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Permit
CITY OF TIGARD PLUMBING PERMIT . COMMUNITY DEVELOPMENT Permit #: PLM2010 -00350 T 1 G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/27/2010 Parcel: 1 S 125 DB09800 Jurisdiction: Tigard Site address: 7140 SW LOLA LN Subdivision: Lot: 0 Project: Lesnick Project Description: Replacing pressure balance shower valve. Owner: FEES LESNICK, EDWARD C JR & FERRARA, Quantity Description Date Amount MERILYN PO BOX 80654 1 ea Tub /Shower /Shower Pan 10/27/2010 $12.51 1 12% State Surcharge - 10/27/2010 $8.70 PHONE: Plumbing 60 ea Minimum Fee Adjustment - 10/27/2010 $59.99 Plumbing Contractor: CHRISMAN PLUMBING INC PO BOX 1706 CLACKAMAS, OR 97015 PHONE: 503 - 789 -3948 FAX: 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 B . / Permittee Signature: O 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. 10- 26 -'10 16:25 FROM -nw permit 13609452091 T -598 P004/004 F -946 RECEIVED — � r - 11uniblig Pup Applicatioq Building Fixtures OCT 26 20 1 City of Tigard CI TY OF TIG' - ` ,1^" P $03.619.4171 Pay "d o DIVI fn '• I '� •, Inepeodonlitb 549.619.4173 •' ,i; trloNlld: www.tigaard p gov Pao It stager --�_� 144444"1414* Fa TTPB CHI WORK, trttl( BCHBDULR ❑ blew ooistrum on C7 tknalitien • 7 Ram ale cI4deN s 51 AddlthoNrltemtl&&.g Iaocmenl ''" i' Rf l fi +� (� Other: '' New 1.1.ttn, (utoluda 100 A Ibr malt utility raee0eU0e1 —_-.-- • CATEGORY OP CONSTRUCTION MO) bah MN 113.70 — 1 IC ❑Cumantrrluliindutitid gElt ri eah 437.78 ❑ Aooeesaey building 300.32 NEIN 0 Mualor buitda• © Odor, ' .�-Mi' .. y .,, 0.02 NMI JOS e INV0RMATIOr AND LOCATION ; ,•� 2 ma 14b 444446 7140 sw Lola In 1111.t(' Ctt3/Stltrrlp9P: '.. , eR e7223 bry►wl4 loth lute. *munch ,nam MI ILEVIIIIIIMM SultabldgJr .no,: • _. Cross etr.eddkglltwo t0)Ob .Ii= Head north on SW Hall Blvd toward SW Burnham St ri ; ht at SW Locust St, 3rd left onto SW 80th Ave, 3r0 Ieft onto SW 74th Ave ROB dote ~or MIN NM MINE ;•• •• . ■ ..... St 1. tri•ht onto SW Shady Pl 1==15111111111111=11 SIMI � � trhdivbiorl: Ir.,: TMmap/parodno.: MEI . oasCRlrfO$ 07 woRtc 1231 _,CE PRESSURE BALANCE S' oYY ' Y' �� Dtenralax 23" MEM Orfaidro teapein - 25.02 El PKOPTATT OWN tit 0 MANY Estorstoe tank r 25.02 INN OEM c=rormimminnumwm CZIM=MINIMMINIIII = Kroerdnininuac y 1 " OMR CrteiteterLlP: as.o ( _ )503-452-4166 ( ) � 25.02 UM 6 raw 2 C APPLICANT IO OONTACT P6'frttlNd hrlassptadiroosa hap mg 23,02 aim , NORTHWEST PERMIT INC l_z MIN 4444 CYNDAL MILLHOLLIN �T CMIZZI adatewr GULF RD Cif 1344ldZlP Um r : - • ROGERS WA 98281 ; 1 NM ZS. NM ( . 0- 945 -2787 r"Yt"+" . � !woo: _ , 1 - rc,1 ill 11Y71- madam vjgIIIIIIIIINII EMIIIMIIIMIIMIIIIIIIE 25.02 NM ' . r r . CONTRACTOR Wafer dote! 2502 MS Swine tunumeRiemAm PLUMBING CO /US HOMESYSTEMS woo plptn•/Dwv NMI 36,29 RIM Ad= 14811 NE AIRPORT WAY 2342 fiebteld Phafa: ( 5b3- 789 -3948 ( far Mil Kennvm ;emit for $72.50 MN A Lie.: 183080 1 f Plumbing Ltc nn.: pa- sasnurreo o62454 glen review C 5% OPaenuk Ra) `�1l Autbotifodiigrrfturo /1 � (i2%N'DorAltfee) ME ��vJJ si TOTAL PPRMIT PRE I 1 a Data: - . permit ppw.dee M. moth r.IpMelpitMain 1 M1.r t tear bus seteP•sd esommIos. Tea astOsidaloo sot by ili•CualteMake %duty Meet MuietaiperfalisblAtI W App.oc ! m fnM61611r0� a Y7i(� 51,; c 1,15 / Nov q p - J'_f .A_ ..