Permit CITY OF TIGARD i.,.
COMMUNITY DEVELOPMENT DEPARTMENT
23125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PLUMBING PERMIT
PERMIT # • PLM94 -0030
639 -4171 DATE ISSUED: 02/28/94
PARCEL: 2S 113AD -01800
SITE ADDRESS...: 16640 SW 72ND AVE #8 -10
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING: I -L
BLOCK • LOT •11
CLASS OF WORK..: ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE :IND WASHING MACH • BACKFLOW PREVNTRS..:1
OCCUPANCY GRP..:82 FLOOR DRAINS °1 TRAPS •
STORIES •1 WATER HEATERS • CATCH BASINS •
FIXTURES LAUNDRY TRAYS SF RAIN DRAINS •
SINKS • URINALS GREASE TRAPS •
LAVATORIES • OTHER FIXTURES •
TUB /SHOWERS • SEWER LINE (ft) •
WATER CLOSETS..: WATER LINE (ft) •
•
DISHWASHERS • RAIN DRAIN (ft)
Remarks:
Owner: FEES
PACIFIC REALTY ASSOCIATES type amount by date recpt
111 SW 5TH AVE, SUITE 2950 PRMT $ 25.00 JH 02/28/94 -
5PCT $ 1.25 JH 02/28/94 -
PORTLAND OR 97204
Phone #: 224 -6540
Contractor:
JOHN REINHARDT PLUMBING
P 0 BOX 129
NEWBERG OR 97132
Phone #: 538 -9464 $ 26.25 TOTAL
Reg #..: 01870
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other RP /Backflow Prev
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
A
within 189 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature:/722,4/ Q f
(I*1 ,
Issued By:
Call for inspection - 639 -4175 !,
- ' -` PLUMBING PERMIT • 13125 SW HALL BLVD.
P. O. BOX 23397 •
Applicants must hold Oregon Registration to conduct a plumbing TIGARD, OR 97223 •
business «must be property owner /operator not hiring outside help.
Name of Development (503)639-4175
AUTO /CLAVE Plumbing Permit No.
•
Addf°ss 16640 S.W. 72nd. Description
ORS 814 -21 -610 GUAM. PRICE AMT.
job Tax Lot Map. No.
Address FIXTURES
Lot Block Subdivision
Sink 7.50
Name (or name of business) Lavatory 7.50
"PRECISION INTERCONNECT CO. Tub orTub/ShowerComb. 1 7.50
Mailing Address
16640 S.W. 72nd. Shower Only 7.50
Owner City /State tip Water Closet - 7.50
PORTLAND OREGON 97224 Dishwasher 7.50
Phone Garbage Disposal 7.50 • =
620 -9400 or 684 -3159 Washing Machine • - 750
Name • -
Floor Drain 1 7.50
Marling Address Phone Water Heater 7.50
E
Occupant SAME . . Laundry Room Tray . _ 7.50
Crty/State ZAP
Urinal 7.50
Name Phone Other Factures (Specify) 7.50
REINHARDT PLUMBING INC. 7.50
Mailing Address Phone
P.O. BOX 129 620 -3754 - 7.50
• Contractor C1ty/State Dp 7.50
EIEWB ERGOREGON 9713 MISCELLANEOUS
• City Sue. Tax No.
- Sewer 1st 100' 30.00
01870 93 -1799
State 81d9s. Board No. State Plumbers Bus. Lac. No. Sewer -ea. Addit. 100' 15.00
(Residential) 36 -9PB Water Service 1st 100 20.00
1 hereby acknowledge that 1 have read J application, that the information Water Servioe ea Addit.2� 15.00
givens correct, that 1 am registered with the State Builder's Board. and also • Storm a Rain Drain 1st 100' 30.00
have a State Plumbing ioense that the numbers given we correct that all •
plumbing work w i l l be done in accordance with a p p l i c a b l e provisions o f Ore- Storm & P i n Drain Addit.100' 15.00
gon Revised Statutes Chapters 447 and 693 and applicable codes and that Mobile Home Space 25.00
no help will be employed unless licensed under ORS 693. (If exempt from
S t a t e r e g i s t r a t i o n . please g i v e reason below). D e v i c e Flow Prevention j 750 J
HOMEOWNERS - I hereby certify that 1 am the owner of the property de-
sc abed above. at which location I propose to make a plumbing Inatdladon for Any Traitor Waste Not .
my own use and this property 1s not being constructed for sale. lease or rent. Connected to a Future 7.50
Catch Basin 7.50
krap. of Exist. Plumbing 40.00 Per Hr. -
Specialty Requested Inspections 40.00 Per Hr.
Rain Drain, 1500
•
Single Fam. Dwlg. _
AUTHORIZED SIGNATURE • Deis - . .
Describe wore new ❑ addition alteration ❑ repak ❑ -
to be done residential fl non-residential " .
E>ing use of MINIMUM PERMIT FEE 25.00
bi 1dkgorpropertY SUB -TOTAL pct
. Isis of 5% SURCHARGE o f
• Or P!opedy 25% PLAN REVIEW r .
. NOr E - TOTAL � "
This permit beoormee null and void* work or conetruodon euthor:ed r not corn- . G._ Io
rtlinoed wfltln 1S0 days or 11 oondni :Son or workta elnperded or abandoned for
a period of 100 days at any time after work Is °acmeinood.
$ I lAL CONOtT10N8
• Date issued by •- - --
/ /
/. ,' /_ __
INSPECTION NOTICE
City of Tigard Building Department 21
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: /--_--
Footing Plbg. Undersla Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Li / tf(9 Gyp. Bd. -Mech.
Date Requested: 1 Time: AN PM
Address: kd, 'f() 7 Z 414 Permit 1 N ^ f ' e l i-( OOJO
BuLldera �-� 16 0 fa /i Y 6 Zo - 3 75 'f
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i A •dal."6 ---
f, 4J % ■.f. d 4' _ ..ft '
Inspector• Datez -- aPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.