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Permit CITY OF TIGARD PLUMBING PERMIT '` COMMUNITY DEVELOPMENT Permit #: PLM2009 -00360 13125 S W Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/23/2009 TIGARD Parcel: 2S109AB15800 Jurisdiction: Tigard Site address: 13357 SW ALPINE VIEW DR Subdivision: ALPINE VIEW Lot: 39 Project: Alpine View Project Description: Irrigation backflow device. Owner: FEES WEST HILLS DEVELOPMENT Quantity Description Date Amount 735 SW 158TH AVE BEAVERTON, OR 97406 1 ea Beddow Preventer 12/23/2009 $31.27 1 12% State Surcharge - 12/23/2009 $8.70 PHONE: 503 - 641 -7342 Plumbing 41 ea Minimum Fee Adjustment - 12/23/2009 $41.23 Plumbing Contractor: TRADEMARK LANDSCAPES INC P. O. BOX 2410 OREGON CITY, OR 97006 PHONE: 503 -631 -3893 FAX: 503 - 631 -4737 Type of Use: SF 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: �glk Permittee Signature: 0/1/ 1 /O . Call 503.639.4175 by 7:00 a.m. for an Inspection that business day. 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. DEC -23 -2009 WED 10:56 AN FAX N0, 5036417661 P. 04 • r 1u111pl,1 rermit A /CD building Fixtures �. � V : ° d . City of Tigard I �t t: R4 2 7: 3 2 009 Rnceivad t .: ' � 4 13125 SW Hull Blvd., Ti ard, n Dntc /13y, � ,7 3 0 g i r -, - Permit No /�, ,e -r +1 a Phone: 503.6 39.4171 Fax: 503_59 8 f �' lOZ �b8� Plan Review —,./2. 0 ` latl , n It �a Inspection Line: 503.639.4171 � r 1 IGp1R natc /tlr. i�w+estsr�yl Internet; www,tigard -or,go . DaroRcad /t3 OthcrParmitN1 . S�.Z00% DO /S I II 1 1 ' ti ti " ti, I '1 I ti I..1 l - G D IVISION Y o. I JIIIII 1I14 (t44� I ii V I 10!I'Itn,l , 11, . . , ' ll "i , I I i e t ,Ti lt I': r I I; Notified/Method: 9 J SeoPajre1for 1 � 11 d 1111 I 1 41d41I1d11 1 .1!'lllli1 I III I III ,I , , . I u l ;, I , at :I 1141 1 { 1 1 1 1 .1 1 1 1 1PII ' I I ' "Ij I I I I I'Ikl''i i I 1 1 ' l 1 x 91 U i I p 1 1 sun Iemenral Information 141 111,1111 I.dll. }I I I I ' . n n' d 1,} 1 nn 1 . It'' 6 a� , I' i141 �I Illllill ' 'llnlllll 1 1 1 1 1 1II tlf I Il III I` 1` II�1! II111 t 1 11' l l p 1( ' j` ' I:. I i iJI l AWI ll'tlu M1 n 4 µ`yh1 •iI•(I �` I , , it p ` 41 I 1 I.l- 4.ILI,I� I..,I.III� !' 11. 114611d�, tldlllll�yllllllllll�llll�111. 411�lldll, ll�l�llld `III�. illl�iilul ylllllll�ltl, �l���, 11` 111�114111�1 ``�Il��illllll1 1E New construction ©Demolition for eclat information use checklist 0 Addilion/alteration/replacement ❑ Other: Dcscri tion 1II'�I I' y I 11 'I'1 1' Itil' New 1- 2 -fnmil 0��° utility Total fll��i11111 1111111, y1i14i11111�111�11�44�11�lltlltilll1141111��jl�Il� °lit!,lllulr l il p�1i411tp lt ,!I!n,n,iu p p ', I L ,`, y dwellings (includes 100 IL for each 1 14111, 1111.111 �IlttLuLllluuRwillnlAU�IPdldill „ll.I Lunlln�l: �llu! 1115tl�Id; Ic; l:llllAdud�ll�llllnl°14aillhlyl Id41l lllll�ll�h�lLj�Il� l�lh�� l� l �l` llll�lldi , 4 i1 1 .7 connection) L.1 I I l 41'11 l� I I I���Y SFR (1) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 Accessory building ❑ Multi- family SFR (3) bath 500,32 ❑ Muster builder Each additional bath/kitchen Mi� ❑ Other; I I' 1 1 1 1 1 y�41 1 i11iI I I'. 1iI 1 IIII I ylItl }ILP,Ii11:I',t11I1111} ri['IIFI',fPII' 1144' II, II 11'. IIII! i ).'• I141 1 1'I'1'1'1'1'1'411x11' 1 �ldl , Illlllllli���. LL' U 1 { ��� 11 . I I 4 , y, l :d',��.I c i , I1I11111111 ! lilt! Il Il IIIIII tI 1 1 1 1 11!, VIII I:ii,Il ilillI Job site address: 13357 SW ALPINE VIEW DRIVE Catclt or area drain City/State /ZIP: TIGARD, OR 97224 r 18.76 Drywell, leach line, or drain 18 76 Suite /bldg, /apt. no.: Project name: Footing drain (no. linear it.: `^) Page 2 H Cross street/direaions to,jobsite: Manutuctured home utilities 50.03 Manholes 18.76 ' Rain drain connector 18.76 Sanitary sewer (no. linear ft: `) Page 2 Storm sewer (no, linear ft.:,) Page 2 Subdivision: ALPINE VIEW Water service (no. linear it,; , ) ME page 2 Lot no.: 39 Fixture or item: Tax el no.: par map /c � r 11 r I' / I c r` I 1 1 1 { 01 4} 4”, I'�(V D 13acicflow prevcnter 1 MU It 1 11 1 l� 1 1l lli�l�4fl l ll� l lh! �11141i�L I � II I IIIII ti tIfII Ih 111 I 11 1 IIIIII`111' +Ill /° `'''',!I i;�i�umlliicpa + 4',P I I'riitpt '�I'dl4lji plll''I' ll} 1 1' 1 :1' I I'{ I'I'PI'I I' r1 p41 1I 1 r 31.27 �1.1L1 "141.1,1'I,I,I.c 6 ,1 1't l, Lll 1 �Il ; k 1 L 'i n� i i1.ill.i1 1 :q.i111 1 11 1 !1l4i 1 1 :'I Iii /'' i i i i i i1l I i i ii : lll ,: iii! Il{ II1dII1411iiiiii11�11i11 :111.1li1 ll!I!illlll Backwater valve �� BACK FLOW PERMIT Clothes washer 25.02 Dishwasher 25,02 Drinking fountain .oz 4 I I I n+ n, 111 11I, 1t4`414li1 1 11u41r ''1111 I t I p,It t l r II 1 t ,I 1 I j jI.II' 1' I l7l l 1 1 I I r I' I III 1 t . , I Ejectors /sump �1116 �� I In 1' 11 Iji 1 I:p'l 1 'I "nwlVl:uirlt (ti 'Il1i, , rC „ ?5.02 2s 11 11 d, „ un,��dJ1'uili l i ltl!' l t l: �ll' 111iu1 ,t,iu�lP,14d dlld�d!,11 l ! 1 : al i� 1�11 t A! �I��d� „ l,il i11dliil�I'.11 JI,ilLII1111111111� ,111 ,16ll� Expansion tank Nance: WEST ILLS DEVELOPMENT 12.51 aill Fixture /sewer cap 25.02 Address: 735 SW 158 AVE Floor drain/floor sink/hub 25.02 City/State/ZIP: IIEAVI RTON, OR 97006 Garbage disposal — 25,02 2 1 — Phone: (50 'on: 3)(/4 734 Hose bib 1 ~ o ' n { 3 p l 73 l 4 yxr.u' ;rJa 1,111,.1, " I v 11 Fax: (503)641 -7661 12.02 IIIM 1 I ” �41L 114�� 1 I `�� ` 4111 S Iil 4 l I ` I II 'll 1 LII'II,m „'I iI a'o n l rlunl' 1I 111 1 Ice maker 1 1 Il lull a tl '.n . ' III 11j11i111111I I'1,� 1 l ' l 12.51 11. 11 1 11,1 1t 11 1 l „t,n " ,14 141 „ 1e'LI' , rail: 11k1,. 1.' I il' t �I�III11�dl ll! d11, l l �ll4lii l ,.�ll .. ! L t z ' li l. , l , 1 �1 1 l h H I 1" �IY'lt�•l,i 1 1 11 1}I l llyl�l Interceptor /grease trap i 11 n 1.t'ellll a .1t.:.. 11d 1i14r'.h11,1 llt'lld.d 25.02 LII Business name: WEST BILLS DEVELOPMENT Medical gas (value; $�) MN Page 2 Contact name: MIRIAM WILSON primer 1‘ 12.51 Address: 735 SW 158 AVENUE drain (commercial) 12.51 City/State/ZIP: Bf AVERTOJN, OR 97006 — Sink/basin/lavatory 25.02 Solar units (potable water) IIMI Phone: (503) 726 -7033 Fax: ; 503 641 -7661 ( ) Tub/shower/shower pan 12.51 E -mail: mwilsun(a�orborbomes.com { I' Pl`' I I I I Urinal 25.02 d�I,, 1VIIlI�I11111111�1Iillly�lI l�llllll�' 1411ItI 1i11�1�11�1111j 111111111iIUr11t '1 +1'iI'�.14,Iilliilrl14l!�it lt`II4III{ 11111IPI' �j111!'l`yLl'l44`1'pllIra 11 1 „ ., 4 dl1 IJl14l, El ' 111dn,Pal111.1t,441111i1!n:1: 111114, I�, Ihlh, ldt!, 1, Il' dPdllJ�lpt! i111IIl�Ill111J !III1,11!Il'IlIIl Ill l! I A''ll!11411'1 25 -02 Business name: TRADEMARK LANDSCAPE W Water h cIosel 37.52 Address: Y.O. BOX 2410 Water prptng/DWV 1.1. 56 ______. City /Stale /LIP: OREGON CITY, OR 97045 Other; 25.02 Phone: (503) 631 -3893 Subtotal 31.27 Fax: (503) 631 -4737 Minimum permit fee: $72,50 72. 5 • CCB Lie,; 6796 ./ Plwnbing Lie. no 2383780 Plan roview (25% of permit fee) Authorized signatu' ' ” 1 J �) _ State surcharge (12% of permit fee) �' 7 Print name: MIRIAM WILSON C1 N� TOTAL PERMIT FEE ,,2,, DatC: 12/23 This permit application expires if a permit is lint obtained within 80 days after it has been acecptad as complete, j 'Fen methodology sat by Tri- County 19uilding Industry Service Board. rlBUilaiq , crmliammIJ- Yurmiutpp,duc 1we 440.4616T(10/021COM/WNa)