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Permit CITY OF TIGARD PLUMBING PERMIT 1111- 2 COMMUNITY DEVELOPMENT Permit #: PLM2011 -00228 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011 Parcel: 1 S125DC07900 Jurisdiction: Tigard Site address: 7012 SW ASH CREEK CT Project: Ash Creek Estates, Lot 12 Subdivision: Lot: Project Description: Backflow preventer for irrigation. Contractor: BURNESS LANDSCAPE Owner: WINDWOOD CONSTRUCTION INC 9330 SW LEHMAN ST 12655 SW NORTH DAKOTA ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503 - 432 -8525 PHONE. FAX: 503 - 432 -8525 FEES Quantity Description Date Amount 1 ea Backflow Preventer 07/15/2011 $31.27 Specifics: 1 12% State Surcharge - 07/15/2011 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 07/15/2011 $41.23 Type of Use SF Plumbing 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 -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: �// 41111P Permittee Signature: 7� 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. JUL -15 -2011 12:49 PM THOMAS. S.BURNESS 5034328525 P.02 Plumbing Pe flit Anpli ( i 'WCENED Building Fixtures I I Ito II 1. I \ JUL 1 2011 I City a� Tigard na zi . r„r Permit No.l ' , : 0, 11 1X1 /.t oh • - 13125 SW IIa1l Blvd., Tigard, OR t ! ()F.TIGARD Phone: 503.718.2439 Pax; 'j f1IV, ` other Permit No.: Inspection Lino: 503.639,417 " ^ G DIVISION nano aWyi y 10 sae pale 1 for ' I , r , Internet www.tigard•ar gov Notifled/Mathod, l Su ' tal Information • , r, r ,. v ,Y, •w'.t, ...t v^ r J. "nfd':'r- ,, AS 4711:4:tw Mg3hil4,401,,po v N ; li y ",,;1u V Tl il,N ,,,„ .,.,w.... v.: „� ti +`Ylr "i� 2RrvnB`e p 4f / k ?�tlT7 "' "it5,;�.rwa, I... �.f''�A1,, ,l r"Sa1�. �k R,. ��.,.,'1',rry,,r,�r „, Q;., 1 ,. q . i . s . ,, e r d'Y d '"''antd Vin <,J, 7Y 1 .' t4V •A 1 •.,N r . r ?Nv. �;yl e i t4a,d . ..r . ,.. ih S, V+ . r, 1 Y �, t , wf a , , b, t „= it a, �7 k, .,} ),9 t 4 l ad / ,,4 , , r t. r ,v.,, na `t s j r < I . . , r{. , 1! s }`,} , ,f: 1�, {.l �., 1 .���. e�V .i+ r ``I"?>,1r ,Y,�k rr�M�, .�� {i 1!p, df }} �. �:r 1 i'' : ,. , �., y <,,r .l Qh, ,.., 4. "7v . Y , ,,6 ,,, {” .r r 31 ,r. ...a p ,r) a . uu. .,e „.a. r `, .. Yn a Pi, i r. M • � ro iii, l a , u ∎{ of uu 4Y E+. X { • d t , h 1, � i ) 1 t ,rt , S at. a 1 � t1 .{ r l p ;!i' , .tt' e ,. 7, kxr.s aAFrJ,W 4 krun.aN a rr rt «,A Y �.s,. � rl ,.. �s ,.,f.,.rM;, ,ir;�� r��VRc�JdN�F�a16' P; 3 ��Vr�1�Xi.", k' JJed�� ,y�1,r�tltl.�1:V�:r41dn,!{ 177;, G+,� {� ^n 1��11& l�" � ��vCC? ti, rtX,��,..l� }�,Ar,�Ar, &01 1 . di,��h..�.a, t�'N�'afu:A..tt,.A" i � Vk ��' New construction ❑ Demolition ! or + lnformannn use c _. ,.. -.. Dasaription . I OW. I - .Ea. j Total El Addition /alteration /replacement 0 Other: New 1- 2- Homel dwellings (includes 10011. for each utility connection) �GYt?,,i�,ellthlf)fa_"� r,w,it� "x,j'�t`g ,Q�riRltl $?v:3 ; rj re }Irorl j 1 �t� ry,1N,Vd , t t . l a t,.. r .. ; Y�+ C Alin: Y 1 :''i ),j iYliJjiT'N SFR (1) bath 312.70 ^, Il ,f ^'0,5ss;iFffit111ap ` �i3'ry;, ,�r "1 r ;1 . 4 1 4dr'f:7vd 1 Yin -ui 16.41t1I -0,1 1kk,1,1: v,rtnu, :Al'x6 il.., ' . ® l - and 2- ibmily dwelling © Commercialindustrial SFK (2) bath —_ • 78 � �. 437 — SFR (3) bath 50032 © Accessory building 0 Multi- fllmily '" -„ , „. Each additional bath/kitchon 25.02 ❑ Master builder fl Other: Fire sprinkler �,,,,,-„_ ay, ft.) Page 2 �ylr'S(If k a� � r l� >1/ ti r e r 1 11 11 , a' °1',`i :1v ,V A y, all +k' 1 m V,,c,;,' k, ru ifi4 .ie, t,G{ �uy�lh X01.. y .. ∎' }klii A' h '; �S '4 ill:' d.,5, i rL3 ,iitA iV 4eil lTru t1.?1 s ` . dr)01,y , ; oo 4 r t.„, , L IT 1 i v/,r , . - S i 4� ! 4�i,3 � i4t�,d; S b 7Ckf} t + 1i skit utIIlNes? ,....,..._. Job site address: — 7G / a -�. , t( G Catch basin or area dra 18.76 Drywall, leach line, or trenc d ra i n 18.76 - City /State/ZIP: Tigard, or 97223 -- - .- __... __- _.._ Footing drain (Ito. linear ft.: Page 2 Suite/bldg. /apt, no,: Project name: Ash Creek Manufactured home utilities 50,03 Cross stteet/directinns to job site: .._ Manholes .. _^ 18.76 -- LL. -- n Rain drain connector 18.76 Sanitary sewer (no. linear ft.: Page 2 -- . �--•- ----- Storm sewer (no. linear ft.: Page 2 " _.. Water ae rvioe (no. linear ft.: Page 2� Subdivision: Ash Creek Lot no,: ++ Flatnre or Item: __ Tax map/parcel no.: - ., ...,^ ry — Backflow pteve3lter 1 31.27 U- )' +�I;l�t ^ " !l�? ( 7luji rY l�I � 1 r, V ) p r 11 j ,' r c ,„ * 4 1 . n 4 - t h 14 , p p; , „„t „ i l,. .4 61 '" r 14 r 4 tp 6 ' } ,,,, Backwater valve _.....— 12.51 .....,.�.� ll'a � „;'? 1�3ifriV14 liZiWi, it :vdiS tl,cfk' dd,.., .... 4, , ,fr , `1iau �l�trGl4JX9i�7fjl?�tik. l }�u.!i1 Clothes wasbflr 25.2 Dishwasher 25. backflow . prinking fountain, 25.02 ' Ejectors/sump 25.02 r "ni xva77� 1 - /i.. ” wta'rf M('{ 'C. r 'sj Ir��h { +}InV•1 ,)bq 1 "n' l�n ti i "r' 4' 7' �! n ve),,,w;d^v} ak,,,na i;pr) r l r ' r w l O ,b;1 + ldl�(:,�yy $b i l'� . 'ot gd ir , ti �f hitY{ ,I1 ; 56 N r .4 , Knd :: P ri I + . 16 r0tWi,i4 nalCln tattle _- ... -.. 12.51. . G %, i,,I, ,f, ? :g VWU rnd, +u h: YFS, w , ' , E , .l v fcrhvr ! "Y..,t4 f . P0 , 1 S N,',.,d,d 11,4 mud`, %,,.}�a.,,•,r ritvn.r,fXMfdau Y.t.mv,l..k„n,,.II�R Name: Wlndwood homes Fixture/Boxer oup .. 25 ---• _ _ Floor d sink/hub 25.02 Address: .w - �._ Garbage disposal 2s.o2 City /State/ZIP: Hose bib ..._. 25,02 MN; ( ) Pax: ( ) Ice maker 12.51 of I ?�t: �ll�`Yre�Cy� l%t {lY;u � trvi y il;Prl �i,�i '�'p��"'4r'•o" j,. " i Yr� a' ^:Nit "la tYvrl' f. r y ; ,,,, a�r , }u47 ak,?1S rratA J ,,,,,yht Interceptor /grease asap 25.02 i 4 1 t uv u �,Y6 ud,1 ,14> l u1 , atoll$ 7 ,,U�'6 vvr tt � t a !0.4 , A' lt.,11� i' :, .l " "1:1 '''' l-silL'l�W SM•∎)3 }112 lY' kit' . Wive +'.id1i19 uik4tmd.,h ,. " tu . 1,, , ,: )( W •._. ••••. Business name: Medical gas (value 8 ) — , Page 2 —. Primer 12.51 Coiva t none; . -.,... Roof drain (commercial) _12.51 Address: .. -. Sink/basin/lava ... ~ m 25.02 ._..__— City /Statc/ZIP _ solar units (potable water) 62.54 „—„� Pliant: ( ) , Fax:: ( ) Tub/ahower /shower pan 12.51 E -mail: y ..- Urinal 25.02 i ' f` lil e , Ir'�aa i's; , �. f�. „ ,„ , ,,, o vi t,ry,b 1 ;! 5 dr I atto r aa 1 �r m:t4,,,..4,4t a r 9a.n v. (d' an ti ! � ' �tU r•d'' ,ii � . i 't : Water Closet. 25.02 , :i(iAtilV)?1,1 ',16: M11' 1 t b k. ' r .ti lt avtS 1 0• 4 4 , ) ∎A. .. .,. , . , l u Water heater 37.52 Bueitleae tram: Rawness LS - -- - Waterpiping/UWV y - - 56.29 - Address: 933 SW lehman st Outer: __� 0 25.02 City /State/ZIP: tlgard, or 97223W Subtotal Phone: ('503) 432 -8525 Fax: (503) 432 -8.525 Minimum permit tbe: 872.50 7 . a -__ / ■ *� Mee review (25% of permit fee) _ , CCB LIc.: 1 'f ^ r � f r . ^ Plumbing Lie. no,: State surcharge (12% of permit fee) Authorized signs TOTA1. PERMIT FEE '6i, t Print name: i Date: 07 - 15.11 This permit application expires if u perndt Is not obtained within 1110 days /// -- after it has been accepted nr come. *pee methodology sat by Tri•Oounty nullding Industry Service Award. 1eoddmktlpw .rookr.M11- ramanpp.dw 10/01/09 4404616't'(10M2/OOM/l//22)