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Permit Mr CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #. PLM2007 -00539 TIGARD DATE ISSUED: 12/7/2007 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103DC - 00821 SITE ADDRESS 11290 SW FAIRHAVEN ST ZONING: R - 3 5 SUBDIVISION VIRGINIA ACRES NO 2 LOT 014 JURISDICTION: TIG PROJECT• HAMILTON Project Description• Install sump pump in basement 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: 1 TUB /SHOWERS. SEWER LINE ft WATER CLOSETS WATER LINE. ft DISHWASHERS RAIN DRAIN: ft Owner. FEES MARY JO HAMILTON 112905W FAIRHAVEN Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 12/7/2007 $72 50 [TAX] 8% State Surchart 12/7/2007 $5 80 Phone : Total $78.30 Contractor: CROWN PLUMBING FRANCIS OR 97206 RIS PORTLAND, OR REQUIRED ITEMS AND REPORTS POR Contact # PRI 503 -771 -9449 FAX 503 -771 -9454 Reg #: LIC 42671 PLM 34 -70PB This penro is issued subject to the regulations contained in the Tgard 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 24. • • 99 or 1 800 332 2344 Issu - • By. _ // (/ I / Permittee Sign a 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. 12/07/2007 08:40 5037719454 CROWN PLUMBING PAGE 02/02 Plumbing Permit Application Fc)u o I R i_:_ utiF °N1 ;1 _- - City of Tigard Roomed /A n 07 • 7-00537 15dle(ny, /A ! Pennil • Ne, it 13125 SW Hall Blvd Tigard, OR 97223 Plan Review Y Phone 503 639 4171 Fax 503,598,1960 Da1d0y' Other Permit No Inspection Line 503 639 'I'J (: rot { Dote Restly/BY, 61 See Pnac 2 fog Internet' www tigard- nr,gpv Non recd /Melh�gl, �p Supplemental infnrmnnnn TYPE OF WORK FEE" SCntDt1LE © New constructor ❑ Demolition For special Information free cheat/tit Description J Qty, 1 Ea f Total g Addition /alteration /replacement 0 Other, New I - 2- totally dwellings (includes 100 f, for each utility connectinn) CATEGORY OF CONSTRUCTION SFR (I) bath I 24920 I ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 ❑ Accessory building ❑ Multi- family SFR (3) bath 39900 ❑ Master builder ❑Other Each additional bath/kitchen 45 00 Fire sprinkler ( 5q fl ) Page 2 JOB SITE TNFORMATION ANT) LOCATION Sire utilities Job site address 11290 SW FAIRHAVEN COURT " Catch basin nr area drain 76,60 City /Stale /ZIP TIGARD, OR 97223 Drywall, each line, or trench drain 16 60 Suite bldg /apt no' I Projcet name /44-4-s I LTi, AJ Footing drain (no linear A ) Page 2 Manufactured home utilities 110.00 Cross street/directions to p lh site. I6 60 Manholes Rain drain connector 16 60 Sanitary sewer (no, linear ft • _ ) Paee 2 Storm sewer (no linear ft ) Page 2 — Subdivision: I of no Water service (no Imear ft' ) rage 2 Tax map /parcel no {Fixture or item Absorption valve 16 60 DESCRIPTION OF WORK ., Back flow preventer Paget INSTALL SUMP PUMP IN BASEMENT Backwater valve I V I6 Gfl Clothes washer 1 16.60 Dishwasher _ 16 60 Drinking fountain 16,60 ® PROPERTY OWNER 0 TENANT Name. MARY JO HAMILTON :,jecipra /sump 16 60 Expansion tank 16 60 Address. 11290 SW FAIRE -IAVEN COURT hixturclscwcr cap 16,60 City/State /ZIP: TIGARD, OR 97223 Floor drain /floor sink/hub _ 16 60 Phone ( ) Fax ( ) Garbage disposal 16 60 Haw bib 16.60 APPLICANT ® CONTACT PERSON { I Ice maker 16 60 Business name CHRISTIAN PI UMRLNi, INC. BRA CROWN PLUMBING interceptor/grease sail _ 1660 Contact name DENNIS UNDERWOOD Medical gas (value $ _ ) Page 2 Address' 5429 SE FRANCIS STREET Primer 16 60 City /State/ZIP' PORTLAND, OR 97206 Roof drain (commercial) 16.60 Phone (503) 771 -9449 Fax (503) 771.9454 Sink/basin/lavatory 1660 Tuh /shnwer /shower pan I S 60 E -mail . Urinal I 16 60 CONTRACTOR I Water closet 16 60 Business name- CHRISTIAN PLUMBING, IN DBA CROWN PLUMBING Water heater 16 60 { Address 5429 SE FRANCIS STREET Other SUMP PUMP 1 I 16 60 1 G 60 72 50 City /State/ZIP PORTLAND, OR 97206 Sub IOW Minimum permit fee' $7250 Phone. (503) 771 I Fax, (503) 771 Residential hackflow minimum permit fee $36 25 COB lac_ 42671 phimhinf{ Lic, no 3 B Plan review (25% of permit fee) State surcharge (8% of permit fcc) 5 so Authorized signature. 'lOTAI PERMIT FEE 78 30 I Print name: DENNIS UNDERWOOD Da: 12/07/07 This permit application expires if a permit is not obtained within 1A0 days after it has been accepted at enmplef. *Fee methodology set by Tn- County Building Indu Service Board I mn Idme.Pem,irAPl, M.r.+in,Aoo dat d646 ono 4616Tt 101a2/COM/WP at CITY OF TIGARD , BUILDING DIVISION PERMIT #: PLM2007 -00539 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED: 12J712067 Phone (503) 639- 4171 , 1� ak Inspection Requests (24 Hrs) (503) 639 -4175 . �I I 1 INSPECTION WORKSHEET FOR DATE 1/7/2008 TIME 7.00AM PAGE: 61 SITE ADDRESS 11290 SW FAIRHAVEN BI CLASS OF WORK SUBDIVISION VIRGINIA ACRES NO. 2 LOT #• 014 TYPE OF USE PROJECT NAME HAMILTON DESCRIPTION Install sump pump in basemen! OWNER. HAMILTON, MARY JO PHONE # CONTRACTOR CROWN PLUMBING PHONE # 503 771 -9449 Inspection Request Scheduled For. Date. 1/1/2008 Pour Time. Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 062663-01 503-771-9449 N Corrections/Comments/Instructions: PASS _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q7JH 'i- Date: f ] 1 Cgl Phone # (503) 718-