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Permit CITY TIGARD PLUMBING PERMIT Ae 9^r\ DEVELOPMENT SERVICES PERMIT #: PLM2005 -00687 f 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/13/2005 PARCEL: 1S133DC-05000 SITE ADDRESS: 11555 SW 133RD PL ZONING: R -12 SUBDIVISION: BRITTANY SQUARE NO. 1 LOT: 008 JURISDICTION: TIG Project Description: Water line CLASS OF WORK: OTR 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: ft WATER CLOSETS: WATER LINE: 65 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES SCOTT CLIFF Description Date Amount 11555 SW 133 PL TIGARD, OR 97223 [PLUMB] Permit Fee 12/13/200E $72.50 [TAX] 8% State Surcharl 12/13/200f, $5.80 Phone : Total $78.30 Contractor: LOVETT EXCAVATING INC 2925 SW HARTLEY DR REQUIRED ITEMS AND REPORTS GRESHAM, OR 07080 Contact # : FAX 503- 288 -1630 PRI 503 -504 -2847 Reg #: LIC 125507 PLM 26 -773PB 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 or 1- 800 - 332 -2344. Issued By: /R1,gN 4LOGK- Permittee Signature: SC.:" � Pj L / T/ON Call 503 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. 12,12/2005 10:33 5032881630 PAGE 02103 . 1X/08/'2005 10 ;13 VAX 50350$1060 CITY OF '1'11 RU 'e Pe • �� V \ b � ® Frll( r)l It I. I �I'. ()NI '., Reciedvoi plumbing . y � `�� Z ppS - 2, -as' f0 51y Permit No: , r tn��i / ws - 00 6 8 City of Tigard 13125 SW Hall 81Vd., Tigard, OR 97223 c ` f.,, A Plan Re view NI.- vennit ite.: phone: 503.639A171 ,Fax 503.598,1960 Ft0 , ► . Internet l w apect Love 503.639: Ge v of 11 v c \U: i -i4.. l i { a c oa r , _ xr } N. �..,� i y ,z�n:+� �L /N{�} ��. M .� �1 �itjP� ����1 ` rr'M{ , ,1� � :�J.. ,y U O Lt J, f , i� % �r � !°" k . ^c czT '. t' `, ,\;; :. .itJ. :i t.��.li! � 17 ',? !'.• I t ' ., ,, z . : ,t.�; , '..' i4 - : _ j,4v.,,4„ u, ,:4,1. an y.. i 4.kt4 FArpedal information use alkeeJFGs4 © New construction ❑ Demolition Dent ti lion 64 . 13a. Total © , Addition /sltetationhcplataernent ardther- C I I '--( Newl- 2 -famiy dwellings (includes 100 R for each utility commotion) 1 r, ti a ka '�'t [ r „ 4 ' c"o`iC:i i a �a. �. lt( o i � t , . r , r yt,k +KN °� :,ti!� $R (1)� � 24920 4 , ► - , 1- and 2-ftnnly dwelling 0 Con merccial/indusitial SFR (2) bath 350.00 — gFR (3) bath _ 349.00 Ili 0 Accessory building El Matti- family E a dditional bath/kitchen 45.00 0 Master budder 0 Other. Fire sprinkler ( 0q. t!.) Page 2 'TWO* . . ,1 } 4 7 - 1 7 . i ;r. 1...78. 11 ti r4a y k u.vu.. ,�.Si • Ym ' Lxy�l r YP'a = '47:17 -' � '� T t,}}ift F ��'. � . ,r ; siGr'T 1 eNT 113 • .'” ° I • M 6. zlratg a t ' X`.N a k . Slit adl the s Job site address: 5 w \ 3 0 Catch basin or arcs drain � 16 60 Drywell, larch lino, or trench drain ig. 1 6.6 0 pp Footing drain (Ito. Saar f1� ) � � Suite/bldg./apt no.: Project tiatpe: 560 �/ c L Menu :lhetsued home Militias 110.00 Millil Cross attoet /dirocl3ons to job site: Manholes _ 16.60 f Rain drain Atttutectar 16.60 W_ Sanitary seWor (Ito, linear fl:: ) P8Re 2 MIMI Storm sewer (no_ ling I: _) Paget Subdivision: Lot ad.: Water service (no. linear ft; Page' , Fixture or item Tax rasp /pill cot no.: . o.: _ Abaorptioa valve 15.50 '. .. %,. ,` 1 1 [�� ( �� ... Vii, ^ , t `,� w ° +�Q t °I r ! + � j,f 9 F,n;e, aeldlowpreven �. y , ��t4 • �MSN!'•d t r � �e?�iil S16 � t� . ` t _Backwater valve 16.60 Clothes washer I6 Dishwasher _ 16.60 �� tc�^- per .s.- � e 7r v1- rr t�1. :a i DrEnking fountain 16.60 ;W' + is 5I 47 r i n r t . a I 4 + +v Sri i lr,;; • v, a e,.... er, r�ariaarie4 `i::k.U' I' .r.:ra E4 L Ejectardswap 16.60 Name' Expansion tank 16.60 Address' Malmo/sower rat . . — 16,60 City/State/ZIP: Floor drain/floor sink/Nth 16.60 Sena; ( SO 3) Fzu ( ) Garbage disposal 15.60 :=r .,. r��: 3, -r�u , r; '+� �• -,+. nps ,.a x'loae bb t6,d0 ,� y iM1 ItY�,Vi:1r Y? � 7 V 7 ' :1 4� , 91 0., t +t +-.z�: oc.,1 r;V :a � �/• • i R�a ,ca�moccm- s�.l.N wuc . 1 Ice maker 16.60 islttsit+ece n nma: _.._.... V _ taterceptortgrease nap 16.60 Contact nerno: Modica! gas (value; $ ) Paget Mdross: Primer 16.60 City /State/ZIP: Roof drain (commercial) 16.60 Phone ( ) I F : ( ) Sink/basic/lavatory 16.60 -- Tub/ghowedshower pen 16.60 &»a; Urinal 16.60 MEM r u n -. Sr ., . ph,vr 5 ` ', a,... :1 16.60 1 * f . ' 1 - . y . ,kig N '� - ,e , a i+ • _: ' _ i.' . �C� : 5::;' ,c . ' l',.�r q ' , , Wen. Onset Business name. L) X C4 a.-t v` a Water beater 16.60 Address: gal 5w 1-\d .t , e. J -C Othelt; —� co/State/ZIP; i g 0 Sobtutal atY '� . .. `.- 14litomutKl p ermit foci 592.50 rjArjwil Phone i'5.. ) g 5E, -4 tx� Fax :(' • )CJ�r8- 0.03() Residersea lbackilaw minimum permit fee: $36.25 IWMIVIIIIIIIII CCB Tic.: , 0 ' L Plumbing Lie. no.: ... _ _ Plan review fr2Slt of permit fee) ' 11 ' .��. State surcharge (896 Of Permit fee) Mal Authorized signgture :1] TOTAL PERMIT FEE KL Print name: a c �' Dam: gag= T b* spcn uit appiicstion expires 0 'apermit sot obtalnedwithin 180 days after it has been ncee R9 atuRRIcte, Tree methodology net by 're-County Bail Mg Industry Service Board M uldinipe mits\PLA'•PbhIYI Waq.d0C O81CS 4404616T(16137/COM/wEB) CITY OF TIGARD BUILDING DIVISION Or" PERMIT #: PLM200 &00687 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2/1312005 Phone: (503) 639 -4171 � n4pu 1 ii� j I /1 Inspection Requests (24 Hrs.): (503) 639-4175 •. yv INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7:01AM PAGE: 68 SITE ADDRESS: 11555 SW 133RD PI_ CLASS OF WORK: SUBDIVISION: BRITTANY SQUARE NO. 1 LOT #: 008 TYPE OF USE: PROJECT NAME: CLIFF DESCRIPTION: dater line OWNER: CLIFF, SCOTT PHONE #: � ' 7 2 9 CONTRACTOR: LOVETT EXCAVATING INC PHONE #: 503 -504 -2847 Inspection Request Scheduled For: Date: 12/21/2005 Pour Time: ( . Code # Inspection Description Confirm # Contact # essag\ c4-44A) 330 rater service 023824 -01 503 - 288.1627 'Y Corrections /Comments /Instructions: / ; ■r - sl/) o . 1), \ ,-\ : 1 / '( / �. l f ../// . • a -Reps ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ` v Date: 1 2 V° f Phone #: (503) 718- 2-Y I-