Permit I 7
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CITY TIGARD PLUMBING PERMIT
l DEVELOPMENT SERVICES PERMIT #: PLM2006 00474
.. II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/13/2006
PARCEL: 1S125DB-05700
SITE ADDRESS: 07220 SW SHADY LN ZONING: R -4.5
SUBDIVISION: SHADY DELL NO.2 LOT: 030 JURISDICTION: TIG
Project Description: Replace water main
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:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 35 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
TUTTLE, JOHN L AND ALYCE M
7220 SW SHADY LN Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 10/13/200€ $72.50
[TAX] 8% State Surcha 10/13/200€ $5.80
Phone : Total $78.30
Contractor:
AFFORDABLE PLUMBING & DRAIN
2242 SW STEPHENSON ST.
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 977 -0560
FAX 503- 977 -0033
Reg #:
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: en C
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.
:-2006 06:3 PM AFFORDABLE
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CITY OF TIGARD et,Him (a -co Lo
BUILDING DIVISION PERMIT #: I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171I1I
Inspection Requests (24 Hrs.): (503) 639 -4175 P __..
INSPECTION WORKSHEET FOR DATE: Vt A 6 , TIME: C )73 PAGE:
SITE ADDRESS: '' ))9" - 0 (J1 t Ir CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
- ;q6 PLH ',
Corrections /Comments /Instructions:
W 0 tie- 9-1(3 i 1 e-
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2 S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` Date: 1 6 / 5 7 Phone #: (503) 718 - 2--1/41
r
CITY OF TIGARD ,_
BUILDING DIVISION PERMIT #: PLM2006.00474
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2006
Phone: (503) 639 -4171 Arµq j
Inspection Requests (24 Hrs.): (503) 639 -4175 _ .. , IL
INSPECTION WORKSHEET FOR DATE: 10016/2006 TIME: 7:03AM PAGE: 27
SITE ADDRESS: 07220 SW SHADY LW CLASS OF WORK:
SUBDIVISION: SHADY DELL NO.2 LOT #: 030 TYPE OF USE:
PROJECT NAME: TUTTLE
DESCRIPTION: Replace water main
OWNER: TUTTLE, JOHN L AND ALYCE M, PHONE #:
CONTRACTOR: AFFORDABLE PLUMBING & DRAIN PHONE #: 503..977 -056U
Inspection Request Scheduled For: Date: 10/16/2Q06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 038243 -01 503 -977 -0560 N
Corrections /Comments/ Instructions: O _., -..!
APArd0, ,A. 1117'/_ /
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•
❑ PASS P ■, -' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/� J /7 `,, G �
Inspector: ►" f- ��'�� Date: `t/ 1 4� G y Phone #: (503) 718- /V