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Permit 1 r, CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2009 - 00034 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2009 PARCEL: 2S 103DB -00100 SITE ADDRESS: 13030 SW 115TH AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: GIANOLA Project Description: Replace 100 ft. water service. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF 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: 100 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES JEFFREY & GIANOLA 13030 SW 115TH AVE Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 2/20/2009 $72.50 [TAX] 12% State Surch 2/20/2009 $8.70 Phone : Total $81.20 Contractor: CROUCHLEY PLUMBING 8717 N LOMBARD ST PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 286 -4431 FAX 503- 286 -4432 Reg #: LIC 00001184 PLM 26-21PB 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. Issued By: ` ���, 1L � , I Permittee Signature: 2_.9 .A 1 Q�/1C Call 503.639.4175 by 7:00 a.m. for an inspection that business day. t ^�' 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. 02/19/2009 15:08 5032864432 CROUCHLEY PLUMBING PAGE 01 Plumb i �f�y t ie CEIVED FEB 18 2009 City of Tigard Receited " � 1slzsswrra11�1,rd. rir,�rd,t t 72� OFTIGARD _ Pate/By:.el• t9 •OAI Yermirrie.; T re gig( DING DNISIO rim Rode* Q) 17120Cf{ ..;:)Ali ' Phone: 503.6134,6,171 . Pax: 503.� ` DNA : Oilier Permit i I, c r 1 , ; u r Inspection Line_ 503.639,4175 ma Reedy/f31': NirIR Ql See Pit= 2 fn r intrrtfat: vlaw,tigtrd•or.gov Notified/Mewl; x OF WORK 9n lefeet+t>t1 rnlbreul;en - _ l" . • r. ME d New construction w 0 DtmolitiO t - . Fhrtperalol r ago hie checklist. e�eitllst. Ad r iJcsorl don � tiltion /altcrntion/keplacemcnt Other: 2-family dwellings 1. 'rats* A ngs (includes 100 '(t, fbr sash utility eonneetion'j) — t",/+i,•11 G01fty of CONtrrittr KON SFR (1,) barb 249.70 n r and 2-family (Welling •-•• _ R 0 C oromerciatIndusn ixl SP.R (2/ bath 30 5 � a .___ . A�sessnr ' ,0 11 y 1 uirding ID Multi - family _ SFR (3) huh 399,00 �[� Master builder r] Other; &Asir additional ryafAt/kltabap 45.00 . .10B :111x 1C 71ti11+t3 11$ 3IOPQ tilt e s rin lcr ( .. 99 _ Page A M LOCATXUN $11e Militia Sob site adclrens: �/ •--- - //22,3 a ,-- , ✓ h f i/ T Catch InAln or area drain 16.00 ...,. ., City / ^' — l Gr 0 ( .- 0 & /2. j 7 . -.. Drywc11 Rah litre, or trend *rain 16,60 Sol tclbldp,• spi, no,: I Projaattuonot '/ O Jv' R t cr Footing drain (fro, linear t.; ) Page CrdsS etreetlrrireetions to Job cite: Drleftuihrmlrod bow utilities 1 [0.00 / i io Manholes 16.60 zSfc, / y / Rain drain connector 16,60 ____ -.___S L• _ FC9 X/4.' �` ,/..,2,______ . M -� - _,_ 9anttary flower (no, linear It :___) Page 2 $tnfm saver (no. linear R. :_) Poe 2 Sobdlvinion- ,or no.: _ L . , . Water e is (no. Ham IV ! I Poe z B ..C;C3 Tax map /Parcel no. ; - CI> ttal a 1ft item Dti9C*iPT1ON OF WORK Absorption valve 16.60 r ' Baekilow presenter Page 2 7 '- c ` �� srr �••�. _ o ilebwaatel' valve 16.60 ' f• � ° e W Clothes washer 16,60 ` — _ �_ dishwasher 1660 -- 0 PROP ERTY + OWNER ©7'E[�ATIT _Drinking faontain 16fs0 ,. - 1*farne: _.. .� Nectars /sump 16,60 Address: Bsperrilon tank 16 60 —____ Fixture/limier cup 16 60 C1f vJState /7.7P: w J Floor dmingloar sialdhttb Phone; ( ) - , 16.60 -- Tux; ( ) _ f?arbage dispowrl 16,00 r AFPLrCANT 0 CONTACT PERSON No bib 1.6.60 _ nom . , ~� Ike milker 16.60 Contact Haar.,: — �, ^-4-__ intcTeeptor/ qc trap 16 60 �__... �Y Medfcat gas (vA1uc: 6) Page 2 Atldl ^t Ss: Primer 16,60 Citit/State/VP: Roof unlit, (commercial) 15,60 None: ( ) , Ftvt:: ( ) - - None: 16.60 T - mail; Tublshnwcr /shower on 16,60 - ___. — --.. t.Irinal 10,60 ••-- _ CONTRACTOR — 0 `�— /r / /� �d Way alaeat j6 Business mime! Z"f2� U� It L rPy 1 / '� p Wbiet hereto 16 60 Address: - 7 / - 7. . G , 4+--1 c+. r /� t)thar: City/State/ZIP: �7 , Z La fri .4 6:0 d( 7 d � .._ _ snetoal •. Phon '-- MIntnatm permit fee: $12.50 ---- n ) � � ` 4/ 3 / far ( ;3) rP, / „ .1y-3 ..2_. Residential !mobilize minimum permit 6:0; 0; 836,15 7 Phone: • • SO CCB Liar // Y 4/_ Plumbing Lie, lto.:2 e 2 / P../3 - Plan review --f -� (256 oPparmft tae) Antlrrrrized Siltnnttlt e: ""' - Mc rtureh a 120/ of permit �-•�, � ( o. *a) : • 70 "" " ' x T OTAL PEWIT trim �Frint n � /, � � / � � l ��� R / ,.. Dane -„"2� i S?`-0 ^ -_I This permit npplitatien expires Ifa permit is notnotninetl w ithi n 180 day. inter it bat been accepted to cnmplcte. 9 ce met!hedolev set by Tri-Coutu,i Building indti5fty Service Board. b 1n. f rfraorovcowrnv/373) CITY OFTIGARD No BUILDING DIVISION ViD PE RMIT #: PLM2009.00034 13125 SW Hall Blvd., Tigard, OR 97223 o DATE ISSUED: 0/20 {) Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 . `J 3d //17 .,/ 7 INSPECTION WORKSHEET FOR DATE: 2f•25 &2009 TIME: 7 :00AM PAGE: 18 SITE ADDRESS: 13030 SW 16TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: GIANOLA DESCRIPTION: Replace 100 ft. water service. OWNER: GIANOLA, JEFFREY & SHANNON PHONE #: CONTRACTOR: GROUCHLEY PLUMBING PHONE #: 503 -285 -4431 Inspection Request Scheduled For: Date: 2125/2009 Pour Time: Code # Inspection Description Confirm # Contact # Mes'• * 330 Water service 00(Dt32 3.01 503 - 286-4431 Corrections/Comments nstructions: J2-Q-ef 4 D Li • / 4 6 , , AID p v .-7,0,_,Fe_i r r r i, „,•:" ' 4)(p_. 1 � 04.T.,v) 4-0 4, � ` '� �v►/1 f /YI s L . „‘ .„ ` . - i ,t, (\ G G4' \r ! vi, ,t ) i i(,),. • 0 (l PASS l J PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL g CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \6 (1 Date: 1/P/ '5 Phone #: (503) 718--