Permit 11111 CITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: PLM2015 00136
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2015
Parcel: 2S102CB01901
Jurisdiction: Tigard
Site address: 13295 SW PACIFIC HWY
Project: Papa Murphy's Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 32
Project Description: Installation of backflow preventer for irrigation system.
Contractor: LIVING COLOR LANDSCAPE CO Owner: WEBER COASTAL BELLS LTD PTNRSHP
PO BOX 514 PO BOX 23408
WILSONVILLE, OR 97070 EUGENE, OR 97402
PHONE: 503-678-3364 PHONE:
FAX: 503-678-5981
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 05/06/2015 $31.27
Specifics: 1 12%State Surcharge- 05/06/2015 $8.70
Plumbing
Type of Use COM 41 ea Minimum Fee Adjustment- 05/06/2015 $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 OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: Permittee Signature: /
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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.
05/04/2015 04:34 5036785981 LIVING COLOR LANDSCA PAGE 02
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Plumb.ii a Permit APPlicati i n t T��
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Received ,- . J �� t
City of Tigard I1 JBy 7j 4'/S Permit No.: N!
+ 13125 SW!Tall Blvd.,Tigard,OR 970Y 4 2015 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
T Y(: a,i 1 Inspection Line: 503.639.4175 i y`t IL foe 0 I a Date Ready/By: rssa: B See Page 2 Tar
Internet www.tigard-or-gov �,1 1 I V I I I l)/11R1/ Nonfied/MeNwad
d1 Idoaritsatloa
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' Y .� � a+1 , 1 . �.�r z'.u.;!• F .�i" y z ,:1.' f r '1 . , .. ilax U �r f r . ,
0 New construction _ ❑Demolition For spedd&formation arse cheddist
- Dc ion J Qty. 1 Ea. ( Total
® ditionlalteration/replacement ❑Other New 1-2-family dwellings(mcludes 100 ft.for each utility connection)
j y1.PF • a ' t, SFR 1 bath 312.70
❑1-and 2-family dwelling f 'Coornmercial/industrial 5FR(2)batb 437.78
SFR(3)bath 500.32
Q Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master budder ❑Other:
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Fin sprinkler(, sq.ft) Page 2
J ,� S O 211 ffiM .. t v i�M ',f Vc'0r^cl Site utilities: •Job site address: ;Z.95 6t,c . /a('' ,.' % t Catch basin ar area drain 18.76
City/State/ZIP: 1 1 qa, • 0/ 7'7zz Footiell,leach late,linear Itch drain 18.76
I /- / Footing drain(no,linear ft.: ) Page 2
Suite/bldg./opt.no.: I Project name: .P 'l / " j? $ ManuFryatued home utilities 50.03
(Voss street/directions to job site: Manholes / 18.76
Rarest drain connector 18.76
_Sanitary sewer(no.linear ft.:__„_.) Page 2
Storm sewer(no.linear ft.:�) Page 2
Water service(no.linear ft.: ) a Page 2
Subdivision: Lot no.: Fatm-e or item: _
-
Tax map/parcel no.: Backftaw preventer / 31.27 3/7 7
q‘7 r '', 0 y v, „a f } r' a�a, r ':.,: Backwater valve 12.51
�' f Clothes washer 25.02
-/(.4-- C,it 1.IV / Dishwasher 25.02
.Tar/ ,, Q 1(!! Drinking fountain 25.02
Ejectors/sump _ 25,02
f ,.:t .v . r l_1(,"/s/�!,RR 11:Yi',,t,..,:'a ar f 4w f-t' f �ti-;::, Expansion tack 12.51
Name. �� „„v/e,..7-2/7,0 ��1 , FL /scwcr cap 25.02
Address: �� � . � C l Floor drain/floor disposal sink/hub 25.02
- e/ Garbage disposal 25.02
City/StatctLlP: Qa!"{� L z 3 Hose bib F 25.02 `
Phone:( ) ✓7 Fax:( ) lee maker 12.51
. ;., ..is 7:C r41'ra -,r. ' :''''::',`,11.;.. ,6° X f','',i:. Intecepor/grease trap 25.02 Business name: I !}/f f ■ � � _4 Medical gas(value:$ ) Page 2
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Contact name: ii f Primer 12.51
/, Roof drain(commercial) 12.51
Address: LM_ ,T.ai . _/Y Sink/basin/lavatory 25.02
City/State/ZIP: 1,L!'/50,1 j/e (ye q 7a:7 7.. Solar units(potable water) 62.54
p ones(51113) 6--) '-53/1(i Fax::( 3) 6J /U ,-s-e97 1 . Tub/shower/shower pan . 1231_1
E-mail: ! Urinal 25.02
a( \ , 4 err i fi Water closet 2.5.02
�.
water healer 37.52
Business frame: Y` i�f/ Pip g/D
Water t m W V 56.29
Address: Other. 25.02 •
City/State/ZIP- Sabtotal
Phone:(L)3) 7 Y 7 5 2/0-- Fax:( ) Minimum permit fee: $72.50
Plan review (25Ve of permit Ike)
CCB Lie-: 7311 Phrmbltlg f10.:f." Std surcharge(12%of permit fee)
Authorized signature: i ,� TOTAL PERMIT FEE
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P r i n t name: ui� ,/-r(i l I Date;5 .��/�"! Tbia permit application expires If a permit is not obtained within 180 days
/ 1 ! a f t e r it b a t been aecented as complete.
"Fee methodology set by TO-Coanty Building Industry
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05/04/2015 04:34 5036785981 LIVING COLOR LANDSCA PAGE 01
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13295 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2015-00136
Inspection Type: Inspector:
399 Plumbing final George Heimos
Result:
PASS - NoCofO
Comments:
1 " Wilkins model 350serial number A420643
Violation Summary:
Inspector Contractor