Permit C 1TY OF TIGARD PLUMBING PERMIT
= COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00562
DATE ISSUED: 12/19/2007
, T[GARD;' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CB -02300
SITE ADDRESS: 14885 SW 100TH AVE ZONING: R -3.5
SUBDIVISION: MURDOCK HILL LOT: 004 JURISDICTION: TIG
PROJECT: WEBER
Project Description: Line work to connect sewer. Septic system to be pumped and filled or removed.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 100 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MARILYNN C. WEBER
14885 SW 100TH AVE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 12/19/2007 $72.50
[TAX] 8% State Surcha 12/19/2007 $5.80
Phone : 503 - 3(1228 Total $78.30
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact # : PRI
Reg #:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: . : Permittee Signature: C
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.
,n - .. A AFFORDABLE
,
SEPTIC SERVICE
- P.O.BOX 1130
WILSONVILLE, OR 97070
(503) 682-1929 FAX (503) 570-0779
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All claims and retuned gocidsiMlipT be by this bill.
Reorder: THANK YOU
. . 800-225-6380 or nebs.corn
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Pt.M2007- QOSCi2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17119/2007
Phone: (503) 639 -4171 ,,.; rl�l
Inspection Requests (24 Hrs.): (503) 639 -4175 s ■
INSPECTION WORKSHEET FOR DATE: 2122/2008 TIME: 7 :00AM PAGE: 40
SITE ADDRESS: 14885 SW 100TI AVE CLASS OF WORK:
SUBDIVISION: MURDOC < HILL LOT #: 004 TYPE OF USE:
PROJECT NAME: WI:.13ER
DESCRIPTION: L.irie wok io connect sewer. Septic: sVstom to be primped and filled or removed.
OWNER: Y`i :I3ER, MARILYNN PHONE #: 5t)3 302 - 1223
CONTRACTOR: OWNER NER PHONE #:
Inspection Request Scheduled For: Date: 212212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 0654813-01 503- 969.9548 Y
Corrections /Comments/ Instructions:
C
PASS I 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL f] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: 2;)2/2/1P Phone #: (503) 718-