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Permit CITY OF TIGARD PLUMBING PERMIT • • • • I:.. -. COMMUNITY DEVELOPMENT Permit #: PLM2012 -00321 'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/31/2012 Parcel: 1 S 125CAl2100 Jurisdiction: Tigard Site address: 9335 SW 74TH AVE • ' Project: Lawrence Partition, Lot 2 Subdivision: 2008 -001 PARTITION PLAT Lot: 2 Project Description: (1) backflow preventer, sprinkler system 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 AVE, STE 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 Class of Work: OTR 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: T , J / J p � ! _ _ ,L Permittee Signature: � Old (�(.�/1.( a J/(.2LLf 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. Oct 31 2012 10:25 HP LASERJET FAX 360 - 882 -8815 page 2 Plumbing Permit Application REE Site Utilities ! i,,; Ot ! !( ! 1 si: O \!., N._ City of Tigard OCT 3 1 211 ted• /013///a- ce Permit No.: PL *1011. 00 53.1 13125 SW Hall Blvd., Tigard, OR 97223 • , / Phone: 503.718.2439 Fax: 503.598.1960 CITV /1>-T, , °dg Review �t No�i.(S 1 x`011 DO/pb i r.1 • Inspection Line: 503.639.4175 Internet www p�V�I i 1 Vi- 1 = B See P� E for . ou,LDIN 1�► u` :;., �.,. �� 5� Sti � � aural Informtion E.� .' !. - � Ai �, I^'1 ' -� /['" '.Y \'�a` ' ' fit- t' �)' �'�N •�: .'- 4S1L�:�. :S'�-7 �.*�. - (t, 5 10_', , i ' r t z'i;i:w E, �+is:,• ?f. Y' :,, . y ., w'.`' 1"4 :i (� ':,- " �f"S i °f1. . b ' N` aj7'• ` �.;,�,�;• : J � „.:''' ' rN s � � tb�':-c. �"i�, ,, �" � , :: � .Y,•. `,li,. *!.r�.t-��!;r .�ij u�`'� �1.,F�,m,y��•, �,�iai ��ti'1'•'t' riknagl'i!n�.•xe_2a;tS�� "' �. , •��1v • �1:� K1r i�+a.,; � ew construction ❑ Demolition For special inlon:rafion use all reclQak ❑ A ddition/alteration/replacement ❑ Other: Description d on I Qty. 1 Ea. Total RN: ;: ` y � • „L New 1-2-family (includes 100 ft. for each utility connection) z 1 q � : 1,7%63,7- r ++3 �s �wx a C cat t i•. i s : 4i •� ; ':t ` t<. ti � 7 �"�, �rx� • � ! .a ." < "�'`• �. �`'� i/aif�i�aat,.•'-� SFR (1) bath 312.70 1- and 2- family dwelling ❑ CommerciaUtndustrial SFR (2) bath 437.78 El Accessory building ❑ Multi - family SFR (3) bath 500.32 ❑ Master builder Each additional bath/kItchen 25.02 ❑ Other: Fire sprinkler ( sq. ft) Page 2 �'' W lxSb� =. 'ALE£`S1Y�+�'�P.Y WW�+'�`'�3g�' uyRC' + :x - .h � 1� ( :nilggt , i y I I i p p�r u � ) !! y r7 - i �4'£ SI� _tL �`,: etl�1:,; 1tX:�,ilv�i:�.'(�M � ��!'!�.�5?lE. .Fkj;�r;S'Y Site Ut111tiv4 Job site address: `_ = \ Catch basin or area drain 18.76 City/ State/ZIP: -r 3 c i , jh� Drywall, leach line, or tench drain 18.76 laJ , Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. no.: I Project name: i j s C � L Manufactuued home utilities 50.03 Cross street/ • ons to job site: i Manholes 18.76 i s h /. 9 r Get^ Rain drain connector 18.76 `�J� CCCJJJ��, Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: „) Page 2 Water service (no. linear ft.: _) 1 Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Back4ow p?eventer ` 31.27 . n' ' . : tAnf n a yz •yrs '. ) , t 'a 55 ! a. ° ; ar ` `�; W3 ^,y: �'4} ; Backwater valve 12.51 ��' l�kSzats:.�m� 1 '�'i f: ; ,, e d�`'�; n��.f, s��4 Clothes washer 25.02 II' Dishwasher 23.02 Drinking fountain 25.02 Ejectors/sump 25.02 ""', i(C'iYr�- �.bh'�ItL7kut,'.�tdlta ':! � `.y.- F3�, ?7,- , t � 'cSa.r sill =�xi C , iI r ,1 of i � ?d'0 :a iB " t a , i; j i ,i i:: ,4 y Expansion tank 12.51 ~ 41fY - yid ,' �j;, .3+h �I .�n�7. +9,. Name: itiNad Wallils,Mj�, Fixture /sewer cap 25.02 Address:. • L�����!�r _ �eS i =� Floor drain/floor p Garbage sink/hub 25.02 City/ State/ZIP: ► � , b Hose bib 25.02 Phone: ,iipi ) r e S--" a l ice - Fa4 ) r 5 - • IT Ice maker 12.51 '' '.i iii, ,, 14 x' 1' t .i M�!'� .riot ".,� ° Eg7 3i,,,,, Interceptor/grease trap 25.02 �l {yjl:3uy. 1, ��. �..w..15 h ^ .0 `f: ' - Business name: � gas (value: ) Page 1 , ? � 1 �..r PrimerPrimer value $ age 2 12.51 Contact name: p iii Roof drain (commercial) 12.51 Address: �(.-�- G IL, CI ].-. Sink/basin/lavatory 25.02 � city /StatelLlP:` � C , t> ep Solar units (potable water) 62.54 Phone ) 1 al - S °115 I Fax: A -bib (mi Tub/shower/shower pan 12.51 E-mail: "�'!�' `� Urinal 25.02 0Y l - rem r ti. a• .r 1 c t ) „ ; i Water clod 25.02 37.52 wS �� I XI Itri EN II I Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone: ( ) Fax ( ) Minimum permit fee: $7230 `lim r� Plumbing Lie. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized ' . ' e: k Ilk , �• ' 1 + ogh. TOTAL PERMIT FEE 3/. .p Print name: rf ` -r�i - • Q ±N_ y1► : D .. - 66 i . • permit :ftr tt has accepted yes t obtained wititia 180 days "Fee methodology set by Tri -County Building industry Service Board. I: 113uiWtrgTermita ,PLMU- PavdtApp.doc isein9 440 Oct 31 2012 10:26 HP LASERJET FAX 360 - 882 -8815 page 4 / i �l ALL SURFACE & STORM WATER TO BE RETAINED ON SITE. < - SW CEDARCREST STREET -> R: 25.5' - 30' E.-1903 S89`23'40 'E 6 E -288 2 8 25 56 I 39.04 C. 30' 15.37 I ----1 ...... I P 3.8 c:. — 6' A II �— — X44.00 / I PUE 7 iW � RESID CE 2.6 RI Rlde Elei o I I nil Y.i T. Lr 1 -15.66 6 4 I I ' P' ..11 I Q �� coo .:7 • ' = I iii Mr 19,7© a" .... 1 : D y • 2 8,D7 I 3J 0,,CsARA 2. 5 . —T_ —' -'----S 0, —1c 00- — — 24,9 i 12 7 U ` J --� E128I r 11 A (A T I ��J� /�I' -V / ! E-260 1 Lot Sq. Ft. = 8,718 sq. ft. Foot Print Sq. Ft. = 2,431 ft. Lot Coverage = 27.887. Total Impervious Surface = 3,432 sq. ft. Stonecreek P - Na 1111111 me: ame: 2763 'I I (��II1, --- -- �I ,111ii�l�l Parcel # 2 ,Irt Ili Homes Address: Address: 9335 SW 74th Avenue i �'IIII1 ' 63088 NE 18TH STREET, SUITE 100 Pl - -- - __ BEND, OREGON 97701 Date: 5/11/12 PH: (541) 385 -6762 FAX (541) 385 -6742 - _ Scale:1 " =20' • DRIVEWAY, WALK, AND PATIO LAYOIPIS ARE MR REPERBNCE ONLY AND NOT INTENDED TO BE THE EXACT DEPI(TM)N OP THE FINAL PRODUCT • EXACT UTILITY CONNECTIONS AT RESIDENCE MAY VARY PER BUILDER'S DISCRETION