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Permit CITY OF TIGARD PLUMBING PERMIT •.: COMMUNITY DEVELOPMENT Permit#: PLM2013-00277 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2013 Parcel: 1 S135CA01902 Jurisdiction: Tigard Site address: 9600 SW NORTH DAKOTA ST Project: Purkey Subdivision::HERS ADDITION TO GREENBURG HE Lot: 1 Project Description: Replace 60'of sanitary sewer service. Contractor: APOLLO DRAIN&ROOTER SERVICE Owner: PURKEY, DIANE 2208 NW BIRDSDALE#8 PO BOX 42 GRESHAM, OR 97030 BEAVERCREEK,OR 97004 PHONE: 503-239-8801 PHONE: FAX: 503-669-9568 FEES Quantity Description Date Amount 60 If Sewer Service 08/08/2013 $62.54 Specifics: 1 12%State Surcharge- 08/08/2013 $8.70 Plumbing Type of Use SF 10 ea Minimum Fee Adjustment- 08/08/2013 $9.96 Plumbing Class of Work: OTR 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. 4: :. 4.7 Issued By: / 1 ��� Permittee Signature: c0N Q�� Je 09--770/\/ �����/// 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. Aug. 8. 2013., 1 :52PM Apollo Drain No. 6685 P. 1 1 Plumbing er' it jcBtion • Building Fixtures FOR OFFICE USE ONLY City of Tigard d - re 1 ed �� �:_ Permit No,,PL X0/3�JOv?7 n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1 53--- Other , Phone: 50 .718.2439 Fax: 503.598.1960 :`' �� pa,�g , Permit N9�S��ZQ/3--0007 Ft(:Ait•t) Inspection Fine: 503.639.4175 Q `O4 Dam Ready/By. 1mi !3 SeePa�ea for Internet v/ww,tigard•or.gav �� D Notified/Mand: SupplementalInforntatlon n�, ...tl t7 17 y+�::.r�r_t-_c_�.. 'u,. ,,u•, _"_ �J'Ni7��l .i9� . �. 1. _tea_.-. ... i-a,�n. .. , �a:. K �t_ � _ ❑New co __.-rts[ruction �y a 4t. 3yy��v • ' „A 3 r;_5 1 ' LJDCm01111•I�l A-. , i. Y" cz___�. , 1» ••- Tyr.=`::r5#d:..,'.k F� (� N v forspecial in 0,m/ion/de Cheekifsl. R ddition/alteration/rcplacemcnt ❑Other:;t,.la� pegeription I Qry. Ea Total ' t ",K `j) 011:''''...-'w a. :',t,t. rcx,.. - ._"=" '-:' st ••*:::'-'u pj i • , t-, t f F ri:.',:er a ,e ,�` v__ f 4 q0 Naw 1-2-family dwellings(includes 100 ft.for each utili Connection) 9 rte• 11-and 2-family dwelli fig ❑Commercial/industrial SFR(1)bath 312.70 SpR(2)bath 437.78 ❑Accessory building ❑Multi-family 3FR(3)bath 500.32 ❑Master builder ' . • ❑Other; Each additional bath/kitchen 25.02 Ai?':kti its.13 >.t :,.,,-ti 17q)1311'f •U,. „ i . �+ .-,,,t.;,,-#tii;- Fire Sprinkler(-sq.ft.) Page 2 Job site address: ' • a Site utilities; �. . �1r 7IM �� Catch basin or area drain 18.76 City/Slate/21P: ] Drywall,leach fine,or trench drain p' 18.76 Suite/bldgJapt no.: Project name: Footing drain(no.linear ft.: Page,2 Cross street/directions to job site: - _Manufactured home utilities 50.03 - . Manholes 18.76 • . Rain drain connector 18.76 • Sanitary sewer(no.linear ft..(.O ) Page 2. /122,51 Storm scar(no.linear R:_) Page 2 Subdivision: • . I Lot no.: • Water service(no.linear ft.: J Page 2 Tax map/parcel no.: Fixture or item: Backflow premier « 4-.Ta., 'iil m ; :WM , ' , a , ; R _ -T=t BeCkwattr valve 31.27 12.51 ff Clothes washer • 25.02 • • .1 1 t•O' I f M. CI A Dishwasher 25.02 IIIMIPIMIIIIIIIMIIIIIIIIIIIIII r Drinking fountain 25.02 tls-1 •{,17-64'-3;15e '16"74' �-6- �_ , h fr j"I;�y1 c141-4411-77: .'IA. Ejectors/sump 25,01 �� Expansion tank • 12.51 Name: ' Fixture/sewer cap 25.02 Address: Ct $ 0 I e r A -A _ej . , Floor drpin/floor sink/hub 25.02 4Tr l� Garbage disposal 25.02_ • Phone:( ) I Fax:( ) Rase bib 25.02 :h -„ S1A © V i t up P-�--- . ice maker • 12.51 Business name: A 'OLLO DRAIN & PLUMBING SERV. INC Medical Interceptor/grease(value:[rap 2ge 2 Medical gas(value:S_) Page 2 Contact name:CHRI$ITNE KAFEL Primer• ` 12.51•Address: 2208 NW BIRDSDALE AVE#8 . Roof drain(commercial) 12.51 City/StateizIP: GNESHAM OR 97030 - . Sink/basin/lavatory _ • 25.02 . Phone:603) 239-8801 . . I Fax: ( 503 669-9568 Solar units(potable water)• 62.54 E-mail: OFFICE @APOLLODRAIN.COM Tub/shower/shower pan . 12,51 c . Urinal 25.02- s r y 2-M , h ;ti .. : -:. - •- `1 ad lki Water closet 25.02 Business name; APOLLO DRAIN & PLUMBING SERV. INC Water healer 37.52 , Address: 2208 NW BIRDSDALE AVE#8 . Water piping/DWV 56.29 iiy/State/ZIP: GRESHAM OR 97030 • Oar ' 25.02 .,---, Phane:( 503 239-8801 Fax:(503)669-9568 Subtotal.` CCB Lic.: 49418 PI „b',g L'c,no.: 26-533PB Minimum permit fco: $71.50 Plan review (25%of permit fee) wE-,101i�r/�yili / Authorized sianatu `� �y�r State surcharge(12%of permit fee) �(I.7 0 ✓ _r /iM I . La ��i►���wl Date: r, , TOTAL PERMIT FEE I.2� Ltnaadizg\P mm ts,Ptattr•Pene;upp.doe 10/01/09 440a616Ttt0m2/CawWP)