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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2011 -00019 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/19/2011 Parcel: 2S103CC04100 Jurisdiction: Tigard Site address: 13888 SW 124TH AVE Project: McRaven Subdivision: EAGLE POINTE Lot: 16 Project Description: Replace pressure balance shower valve. Contractor: CHRISMAN PLUMBING INC Owner: MCRAVEN, RUTH A PO BOX 1706 13888 SW 124TH AVE CLACKAMAS, OR 97015 TIGARD, OR 97223 PHONE: 503 - 524 -7405 HONE: 503 - 659 -3307 FAX: 888 - 629 -7654 FEES Quantity Description Date Amount 1 ea Tub /Shower /Shower Pan 01/19/2011 $12.51 Specifics: 1 12% State Surcharge - 01/19/2011 $8.70 Plumbing Type of Use SF 60 ea Minimum Fee Adjustment - 01/19/2011 $59.99 Class of Work: ALT Plumbing 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. /y1� Issued By: �G Permittee Signature: �/v // /*+ � 77o 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. •., �,� � wV JV aV • '� 11 11 r 1 . 1 t , ( Pernik Va '''' i; , Building Fixtures JAN 14 2011 I ,h , , I I,i IV City of ; I W " . ,� /9AMU P• 10141 ' ' /P —/0, x ' 9 IM sW I Rlvd., Third, UK 4?1b fa now; w3.030,617/ Pic 503ss i1 (}F TL .'.. rnhn 14°' lnopeotlen bins: 503,639,4'7S 1 9 / t �1I1 f�i�q�! ,�. - ` ' InumnM: vnvw.tkp tisi.gov X871 JtR4� 3 I .. Hcdeektde4oe i IM lYPg OP WORIL PER,' 801ED JLR 0 New omtsuection 0 t}QfDliiinn For art . eke me Mona 0 AddhlmJoNereicetren a of+eif ❑ Otte: NA I. , . , -- . mks Ito It int each ell rome1101% Gy.TEGORY OF COMi4'rR /MON 814111)NFIR 112.70 En _ ad Minify fy dwell eg 0 C,ratenerelal/irtdaatriel SIM (2) ben 472.71 9Flt 0) bib 1111 500.22 MI Q Aooestpey building II i 0enilr Nee editions) MdANe mo _ 23.02 OEM Q Mate builder ©Other; VIM sprinkler 1___ eq. R.1 111111110111111111111 gm 81'16 INVO1MATION AND LOCATION 11:7,7rill 1101111100111•11111 Ode Wei a we drain !ob eite eddtme' 13888 SW 124TH AVE prywdi, Iaab IN, er nenctl LOW ci:rap: to ■ • 7223 2 MIMI Sultelbldg.hpt, no.; Pittleot DI91'M.: Maaunem'T Isms utllhta 50.03 Crum at nudelheotinn tp f eb ,lee; O R -99 W S Manhole .1 18.76 right at SW Gaarde St, right SW 123rd Terrace, 1 p'1PQr'toomativ 18,76 left SW Aerie Dr , right onto SW 124th Ave (Whey eeverdo.1near"' :„. ..„ ) Petal iin4iliin ' v bw n: COMM 0: Tax myptpatce( no,: 212.31 1.831' - DESCRIPTION OP WORK — — — — — 25.01 replace pressure balance shower valve Diovnairc a 25 MINIM woos motel 25.02 - bited nrewn • 111111 25 El PROPERTY OWNER. 0 T'ENAf 1 amonsios auli MEM R UTH MCRAVEN v PlierotEd eroep 23'02 Nem Floo*dnWAwustotioub 25.02 Adurcas. 13888 SW 124TH AVE 4iettrPea►q+awl as - t2 I NI ChyBeOltvuN TIGARD97223 Pet bib M _ 2302 MEI Ftwr ( ) 503- 524 -7405 Fax: ( ) Immeta III 1151 0 APPLICANT QC)ONTACT PCREON IntnmgnnNRreem trop 31 IIIII R'th " :N • - THWEST PERM! INC 2 MN Coned menu menu Primer 12.51 Co CYNDAL MILLHOLLIN C . 2 0 ., ° .7 - / lip loorrwtaidey 1131 Addtaemt: 1345 GOLF RD 'D Ni R.O 6??-'n 4J + •Inkibasisolowausy II Ism Clityllites/ZIP:... ... a WA 98281 tloidt wilts (poabla wool MINI 7}2 MEM MOM: ( 360 - 945 - 278 7 Fait■ : ( , i I' 5 ,2 if eJ TnbA Noweri hoxwr pen 111 12 51 W Ftitmll; F MIT nom tiring 2312 Sill <aOWTR Weer alai 1.3.02 • W ear heater n, sa Deems ems b� PLUMBING CO /US HOMESYSTEMS welarpiphlslDlvv 16.20 IIII Address: _ • 0 (3d l'1 0 - 23,02 ChrisLetIMr ,!,t.o,:..wiel.,,:a,.4,k C.L.klt4M4 9470/5 WNW PhOr : t ...611,3_744.44.4e-- Fa: i ) P_ S (o Go Minimum pamtk @e; sat, se 7 0 1 Q/ oat Lie.; 163060 P}vHtbin LI,. nn; t`8. 560 052458 Plat re few 15% nfpvmlt 11146 O " Amlwrpc� signature: / TOTAL PROM / // kw mucilage I /214 oYpamil fm) p a �^`^ ''�' 1 P6E 0 2`J Dale: rrreli n ewe* esteemed see i .' Print nine: ... y i� .1.'......-04 - has ow r town «�+w So3 -6_59 —3307 - ` rke - 6.2.9 — s ' °OCe Od° 0gtatry ,wcawDeaualeaMaotlyean4a0mt. t.e.,.a.iuwmaA,,..,".rit,nn.. l euurn ..0...01RY[rontcmdlrin+l l' /�fSP c 70 ,Q�� 7 __ �)E r C VN $0 3 -Spy— 9/(0_5