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Permit riZN ,7. ili r v c A 1 � „ ®� ��® PLUMBING PERMIT "' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00213 ,,. ti DATE ISSUED: 5/22/2007 TsIGARD 13125 SW Hall Blvd Tigard, OR 97223 503.639.4171 �' ^ g PARCEL: 2S103DA -02300 SITE ADDRESS: 10880 SW DERRY DELL CT ZONING: R -3.5 SUBDIVISION: DERRY DELL PLAT 2 LOT: 025 JURISDICTION: TIG PROJECT: MCCUTCHAN Project Description: Re - route drains under house and install sewer line to city stub out. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES ALBERT MCCUTCHAN Description Date Amount 10880 SW DERRY DELL TIGARD, OR 97223 [PLUMB] Permit Fee 5/22/2007 $72.50 [TAX] 8% State Surcha 5/22/2007 $5.80 Phone : Total $78.30 Contractor: ADVANCED PLUMBING CHUCK MCALLISTER PO BOX 593 REQUIRED ITEMS AND REPORTS PORTLAND, OR 97207 Contact # : PRI 503- 780 -0644 FAX 360 -571 -4188 Reg #: LIC 140302 PLM 37 -477PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. \ P Signature: Issued By /I ✓ Ii/ i/, - g p I fQni Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. May :50p ADVANCED PLUMBING LLC p.2 B i Fixtures g _Perm It A i t ea on. 1 66 '4'S 71",$� ,i 1‘ ,1 R 3 'City Of Tio &lyd . om_ i' : 1 1 ' ? ( i , v .e : r r l4- p.r r 1 LCCL r I ar:i..- a b n:• � h , Received 13125 SW Hall Blvd., Tigard, OR 97223 t � ��r J /V,Pa " • Permit No.: PUy co Phone: '503.639A171 Fax 503.59& 1960 M ? 1 Plan Review 7 �oo 24 -Hour Inspection Line 503.639.4175 '{) ° 01,S, i Date/By: a1�er Permit No.� - ill 47) Internet: www.ci.ligard.or.us C":_:' tifid/ N ;, ter.' Ready/BY: .;': (ter poem Pa e2 Information for rmati u t t q t oeMelhed: M i� � until c ti :/ noon 9 ' E of vpw1C 1-....,Ill rs A l , �r\ ;_ . FEE* SCHEDULE ❑ New construction - - � ❑ Demolition For specialInlformation use checklist A. Addition /alteration/replacement 0 Other. Description 1 Qty. 1 Ea. 1 Total New 1- 2 -family dweJlbaga (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath I - and 2- family dwelling l 24920 ❑ Commercial /industrial SFR (2) bath f 350,00 ❑ Accessory building • ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 Q Master budder ❑ Other: JOB SITE INFORMATION AND Fire sprinkler' ( . sq. 8.) . Page 2 LOCATION Job Job site address: o 'j� Site utilities s ' City/Slate/ZIP: ite address: 1a Q � 0 ( 6 () �£ DELL_ Catch basin or area drain 16.60 -1' G 1 -D 4 q 7 a a 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear R:1) ) ' Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: f Lot no.: Water service (no. linear ft.: _ ) Page2 Tax map /parcel no.: Fature or item DESCRIPTION OF WORK Absorption valve 16.60 ,t Back flow pteventer Page 2 R. - � err i l 4 , d raj L d zj h i j Q Backwater valve ` 6 '^ a (L 5 A )Q-r •� ] n4, ' (5 y Clothes washer ■ ' 16.60 C<Jt r Dishw> 16.60 1p PROPERTY OWNER - j ❑ TENANT Drinking fountain 16.60 Name: L r v � t � Ejectors/sttmp 16.60 Address: 9 Q C 1 �r T Expansion tank 16.60 l o J t DF p p d E ( (_ C 1- Fixture/sewer cap 16.60 City/State ZIP: 1.6- w.o op_ 97 a Q. 3 Floor drain/floor sink/itub p 16.60 Phone: ( 50 � � � _ � 8' , I Fax: ( a 33 - � / S Garbage dispose! • 16.60 p APPLICANT ❑ CONTACT . PERSON ` Hose bib 16.60 Business riame: ri D r 1 t + 1� n P LO l e f Ice maker • • 16.60 Contact name: f wl 11 Y ' Interceptodgreasehsp 16.60 �'�- ' -'p- Medical gas (value: $ ) 112721:11 Address: j a e5a r 1 c {c , �V f `l Primer 16.60 City /State/ZIP: t,a�_, �xl1 J!J t gg 6g C Roof drain(commercial) _ 1 J L J 16.60 Phone: ( ) _ / q � F ( 3/ `57l y J Sink/basin/lavatory 16.60 {� V VI MC- e 0 P L L� Wl 13 i (J t ) C 3 rv�atz i rtir U shower /shower pan 16.60 E-mail: CONTRACTOR 16.60 Business name: Water closet 16.60 Water heater 16.60 Address: 'PQ t36,x sci 3 • Other: 2ity /StatefZIP: 1::).:5 r f � i e.u1/l_C� O 1Q q 7 aa7 subtotal , 'hone { ) .71R-4,... © 4 r 1 q I Fax: (3�) Minimum permit fee: $72.50 `Y l l 5 1- fig Residential backllow minimum . - it fee: 536.25 2.50 L'CB Lic.: j L/ 36 Plumbing Lic. no.: 3-7_ y ? ' 3 Plan review (25 %ofpermit fee) authorized signature: % State surcharge (8% of permit fee) 5. SO 1111 TOTAL PERMIT FEE 1 'Tint name: c...x.. me A-Gz- fcS Tt '4 Date: This �� o� per•mtloa pi a permit is ootobtaiined within 180 days itapplica after it ez b trs ar been if accepted as complete. �Buil; tiaglPcrmitt \PLtyP_Pemiitppp.doe 06/05 •Fee methodology set by Tri-Couoty Building Industry Service Board. 440-4616T(3NO2/CoM wEM CITY OF TIGARD - BUILDING DIVISION 1 PERMIT #: PLM2007-00213 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 5 5/22/2007 Phone: (503) 639 -4171 � °,��, � , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 617/2007 TIME: 7:OQAM PAGE: 41 SITE ADDRESS: 10880 SW DERRY DELL CT CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 025 TYPE OF USE: PROJECT NAME: MCCUTCHAN DESCRIPTION: Re -route drains under house and install sewer Tine to city stub out. OWNER: MCCUTCHAN, ALBERT PHONE #: CONTRACTOR: ADVANCED PLUMBING PHONE #: 5033t30 - 0644 Inspection Request Scheduled For: Date: 6/7/2007 Am- Pour Time: 0 ' Code # Inspection Description Confirm # Contact # Me: ag , 350 Septic tank 049793 -01 503-708-2706 Y Corr cti ns /Comments /Instructions: ' C'; 1 r i , l01/1/1 9 `- okd- i4 0- , 22 \ A .Y11/1 "1 k - v,, V,r„ ..1 ___S ii I ', `. 11 I /I 1 ciy..._., _ l 1 , N , J /// PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL 1 I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED /1 Inspector: V (-;(1Z---- Date: (p(7 / d 2 Phone #: (503) 718 - i 2 �1 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00213 13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 5/22/2007 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/1 /2007 TIME: 7:02AM PAGE: 1 €a SITE ADDRESS: 10880 SW DERRY DELL CT CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 025 TYPE OF USE: PROJECT NAME: MCCUTCHAN DESCRIPTION: Re- route drains under house and install sewer line to city stub out. OWNER: MCCUTCHAN, ALBERT PHONE #: CONTRACTOR: ADVANCED PLUMBING PHONE #: 503780.0644 Inspection Request Scheduled For: Date: 6/1 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plurnbinq rough -in 049423-01 503969.4044 Y Corrections /Comments /Instructions: • OO A .�4SS PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS FAIL I CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED Inspector: Date: I / 2 Ji) Phone #: (503) 718-