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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00494 DATE ISSUED: 11/6/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S133DC 10500 SITE ADDRESS: 13240 SW BRITTANY DR ZONING: R -12 SUBDIVISION: BRITTANY SQUARE NO. 3 LOT: 071 JURISDICTION: TIG PROJECT: STOCK Project Description: Replace 50' of water service. 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: ft WATER CLOSETS: WATER LINE: 50 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MARY STOCK 13240 SW BRITTANY Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 11/6/2007 $72.50 [TAX] 8% State Surchart 11/6/2007 $5.80 Phone : 503 - 524 - 6247 Total $78.30 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. 1 Issued By: ) •' /./ 'A , Permittee Signatur ,o.—v- 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. P /r. FROM APOLLO DRAIN 503 - 669 - 9568 (TUE)NOV 6 2007 9:47/ST. 9 :46/No.6812889314 P 1 «u Plumbin I Permit A Iica�tio . F Y oste d p 6 * • ` Permit No.' y � Q �" i t : ' Datc // ' 7 1 City of T:gard v / 13125 SW Hall Blvd.. Tigard, OR 1,', g • flan Review Phone; 503,639.4171 Fax: 503. k, l . i r ,, Other Permit No.: 24 Hour Inspection Line: 503.639.417,5 6 . >�1'1 ' 9 Date "1y.7 'I!. Date e y . O Ready/Fly: /R n« Interact; www, ` ,II •'ii (l.irY.11t V n 'r lip ll' mrnlu n s i ` - � N� " i Yf•#'-' Nori [ied /Mefhn tin i �Ir t haw- mo ti o n " , .:!' .. ' . '.. '. ..: ' '.'. :".::, ....1:1'.6411,. Paz!! , m t ' E 1 1!. l r special information � ! , - .. � .. r.,,;: o. ...,, ' For Ct .............. „. ri use checklist. © New construction ; ; f s -- ---- -. Description y, Ea Total '�J iticrn /alterpliOn /repIaCernetl Other: New l- 2-family dwellings (includes 100 R. for each utility connection) 4!r r.,':: °t;::':'i.• ,,;; :', ,,p (+ '.1 ;� 1 '?;" 1, - TE0ORv''9,OF`,'`C �. R� �r O 4 '^ .g �"FAi`` d' 1,. I u� s SFR ! hth _ s;'' a 240 { ... .,, .... r ..., ��.,.,. ,nrl � .�. ....... CII '. n,. w., �A�,,.. �...... i ................t.(F1'�'�:i.1, .1'�..;1!1i�. }:h:I.V.... .tldrlT.,Adf'A7fx�.lr,, ( ) 249.20 and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 CI Accessory building ❑ Multi - family SFR (3) bath - 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ t.her: ,' n, ,.,,.,,..,�,,,,,...�..:'', ' cse .... .,,., ,,,,,, , „rh�„ n, o o, .,... >,. , a sprinkler( 9 ) A u� �� Fire s . h. Page . . r �'.'1 ; t1 ` 4:0. S) "l< fd 1 L�' C1 CA 1OT1V M t ,' r`,s "'� „ � ; .�, , r,, .,, � a., ,.. , .,, „ bf umb ✓. ✓Mi�',�p�' Site utilities �._ ...• ,,. ..... Job site address: i1 3 � ��( ,rte V 1 �� % r ' I - -- n r . Catch basin orarca drain 16.6() City/State/ZIP; ✓ v � ` '/ �t}Op p, Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: nOjccl name: Footing drain (n linear ft.: _) Page 2 -• - - Manufactured horn utilities 110.0U Cross street/directions to job site: -- Manholes 16,60 Rain drain connector 1 6.60 ' Sanitary sewer (no. linear Il.: ) Page 2 Storm sewer (no. linear ft., _ _ ) Page 2 Subdivision: Lot no.: Water service (no linear tt,: ) ! Page 2 Fixture or Item Tax map /parcel no.: — ( valve rt f� ; ,,� Ike t; :,.,: ..�1(v., ' "1 f!";'� f 'n.. � ryr � ( ,,„r ' �'';I; {��,. �' F,i', Absorption I 16.60 f 1 c i 1 4 %r r ¢ (darrap .. J ' tl *!' M,, n rrx_R "fit` ,m n mrar.m "., �V� >J " t : ylaa, I .� u1 tt .h d "xMJ/ / j � ti �XS1► �;1 "� � � ` 13ack[low preventcr Page 2 [� () IA/cc / / - fix Backwater valve -�_ - -- 16,60 � .a -t.j Clothes washer _ 1 6,W Dishwasher 16.60 rqpyg'/qq/ t; "qqppv�d �•,�vv. ' yp,' ��r t 6 y s � o y , �yl;� � t up."y""' "g�",{ Winking fountain 16,60 .fkk�9'Ih ",1''"' 7"r « • . •r ^.ii 1 „�t., li. �f �� �`�Yl.i MV 1 x �', 1 1n�(ntV'!i ",-".. t,... .qtr. 1 It y �; r,.V ^^ ,....„ — . Ljeetors/sump 16.60 Name: P P A I I El Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /Statee/Z1 Floor drain /floor sink/hub 16.60 . Phone; ( !'7 )Y'i �Z' -1- COZ.. ' 4 Fax: ( ) Garbage disposal 16 60 p,. `, ,.,,, 6: vrAti. ,� t ,� ; ,1 , ;; r.» Hose bib 16,60 ,, .d;o:.ta ,.�..:'..w.�!',i; . ,r t „,... �.,.....,..,. +.::,'. /,;::.rp',11.1., .'�„ F.. „a�:,,i! ";'y ": (a..�r,2,. .,, t,t 0 • .,. . "" "" ' " ", ".', lee maker 16.60 Business name; interceptor /grease trap 16.60 Contact name: medical gas (value: $ _ ) Page 2 _ .T_ Address: Primer . 16,60 City /Slate/UN: Roof drain (coo incrcial) I6,6U Sink/basin /lavatory 16.60 Phone: ( ) ._._�. Fax:: ( ) — Tub /shower /shower pan 16.60 E-mail: — Urinal • 1 6.6(1 . .,,, ;'. .� p i : •' .. r'. mr.�., y ,ra, r 'qn „ I ri:':. ' _ .... '::,...:;, ,,:' . ' ,." :' :.' R`i.;.f i +? :: a;).,1,,.,.}�it ...... Apo .:..',:. ,:... :;,C _ tv�)rlr.,..�:z ,,, Water closet 1 6.60 C1N , GTO ,,� 'fRA , Business name: ! I b - A a ,` + f-7. . A, .4i Water heater 16,60 (.t Address; LIZ C) (� �/ . ri5el s I I , ' Other, �`� q 7 , ^ Subtotal City/State/ZIP; 4 � - * r (J --- 1 ',AAA Minimum permit fee; $72,50 --9A, - Phone: () a i 7 ?O I Fax: (9:1b) 9 . 9 C D Residential hackllow minimum pelirtit fee- 536 25 _ CCI3 Lie.: 4/9 4--0 g' Plumbing Lie. no.: 7,..1_,O. r-"pe.,5 Plan review (2$%' %'o of peemir fee) -19 State surcharge (896 0f pewit fee) 5 li-e Authorized signalure: .kN l k _. -A-AA.,--- (5 ' TO PERMIT FEE '7g , • Print name: `,. "Q� �1 k--.' Date: 1 t 01 This permit application expires if a Walk IS not obtained within ___..:: -- f�-` 1811 days after it has been accepted as complete. "I methodology set by Tri- County Building Industry Service Board. is Wilding Permits I `L..1- I•ennilApp.doc Oh OS 3-10-46151110 02 COM.W'Llll CITY OF TIGARD ° .., : , BUILDING DIVISION PERMIT #: pfl430017 -00134 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1112007 Phone: (503) 639 -4171 �tvoti�l Inspection Requests (24 Hrs.): (503) 639 -4175 ' `__.. INSPECTION WORKSHEET FOR DATE: 1117t2007 TIME: 7 :00AM PAGE: 37 SITE ADDRESS: 13240 SW BRITTANY DR CLASS OF WORK: SUBDIVISION: BRITTANY SQUARE NO. 3 LOT #: 071 TYPE OF USE: PROJECT NAME: STOCK DESCRIPTION: Replace 50' of water service. OWNER: STOCK, MARY PHONE #: 503 -524 -5247 CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 503 Inspection Request Scheduled For: Date: 11!7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 058153 -01 503 -'239 -8801 N l Corrections /Comments /Instructions: Ca gle ci ;LJCy1( X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "!-wt,J \ '' Date: I t t ) \'--) Phone #: (503) 718 -