Permit CITY OF TIGARD PLUMBING PERMIT
• COMMUNITY DEVELOPMENT Permit #: PLM2012 00206
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2012
TIGARD 9 Parcel: 1 S135CA09200
Jurisdiction: Tigard
Site address: 11488 SW 96TH AVE
Project: Solera, Lot 1 Subdivision: SOLERA Lot: 1
Project Description: Backflow for sprinkler system
Contractor: TRADEMARK LANDSCAPES INC Owner: SOLERA LLC
P. 0. BOX 2410 9200 SW NIMBUS AVE
OREGON CITY, OR 97006 BEAVERTON, OR 97008
PHONE: 503 - 631 -3893 PHONE:
FAX: 503 -631 -4737
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 07/25/2012 $31.27
Specifics: 1 12% State Surcharge - 07/25/2012 $8.70
Plumbing
Type of Use SF 41 ea Minimum Fee Adjustment - 07/25/2012 $41.23
Plumbing
Class of Work: NEW
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 t� -les adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: C./1 Permittee Signature:
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.
07/25/2012 11:56AM 5036314737 TRADEMARK LANDSAPES PAGE 02/03
From Ernesto Design, LLC Fax: (877) 49488157 To: +1S=314737 Fax: +15038314737 Page 2 of 3 7012012 1025
Plumbing Permit Application RECEIVED
JUL 25 20 PumltNo.: P� 20(2.- of Tigard •
13m t ., Tigard, OLt 97223 CITYOFTIG , u o ;�x� ao�U' 0�3��
N-6,. Phone- 503.7182439 Fax 503-598.1961
b online: 503.639A175 BUILDING DWI r ,; , ,Hy: r a SeePa�2Wr
Internet SapplemesW
_ , i:., wlva.ttgatd -orgov NouS roloragaao
`:• t r - . •. 0 ❑Demolition For af information iisecheckllat
eweonsttussiou - - Din ' (Tj Ea• 1 Total
�
0 AdOn/altetion/replaayneat ❑ Other: New 1- 84 MIWY dwe1F (dudes 100 R for eats milk caa c . _
SRI ([) bath 3 L2.70
::::.?',::'1':;:.'.';' :. ,."{.1: .; .. • ;.CA'COA 437.78
Al • and ?-family dwelling ❑ rl stria/ s (2) b "- Y 300.32
SFR (3) bath
Aa saorY building 0 Multi-family Each addirionel bath/kitchen 25.02 .w.
Q Master bw'lde• ❑ Other --
sprinkler (____ _ sq. ft) Page 2
` `t`' 'LYON M D Site 5tthlkc
::.`:.' • :::fOB:.9l<l>� �i �' �� •' �' • ,IioCA1`ION • _.._� _
Job site addle= SMI RMI i v6,- Catch /sash or arca drain 18.76
-
Drywall, teach line, or trendy drain , 18.76
City/State/VP: _ _ Footing drabs (rlo. linear ft. : ,.i Page 2
Suitt/bldg./wt. no.: Project norm _ M nama:ad home utilities 50.03
Cross street/directions to job site: �+
r Mtnahat6 18.76
Rain drain co lo r 18.76
/ 4�tlr✓ Seaitary sewer (eo /loner R: ) Page x
V. 'I II Storm sewer (no- linear R.: __.) Page 2
V - Water service (no. rims -$: •• .) Page 2
Subdivision: 'Sc .. G _ , Lot no.: ( Fixture or ttem: _
Backflawtuewriter { 31-27 T
Tax map/parcel no.:
BadrwaICt val
•11ESCRXR'1'ION OF. WORK . . ; : : `.: ; Clothes washer 25.02
Q '�o s r f h (iC�@ r t, = W1 _ Dishwarbv 25.02
Thinking 25.02
F3urp _ 25.02 .._.
' ' .: •:. , ril malt _ 1251
...: :: Figura/saw= rat 25.02
Nom: EoO•gZETT HOMES Floor drain/floor attic/huh 25.02
Address: 535 5 .L,) l 5$'D` f u! SUITE l 130 O di 25.02
city /Staten/-: BEa k it, rton . OQG 91 006 Hose bib 25.02
F ax: ( ) Lee maker 12.51
Phone: �z6 -•7 543 ti26- -'7106
.. - ter - •- __ : _ t 25.02 , -
;❑; : •, : _:; �_ ; • - �s:Cl oonrticir..orr•:?•� to t -
Medical am (value: S---) _ Page 2
Business name: P R A 12.51
Contact name: _ Roof drab (cotemetuiel) 12..51
Address: ,Roof
25.02
•
City/Sore/ZIP Solar aw5s (potable water) 62-54
sho pm 12.51
Urinal
(-mail
itiril>ltr+ - -
• . :. Winer beater 37.52
gg d -r ietp e m W SLk.. L -No5cs Pe5 T* C - Water pipe /DAN 5529
Address: p. (3 5o t. 24 1 Outer. 25.02
Minimum permit City/Stet lP: O ft-Etabr t el - r1t, . 4 2 E. 9 7 0 45 _ Subtotal Phone: (50) 4.3 I - 311.73 Fax: (663) 6631. 1-7 3 7 - Plan 02596 of p�aru fbe)
lX`B Lie : 6'"1 C16 ill El)Zta Plumbidg Lim no_ 4 - State sd (12% of pandit fix)
Audufrized signature: 5 C rpm, rpRNli<C FEll g'i . ao 4 4
` Flimflam: Dm: 2 S- 1 Z 7bb permit applleogo ogres Ira pe t b set obtained Milan 110 dare
_ u� t . E.LL I S C 7 - �] aRe it tin lre� eaM� as w mpld�
*Fee methodology set by Ttt- Cormly soaks footrtiy Setviot nab
; thldin tPitrlPLMU.P miutpaaoe twevo9 44e- 016ntao2/cOM/Wea)
07/25/2012 11:56AM 5036314737 TRADEMARK LANDSAPES PAGE 03/03
Fran. Emeeto Dear, LLC Fax: (977) 496.6157 To +15038314737 Fax: +15036314737 Page 3 of 3 712512012 1025
Plymbing Per mit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule:
Residential Fire Suppression Systems:
,._ gerlinit� ..... '
. Site Utilltiea : • • : ' • • Q4`. Fee ro . . •Squire Footage
50.03 2,000 $ 121.
Footing deco 1" 100' -- 0 001 ta 33.60 5169
Footing drain - each additional 100' 37 .E 3601 to 7,200 $233.20
Seem - 1st 100'
62.54 7,201 and greater _, $32754
Scorer -each additional 100' 3732
Water Service - 1st io4' 11101 Medical Gas Systems:
� • • : ,. ,;, • ;
WtrmService- eachaddial 100' 37.52 _ ValUat»f:'_' i V17XLti ee� ;:: .:: :. .. .
StOrel & Main Drain - 1st 100' 6254 $1.00 to S5,000.00 Minimum fee $7250
Steam & Rain Drain - each additional 100' 37.52 ^ $5,001.00 to $10, 000.00 $72.50 for the firs $5 x.00 and $1.52 For
each additional $100.00 Or traction Mawr, to
t'.)f' SL DS'•.pr�+ens 1.. desY`.. ; '' W andincludig510
.tan $10,001.00 m 525,000.00 $14550 for the fiat 510,000.00 and $154 for
w n on e existing Palen or $10
• .. each additional $100.00 or &ation thereat to
which no fee is • specifically e - /2 hour indicated 90.00/ht and including 5 9000 0Q --
n L ion • e -112 ornmr 000.00 and $1.45 for
jrapoctions oatsida of normal baEi�oess 90.00/1w $25,001 AO to 150,000.00 $379.50 for tba fan 525.
aarh u ddidanal $ 100.00 or Ctiaeowa thetza to
Rai ssiai i i n Fees charge -2 hours) , an inel $50 000.00.
Reinslsecdon Fees � 90.00lht 55 sod up $742. the fire
$54,000.00 aid $ t 20 far
Additional plan review for revisions — 90.0011r< each additional $100.00 or Barrio thereof
innirtutttav charge- In hour)
Subtotal:
Commercial Fiatare Work,:
:: Plop Reoie'vv+fvrf lulibin liii llatians -�:: •. '.; :
Are you capping, adding or replacing fixtures'? if "Yes + � � for any of the following.
please indicate work performed by fixture. Failure to Plan review is required
accurately report fixtures could result in increased sewer fees*. Any new sal building with water service 2" and
Lis thu c Rep greats, except systems designed and Stamped by licensed
fixture TYPG Previous canoed _ : Added Bsadan engineer.
/Poet 0 New exterior plumbing site Utilities for any complex structure
❑ Medical defined in OAE91 &180 - 0040.
Bath -Tub/Shower er-Tub/Shower for health core facilities.
,►�Nml _- al ga4 and vacuum systems
ter Wash -Each Shia 0 Any com snuff defined OAR91 &780 -x.
- Drive Ttav . El �Y complex
AsPiaaor d the above.
Dishwasher - }D o o rt w h m. m we a i cial Submit ]i of plans with any a
Drinking Fountain %7:: r ` L ::? 11111t3tTLC;o r s . rl1Dll.. : ''' ,ti.
Fee Werth ......: • required for new buildings
1�>kaie�siott - 2^ � � iso>zh�t'ic or riser diagram is rhea i
-9° that meet the qualifications above.
Car Wash Amin
Garbage gestic – fixture work:
Disposal -Commercial Comments regarding
-industrial _
lee Machilt - nraies
Oil Sarar>tflri9as Stta) —
- Rec. Vdhick Station
Shawn -Gang
Stall
Sink -1' - -
*Note: If the fixture work under this permit results in an
sovice _ increase of sewer CDUn, a sewer permit will be issued and
S m ►irhx Pool Finer — fees assessed for the sewer increase must be paid before the
washer • Clotho plumbing permit esio he Issued.
Water Extractzr water Closer- Toilet
Urinal
-
Other Fitdrees: , '
1:1Building 1permiratPLM- PermitApp.dac 2