Permit 4 CITY OF TIGARD PLUMBING PERMIT
` ;''!' ° COMMUNITY DEVELOPMENT Permit #: PLM2010 -00266
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/13/2010
Parcel: 2S109AB13600
Jurisdiction: Tigard
Site address: 14443 SW FORAN TER
Subdivision: Alpine View Lot: 17
Project: Alpine View
Project Description: Installation of residential backflow preventer for irrigation.
Owner: FEES
WEST HILLS DEVELOPMENT Quantity Description Date Amount
735 SW 158TH
BEAVERTON, OR 97006 1 ea Backflow Preventer 08/13/2010 $31.27
PHONE: 503-641-7342 1 12% State Surcharge - 08/13/2010 $8.70
Plumbing
41 ea Minimum Fee Adjustment - 08/13/2010 $41.23
Contractor: Plumbing
TRADEMARK LANDSCAPES INC
P. 0. 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 Notif ion a -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direc uestions to 0 C • calling 503.246.6699 or 1.800.332.2344.
Issue By: I 4 �J/ - 1� Permittee Signature:
= .
� � � � <
((� i� L jy(�
Call 503.639.4175 by 7:00 a.m. for an inspection that bus' • =ss 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.
Plumbing Permit A pli'c fan i .. in i/
5 t ir--n
Building Fixtures 4, a ,, i; F e °' : a •° roiz of i ice on i ; M Y`i . > ; P
City of Tigard nII . -
h3Y
Received 1 Q Permit No , ( Q Da �/„
i : !1 ty 13 20 �o Date/By: . , . a ro- _ _'W
13125 SW Hall .417 Fax: 50A-,598.1960 ,Tigard, OR Plan Review /15774:50
Q132
Phone: .503639.4171. DatcBy: 0thcr Permit N o.:
+ Inspection Line: 503.639.4175 sl t 1 %rte �� t Ddte Ri adyBy:, 1u�,: ( 0 Sce Pnge 2 for
" a i Internet: www.ligard -orgov B J11 f' \1 fi biieirvo Notified/Method: I supplemental Information
471 a) M � tom�,_�,-�y+> � }� r.. M f d,i r "' m�.,, trf -a'` --w ` FDl�!ArSVEDUIi1T..'t:IV' z 'y-a I
n ? r f"r'm Y +. ' (y µ('.•.� �.+� '0 \rt aI �14•'"i� r� "�itic£ x: Knr+]:L`..,'= "-t... J
Dem olition For special Ltformaliorr ttse checklist
® New.construction Description 1 Qty. 1 En. 1 Total
❑ Addition /alteration/replacement ❑ Other:. New 1- 2- family:dwcllings (includes 100 ft.: for each utility connection)
r ^:f„ Lt. �i �L4 �t y! I o ,z i `x8 !n.. a "t SFR(1)bath I I 312.70 I .
u�.� «5 a SFR (2) -bads 437.78
® I- and 2- family dwelling El Comtnercial/industrial SFR (3) bath 500.32
❑ Accessory building ❑ Multi- family
Each additional bath/kitclteri 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
+1 p r V4 t be .+w a r 7 p'•` t i • t7 u 0 "^ t Site. utilities:
Catch basin or area drain 18.76
Job site address: 14443 SW Foran Terrace
Drywcll, leach line. or trench dram 18.76
City /State21P: Tigard OR 97224 Footing dram (no. linear 11.: ) Page 2
Suite/bldg. /apt. no.: I Project name :. Manufactured home utilities 50.03
Cross street/directions to job.site: Manholes I 18.76
Rain drain connector 18.76
Sanitary sewer (no..lincnr ft.: ) Page 2
Storm sewer (no. linear ft.: Page 2
Water service (no. linear. ft.: ) Page 2
Subdivision: Alpine View I Lot no.: 17 Fixture or item:
Backflow preventer 1 31.27
Tax map /parcel no.: _
., b ,: . tnrcx tim a.rg q .. M0i
t � k3P" ; !`,�j::.;'..d, Backwater valve 12.51
�ii>, � ��� �2'4"''�-,��ut3���°"�"'"'>a'�'"` CloUtes wisher 25.02
Dishwasher 25.02
Drinking:fountain 25.02
Ejectors/sump 25.02
�. .. � Expansion tank • -
, �"" -.r ry:' Ro s11 1 o al y.,,r` 5F { 4, , k t , x _ 1'5
Fixture/sewer cap 25.02
Name: West Hills Development
Floor drain/floor sink/hub 25.02
Address: 735 SW 158 Ave Garbage disposal 25.02
City / State/ZIP: Beaverton OR 97006 Hose bib 25.02
Phone: ( 503 ) 641 -7342 . Fax: (503)641 -7661 Ice maker 12.51
��, ._, "F .' 25.02
.:,r,�t rt a RI �-f; i1 h* e e �� O Interceptor /grease trap
. #i,_ rk.,,'�.J3tr.s... .?.. ,_ ». 2
Medicnfgas (value: $ ) Page
Business name: West Hills Development' -
Primer 12.51
Contact. name: Angie'Cook Roof drain'(commercial) 12.51
Address: 735 SW 158 Ave. Sink/basin/lavatoiy 25.02
City /State/ZIP: Beaverton OR 97006 Solar units (potable water) 62.54
Phone: (503) 641-7342 Fax: : (503) 641 -7661 Tub /shower /shower pan 12.5.1
Urinal 25.02
E -mail ncook@arborhomes com
y? �� , ' - ,w.,,p.R YE,a, �+r" as �o m. c• Water closet 25.02
Ik.;:'/ ttn7 t ..; sa .: T. O , '' 6301 ra A ;31' t3 • Water heater 37.52
Business name: Trademark Landscape Water piping/DWV 56.29
Address: 19088 S. Redland Rd. Other. 25.02
City / State/ZIP: Oregon City;. OR. 97045 Subtotal
(
Phone: (503) 631 -3893 Fax: (503) 631 -4737 Minimum permit fee: $72.50 ? ,/ .so
Plan review (25% of permit fee) -fir
CB Lic.: 11353 Plumbing Lic. no.: o -gyp
State surcharge (12 /o of permit fce) S{-
Authorized signature: TOTAL PERMIT FEE irJ .
. This permit application expires if n'perntit is not obtained within 180 days
Print name: Steve Ellis Date: 8/11/10 after it, has been accepted as complete.
"Fm methodology set by 'Fri-County Building Industry Service Board.
1, 1Buildineermiu \PLMU- PermitApp.doe 10/01/09 440 1516T(10/O2./COMAVEB)