Permit CI1YOFTIGARD ......--
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PLUMBING PERMIT
PERMIT # • PLM94 -0021
639 -4171 DATE ISSUED: 02/25/94
PARCEL: 2S113AA -00100
SITE ADDRESS...: 16350 SW 72ND AVE
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING: I —L
BLOCK • LOT •A
CLASS OF WORK..:ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE •IND WASHING MACH • BACKFLOW PREVNTRS..:
OCCUPANCY GRP..:B2 FLOOR DRAINS :1 TRAPS •
STORIES •1 WATER HEATERS •1 CATCH BASINS •
FIXTURES LAUNDRY TRAYS • SF RAIN DRAINS •
SINKS • URINALS • GREASE TRAPS •
LAVATORIES :1 OTHER FIXTURES •
TUB /SHOWERS SEWER LINE (ft) •
WATER CLOSETS..:1 WATER LINE (ft) •
DISHWASHERS RAIN DRAIN (ft) •
Remarks: Spec Office— Tenant Impr., offices and a ADA toilet room.
Owner: FEES
PAC TRUST type amount by date recpt
15115 SW SEQUOIA PARKWAY PRMT $ 30.00 JH 02/25/94 —
SUITE 200 SPCT $ 1.50 JH 02/25/94 —
TIGARD OR 97224
Phone #:
Contractor:
JOHN REINHARDT PLUMBING
P 0 BOX 129
NEWBERG OR 97132
Phone #: 538 -9464 $ 31.50 TOTAL
Reg #..: 01870
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Rough—in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
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.
`
Permittee Signature•
a
Issued By: _
Call for inspection — 639 -4175
PLUMBING PERMIT 13.125 SW HALL BLVD.
7. P. O. BOX 23397
Applicants must hold Oregon Registration to conduct a plumbing T I GARD r OR 97223
business or must be property owner /operator not hiring outside help. (503)639-4175
• ' Name d Devetopmem
. SPEY' OFFICE
Plumbing Permit No.
A 16350 S.W. 72nd. ORS1 2tdto OUAN. PRICE AMT.
Job Tax Lot Map. No.
Address
FIXTURES
Lot Block Subdivision Sirhk 7.50
Name (or name of busuress) Lavatory 7.50 7 ,-
GEAERAL ' H.L. GREEN COMPANY , INC. Tub or Tub /Shower Comb. 7.50
Mailing Address Shower Only 7.50
CO TRACTOR 15115 S.W. SFOTWOTA PAS1cWAV G'rV200 -
Owner logy /State yp Water Closet 1 7.50 7°
PORTLAND , OREGON 97224 Dishwasher 7.50
Phone Garbage Disposal 7.50
- N - - - - Washing Machine _ 7.50
• SPEC. OFFICE SPACE Floor Drain 1 7.50 _ 7411
dress Minors Water Heater i 1 - 7.50 . (4
Occupant laund Room Tray . _ 7.50
P City/State ZIP
Urinal 7.50
4 d Name Phone • Other Factures (Specify) 7.50
i \' ' l JOHN E. REINHARDT PLUMBING INC. 7.50
IZ Mailing Address Phone 7.50
P.O. BOX 129 ' 620 -3754
Contractor fittrAggl, OREGON 97132 7.50
MISCELLANEOUS
City Sue. Tax No. Sewer 1st 100' 30.00
Aul #01870 #93 -1799 Sewer -ea. Addit. 100• 15.00
6 ti
State Btdgs. Board tTo. Slate Plumbers Bus.c. No.
�3 0 (Residential) # 36 -9PB Water Service 1st 100' 20.00
I hereby acknowledge that I have read this application. that the information Water Service ea. AdditZO' 15.00
given is correct. that t am registered with the State Builder's Board. and also - Storm & Rain Drain 1st.1 ow 30.00
have a State Plumbing ioerss that the numbers given are correct that all
plumbing work will be done in aocadanoe with applicable provisions of Ore- Storm & Prier Drain Addit.100' 15.00
gon Revised Statutes Chapters 447 and 693 and applicable codes and that Mobile Horne Space 25.00
no help will be employed unless licensed under ORS 693. Of exempt from
State registration. please give reason below). . Flow Prevention
HOMEOWNERS - I hereby certify that 1 e the e wner of the property de- Device or . ofhntion Device 7.50
sobbed above. at which location I propose to make a pknhbing Ineialiatla+ for Any Trap or Waste Not .
my own use end this property is not being constructed for sale. base or rent Connected to s Facture 7.50
- -- Catch Bash 7.50 -
khsp. of Erdal. Plumbing 40.00 Per Hr. _-
Specially Requested inspections 40.00 Per Hr.
• Rain Drain,
15.00
' Single Sam. Dvrlq. _
WA . , .
• ..% . wort new ❑ addition Id alteration 0 � ❑ - _
• ~ done residential • non - residential ► ;
•
•
0 use 01 MINIMUM PERM IT FEE 25.00
,. p arproperty SUB -TOTAL q o O G
=1 Ws of 5% SURCHARGE / rte
" • 25% PLAN REVIEW L
NOME - � /
TMs permit bsoomes nue and voddfl work or Donau Lion authortrted i not Dom- . TOTAL 1.,1 . so
maned aAtdn 190 dayiror I oonsfrn or workia staperded or abandoned for .
• period of 190 days d any dine saw wok Is oo niinoed. • S ta/U_ OO•DmTIO•tl1 - • - -- •
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line l FINAL
Post /Beam Struct. San. Sewer Framing � -Bldg.
Post /Seam !tech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: 4 in V -9 l Li TTime: q AN PM
Address: \ l Q 1 ` ? 5 ) `' " -a Permi rn / ^ o( a - 1
f .
Builder: - t 6 rt ti Y
i1 V1\Ct/S -
L AAAV '37i5
THE FOLLOWING CORRECTIONS REQUIRED:
/ ia
Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.