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Permit CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00118 DATE ISSUED: 4/13/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 111 AD -06300 SITE ADDRESS: 14815 SW HALL BLVD ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: 1 1/2" Private Water Service to 17 lots. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: 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: 2,060 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES HAMBACH, CATHALEEN TRUSTEE 14815 SW HALL BLVD Description Date Amount TIGARD, OR 97224 CITY OF TIGARD MEI\ 4/13/2006 $983.00 [PLMPLN] Plan Review 4/13/2006 $245.75 Phone : [TAX] 8% State Surcha 4/13/2006 $78.64 Total $1,307.39 Contractor: TIP TOP PLUMBING 2193 PARK AVE NE SALEM, OR 97303 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -881 -6724 Reg #: LIC 160062 PLM 24 -417PB • 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. Mar, l 1 Issued By: �'�_ � Permittee Signatu . 116'11t.- 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. � Site Utilities - --/ Ohs ' \ / Ui111�11I3� P@l� f�DD� E'VE® Ito: i,: 1 1, 1. , ..i il T. City of Tigard . OR 97223 31 !, • i 6 2e`" `' .3 -d Pal 6 �, : \ — P(4 r o 00 norm: 303.699/0171 Fax 503.$98.1960 .. Odrse Pt�it xo: v 74-Hour Libe 503 - 639.4175 C ITY OFT . j_!_' // ram Kasen. vww.atigadpr.us 1 , ■ • ledSsd ethrd , _ - ' / go LQWr arman fl? vi; WOK Fix. gcui[ ,E ❑ New constrttetial 0 Demolition Add �8tl daoem t OtbQ j'T+ = �!! ` .y - etal Ne+r l+ 2- fanal(y *serum Cmeludes 100 ft ihr cam utility eonnoadon) C4T*GoWf bit Coi1IR+eCrielq spit (lye 249.20 © Cbmraemial! du trial SPIt (2) bath 350.00 . 0 Accessesy balding 0 i+�ae y 43) bath 399.00 Mt , 0 ; builder Q Qtho: Each ae�6 i1 balhikimb® sh rob �'1.TE 1NiF L ION AND LOCATION Fire sprhlklQ C-_,, a9. R) Page 2 Sob :am oases" F ' - Site team - basin es area drain 1640 Cf y/S a P: ir . rs. 4 - r leash lima, or ucnch chili NE 16.60 S+sitWPoldgjapt. no.: project name: lir itoo , Any one. linaar Q: ____) - Matthileahned home aeries RE41 d�P 16.60 Sanitary = ti. : • linear it: _. Page 2 Rom v Page 2 Subdivision: Lcs no-: m -�! 1011 m j .-4 litsmare etitem D ON of WORK _ 16 60 • &dresser so Ns EN 26.60 an arA►��� %., was Inaba. 16.60 Mambo 16 MEM 0 f mm1a 16.60 ? me: , / 1640 Addteea: NM 16M Addre latarLlp , J filer" e Fixture/sew r cap 16.60 ♦/ F1» ... x i 203 Floor a sink/hub IIIII 16.&0 O ' ,� . )% Fax g 4 ) .. , ♦I1( - �<< 4 ., e.:... _ 16.60 9/ APPLICt T ' - • • 0 CONF. Plras�.N Hose bib 16.60 13usmcsa name: 1 1 � lee maim 16.60 — ` • • %i:. -� ti p. • 1 / f distia (ceunnweiai) 16,60 Pisa= ( ;> ; ���� ti d, ..; 16.60 E411": i . "m4�f: L 1 .: a ,r, Dried e+vae�altowa: pan 16.60 Crag 19 &D Business same; U • Wow shad 16.60 a .! Watts how In 16.60 mss: I aityrsu�: � Mier 5/9-1 ern ®(, Q. 4i v sublet., wail minimum parAitie 102.30 ocg uG. Aaddea baddinw mildro+rm rye fro: 134.2s ?'/) . 1 5 P1Ittlbiog Lit ne.: �" Plan review ofpui ibe) Authorized ` - (2346 Star surcharge (5% ofpamit t -` o) _ V 1 � `° 1�%ci .P1Nl . ToTALP1st�10? 37 r :4111111111 Date: 3 a 8M T penn;t applkatima expires Ira Finnish nor obtahled iiiitiin Iae da , atlar it has btea accepted as co@ h, Asa adiorlP.®k les sr Dyer aa�eanl methodology eat by Tri County BeuldIng IndnaRy Seryloo Board — — - • •Z'd -- SE9 "ON_ - -__. -• PiI PIN 53140H fJ07lf3H Wd9b:S 9�� ' J • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLivI200S r 0i 113 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/200 Phone: (503) 639 -4171 �I�m ipp I � Inspection Requests (24 Hrs.): (503) 639 - 417 — INSPECTION WORKSHEET FOR DATE: 41171200 €; TIME: 7 :05AM PAGE: 01 SITE ADDRESS: 14015 SW HALL. BLVD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: LADY APPLE SUBDIVISION DESCRIPTION: 1 112" Private Water Sewvice to 17 lots. OWNER: HA1t BACH, CATHALEEN TRUSTEE, PHONE #: CONTRACTOR: TIP TOP PLUMBING PHONE #: &)3- 881 -6'724 Inspection. Request Scheduled For: Date: 41171200€ Pour Time: Code # Inspection Description Confirm # ntact Message 330 Water service 020139 -01 503 - 407 -0583 Y Corrections /Comments /Instructions: r 7- , i ■v PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - /14 ') sei Date: I ✓ Phone #: (503) 718 -