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Permit CITY TIGARD PLUMBING PERMIT T i DEVELOPMENT SERVICES PERMIT #: PLM2005 -00321 el1 DATE ISSUED: 7/19/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 10 3 B D -04001 SITE ADDRESS: 11815 SW FONNER ST ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: replace existing fixtures. 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: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES BRUNO, RICHARD J JANET A 11815 SW FONNER RD Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 7/19/2005 $72.50 [TAX] 8% State Surcha 7/19/2005 $5.80 Phone : 503 -590 -7848 Total $78.30 Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Phone : 503- 691 -6166 Reg #: LIC 87906 PLM 34 -250PB 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 . ^ - Permittee Signature: (, 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. • 07/19/2005 12:05 5036916771 MODERN PLUMBING PAGE 02 •lU /1E ,(2044 16:34 FAX 8035961900 CITY OF TIGARD Wif0 3 RECEIVED g, Iibintrerc� it Anolfcation R Received FOR o F ir. i�.- USE o pt N City of Tigard JUL 2 005 /° G5 /1 / 13125 SW flail Blvd. T1gtlyd 97223 )1TV OF TIGARr Plan Review , Phone_ Sf3.649�17i Pte: 503 598,1 ..,•.. ;, rrtherpetm+N 24 ^1'lourrnapectianLhio: 503.639.175 ILDING DIVIS ;il'A - il D,r- • D ate Resdo r. Pi Sec rage a ter Emmet wwwM.tl�tl.�us pF Notified/Method: !fa Supplemental Information 1 • :n� '<•: ,,.1• 7 , �� •I!: 1: r a �' q P ?�{�� r .q.l'._I', -PG G 14 1 4111 t 'q 1' C 6 I I kmf :i^: I- : t' f, -',Pf- 1- "M:l .I} . �, ., , 17 1+tew construction E] Demolition For i.. to ornratcrs use cherad. '�.�• Desert. on WrIJI Sa. Total K deatiiodalterarion/raplaco nottt 0 O1I1 b ' Noty 1. 2-fandly dwellings (includes 100 ft, fbr each utility connection) ,'; i l ii rr .n;ili ,111.. 'w.,... 91'1 t r - e I r a f ¢' ... • 'D '} u° �yliiiCJ� • r . u r SPR (1) bath 1111. 249.20 P'd I - and 2.f dwelling 0 commercial/industrial SFR (2) bath 360.66) • Acces9o�y building [� Multi y $FR (3) bath a 399.00 © ❑ Master/milder 11 Other Evil addisional bath/WOW OW 45.00 .4..'' a -t• hl T•tCF ,m,�rA Y]R y ' Fite sprinkler ( • sq.1t.) Page t .y',.d'tZi ,l '1 , : ,ll':r. ' 7!k i t . .. u � l {r• 'r C . •'v. it U' '1: . i n v. m+ , „ • C roe � address: I 1 . I R + j k tJ ,•„ , r ‘ . s r e-- I= 1 f�.� CiVA *w/.ZrP t. a . C•t • ( 9'7 2_.2_ 7 !knell, irmch tins, or trench drain 11.11 16.60 Sttte /apt tie.: Project name; ' I. Footing drain (Rio,bm�ra: ) Page C street/dlnedons to job sae: l�talturscw>rca name utilities 1 10.00 Manholes ma 16.60 Ruin drain connector 1640 5anitety sower (no. linear f: ,) 11111111111111 storm oa ver (no. itneer it.; _ _) IN Page 3 Subdivision: Lot no.: 'ate service (no. linear tt.:.„ ) _ Tax maps�jtampl n0.: Fixture or lRelale iel @ri:hti;, ^tQ,� 'yti: 1 { = iii i.' _ ' t , .,' i V -` 'OyiK .,.ti .. t���i , ':: f r �,,,' Absorption valve 1660 :`:� ii•,11i�.,, ' r r: 4j t I ':l;� l I . ii, :.:l, ':r''i ;+M.. BackfIowprcventer Paget • ' e' r-� ' R .-'L e-; - Backwater' valve ^ 16.60 Clothes w141114r IM [GM Drs}awasher 115.6(1 I .. m a: „q r. .I, . 1 ''' it fo tmtao id 60 • n� pg , a lrtm th a t n 'litiiilfl a,. " ' , fa= ' ag I� T!'� 00 ,,. ' ,. L , :k ,l .; 1 a, ^.t i ._ __... 4ccturstsump 16,60 it / • N C • / Blpansion tlmk 16.60 ME Address: Pixu rarsowm' sap 1 6.60 City /St:0 : Pinar drain/floor airlk/bub 11111 16.60 Phone: Z )5 ®` 7 �Y Fax:( ) Garbage disposal 16.60 '� I �. r !L.1.1 6 '1:'_. n ,!? li :', i , .1.11.,11.. -- .1.,,1 , • ,,, AT E a I, Hose Mb 16.60 1 I ; , + m� I" le&maker 16,60 litusincad tlairl¢ Inte:etpwrl oae o trap i6 60 cOnr cr name: Medical 8>w (value! $ ) lin Page 2 Ad1reas: Printer 111111 t6.60 C ry /StatdctP: Roof drain (rommerciel) III 1 0.00 plc: ( ) Fax:: ( ) Sink/basin/lavatory 16.60 Mill Tub/ :hewer /lnh0wer pan MI 16 -60 lratail: Urinal 1111 16.60 INI i)' +It .=,, DI1'_r „i .:,!'-',1Y1 I'1,. [iiV .. IIl,d1 'I f ,,,p A -t . .':, I' ^;'a llr „1L:. ; •: ;F:1 y I I, P ,. -i, 1 I ,.. f . t' .�.:I � ''�ir: ','a :'PF Ir:: '`•'f� ":I� , "ii Water 16. Business name: r i _ - r a , u Yh 1 n • Weber beater 16.60 Adder: 't , ■ tt 1 r Lo r . 1 C • ,' Other: . OkigeldetErP; - r - k-N. pi Minimum permit Peer 573.50 7 7,.. 5 Phone: (5ts3) (e `7 1 (e . C• tc Residential backilow minimum permit 1fbe: ¶36.25 CC.13 ).fn • 9'7 (t 0 (C . ...Plumbic Lie. Loa a io ..0., Plan rtrvjdW (25% OFPCttrait fee) State surcharge (S% of permit tee) - Authorized signetmro: "AVM , TOTAL PBPMrr FE& Millgra Prin u1 me: 0e ci b 6 'e'-, 4 c - -'.- pattx 7 • -1 9 - Gi S- Thle pormih pp/Aso/inn mrpdrata Sin permit is not nhtarnpd witnin - 1811 days after it hog Doan seeoptad ss antdigtte- *Pee methodology Set by TrivCounty Building indusi y SCrVice Board. eauldoglRreitor. e.11.PeortApp.a. law ato- 4etm'(+o avc:oM/W!n1 r CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00321 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2(105 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 ... =.:. __.. INSPECTION WORKSHEET FOR DATE: 8/26/2006 TIME: 7:12AM PAGE: 44 SITE ADDRESS: 11815 SW FONNER ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BRUNO DESCRIPTION: Replace existing fixtures. OWNER: BRUNO, RICHARD J JANET A, PHONE #: 50_690.76m CONTRACTOR: MODERN PLUMBING PHONE #: 503. 691 -6166 Inspection Request Scheduled For: Date: 8/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 014282 -01 603 -691 -6166 N Corrections /Comments /Instructions: e F t-s R; . 94."), [g PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CID ) Date: ?I 2S)-OS Phone #: (503) 718-