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Permit CITY OF TIGARD PLUMBING PERMIT 1111 e • • COMMUNITY DEVELOPMENT Permit #: PLM2013 00225 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2013 Parcel: 2S112BD07000 Jurisdiction: Tigard Site address: 14709 SW 79TH AVE Project: Brown Subdivision: BRITTANY MEADOWS Lot: 6 Project Description: (1) bar sink and (1) ejector pump for outdoor kitchen Contractor: EDWARD MULLEN PLUMBING Owner: BROWN, JAMES E & KRISTA M 1601 SE RIVER RD 14709 SW 79TH AVE HILLSBORO, OR 97123 TIGARD, OR 97224 PHONE: 503 - 640 -0113 PHONE: 352 - 871 -2433 FAX: 503 - 640 -4483 FEES Quantity Description Date Amount 1 ea Ejectors /Sump 07/02/2013 $25.02 Specifics: 1 ea Sink 07/02/2013 $25.02 1 12% State Surcharge - 07/02/2013 $8.70 Type of Use: SF Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment - 07/02/2013 $22.46 Type of Const: Plumbing 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 o. - s and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not s •rted ithin 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to f•llow the rule. adopte. by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0091 You may •btain a opy of the rules or direct questio q to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. r Permittee Signature: �- Call 503.639.4175 by 7:00 a.m. for the next available in- section 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. Plumbing Permit AniblicaRliCEIVED Building FiK tures - • : . , ••-..! • FOR OFFICE USE ONLY . . . • ., . ...... . . Cill: of Tigard JUL 0 2 , 2013 ; ?,ece:.veO 71/11 # P---ri'• , q 13127! SW Hail Blvd._ Tigard, 0:;.„.U,;;;; 0 718.2439 Fax: 54.,,nrt 111 OF TIGARD , Plor. Review I , Daze.,?-y. ; Other Peertht No.: . -- C19 1 '2-5 ' for Instreetion Line c03 639 4! 704 ; .turis 1 0 Page?. TIGARD " ' ". - ' ' ' is, U11..DINGDIVISION I Dare ReactY/Y See 1 Intemet: -4.-.vw.tigard-or.gov ; NotifieziNethoZ: , Suppleraentol Information TYPE :OF WORK - . - • " ,. .-:"- .: -:".. . "I '''' ii I . ., - FEE* SCHEDULE-- , 1 1 g .`.tic.'w corstructior i 1: Demolition For special information use checklist. ! ; ! Description 1 Oty. i Es. I Total 7 Ackl:,;,::a nireplacerner.t: 1 D Other: New 1- 2-family dwellings, ;in:it:des l 00 1 for tra'el Utility zonnectitatt't RY ' , „ , _ i ,. . CATEGO or •CONSTIktr-TION. I SF: Ii ", I l..2, 3:2.73 _ , 437.78 1 i • . . --- k .17/B SH E i.',IFOR MA I RII:. ...,.. ',...: I .r.tC. il"./N , .:•.°1":.. tz.:::::;:..n. 1 ----- .------ ;GI; Silt: etddr.r i ill o q 51„, 7 I 4 A ‘ , ..--e l CityiState2:P: TIC :RD OR ', . - ' Czch N?.sm ,...:;• g:,:a ..I.n4In. , ‘, 31 m..•; ;nom i . ; pe.762 i I 8.76 i : • .--. i --: I : Sultelo:dziap:. no.: ", ?: ng..^. SRI TI:s.NY MEADOWS , Mmulactur.:(1h04n.:.-1..-C.;•I-4I,s ! '. 50.03 1 ; I Cross streetkiirectio: s to job si:e: ; i iCAr•-kl-iND ' Ra:r. fmin co:Inc.:to: ,--- I I I 18.76 Seerv sower (no. linear ft.: ../ i 1 1 Page 2 1 1 I 1 Storm sewer (na. linear ft.: ) I ■ 1 Page 2 1 i t 1 i Water service ,.4:o. Enear ft.: ) I I Page 2 1 i l Subdivision: scun ,..., ANY MEADOWS i I I ot so 6, • I Fixture or Hein: _ . / I i I BackTlow preverger !.. ; a L27 1 Tax map/para.:I no.: l7.1.azkv.azer \ialt'e i Clothes wcisr2o: ! 2 5 I I 1 :::::,hwas. , : • 25.02 ; 1 25.02 ; _ ; ' t 25.62 I ' ' -- - - ' a PROP MTV OWER - . . 0 TENANT : i. Narn't: k rist,,, ,_‘)c..-me,S 5 row r 1 . : : Ad&-"es"= :4'7 05 ' 5 !---) - 7 ct 4- ^ dot■.42 , . cil -r:-,:z.., A(2-0 1 c./Y1. - t:0 OM : 25.02 r---- . ; Pliont -35-as.."71 -- 3 3 ; F2x: ( i : i lc:: mnker : , 2.5I ! , .. ■ i , i"E'LICANT ! 2 CONTACT PEI-45tA , , :,::;„::::,:p :Tar.; i l ' • : V. ct2 .t.:1'..2.: S . . i ,,,,-, 1 I i 1 Busintss na QL„A•■J 6,0 F--r-( i - . , ; , Contact name: ALAN GOFFMOORE 12.51 I — . — , ; Re...)1 drain 1com:r.ere:a1) , : 12,5: 1 1 i Address: ) 3 9 50 s 6A(z,Lex..../ tz-.0 • ! 1 Sin141.7,nsinilavatorv ( ■ 25.021 1 1 City/Stat 6 64,1 k_in,-Cr52...-•-• fit_ 6 707 , I_Solo.: unfts (7 ..va7.erl: 62.54 I I Phone: (503 6644423 I F.?.x: : ( ) i , ! Innishow,-,:si:nwer pan 1 12.51 1 I ; l..71r.nI. 1 I I E ALANGOFFMOORE€CMA1L.COM 25.02 [ i Wa:e7 clase: t 25,021 I . " . .. - " . " CO,NTRA(TOR : , 37.52 i 1 1 Business r.e.r. ED ,VARD 11 1'i PI,CNI BING ; 56.29 ! Acidrs: 1601 SE I:IVER ROAD : , -.:::::c.:: . ),... ,- ' ., I C.iry:Sta:e/ZIP: RI itSBORO. OREGON 97123 Subtotal 1 t ___ ......, , , .,_. _ _ .. pt, l:nr. S72.5.0 1 72„,..S77 Phone: 503) 6-E 113 i::._.:.:. ".....zi. - .4',--1463 257 af perrni: fee) 1 _...--- ■ C.(72 Lic.: 92689 ' P ,..„bIng. Li,:. sio_.....34-26i1P14 3 ‘Sis,:,:. :oharge 12% of permit fee) i q' .70 , OTAL PERMIT TEE ----- --.' ,°:.''' , ,,.._ ...-„, , ..._. - : , - .. :,...e ,,-.. pie,: if e 7ermit is not :ibtaineti within ISO days ! Prin: r.z..r. RAY MI:1,1..F...'N ' / , - I ,,,,,, I - !" 4..- ; L ....a ' / ''' --,,,,-- • ,,,,,.., ..: Ly T 7,-, ; , distt; industry Servize Board. I awhims..F. Pi..V.Z.- .. ..... .. ___.... __ .