Permit CITY OF TIGARD PLUMBING PERMIT
11 y COMMUNITY DEVELOPMENT Permit#: PLM2014-00322
I G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2014
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Parcel: 1 S 125DB00500
Jurisdiction: Tigard
Site address: 9285 SW 70TH AVE
Project: LLOYD Subdivision: SHADY DELL Lot: 5
Project Description: Replacing 60 ft.of sanitary sewer.
Contractor: ENVIRONMENTAL WORKS Owner: LLOYD,WALLACE E&ALORIS A
2634 SE STEELE ST 9285 SW 70TH AVE
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503-719-6715 PHONE:
FAX: 503-972-1866
FEES
Quantity Description Date Amount
60 If Sewer Service 09/25/2014 $62.54
Specifics: 1 12%State Surcharge- 09/25/2014 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 09/25/2014 $9.96
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 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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 site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
To:Attn: Brandon Page 1 of 3 2014-09-25 16:46:16(GMT) 15039721866 From: Matthew Lowrance
1: BRANDON
Plumbing Permit Annlicativrcrifil)
Site Utilities Rtit,E4 i‘,R 4 il I ICE LSE ONLY
-City of Tigard
13125 SW Hall Blvd.,TigatiL OR =602 5 2014
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Phone:1 1 I I Fax:( i ' minimum permit fee' 1,72.30 ,-72-472. 'i
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Print name: ..4 5&_ rn, ., , , . 1 . ,.. ,,s-- - , ,..-,,,.;politic application expire.;if a permit is not obtained yeithin I dayt
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after it hai,been accepted es atm plme.
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9285 SW 70TH AVE, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00322
George Heimos
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9285 SW 70TH AVE, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
FAIL
PLM2014-00322
George Heimos
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9285 SW 70TH AVE, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
FAIL
PLM2014-00322
George Heimos
.
Violation Summary:
Inspector Contractor