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Permit ' a CITY OF TIGARD PLUMBING PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00357 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/2/2008 PARCEL: 2S112CC-07000 SITE ADDRESS: 08222 SW PATTI LN ZONING: R -12 SUBDIVISION: LANGTREE ESTATES LOT: 002 JURISDICTION: TIG PROJECT: PORTER Project Description: Replacing 40 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: 40 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES TAU & LISA PORTER 8222 SW PATTI LN Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 9/2/2008 $72.50 [TAX] 12% State Surch 9/2/2008 $8.70 ' Phone : 503- 957 -6891 Total $81.20 Contractor: ARS RESCUE ROOTER PO BOX 2830 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 235 -8784 FAX 503- 491 -2932 Reg #: LIC 127325 PLM 34 -168PB 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. r .i.c2 Z r f e._, ----- Issued By: Permittee Signature: ,... 47‘ 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. JAN -31 -2004 14:59 P.001 Plumbiri Permit Applicat Building Fixtures FOP. OFFICE USE `,:NIA' City of Tigard AUG 2 9 2008 Received ,p.�..,�_ '0: r I II + 13125 SW Hall Blvd., Tigard OR 97223 Data/By; rJ/ / " "•t ✓ �jj 7 7 ' ' Phone: 503.639.4171 Fax: 503.59 Plan Renew InspcctioInspectionLint Line: 503.639.4175 x: t OF TIGARD Datelny Other Permit No.: , T I GAR D Internet: www.tigard-or.gov BUILDING DIVISION Date Reedy/By: rune. E1 See Page 2 for Notifted/Mcthod• gip' Supplementel TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special in orrnalian use checklist: - - Desert non tM Ea. Total Addition/alteration/replacement 0 Other: New I- 2- family dwellings (includes 100 R. for each utility connection) CATEGORY OE CONSTRUCTION SFR (1) bath - 249.20 ' gr. 44' 1 -and 2-family dwelling ❑ Commercial/industrial SFR (2) bath 350,00 0 Accessory building ❑ Multi- family SFR (3) bath 39900 © Master builder Other additional bath/kitchen 45.00 Fire sprinkler ( sq. R.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job sift address: R") /`�i Catch basin or area drain - 16.60 City /State/ZIP: 41I� '17 �I i _ Drywell, leach line, or trench drain -- 16.60 MN - Suitc/bldgJapt no.: Project name: Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site Manufactured home utilities 1 10.00 Manholes 16.60 Rain drain connector 16.60 IMES Sanitary sewer (no. linear ft.: ) ■ Page 2 Storm sewer (no. linear R.: p 2 Subdivision: Lot no.: Water service (no. linear ' "%1i' Page 2 G`r Tax map/parcel no.: Fixture or item ii�� Absorption valve _ 16.60 • ,DESCRCETYON OS • WORK Q � J/' � : .t ow preventer Page 2 � abr r a vs Ce v ^ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 "Al PROPERTY OWNER ' , "''•: '. : E TENANT Drinking fountain 16.60 Name: �� % ~�� Ejectors /sump 16.60 • 4r ' i , v Expansion tank 16.60 Address: , A 1/, -- 10. _ GJ Fixture/sewer cap 16.60 City/State/ZIP: ":":0 ior &WI Floor drain/fluor sink/hub 16,60 Phone: ( • n rte: ' , x; ( ) _ Garbage disposal 16.60 7.' • PLIGANT ,_ ' . . .. • .• ©' CONTACT 'PERSON Hose bib 16.60 Ice maker 16.60 Business name: ARS dba JACK HOWK /Rescue Rooter Interceptor/grease trap 16.60 Contact name: JOYCE DENNIS Medical gas (value: $ ) Page 2 Address: P.O. BOX 2830 Primer 16.60 City /State /ZIP: CLACKANL1S, OR 97015 Roof drain (commercial) 16.60 Phone: (503) 235 -8784 Fax:: (503) 491 -2932 Sink/basin/lavatory - 16.60 Tub /shower /shower pan 16.60 E -mail: • °' .. Urinal 16.60 C Uri J<taACTOR Water closet 16.60 Business name: ARS dba JACK HOWK /Resrtse Roott3t _ Water heater 16.60 Address: P.O. BOX 2830 Other: City /State/ZIP: CLACKAMAS, OR 97015 Subtotal ��a Minimum permit fee: $72.50 Phone: (503) 235 -8784 Fax: (503) 491 -2932 Residential backflow minimum permit fee: $36.25 No CCB Lie.: 127325 �//f lumbing Lie. no.: 3.1+168 P plan review (25% of permit fee) Authorized signature: �` /I���`7'-4 State surcharge (12% of permit fee) • /40 • Print name: ` 7 ' / t ♦ �] TOTAL PERMIT Ix, � � Date:; WV: This permit application expires if a permit is not hta','i • ;" 180 days after it has been accepted as co„ . • c, 'Fee methodology set by Tri-County Building Industry Service Board. t'Saitdinslrmoitc \PLMr.p, Please FAX BACK. to: 503- 491 -2932, CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200 8-00367 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9 2I700ti Phone: (503) 639 -4171° n ;' I Inspection Requests (24 Hrs.): (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 08722 SW PATTI LN CLASS OF WORK: SUBDIVISION: LANGTREE ESTATES LOT #: 002 TYPE OF USE: PROJECT NAME: PORTER DESCRIPTION: Replacing 40 ft. of water service. OWNER: PORTER, TAU & LISA PHONE #: 503- 957 -6891 CONTRACTOR: ARS RESCUE ROOTER PHONE #: 503. 235 Inspection Request Scheduled For: Date: 9/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 075015 01 503 - 2358784 !' rill la 1. 63 6 6 1'7. Corrections /Comments /Instructions: �J _ .`cam P 1 a r Ec wA. -.-c✓ S e ,,mz � e,p1eve, • P LAJ 4v P •� lJ elev H'" t o IdU 16 Co kJQ /. Care ,91-1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS g YMIC1/13 ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: (310T% Phone #: (503) 718-