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Permit CITY OF TIGARD PLUMBING PERMIT , a . COMMUNITY DEVELOPMENT Permit #: PLM2012 00143 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/30/2012 Parcel: 2S103BC06400 Jurisdiction: Tigard Site address: 12148 SW LANSDOWNE LN Project: Crystal 311961 Subdivision: FYRESTONE Lot: 3 Project Description: Rough in Shower valve Contractor: MP PLUMBING CO Owner: CRYSTAL, JUDY PO BOX 393 12148 SW LANSDOWNE LN CLACKAMAS, OR 97015 TIGARD, OR 97223 PHONE: 503 - 655 -9161 PHONE: FAX: 503 - 655 -1726 FEES Quantity Description Date Amount 1 ea Tub /Shower /Shower Pan 05/30/2012 $12.51 Specifics: 1 12% State Surcharge - 05/30/2012 $8.70 Plumbing Type of Use SF 60 ea Minimum Fee Adjustment - 05/30/2012 $59.99 Plumbing 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling �L� /lI503.232.1981 ti 503.232.1987 or 1.800.332.2344. / Issued By: �A 2 � j Permittee Signature: p1 l 1 V PO (- lJ f (/ I Oki Call 503.639.4175 X 3.639.4175 by 7:00 a.m. for the next available inspection rT ndate. 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. 1 Nc FROM MP Plumbing (TUE)MAY 28 2012 11: 35/ST. 11: 34/No. 8308284870 P 2 S( Plumbing Permit Application Building Fixtures RECEIVED , , ,,, t " ' " t I • I r\ 1 1 City f Tigard Received 131 SW Hall Blvd.. T OR 97223 Date 13 ; 2 0 Z Permit No.; PLNaO )...-00/ # Phone: 503.718.2439 � 503,598.11960Y 2 9 2 0 12 Plan Review Oth« Permit Pace Z Ibr i • ) Inspection Lice: 503.639.4175 5S 8 Date ReadYigy: moa; S Pax Internet: www.tigard CITY. OF TIGARD Nocfiodnte r .. .. • b,tbrrnattor� ' i:'; �,:, . +.,,:y,. ` °Ab i�M' f'i'�t� f�.ii' .7+t ;gr.r'h•;,�r�tt i:±c; � +FCi:'. xr� „�..,,...._..,�.,,,.. . ,:: .�sn.. q ..� ens �; q � � fin! r. .:. .. .:iri ; :: f•::4 - * PG,,, �. , r Ir.. :; ` rY P�;, (�r�. �(Y•.;�i{6 . �F; , K.yt } fjP, rFi 0 M.r16�i�• ,� r.'"!Z a 7�� p : .. • .. ...; .. ::� ..•:..: >J f . ,.:�::.... ... ...�. .. -r�' . ... ......... ..M,. A,: r:. cR; •:.�7.'c•,�:4�:IrA14�,... +..r •..�i:�. t(�Irs,t. r...•.rf.L r lAfiti., ... ..:. .... .. ...,. tn�;�v��t iq .X.. s-.. _.... �••,�t' ,,fit.. E•Jkxi 1 ❑ New construction ❑ Demolition Far • .. Dcscri on eau" . Ea. Total ® i;l Addition /alteration/repla�ceeme�nt /gyp ❑ Other. /�y�, New 1- 2-family dwell (includes 100 R. for each utility connection) ;:: • 1 ':( 4 hA� : 5'' , :':i n�. .00. t 0 {/a'k0. _ _ . \Ar:r4,7. 4.r41Y,1'`r S',''���f.''y:`•%.A: <i3 SFR (I) bath 312.70 ' .. ':.�•.... �r.. ..: .. .r:i..1•.....: .. : . ,�rV•I. e: '...�. - ;,�•�' •4. /.�,.. r F ti4N ``.: rv'111JP 11 ® I - and 2- family dwelling ❑ Coromereedfutdustrial IMEEMIIIIIIIIIII 437.78 SFR (3) bath 500.32 D Accessory building ❑ Multi- family 11221 25.02 ❑ Master builder ❑ Other: - Fire sprinkler ': .: • . i s I jil....t.:. , +`7 ( _ lU° • f i 441 r�. ft.) • M1Y U'V .!.,,... ; ..,, F , . ,.,;ti.J•? °,dOB .x � .t �, i � . • fir" , a � .J :ti.w ,, . �. S• ..r, . ...,, , ..� ;� ,.::, .. . :.. ''r' .:.'•,. A.' C.' ?,.�•,; Site utilities Job site address; 12148 LANSDOWNE LN Catch basin or area drain N. 18.76 Drywell, leach line, or trench drain 18.76 City/State/ZIP: TIGARD, OR 97223 .. -... __ F din (no. linter ft.: Page 2 Suite/bldg. /apt no.: Project name: CRYSTAL 3 Man,urfaapyrpd home utilities _ 50.03 Cross street/directions to job Site: Manholes 18.76 - Rain drain ooamector _ 18.76 Sanitary sewer (no. linear ft.: _ Page 2 MEM Storm sewer (no. linear It.: _ Page 2 Water service (no. linear It: IMMIIIIIIII Subdivision; Lot no.; Matz or Item: Tax map/parcel no.: Backflow pruwnter 31.27 ;: ":.i.. .r .lt(; :.�... E'w..X. Fa ei 1'' n Backwater valve 12.51 11021111 : .. y „C : / "s..'M..1 1p.1}ROAT�'V.,t:r,; „WOI000,Nf gi ,?1",`�c� gJ+ i '. �`;S.oaa ,: :,1J<. o1q. ^14�•,u, ,�ii..'u:a �:, 4v .. .. .....PY.`, a .. .. f t. �?:'Y';!it Mil . ROUGH IN SHOWER VALVE _ 25'02 Dishwasher 25.02 Drinking fountain _ 25.02 Ejectors /sump 25.02 � ^, - yaYb; j �! .' p ` :�+•�,�1, 1� N wr � " *'vc,'rn -, "' ` • •;icy -;; �a:::sEtt ....`�. ,,, ..,:c Y .. '`t`�t r`' .`�x '7r �^j?�iggi4 i $' :%n);t l'rs +a'. 'a Sx tank 113111 Name; JUDY CRYSTAL Fixture/sewer cap 25.02 Address: SAME Floor drain/floor sinWtub 25.02 w Garbage disposal 25.02 Hose bib _ 25.02 Mil Phone: ( ) Ice maker t ; 4al ,r y . ; ��;c 1 w . t uv to iTi_.j:i H .'�,�,......� x r . �`t... '.�%;hi:.t., �:,�4s!,w�s 1.?.,`�il +:!;• �3t :_,;,;�;v,��!',�!tiy';/�e�.'a ?} Ldetueplrs / 25.02 wog Business name: MP PLUMBING CO Page 2 Primer _IUE] Cantact name: CINDY CRIVELLONE Roof dnnin (commercial) 12.51 IIIIIIIIII Address: PO BOX 393 Sink/Main/lavatory _ 25.02 City /Statc/ZIP: CLACKAMAS, OR 97015 Solar uni a . ble water) 62.54 Phone: (503) 655 - 9161 Fax: : (503)655-1 726 _ pan I 12.51 E - mail; CINDYC@MPPLUMBING.COM _ 25.02 :'!:" J: .:qfy?'�'��:! :�'t;lS4`''b.� @. � ,��. °'�: ,i /�' ".;'i''h 'fY�'f ✓^i .�. (1ti. ,. Water closet 25.(12 .::'$:; Ae...'..�'i�_I,.1 _.ir. �: .14(!�-�.0. �. :t ', �i•: 71; i -4 'k b. y'y r CCr� . c ':�•$ :. ,..wr.J a;f:r,::. e \ .x•T- ?:'- '-.7�':'+Y °P.tc: ;'mv :a' ,G, d'bk�s °µ•:J�C><4t�.(Ar1Y t'.: I _ � Water heater Business name: MP PLUMBING CO Water p ping/DWv a . •• Address: PO BOX 393 EMIIIIIIIIIIIII 25 City/State/ZIP: CLACKAMAS, OR 97015 Phone: (503) 655-9161 Fax: (503) 655-1726 Minimum permit fee: $72.50 72.50 V CCB Lie.: 5002 Plumbing Lic. no.: 3-17PB Flan e (25% of permit fee) / nuthorired signature; State (12% of permit fee) 8.70 ✓/ r T PERMIT FEE 81.20 Print name; CINDY CRWELLONE Date: 529112 . , mit application expires If a permit fa not obtained within 180 days after it has been accepted as complete. *pee m - r. • , .,'., act by TriConuty Bulldln8 Iadaaay Service Hoard. IMJ aldina■Pami41PLMU•PamhApp.doo 1001109 416d6I€Tp11107/ tA4?W55)