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Permit w 7 �� CITY" ®F TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00360 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/2/2008 PARCEL: 1 S134DC -07100 SITE ADDRESS: 11675 SW GALLO AVE ZONING: R -4.5 SUBDIVISION: GALLOS VINEYARD LOT: 002 JURISDICTION: TIG PROJECT: LEE Project Description: Replacing 50 ft. of water service. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 50 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES RAYMOND & LEE 11675 SW GALLO AVE Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 9/2/2008 $72.50 [TAX] 12% State Surch 9/2/2008 $8.70 Phone : 503- 771 -9449 Total $81.20 Contractor: CROWN PLUMBING 5429 SE FRANCIS PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 771 -9449 FAX 503 -771 -9454 Reg #: LIC 42671 PLM 34 -70PB 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 by calling 503.246.6699 or 1.800.332.2344. Issued B�� ` , // / Permittee Signature: .. i "77/ 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. .0 09/02/2008 12:23 5037719454 s0 CROWN PLUMBING PAGE 01/02 _ Plumlbing Permit Applicati 0 Building Fixtures - `L1d Folk 01 I K..; I IS_r: a 1 -,fi It 1312:; SW 'r Tigard d � Pcr�lta No„ City n . j Tiall3lvd.Ttgairl. 97723 ®� \ �'i , ;+ ' ,r: ' �r ,4) ' ` Fitt Review ,�. 1 114 ®. ' Mona: 503 639.4171 fax: SO ± 594 I OfiQ ` ®� ■ ` ante /Ay, �._ 011tor ('matt No ins eetinn lino 503 637 4175 �� jj w b S P 2 Mi. -- 7T;ta A �``� mac Renrt /r3}, 1 See — i ntcntet: www tigntti- or.00v • yotiticci /Mrtiiod !1 $u. icmental Information For sprr'fal information NNE chrrkfist, _ " ---^ Description Otv I I',s _ Tota ❑ New construction ❑ 17Cm01i60tt New 1- 2- family dwellings (includes 100 ft for Inch utility connoctIon) A Addition/sltcrntion /replacement ❑ Qtbcr: SFR, (1) 1,path 249.20 CATtGORY OF CON9TRUCr1ON :•,;17 (2) ^� 150.00 I- and 2- family dwelling ❑ C' ommercitI/rndustr'ial S F R bat (3) h 399_00 Fach addittonal bath /kitchen 45x1 .(1 ❑ Accessory huildmE El Multi- fhtttily -• . Fire sprinkler (_. ,._• sq ft ) Page 2 © MAater Builder ❑ Other "' ' Site utilities .1 SITE iNlt'OR'MATIC N AND LOCATION Caleb basin or area drain 16.60 W .lob site address: 114 7,s r (m) ( _ti a r✓ .,_ Di,'wcll. leach line, or trench drain 16 60 ��. Footing drain (no linear Il.: .,) Page 2 City /Stele/71P d e r Ps , 0 r . tr ` . El _ ,.. - ••Y Manufactured home utilities 110,00 Sitlto /bldg. /apt no ' Project came - -- Cross street /direct inns to job site, /� ..__......_ 16 60 pc r h 1�/1/(t/I S Rnin dicta connector 16 60 - 1 9/x- BT Sanitar sewer (on, IinearfLt _) Page 2 Storm sewer (no, lineal ft,• _) Page 2 Water service (no. linear ft ../ Page 2 �{ 0 Subdivision: T,nt no. Fixture or item Absorption valve 16.60 fax map /parcel no.: "' . .. rlackflaw preventer Page 2 b1t:SCRLPTION 01•' WORK _ Backwater valve 1 fi 60 Clothes washer 16.6() �� met `� ,L- >�,S O�V-d "V-- ` . f Disltwashei 16,60 - Di nking toiilttain 16.60 f,lectar; /hump 16,,60 PRWPt';RTV OWNER --- -- El TENAn r r -'xpapaion (Fink 16 60 mc: Gkel ..-'et W N a fixture /sews' cap 16 60 Addreiis: Y —..S4:44ne)4L -, 'y: .+',Wz2..,' . Floor drain/floe:' sik/hul _.. 10.60 City /State//,1P: Ciarieage di9pnta1 16.60 w,,.. -,- Y -r- n.. Ifnscbib 1 60 1; �� 16 60 ,u �.�- I „..,.� ��. .... l6 ,. t, -,, � ,�'I�M'��a�4r�W1r!nl�; '���” 't, -' �, ��,���,"�� �114��f .'"; ,�Oa�'�j , ',,�,,� � t Icr, maker �,WS, a • , t._ » - L , „ I' ., -- Intercepter /grease trip 16 60 Business name Christian Plumbing In DBA Crown Plumbing ._ -- • . Medical gas {value S ) Page , 2 Contact name Dennis Underwood -•• —__ - �--- -• -�•— - -- _. �.-� -- � Pruttar 16.60 Address' 5429 SE Francis Street " ...--_....._ Rnnl'dtain (cnnunlcrcial) 16.60 City /S1a1c/ZIP, Portland, OR 97206 __� "'•"" Sink/basin /lavau�ry 16 60 Phone, ( 503 ) 771 -5449 I Fa\ ( 503 1 771 -9 ----' Tub /shower /sltnwer 16,60 6 -mall' Lii mat 16 60 , CON'T"Fkli, R Water closet 10.60 l2 name: Christian Plumbing no, IBA Crown Plumbing Werner lteatet lr, 110 ` nthcl, Address 5429 SE Francis Street - - - - .. Cny /Stare /7.1P, Portland, OR 97208 - �uhrotal ,x" !f® Minimum permit be 572.50 , Phone ( 503 ) 771 9449 Fnv: ( 503 i 771 -9454 _ ..W __ 12c.ide_ t,liei hrtckilnv, minirnunt�Cnrrt11 I'e • $.R625 ? .._•.., E-mail Plumbing lie 34- 701 , Plan 1eview (25Y ofpermit fee) d' Stale surcharge (12% of permit fee) . 70 CCP lie,: 42671 I City or metro i1c. no,: 11 . ro 1431 � _ _ TOTAL PF ? R1v11T• FFB, 9 / . Z. 0 /t uthorixcd � -- 7 Thin _ lncrntlit appiicni4nn c'eph - ee if n permit is not obtained ,,,ithin signature • 180 Oar; O'er 1r lint heen neeepterl as complete. __ --- — „ ------- ' � fcc Iv ^Ihodoingy set by Trl- County Building inrluci}7, Service Rnnrtl Denns name' aims Underwood 1lnmildln,w:rn,MPl,Pdr- permit tm Pr. 12 +21 /Or, 4 OT( IO /02 /C'OM,Weia) CITY OF TIGARD A • BUILDING DIVISION PERMIT #: PLM2008-00360 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2/2008 Phone: (503) 639-4171 hiM Inspection Requests (24 Hrs.): (503) 639-4175 111. INSPECTION WORKSHEET FOR DATE: 9/10/2008 TIME: 7:00AIVI PAGE: 27 SITE ADDRESS: 116 SW GALLO AVE CLASS OF WORK: SUBDIVISION: GALLOS VINEYARD LOT #: 002 TYPE OF USE: PROJECT NAME: LEE DESCRIPTION: Replacing 50 ft of water Lien/ice. OWNER: LEE, RAYMOND & ARLEEN PHONE #: 503-771-9449 CONTRACTOR: CROWN PLUMBING PHONE #: 503-771-9449 Inspection Request Scheduled For: Date: 9110/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 075288-01 503-771-9449 Corrections/Comments/Instructions: ft. P-e C L a PASS I PARTIAL APPROVAL 0 CANCEL NO ACCESS fl FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: <rbArvi.A.-A .k'NN.Q., Date: al \ ■0 \Y Phone #: (503) 718- .•. , .