SCHEDULE
® New construction ❑ Demolition For special information use checklist
Description [ Qty. I Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New 1.2- family dwellings (includes 1 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® I- and 2- family dwelling ❑ CommerciaVindustrial SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building ❑ Multi - family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
lob site address: /7/ 5 5 k) N aesr J44/ Catch basin or area drain 1 1 18.76 1
City / State/ZIP: TIGARD, OR 97224 Drywall, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite/bldg./apt. no.: I Project name: ALPINE VIEW Manufactured home utilities 50.03
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST Manholes 18.76
WAY Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ___.) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: ALPINE VIEW _ __ Lot no.: 3 Fixture or item:
Tax map /parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
_
Clothes washer 25.02
NEW SINGLE FAMILY RESIDENTIAL /AO- F _
240 Dishwasher - 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: D.R. HORTON INC. - PORTLAND Fixture /sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 7380 SW MACADAM AVE, SUITE 100 Garbage disposal 25.02
City/State/ZIP: PORTLAND, OR 97239 Hose bib 25.02
Phone: (503)222 -4151 Fax: (503)222 -1304 Ice maker 12.51
❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02
Business name: D.R. HORTON INC. - PORTLAND Medical gas (value: S _ ) Page 2
Primer 12.51
Contact name: GARY CULP
Roof drain (commercial) 12.51
Address: SAME Sink/basin/lavatory 25.02
City/State/ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: gaculp @drhorton.com Urinal 25.02
- Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: TRADEMARK LANDSCAPES, INC Water piping/DWV 56.29
Address: PO BOC 2410 Other: 25.02
City / State/ZIP: OREGON CITY, OR 97045 Subtotal
Phone: (503) 631 -3893 Fax: (503) 631 -4737 Minimum permit fee: 572.50 72.50
CCB Lic.: 6796 Plt>f o.: 11353 Plan review (25% of permit fee)
/ State surcharge (12% of permit fee) 8.70
Authorized signature: <1;117( _,-,---- TOTA1. PERMIT FEE 81.20
Print name: STEVE ELLIS w I Date: ie � This permit application expires if a permit Is not obtained within 180 days
f / after it bas been accepted as complete.
•Fee methodology set by Tri -County Build Industry Service Board.
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