Loading...
Permit CITY OF TIGARD PLUMBING PERMIT ; ' : COMMUNITY DEVELOPMENT Permit #: PLM2011 -00027 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/26/2011 Parcel: 2S109AB12700 Jurisdiction: Tigard Site address: 14196 SW STELLER'S JAY LN Project: Alpine View, Lot 8 Subdivision: ALPINE VIEW Lot: 8 Project Description: Residential backflow device. Contractor: TRADEMARK LANDSCAPES INC Owner: WEST HILLS DEVELOPMENT P. O. BOX 2410 735 SW 158TH OREGON CITY, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 641 -7342 HONE: 503 - 631 -3893 FAX: 503 - 631 -4737 FEES Quantity Description Date Amount 1 ea Backflow Preventer 01/26/2011 $31.27 Specifics: 1 12% State Surcharge - 01/26/2011 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 01/26/2011 $41.23 Type of Use: SF 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 que 'ins to 00 • by calling 503.232.1987 or 1.800.332.2344. Issued By i Permittee Signatu ' 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 Applicatio l Building Fixtures 111 / r__ ` � i1 � f " `� " roR qI FICC use ONLY IN City of Tigard / AI r� Received / / - Pen nit No.:Pz`/y� Q // �f7� . 13125 SW Hall Blvd., Tigard, O 97223 6 e : / � K � 2�" p Ph., lan Rvicty a . Phone: 503.639.4171 Fax:. pal &By. Other Pcrmii ' 0 # "�� `TIGARD Inspection Line: 503.639A 1/751 r �p [ or 1 �� �' D o l e Rco tort.: 0 See Page 2 for (/ Internet ~v CY ww tigard- or.gaA dl! ° ritn r., _I �t`t 11 Notifled/MelInformation SupplcmentnInformation � t +1 v��� ��^ � y[- s:. REZ tna gErFFJI�,, r x WSV © New construction ❑ Demolition For special Information are checklist. Description 1 Oty. 1 Ea. I Total ❑ Addition/alteration/replacement , ❑ Other: New 1- 2- fancily dwellings (includes 100 II. for each utility connection) " , ° `'�{ °' `+ „ t' yt e r .' 7, ' SFR(I)bath 312.70 ® I- and 2- family dwelling ❑ Commercial/industrial 5FR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi-family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 ' r /It'" U i C Q1iggiO j '[ O, Qr cif u Site utilities: Job site address: 14196 SW Stellers Jay Lane Catch basin or area drain 18.76 Drywcll, leach line, or trench dram 18.76 City /State/ZIP: Tigard OR 97224 Footing drain (no. linear fj.: ) Page 2 Suite/bidg. /apt. no.: I Project name: Manufactured home utilities 50.03 Cross strecddirectlons to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear R: ___) Page 2 Storm sewer (no. linear ft.: ___) Page 2 Water service (no. linear ft.: Page 2 Subdivision: Alpine View I Lot no.: 8 Fixture or Item: Tax map/parcel no.: Backflow preventer I 31.27 r. i �� , ,.. �,,,.. �rt1,, Backwater valve 12.51 Ra .:5:E .$st'•'t1� `�i l_ ,[ a :P `i.1�i4I`a'. ' +.SX A? ? ate 'g "a * Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .4 74 7 AW17 -7.. .... a '.,. li� °! � * 0 1.0. , Expansion tank 12.51 Name: West Hills Development Fixture/sewer cap 25.02 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 tt •ate u ` �t; I l � � w - c o "I c7t l 'nSO , 'kl lnlerceptor /grctuc imp 25.02 i "d,,... `Jiaa ..j, v }V.� ..lk :• 2" ... f:" ( iKr'. ,„14. - R Business name: West Hills Development Medical gas (value: S _) Page 2 Primer 12.51 Contact. name: Angie Cook . Roof drain (commercial) 12.51 Address: 735 SW 158 Ave. Sink/basin/lavatory 25.02 City/Stoic/ZIP: Beaverton OR 97006 Solar units (potable water) 62.54 Phone: (503) 641 -7342 Fax: : (503) 641 -7661 Tub /shower /shower pan 12.51 E -matt: ncaok @arborhomcs.com Urinal 25.02 '''�' R ' . t GO ' ='�Y . dirt .. ` IAN 3 Water Ben 25.02 - b ° 'x� � � =� � Watcn c�nlcr 37.52 Business name: Trademark Landscape tVatcr piping/DWV 56.29 Address: 19088 S. Redlond Rd. Other: 25.02 _ City /State/ZIP: Oregon City, OR 97045 Subtotal / Phone: (503) 631 -3893 Fax: (503) 631 -4737 Minimum permit fcc: $72.50 '. // j' "° p Plan review (25% of permit fcc) CCB Lic.: 11353 j3� /d2 P�• no.: State surcharge (12% of permit [cc) Authorized signature: r/3/42_ TOTAL PERMIT FEE el, Print name: Steve Ellis Date: 1/27/1 1 This permit application expires if n permit h not nbtnlned within 180 days after It has been accepted as complete. "Fee methodology set by Tri -Caumy Building Industry Service Board 1. lnuildin &U'umin\PLAIU- PmmliAPp.dac 10101/09 440 -911 ST(rora2rcontmeo)