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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2019-00120 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2019 Parcel: 2S102CB01804 Jurisdiction: Tigard Site address: 13305 SW PACIFIC HWY Project: Taco Bell Subdivision: None Lot: None Project Description: Backflow preventer for irrigation. Contractor: LIVING COLOR LANDSCAPE CO Owner: WEBER COASTAL BELLS LIMITED PO BOX 514 WEBER, EDUARD WILSONVILLE, OR 97070 840 CONGER ST EUGENE, OR 97402 PHONE: 503-678-3364 PHONE: FAX: 503-678-5981 FEES Quantity Description Date Amount 1 ea Backflow Preventer 03/27/2019 $31.27 Specifics: 1 12%State Surcharge- 03/27/2019 $8.70 Plumbing Type of Use: COM 41 ea Minimum Fee Adjustment- 03/27/2019 $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: j 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. �'Yu�bind Permit Application �j� ��. � Building Fixtures City of Tigard MAR 2 0 2019 RiVed Daum . `Cf a1/ Permit 140.: , ,1 _ -- + 13125 SW Hall Blvd,.'Tigard,OR 97223 • �• .. ' Phone: 503.718.2439 Fent: "'tire. .an Review Other Pewoit No.: lrrsptwtionLine: 503.639A175 lel 1 T �� ��/� ® D' ;IL �� '' �,./ T f i :11;l Interact DIVISION I)ete Re /8 �!' Y' !a See P 2 For . 1V -0rgoV NoL�ed/iV1dh0A: rm*tiPn t • ,4'. ,v,: ...y .a1. :Y ,4. " ".. i :, , 1..., ... .:,:,, . ' �'�''� J:? . t\� : .,f')'/' {•1:i, ^tii ,..,::p;''.r.,•.t El New construction ©Demolition ' For apeccial bt(ormatiort rose ekecklisL Addition/alterptlon/replace nz other: Des tion I Qty. Ea 'To�al x: - io .ate.n New 1-2-family dwellings(includes 100 ft,for each unlit+connection) .' =ir, "2v'r,'ni d ";:1r, ;i' .,.7r`thti,F'Tli.:i'.Jir '77. °i.t'�. r. ... Rlti•Q i' TR1 T '' k',,::;.., SFR(1)bath .,.:':•': ;,.;< `:.. :...,.,.... ___", ;..:.:.;;,.. �.,,...,:,. 312.70 1 end 2-famil aS 0 Y dwelti_ Commercial lndustriaC SSR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bah 500.32 Each additional bath/kitchen 25•g2 O Master builder 0 Q -"';'r'';,; _�ry •.�1: ;..�,° �,.,r �..: ,.4�, ,.'�. Fire sprinkler( _s4-&) Page 2 %gp:',. ..'i!CI IpR TA+TFF(di�l ..... s.`:r'. Kl yJob site address S y r,f c Catch basin or area drain 18.76 City/State/`ZIP: _OR cri z espiij aryweil,leech titre or trench drain 18.76 . ' Suite/bldg./apt.no.: Proecr name: 9 Footing drain(no.linear ft.:.-... ) Page 2 J t ,fee; *i.. # !' ! Manufactured home utilities 50.03 Cross street/directions to job site: ___ Manholes 18.76 , Rant drain connector 18.76 --T ^^-- •'•W T - .Sanitary server(no.linear it: J Page 2 Storm sewer(no.linear ft.:,__) Page 2 "'"�`� - Water service(no.linear ft.:�) .Page 2 Subdivision: -1Tot of no.; T nature or item; Tax mapfparceI no.: Backflow preventer 31.27 f. 1 •.{,' .�.�1.. �,.Y.ir.i r •.. .,.0:. !.,1_ ,F:,,vti ..r:"",-::.:1',, :.. S4w��1YYl YAF 12.51 ' :' i `.i CIoUtes washer T 25.02 .1 11 .. (1, . . dh.1 ik' yr ce Dishwasher 25.02 -1 ' '► `M ail,'. 4111'6,4; °0'i • Drinking fountain 2542 Fjcctors/sump 25.02 • `,... ., `j .�Wgt: ,:•,,.....-4,,:1-.-'" : �; _� ~� ;+; ;,.:; Expansion .,.... 1251; ,x,'` �; ► .,. .. " ..,;,.,4;:...:E.;:,; ',rc• ; . ,.;..,,,; _ Name: � .t -" 1. k ture/sewer cap 25.02 Address. "C��6 Floor drain/floor sink/hob _ 25.02 Garbage disposal 25.02 City/State/ZLY ,�9eja,e- C42.- 01'°"�9 2 M VHose bib 25.02 Phone:( ) ' J Far(5,41) �.. _. ry ICC malGer 12.51 i'; `,: CA.< Irl ,; ;. , �?11FIA4" : erccptor/grease tr 2. . .. .... .. ..... .. . �. .. . ... ?�'' �; t $p 5:02 Business name: L\v c Medical gas(value:$.. . ) Page 2 Contact nano: i-v Pru 12.51 'Roof drain(commercial) 12.51 Address6X LI Sink/basin/lavatory25.02 City/StateJZIP_\ bfVt 1 t.e_ M. I 01 0 Solar units(potable water) 62.54 �-1 Fax: i'hane:( b� '�:� (5lg : oworlshower!� .12.51 `1)lblsh E mom- alt:',,As..---, �- G ' CA V1. I11• V, ♦ 1\164 • ' n Unnal 25,02 " ,.., ''" - t Water closer • ::,:;:;' � i�' Q `y,�,.mr.: .,, 25.02 Busitress name: U1 � DV r..1;Cr ,� �s Waterheater 37.52 13 ddress: 1. ei J L P ,••••- Water piPinB� 56.29 °�iT 7 i4 y Other 25.02 City/Stutc/ZIP: 1•& .I 1j,. 1 i) 1 C _ Sublets' SI.'Z.'1 Phone:( 0rF Fax:( h . • ! - g _ Minimum permit fee: $72.50 -32, 3 _CCB Lie.: !k Plumbing Lic,no.: Plan review (2595 of permit fee) Authorized sltura . • State surcharge(12%of permit fee) S:i 0 TOTAL PERMIT FEE 'St . 2_0 CIMalt� �•_,' � �'3 q A E< This permit application expires If a permit is not obtained within I80 ditys .u� after it has been accepted as cotapiste. • `Fee methodology set by hi-County Building Industry Service Board. TO/T0 39dd VDSQNG1 210100 JNI/1I1 18698L9£05 0T:T0 £TOZ/90/60 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13305 SW PACIFIC HWY, TIGARD, OR, 97223 March 28, 2019 at 9:21 :24 AM Record Type: Record ID: Commercial - Plumbing PLM2019-00120 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Febco irrigation backflow device model 850 ser#92492 located by water meter approved with test report. Violation Summary: Inspector Contractor