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Permit CITY OF TIGARD PLUMBING PERMIT ;. COMMUNITY DEVELOPMENT Permit #: PLM2010 -00142 TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/30/2010 r ; y Parcel: 1 S 136AD06503 Jurisdiction: TIGARD Site address: 10900 SW 68TH PKWY Subdivision: WAY LEE Lot: 2 Project: Chang's Mongolian Grill Project Description: Irrigation backflow device. Owner: FEES WAY W LEE GENERAL CONTRACTOR Quantity Description Date Amount 5210 SE 26TH AVE PORTLAND, OR 97202 1 ea Backflow Preventer 04/30/2010 $31.27 PHONE: 503 234 -0591 1 12% State Surcharge - 04/30/2010 $8.70 Plumbing 41 ea Minimum Fee Adjustment - 04/30/2010 $41.23 Contractor: Plumbing CLASSIC IRRIGATION 8575 SE 307 AVE GRESHAM, OR 97292 PHONE: 503 - 255 -6991 FAX: 503 - 255 -1155 Type of Use: COM 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. / Issued By: Permittee Signature: (fr /1„� , � 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. Apr 27 10 11:30a CLASSIC IRRIGATION 503 255 1155 p.l 04/27/2010 08:51 5035981%0 CITY OF TIGARD PAGE 01103 / Plumbin Permit A Iic .. f :(i„ 0.,:r_Ir:i•: ,; IC . tyq-..y - City of Tigard APR 2 2 [.../B: ecRece ived �d Ail" Numrt No �L - 0/0 .10 i ll • 13125 SW Nall Blvd., Tigard, OR 97223 Plan Review 0111C1 Prnn t No.: Inspection a Phone: 503_630 4171 Fax 503 598,1960 Dsre/By: C ITY OF TIGARD ru. 6d See Pape :. for t ct' ww 507 639 4175 Onto Rcad l t C inform T 1 G A rz n I nlemd www tigerdor.gov [�`�(� tw + Supplemental • I I /hAg , r . ,,� 1 r l � n�ac Wkv £1R Information �'', 1 r� 1;Nl . ;�IG�v *P 1ali0ed _ • Fr cf ar !w nrmetfon u se tG eckllar- New construction J Q Demolition Description Qty. Ea. Toutl [] Additiu:t( alteration /replacement ❑ Other: cw miry dwellings ( includes 100 f t. for utility connection) N 1 - 2 -(a ash SFR (1) Meth 312.70 • :i r '';d.: r; ::;. r i',_ al .ref -: kt - 437 78 SFR (2) bath ❑ 1 - and 7- family dwelling '_1(; ammeretal /Industrial SFR (3) bath 500.32 ❑ Accessory building ❑ Multi•famiiy Each additional bath/kitchen 75.02 o Master builder ❑ Other: Fire sprinkler (_ _ sq. R.) Page 2 1 n<. B E t y y,�y rt�y/� 14;440 ur,W,u 1O N Site ',Indic.: ',Indic.: �!r4 P?a°'•, �� X Catch basin or area drain 18 76 ,lob site address: 0 4011,410 A � ai . ♦ Drywetl, leach line, or trench drain 18.76 City /$rale2lP: i R� r N. Footing drain (no. linear A.. _Page 2 II Suitt/bldg. /apt. no._ Project name: a A I Manufactured home utilities 50.03 : Ca RIV R OF fffR/ J �' M enhotcs 18.76 Cross eaeeUdirechons „. 48 y l (;)5"..5"- HR Rain dram connector 18.76 t Sanitary newer(no linear ft.: _j Page 2 Storm sewer (no. linear R.: ^) Piste 2 Water service (no. linear A 1 Page 2 Subdivision: 1 Lot no.: F•xtureor Item: 8ackflOW preventee 31.27 34, Taw map /parcel no 12.51 aa�..���..� y �,,�.�� y Backwater va __ -- : ;14 ., ,) � •• .` r`'' `srl, d r►.Htea i . .. Clothes washer 25.02 GoNECT rAA 7��- Drehwasteer 2502 � 25.02 V u in 25 w � � IL v C Drinking fat nla D° GLG Electors/sump 25.02 1:321 Ztl i ;M s •f F Ei tii.. r: . ' " CJitN`r• F_xponsion tank 12.51. ' 2502 No0 me4: /1W, / r-r �* p, Floor drain/floor t a F � sink/lwb 25 02 Address: ,5 a 10 S. a(9. ' Garbage disposal 25.02 City /State /ZIP: ppm� R . Bose bib 25.02 Phone: cro3)234 -©5q_ ., Fax; ( ) _ Icc maker 12.51 5 l.17 y v ' Interceptor/grease trap 25.07 j} .r ' ^I • t tt;;il• tp�ieCfklCtptfi5aki - „ Business name: CLASS C I RAGA rz0 i V Medical as (value: $ ) Page 2 -∎ Primer 12.51 • Contact name:G_B G JALITLEIN - Roof drain (commercial) 12.51 Address: T eQ . OO ')_ - Sink/basin/lavatory 25.02 y P n T O R t d` . Solar units (potable water) 62 .$ 4 Cit /StoldZlP; r'4� J ( 503 s 99 04 c� 455. p T u h /s /shower pan 12.51 Phone: ) Fax: ',� ,,,) 7 1 7 2502 Urinal ~ E -mail; Water closet 25.02 37.52 Business name; LASSI .� .! WnterpipinP/DWY 56.29 Address; r Q ', ./_____ Other: 25 02 r ^ Subtotal 31, al j Minimum perm fee: $72.50 Phone: ( _ . _ Fax: ( ) 1 Plan review (2514 of permit ft. 0. • i ( 6 �W Pl umbing Lic. n0 : St surc harge (t 29e of permit foe) I& Authorized signature: J �/ TOTAL PERMIT FEE MC This Dermlr noDYsnr■w °,pia If s permit le nor aDlnlae• a lea days Print name�/� / r alt: Z ��' after it has been acaprrd i0 a •Fee mnhodo3oFy eel by Tri- Cotmry liuildin8 industry Service Boyd. 1 tam44neWomratPtMU•PermiIAVn Oa +6/01,0* 440 - 0161i rmn]/COM/W ) O/ C2-0