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Permit CITY OF TIGARD PLUMBING PERMIT s` COMMUNITY DEVELOPMENT Permit #: PLM2009-00292 Date Issued: 10/15/2009 TiGARU 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S113AD01900 Jurisdiction: Tigard Site address: 16600 SW 72ND AVE B10 Subdivision: OREGON BUSINESS PARK I Lot: 9 Project: Spec Space Project Description: Replace 280' water service. Owner: FEES PACIFIC REALTY ASSOCIATES Quantity Description Date Amount 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 280 If Water Service 10/15/2009 $137.58 PHONE: 503 624 -6300 1 12% State Surcharge - 10/15/2009 $16.51 Plumbing Contractor: ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 PHONE: 503 - 331 -0582 FAX: 503- 331 -0581 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $154.09 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: bt, ak.r . \...k. o Permittee Signature: \ „ Q ep 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. 10/14/2009 14:06 5033310581 ASSOC PLUMB CO PAGE 01/02 ^ • '' ����m� ����"K -�=8����K U Plumbing Permit ^~��^^--- � ������`� � &=�� Building Fixtures . , FOR OFFICE thSE ONLY °,~, �^~~._ O CT � �^ 77u� City wfTigard necw=a /".. rn 200_07° �� ^^ | 3/z5yw/w|m|,u'T/gorv�on »rz Ty (1�T|/�&AO — -'-------------'-- ; � � m Phone: 5o�o/"�m mx� 0��vv p�M' ' = ''°''~ ~'' om^,/'om./*^ " ' �0 l� �� rro�no In �°.��"no�.,'°'``',- -------------' Internet' *wv./gmd-orgov mu/noINim°c. amp��imm/In*~""tIon TYPE Uy WORK �� vs". sCn(tr, , O��"��w� O��WN� For special use checklist. ------ Description --- l - Qty. so. I 'Iota! _E �1 |°ccm, t LJOther: New I- 2 dwellings (mm.mes /on ti, m~ cna utility connection) y� y� . CATEGORY pr,cmm�srumc�/o • ___� ______ 249 20 __ | [] |'md��n�dxnUine mnmo�|uNo�mmm vr�(z}hmh �n)�vv '-- Spn(3)bath 399n0 [] Accessory building []Multi-family ---------- Each additional omh/'itch,o 0,00 0 1/Inter builder 0 Other. Fire sprinkler L sq. o, Page `. .—' r ' ``~~'`~^ � '� o/�"ovnm Jrm�mom�m^: «�/ 7Z. ��h drain � — mm City/Smm/71p 9 m drain mm) - " -,.*�nmnu � -- mm| drain / linear IL' 1 r�,2 '~. ~ ~ ��~ .~ ��" - _ _ � __--____-_ --'~-------'-��---'- --' Manufactured 110,00 Cm�m���i�mi~n* job she; -- --- ------ --- __--__-__-_-.- _-_ '-'-----_ • Manholes 16.60 ---------- ' _ m�a�n�m�m 16,60 - _num_�����|ou�.m~ u: Page Storm sewer (no linear n i) Page 2 auho��o � -- --� .. — m --- -- -- `»*����( , �. | rx�2 �__ �" ____ n`m,,v, Tax map/parcel rm' --- -- Absorption valve mm ' ' � �nnn • � - o^aovv --- ' . ' -' w _____~~� n^u p�v��r Page / __-_------__ Backwater valve woo ' ~~ _ -~ ---~ - - -- ' ------- - - ---- ---..- - Clothes washer 16.60 ������. _ ____ , ~ ~ Di,hwa5ner 16.60 --' ` -' ---- Drinking fountain |oao OmROpKnTpOWNER CI TENANT .- - �|,^w,,/em`* /^�w Name: *ximnsi^nvmk |a.m »��� _-~-_-_~ �/m '~~—^� _ _____ ____ �/*/ �������� n / ________ City/State/ZIP: Floor xmm/nn",sulk/hub m./m --- --- n"�u�u°p"a| ---- m� Ph: ( } mz( > _ -_ . ___ --��__ ------ ---�----- -----�-- xoscwv /o«n O APPLICANT [] CONTACT PERSON ------- '' _ -- -' -' ' ' ' - ' -- � � , , , , . . . . . . . . . — - - C |o.00 Business name: ----------- --'----'---- -- /ou"wu^vex�e`mr / Contact name: - - -- -'-- --- - - Ni"n`n/ wos ' / $ ` pw,gc Address: Primer |a� -________ -_'-_-_- --_-_-_' -_-_ _--'__ �/�x�n��|r� Roof u,�n<o�,m"�mu ., 16.60 -- mnm»asinxumxrx 16.60 rhon �( ) Fax: �( ) -__' . -' Tv»mxo"cnyxowv |000 ~�ni|� ���� ~ ' Urinal | �v�m) Water ���� | /�N) [- - �� _ - / uumncss Water heater |oao --- -~--------------' '--- ' - ----- ' ��) _^_ ----- -_-_ .`. .— c i� S, m "�/P; _ v"mvm/ ,�r�'/�� ' ~�r� ivli"/"*m permit fee: S72 50 - rhvn��(��J�J�/_ Fax: m $36.25 --_ � _ __ ___- cCouc Plumbing u n '^ m �_����` mn n��^��"�..���_ ~^'"`"°`^��"'n��" Authorized ------"- '- - --- __________�___ sn�mnh»�c< �o� /(o.5\ nn^�pFnw�r�c | p�"/=�c� - - ������i�' ripplIcntion expires If xn�mi, _ -_- _ _----- �~-� IRO days on,,/,ww been accepted ^^nm le«^ p 5y Dq °re:mmh"x"/ogr set bn/ri{omtyouxmnD Industry Service Board. '`~~,~~"�=~~^~°rrii.*m*" /oom =1_*1 on1 mC2xnw^w a`