Permit y p CITY OF TIGARD PLUMBING PERMIT
1111 : • COMMUNITY DEVELOPMENT Permit #: PLM2012 -00320
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/31/2012
Parcel: 1 S125CAl2300
Jurisdiction: Tigard
Site address: 7415 SW CEDARCREST ST
Project: Pahlisch Homes Subdivision: 2008 -030 PARTITION PLAT Lot: 1
Project Description: (1) backflow preventer Must maintain 5' side yard setback and approved rear yard setback
Contractor: GRD OUTDOOR LIVING Owner: PAHLISCH HOMES INC
PO BOX 821569 63088 NE 18TH ST #100
VANCOUVER, WA 98682 BEND, OR 97701
PHONE: 360 - 727 -5975 PHONE: 541 - 385 6762
FAX: 360- 882 -8815
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 10/31/2012 $31.27
Specifics: 1 12% State Surcharge - 10/31/2012 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment - 10/31/2012 $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
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: Permittee Signature: Oki AMA
dlittdity
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. Vf1r/
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.
Oct 31 2012 10:25 HP LASERJET FAX 360 - 882 -8815 page 1
Plumbing Permit ApalicatiouRECEI1 E
Site Utilities y 1 . � , i z (> f i . i (, 1 , ,I 0.1
City of Tigard 0 T 31 2012 Received
II • 1312s SW Hall Blvd., Tigard, OR 97223
Date/By: ( 3t' / / ca-1 t No.: pl--04 e J1. Ej
J Phane: 503,7182439 Fax: 503.598.1 '4 T OF TIGARD Plea Review
Date/B • other Permit No.: � �..
i i i • Inspection Line. 503.639.4175 D ate Read B (� b, adl07
t B See Page 2 for
Internet www.tigard- or.gov BUILDING DIVISION
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ew construction ❑ Demolition For special tnJbrnratioa we chiming.
" O ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utilitDescription iDescription I Qty. I Ea. I Total
Additi
Art r . o / ; ,r , -.I F' d.' eery' _ 0 , � Y,Y s e Y,; ycomiec )
f �. e . v i ti �� e ra 'M1Vt: iS r t i Ju .. tilt ) ` • fl it 1 ' 1 4 ' eki" i - � ;s SFR (1) bath ticm •I'd . . , : .4,14e c e�., •,s :m1 s ilt a ', l' 312.
• • 1- and 2- family dwelling ❑ Commercialfindustdal SFR (2) bath 437.78 J
❑ Accessory building ❑ Multi- family SFR (3) bath 500.32
❑ Master builder Each additional bath/kitchen 25.02
❑ Other:
.� i 10� s� 0/w xai r Fire sprinkler ( sq. R) Page 2
-, :kit' u .11:411• '�`4,41.Ll'MVl t ' i' " a ° 'ti n. , ..1;1,....4: ,:. •,(l t ;yf� ` Site utilities
Job site address: a I♦ �i ' I lhi ' Catch basin or area drain 18.76
City / State/ZIP: 7 [N_1(1 - Di well, leach line, or trench drain 18.76
�`.-' Footing drain (no. linear ft.: ,) Page 2
Suite/bldg./apt no.: Project name: Manufactured home utilities 50.03
Cross street/directions to job site: _ 18.76
tie `s' Rain drain connector 18.76
Sanitary sewer (no. linear B.: ) Page 2
Storm sewer (no. linear ft:) Page 2
Water service (no. linear ft: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map /parcel no.: ? Back low pteventer 1 31.27
f f ,, + €. m_ c ,,. �:, t- •.� �1 Backwater valve
A "0/ g=�' e .. y ' ; a r.. , ' h : +Ek t 1, tY ; 12.51
jj Clothes washer
� i'1► • r`. ; IA 25.02
Dishwasher 25.02
Drinking foumain 25.02
Ejectors/sump 25.02
- ,' Yt 4 '�i$ 1 1 i,`iv,� ' �7� ' Li a S 6'l a s � y` 115x7x�C b,i - . ' , Expansion tank,
„, 9 'il , { 5, •. x •L 21 r? . i4.05 w3•. trt.w�' 1 ( . ..M% --1 . ' .. 41•4 4".:'''7, ,,,7 'es a »r . • v ;' ` ••∎• •A•••' . 12.51
• Name: � 1 _ , " � , Fixture/sewer 25.02
Address _ Floor drain/floor sink/hub 25.02
��� • 1 Vr 1! \ i Garbage disposal 25.02
City /State/ZIP: 16\ 0 Ck r Hose bib 25.02
Phone: 10 « ~ ► • • Fax: ( ) Ice maker 12.51
c = �. ;, • ,•' . ti dye ' l'r 4 w � ; it i i ` Zit �, i ,.� y s, Y r , �•;V "?'" Interceptor/grease trap 25.02
Business name: . ��� � AI A S '_ ] . ;,t Medical gas (value: S ) Page 2
Contact name: 1 a a. Primer 12 51
Roof drain (commercial) 12.51
Address: (- NICK ? I StC Sink/basin/lavatory 25.02
City / State/ZIP: A li IL i ` , 1 • r • ► • Solar units (potable water) 62.54
Phone ' . 41, ♦ ..- O S M =M Tub/shower/shower pan 12.51
E-mail: _ Urinal 25.02
((�'y1��, r " ` Pr's, l�d'c6 r�epeN . •� y F . 5 > Water closet 25.02
'1 e1 �. :lt c s . . __ � '.. er i.,n 7 .. .. ''- ,hi ;,,,,,.. -., Water heater 37.52
Business name: i a _�) D
Water piping/DWV 56.29
Address: 41, Other
25.02
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee: $72.50
�� Plan review (25% of permit fee)
♦ , �� Plumbing Lie. no.:
State .' si : - • ' : \ 11 8 a ( 12% of permit fee)
�.. • \ - � _ 1 ►jr TOTAL PERMIT F13; It Print name: =l s ' a�va D : : 6 W Si 1✓ permit apptleadon expires K a permit is not obtained within 180 days
L� after tt has been accepted as complete
*Fee methodology set by Tri- County Building Industry Service Board.
uild iagWermialP[.MU- PermitApp.doc 10/01109 440- 4616T(101021COM/W®)
Oct 31 2012 10:26 HP LASERJET FAX 360 - 882 -8815 page 3
ALL SURFACE & STORM WATER TO BE RETAINED
ON SITE.
bi
f_ 589'21'07 "E 75.2' _,`
LOT 1 2270
r-') 3486 7 ' 759 SF
.3 4 .' 3
gl as PaTio !}
o 32.67
MC
\ - REsir>ENCE
...,101 1 9 . 5
' coven Rd eET
LOT 11 r ' A A •A \ LOT 2 t l
3OULEVARD HEIGHTS I �∎ R \` , -' - ' -- co
/
%IL � 1� A 1 :1811:D
10' PRIVATE Mil , 1 iiil re- —L - '- - .03+ SD EASEMENT
-- J -' - . - . ' - ' . !..'.. - ;.,40.;.... -
1EV
,DE41AY. .. •; X 31 = c O`
t *' , 24 5 , 1
U S 75.1' 53923'4CE W
<SW CEDARCREST STREET>
Lot Sq. Ft. = 7,759 sq. ft.
Foot Print Sq, Ft. = 2,431 sq.
ft.
Lot Coverage = 31.33%
Total Impervious Surface =
3,411 sq. ft.
di ��ID iIi ���� " ���� 11 j4lli 4
Al111111146%\.s...Ref Parcel # 1S125CAl2300 I
Address: 7415 SW Cedazcrest Street _ (N11N111 1111111
PalhlischHomes Plan Stonecreek C -2763 .I l11111.
63088 NE 18TH STREET, SUITE 100 Name:
BEND, OREGON 97701 Date: 5/16/12
P/-1: (541) 385 -6762 FAX (541) 385 -6742 — `- - I Scale :1 " =20'
• DRIYHWAY, WALK, AND PATIO LAYOUTS ARE MR REFERENCE ONLY AND NOT INTENDED TO BE THE EXACT DEPSTION OP THE FINAL PRODUCT
• ERA( 71' UTILITY CONNECTIONS AT RESIDENCE MAY VARY PER BUILDERS DIS(HrION