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Permit CITY OF TIGARD PLUMBING PERMIT , ‚ ' ' COMMUNITY DEVELOPMENT PLUMBING PLM2008 -00042 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/4/2008 PARCEL: 2S 112C B -11900 SITE ADDRESS: 15414 SW 81ST AVE ZONING: R -7 SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 133 JURISDICTION: TIG PROJECT: MAUER Project Description: Repair 20' of sanitary sewer line. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 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: 20 ft - WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES BEVERLY MAUER 15414 SW 81ST AVE Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 2/4/2008 $72.50 [TAX] 12% State Surcha 2/4/2008 $8.70 Phone : 503 -598 -3922 Total $81.20 Contractor: APOLLO DRAIN + ROOTER SERVICE 2208 NW BIRDSDALE #8 GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 239 -8801 FAX 503- 669 -9568 Reg #: LIC 49418 PLM 26 -533PB This permit is issued subject to the regulations contained in the Tigard Muniapal 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. .r Issued y: _ / J____ Permittee Signatufe� i � /� , � CA----I kr ! 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. 'ROM A.POLLO DRAIN 503 669 - 9568 (SAT)FEB 2 2008 13:24/ST.13:23/N0.6812889820 P 2 ____,,,,, 1......i‹,:;.N...\,....,A:: y \ e_ac-b€_, f,'lun � in Permit 4pp)icakior} Iltl: I=II II i . 1 n.! City of Tigard � ® DM dg , iy e-ems- IN 3125 S�4= Nall Blvd., Ti , Plan Review Phone: 503.639 a 1'• 1 i 1 I 1 Datti/8y: Other Permit No_: l I Inspection Lin:; 503.!!9 I p Dace Readyl6y t! r See Paso; ( I nternet: uu.m..tigard- or.gov a .- , On Noti6edfl4 ]lad: lla • -• natal rn(armadoo TYPE OF V . I' Fes• SCHEDULE , 1 Nc,v cnnstructinn . �C by i N Fars. Bali ormaelon use checklist 1 - Cif e- r}}}, Descri. non Fa Toth nddiiian (il lrra ion/replacement tt t Ili Vv t v New 1- 2- family dwellings (includes 100 fl: for each utility connection) CATE4 ORS' OFF CONSTRUCTION I SFR (1) bath 249,20 I and 2.-fatnil dwcllin SFR bath 350.00 y F ©CotnmefCiti]Lindusiriai ) ba E) Acc,ecsory building i 0 Multl•f�mily SFR (3) bath 399.00 Each additional bath/kitehen 45.00 L1 Me tsr builder J 0 Other; Fire sprinkler ( sq_ R -) Page 2 rOS sTTE YNFORMATION AND LOCATION Sitc utilities !vt} site address: 4, 4 j Catch basin or area drain 16,60 t. ity /State /ZIP: . , 0 • t)rywell, leach lino_ or trench drain 16.60 Suitc/hldg, /tit no,: Pro cci name: Footing drain (no. linear It: __) Page 2 Manufactured home utilities 110,00 Cros7 Arecddirections to job site '\ - k _• Manholes IR,60 'C` .. .00' t * Rein drain connector 16,60 Saniraty sewer (no, linear Page 2 Storm sewer (no. } inear R„ 1 Page 2 I subdivision: Lot no.: water savicc (nn. linear ILI _J I Page 2 - — Frxture er ittm Tax maplparccl no.: -- . -- Absorption valve 16,60 DESCRIPTION OF WORK Back-flow preventer Page 2 1 AS . y l . • e - • , • i eackwater valve 16.60 . • .. _ • C ei p ` " + Ls: -, Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ROPERTY OWNER ❑ TENANT Ejeoors /sump 16,60 Name: i P . .0 ' I V -a . 6 Expansion tank 16.60 Address: t. as I Fi eeunt /sower cap 16,60 City/State/ZIP: • •D- ! Floor drain /floor sirlklhub 16,60 Phone ? S 9 Fax: ( ) Garbage dispozrl 16,60 c Hose hih 16,60 ❑ APPLICANT 0 CONTACT PERSON >crmalcer _ 16,60 Business name: _ Interceptor /grease trap 16.60 Contact mantel _ -- Medical gas (vawc: $ ) Page 2 ' address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16,60 Sink/basin/lavatory - 16,60 Phone ( ) I Fax :: ( ) E•:nail: Tub /Shower /shower pan 16,60 Urinal 16.60 CONTRACTOR Water closet 16.60 Business name - if3o \\ ( Cz y,7■,, LA vt Watenccarsr 16,60 Address l j �Co s. Other: CiCy /State /7 F:C ore,�j W1 Q Z. 4W 7 0.,?›(.: subtotal _____, ' •1, 0 Fax - Minimum permit fee! S76.25 Phone: (�'�- �i l G �s RcSidenual baelcflvw minimumpcmrit fee: $36.25 GCB Lie -: a it Plumbin• Lie_ no _•• r , —__ ib. Plan review (25% of permit fee) State surcharge (12% of permit foe) Authorized signature: - .;'~tvm.•.:ew • • TOTAL PERMIT FEE Print name: D . , This permit application expires ire permit is notoptaintel within ' � � ri, ate: - We days after it has heels accepted is complete. - Fee methodology set by Tri- County Building Industry Service Board. avildinla k,•rq,M r N ..l=App <re Iy,YOc .,a0- n676T(le't2tCQ14fWERt 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLIA2008 -00047 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/40009 Phone: (503) 639 -4171 itseg �ypi u Inspection Requests (24 Hrs.): (503) 639 -4175 M '- I INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7:01AM PAGE: 2 2 ' SITE ADDRESS: 15414 SW 91ST AVE CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 133 TYPE OF USE: PROJECT NAME: MAUER DESCRIPTION: Repair 20' of sanitary sewer line. OWNER: MAUER, BEVERLY PHONE #: 503-599-3922 CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: F�03- 239 -6801 Inspection Request Scheduled For: Date: 2/5!2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 0e4523 -01 503-239.9801 Y Corrections /Comments /Instructions: Li" Bs-- ge 14" 0 3cV'U.C, C a ( fr X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 n �- Date: 7. ) 0 I' N j Phone #: (503) 718-