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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2011 -00048 I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/10/2011 -F Parcel: 25101 DB00614 Jurisdiction: Tigard Site address: 13275 SW 76TH AVE Project: Frezza Subdivision: ROLLING HILLS Lot: 19 Project Description: Connect exitsting house to sewer service. Reimbursement District Fee #44 paid this date. Contractor: ENDICOTT -WOODS ENTERPRISES Owner: FREZZA, CONRAD NICHOLAS & APRIL PO BOX 1537 13275 SW 76TH AVE TUALATIN, OR 97062 TIGARD, OR 97223 PHONE: 503 - 620 -5629 HONE: 503 - 625 -3525 FAX: FEES Quantity Description Date Amount 100 If Sewer Service 02/10/2011 $62.54 Specifics: 1 12% State Surcharge - 02/10/2011 $8.70 Plumbing Type of Use SF 10 ea Minimum Fee Adjustment - 02/10/2011 $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 direc • . - - • to OUNC by calling 503.232.1987 or 1.800.332.2344. Issu • • By: k , -10 P Signature: v Q.01\ 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. 02/10/2011 04:04 5039251717 ENDICOTT WOODS ENT PAGE 01/01 Fi 'f10f?81.1 10:28 �I�; yIT'r OF' TIOAF;t PAGE 01/ @1 1 lumbin� Permit A,ppicu 11 1'(R (lt llf'I; I tiV: t1�+1,1 Received Building fixtures aevi -e • City Phm,i4 No,; i City of Tigard T ,,Toy: 13125 SW Malt Blvd., Tigsr'd. OP. 97223 Phu Ravicw Othcr PcrmrtNe.: �, I J. 7 1 ' Phone: 103.639.4171 Fait; 503.598.1960 nate/IN v/Bv. male: 9¢aPaRe Ina don Line: 503.639.4175 NoNfiad t�nlhod: 9w u trntctttat tnforraa>:nn pe c t t I t Internet: urnw.ttgarfl•cr. + : , .S i�> a " of!U1W� r of in /fOn r sus cha'rk7Pst [] New construetinn r Q Demolition f ?OM tier ronntx • El Addition/alteration/replacement © Other. -- --� New JI - 2 dwrllinps includca 100 ft. for each utili alrer 312.70 — gl tt (11 bath Ma • .�-- -- _ �4"�t�ln�, S'FR f2) bout IIIM o 1 and 2- fatnilyyddwellii �- _ 0 sr�t(311aath 500.33 0 0 Mralt9•fhmliy Each ndditiennl bath/kitchcn 25 02 Accessory building Page 2 („i Master builder G l Other, _ Fite sprinkler (_ _., sq. It) Site ntIlltica: 18.76 ;�dYk S1 1 a P tip /4"� k1o(i1k't Catch basin or area drain Job site address fit_ V �� 11 l lint or trench drain 18,76+ r■■ 50.03 Cily /5tateiZIP: citing d (no. linear ft. ht home utilities Suite/bldg. /apt, no.: Project. name: Cross street/directions to job site: Manholes 18,76 ME Rain drain cMmect0r 18.76 inn _ Sonitary hewer (no. linear ft.' a _ Page 2 5tort11 sower (no, linear ft.; _,._) Water 6er/int (no, linear fl.: •_,) Page 2 $ulidiviston: Lou 710. _ Tlxtnre or items , ,___- t3ockf7ow preventer Tax map /parcel 00.: 1_tt nitwatcr valve r 12,51 __,. yyy ��, .;, pE' , 25.02 - its { W W . ..,�..,.... —. • Clothes washer - Y DiA 25.02 Mil 1tWaPlter • Drinking fou ntoin IE 25.02 Ejectors/sump 25.02 Expansion tank y , C"� ` ik1 11 =1 C1 li'M x' (1 VlfItll�t r Fixtttrc/Atwer cap 25.02 - Name: I k _ _ - Flyer drain /floor slrtldltub 2502 Address: !in I Garbage difpcsal 25.02 MN — 25.02 City/9tatelZlP t 4 .. ... MINI Rose lrila � —5' f Fax ( ) Ice maker -- 12 51 IN y , � y Interceptor /grease trap - 25.02 'PACrMylulnl�it`tii arKih . i ;f.lu lr',' �'. Medical gris (vnluc: r "___ ) Pint 2 Auamces name: Primer 12.51 MN Cnntactnarna _ Roof drain fcernmcrcial) - -� Al; dres: Yink/basln/lavatary 25.02 T --• Solar units (potable water) City /5tntef7lP: 113:1 Fax:: ( ) Tub /shutter /drawer pan 12.51 Phtrna ( ) _ - Urinal 25.02 1 (mail' Water closet 02 .. .. ., Water hcatcr 37 ,52 B Ira incss Warne. m r�-s..: Water plpinglDW V 56,29 MN a Other Address: �� - Subtotal eit �,f.+t'�t• �i lit ' • "� f� Q 5- Minirnu permit the: $72.50 p;() � _ Fgx �? "�' ~�• f CCB Plan review (25% or permit fee) r r Uc.: �� t+ r (12% f. permit Ice) g 7a Authorized signature . Ptumbfng Lit. n . c9 ^ �� State s»rehn ---,----- TOTAL PERMIT FEE - - nth permit Appl lMnan n*pires If a permit nel obtained withla t It el his Print name: � 1 j • Date: of 1D I i after itlos been accepted al conirlOn. "Fec niethodnlamr art by Tri- County Attilding industry Service Bbnrtl. t;m \1tnnr.rerwat.APp.doc lomtmp *IDA aim em icon U2a)