Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00061
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/01/2011
Parcel: 2S101DB00604
Jurisdiction: Tigard
Site address: 7745 SW VARNS ST
Project: PIRKL Subdivision: Lot: 0
Project Description: Backflow preventer and 25 ft. of water service. Electrical permit may be required if replacement piping affects
house grounding.
Contractor: CROWN PLUMBING Owner: PIRKL, RAYMOND E /ROSE MARIE TRUS
5429 SE FRANCIS ST 7745 SW YARNS ST
PORTLAND, OR 97206 TIGARD, OR 97223
PHONE: 503 - 771 -9449 PHONE:
FAX: 503 - 771 -9454
FEES
Quantity Description Date Amount
25 If Water Service 03/01/2011 $62.54
Specifics :_ 1 ea Backflow Preventer 03/01/2011 $31.27
1 12% State Surcharge - 03/01/2011 $11.26
Type of Use: SF Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $105.07
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 -0090. You may obtain a copy of the rules
or direct questions to O NC by calling 503.232.1987 or 1.800.332.2344.
Issued By • Permittee Signature:
C. ' .• •.4175 by 7:00 a.m. for the next available inspection date.
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.
02/03/2007 02:09 5037719454 CROWN PLUMBING PAGE 02/02
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City of Tigard flan R Other PertniA NO ; _
IN 13125 Sv'J Hell 131vd.. Tigard, OR 97223 fl an R it o,: Pine /few
" pye1r 503.639.4171 Fast: 903.998,1460 Date REUdY�Y: Rr•'� So r ay , rnferwatIon
inspection tine', 103 ,639 A195 NotiF Khod t ;a .
Inane.; w -argo
N ''
F ' eN a on,tre Chet -klRa[ Total
U Demolition Dean • ion
New construction De n (.2 fatmilvdwelli .M1 includes 100 ach utility connection) 33270
OtOther: OM
t� AddtVtml3 .lterttti4rl /rep3acefnent � ��
,. `.•a.. 500.32
mdush'ial
, 0 Commercial/ 25,02
Master builder 0 Mutti kmily Each additional bat /kitchen MN CI
Accessory building In Other: r R1<fb L`A 4')<Oif�' `
,. , . • jO 95'11+ !>~O Catch basin or prca drain 11111 18 10 111111111111
Job site address: 7 (..4../ V S Drywell, leach line. of trench drain ilECIIIIIII
CitpiState /Z1P: - a , C 50.03 INEMI
Project name: ll a i.
Cross stree apt, eti all � �
Crassq sarcaUdircetiona to Job aitc, Rain drain wnocvter i
psge 2 mom
- ` 1 9na #tart sc (no. lnear �.: ____) 1?agg 2
° Storm air (no. linear R.:.� � 2 111
11111)
T 7 or tear ���
Subdivision: Flackti R+� e^ � t
25,62 NEM
)d 25.02
Dishwasher Mil 23.61 EMI
r Dt #nking #buntaln 23.02
P' '42 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIMIIIMIIIIIIIIIIIIII ;Iecrorslstunp � � •
1PIN OP�11!( Fy F ,i. ,• 1 F'fE$4lY'a 25.02 MEM
25.04
Name: 1111111
•,J Garbage dlsporal
Address: 25.02 NM
pity /5tetd7.SP IMe
mm [CCPtod�rtAeOlrall 25.02
1 1:21111 1131.11111111111.1111
... '-'• e I ' At �,qt P i v 9 1 , :); ■�I � . Ji valie: 51 .r— ) IIIIIIIII
�n� n R o; Christian Plumbing Mcd3cal3!
Business n ame. lumbing inc. OSA Grown Plumbing
t name; " Roof drain (commercial) �N Irri: ION
Contact i+antc Dean SE Underwood ,
el Address. 5429 SE Francis Street 5lnit/bataindsratory 111111 2502
I Solar units (potable water) 62,54
CitylStata /L3P: Portland, OR 97206 .-- �-�- -" 1 � „1a/snowarAhrnvrrptrt 14,51
Phone: ( 603 1 771 -9449 Fax: ': ( 503 ) 771 -9454 25.51
—& � r magi, ,� ��M
Business name: Christian Plumbing Inc. DBA Crown Plumbing Water PiPin3'lQWV 1•1111
ci: Aare.: 5429 SE Francis Street , other: 25.02
Subtotal g r
City /State/3_1P Portland, OR 97206
Fax.( 5031 771 -9454 ; Mirtimvmpermitfce: X12 -50 Ag ora
„� Phone: (303 ) 7T1 -9449 .. ) MEd 1 �,�, Fltunhing.lie,, 34 -70PB II Flan review (25 %o4 rniitfcc
� G -mtul. State surcharge (1295 ofpatmit fie) •� �1
('Cl31ie.: 42671 city or metro li o.: Metro 1431 TOTAL PFRM3T FEE .: • 1
Aud+orixcd ' 7 Thi} wino ttppllrnl:et► eypirc> it a permit as not obtained within t90 day.
O
OW It bas been atcq iaa 40 w,npletr.
I si gYtA tare: "Erie met NI au act ey Id-County Redm6 Sx+occ Board. O
7C Print name: Dennis Underwood Da Z e � rAt