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Permit li t I t , '' >; , PLUMBING PERMIT 7 ` q CITY OF TIGARD 5-49•/ 3 . 4 g COMMUNITY DEVELOPMENT Permit #: PLM2013 00044 T [G RL3 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2013 _. -___ , a Parcel: 1S125DC06800 Jurisdiction: Tigard Site address: 7183 SW ASH CREEK CT Project: Ash Creek Estates, Lot 1 Subdivision: ASH CREEK ESTATES Lot: 1 Project Description: (1) backflow preventer installation 3/6/13 REPRINT permit to correct description Contractor: BURNESS LANDSCAPE Owner: ASH CREEK PROPERTIES LLC 8630 SW SCHOLLS FERRY RD 12655 SW NORTH DAKOTA ST BEAVERTON, OR 97008 TIGARD, OR 97223 PHONE: 503 - 572 -0009 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Backflow Preventer 02/11/2013 $31.27 Specifics: 1 12% State Surcharge - 02/11/2013 $8.70 Plumbing Type of Use SF 41 ea Minimum Fee Adjustment - 02/11/2013 $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. Issued By: Permittee Signature: O 1 / �.p /L r / ���"` "'��� , p ^ , Call 5 by 7:00 a.m. for the next available inspection date. I / / n v , 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. CITY OF TIGARD PLUMBING PERMIT II I COMMUNITY DEVELOPMENT Permit #: PLM2013 -00044 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2013 Parcel: 1 S125DC06800 Jurisdiction: Tigard Site address: 7183 SW ASH CREEK CT Project: Ash Creek Estates, Lot 1 Subdivision: ASH CREEK ESTATES Lot: 1 Project Description: (1) backflow preventer installation Must maintain approved rear /side yard setback Contractor: BURNESS LANDSCAPE Owner: ASH CREEK PROPERTIES LLC 8630 SW SCHOLLS FERRY RD 12655 SW NORTH DAKOTA ST BEAVERTON, OR 97008 TIGARD, OR 97223 PHONE: 503 - 572 -0009 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Backflow Preventer 02/11/2013 $31.27 Specifics: 1 12% State Surcharge - 02/11/2013 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment - 02/11/2013 $41.23 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 5 1/UA/&/ A .L Permittee Signature: 0 4 PP /� ' V it 1 1 `4 I Call 503.639.4175 by 7:00 a.m. for the next available inspection date. I�+ 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. FEB -07 -2013 03:54 PM THOMAS. S. BURNESS 5034328525 P.03 Plumaine Permit AppUC*tigi Site Utilities RECEIVE r 1 r, i; ,, l l i I I I', L 4, 1, City of T i g a r d "" n I , q PermitNo.: pL -j Jo l 3 - lz•30cf't_l 13125 SW Hall Blvd., Tigard, OR 97223 F 7 2013 ' 1 1 L: Phrase: 503.718.2439 Fax: 503.598.1960 mho permit No. ST J UU ' - Inspection Line: 503,639.4175 CITY OF TIGA' Ii Dome 5.5 7 . 55 5.p...2 tar Int ernet: www.tigard-or.gov • a k 1 k 1 . 6od/Mdhod supP hffirsaUoa s 1 rF - I I 1'' L.f P 1 � r .r. c1 r I r :: I )r ,� ',,;''J'''',1 I 1 l Ni lh 1 t I II ,. I r r f I li._1 I W t h , 7 !. dt r 11 t'.l '' n �I -1 I 1 1 11 �� 'f ti( I I 1 v , � a ''' ) 9 . 1 r 5 ! ' ' ` ,a I 1 l} � I ' C� , L � 1 ,1 s ot+tv ,u ,'i� ,I � ;, IJ d .�i - .�. .'' r d ' . .6< ,a k:.n , .I I z2l k. ,� ,L1,', � . � I .b ,u; ` ,� , ei Ncw construction ❑ Demolition For special !t►jarneaato�r use checklist. Description _ LQt r "'1(a'-" i Total CI Additiordalteration/reptacement ❑ Other` New 1.2. dwellings (includes 1001E for each utility oonmeotion) : 4 , a lt i- ' .R ° - I SPR(1)bath 312.70 .. 1- and t- lramily dwelling ©Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ MuId- y Each additional bath/kitoheo 25.02 ❑ Master builder ❑Other Fire sprinkler L_ sq. ft.) Page 2 I I i -,( .'4; '' ',, t ',';`.i' 1i F r•4 1 v o I ^ Site des: I t,.,... i ;1 . C: � .4 r , . r � , l, z,,.... r ,...' 4� I Y. �. r r',,',' 5 i 1 i. a s I �. �� Job site address:1 7I $ 3 St A Sk � catch basin err are drain l Drywoll (cock line, ur trench drain 18.76 City/State/ZIP: T i cuss f! O r Footing dram (no. linear ft.: ___) In Page 2 Suite/bldg. /apt no.: CF Project name: A- S e _ , Manufnotuted home: utilities 50.03 - Crass street/directions to job site: Man/alm18. Rain drain connector 18.76 SL c, �'l ��� �� Sanitary sewer (no. linear R:_) Paget -- Storm !ewer (no- linear ft,: _) Page 2 Water service (no. linear ft.: ,_,,,�) Page 2 Subdiviilon: Lot no.' I �rIxture or Item: .r _ _ - ___;i• a Tax i Aackllow preventer F.41/11 _'..tl • t Ir t 1. r y. f .,c S .:wT L / tl c'* i :. Bacicwater valve 12,51 inimi 1 I I ••1 jt 1I I ,_ 11 : i iJr, r 1 , . r ( :. lly i. • Clothes washer MI 25,02 Dialnveebe 25.02 Drinking fountain NM 25.02 Ejectors/sump 25.02 IIIMII k w i I r4 S Yt ; n i' 9 ( h.� r il l I ion tank _ �� 1 Il r § 1 Y , n , La. � w << F 7R7En8_ !',..`j i !� ' � � l i j 1 4 � 1$( 1 , d.I ott � .,4 -.. f } m ! ..M1'1..1>.�f } -.. .rr t,. 1 I tillTt 1 . �y +�t`� i.. . ..ir, �r5 _� l, ..,s ( ) �¢ u , t :•fM __ Name: � � Fixture/Rower cap 25.02 EMI 1 1 " " t' - -- Floor drain /floor smk/hub 25.02 Addro9e: .,, „ Garbage disposal 25.02 City/State/ZIP: Hose bill 25.02 lee maker 12.51 F I s r , ,,,,- , .' . .,!,;';' , -::';;b " A t < lntcrocptar / trap 25,02 1 1 1 .. ' i ) g I r I l t � P �� 1 }! l :' ✓ ' 1 1 j ., t Fr,4 F 1 .. � ,r. I .1 r . -. •� t. I �d,. a ,.4.t . . !' ,, t ,, .r ... 3..'rl .. .r .. 1� S'Ji Business Hama: Medical gas (value: $ ) Page 2 Primer 12.51 Coact matte: Roof drain (ocmmercial) 12.51 Address: sink/basin/lavatory 25.02 , City /State/ZIP: solar writs (potable water) 62.54 Phone: ( ) Fax:: ( ) Tub/shower /!haws pan 12.51 Urinal 25.02 � AI 1 ' i � 11 I �' t r 1 r y f v �" s A `� '? a rr• l l IT ( , Water Olaaat 25.02 i I r 1 1 Y � Lh C. Ii , ,I II r I,� r•�I I MK )ttr ;I ., ; I 1 1��1.� dY h fi1� 1 �1 , , 0,/ 521 -- I , _ Il .' Jo, .trt - .L , , 1,a, , ,. IW :U'', ,_,al Org'•C . •, il,t,_,1 Water heater E 3732 Busimma name: ? ✓lies - S . -. 11 , c 6 4 0 Water piping/DWV IIMIIEEIIIIIIIIII Addr s: ; _ O w oI F? °ther: . ME 25.02 OM City/State/ZIP: 7 ' O IQ - a a - - - Subtetal .r . e 4 r Minimum permit fee: $72.50 )]o .'b Phone: (Sti]) S')a• 0009 Fax: (Sh3) 49 7 • 25 Plan review (25 %of ®nit fee) • 4 _ .4tp.: • - Plumbing Lic. no.: , -, P State aracharge (12% of permit fcc) Au lton*ed signature. _ i 'TO'T'AL PERMIT FRE 'API!' ,.. __ , This permit ap4�atbet expires , permit w a Pnnt >A : m Sul- ,4e Dat E' '1 after bins boat accepted mrr�Lts 1 ` d gs . •Fos methodology eat by in. Bullies Industry Ser hos Band LAttulidhiewmiutaktU- POanbADRex 1001AV 446445181,(10102/COM'wEB)