Permit (2) CITY OF TIGARD PLUMBING PERMIT
114
COMMUNITY DEVELOPMENT Permit#: PLM2019-00399
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2019
Parcel: 1 S 136CD01501
Jurisdiction: Tigard
Site address: 7600 SW ATLANTA ST
Project: Tigard Self Storage Subdivision: None Lot: None
Project Description: Irrigation backflow.
Contractor: LIVING COLOR LANDSCAPE CO Owner: TRAILBLAZER DEVELOPMENT LLC
PO BOX 514 BY CPS ASSET MANAGEMENT LLC
WILSONVILLE, OR 97070 333 S STATE ST STE V-144
LAKE OSWEGO,OR 97034
PHONE: 503-678-3364 PHONE:
FAX: 503-678-5981
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 10/03/2019 $31.27
Specifics: 1 12%State Surcharge- 10/03/2019 $8.70
Plumbing
Type of Use: COM 41 ea Minimum Fee Adjustment- 10/03/2019 $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:
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.
03/21/2014 02:08 5036785981 LIVING COLOR LANDSCA PAGE 01/01
Plumbing Permit Application-
Site Utilities ECEIV „
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City ofSW
o c�F -3 2019 Aa . i y PetinitN . ,
■ 13125 sW x�l Blva.,Tigard,OR 97223 � `i��i 9`D�
' Phone: 503.718.2439 Fax; 503,598.I9+�ITY OF TIGARD D view
Other Permit No.;
T1,;A i,t:, Inspection Line: 503,639.4175 BUILDING DIVISION DateReady/By; Juris: g See Page2for
:..».. No d/Iv od upplemeptal information
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Description
for
L Addition/alteration/replaceznent 0 Other QtsI Fa Total
New 1-2-family dwelliqEs(includes 100 ft, each utility connection)
•a7,-,- r: - --.b
tr [Ilii :k ,Lf tr: d r '') I {' t" ••••:7',„; FR(l)bath 312.70
ti ..r Itnt,rGt&1._ wt+-d , . ..._ 9t7>5.r.r; , ,. ,1,;�,..r
EI 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437,78
LI Accessory building E l Multi-family SFR(3)bath50032 .�
[�Master builder - Bach additional baktt/kitchen t
❑Other
Fire Page 2
� sprinkler(.. sq.@.)
: ?s,txr t 1(r" .1.',.,4 i ,t ,-_k +H1113,�h rt 30:F i�Y Q j lit 4 1ttk I 111.[; Site utilities: ..:..
Job site address:7640 �.,.,.. I'
SW Atlanta St Catch basin or area drain 18.76
City/State/ZIP:Tigard OR 97223 Drywall,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg,/apt.no.: Project name:Tigard Self Storage Manufactured home utilities 50.03
Cross street/directions to job site: 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.; Fixture or item:
Tax map/parcel no.: Backflow preventer i 31,27 31.27
1 1
•7;7:1177„:-:'•- • """`t"^SR•M ::71 �^'m' Backwater valve 2.5
w.,. .. }3•.. .:1 ,+tr,t.. .•••.•::•,#;.,1„., -•-•:'---•• -•&.::-•„;::--,..J:•:':'• •.•:w.•,••..+__.... Clothes washer �.-
25.02
Spbnlcier system Installed for outdoor landscape-requiring a backflow
Dishwasher 25,02
Drinking fountain 25.02
Ejectors/sump 25.02
;1 .. .,t 1, •••••.t, Y l i l* t 1 F[ L, Ji ,..;••;:. t .4-A1.1,'..;••-;, ExPanston tank 12.51
Name:Trailblazer Development Fixture/sewer cap M 25.02
Address: Floor drain/floor sink/hub 25.02
r _ a� V- ‘Idisposal 23.02
City/State/ZIP: • _e 14. 0 r II! 0
.. Hose bib 25.02
Phone:( .,,, 241 5619evt Fax ( ) Ice maker 12.51
.1.:1',''-i•:.:; ',:'•, , l ry ', +" :':.;14T,
w�xr
fS r I.-} i "r +•Ir l�i; If: +t t ri { r i tl :(,r:' Interceptor/grease trap 25.02
av+mr 'T:. `�`� A
Business name:Living Color Nursery DBA Living Color Landscape Medical gas(value:$ ) Page 2
Contact nae:Stepahnie Ingle Primer 12.51
m
Roof drain(commercial) 12.51
Address:PO Box 514 Sink/basin/lavatory 25.02
City/State/ZIP:Wilsonville OR 97070 Solar units(potable water) 62.54
Phone:(503)678-3364 Fax::(503)678-5981 Tub/shower/shower pan 12,51
E-mail:stephanie®n livingeolornursery.cortt Urinal 25.02
25.02
........2.,•,111:‘::. ,r• n. :..:••:".1•:•••),I,aI.. •t e•- .. •••,•:‘,,1•,:-..- ,..,r.,1 i1" tr:.., • :;1;:„,•:_i..1 Water heater 37.52
_Business name:Living Calor Nursery DBA Living Color Landscape Water P•P g�t in WV 56.29
Address:Po Box 514 Other: 25.02
City/State/ZIP:Wilsonville Or 97070 Subtotal 31.27
Phone:(503)678-3364 Fax;(503)678-5981 Minimum permit fee: 872.50 72.50
CCB I ic.;7311 ry Plumbing Lie.no.: Plan review (25%of permit fee)
14411.4.4.:
^ w- .
. State surcharge(12%of permit fee) 8.70
Authorized signature.`/I ,i v 41
r w TOTAL PERMIT FEE 81.20
Print name: Vile '�'�I
op
Date:10/02/19
^�- This permit application expires if a permit is not obtained within 180 days
after it bus been accepted as complete
y "Fee methodology set by To-County Building Industry Service Board,
r:\Building\Ptetttita\PLMtJ-P nnitApp.doe10/01,09 440-4616T(1u02/COM/WnB)