Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2010-00204
•
I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/22/2010
Parcel: 2S111CB01734
Jurisdiction: Tigard
Site address: 10195 SW KABLE ST
Subdivision: HOOD VIEW NO. 2 Lot: 33
Project: McKee
Project Description: Connect existing house to sewer service. Reimbursement District #45 fee paid.
Owner: FEES
MCKEE, TERRY D PRISCILLA Quantity Description Date Amount
10195 SW KABLE ST
TIGARD, OR 97223 100 If Sewer Service 06/22/2010 $62.54
PHONE: 1 12% State Surcharge - 06/22/2010 $8.70
Plumbing
10 ea Minimum Fee Adjustment - 06/22/2010 $9.96
Contractor: Plumbing
CURTIS HEINTZ EXCAVATING INC
PO BOX 1105
SHERWOOD, OR 97140
PHONE: 503 - 925 -9400
FAX: 503 - 925 -8014
Type of Use: SF
Class of Work: ALT 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 -0100. You may obtain a copy of the rules
or direct qu:: . •UNC by alling 503.246.6699 or 1.800.332.2344.
Issued B et ,n [ . 4 Perm ittee Signature: v 44/ /
•
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.
06/22/2010 10:08 5035981960
Plumbing Permit Application , p
Building Fixtures
❑ New construction 0 Demolition
❑ Addition/alteratian/replaoement ❑ Other:
❑ 1- and 2damity dwelling ❑ Commercial/inde iat
❑ Accessary building
0 Master builder
;,
J 4 r.
Job site address: /D / 95 S 1.c� K/ 3C o�i r
OR, 57eZ4-
City /9tateZIP: (e f
Suite/bldg. /apt. no.: ]karjoct name: P 'JC,e'E
Cross street/directions to job site:
Subdivision: 1 Lot no.:
Tax map/pave! no.:
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Name: + ` frees A
Addrei: / .vJ
City/State/ZIP:
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Business name:
Contact name:
Address:
City/StmdliP:
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E- (nail:
Business name:
Address:
City/State(ZiN
Audio
City of Tigard : A 9, ?
•
13125 SW Hall Blvd., Tigard, OR 97223
Thong: 503.639.4171 Fax: 503.590"0, 11-1G AR)
Inspection I ine: 503 639.4175 CU I l 0 }1
inter www.tigard -er.gov £1111.131, i5�C
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Fax: :
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Date ) i
25.02
25.02
25.02
12.51
25.02
Page 2
12.51
12,51
25,02
62.54
12.51
25.02
25.02
37.52
5629
leas;: (S 9 c,?.. — cf /
Phelnleidg Lic. no. - P(?) Lla
CITY OF TIGARD
Received Ce
Det AA 10
el$r�
Pko Review
ter•
Dux Ready/By:
troe11c4r<Methoth
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Na.•tarwrp avvcoatwea)
1?cscr
Nev. 1- 2- fassfly dwelling (includes 100 It
SFR (1)batb
SFR (2) bath
SFR (3) bath
Each additional badubcifehen
'Fire sprinkler t_ sq. it.)
Site utilities:
Catch basin or area drain
Drywell, leach fine, crunch drain
Footing drain (no. linear IL: r ,)
Manufhrcured home util itine
Manholes
Rain dram connector
Sanitary sewn (ro. ] inear it:i )
Sturm sewer (no. linear fl.: )
Water service (no, linear R.:
Fixture or flag:
9eckilow pre-venter 31.27
Bedewing? rave
Clothes wetshcr
Dishwasher
Oritdeitrgfoumein
Ejectonhamp
Expansion lank
Fixture/sewer cap
Floor drain/floor siekfhnb
Outage disposal
Here bib
lee makes
intercepter /grease trap
Medical gas (value: S ,_
Primer
Roof drain (commend)
Sink/basin#lavatmy
Solar units (potable water)
Tub/shower/Moue pan
Urinal
Oahu Parent No.:
PAGE 02/02
Kord -d0.[?
Mir. Q Sao Pale 2 fee
Wel Iffbenaaeon
For WedoIIn(w aaffansoreeliedfi t
1 Qty. 1 Ea. 1 Told
rag sated utility t Trnoetion)
312.70
437.78
500.32
25.02
Page 2
18.76
1.0.76
Page 2
50.03
18.76
18.76
Page 2
Page 2
Page 2
1/SL
Water closet
Water heater
Water pipineDWN
Other. 25.02
Subtotal
Minimum permit feel 372.50
Plan review (2576 of permit Re)
State surcharge (12% of pa mil fire) • .. 70
TOTAL PRR iirT PEE 'I
Tide penal► apputatroaeaplree:ra permit b nog 'Weed embia 100 days
afier label been *unread es unapfete
•r'ati euthodology eat by Tri -Cowry maiming Naar" Service Board
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