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Permit • A CITY OF TIGARD PLUMBING PERMIT " i" DEVELOPMENT SERVICES PERMIT #: PLM2006 -00014 I I DATE ISSUED: 1/10/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109AD - 10300 SITE ADDRESS: 12869 SW WINTERVIEW DR ZONING: R -7 SUBDIVISION: ARBOR SUMMIT LOT: 001 JURISDICTION: TIG Project Description: Backflow preventer for irrigation, common area landscape. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: • FEES WEST HILLS DEVELOPMENT 15500 SW JAY ST Description Date Amount BEAVERTON, OR 97006 [PLUMB] Permit Fee 1/10/2006 $36.25 [TAX] 8% State Surcha 1/10/2006 $2.90 Phone : 503- 641 -7342 Total $39.15 Contractor: TRADEMARK LANDSCAPES, INC. 18478W WALKER RD. OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 631 -3890 Reg #: PLM 6796 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: , 1 Permittee Signature 411100 - NW Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busines 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. C ITY OF TIGARD PLUMBING PERMIT L� DEVELOPMENT SERVICES DATE ISSUED: PL 2 00 6 00014 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109AD - 10300 SITE ADDRESS: 12869 SW WINTERVIEW DR ZONING: R -7 SUBDIVISION: ARBOR SUMMIT LOT: 001 JURISDICTION: TIG Project Description: Backflow preventer for irrigation, common area landscape. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES WEST HILLS DEVELOPMENT 15500 SW JAY ST Description Date Amount BEAVERTON, OR 97006 [PLUMB] Permit Fee 1/10/2006 $36.25 [TAX] 8% State Surcha k1/10/200. $2.90 Phone : 503- 641 -7342 TW $39.15 Contractor: / TRADEMARK LANDSCAPES, INC. 18478W WALKER RD. OREGON CITY, OR 97045 REQ ED ITEMS AND R PORTS Contact # : PRI 503- 631 -3890 ..../" Reg #: PLM 6796 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature �—�— Call 503 -639 -4175 by 7:00 a.m. for an inspection that busines • . . 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. JAN-10-2006 TUE 10:18 AM FAX N0, P. 02 Plumbing Permit -L. ,'''.a ,''- tiVED FOR OFFICE: USE ONLY City of Tigard Dat I I 0 Zit- Permit No.; V 13125 SW Hall Blvd., Tigard, OR 97223 1 2006 Received / �1 �6 '� ' Phone: 503.639.4171 Fax; 503.598.196 ' Plan Review i i...• - .1F1��i��, p Othor Permit Na. : 24- Hour Inspection Line. 503.639,4175 TI GARD _i - _ I Dale Ready /By: • Juris: 91 Sae Page: far Internet; www, ?i.tigard.or.us CVTY Drl 1 st (IN " — Notired/nlethod: -T- � tSupplementnl Information TY W O R K ' •FEE* SCHEDULE • O New construction ❑ Demolition Forapcclal information use checklist. Description I Qty. I En. I Total ❑ Addition /alteratian/replacement ❑ Other: New 1.2- family dwellings (includes 100 ft for each utility connection) . CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 (] Accessory building ID Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45,00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 . JOB Sf1'E INFORMATION AND LOCATION Site utilities • Job site address: i . 5 63 IA .) i N Q y1 EV V. Catch basin or area drain — 16.60 City /State/ZIP: TI GARD ce I 7 2-Z -`t. Drywall, leach line, or trench drain 1 LL Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: -___) Page 2 - Manufactured home utilities 110.00 Cross street/directions In job site: Manholes 16.60 Rain drain connector 16.60 _ Sanitary sewer (no. linear ft,: ) Page 2 Storm sewer (no, linear IL: ) Page 2 Subdivision: Arbor Summit I Lot no.. Water service (no. linear ft.: ) Page 2 Fixture ar item 'tax map /puroel no,: Absorption valve 16 60 ' , DESCRIPTION OF WORK ' ' ' Buck flow preventer Page 2 NEW CONSTUCTION Backwater valve 16.60 Clothes washer 16,60 Dishwasher 16.60 ' • El -PROPERTY OWNER .. ❑TENANT' Drinking fountain 1 6,60 ' Fjectors/sump 16.60 Name: West Hills Development Expansion lank _ 16.60 Address: 15500 SW Jay ST. Fixture/sewer cap 16.60 City /State /ZIP: Beaverton, OR 97006 Floor drain /floor sink/hub 16.60 Phone: (503)641 -7342 Fax: (503)641 -7661 Garbage disposal 16,60 E APPLICANT. ® CONTACT PERSON. • Hose bib 16.60 Ice maker 16.60 Business name: Same As Owner. Interceptor /grease trap 16.60 Contact name: K (4 LAN! FR ___ Medical gas (value: 5 , ) Page 2 Address: (SAME AS A2,0 ft..) Primer 16.60 City /Slate /ZIP: Roof drain (commercial) 16.60 Phone: (503 ) 641 -7342 I Fax: ; ( ) Sink/basin/lavatory 16.60 'J L s4 ' ∎v''5T ti Urinal pan 16.60 E -mail. � �� G Urinal 1660 CONTRACTOR Water closet 16,60 Business name: ' T RA FAA, A RIC L/4IJ'DSGAPF Water heater _ 16.60 Address: ' PO Box 21410 Other; ' City /State/ZIP 0( E' i G(TY 12 ' 704-6 Subtotal � t � Minimum permit fee: $72.50 Phone: (503) r 604— '7 0 13 Fax: ` ' ft' Residential backflow minimum permit fee: $36.25 CCB Lie,: • i 1 353 ' a.. I 31 o . Cir-y //a' `:-47ga- Plan review (25 /a of permit fee) State surcharge (2% of permit fee) I Authorized signature. , _ A. TOTAL PERMIT FEE Print name: ! r / 6 F 1_.k..J s Date: 1 / /O /0/ This permit application expires if a permit is not obtained within IRO days after it has been accepted as complete. *Fee methodology net by Tri- County Building Industry Service Board. l:\ auitdlns tPcrmin'PI.M•PemotApp.due 1:903 440 -4dI 6T(10/o2COM/Wen) CITY OF TIGARD . BUILDING DIVISION PERMIT # :v /►yt70 e-o"il 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / irg?-60,9 Y -) i'rk'i vtw(/`" "4 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: ` OWNER: //�� di c PHONE 0 StS " 13 CONTRACTOR: a ✓, 0 PHONE #: �� Inspection Request Scheduled For: Date: /f � Pour Time: Code # Inspection Description Confirm # Contact # Message 3 99 el.4..A., yv,i1.--, • Corrections /Comments /Instructions: ,..y.t y________ i „ 41111 M RV 6 • .,i .= - /,,_ _ _ e -6 - "( zw - - • ir- - ./iii /- ...A....i. - / � /,,� /,�� i� ✓ �.�r _ . �L =. P -ASS P APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /11 /" ( e--- Date: i f Phone #: (503) 718- /4"