Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2013 -00219
Date Issued: 07/01/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S111CC17700
Jurisdiction: Tigard
Site address: 10340 SW HIGHLAND DR
Project: Opoka Subdivision: SUMMERFIELD NO.4 Lot: 228
Project Description: Replace 25' of water service.
Contractor: AGENT PLUMBING INC Owner. OPOKA, ROBERT
14504 SW FERN ST 10340 SW HIGHLAND DR
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 579 -3132 PHONE: 503 - 684 -8473
FAX: 971 - 250 -2568
FEES
Quantity Description Date Amount
25 If Water Service 07/01/2013 $62.54
Specifics: 1 12% State Surcharge - 07/01/2013 $8.70
Plumbing
Type of Use SF 10 ea Minimum Fee Adjustment - 07/01/2013 $9.96
Plumbing
Class of Work: OTR
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 503.232.1987 or 1.800.332.2344.
Issued By: , i•% 54 Permittee Signature: ` '� -/ /7---77 "I
l'I � J Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job sits until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
To: Debbi @ 503 - 598 -1960 From: Steve Moon Pg 1/ 2 07/01/13 4:23 pm
Piumbint. Per jt'4u tti n
Site: t ct)!f :)I'I'I! I. (,I 11`.I 1
: M iii S't3Virid ,:'t�iprti;;l'�R ��
II L., . Ph011 S 103;718:2439, •:5 :99oe i%0
• 1 , ,,. I; I 1 iNB on tit: SO3.639.417t"' � ' " 2 sOg 0' Ar
y�I : s r ... ec tirrrtUn h B .
RC d :'JI ,, q'i ,,;. `J ,,,,,,,,,,,,, ,, .. I 4 . Mi: t % :'4 =°':i5E:0,,i31 :i aia . Et 5 I , .,..
O £W W ooini uedaA. O poolio •
n 'w ^ 'IAI/fpiticelh! 1t. a oth � f'. I l l t•C • 1 -�I f f • . ctuile7 1 , 1 : ∎ Alt: -. ,: } I Vr... - � �t 1 /A
Ey ,
5 .!:: JtlII .� li,rri 0. . 'Q61bil∎:,'!!, ,,.� 1 .,,,� NiEi.'Z�IIR ,E•, ,x'23°: Mil
tiedh 11111. 1%3 111111111
' O Ao e00 O.M i(til. y . . 25112, MOW
i ; t; It a i li i II ? "Ir ., '-� "; i r : �.. .,, , ' ,,;,� E,,' f. rT1 iT - -
1 : d,.. t 1. u., i r t ,
kb akt inl s: i ' MO :. .o: 4 . ti.:*' 1 tibatilivra iAttoo: ® 3836 _.
c /se, ?; ...!; .:
rJ
tti :1�e pr II:M91A'
di cmoe to X00:
stnee 1•11111E10111111111111
Ititinintim :Ia,76. MOM
MEM
rax,Ip.w►S i>
iZM- ° 25:02
414 .. .. 1111111 : 154 MS
I' ,l ;:1 V I I Q � �,tgAU9f�Yl Itn /, [' 1 1] /LIYII Illt u�' ! . d111i'RI1L:IiCiA61 .* . 111111111=311111111111
' 1 „e 16. 1 , si�
R 0 - - a itilfiJ rr ® 2.02 NMI .
12 • 014,11.:: .P41.. 1111111 l'Sni Mil
Oyl atelZat' Issa MEIN .
' 0 ' : MEMPIMIZEMEMINIIIIIM • ® I2d1,' MEW ru�x L6IGRIIOl1 •
.� ' � ��n -
...� e
pglcalaa tvaiud'E. .. ��
•l +t uns, I g.., . r6w L.A. + 1111211111111111111111
' Clid nranafl e: •rte
RilOf'dtd91*a111InCtll:t91
aid €t►/ Ya+. O' .$>o1-..
. .� , . Ta4
Ptwea 1!
MIIIMPITIMIIMMIOMPRIIMPIIIMI Ihie .. MIN 2Si'.02 MEM
y ii t I1 i �, s; .,.,• ,X..,, a a,,, '�i' . , :,!E ' ,.,,, ,,' l � iti: i y)ii'I } a • • 21 ° Mil •
. , $066 MEI
,1 t *O.t' $7YSa ::. Jr 'd Ng
tat H m®.M i 1ra; � . .
ltOartreiw (209 afiianitt •
:: '� � }„ SpIfC ,• . ,I31A(tidP, "iC1�C).' 'a
Auttivibrd: .. 1 /'f ." , : ��
"b �yy