Loading...
Permit a CITY OF TIGARD PERMIT r Ci COMMUNITY DEVELOPMENT Permit #: PLM2010 -00058 T f GARL�; 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/25/2010 Parcel: 2S104AC04000 Jurisdiction: Tigard Site address: 12669 SW 133RD AVE Subdivision: MORNING HILL NO. 8 Lot: 184 Project: Oldham Project Description: Replace 40' of water service. NOTE: ELECTRICAL PERMIT MAY BE REQUIRED IF REPLACEMENT PIPING EFFECTS HOUSE GROUNDING. Owner: FEES OLDHAM, GEORGE D Quantity Description Date Amount 12669 SW 133RD AVE TIGARD, OR 97223 40 If Water Service 02/25/2010 $62.54 PHONE: 503 - 579 -9497 1 12% State Surcharge - 02/25/2010 $8.70 Plumbing 10 ea Minimum Fee Adjustment - 02/25/2010 $9.96 Contractor: Plumbing JACK HOWK PLUMBING /RESCUE ROOTER P.O. BOX 2830 CLACKAMAS, OR 97015 PHONE: 503 - 235 -8784 FAX: 503 - 491 -2932 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utilit otification Ce -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or irect questions to OU • ling 503.246.6699 or 1.800.332.2344. Is ued By: ( Permittee Signa ure: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. P. FEB -25- 2010 14:18 Plumbing Permit Application ■ 16u11t1ing Fixtures RE0--„,11:4E-70 R E q � lky• rit'i ,:Izv\ yt i� , sFQRe F. Fit FfUS 4 t �"� z ' P „. t i l : . +9�1� ?4a:J'$;SAIr- .ra-. 'K,'.'l. �atY +. n CY?rt,t� '�?Fy7., ^.k� Il � ( �i I� } •; ( of 1ly:lrlt It«en u //J(1/� ` � - /X� < 4 R 1• 2� L ulu t; n, t h a a � I,� I':rmtl htl V�O � ✓ I,i l ; ,� Hall ItIvJ f e.1nf , ^ =. k a 1'lil'h.. }l1 ' . r, ■U 11 71 1,1\ lion l <C,mu ?n` C'�1 11 �f h, IIi•_U,u, dl� j113 t. i'r I I'i n T v ,�^. p, Dal,. I I Aim- 1 m. v'Clt„ Ira J \jll l e_ I�GARD � .. U.,I �Hc�a, n ,.._ — 1 1,r•ev „ , d: ,4.. rf tlocrll,l 1..V.11/4 11 f . 1II'!1•t 4 I 'w . t f'1;.. FA sr., 1'.1Ke - lur t0 r ntr`.ht tiOilr,l f•lolwJ I —• -- - -�• t 1 i 1 . < ) �u Uph•mcnld IntIrnteUun _ -- — n re �l1HckQ1iV'. { I'Ll R SCf1 ___ \,:u col, trrl: I ll •li Q f)enH,liw'n h'r.( i( rnlitrnuur,ur air rbe, Ar ■r — \ rr('lu ttlxlx — ❑ I nhor, li■r I 3 di.t'lhu,s nnaucl . l 11 f „t h , o1 , 11 , .'..14 , 1) � tal ❑ — II Al L(.OkY U)• CONSTRUCTION — l 51 i t I 1 kith _ ;1_ 7,1 -.old IInul, d■%,.11lm_ (_'Ultlmerctal.Indij Irian \I I< 131 h,llll j l ; lx �— 1 [] n��r3wn,Ir) t,utfitlpl)J Mnl i- ♦1 it 1 t tt , tud —... -. --- - - 1 — © 1 I'alnih — — • _trot t, — — [ail .6,16 '01 if hall' I , n i . l n l t — - - t \ n [a M1I<L1cr huihlcl' ❑ f Wier: -- itl n — fIfc.IIru11,1er1 A IlI �,,a'_� - -. J(111 Sti LL I N roks1 1TIONN AND LOCATION Site u uc,: — — - - - I, ¢11e atldtu•\' /l , ' . --1 S� 7 - C . utilities: _ atch hash ur area .1,Hi . _ II 1 IS 7t, (. il) /�tlr /711' - -- �/ / / 1 lellCll hue, ortlt:ncli _.11-8111 -- ._ I $,f, — f^,,.'IIuE drain (no ltucdl 1 f ('al, — — utic bWt alit Ito : runt cl rrine - - — — —_ ) - -- - - _ - , -- hf,uwl;tdured home utilities SO (1 ' , 11'.\ gicirtilIo..Intlh 1 job ',Ih,: - -- -- _ 18 7t I<a chitin cunnectur -- — _ IN 'b — -- - Sanaa)'s,:aertn„ linear It. 1 I a — , ... '• -- Storm ,citicr Nil lII1 ur II • • 1 P , • —. - -. l 14 tllef sef\ _ �1 — `it,Inln I,u>n ( � ICC (nu. lnu;u H �� C % I'aec 2 �r P'l 1lauklluo precentrr 31 ?7 r �-y�� DESCRIP'T'ION OF WORK tiaekisuteryaly'r_ 1 1..: f L'Iuthes washer 25 02. _ , ._ I ijeulUr 3; sul,tp 2 .u2 Diskiasher 2s 02 PROPERTY O*,1'NER ❑ TENANT 1 kpar�si tank - P 1 1:1.tuteb,over ca Name: a - n .,___11.5 , _ X11 4.2 / Nor dr-io /flour,inl Athfless: . - , f�j/ tb _ 2 .11? t I j,` ' yr Y t;wbubc di,pusal 2i.U_ C'inlStur alI(: i i/ I lose btb Phone ( � � Y dA; ) lee 1nlll 12.51 " •- U_ _ Al PLIC.AV;C — ❑ CONTACT PERSON lnlereeptor ttrease trap_ 25 0 — Iiasinesi name: — kit% JIr f JACK t1U11'K /RESCUE ROOT Medical ga, (vdlu : $ 1 — p�o� ) ('unta,'1 Ilium:: 3011_ I' DIiNNIS Nrnncr 12.51 Ituurdraili l unuu terclal 1 1 5l Address PO BOX 28,1(1 �— _ Sink/ba:INlarawry 25.02 City /Slale'Z.IP; CLACKAa1IA5,Ok 97015 _ Solar units (potable w 2 6..x-4 attr) Phone! (503)850 -31110 — Fux' : (503)491 -2932 Tub /ahower,'shoi+er _ 12.51 MEI F -mail" j oyeeruljael.haa 6.eutu_ Urinal 25 02 NMI CONTRACTOR , 2 • • Witter heutcr 37 52 Rusinr ssname::1 1tSdila ,1.1CK tiOrvl:/R(:S(ULROOTER — —. \1'atUr piping'D\v , Address: YO 1101\ 2k34,1 - - - ' M - - 56 29 Other 25,02 IMIII C'ik/StutdZIP: ('[.:\('K A V1A,S, OR 97015 ____ 5t.btotltl r I'hoae. (503) 850 -3101) ^ . - -� Fax: (503) 491 -2932 ___T`__- ,_ Minimum permit tee: S72. so ViV I' CCt3 I iv',: 127323 Plumping Lie no.: 3d -168PB _,„„ � _ -- - -v l: "p ol'pernta tic) _ il �� -- - - - maw nurltarge (121tb of pe t � rmit oIIIhL /11 r\:411J1'i:'.,I sipn.dt+L / - - - -_ , • // � TO1AL __� R!\111F t FPIio nunl,:: A1.1 Af_ __..... —C y ILr permital. ldi IIVU , i , l ro � d gpt'rhilisIWrJt )18 I uc( 1 ' ,}p - j ti it ha I r icn e aep t l id a s eUmt,lclr• To ..1 . „e) „I t,j Iii•t_„unq Building Indul.lry S1 ice livactl 1' IA 1: I't It'1i r ((W1 V A \ . ril 1_ 1(11_'1;)1 . CITY OF TIGARD -- f - -- - - . AH _ o cf BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ;01Ilk I dri ..-- nspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: — V/►¢j li0 TIME: PAGE: SITE ADDRESS: / Cs7 f � - J 3 r CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: - 3 /ov CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: ® _30 _ 0 / Pour Time: Code # Inspection Description Confir• ' Contact # Message Cl 6 .Go e....,•-\ Correictions /Comments /Instructions: p 9 1 \I■1 % .r \? \ P V\ n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C.6/k____ " `' Date: �/ l 6 Phone #: (503) 718 - ` i