Permit CITY OF TIGARD
PLUMBING PERMIT
I DEVELOPMENT SERVICES PERMIT #: PLM2004 -00527
1 . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/11/2005
SITE ADDRESS: 16205 SW 108TH AVE BLDG C PARCEL: 2S115AA -OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: 24 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 24 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 24 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 29 OTHER FIXTURES: 27
TUB /SHOWERS: 29 SEWER LINE: ft
WATER CLOSETS: 29 WATER LINE: ft
DISHWASHERS: 24 RAIN DRAIN: ft
Remarks: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose bibs.
FEES
Owner:
Description Date Amount
OT2 LLC [PLUMB] Permit Fee 1/11/2005 $3,486.00
5437 ROSALIA WAY SUITE 100 [PLMPLN] Plan Review 1/11/2005 $871.50
LAKE OSWEGO, OR 97035
[TAX] 8% State Surchari 1/11/2005 $278.88
Phone : 503 620 - 4373 Total $4,636.38
Contractor:
TAPANI PLUMBING
21707 NE 206TH AVE
PO BOX 1458 REQUIRED INSPECTIONS
BATTLE GROUND, WA 98604
Phone : 206 Rough -in Insp
PLM /Underfloor
Reg #: MET 00001629 Top -out Insp
LIC 60958 Final Inspection
PLM 37 -269PB
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.
Issued By: i _;/,,, Permittee Signature: / - —.-
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application FOR OFFICE USE ONLY •
City of Tigard Received T 1
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: 1/ 1-, D Permit No.. _� 5�
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review iy
� �� ' ' � ° y�" ' � I t ' � Date/By: ' 1 �S �/'� OtherPerr l�i
24- Hour Inspection Line: 503.639.4175 �(_�__ . U
P � �'�� Date Ready/By: Ju 0 See Page 2 for
Internet: www.ci.tigard.or.us
?,.R. „:r -° tx,„ :_.. Su pplemental
„; .. �;�.. _. . ..•: xr� .N .:;�,�� ,�.::z.� ,. n�•�� ,:. �:,� -., rr Notified/Method: x:.:.,= ,x
e od Information
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ry(New construction ❑ Demolition For special information use checklist.
Description • Qty. Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
;`i�' 3.,',i,..� '.ta, -, a1.:�'R ' ..Otis" x °.+� ^-�:„
,, t C TEGORY t , ' C O ST I1 " ,a '
� , , �� ` .�r� � 4. .. �... �,:: a��� �: srs-�p.�:+..- . �t�.��rf���f.�� . u':Y SFR(1)bath 249.20
❑ 1- and 2- family dwelling ❑ Commercial /industrial • SFR (2) bath 350.00
El Accessory building 'Multi- family SFR (3) bath 399.00
El Master builder Each additional bath/kitchen 45.00
❑ Other:
<: r rip °i } . ,,...� ,s ,:x.: '.; 9 ° ,v ar . ., Fire sprinkler ( sq. ft.) Page 2
` 4 n .` ,ToB` SI1 =nt.. Ot iiIM IO I AND I F. gyp' S ut
Job site address:
a`s. .' -e: :_ :, r i. e�.s::: 'x.:.m .e air - 4.: :,; 6-,,•k t.-- ;. ased', , :. 'c 5 :�3: ,at. w
1 � � 4'I- 1 41-Peet
' �02� � �N lQ� .� (,
1.44 Catch basin or area drain 16.60
City/State/ZIP: � mZe CAL �' _ 4LZ� -1 Drywell, leach line, or trench drain 16.60
n -TREE_ - Footing drain (no. linear ft.: ) Page 2
Suite/bldg./apt. no.: Project name: ^ iK�� ! 1� g
Cross street/directions to job site: ' 119. )"_ � 5-4' l Manufactured home utilities 110.00
Manholes 16.60
• Rain drain connector 16.60
Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: Fixture or item R
�' a3, �s:� •n . s .. _,, � , "Cr „,,, .„.,--. Absorption valve p R ki ' 16.60 /4 d 0
r. s DESC121RTIO *61 141 a
.t;� 1 � € � r,: i ° in b,,,,va < n. gzs_ ,,,ct4'r. . ,1, .; r -. ?t1 Backflow preventer Page 2
V t_c�1t4 Li . ?F�.t .IAA.0 '(j; L. �P. + r-- Backwater valve 16.60
l( - (/ J . i - X . - A c Z tk vt 1 ` 1 4 -S Clothes washer 2 16.60 'C/ 0
Dishwasher 2 ' j. 16.60 ,7. I/ d
'a ='`: 1 ,� m:k a -� .'� J : r � , - � t -� Drinking fountain 16.60
�4:0 OP ir Wi il t' l- ❑ TEL �iAN` . F � r t . g
, _-_. s. 4.i Z.'A., m 4,4k.� .44-�...� Saw: � .at ,P:t .'Nr !1 .y , :.4:, .,•:, ; >a� . ' .r Ejectors /sump 16.60
Name: Cf-T" Z_
Expansion tank 241 16.60 3€9
Address: < Q-1DSA-LiA- (,,)4k( - cFi -LCO Fixture /sewer cap 16.60
City/ State/ZIP: L4 iIiL s� ill � c _ Floor drain/floor sink/hub 16.60
Phone: ( OLD- f- 4"7� Fax: "�� ('?,0.I � S Garbage disposal , y 16.60 3e9' t/ ()
;:•.', yr r.:'a',rtk, •ar• =?i ..%, 3 ;' - a e,:,4, =, e,,:�,�;;, ;:;: ; , t „ t .,.. arut�; car`.,• ' �. a 16.60 v
e „ 1 ,Y t r ` x / ._ t t' Hose bib
& ,,.. ' PPIsICAcv'L „a�® 'CON=.TACT P. : J
"'. k 3F:5 + 4 'si':Sdr r'F' .�' ,�',:'a°.itP.:T� � =a .;:c
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: _ Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax:: ( ) Sink/basin /lavatory 29 16.60 C/1/yo
Tub /shower /shower pan 29 . 16.60 ("7/ y O
E -mail:
S a< ',? x , a n ^ f.m -,. . Urinal 16.60
.: a, �''' . ti ' rC ONaTR' --W.M • 4 ,u ; ; `kr
:z:_b: � z �t • . :.._- ...,mss= Water closet 9 16.60 /.
B TAPANI PLUMBING water heater y 16.60 39� 9O
Al PO BOX 1458 0
G BATTLEGROUND WA 98604 7��1ai jt Tel, 1 .?Q Subtotal �6 (A
P]
213 Minimum permit fee: $72.50
, 206- 687 -3983 Residential backflow minimum permit fee: $36.25
Cl CCB: 60958 PLBG: 37 -269PB Plan review (25% of permit fee) 7 I ,S
Q - State surcharge (8% of permit fee) .21/ ' signature: / yyLCl}i(9 TOTAL PERMIT FEE (/‘ 3 d _.� b
Print name: 1 S 0 A4- I; N Q o !! I Date: f 1 I _4,2 _d j This permit application expires if a permit is not obtained within ci, / 180 days after it has been accepted as complete.
•
*Fee methodology set by Tri-County Building Industry Service Board.
isl Building l Permits lPLM -PeI App.doc 12/03 440- 4616T(10 /02/C0M/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2004 -00527
' 13125 SW Hall Blvd., Tigard, OR 97223 k DATE ISSUED: 1/11/2006 „
Phone: (503) 639 -4171 � I��N li
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 11/7/2005 TIME: 7:06AM PAGE: 37
SITE ADDRESS: 16205 SW 108TH AVE BLDG C CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
,, DESCRIPTION: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose
bibs.
OWNER: OT2 LLC, PHONE #: 503- 620 -4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 20687 -3983
Inspection Request Scheduled For: Date: 11/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 02047101 360 -61B -2712 Y
Corrections /Comments /Instructions: r 96
___1,,
1021 AMMIIM .,_,-.111Will'IPPro -,""
63
2 ,,9:,, .74C' --
/_ , / g .,,, i . /-,
,/ - U ✓
41/,G . �_ .:oota . i/e. - i.iiir ��,
, - cme__ -‘-
a PASS 4 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r - Date: ( 7/,51 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200-00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2005
Phone: (503) 639 -4171 �'�l
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 79
SITE ADDRESS: 16205 SW 108TH AVE BLDG C CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose
bibs.
OWNER: OT2 LLC, PHONE #: 503 - 620 -4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206 - 687 -3983
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 020594 -02 503-453 -2991 N
Corrections /Comments /Instructions:
die 40/011
• rro ,d e ,,,,■•••--sAP
■ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL (l CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: / J Date: 1 /
• (2 Phone #: (503) 718-
,,,-
GITY OF TIGARD - \
BUILDING DIVISION . s PERMIT #: PLM2004 -00627
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2005 emu. f
Phone: (503) 639 -4171 1ii
Inspection Requests (24 Hrs.): (503) 639 -4175 ! `:_..
INSPECTION WORKSHEET FOR DATE: 11/4/2006 TIME: 7 :08AM PAGE: 83
SITE ADDRESS: 16205 SW 108TH AVE BLDG C CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: OQA TYPE OF USE: 1
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose
bibs.
OWNER: OT2 LLC, PHONE #: 503.620 -4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206.687 -3983
I
Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: 1
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 020296.01 360-518-2712 N
Corrections /Comments /Instructions:
r
# / Imp-
2 �rs
•
❑ PASS TIAL APPROVAL ❑ CANCEL U NO ACCESS
I I FAIL n)CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: df)7_,� Date: / , • Phone #: (503) 718 -
•
CITY OF TIGARD °
BUILDING DIVISION PERMIT #: PLM2004 -00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs:): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 0/1212005 TIME: 7:06AM PAGE: 19
SITE ADDRESS: 16205 SW 100TH AVE BLDG C CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: O0A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose
bibs.
OWNER: OT2 LLC, PHONE #: 603-620-4373
CONTRACTOR: TAPANI PLUMBING - PHONE #: 206 - 687 -3983
Inspection Request Scheduled For: Date: 8/12120066 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 . Plumbing rough -in 013474 -01 360. 618.2184 N
Corrections /Comments/ Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t/n. Date: y if Phone #: (503) 718-
Y OF TI ARD
CITY G ,., ,.
BUILDING DIVISION PERMIT #: PLM2004 -00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2005
Phone: (503) 639 -4171 , . s " ii4,y����o� �� l i ' '
Inspection Requests (24 Hrs.): (503) 639 -4175 '__�
INSPECTION WORKSHEET FOR DATE: 7/6/2005 TIME: 7 :12AM PAGE: 3
SITE ADDRESS: 16205 SW 108TH AVE BLDG C CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE H APARTMENTS .
DESCRIPTION: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose
bibs.
OWNER: 0T2 LLC, PHONE #: 503 - 620.4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206 -687 -3983
Inspection Request Scheduled For: Date: 7/612005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 010837 -01 360 - 518 -2184 N
Corrections /Comments /Instructions:
V .PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,
tif Date: Phone #: (503) 718-
CITY OF TIGARD "'`'`�
BUILDING DIVISION PERMIT #: PLM2004 -00527
Il 13125 SW Hall Blvd., Tigard, OR 97223 ,. DATE ISSUED: 1/11/2005
Phone: (503) 639 -4171 /411 ,00 1 11 all\
Inspection Requests (24 Hrs.): (503) 639 -4175 A
INSPECTION WORKSHEET FOR DATE: 7/5/2005 TIME: 7:12AM PAGE: 3 .
SITE ADDRESS: 16205 SW 108TH AVE BLDG C CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE: \
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose
bibs.
OWNER: OT2 LLC, PHONE #: . 503. 620.4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206 - 687 -3983
Inspection Request Scheduled For: Date: 7/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 010751 -01 360-518 -2184 N
Corrections /Comments / Instructions:
•
❑ PASS ❑ PARTIAL APPROVAL El CANCEL n NO ACCESS
"k FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � ""'--:-
Date: 7 /..g0Sj Phone #: (503) 718-
Y F TI ,
CIT ® GARD
, BUILDING DIVISION PERMIT #: PLM2004 -00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2005
Phone: (503) 639 -4171 eM
Inspection Requests (24 Hrs.): (503) 639-4175 '' _
INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7:10AM PAGE: 42
SITE ADDRESS: 16205 SW 108TH AVE BLDG C CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose
bibs.
OWNER: 0T2 LLC, PHONE #: 503 - 620.4373
CONTRACTOR: TAPANI PLUMBING PHONE #: 206 -687 -3983
Inspection Request Scheduled For: Date: 4/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 004121 -01 360 - 518 -2184 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Li FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: y Date: 1 7 / a Phone #: (503) 718 -
4 •
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation —
Post /beam structural —
Shear walls /anchors ELR - Restricted Ener Permit
Roof nailing
4 Inspection Description Date Passed By
Firewall Low voltage
Tilt up panel Electrical final
Masonry /Reinforcement _
Framing
MFG-Structure set-up MEC - Mechanical Permit
Insulation
Drywall nailing Inspection Description Date Passed By
Suspended ceiling — Post /beam mechanical
Engineered soils Gas line
— Welding Lab Final Mechanical rough in
Concrete Lab Final Fire damper
Bolting Lab Final — Duct work
Structural observation Smoke detector
Fireproofing Lab Final — Mechanical final
Final inspection
PLM - Plumbing Permit
BUP — Fire Protection System Permit Inspection Description _Date Passed By
Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab
Post/beam plumbing
w ti Sprinkler rough -in
•
Sprinkler final
prinkler — Plumbing top out
RP /backflow preventer
Fire alarm final
Rain drain
Storm drain
_ Water service
SIT - Site Permit Sanitary sewer
J Inspection Description Date. Passed By _ Culvert /catch basin
s
Footin
g Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils
- NI .Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
e. Final inspection —
a.
Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04 /17/01
• .a
C TY OF TG . . _ PLUMBING PERMIT
,, Ip DEVELOPMENT SERVICES PERMIT #: PLM2004 -00527
I • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED. 1/11/2005
SITE ADDRESS: 16205 SW 108TH AVE BLDG C PARCEL: 2S115AA-OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: 24 MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: 24 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 24 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS: "
LAVATORIES: 29 OTHER FIXTURES: 27
TUB /SHOWERS: 29 SEWER LINE: ft
WATER CLOSETS: 29 WATER LINE: ft
DISHWASHERS: 24 RAIN DRAIN: ft
Remarks: Building C - 24 units with 4 attached garages. Other fixtures: (1) PRV, (24) Expansion tanks, (2) hose bibs.
FEES
Owner:
Description Date Amount
OT2 LLC
5437 ROSALIA WAY SUITE 100 [PLUMB] Permit Fee 1/11/2005 $3,486:00
LAKE OSWEGO, OR 97035 [PLMPLN] Plan Review 1/11/2005 $871.50
[TAX] 8% State Surchan 1/11/2005 $278.88
Phone : 503 - 620 - 4373 Total $4,636.38
Contractor:
TAPANI PLUMBING
21707 NE 206TH AVE
PO BOX 1458 REQUIRED INSPECTIONS
BATTLE GROUND, WA 98604 _
Phone : 206 Rough -in Insp
PLM /Underfloor
Reg #: MET 00001629 Top -out Insp
LIC 60958 Final Inspection
PLM 37 - 269PB
- O
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 0
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.
11
Issued By: ',j Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day