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Permit 1», ,, CITY OF TIGARD PLUMBING PERMIT := COMMUNITY DEVELOPMENT Permit #: PLM2009 -00238 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/01/2009 Parcel: 2 S 114BA09700 Jurisdiction: Tigard Site address: 16445 SW MEADOWOOD WAY Subdivision: Lot: 0 Project: Pietila Project Description: Replace 20' water service. Owner: FEES PIETILA, LINDA L Quantity Description Date Amount 16445 SW MEADOWWOOD WAY TIGARD, OR 97224 20 If Water Service 09/01/2009 $55.00 PHONE: 1 12% State Surcharge - 09/01/2009 $8.70 Plumbing 18 ea Minimum Fee Adjustment - 09/01/2009 $17.50 Plumbing Contractor: CROWN PLUMBING 5429 SE FRANCIS ST PORTLAND, OR 97206 PHONE: 503 - 771 -9449 FAX: 503 - 771 -9454 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: G7GJ� dam✓ /974 �L C e9-TlOn/ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. [8/27/2009 10:49 5037719454 CROWN PLUMBING PAGE 01/02 i4 Paambin ermit A iie�ti�r� in B Building Fixtures ft( ? r i vED . „ AUG 2 7 2009 1 s•aro OR 474: Il.iS,$ RANEY Cit of Tigard Ro,,cst,td ,_ , 13125 5W Hall $hrd„ Tigard, OR. 97223 note /lay: / ��� h N n Phrnc: 5113.62.9.4171 Fax: 503.591. I9 nlT�t OF I IGARD Plan RFVIct � �� ®� Inspection 1-inc: sn;1,639R 175 BUILDING DIVISION Dare/fly: Other Permit Nn.: 'T ft; ^ „ (t? Dncc Rcad iti 11,te1'11t'1' Ww11r,(:IgAi`d- nt', V Y' ,lurrv: RI 5fr'nnR�Y rn r �' Norlficd /Mcihndr 3n lenient* Gsformwrfoa � T OF 4�+C,AK — T'nr s]reCfa] hrJS7r mnY,PD11 ucn eker k�f.V7, El New construction - - -M —_TW Description Demolition Nt __ En. Total New 1- 2-family dwellings (Includes 100 R, for each utility connection) L A deli [ion /ahere hon/replacement L Other: bath SIR(I) Gllt.1'I ON ���_ 350.00 i end 2-family dwelling rn �... ...,,. ,—. SFR (2) huh Sr;R (31 hAllt - ___. Y U ellin C.`ommcrcialnndu,vtrial 99.00 Accessory hbuilding n Each additionalahail, /kit. _ chen 15.00 hqulti- f,mi1y Master builder ^. i (_.. ...,,` so, (l.) n Other. _ Page 2 ;K ST7r. TN k'117ZY1ATrd?P1 AND. tiitn,�tNlir,kcq „��_ . t lW 0.ia3;'AvT'XR11'V Cnfch has in or arm d W Jrt, ” W .7 1 6.60 1, site address: ` I ,� _ rf'� '••• w 4?° N rf C+ �r . Ywell. l0A,ci line, or trench drain 16.610 City/State/ZIP: �!- -• - _____ -_, r c. � , ©2 Cr 7 Z.Z. y Footing drain (nn, linear ft,: ) Pace ., Sutr.ell�ld /a )C. net.: ..'� Manufactured .� S 1 Prniecl nam home utilities 10.( }tl Crocestrecd jot , si[c: Manholes Ithnles �_ u 16.60 _ 110115 l0 _Rain drain connector, — ___ _'__ Sno:I'ary sewer (no, linear (1: .) Page 2 - ._ -� Storm sewer (no, linear ft _) Page 2 _` Water service (no. linear f.:7 4 ) Page 2 „5-7 Subdivision: -- _,.,.,._�,... 1 haura or item `- — I.,nl. no,: „,._�„ Ahsnt'ption va,lvc -.. �,� Tax map /parcel no.: _ 16.60 2 1 Tf 1( ,1f�li,PS'tt7 __ Bocicflow prcventcr �� - Page 2 r� OF tVfyl(�14 flackwotcrvalve aft I � .., :. 6.60 �. � . � - : . ar. t- f :10'tbCs ws lier _._ 16.00 Dishwasher 16.60 . prinking fountain _ 16,60 ^- ' 'L.' k#1Z11;'yrt rtv '�C,l� i F li A n T1; 1:I�crol5 /sutt,lt .. .�, _� I C.60 - - _- - ris nsion tank. /O L /IVZI, — a - „I —�. _ Name: 16.60 Address: S�, . — rlxhuc /gewerc.Ftp .� _.. 16.60 / / +��i N _; c, . �:;G, n t : Flom drain /I1o0r sinl[ /hl:lh 16.60 City /State /ZiP: �W_ --- Oarbage disposal Phone: ( J -- Hose 16.60 I >'1 ii `Fr�� , dr i , e , ,�,� ��� . - ....� ...., 1(1.60 ;P . �,5 71,1t '' � 9iwy1 , i Italy i 1 ' kli i;:�l l j� , , ? $ ,71 )r•�; r7n kcr - �- -- ..,pi:A .,e Llf:1.,.. Ifi,(Q Business nano; Christian Plumbing inc. DBA Crown Plumbing __,/(,::22:7_ nterreptrn /grease tray, 16 bt) ` - - —� �y_. - lvlerlieal gas (value,: ;6 ,._) Page _2 Contact. name; Dennis Underwood _ Address: 542.9 SE Francis Street - Primer 16,60 „ R.an l'dt,yin (commercial) 16.60 n ncrciai) - City/Statc/ZIP: Portland, OR 97206 �� -' __ Sin nk // basin /lavatory _~ 16,60 Phone: ( 503 ) 771 -9449 Fax. : ( 503 ) 771-9454 - —� „� _ — Tuh /, t owerlshowsr p 1 6,60 - -� -„ __ l -- -- I lrintll 16.60 E-mail: 1) _ '' 6/ r' ''. ;:" ivir ; r v sfC ." Y; d h' \Votercloset m,. T 6 0 13us,nes5 name: Christian Plumbing Inc, DBA Crown plumbing __ wilier II cater _ 16.60 Address: 5429 ;a£ �r�nGls SYrBEt Other - _.__ City/State/ZIP: Portland, OR 9720G S ,brapstl u Phone: ( 503 _�'� "`i Minimum pcmili Ice, $72,50 ) 771••9449 _ Fax: ( 503) 771 -9454 — „Resident.ial t minimum Cr tt fee: $:16.25 7Z ....7 7. Fi- ma.i1_ - Plstn,bing. ilc„ 34-70PI Plan review (25 %ofpgtlt,it fee) CC9 lic,; 42671 City or metro lie. n0.: y ti. 11431 ^� Stare snrchgrpe (! 2 ^/� of ttet,,,ir. fee) Q ; 70 — / (lays Authorized �_ 1 - TOTAL, PFR \4I'I FFEE • f_S-2,1) signature: rc; - y �� 180 , -_I Th1r, permit nlyltlieation expires if 11 Hermitic not ol,taittcd witl,it, (lays afte k1' AAS been accepted as eo ' *Fee methodology Rtltictr. Print llama: Dennis Underwood �_ ~- - - -- -- 1) o • '� 2� o ,Y sc1 by Tt4�Crnmty fluiidinn htduatry Service 1 3onrd. I1R ii( IinglPn�ita4pLMF- Pnr.gitApp.r3nr. 11!7 —� — , ,Inn -., n, AT(I nh?zrr: PM /lNlt1;)