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Permit R a ‘ CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00294 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/10/2008 PARCEL: 1S136AD-06504 SITE ADDRESS: 11462 SW PACIFIC HWY ZONING: C -G SUBDIVISION: AMERICAS TIRE COMPANY LOT: 003 JURISDICTION: TIG PROJECT: DISCOUNT TIRE COMPANY Project Description: Installing backflow preventer. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: M 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: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES HALLE PROPERTIES LLC 20225 N SCOTTSDALE RD Description Date Amount SCOTTSDALE, AZ 85225 [PLUMB] Permit Fee 7/10/2008 $72.50 ' [TAX] 12% State Surch 7/10/2008 $8.70 Phone : Total $81.20 Contractor: STEVENSON & ASSOCIATES INC BOX TU ALATIN, REQUIRED ITEMS AND REPORTS TUALATIN, O R 97062 -1355 OR Contact # : PRI 503- 692 -6636 FAX 503- 691 -0217 Reg #: LIC 5650 • 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: See: 71 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. ■ ■ , Plu Permit Application D RBC Os Ir11< (,,,,,'I' I ...I. thC: 1 � �w 1 � i, 1a� g OR 9722 .0- 1' o P ii �.: ' ! -: ., ( Phone: 503.639.4171 Pact; 503.598.1960 .g1 t'S" • e I , I , inspection Line: 503.639.4175 `. OV ` 1A-1 11S1 1 i,„ � ti _:2 f -1 09sar Ago No,: ..` /i ` de ..-� r Internet www.tigard- or.gov ( t o , D mRadyBO: hal.; ter nor Paul err 8X 311 D1N 1vo>in�d+ had: So ..., o►'tarorhe„aw► TYPE OF WORK FEEa'SCi1IM= Z New construction .__r.._ Demolition. Fro. ell use am idst ❑ Addition/ol laoement �' -=" ' ' l 4ry J Ea I Jaw �P ❑ � New 1. 24kmily dwdIh p (includes 100 ft. for each utility contrite) Comity OF CONSI'RIICTION SFR (1) blab 249.20 © 1. and 2 - 6smlly dwelling Corn arcialAndnst l 3FR (2) bath 350,00 El [ Aocoltroly building ❑ Multi family SFR (3) both 390.00 0 Master builder El Others Each additional beht>h/Ici>?ohm 43.00 Fire sprinkler (...... sq. IL) Pap 2 JOB RITZ IAII AND LOCATI0N Site tallith* Job site addresx 114 6 2 $ h d4 f -I C. H Pt/ ki Catch basin or arcs drain 16.60 City /state/.2P: TI 6 4 -10 ( OYL- _z s - 14_2_ _ . DrYwdl, teach Ike, or match drain 16,60 SuiteJpldpaapt no.: Attica hlanle; 25421 _ `t Foote drain (no, lime R.: _„__ Pop 2 Cross greetidireCtiODS to sr site: Mmn faenned home utilities 110,00 � , N /tIJ Manhole, 16.60 5 6 v t l? Rah drain connector 16.60 MI MI Swaney sewer (no. linear 8: _) 1111 Piga 2 storm sewer (no. linear ft.: ......) Page 2 Subdivision; Lot no.l Water swim Mo. linear 8.: _ Page 2 Tax map /wool no.: Facture or Item DESCRIPTION WORK y� / Absorption valve 16.60 a 1 /� G IL hg L�11/ Raclftow preverner p 2 Backwater valve MIMI 16.60 Clothes washer r 16.60 NM D i nreehet 16-60 PROPERl Y OWNER j ❑ imam Drinking EMahtala 16.60 Name: I V .! ( � � � -ore 16.60 Address; , I M I t I L W r Expansion er c 16.60 Z- $ W -c _ g ' /� �1, r Flxtllre/SCWVCap '6.60 Clty/State/Z!P: I 1 0 Floor dnlydilcioo shiamb i ll 16.60 II Phone: ( ) Fax: ) Garbage disposal 16.60 Nose A11PLICANT L ( 0 CON'T'ACT PERSON bib 16.60 Business'tmtte: i �/ 'N S�1" �y �s �C� C /N Interceptor/groan maloer 16.60 Contact name: Interceptor/groan trap 16.60 MEM Address; 1 j 3 Sc Pug` 2 16.60 City/S 7/4/ ox .7-e Z Roofer(commercial) MINI 16.60 Phone: ( ) 4g2 ‘ 3 Fax:: cT > C 9l CAL / Tub/s}how ei pan 16,660 0 Erma: •�Aa S C t-45 7 2 c CT . . Urinal 16.60 - CON'IYtAC1oR Water cte®ct IIIIIIIIII Business name: Q MI 16.60 �__ J 1 S /� _ _ Wean heater 16.60 Address: Other: _ City/State/ZIP: Subtotal - P7hotsc; ( ) Fex: ( ) Minimum pcnnpenult fee: $71.50 Sv Residential bnckflow minimum Patna fee: 536.23 x 43C1i Uc.: LL = 5 Plumbing Lie. no.: Plan review 25% of pan$ ibc) /1utlloriaCdsign !a 1 l-/ / �` State sarchahge(12%of permit Ebel) 7, I / s' /� TOTAL PIrAMff :'. b ,r Print name: 0 Date: / v -- a parade a .. expires in s peewit is not o ed wl tldg f.c �rrVrak..50v ISO days after It has been accepted as 1.:. *Fee methodology set by Ili-County Building Service Board. imam lateParrawribh ..,,... • .doo 12/27/06 4404616r(a4huC:aMlvl3n) n� nn .^innn nn. • r rT�■ .r. r+r.. • r,.,. -, - 17. . r e '1 22Etid LT20 T6920S NOSN3 L2 :B 0 8002 -60 -L0 CITY OF TIGARD • . BUILDING DIVISION PERMIT #: PLM2008-00294 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2008 Phone: (503) 639 -4171 / �n� i� I Inspection Requests (24 Hrs.): (503) 639 -4175 _J W `'I I.. INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: 55 SITE ADDRESS: 114G2 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: AMERICAS TIRE COMPANY LOT #: 003 TYPE OF USE: PROJECT NAME: DISCOUNT TIRE COMPANY DESCRIPTION: Installing backflow preventer. OWNER: HALLE PROPERTIES LLC, PHONE #: CONTRACTOR: STEVENSON & ASSOCIATES INC PHONE #: 503 -692 -6636 Inspection Request Scheduled For: Date: 7/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Misc. inspection 072884 -01 503.307 -5828 Y Corrections/Comments/Instructions: LL II 4 �� T .,—"1" 12 -pi err, -14 c, L, e.7k. r vt r t c a c.,.., x PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: k-LA-/ t k ‘ Date: 7 i21 1,o Phone #: (503) 718-