Permit CITY OF TIGARD PLUMBING PERMIT
,
a . COMMUNITY DEVELOPMENT Permit #: PLM2012 00143
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/30/2012
Parcel: 2S103BC06400
Jurisdiction: Tigard
Site address: 12148 SW LANSDOWNE LN
Project: Crystal 311961 Subdivision: FYRESTONE Lot: 3
Project Description: Rough in Shower valve
Contractor: MP PLUMBING CO Owner: CRYSTAL, JUDY
PO BOX 393 12148 SW LANSDOWNE LN
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503 - 655 -9161 PHONE:
FAX: 503 - 655 -1726
FEES
Quantity Description Date Amount
1 ea Tub /Shower /Shower Pan 05/30/2012 $12.51
Specifics: 1 12% State Surcharge - 05/30/2012 $8.70
Plumbing
Type of Use SF 60 ea Minimum Fee Adjustment - 05/30/2012 $59.99
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling �L� /lI503.232.1981 ti
503.232.1987 or 1.800.332.2344. /
Issued By: �A 2 � j Permittee Signature: p1 l 1 V PO (- lJ f (/ I Oki
Call 503.639.4175 X 3.639.4175 by 7:00 a.m. for the next available inspection rT ndate.
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.
1 Nc
FROM MP Plumbing (TUE)MAY 28 2012 11: 35/ST. 11: 34/No. 8308284870 P 2 S(
Plumbing Permit Application
Building Fixtures RECEIVED , , ,,, t " ' " t I • I r\ 1 1
City f Tigard Received
131 SW Hall Blvd.. T OR 97223 Date 13 ; 2 0 Z Permit No.; PLNaO )...-00/ #
Phone: 503.718.2439 � 503,598.11960Y 2 9 2 0 12
Plan Review Oth« Permit
Pace Z Ibr
i • ) Inspection Lice: 503.639.4175
5S 8
Date ReadYigy: moa; S Pax Internet: www.tigard CITY. OF TIGARD Nocfiodnte r .. .. • b,tbrrnattor�
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❑ New construction ❑ Demolition Far • ..
Dcscri on eau" . Ea. Total
® i;l Addition /alteration/repla�ceeme�nt /gyp ❑ Other. /�y�, New 1- 2-family dwell (includes 100 R. for each utility connection)
;:: • 1 ':( 4 hA� : 5'' , :':i n�. .00. t
0 {/a'k0. _ _ . \Ar:r4,7. 4.r41Y,1'`r S',''���f.''y:`•%.A: <i3 SFR (I) bath 312.70
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® I - and 2- family dwelling ❑ Coromereedfutdustrial IMEEMIIIIIIIIIII 437.78
SFR (3) bath 500.32
D Accessory building ❑ Multi- family
11221 25.02
❑ Master builder ❑ Other: -
Fire sprinkler ': .: • . i s I jil....t.:. , +`7 ( _ lU° • f i 441 r�. ft.)
• M1Y U'V
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. ...,, , ..� ;� ,.::, .. . :.. ''r' .:.'•,. A.' C.' ?,.�•,; Site utilities
Job site address; 12148 LANSDOWNE LN Catch basin or area drain N. 18.76
Drywell, leach line, or trench drain 18.76
City/State/ZIP: TIGARD, OR 97223 .. -... __ F din (no. linter ft.: Page 2
Suite/bldg. /apt no.: Project name: CRYSTAL 3 Man,urfaapyrpd home utilities _ 50.03
Cross street/directions to job Site: Manholes 18.76 -
Rain drain ooamector _ 18.76
Sanitary sewer (no. linear ft.: _ Page 2 MEM
Storm sewer (no. linear It.: _ Page 2
Water service (no. linear It: IMMIIIIIIII
Subdivision; Lot no.; Matz or Item:
Tax map/parcel no.: Backflow pruwnter 31.27
;: ":.i.. .r .lt(; :.�... E'w..X. Fa ei 1'' n Backwater valve
12.51
11021111 : .. y „C : / "s..'M..1 1p.1}ROAT�'V.,t:r,; „WOI000,Nf gi ,?1",`�c� gJ+ i
'. �`;S.oaa ,: :,1J<. o1q. ^14�•,u, ,�ii..'u:a �:, 4v .. .. .....PY.`, a .. .. f t. �?:'Y';!it Mil
. ROUGH IN SHOWER VALVE _ 25'02
Dishwasher 25.02
Drinking fountain _ 25.02
Ejectors /sump 25.02
� ^, - yaYb; j �! .' p ` :�+•�,�1, 1� N wr � " *'vc,'rn -, "'
` • •;icy -;; �a:::sEtt ....`�. ,,, ..,:c Y .. '`t`�t r`' .`�x '7r �^j?�iggi4 i $' :%n);t l'rs +a'. 'a Sx tank 113111
Name; JUDY CRYSTAL Fixture/sewer cap 25.02
Address: SAME Floor drain/floor sinWtub 25.02 w
Garbage disposal 25.02
Hose bib _ 25.02 Mil
Phone: ( ) Ice maker
t ; 4al ,r y . ; ��;c 1 w . t uv to iTi_.j:i H .'�,�,......� x r
. �`t... '.�%;hi:.t., �:,�4s!,w�s 1.?.,`�il +:!;• �3t :_,;,;�;v,��!',�!tiy';/�e�.'a ?} Ldetueplrs / 25.02 wog
Business name: MP PLUMBING CO Page 2
Primer _IUE]
Cantact name: CINDY CRIVELLONE
Roof dnnin (commercial) 12.51 IIIIIIIIII
Address: PO BOX 393
Sink/Main/lavatory _ 25.02
City /Statc/ZIP: CLACKAMAS, OR 97015 Solar uni a . ble water) 62.54 Phone: (503) 655 - 9161 Fax: : (503)655-1 726 _ pan I 12.51
E - mail; CINDYC@MPPLUMBING.COM _ 25.02
:'!:" J: .:qfy?'�'��:! :�'t;lS4`''b.� @. � ,��. °'�: ,i /�' ".;'i''h 'fY�'f ✓^i .�. (1ti. ,. Water closet 25.(12
.::'$:; Ae...'..�'i�_I,.1 _.ir. �: .14(!�-�.0.
�. :t ', �i•: 71; i -4 'k b. y'y r CCr�
. c ':�•$ :. ,..wr.J a;f:r,::. e \ .x•T- ?:'- '-.7�':'+Y °P.tc: ;'mv :a' ,G, d'bk�s °µ•:J�C><4t�.(Ar1Y t'.: I _ �
Water heater
Business name: MP PLUMBING CO Water p ping/DWv a . ••
Address: PO BOX 393 EMIIIIIIIIIIIII 25 City/State/ZIP: CLACKAMAS, OR 97015
Phone: (503) 655-9161 Fax: (503) 655-1726 Minimum permit fee: $72.50 72.50
V CCB Lie.: 5002 Plumbing Lic. no.: 3-17PB Flan e (25% of permit fee) /
nuthorired signature;
State (12% of permit fee) 8.70 ✓/
r T PERMIT FEE 81.20
Print name; CINDY CRWELLONE Date: 529112 . , mit application expires If a permit fa not obtained within 180 days
after it has been accepted as complete.
*pee m - r. • , .,'., act by TriConuty Bulldln8 Iadaaay Service Hoard.
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