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Permit (10) CITY OF TIGARD f PLUMBING PERMIT £ COMMUNITY DEVELOPMENT ©®/(p Permit#: PLM2016-00191 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/11/2016 Parcel: 1S 136AD00300 Jurisdiction: Tigard Site address: 10430 SW 66TH AVE Project: Sewer Line 66 Subdivision: VILLA RIDGE NO.2 Lot: 3 Project Description: Sewer line from cast iron to right of way.4/13/16,REPRINTED to correct address from 10460 to 10430 SW 66th Ave Contractor: ROYAL FLUSH PLUMBING Owner: MARC A SPENCE PO BOX 507 10430 SW 66TH AVE BEAVERCREEK, OR 97004 TIGARD, OR 97223 PHONE: 503-657-3919 PHONE: FAX: 503-657-3940 FEES Quantity Description Date Amount 40 If Sanitary Sewer 04/11/2016 $62.54 Specifics: 1 12%State Surcharge- 04/11/2016 $8.70 Plumbing Type of Use: SF 10 ea Minimum Fee Adjustment- 04/11/2016 $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 ons to •. C by • . 503.232.1987 or 1.800.332.2344. • Iss d By: / Permittee Si., 1 / Call 503.639.4175 by 7:00 a.m.for the next available i ••ction 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. 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 10430 SW 66TH AVE, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing final PASS - No C of O PLM2016-00191 David Young Violation Summary: Inspector Contractor