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Permit CITY OF TIGARD PLUMBING PERMIT 11111 COMMUNITY DEVELOPMENT Permit #: PLM2011 -00084 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/17/2011 Parcel: 2S104CC06600 Jurisdiction: Tigard Site address: 13679 SW ASCENSION DR Project: Spooner Subdivision: HILLSHIRE WOODS Lot: 10 Project Description: Replace 100' or less of water service and replace existing backflow. Contractor: WOLCOTT PLUMBING Owner: SPOONER, KAREN L & DAVID S 1075 W HISTORIC COLUMBIA RIVER HWY 13679 SW ASCENSION DR TROUTDALE, OR 97060 TIGARD, OR 97223 PHONE: 503 - 579 -7533 HONE: 503 - 667 -1781 FAX: 503 - 667 -9891 FEES Quantity Description Date Amount 100 If Water Service 03/17/2011 $62.54 Specifics: 1 ea Backflow Preventer 03/17/2011 $31.27 1 12% State Surcharge - 03/17/2011 $11.26 Type of Use: SF Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $105.07 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct q ions • 0UNC b .fling 503.232.1987 or 1.800.332.2344. Issued :y: I /,C 1 Permittee Signature: , Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .0.01.41 LV,L1 VV. fJ Ww.-I. .rVf...V . W..F• - -- . . ' - -- Phunbigg./ Ae LAISaliaP Building Fiutans SI City 4 Tigard Pend Rh; 13125 wild 800.,1111110. OR 97223 " Rosy 503.7112 kg 103.991.1946 F4g11111.111111111 Mar asdtlls: the ssics iso 518.639.4175 Ilie IrM� www.681rlostp, . • • ,1� r ._ - ;-- .1 :' ] � � r .. - ., t - i i�I 1 •RV�Ii if . � , - � .., UL« ^:444 . ^H. . .. r�•... � m fr . ± •a.i f, V.•.bll.� . C0111010621 CI DAN/kW . am chalk D Atiditionfaltaraimkplactoneat C] Other Nor I- Maths MO s. for cods __, _ • , SRR(1) bah Mil 312700 © Aooaroiy �] 1�1G -5 11' + *� 10032 NM a q > budder O Omer: 11=1=MM7111110 110 o R 9'1 Z�d Drys* korth moo, or tads Aral LIN = Tj 6r+a•2 D err::. a+sir+r,:__) 1111111071 sue. 5 Po f :x� p _. _ 50.03 croaSame#11104011$ job Am NMI IL76 E, - 10.76 Sssil ry mei (me. firm 11:.,3 Per 2 MIEN Soma (so. lime 4t: 109 Wairr swim (ft hour 4.• A/ Pawl III Tax 11 1114Ind SW.: 1ltrlaAow onmetter 1,1111111EIEMNI • ,. A y , y m o m , yam 12.51 IBM NMI 25 IIIII 7 i lJIi11N�r4 MINI 2542 imp Mikis 2542 Norteridinte 25.0Z 12.S1 I L Thar is�(AOOrA �M 715.01 MO r 8 ' 25.0 • r t .. , ; ..� �, •', 25.0 Is Prkere 12.51 E Coarsot . r. r •.. • , , 7 d 6sountit (____ sirq an 12.51 Addrour 25A11 62.54 Poem ( ) ax:: ( ) thirod OM Bier& wave do.ot 111111 2s as Wire MOD/ 97.93 fps »r= ...L iN t* �j �� Was pip 56.29 Maki . 10 5' iti1 04.Ail { 1 ? . tc M OILY. 29.02 CillyMIstetM ..- TrIosalfD4(X Dew - .? die" MUM lia 6 i r iewA (M) 6,141 itv4st iC r at Age (W) - 1 - 1g i Piss asks OM dp4 008 I3o.: / 1, z t as eh lisallissr Lir.. m,: a _ .. g rp i pa, Sias waling (121cofpoeAic ula 1l AOa ima e#. TgraL Pr9 i? nig F i �` r > .5 as arlcc � " wag. lad. / 0 1 gag ,wraftiaiY ' . avi.Rllard. /0 6 ' ZO /Z0 37tid 9NIENI1d 110010P1 1686L99£O9 5£ :80 TTOZ /LT /CO