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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2011 -00243 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/31/2011 Parcel: 2S109AB14300 Jurisdiction: Tigard Site address: 13336 SW OUZEL LN Project: Alpine View, Lot 24 Subdivision: Lot: Project Description: Backflow for irrigation. Contractor: TRADEMARK LANDSCAPES INC Owner: WEST HILLS DEVELOPMENT P. O. BOX 2410 735 SW 158TH AVE OREGON CITY, OR 97006 BEAVERTON, OR 97006 P PHONE: 503 - 726 -7044 HONE: 503 - 631 -3893 FAX: 503 - 631 -4737 FEES Quantity Description Date Amount 1 ea Backflow Preventer 08/31/2011 $31.27 Specifics: 1 12% State Surcharge - 08/31/2011 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 08/31/2011 $41.23 Type of Use: SF Plumbing Class of Work: OTR Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct ques • o - UNC by calling 503.232.1987 or 1.800.332.2344. Issued B : ( /��/J,/ / '^ (,, Q Permittee Signature: i Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ,Plumbing..Permit Application 'Building `Fixtures FOR of rice USE ONL : ., • , lir City:of Tigard Vec nteivcd , / 'Permit No. :" u 13125$W Hall :Blvd., lvd., Tigard, OR 97223 PI n Revic}v Phone: - 503 639:4171 Fax: ,503.598.1960 �(� > y. Other Pemttl No,. TI -Inspection Line: 503.639 :41.75 t HatmReadylBy; �lurist O'SeePage 2•for Internet: vvsvvv heard or.gov Not ' Ad:. . Sopplemciitaldnformation ° w , .. . . -- _ ,i} A " , o ; 'ar1 m _ .;� ;.,Tg„ ;' e -.tea %0111N4-- „ ' � , .'. , ; .y yy <..,. t ,'i s i� %t7„\ ° a .A.. gs?���.-.x q, p.,,:,?; ..s V. , , 11�� .. =[i y��( -j� ]�_ .y'.�w� .� .ri ,{�t9.':r�• z.': ,:i4,5-,&,;),:a:••::,,,,, : " ..,. � ' ,..k' :- +�, ^tr :.•; � " ^��5 >��,.'5.� .a,5.z�..., m k �~ >,A ivn '�.a� - .�` ��.i '� �.9A. �'��� ,$yp�+ „'.' °-= °.- �i�;�t..:. NiW �,>1 � -, � � a ., f ® 1i ew construction O'Demolition' % : For speclal Information use checklist Descript . I Q Y _ t : Ea., I Total O Addition/alteration/repl O -Other:. • New 1- ,2- family. dwellings,(includes;1 for (aelt connection) r g�m�t SFR(]}`bath: 312.70 ate„ ..�M5 > © i -.and 2- family dwelling O Commerctal/industrial SFR (2)"bath 437:78 SF0.°(3) bath 50032: . 0 Accessory building ❑ Mufti- family Each additional - 25:02 • O Master builder ❑ Other: . - Fire” sprinkler"( sq. 04 'Page ? ,14 144: ( 4 -<v VPO ' : Site:atilities: - • J "TIQRlti2�t1 tLO@ _ _ ; t�1,', . ,. -.4 � _ .. ..,,,:, �u.:w,� ,t,, v .. s ue =V �-r . •" : .address: / 333 3 W ( S l (U 7, E . LA/� Catch basin orarca [train 18:76 Job site. Drwell,.. fetich htie, or irenclrtl'rain . ,18.76 City /State/Z1Pi Tigard OR 97224 Faotine drtin (no. lipetu f[:;), Page.2, Suite/bldg. /apt.no.: I Projectnanre: Mnnufactured'hoine:ittilities . .50.03 Cross street /directions to job• I ite: Manholes 18.76 • ' . Rain - . drain connector . 18.76 Sanitary sewer;(tio. linettr..#1. :, ) Page 2 ' . Storm sewer (no. linear ft.: ) '.Page 2 1 , Waterservice :(no.:linear.ft. ) - Page 2 Subdivision: Alp /IVE VIEW Lot no: 2 ^ Fixture or itertt:. Tax .iria 1 p arcel no.i' ' Backflow_preventet 1 . - • .,.. , �,T �e :; t �.xr„ - »;5«as . " Backwater valve - . :1251 z�.7rnavro °� .:;. « �., ..✓z� . : �k' - .. CtotliES' \Vt1Sl1Cr - 25:02 • . . . - :Dishwasher: ' . . '25.62" Dishwasher: 25 - • Drinking'fountain , . 25.02 • Ejeciors/sump: 25 :02 x.x.a,�"saar «.�-W l .. �� f � y « ° `.',... ,, ,.�...unv , gar ,� ;za< fst�l Eap>)n510n - tank • -12.51 y Fixture/se■er cap: • 25:02' Name: West:Ilills'Development .. ' :Floo"draini loor.sink/ltub 25.02 Addresst135:S1V I58 - 2.: 2 • • G ar b age d 5 02 . C . City /StateTZIP: B eaverton 'OR•97006 . ... : i iose'bili 25:02 :Phonei'y(503)6_ 41 = 7342, .F.ax :'(5 =76 "Ice,maker: '12:51 "::. V ; .v i s . ,.. ' Et w" ro,SWiliiiiQI4 %� 4. kuerceptor /grease trap . .. . :: " - 25.02 . • Medical gas (value: $; ) Pa_e:2 • • Business- nnme :Nl'est Hills Bevelopment ?tinier ' 12 :51 , . ' ' :Contactn Angie"Cooli "' ' 12.51. Roof d rain (commercial)t • ,Address: •735 :SW 158' Ave._ Sink/liasiti/lavutory. 25,02' _City /State/ZIP: Beaverton OR'97006 ' :Solar.units;(potable,wtiter)'' ' 62.54. ,Phone: 45(13);_641- 7342. Fax:•:•(503).641 4661 'Tub /shower /stioiver,pan , ' :12.51 . 'Urinal ' ' • 25.02 iE -maiL acool4ar.horltomes.com • • ,:yam , °:= ; s g ' s. . 'Water closet ??_02 :; ..Fr ' >`° mF1 ' ` l t?'R ; ,' ` +, _., : �t . . s,F.v g. y w � -. ..: , •tox --, —"- " ,: -/- : '', < ,, 37 :52 �: �F- Water- heater . :Bitssiness`narite: T,r6dlemarlr. 4V aterpiping/DWV ' '5 6:79 .Address: 19088•S: Redland.Rd, Other: 25:02 City /State/ZIP.: 'Oregon .0 RI" ;.OR• 97045 Subtotal 'Phone:`,(503) 631 -3893' 'Fa' : (503) 6314737 Mininiarn permit'fee: $72.50 "9,57, . , , Plan.review (25 %orpermit fee) •---- ' ;CCB'Lic. ::,1'1353' , Plumbing Lid.- State ch• sur arge (1 of permit See) 70 ' ture: - .Autliorized:signa TOTAL,'PERMI.fFEE 6 f, a•O % e;C[lis Date This pennit.application expires' ifs,pertait'is not abiaided nithiiit80 days Prinb`nume:.Stey ���(O /lI atier. :been accepted as ' !Fey: methodology sei by Tri- County•Btiildbig.indnstry Service 'Board. 1 13uil diegWermits\PLhiU= PemtitApp.doc 1 0/01/09. 440,• -16 la( IO/OJCOMAVi D)