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Permit CITY OF TIGARD PLUMBING PERMIT l '1 ° COMMUNITY DEVELOPMENT Permit #: PLM2013 -00041 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/06/2013 Parcel: 1 S 126DC01002 Jurisdiction: Tigard Site address: 9355 SW LEHMAN ST Project: Anast Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Corrections to be made for failed plumbing minor label #PLS107007. Contractor: GEORGE A MORLAN PLUMBING & APPLIANCE CO Owner: ANAST, ANGELINE V 2222 NW RALEIGH ST 9355 SW LEHMAN PORTLAND, OR 97210 PORTLAND, OR 97223 PHONE: 503 - 246 -5801 HONE: 503 - 771 -1145 FAX: 503 - 624 -8251 FEES Quantity Description Date Amount • 1 ea Water Heater 02/06/2013 $37.52 Specifics: 1 12% State Surcharge - 02/06/2013 $8.70 Plumbing Type of Use SF 35 ea Minimum Fee Adjustment - 02/06/2013 $34.98 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 Notific- • - - ter. 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 • •estions to O • by ca • g 503.232.1987 or 1.800.332.2344. Issu = • By: / r Permittee • ignatur , Call 503.639.4175 by 7:00 a.m. for the next available ins • ion date. This permit card shall be kept in a conspicuous place on the job sit- ntil completion of the project. Approved plans are required on the Job site at the time of each Inspection. 02/05/2013 13:37 5037710686 GEORGE MORLAN PLUMBI PAGE 01/02 Plurbin� Permit Appdicatl'IO, - CEIVED Building Fixtures ' 5 2013 FOR OFFi . :I•: I`SI ON].) . City of Tigard Rey _ ArffIC / iN - i - Dei 1 114 . 13125 5W Hall Blvd., Tigard, pl ra OF �TIGARD P lan Review Other Permit No.: III Phone: 503.7182439 hue f91 Pf1G DIVISION Datc/By: Inspection Line: 503.639.4175 pale Rey /By: )a.la. I 65 Sec Page 21br T IC, ' 1: D Internet: www,tigerd-or.gov Nodited/Methorl; _ Supplemental Information • •TY.PE •OF WORK FEE* SCHEDULE Q New construction Demolition Y For Racial Information me cher -Hitt. Description a4) . Ea. Total ❑ Addition/alteration/replacement 5 a1 cr L.- ' = ^ y New 1- 2-family dwe (i ncludca 100 O. for each utility connection) • . CATEGORY OF CONSTR[11LTI0N . SFR (I) bath 312.70 Commercial /industrial SNR (2) bath 437.78 1 -and 2- family dwelling SFR (3) bath 50032 0 Accessory building 0 Multi - family Each additional bath/kitchen 25.02 . ❑ Master builder Q Other: Fire 9prinklcr ( „sq. ft.) Page 2 • 308'srrE itaoitMAT1ON AND LOCA`flON ' . .. Site utilities: Catch basin or area drain 1 8.76 Job site address: � ' s • r prywell, leach lint, or trench drain 1 8.76 City/Statc/ZIP: - ( .t C Z - . Footing drain (nu. linear ft.: --) Pagc 2 Suitc/bIdg,. /apt no.: Project mmne: _ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 • '- Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _.� Page 2 �� nor �� L �� 00 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: _j Page 2 Subdivision: I Lot nn.: Fixture or item: Backflow preventer 31.27 Tax map /parcel no.: 12,51 • . • Backwater valve . DESCRIPTION OF WORK Clothes washer 25.02 f 1‘9.. w-v \S (! • Dishwasher 25.02 .C` f • , ` • _ Drinking fountain 25.02 Ejectors/tamp 25.02 • in PROPERI •OWNER • .. j • • . •. 0 TENANT. Expansion tank 12.51 Fixture /sewer cap 25.02 Name: L Floor drain/floor sink/hub 25.02 Address: 3 ss j i_tt _ - Garbage disposal 25.02 City /State/Z1P: _ 7 L -- 3 Hose bib_ 25.02 Phone: (9.: 2 y Ip - igs.t f Fax: ( ) Ice maker 12.51 0 APPLICANT . . •© CONTACT • PERSON Interceptor /grease trap 25.02 G ? J e{ ` ` n 1 Medical saes (value: $ ) Pty 2 Business name: r Trpr ` ({� ��V Primer 12.51 • Contact name: .p Roof dram (commercial) 12.51 Address: t\ “) L . Sink/basin/lavatory 25.02 City/State/ZIP: (2 17 0 .e.-. • '? LA Solar units (potable water) 62.54 Ph ) --711 „ (i yS- Fax :: (503) Tub /shower /shower pan 12.51 • Urinal 25.02 E-mail: Water closet 25,02 CONTRACTOR - Water heater 37.52 Business name: AP-1. Water piping/t7WV 56.29 Addr�: Other; IMiP∎p , ., 1 25.02 i Ve City/State/ZIP: a.kcry_t^+ • Snbtntal Phone: ( ) Fax: ( ) Minimum permit Dec: $72.50 1 2.5D . Plan review (25% of permit fee) Lie.: lr I g 11i Plumbing Lie. tar -: (� Q State: surcharge (12% of permit fee) Authorized signature: 1 �r I TOTAL PERMIT FEit I.1) This permit npplimtioa eapirea ;fa permit o no *Maimed within tan dar Print flame: 21J I �� �� © . 1 anew it has been *teepted as complet •Fcc methodology act by Tri- County Building Industry Service Board. I :Bdidie Pe,milsom.i- PmnitApp.dae 101)1A1') Aa0.4616T(IMO2/COM/WEa)