Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2012 -00263
T [ G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/12/2012
Parcel: 2S109AB13800
Jurisdiction: Tigard
Slte address: 13248 SW STARVIEW DR
Project: Alpine View, Lot 19 Subdivision: ALPINE VIEW Lot: 19
Project Description: (1) backflow preventer
Contractor: TRADEMARK LANDSCAPES INC Owner: DR HORTON INC - PORTLAND
P. O. BOX 2410 4380 SW MACADAM AVE SUITE 100
OREGON CITY, OR 97006 PORTLAND, OR 97239
PHONE: 503 - 631 -3893 PHONE: 503-222-4151
FAX: 503 -631 -4737
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 09/12/2012 $31.27
Specifics: 1 12% State Surcharge - 09/12/2012 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment - 09/12/2012 $41.23
Class of Work: OTR•
Plumbing
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: /�Q
Issued By: Permittee Signature: D 1 1 /V 4/ /4 air i 0a
l
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 R PVE D _ _ _ _- _ _ , 1_,9k rlrilc 1_ Iai U LI' _. _.. •
City of Tigard Date/By: III to -I / r3- N AA( a j. , 4,0_143
r . Permit No.
1111 et 13125 SW Hall Blvd., Tigard, 0,..9A224 AA22
C Phon 503.718.2439 Fax: 5��5 .1 6® 2012 Plan Re�iety Other Permit No1461 4/a • • /ZIPS
Date./By:
Inspection Line: 503.639.4175 Date Ready/By:
T LC; A R D' Internet: N ttlttti and or. Ov j7 11 y; ®Sec Page 2 for formation
g g T r ry Of I TIGARD NotifiectNethod: lib' _ Supplemental In
TYPE �t 4 S FEE* SCHEDULE
® New construction �tS,l ❑'l Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 312.70
® I- and 2- family dwelling ❑ Commercial/industrial SFR (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_
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: f ?pe 4/.. 6/74-etya..0 tie Catch basin or area drain I 18.76
City /State /ZIP: TIGARD, OR 97224 Drywall, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite/bldgJapt. no.: Project name: ALPINE VIEW Manufactured home utilities 50.03
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST Manholes 18.76
WAY Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Water service (no. linear ft.: _ ) Page 2
Subdivision: ALPINE VIEW J Lot no.:
l - Fixture or item:
Tax map/parcel no.: Backftow preventer I 31.27
DESCRIPTION OF WORK Back-water valve 12.51
Clothes washer 25.02
NEW SINGLE FAMILY RESIDENTIAL _
Dishwasher 25.02
73fietli- Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: D.R. HORTON LNC. - PORTLAND Fixture / sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 7380 SW MACADAM AVE, SUITE 100
Garbage disposal 25.02
City /State/ZIP: PORTLAND, OR 97239 Hose bib 25.02
Phone: (503)222 -4151 Fax: (503)222.1304 ice maker 12.51
❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02
Business name: D.R. HORTON INC. - PORTLAND Medical gas (value: $ _ ) Page 2
Printer 12.51
Contact name: GARY CULP
Roof drain (commercial) 12.51
Address: SAME Sink/basin/lavatory 25.02
City /State/ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: gaculpra)drhorton.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: TRADEMARK LANDSCAPES, INC _
Water piping/DWV 56.29
Address: PO BOC 2410 Other: 25.02
City /State/ZIP: OREGON CITY, OR 97045 Subtotal
Phone: (503) 631 -3893 Fax: (503) 631 -4737 Minimum permit fee: $72.50 72.50
CCB Lic.: 6796
3 Plan review (25% of permit fee)
fld!fiLl)ittgo.: 11353 I15%1/ State surcharge (12% of permit fee) 8.70
Authorized signature: ��_ TOTAL PERMIT FEE I 81.20
Print name: STEVE ELLIS Date: 9/7//Z, This permit application expires if a penult is not obtained within ISO days
after it has been accepted as complete.
'Fee methodology set by Tri- County Building Industry Service Board.
1\BuildingTermrtriPL\rl!- Pcrmii App dnc 10/01/09 44046 t 6T(10'0= 'CONIAVE
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13248 SW STARVIEW DR, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2012-00263
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
Provide Backflow test report to water department for annual testing if not done so at
this time.
This inspection to close out permit.
Violation Summary:
Inspector Contractor