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Permit c.r C ITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 - 10001 J II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/14/2006 PARCEL: 1 S 135DC -01400 SITE ADDRESS: 11725 SW GREENBURG RD ZONING: R -4.5 SUBDIVISION: TIGARDVILLE PARK LOT: 009 JURISDICTION: TIG Project Description: Repair sewer service. CLASS OF WORK: OTR 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: 80 ft • WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES JOHNATHAN LURIE 11725 SW GREENBURG RD Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 2/14/2006 $72.50 [TAX] 8% State Surcha 2/14/2006 $5.80 Phone : 503- 309 -1727 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 by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: Kee, 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. FROM APOLLO DRAIN 503 - 669 -9568 (MON)FEB 13 2006 10:29/ST.10:28/No.6812889187 P 1 Plumbing Permit ApplicRii! EIVE i rot oleic .: usu. (Aix see rage 2 tor Reecived ��� ) city 2 5 S Tigard , FEB 13 2O Datc61311• - ii L L/1� Permit No�� l b.6 -'> c i a o ( l3 _5 SW 1lall Blvd.. Tigard, OR 97_23 Plan Review Phone 503439,4 17 i Fax: 503.598. I 960 [4• . P Other Permit No.: �,�' I ' Date/By: 4- Hour Inspection Line: 503.639.4175 T _ 'I i - Date Ready/By: /B !a '- p' CITY OF Ti - r NIP' r r� i " f1°: Internet: www,Ci.tigard,or,us B b k .' a l NotificdfMclhod: 'Supplemental Infarmatinn .... .:.... ,....,,.... .... •. ... rat. .. ,. �,1 . ..:;: ;t:_' L] New construction ❑ Demolition For specie! information use checklist Description I Qty. I Ea, I Total g Addition/a Iteration/replacement ❑ Other: New 1- 2- fantlly dwellings (includes 100 ft. for each utility connection) . . i; ;'.'.. _. : .1; .,:f, G rl..t, k { , fi . , „.,�,,..�,..,.. �* o' �_ ia: isu': C {,:r.;. >�4 "�.,,.,.,�,...,,7�i: SFR (t)bath 2 AT1GO :...p „�� CUNS'�RUC�Lo ,?';( ?:' g I- and 2 - family dwelling ❑ Commercial /industrial SFR (2) bath 350,00 ❑ Accessory building 1:1 Multi-family SFR (3) hath 399.60 Each additional bath /kitchen ' 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. fl.) Page 2 ;, , >;::J OB:SI'['E:'I1V t1IVpA1CI�7�?'`:1 :: '`'`'rf ,.,:•,. ,.....,. �;.Q.RTIUiV;� - - - Slteutlptlex Job site address: I1 S &e GAGe ftibu9 �+ Catch basin or area drain 16.60 C:iiy /Sratc /"ZIP: lb - 0.-y 1. _ a alai..3 J Dr each line. ol' trench drain 16.60 Suite /bldg, /apt. no.: 1 Project name: Footing, drain (no. linear IL: ) Pagc2 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 ft.: ) Page 2 Subdivision: i Lot no.: Water service (no. linear It.: $C • Page 2 Fixture or item Tax map /parcel no.: b ...a.,.ca:.., „r..aj _ c Absorpuun valve I 16.60 ' :db! atetV t> 1 gat V gOii Laing. �ltMX t{i Raoktlnw prevcntcr Paget • . _ - - ,4 ii ./ t1, t r Backwater valve 16.60 . Clothes washer 16.60 Dishwasher 10,60 y P 7. f) s MH °�i ek �.s H: ^`'� � 1�; Drinking fountai 16.60 T, 1;t 4. 1 � 0,00 1 14 r f RrSr»t' E '."tttt; s s... ..�?. -..,. ,.�.. ..,;,;;�„9,s�i .s"!.t` `•�:.�. -.. ti; .+),..,. _' ax .. tors/sump 16.60 Name: 1L�r1 � 3 © s\, N Ps\^ _ . Expansion tank 16.60 Address: , j Fixture/sewer cap 16,60 -- City /State /ZIP: Floor drain /floor sink/hub 10.60 Phone: ( ) J ei C '/'7Z Fax: ( ) Garbage disposal 16.60 ; ,.,� t , +- :. ,A-uw,�» Hose bib 16.60 .'. Z; `' :w ` ...PP i , tlN T :6" ;li;;l h g 't� ::'.. ! 'ay 'v •SON C.AGFI:. ERSO i'eg ; a' - .cc maker 16.60 s,.Q,p . r � ,, ,,; a�,, , ,,,, ,, , ,v: Business name: lnterceptnr /grease trap 16.60 Contact name: Medical gas (value: S ) Page 2 v Address: Primer 16.60 C'tty /State/LIP: Ron!' drain (commercial) 16.60 Phone: ( ) fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E-mail: • Urinal 16.60 - -" i; c'`:;C '` ; Water closet 16.60 • Business name: A 8 . r ' 1 ��� Water heater 16.60 Address: • ) T- Il n� oi S cl alG -ti• Q' Other: Subrptal City /5late/Z1P: U i� , / �y /� L �t A I_ F n __,t/ _ cF 7. 3V Minimum permit fee: 572.50 Phone: ( ) 2.3 a -?-vo i Fax: ( ) tau C1 -15 ( tr Residential backflow minimum permit fee: S36.25 , CCB Lic.: Ll et. 4-1- O y Plumbing Lie. no.: -5 3 p p, Plan review (25% of permit feel State surcharge (11%, of permit fee) �_- Authorized signature: ( AI, a �� TOTAL PI RM IT FlE n m Print ae: I x /tt r) ' 004Cr J Date: 2 13 -( This permit applitntion expires if a permit is not obtained »ithin �f.1b �- - -. 180 days after it has been accepted as complete. *Fee methodology set by "Pei- County Building Industry Service Board. . H,, I,L i r Permits PLbr.l•ermiOApp.dec 06 05 .14046161(10 02 COM MAO CITY OF TIGARD BUILDING DIVISION A PERMIT #: D ATE pliv1200&1000.1 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 2/14/2006 Phone: (503) 639-4171 A ei Inspection Requests (24 Hrs.): (503) 639-4175 s 4.161 111., INSPECTION WORKSHEET FOR DATE: 2/1612006 TIME: 7:07Am PAGE: '76 SITE ADDRESS: i i 726 SW GRFENBLIRG RD CLASS OF WORK: SUBDIVISION: 1 "IGARDVILLE PARK LOT #: 009 TYPE OF USE: PROJECT NAME: wRiE DESCRIPTION: Repair sewer service. OWNER: LURIE, JOHNATHAN PHONE #: CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 603-239-0801 Inspection Request Scheduled For: Date 2/1EY2006 Pour Time: /O Code # Inspection Description Confirm # Contact # Me :-ge 606 Sanitary sewer 026966.01 503-239-001 Y Corrections/Comments/Instructions: L-P A 13C rfacer Ai 19 At C(AeL' (--,..-k-c v-,... I, PASS n PARTIAL APPROVAL 0 CANCEL n NO ACCESS I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: crolnl--A-A \ i 6----4.- Date: 2 ) )1_ j o( Phone #: (503) 718-