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Permit CITY OF TIGARD * BUILDING DIVISION PERMIT #: PLM20O6.002U5 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 6/27/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 —. '1l� INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: 7:OOAM PAGE: 30 SITE ADDRESS: 12805 SW 77TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TEREX UTI LITIES WEST DESCRIPTION: [280' o f footing di-ain, 0` in..�frai (3) conriector - qq OWNER: ti R + G CO LLC, , / W PHONE #: CONTRACTOR: GLENN L ERICKaON EXCAVATING PHONE #: 503. 5396812 Inspection Request Scheduled For: Date: 7/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 309 Plumbing final 072040.01 503-699-3500 N Corrections /Comments /Instructions: ( '>) 1 J- -' v C4.4.-, GielitiL%,,.; < d . ' ( 1 :;" 9 ...'4h PARTIAL APPROVAL [1] CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , Date: 7 ` /0 Phone 7-Y Phone #: (503) 718- � Ll (o i 9 /U fS s: CITY TIGARD U V PLUMBING PERMIT ° • COMMUNITY DEVELOPMENT PERMIT #: PLM2005 - 00285 TIGARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/27/2005 PARCEL: 25101 BD - 00105 SITE ADDRESS: 12805 SW 77TH PL ZONING: I - SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: TEREX UTILITIES WEST Project Description: 280' of footing drain, 280' of rain drains, (3) connectors. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: 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: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: 560 ft Owner: FEES BR +GCOLLC PO BOX 23009 Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 6/27/2005 $345.40 [TAX] 8% State Surcha 6/27/2005 $27.63 Phone : [HRPLM] Hourly Plum 6/19/2008 $62.50 [HRTAX] Hourly 12% S 6/19/2008 $7.50 Contractor: Total $443.03 GLENN L ERICKSON EXCAVATING PO BOX 15 ESTACADA, OR 97023 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -539 -6812 Reg #: LIC 27947 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. Issue By: - � dr 1 _,/ Permittee Signature: mo irleo ( 1 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. .; l Tidemark Advantage [Rick i3olen -WI] File Edit Options Window Help 414 0 rat 2 Xi et D L,„ ,, Exit New open Task List OBE GIS Q 4I k KO © i Close Edit Project Group Add Clone Parcel Activity - People Fees Valuation Conditions Case Not Tags Documents GIS Case M. Plumbing Permit . PLi 2605 -0 285 --Status 2 - Name:B R + G CO LLC Updated: 11 12005 DER Genera Address:12805 SW 77TH PL Jur: IG i Description: Master # BUP2005 -00089 Project: ` fTEREX UTILITIES WEST Fixtures 4., 280' of footing drain, 280' of rain drain (3) connecto _.._, Misc. Class of Work: 10TR Type of User ICOM Occupancy Group: Dates Received: F27/2005 ..7 Number of Stories: 1 ., Target: 0 4 0 o Issued: /27/2005 _ o >7 �•4 ; �ti i • inaled: , :View/Add Activities is t . r : Tidemark . - . ,_ 4_01,_ fl 54 I oao 5 NIL T ?demark A dvant , e:.Rick Bolen.4. K4,-,4 - - _ . ' . :-. r ,, - p if -i6a y <aw File Edit Options Window Help • Exit New Open Task List QBE GIS El = 1, ;' • I. Close View Add Delete Sign Off Print Document • � � - ha r - . ti -'�S a D� ,..aa- % 'y �4 F. I �7 i a t P i s :-.! . .• -,4L--..:..!),::„.• e r .. ^ ,ms' .. " , -' I Name :B R + G CO LLC Updated: 11.3.2005 DER General r- Ad dr �s: =. «� � �.; ' �' . •� .', . , -..a. - -: -aye` ,, A. i ,�.,,r .. a ;.,::::- , ,. , i i, -`. 3 - ...o- « z -`,..*>k _fix. 8 »; 7 , e'#� g , s ''' ';i Desci. r l Description r _ .. Menu Code Datel Date2 Date3 Assigned To 1 Disp Done By ° Mote: v f-i': 80 d . :. r .. , : t -,.�< .:. �.� - . .. W - .. i u a ` ,, ' +x ? � 4 0 . ,, . Ch frr parcel t oL.et. w- 1' - , 3' . 1, -, , 0' 6 7 0 , 4 a .. D ON G Application received 1010 6/27/2005 RECD DER .P °, Issue permit 1280 6/27/2005 DONE DER � . k � Permit created 1020 6/27/2005 DONE DER Rain drain 2335 6/29/2005 6/30/2005 6/30/2005 PASS MRS 0104€ - , _ I ' ermit- expired by '/2006 EX PR "B C . _ p / ( ' NU I Aid ca C. - d " R ^ ..- b S <.. 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