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Permit CITY OF TIGARD ©©_ PLUMBING PERMIT ! COMMUNITY DEVELOPMENT Permit#: PLM2014-00063 T lG A.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014 Parcel: 1 S126DC10900 Jurisdiction: TIGARD Site address: 9366 SW LEHMAN ST Project: Greco Estates,Lot 4 Subdivision: GRECO ESTATES Lot: 4 Project Description: Installation of residential backflow preventer for irrigation. 4/2/14,reprinted to correct parcel#from 1S126DC03301 to 1S126DC10900. Contractor: MERTEN AND SON'S LANDSCAPE Owner: LF 8 LLC PO BOX 261 5285 MEADOWS RD, STE 171 SAINT PAUL, OR 97137 LAKE OSWEGO, OR 97035 PHONE: 503-209-5159 PHONE: 503-308-7324 FAX: FEES Quantity Description Date Amount 1 ea Backflow Preventer 03/06/2014 $31.27 Specifics: 1 12%State Surcharge- 03/06/2014 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 03/06/2014 $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 questio L)NC by calling 503.232.1987 or 1.800.332.2344. Issued By: { ) Permittee Signature: a-ft 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. CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2014-00063 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014 Parcel: 1 S 126DC03301 Jurisdiction: TIGARD Site address: 9366 SW LEHMAN ST Project: Greco Estates,Lot 4 Subdivision: LEHMANN ACRE TRACT Lot: 6 Project Description: Installation of residential backflow preventer for irrigation Contractor: MERTEN AND SON'S LANDSCAPE Owner: LF 8 LLC PO BOX 261 5285 MEADOWS RD, STE 171 SAINT PAUL, OR 97137 LAKE OSWEGO, OR 97035 PHONE: 503-209-5159 PHONE: 503-308-7324 FAX: FEES Quantity Description Date Amount 1 ea Backflow Preventer 03/06/2014 $31.27 Specifics: 1 12%State Surcharge- 03/06/2014 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 03/06/2014 $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 N ation Cente. Those are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dir questions to OUNC b' • ng 50 .232 1987 or 1.800.332.2344. Iss ed By: r Permittee Signature: • Call 503.639.4175 by 7:00 a.m.for the next available inspection 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 Applicatiog,,, Building Fixtures I10EIVFD FOR OFFICE USE ONLY }V g Received /t 4 /( 14411610/ _az 43 City of Tigard ,,,,�(pp Received yid Permit No.: 3 II ■ 13125 SW Hall Blvd.,Tigard,OR 911A&B -6 2014 Plan Review ■ Phone: 503.718.2439 Fax: 503398.1960 Date/By: Other Permit No.: Inspection Line: 503.639.4175 CITY'OF TIGARD Date Ready/By: tuns: I ® See Page 2 for .1 I G A R I) Internet: www.ti and-or. ov 1 g g Notified/Method: Supplemental Information TYPE OF FEE* SCHEDULE ❑New construction ❑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 111111111111.1 SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath _ ❑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:9366 SW Lehman St Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:, ) Page 2 Suite/bldg./apt.no.: I Project name:Greco Estates Manufactured home utilities 50.03 Cross street/directions to job site:Greenburg Road Manholes 18.76 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: I Lot no.:4 Fixture or item: Tax map/parcel no.: Backflow preventer / 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Yard Irrigation Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LF 8 Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5285 Meadows Road Suite 171 Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)657 3402 Fax:( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:.1T Smith Companies Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Wayne Pykonen Roof drain(commercial) 12.51 Address:5285 Meadows Road Suite 171 Sink/basin/lavatory 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)657-3402 Fax::( ) Tub/shower/shower pan 12.51 E-mail:waynep@jtsmithco.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Merten and Son's Landscape Water P�P� 8�r to WV 56.29 Address:Po Box 261 Other: 25.02 City/State/ZIP:Saint Paul,OR 97137 Subtotal Phone:(503)209-5159 Fax:( ) Minimum permit fee: $72.50 .5t) CCB Lic.:8948 /t/bit Plumbing Lic.no.: Plan review (25%of permit fee) ( / State surcharge(12%of permit fee) ts,70 Authorized signature: TOTAL PERMIT FEE (i,w, Print name' ` Date 34 This permit application expires if a permit is not obtained within 180 days �( j�IG 3�6 l after it has been accepted as complete. // *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Pennits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9366 SW LEHMAN ST, TIGARD, OR, OR Residential - Plumbing 399 Plumbing ﬁnal 2014-03-07 00:00:00 PLM2014-00063 PASS - No C of O Wilkins 3/4" model 350 XLT, SerIal no. A327098 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9366 SW LEHMAN ST, TIGARD, OR, OR Residential - Plumbing 399 Plumbing ﬁnal 2014-03-07 00:00:00 PLM2014-00063 PASS - No C of O Wilkins 3/4" model 350 XLT, SerIal no. A327098 Violation Summary: Inspector Contractor