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Permit A , CITY OF TIGA D PLUMBING PERMIT PERMIT #: PLM2006 -00074 fib DEVELOPMENT SERVICES DATE ISSUED: 2/9/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102CD -00200 SITE ADDRESS: 09640 SW FREWING ST ZONING: R -4.5 SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 025 JURISDICTION: TIG Project Description: Separate water service. (1) hour inspection fee. 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: 0 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES JACK BOND Description Date Amount [PLUMB] Permit Fee 2/9/2006 $62.50 [TAX] 8% State Surcha 2/9/2006 $5.00 Phone : Total $67.50 Contractor: SYMMETRY CONST. SERV. 19468 NW CORNELL RD HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -533 -2200 FAX 503 -533 -1600 Reg #: LIC 155339 PLM 34 -416PB 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: 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. 02/09/2006 12:02 50353316 @a SYMMETRY CONSTR SVCS PAGE 02/02 „, Pirul Permit Application 1 (11; ( ) H A L F 1 til ()NI 1 Received n , , ") Permit No.. 1 , / i) a, U Op. IA= City of Tigard FEB 0 ? p r, Dme/T3. 13125 SW Hall Blvd., Tigard, OR 97223 Pl Review Other Permit No.; : 1 Phone: 503,639.4171 Fax: 503.598.196 p Gt z I i'' Date-/Ely: - Hour Inspection Line: 503.639.4175 � OJT Ji. •' � _ # - , bMe Ready/By i \ El serage 2 for s Notified/Met l n Internet: tuvuw_ct Ggnrdl.M. DIVISION T DLl : �A: jiV h od 9t ry plement Information n ❑ Demolition of sp information use checklist El New construction _ - Description ISity E . 1 Total New 1- 2- family dwellings (includes 100 A. for each utility connection) n/repinccment ❑O ther. Addition/alteration/replacement , , t'A' *01 '.,'rOFr...0 5T11,107ON SFR (1) bath 249. 20 o1 1- and 2- family dwelling El Commercial/industrial SFR (2) bath 350.00 SFR (3) bath 399.00 0 Accessory building 0 Multi - family Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: - sprinkler ( sq. ft.) Page 2 iB 1 j0060411'100 : •aki4I'13.4060I01K ; Site utilities Job site address: • • , Catch basin or area drain 16.60 City /State/ZIP: "-1 r Drywcll, leach Tine, or trench drain 1 Footing drain (no. linear ft: ) Page 2 Suite/bldg,/apt no.: 1 Project name: Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector I 16.60 Sanitary sewer (no. linear fl_: _) Page 2 Storm sewer (no. linear ft,: ) Pagc 2 Subdivision; I L.ot no.: Water service (no. linear ft: ) Page 2 Fixture or Item Tax map /petrel no.: - Absorption valve 16.60 . .. ..: ,:,1::. .;... ..ii .. .. ' kflow pttiwcntcr Page 2 Bad WO,1 %1,� Backwater valve 16.60 1101 ✓0E .. � . Clothes washer 16.60 i ,A al - 16.60 Dishwasher Ci:;'1'1ib1 TI ';.'. le; < Thinking fountain 16.60 Ejectora/sutnp 16.60 Name: d' (i Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State./ZIP: Floor drain /floor sink/hub 16.60 Phone: f �) Fax; ( ) F1os bt 1 _ J Garbage disposal 16.60 a •h 16.60 LXCA f' �I`; tiONT AiCr : 1xE1 : OIv ]cc maker 16.60 I3usines:r name: • , _ Interceptor /grease trap y 16.60 Contact name: $ ... ai i . .,_ . v E -ar�n Medical gas (value: $ ) I Page 2 Address: l ck rll is, J at e_n_en tiZ o{- Primer 16.60 City /State/ZIP; OW-- C 1 Roof drain (commercial) 16.60 Phone:( ) `Fax::( ) Sink/basin/lavatory - 16.60 Tub /shower /shower pan 16.60 E Urinal 16.60 '' r _..1rP?I+Ib1Y ', Water clavet 16.60 Business name: Water heater 16.60 Other: l Address: • 0 � rh / Subtotal ''� City /State/ZIP: \ , ) - �' / - . _ ` i -- .11 .401 -A1 - Minimum permit fee: $72.5Q Phone: .1 � � a _ Residential backflow minimum permit fcc: $36.25 r,.) CCB Lic,: • -2 GI Plumbing Lic. no,: Plan review (25% of permit fee) State surcharge (S% of permit fee) Authorized :nature: g1.\ TOTA1_PERMIT FEE Cr , Print name: Illi � 1 Date: i J r This permit application expires if a permit is not obtained within A A\ . \wwt 4 I A - 180 days after it has been accepted as complete. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Businbs= Line' (503) 639 -4171 MST BUP .0.- Received c� / Date Request ,_' , ' AM PM BUP Location / '!r + : AVA f • - uite MEC Contact Person Ph ( ) PLM -206 - Contractor h '`� Ph (53) 5 3 - 2 >op SWR BUILDING Tenant/swner ELC Footing Foundation ELC Access: Ftg Drain ELR • Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall V / Cen/Ale_r__,--7 y7 Fire Sprinkler Fire Alarm 1 • 17 6 / YtrD c _ � t / / C( Susp'd Ceiling _ Roof — 4-0 �'— <' -�� 1/! Other: Final / y1rQ Hof-- - x'/9-4_ FAIL =%ti. Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain e/ Shower Pan A � ' other: , .f}'JQ der ✓ �9 fi' Fina , , / PASS PART FAIL Sl/ \I MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE LI Please call for r-inspe tion RE: Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date Inspector © Ext Other: Final D • NOT REMOVE this inspection record from the job site PASS PART FAIL