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Permit CITY TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00480 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/26/2007 PARCEL: 25111 BD -00411 SITE ADDRESS: 14965 SW 96TH AVE ZONING: R -3.5 SUBDIVISION: DARMEL NO. 3 LOT: 031 JURISDICTION: TIG PROJECT: ZENZANO Project Description: Replace drian line for kitchen sink and laundry line. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES KIM ZENZANO 14965 SW 96TH AVE. Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 10/26/2007 $72.50 [TAX] 8% State Surcha 10/26/2007 $5.80 Phone : 503- 684 -9057 Total $78.30 Contractor: APOLLO DRAIN + ROOTER SERVICE 2208 NW BIRDSDALE #8 GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 - 239 -8801 FAX 503 - 669 -9568 Reg #: LIC 49418 PLM 26 -533PB • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC • ailing 503.246.6699 or 1.800.332.2344. Issued B 4164////it // Permittee Signatur 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. i . FROM APOLLO DRAIN 503 - 669 -9568 (THU)OCT 25 2007 12:06/ST,12:05/No,6812889226 P 1 1" _ Plu; bingPermit A ■ d lie -a Lion , I t l k t) f I' 1(I I `,1 I ),I 1 � ... t j A Z 4 O City of Tigard t._ Received Date/By: - t5 Permit No.; PUM2 6045 13125 SW Hall Blvd., Tigard, OK 97223 C �f107 Plan Rcvicw Phone: 503.639.4171 Fax: 503.598.19Q C. T 2 5 U 0.,�w,, , ' D /B' Other Permit No,: 24- Hour Inspection Line: 503.639,4175 F\� � p p 9% ,. ...,...61. __ . 1);ue Re ;rdyltty: J° 0 Sec Page 2 for Internet: W W W.cLllgard.or.uS CITY Y OF I IO° fin 4 o i, f ,e d / M e Lh tA d: Supplemental rnfnrmotinn 0A1 I• �.,: ,i�•i' .. 1 't l,`el'p IW "AA" ii , �� _ 1 �! ": N d. .' .MM1 ., ;k�r'A ' ; :'. d1if u,. ,r�l is I 1 ^1 1 , 4 r � I P X Kr r [ ak 0 . o lipPip � i 4 �g1 i pm g ;t r, a w y { p . 1! 1 h tip +�I'� c:k11151 Ie .e, 013,l 6 F„.0./,114.1,13.5,:!71.:".31i, : ' " , " t Ytr For special information use checklist. ❑ New Construction ©Dcmnlilinn Description L Qty, 1 Ea. 1 Total Addition /alteration/replacement 0 Other: New 1- 2- family dwellings (includes 100 R. for each utility connection) •;;'', r < i M 1 ,,; n : RF1 t tl rw," r" , r ,41 rc"( obAORY'ia1, 2 9 t,t� 4 , t a x•' a (' E 1i f SFR (1) bath 249, 0 ;I ,t',rN�,'•o�,1NJAp�yn.w Ux4a iv vu . t�.il b�i _ _ . n :z_ � �.. _: ti , 1d a, r br +r r, § ' x � £� IY�E I • � • ;fit ,1 v r w ;vv..l�.. I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 1:1 Accessory building ❑ Multi- family SFR (3) bath 399.00 © Master builder Each additional bath/kitehcn 45.00 ❑ Othet: � � y n Y. ,,,,,,��yy na Fire sprinkler ( sq. ft.) Page 2 i i r 1 ; :fi, � v�r�i 7 ;i' rl l Xr t I /v o Lr. x , *!9n, .. r,� ' 1 011; Site utilities Job site address: ,L•)t'� (0 L3 z Le • ., • Catch basin orarca drain 16.60 City /State/ZIP: 'TILT l •/, 6 1 o ci -7 ��4 Diywcll, leach line, or trench drain 16.60 - Suite/bldg./apt. no.: Project name: Footing drain (no, linear ft,; ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 — Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear It.: ) Page 2 Subdivision: I Lot. no.: Water service (no. linear ft.: _.) Page 2 no.: Aimee r .t t,t';1 ,r r : ir .r ::c °c .e,ana :,, 1 ra „ „',; � c o valve Taxmap/parcel " (Yh� � !"h,�° I {i;� l ,yl, 1 l ' '%*IH'� ��xdr. •.wk0.'� ° r�..f "”' li7G. 111 ":' , i � n ''I..� �d 1 �'' 'AV16� 444 A,'V'iL 1 (, ni � t , i� � � r ,�,��� y yy� Absorption v 16,60 ;r '.,. , �i 1,i ' tv)i1�.,� , _� nS "a,cC &ir',x +r ,__ � nn � a" �� � Nacktlow prcvcnlcr Page 2 !ii / r J I_ . L L W� - O')) Backwater valve 16.60 Pt.f ! �/�!/YL� • _ / / . , Clothes washer I 1 0.60 l (O • �D 0 Dishwasher 16.60 xw�anu vl Y� I I t n r +ta rs w. en .d .fftrat7 t:tee, I I ( . v Drinking ountain 16,60 i' nFaef4�a�l iLI rp M , , 1 , hi t ' 1 ' 4 t.o 1 , ,1 G S i l li X , t ∎ " - ./ I Ejexiurn /sump 16,60 Name: iL Z_ .Y\ 2.(3( n 0 Expansion tank t 6.60 Address: _ Fixture/sewer cap 16.60 City /State/ZIP: Floor drain /floor sink /hub 16.60 Phone: ./ ) / • 4 • • / Fax: ( ) Garbage disposal 16.60 IP tI r IIS4 ,�'"l � r '� ! . 1 h } , ; I � h 4 p n.Ay 14() bib ... IG.SU j..,0, ,{, ; n,,l.r„ { ra ,, ''I''''— > " f ,, tly � Ice maker 16,60 Business name: Interceptor /grease trap 16,60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax: : ( ) Sink/hasin/lavatory a' 16 16. ( hb(showet /shower pan 16.60 E -mail; Urinal 16.60 .t' ,. +M' rvli Nyv,w�rN {N. ,!„ n ThM:kxl^ �4 � � l`� 7f P)XJi Srrr r,, � py� d�gAl ll Ynrnur e ,n� S'I �',� >a',v, 1yd,x.a oLl Ml :k ' )y�f t'1� „, tt .,�,,,, iYk3`rSMwsit.,.f:Mr 16'ia...' k?'ki (1� 4 f �,. Water closet 16.60 Business name: / 4 1/11 �� W r t - , Water heater 16,60 _I►Yrca, - r/ I / / P Other: Address: City /State /ZIP: �,t v,4 f' 63 ? Subtotal 3. Zb Minimum per mit tee: $72.50 Phone; ) 0 t Fax: ( L �' v . � Residential baekflow minimum permit fee: 536.25 42.60 , C:C'R Lie.: 1,—/q y P umbing Lie- nn- '2 ✓✓✓ �/,�j � -L�y� Plan review (25% 01 permit fee) 7 • / State surcharge 18% of permit fee) 5. go Authorized signatur TOTAL PERMIT FEE .3Q Print name: .r . a' ,[ , Date: I D M' 0 This permit application expires if a permit Is not obtained within lir 180 days after It has been accepted as complete. *FCC methodology set by Tri- County Building Industry Service Board, i;i HoildinsVermtls114 .M•l'ennitApp.duc 06105 440 -4616T(Io , u /COM /WEH) CITY OF TIGARD BUILDING DIVISION PERMIT #: TI.M)00..i :y4 4i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1(;1' :61").(M Phone: (503) 639 -4171 ylu�H�ll ill\ Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 1012.9 200/ TIME: 7 01 AM PAGE: 16 SITE ADDRESS: ).:i3(,•s`, ;;W ' &; i i •; ;',VF CLASS OF WORK: SUBDIVISION: i?AI•.3MEL ;40 ; LOT #: fl,. 1 TYPE OF USE: PROJECT NAME: /Fial7Al ?O 1 DESCRIPTION: Fiel)i«a,r: &,.,;, liii; rc; ::ii(-i',�,t; *1k tti;t< law idly line OWNER: i:..NZANG , KIM PHONE #: !.,0.3.664 CONTRACTOR: APOI 3 !:? DRAIN 0. Rill ` f;`.i< L:.'t 1•?V1C; PHONE #: 5E13- 2:59-t.lio i Inspection Request Scheduled For: Date: 10;7N2067 Pour Time: Code # Inspection Description Confirm # Contact # Message ;11:3 Piu ;;t'.';:ai 'it:•. ±i 0::61:a01 -0 1 '507.1..?3!.1-8801 N Corrections /Comments /Instructions: C.x.x h' i i v a 1 e l X. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: U ‘,-1,„,,„0:'1 ,i `"' Date: 1 7 1 2. E i °-? Phone #: (503) 718-