9570 SW MILLEN DRIVE-1 ba N3llIW MS 0156
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9570 SW MILLEN DR
CITY O1 1 IGARD OLUMBINGPERRIPT � I
DEVELOPMENT SERVICES PERM41 ft: PLM2(' )5-00417
13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED: &31/2'05
PARCE:: 2S11 di BA-11700
SITE ADDRESS: 09WO SW MIU_EN DR ZONING: R-7
SUBDIVISION: COPPER CREEK STAGE 3 LOT: 081 JURISDICTION: TIG
Project Description: Water service replacement.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOP SPAk.:ES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GFIP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY 1 RAYS: SF RAIN DRAINS:
--- SINKS: URIWALS: GREASE TRAPFJ:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 50 ii
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
RONALD&S WILLETT '"` `---
C/O MAINLANDER PROPERTY Description Date Amount
1471 S BEACON HILL DR [PLUMB]Permit Fee 8/31/2005 $72.50
HIGHLAND RANO!1.CO 80126 [TAX]8%State Surcha 813112005 $5.80
Phone : ,W-635-4500 x123 _ Total 678.30
Contractor:
WOLC T'r PLUMBING CONTRACTORS
1075 W HISTORIC COLUMBIA RIVER
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
Phone: 503-667-1781
Reg#: LIC 23847
PLM 26-20 3PB
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his,)ermit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Cods and all other
a,-)olik able laws. All work will be done in accordance with epproved plans. This permit will expire if work is not starred within 180 days of
issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow ruler.adopted by the Oregon
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Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. Yat:may obtain cupies of
-J these rules or direct questions to OUNC by calling 503-246-6699 or 1-BC0-332-2344.
Issued By: 2 ��� Permittee Signature:
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.
' Paumbirl¢ Permit At)plicataoll
City Of Tigard
RECEIVE
13125 SW Hall Blvd„Tlgard,OR 972 pisnview
Phone: 503.639 4171 Fax: 503.598.1960 L>Me/Oy; — Other ranrnt N'-
'14
'24 Htrtr inspection Linc; 103 639,4175 Nil I (, Dale Ready/by. M. m see rase 3 rw i
in►canev www.ei tigard.or us 1.00 N00011 cow '�11� s�_le.,.Rrsl Iwanaat►x,
Tl cat; FRE- M(WRI1110(
Jew construction RUILDI (MI/1010Wt ,r'erdFecld in/enr►.rlon rear cbctWtr
Dnr+crl,'ion Ce. _ To"I
AddRitxr/nitrnNnnkeplaoement []Othtv-. New).2-family dwelllwas(tnckWoe 100 fl.1hr each utility conneo:ion)
CATEGORY OF VONYTRLr(710'.4 SP'.(1))1th A 24920
1-and 2-family d' oiling ❑Comma SFR(2)tatth _ 350.00 -_
SFR 3)
El bath 399.00
oxAcssory Molding Multi-family ---�---
Each additional hath/kitchon 45,00
❑Master builder --- ❑()thea' Fire sprinkler sq.11 Page 2
,Iplf 1T ' 11;F[►RMATION AT41► I,(1t ATION SNe utllldes _
Job si+o address: Gtuh hasin Of AM drain lG,M1
Cfty/StatUZIP: Drywcil,leach line,or trcneh drain 16160
lending drpin(no.linear 1L: ) 1'•ie 2
Suha/bldg./apt.no.: Project name: noting
hone utilities I I OAO
Cross Rtreet/dircetions to job site: Manholes 16.60
tA"M I Rafn drain connector _161.6.)
+_�?� .-1�` t✓/IL 9Rnitory rower(no.linea'It.:�� Z
9tottn sewer(no.liner tt,: peer 2
Subdivision: Lot no. Wpm services(too.linear 1LT Pegc 2 _r
; —
Fixture or ttem _
TLA map/pnreel no.: ADaerptlon valve 16,60
DFS( rTI(.)r OF WORK . Backflow Pro anta pap 2fin _
-� � tlacksvatervxlvc 16,60
Clothes Washer 16,60
Dishwasher 16.60
Drinking fbuntafn 16,60
rROPFRTI 01%WR TEN, T Q�e�o►r�/eump 16.60
tJRm^ Expansion Ionic 16.40
Fixtutt:/sower car 16.60
CitY/StateiT_IF: Floor dmin/floor sink/huh 16.60 r
(3atie c disposal 16.60
Phare (�(' ) _ A Hose bib - — 16.60
❑ ,vrix'ANT ❑ ['oNT#(T rp.It;�ON 16,60 -
__ -- loomtkcr
Husiness namc:Wolcott Plumbing dba.lack Hawk Plumbing 1��/�„c trap 16.60
CtntRr name: Medi"s(valur S nw=) Page
-;d-d;;s 1075 W Hkooric('ol■mbla River Hwy �- Primer - 16.60 _
CLCitytState/7_IF:Troutdale.00 97060 Roof drain(eommorcinl) 16.60
-
aCSink/basiritta Rtory __ 16.60
Phone:(503)235-4794 rax::(503)49 i-2932 Tub/showcrlahower ren 16.60 -
tn �
r E-mail: urtrul 16.60_ —
t ("NTRA(TOlk Water clasct 16,60
-a - 16,60
io Business namc:Wolcott Plumbing dba,lack Hawk Plumbing Wats boater
0 Address:1075 W Historic Columbia River Hwy Other.
P1J .0 i
CityMtate/7__It';Trautdols,OR 97060
Minimum�trmif f>rw $72.50 7�nl My
Phone:(103)275 9704 Fax;(103)441-1932 r Residential bmkflow minimum pomift fee: $36,25 i
bin Lia.no,:26-101 Flt Plan review (25%ofp,►rmit fax) -
CCB Lic,:23947 g State sumo (111%of permit JIM) a l 1
Authorized si ure - - -� TOTAL PERMIT FEE
-Print nmeme: — -
This it emit d p!11c ft ea t has b 1f ti permit M not abbdned tb
i y ��� 190 dsya RtMr it has been areepred as eomplete
°Fae,nethodolowv sat by Tri-'rnmiv Buildil"a tndttstry Service Board.
CITY OF TIGARD
BUILDING DIVISION PERMIT C "M200f,004'17
1312" SW Hall Blvd., Tigard, OP 97223 DATE ISSUED: (0111tt05
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (603) 639-4175
INSPECTION WORKSHEET FOR DAT,:: 9V1/2Q05 TIME: 7:14AM PAGE: 17
SITE ADDRESS: 09570 SW MILLEN DR CLASS OF WORK:
SUBDIVISION: COPPFP CREEK STAGE 3 LOT TYPE OF USE:
PROJECT NAME: Wll-LETT
DESCRIPTION: VMer service replarement
OWNER: WIL_LETT, RfANALD&SYDNEY PHONE #• 503-635-4500 x1'2.1
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 5B%7-1701
:nspection Request Scheduled For: Date: gy1/ Puur Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 014700.01 5032358784 N
Corrections/Comments/Instructions:
at
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PASS ❑ PARTIAL APPROVAL ❑ CANNEL NO ACCESS
F] FAIL ❑ CALL FOR IN,3PECTION F1ADDITIONAL FEES ASSESSED
Inspector: �� ��� �__ _�_.�_ Date: ,._ Phone #: (503) 718-