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Permit CITY OF TIGARD PLUMBING PERMIT i ll C a COMMUNITY DEVELOPMENT Permit#: PLM2013 -00213 Date Issued: 06/27/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S 27/201 0101 Jurisdiction: Tigard Site address: 10865 SW WALNUT ST Project: Fowler Middle School Subdivlslon:)0 SUPPLEMENTAL PLAT NO.1: ANNE Lot: 7-6 Project Description: Move 60' of rain drain piping. Contractor: WESTERN PLUMBING Owner: TIGARD - TUALATIN SCHOOL DISTRICT 9460 SW TIGARD AVE SUITE 101 ATTN: BONITA MAPLETHORPE TIGARD, OR 97223 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503 -639 -5296 PHONE: 503 - 431 -4000 FAX: 503 -684 -9015 FEES • Quantity Description Date Amount 60 If Storm and Rain Drain 06/27/2013 $62.54 Specifics: 1 12% State Surcharge - 06/27/2013 $8.70 Plumbing Type of Use: COM 10 ea Minimum Fee Adjustment - 06/27/2013 $9.96 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 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: "Ar ea77p /64/�s� j-70 Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. 06/26/2013 15:41 5036849015 WESTERN PLUMBING INC PAGE 01/02 Plumbing Permit Appiicatiol' EC iVE Building Fixtures JUN 2 6 2013 • . • FOR OT•'I ICE. USE ONl.,Y , City S Tigard OF 4 X4/3 : , Perm /. s gal°u y0 /3 -1004124.3 PleaRevie 11 13125 SW Ba ll Blvd, Tigard, OR 9722 CITY Or IyIGARD w ■ Pone: 503.639 -4171 Fate 503.59Sc1 Other Nennit No.: rt Inspect Line: 503. � DIfuG DIVISION , p pdL � �Y, O 0 $eepaaa2lor (4l Internet www.tigwd- ot•.gov N or�ed)d2efho d , . ,, .1,, d , i'FGr ) . ! , >: (' ' ,. r r K, " n P , F' QP1ep �YLLAf1011 ' �:•S•:, aC.,:. �t< + °% ''in- �',•.' -w, ,. ..'.\?� ': r:. .i� .b �•f,F yp.'�, - © Now construction r' 0 Demoltuoin For special ngformaAion use chile-Mrs Addition/alt ration/replsxment ❑ other: Description t Ea. Total y.�+�y ivrw ]- 2-family dwellings (includes 100 it for each tangy" connection, 1' - ..'S. -7 '7,. . , r .f • 4 1.i4f Y�tY.;!('lIi"'! ` �r? "•' ' SFR (1) bath 312-70 ;.r•'v; :(° yr , '•,•;, 0 1- and 2- fataily dwelling 10 Commercial mdustsial SFR (2) bath 437.78 SFR ( bath 500.32 ❑ Accessory building [{ Multi P additional batMlcitchen 25.02 El Master builder ❑ Other: ' Fire ',Anklet it k±13' !!1' L 1 *;7' 1.;, ", (____ .,. sq. $) rage 2 ^' .r r ree , '+ ,f, We , 1 . 11003: Jab sits address: k t% a 7.A l l,1,10(\11.-k- ' f Basnt or area drain 18.76 /State ` Drywall, leach line, or trench dtaln 18.76 r - Footing drain (no. linear ft: ) Page 2 SWIG/bldg./apt no-: v Project nano: 1321 6Dx` Y � & 1 itlarMfactured home utilities 50 -03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 15.76 Sanitary s ower ( no' linear A: _) Page 2 /1 C l . Stems sewer (no, linear$: ) Yr Q ' I Page 2 { �Y,J't Water service (no_ linear R,: __„_) Page 2 Subdivision: I Lot no.: - Phtms or items Tax map/parcel no.: Btcclfow preventer i 31.27 ` L: .1; 0T*r: r ' 1 OQ '; • ^ :';; :. _ = Backwater valve 12.51 " " - .. Clothes nastier 25.02 1( Dishwasher 25.02 �( l t ►'1 \ t V O> �� � Ong tbumain 25.02 �.p {�]�p ��A � g1'�rs/'aumP 25.02 1 ^ "F � `,, 1 . � 1 "'�t'°"'°'� tank ',�'.� � r • 12.31 _ Name: cap 25.02 Address: - Floor draiN9oor 'sink/huh 25.02 Garbage disposal 25 -02 City/State&ZIP: rt Hose ytY, 25.02 Phone: ( ) Fax' ( ) . Ice maker 1231 J <O; . ' 'Iv- 'r i t - gf' ' ,rs ,'. N , . -:',;';::' . bikreePtorigrease 'b'eP 25.02 Business name: Medical gas (value: $ ) Page 2 Contact =WC: Pr's . I2.51 Address: - Roof min (commercial) 12.51 Siaklbasin/lavatory 25.02 City/Stabs/ZIP: Solar units (potable water) _ 62.54 Phone: ( ) I Fax:: ( ) Tubiahowadehower pan 12.51 E-mail: Urinal 25.02 l / r y t d r 3 , v,,v• • " y j ry W atm- Closet .. • ? - ` ,; 1 ; : :4 , �. f � ct�. srN%.�p', : ' a:, i':! P�'h' ;, :: , .ir, -1:_ , .' ,. �, 25 �q'.a'+.A;Pri�'•1fr1 .'rt: "• /�„ , " r . a P! (: � 1 .� . .... - r�•:'. ) ' 1. r' " �� �� Winer bed 37.52 Business name: Watteau Phmtbing, Inc. Water PiPing/DW V 5629 Address: 9460 SW Tigard Avenue Suite 101 Other 2-5.02 City /State/Z1P: Tigard, OR 97223 Subtotal +1 D Phone: (503) 639 -55 Fax: (503) 694-9025 M mm t fee : $72.50 GCB Liu.: 2439 Plumbing Lie. no.: 34 -89PB Plan review (2546 of permit fee) State surcharge(12% W' Authorized signature: afrauti2 FER1il' FEE �, vQ 0 -Y Print name: Dana Jensen l ate: �`� 3 This permit ■Pair o �nes fe soOiaed within 180 days C IC I (1� ly a1tie tte are bseoo tf a scoept.d permie iw c ob fefe. .c.. n..al,Mnrnew. 1...'M1:r..,.r,. 14...1.4:..n r..A...,... gam-aft. w...,a