Permit 1 `
CITY OF TIGARD QQ® PLUMBING PERMIT
a. • COMMUNITY DEVELOPMENT Permit#: PLM2014-00070
T t<i A R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/17/2014
Parcel: 1S126DC10700
Jurisdiction: TIGARD
Site address: 9408 SW LEHMAN ST
Project: Greco Estates,Lot 2 Subdivision: GRECO ESTATES Lot: 2
Project Description: Residential backflow preventer for irrigation. 4/2/14,reprinted to correct parcel#from 1S126DC03200 to
1S126DC10700. -
Contractor: MERTEN AND SON'S LANDSCAPE Owner: LF 8 LLC
PO BOX 261 5285 MEADOWS RD, STE 171
SAINT PAUL,OR 97137 LAKE OSWEGO, OR 97035
PHONE: 503-209-5159 PHONE: 503-308-7324
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 03/17/2014 $31.27
Specifics: 1 12%State Surcharge- 03/17/2014 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 03/17/2014 $41.23
Plumbing
Class of Work: ALT
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: ( ' " Oe ) Permittee Signature: _ l
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.
4
CITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: PLM2014-00070
Date Issued: 03/17/2014
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S126DC03200
Jurisdiction: TIGARD
Site address: 9408 SW LEHMAN ST
Project: Greco Estates, Lot 2 Subdivision: LEHMANN ACRE TRACT Lot: 7
Project Description: New SF.DEMO CREDITS FROM BUP2013-00185 APPLIED TO THIS PERMIT
Contractor: MERTEN AND SON'S LANDSCAPE Owner: LF 8 LLC
PO BOX 261 5285 MEADOWS RD, STE 171
SAINT PAUL. OR 97137 LAKE OSWEGO, OR 97035
PHONE 503-209-5159 PHONE 503-308-7324
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 03/17/2014 $31.27
Specifics:, 1 12%State Surcharge- 03/17/2014 $8.70
Plumbing
Type of Use SF 41 ea Minimum Fee Adjustment- 03/17/2014 $41.23
Class of Work: ALT
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 0 NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Pennittee Signature: — -
■
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.
Plumbing Permit Application
Building Fixtures R1 CE1V FOR OFFICE USE ON1.1
City of Tigard Received Permit No:
114
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 3, 7�i'i I P /K' ca)70
ryry Plan Review 11
a Phone: 503.718.2439 Fax: 503.598.1960 MAR 2014 Date By: Other Permit No S7-A6/3-odd a 3
Inspection Line: 503.639.4175
I I(;ARD Date Read / y lurk el See Page 2 for
Internet: www.tigard-or.gov C1TY OF T1GAlittfied/Method: { Supplemental Information
TYPE OF WORK BUILDING DIVISION FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description .1 Qty. 1 Ea. I 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
l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
building SFR(3)bath 500.32
❑Accesso ry g ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:9408 SW Lehman St Catch basin or area drain 1 8.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Greco Estate Manufactured home utilities 50.03
Cross street/directions to job site:Greenburg Road Manholes 18.76
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: Lot no.:2 Fixture or item:
Tax map/parcel no.: Backflow preventer ] 31.27 3/.,)_7
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer 25.02
Irrigation-Backflow Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name LF 8 LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:5285 Meadows Road Suite 171
Garbage disposal 25.02
City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02
Phone:(503)657-3402 Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:JT Smith Companies Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Wayne Pykonen Roof drain(commercial) 12.51
Address:5285 Meadows Road Suite 171 Sink/basin/lavatory 25.02
City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54
Phone:(503)358-8955 Fax::( ) Tub/shower/shower pan 12.51
E-mail:waynepCjtsmithco.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:Merten and Son's Landscape Water P�P� 8/1 m DWV 56.29
Address:Po Box 261 Other: 25.02
City/State/ZIP:Saint Paul,OR 97137 Subtotal '3 ) .t7
Phone:(503)209-5159 Fax:( )
Minimum permit fee: $72.50 7,i -5U
CCB Lie.: L1' ' Plumbing Lic.no.: Plan review (25%of permit fee) -
State surcharge(12%of permit fee) .5t 7t?
Authorized signature: Q/ 7/.201LA TOTAL PERMIT FEE 8/ 4.0
Print name: (,t)A)N E py K 0 NEJ Date: 3 ` permit is not obtained within 180 days
I This permit application expires if a after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building.Permits\PLMl1-PermitAppdoe 10/01/09 440-4616T(I0/02/COM/WEB)