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Permit i , '' ''' CITY OF TIGARD PLUMBING PERMIT Permit #: PLM2010 -00207 t 7 COMMUNITY DEVELOPMENT " Date Issued: 06/25/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103CD02800 Jurisdiction: Tigard Site address: 13750 SW 116TH PL Subdivision: HOLLYTREE Lot: 4 Project: Vaternick Project Description: Replace drain line in crawl space. Owner: FEES VATERNICK FAMILY TRUST Quantity Description Date Amount 13855 SW 114TH AVE 1 ea Water Piping 06/25/2010 $56.29 TIGARD, OR 97223 1 12% State Surcharge - 06/25/2010 $8.70 PHONE: Plumbing , 16 ea Minimum Fee Adjustment - 06/25/2010 $16.21 Plumbing Contractor: CROWN PLUMBING 5429 SE FRANCIS ST PORTLAND, OR 97206 PHONE: 503 - 771 -9449 FAX: 503 - 771 -9454 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: - Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: D /9.79/pG 6/9--77arxi /(0 Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. 06/24/2010 10:40 5037719454 CROWN PLUMBING PAGE 02/02 "'1 06/24/201Ei 09:17 5035981.960 0 CITY OF TIGARD PAGE 01/E42 it . iicatioV rk, 0 Site Utilities ' \�`� "ts' I of i /7-: !L.-4.. r1�•;1., City of Tigard '., -,A ..;'• Received /) CO\ o i /Z5 /2U . - 7�,an t~- ".; /"Lao /e -Doe , 7 13125 SW Hen Blvd., Tigard, OR 97223 ' Ran Review .. l r Phony, 503.639.4171 For 503.598.1.960 Q . A? � 9ato/By: Other Tering we,. 4175 639 1nripernoie tine: 503., t . 1 �' Ewe Raady/0y: t8 See rage 74 for Internet: wway.nsrmi- ar.tlm NotiftcYl/Mathed: ' , &e � '� ;may � _ �.y Apt r agral f ' �: � � ' . i ,,Ot _^� ,r i, `, '. . use checklist For special i i t: [] New construction 0 Demolition .. � rmar o ___peeve 1 OtV. 1 Ea. 1 Toted Additiott/alferctu ilrgriaeement CL1 Other: New 1- a,femily dwellin • a includes 100 ft. Ebr each utility connection) .w.' CM OR O';X1400.„r,141 tr „ 5PR (1)bath ME 312.70 741- and 2- family dwelling 0 Camtncrcialtinclustriai SIR (2) bath 11111 437.7n 0 Acc gory' builtlin$ SP (3) both _ 500 32 Multi-family n leech addhionat bath/Muir= 25.02 O Maxtor builder 0 Other: " (. Fite sprinkler ( sq.. Page 2 t1 5 1 11!1kir UI t" L 10 04 i06.ri NIV ' Sitt,_1ttl�iittes: - Job site address: /37O •$ w ,/4• 4 r / Catch basin or area drain )8.76 • City. /State /ZlP: 7 Dnnvell, leach lino, or trench drain 18,76 � �� • �'� rr Footing dtnin (no. linear ft.; Page 2 Suite/bldg. /ripe. no.: Project name: 1/ J✓/e Manufactured home utilities 50,03 Cr sas street/directions to, job site: Menhoitr 18.76 • Y cram limn drain con ccter 18.76 ~ Sanitary sower (no, linens ft.: ^) Page 2 -. — Storm sexv+tr (ito. finery ft.: _) Page 2 Water 1erviro (do. linter A•; P 2 S1.I1xlivlslatt: Lot rit),: nature or teem: Tax map /parcel no.: Bttekflop• pater 31.27 ' Sneltweter valve 12.51 �j Clothe wisher 25.02 _J f. T� � �t ©�O� Dts_w Z. a. , . ''c- G y : Dishwasher 25,02 I Drinking fountain 25.02 1~iectorthump 25.02 D; PRC TY'' PVP :' e':' n ; / ': t ''.< ':�vq: 11114+1 01* PxpensiOn tank 12.51 rName .. tC. , /� /, L C % � „_ "" « .. �PlxtttrelseWercep 25.02 C"t S J Floor drain/floor sinkeliuh 25.02 Address! /3? 55 SA, / /y'= -�.,.. • (iarbape disdoAal 25,02 ' - City/SL ter.01": / fG97 a z 3 Hose bib ----- — 25,02 1 ( . ) g 1 .x ( ) IeC makes 12, 51 . ., ' I , " + {t1 ,_; l A, a 1 R a m , to lE R N �i�f`� I lnterceptorlgi'ase trap 25.02 •-- Iti_. a.. is GxGr.'„i W,L 1as,�Wi:«Jrsu.: .,�i,i.Y�.,c�, , . :, w :N�: . . -:: uu._,...,, Business name: Christian PIunbing Inc. DISA Crown Plumbing +alt dicat ilea (Vnhio; S _ ) page 2 Contact name; Delin;s Underwood Prance 12.51 ---------- .--- - ..,,......,.._- - - _- -- ---4 Roof drnin(cammcrcial) i 12.51 Address_ 5421 SE Francis Street 3irtkllsesinJlovatosy 25,02 ('ily/5(21e/ /.fP: Portland, OR 97206 __ Soler mots(potehlcavatar) 62.54 Phone: ( 5031 771-9449 i Fes:: ( 503 1771-9454 - Tows)ttxver/shrnv inn 12,51 13- +nail; I Urinal 25.02 II oavCstdlil?,Y4e7'>s�M� W)ttcr closet 75,02 •' � �''id:�w"'... r. 11. �.: i".. l.. u .. +�.ix:.- _,1,, __ _.,. w..,.,i .; . .,.' .., .,..,; wino. heater inL95 name. Christian Plumbing Inc. D Crown Plumbs __ I . VY ._ 37.52 Address; 5429 SE Francis Street i -' Waterpipi a _ 56.22. ��3 .—_W,— Other: 25.02 City /Suite /Z1P: Portland, OR 97206 Snbtotnl ^ µ M � Phon: (Sn3 ) 771 -9449 Pars ( 503 ) 771 - 94.54 )4inimumpctmttfee: S72.30 E-mail; ' — rlurhNing. Iic.: 34 -70PB f — Pim review (7S% cif , . itt>:c) CCB l ic,; 42671 t1 2.2712....--- city o r metro lie. nt,.: Mete 1 • - _•, -- _ __"_"_�, ,, Store suraharRc (1.2?, of permit fa3e) ..- . 713 -....-_........—...._ ...,.__.:.,...•.., . ,..._ ,_.. TOTAL PRRb47TFEE Authorized i Th:a work expire. it a mural! ear elitsierl within ISO dngs o c 1gitatiir '' _ — - - - -_� Z rl — altr►[RAas *te ed ap°ample*. "Fen l4 IJAdrlope eel by Tri•County lleitdieg indumy zervcaoBonrrl. Print name: Dennis Undenntood r)nti:. I� // L �