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Permit CITY OF TIGARD " PLUMBING PERMIT COMMUNITY DEVELOPMENT i '' Permit#: PLM2018-00093 Ti[;AIL n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t / Date Issued: 03/08/2018 \V) I Parcel: 2S110AC00200 Jurisdiction: Tigard Site address: 10985 SW ANNAND HILL CT Project: Annand Heights,Lot 11 Subdivision: ANNAND HILL SUBDIVISION Lot: Project Description: Irrigation backflow. 3/26/18:REPRINT to change address. Contractor: CONTOUR LANDSCAPING Owner: ANNAND HILL LLC 12485 SW TOOZE RD BY RICHARDS, M DALE SHERWOOD, OR 97140 12655 SW NORTH DAKOTA ST TIGARD, OR 97223 PHONE: 503-682-1302 PHONE: 503-768-4375 FAX: 503-682-1302 FEES Quantity Description Date Amount 1 ea Backflow Preventer 03/08/2018 $31.27 Specifics: 1 12%State Surcharge- 03/08/2018 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 03/08/2018 $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 Si nature. / g z �I / 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. ,, CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00093 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2018 Parcel: 2S 110AC00200 Jurisdiction: Tigard Site address: 10985 SW ANNAND CT Project: Annand Heights,Lot 11 Subdivision: ANNAND HILL SUBDIVISION Lot: Project Description: Irrigation backflow. Contractor: CONTOUR LANDSCAPING Owner: ANNAND HILL LLC 12485 SW TOOZE RD BY RICHARDS, M DALE SHERWOOD, OR 97140 12655 SW NORTH DAKOTA ST TIGARD, OR 97223 PHONE: 503-682-1302 PHONE: 503-768-4375 FAX: 503-682-1302 FEES Quantity Description Date Amount 1 ea Backflow Preventer 03/08/2018 $31.27 Specifics: 1 12%State Surcharge- 03/08/2018 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 03/08/2018 $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: 4IP�: / `tE„__ 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. Plumbing Permit Application ye Building Fixtures EI 1014 of II( I. (:-SF OM 1' City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2018Date/BY: /� 47�' Penult No�L jy f = Phone: 503.718.2439 Fax: 503.598.1 Q6(j Plan Review '©dd/C� 11(,11U) Inspection Line: 503.639.4175 `-'t' i - ((tlrt�'� Date/BY:ea other Permit ) / �G) �% Internet: www.tigard-or.gov /3 WWI DIV/SI( ` DateReady/By: otified/Method: Inns. SO.See Page 2 for TYPE OF WORK Supplemental lnformadon .:' New construction FEE* SCHEDULE 0 Demolition For ecial information use checklist. IDAddition/alteration/replacement 0 Other: Descri.tion Q Ea. Total New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION ►V -and 2-family dwelling SFR(1)bath 312.70 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ❑Accessory building 0 Multi-family 500.32 ❑Master builder Each additional bath/kitchen 25.02 0 Other: JOB SITE INFORMATION AND LOCATION Fire sprinkler(____-sq. ) Page 2 _ Job site address: d g -r.� ( �✓1.i i Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: Project name: itii t 1, 31 Footing drain(no.linear I ; ) Page 2 Cross street/directions to job site: y Manufactured home utilities 50.73 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: _ Lot no.: `/ Fixture or item: g Tax map/parcel no.: Backflow preventer EMI 31.27 _ DESCRIPTION OF WORK Backwater valve 12.51 II 111 :E - orI I ligf y lothwasher 25.02 It�_ _c . .v DCishwes asher 25.02 Drinking fountain 25.02 0 PROPERTY OWNER Ejectors/sumppanion 25.02 0 TENANT Expansion tank 12.51 i s�r r Fixture/sewer cap Address: v 25.02 ���i1 L r 0 Floor drge floor sink/hub 25.02 Cityless: ZIP: f r `'��s Garbage disposal /� 25.02 Phone:( ) Ice maker 15Hose bib 22. .52 _ 0 APPLICANT0 2 CONTACT PERSON Interceptor/greasehap 25 Medical gas(value:$ ) Page 2 Contact name: IGIMEIIIIIIIIIIIIIIIIIIIIIII_ 12.51 Address: Roof drain(commercial) 12.51 City/State/ZIP: Sink/basin/lavatory 25.54 Phone:( ) Solar units(potable water) 62.54 CO Tub/shower/shower pan 12.51 EMINIMININEE 25.02 NTRA/^TOR Water closet 25.02 J �y Water heater / 44& 37.52 Address: 6 s Water piping/DW V _ * t k., �• �7 ' b= 56.2902 _ City/State/ZIP: `� , r Other: q C 25.02 - Phone. is< � 0 (SD ) :' _ ( J Subtotal _ Z. Fax:( ) .y� Minimum permit fee: $72.50 M CCB Lie.: e r • toPlumbing Lie.no.: e Plan review (25%of permit fee) Authorized signature: au, , State surcharge(12%of r� ".L) permit fee) a Print name: TOTAL PERMIT FEE ��; SE L �� �/r J Date: tra This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building,Permits\PLMU_Pem»tApp.dec 10/01/09 440.46161(10f02lCOM/WBg) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10985 SW ANNAND CT, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2018-00093 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . 1 " Febco DC,model 850, serial #56052, for irrigation, located by water meter- ok with test. Violation Summary: Inspector Contractor