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Permit 4 .." . CITY OF TIGARD PLUMBING PERMIT #: PLM2008-00046 1 1 1 11 .: = PE COMM UNITY DEVELOPMENT TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/8/2008 PARCEL: 2S 103DD -00436 SITE ADDRESS: 10600 SW FAIRHAVEN ST ZONING: R -3.5 SUBDIVISION: FAIRHAVEN COURT LOT: 002 JURISDICTION: TIG PROJECT: SELLERS Project Description: storm drains for detached garage • CLASS OF WORK: ACS 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: 174 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MONTY & KA SELLERS 4040 NE 20TH ST Description Date Amount OTIS, OR 97368 [PLUMB] Permit Fee 2/8/2008 $72.50 [TAX] 1 2% State Surch 2/8/2008 $8.70 Phone : 503 -730 -2574 Total $81.20 Contractor: OWNER REQUIRED ITEMS AND REPORTS Contact # : • PRI Reg #: • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: "(2 [.liC� Permittee Signature: VA ___..--------- Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 01/30/2008 01:53 503288294' UEPGE PAGE 02/02 Plumbing Per mit A ,plication FOR OFFICE USE "ONL,l{ • • IN ., City of Tigard noto+ved 1 u r��( It 1.3125 SW Hall Blvd„ 'figard, OR 97223 Dnte/ 4 �d (,/ ! Permit No,; 7 it t @ • Phone: 503.639.4171 Fax: 503,59$.1960 Finn lty: Other Pom,it No.:L // I t w 0 7 T 1'0 mi o e 2 for Stn Pn Inspection Line; 503.(039.4175 to Da Ready/By: Rids 0 Interact: www Date ethod g s up lomonuu rnrarmntlon fli 'il 'W*itt , , „ .LL .,_, ii 't ic'' ## W ►` Now construction D Demolition M For ecialinformationusecheckliif a, CI n /alteration /rc i Description Qty. Ea. Total Addtdn r �] O tluor; Now 1- 2-family wellin s (includes p a.ccmon X �1111 yy ���� ���II, yy �{, , ,�5 y y�p ��/ �gp Y g• (n 100 R. 1hr each utility connection) 1•til „'J)r.01\� } /� , 1. 5¢g 1 ' A� JiA,4! `N4 3.J, N - 4.. .. :..... ..,;„. E . wu: u:,wr „ N SI+R(l)b�th 249.20 0 I- and 2- family dwelling 0 Commercial /industrial SFR (2) bath �. 350.00 �- - g Accessory building 0 Multi - family .� SPR (3) bath 399,01) T "' " " " • - Each additional bath/kitchen 45.00 0 Master builder 0 Other: - xw:, Fire sprinkler s q. fr., h, i` ,, It '.IC�.t (t1' < L Page 2 „ u y.. y z , , , , . „ a . a , �`,u s„ Site utilities Job site address: 1 0 ( 00 2:44 ca,', �., c>,Vt yk ST' - _Catch basin or area drain 16,60 ' -` city/State/ZIP: t " y. l t Gl a"'� � _�. pc z„ 9 7 '� � Drywall, leach lint, or trench dt'ain E6.60 Suite/bldg./apt. no.: Project name: Footing drain (no, linear EL: �) Page 2 I, „ c� q _ Manufactured home utilities 110,00 Cross street /directions 1n job site: ` C- c, o � (4 t4 L ` w � K Manholes PCti r' lL c5k", 16.60 Rain drain connector 16.60 M Sanitary sewer (no. linear f.; _) Page 2 „ - Storm Fewer (no. linear 1t.: i 1 7ti t Page 2 Subdivision: Lot no.: Water service (no. linear E.: _) Pagc 2 Tax map /parcel no,: 1 fixture or Item _ -.- „ Absorption valve 1,6,60 3 4Cig11�igIR1N ��rlt Y9: r y t. '.- <1. ;: :.... ....:... .. c.::... .' uS2ux.w uc Backflow preventer Page 2 viA. ( 6 Backwater valve 16.6U Clothes washer 16.60 __ .w Dishwasher 16 "60 : , , y , y � aL 'i ,ki ' : Drinking fountain 16,60 . z , .,, ,:�,N�o ,,.caw` 'k;,...,a. .� Ejcctors/semp 16,60 Name: t ' 1- ,,,,,„.,\..,,_ 4- 4 s i. uL,rS Expansion tank 16.60 Address: `-iC � C7 l t) E ?O-t, St_ , Fixture /sewer cap 1 6.60 V City /State/ZIP: f-1 I . , 0 �'`_ j 7 3 6S" Floor drain/ floor sink /hub - 16.60 Phone; ( $V3) 7 3 Q - pis-,;''q Fax; ( ) Garbage disposal 16.60 I'tosc bib :;,1 rt1(r '10 Mt'; i ' C"f rf � ll1 - 16.60 Business - - ... Ito makm• 16,60 name; S l, ��,( � { �' „4 `a- a C ' Interceptor /grease trap 16.60 --- -�-- -- Contact: name; 4 (��� I ,•■,) o : 04 Medical gas (value: $ ) Page 2 Address; 6500 NC 14., (A-,y Sf-, cStA .k A Primer 16,60 City /State/ZiP; co c tti t.. lr' ,( 9 r 7 d 3 Roof drain (commercial) 16.60 mo . Phone: (5 d$$' t' 3 3 Fax: : (,0',Pa -_ �yy� Sink/basin/lavatory / boer /shows 16.60 'fub /shower /shower pan 16.60 E -mail; (A) OK rl 2- C) ' i: , F FS1 CD • Cp Urinal 16.60 ,, .... H.,.71:17,......-......-',...,..,... !4 `ki dicta! Water closet. 16.60 Business name 11-- q..1 . 5 ` S (1400. �� V1.0. Water heater 16,60 Address; ()Li 0 i� ?©t} - L� - f't _ Other: -- -- s1 Subtotal City/State /ZIP; 4. ' 5 arc' - () 7 3 60 " ,. -..- _.. Minimum permii. fee; $72,50 Phone: (5t_) ) 7 3 0 - 3-7 .. Fax: ( ) _ _ Residential Nackllow minimum permit fee: $36.25 �� .45D 1! Plan review (25'4fi of permit. foe) CCB Lie.: Plumbing Lie. no- _ 0 State surcharge (12% of permit fcc) Authorized signature: ,...--' TOTAL PERMIT FEE 8 , � p Print name: AZT t) C p, r r Date: 1 / 30 / This permit application expires if a permit Is not obtained within 180 days niter it lifts been accepted as complete, "Fee methodology set by Tri- County Building industry Service Board. I: \Ruildin5 \Permits \P1.M •PcrmilApp,doo 05/26 /nh 4 0.161 fiT(10 /02 /COM/WES) CITY OF TIGARD BUILDING DIVISION • A PERMIT #: PLM2008-00046 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 2/8/2008 Phone: (503) 639-4171 iftoroo Inspection Requests (24 Hrs.): (503) 639-4175 IJI., INSPECTION WORKSHEET FOR DATE: 9/1112008. TIME: 7; 00AIVI PAGE: 8 SITE ADDRESS: 10600 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 002 TYPE OF USE: PROJECT NAME: SELLERS DESCRIPTION: storm drains for detached garage OWNER: SELLERS, MONlY & KAREN PHONE #: 503-730-2574 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 07536(3-01 503-730-2574 N ri f A/c4 1, Corrections/Comments/Instructions: CeR (V c S t-/ fr PASS 0 PARTIAL APPROVAL fl CANCEL NO ACCESS 7 FAIL El CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: C:ThAvr■A-A \ -t4,-,,2._ Date: 9 \ \ \ \oZ Phone #: (503) 718-