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Permit CITYOF CA, F COMMUNITY DEVELOPMENT DEPARTMENT REGON 13125 SW Hall Blvd. P.O. Box 23397, Tigard, Oregon 97223 (503) 639 -4176 PLUMBING PERMIT PERMIT # • PLM92 -0086 639 -4171 DATE ISSUED: 11/09/92 SITE ADDRESS...: 16655 SW 72ND AVE PARCEL: 2S113AC -01200 SUBDIVISION COUNCIL VIEW ACRES #1 ZONING: I —P BLOCK LOT •18 CLASS OF WORK..:NEW GARBAGE DISPOSALS..: MOBILE HOME SPACES.: TYPE OF USE •COM WASHING MACH BACKFLOW PREVNTRS.. :1 OCCUPANCY GRP..:B2 FLOOR DRAINS •5 TRAPS • STORIES •1 WATER HEATERS •4 CATCH BASINS • FIXTURES LAUNDRY TRAYS • SF RAIN DRAINS • SINKS •6 URINALS •6 GREASE TRAPS • LAVATORIES •13 OTHER FIXTURES •4 TUB /SHOWERS SEWER LINE (ft) WATER CLOSETS. .:17 WATER LINE (ft) - DISHWASHERS RAIN DRAIN (ft) - Remarks : FIRST TENANT, CONSTRUCT INT PARTITIONS, TLT RMS, CONF RMS, ETC. Owner: FEES PACIFIC REALTY TRUST type amount by date recpt 15115 SW SEQUOIA PARKWAY PRMT $ 412.50 JLH 06/11/92 — PLCK $ 103.13 JLH 06/11/92 — TIGARD OR 97224 5PCT $ 20.63 JLH 06/11/92 — Phone #: 624 -6300 Contractor: JOHN REINHARDT PLUMBING P 0 BOX 129 NEWBERG OR 97132 Phone #: 538 -9464 $ 536.26 TOTAL Reg #..: 01870 REQUIRED INSPECTIONS This per.it is issued subject to the regulations contained in the Top—out Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—out Insp applicable laws. All work will be done in accordance with Final Inspection approved plans. This pereit will expire if work is not started within 180 days of issuance, or if work is suspended for wore than 180 days. _Permittee Signature: Issued By: � - Call for inspection — 639 -4175 CI1Y OFTIG!ARD � � . ■ giYOF WARD COMMUNITY DEVELOPMENT DEPARTMENT .,. 071) ) 13125 SW MI Bhrd. P.O. Banc 23397, Tipeid, Oregon 97223 (503) 639 -4175 PLUMBING PERMIT PERMIT #.......: PLivi92 -0086 639 -4171 DATE ISSUED: 06/11/92 • SITE ADDRESS...: 16655 SW 72ND AVE PARCEL: 2S113AC- 01200 SUBDIVISION....: COUNCIL VIEW ACRES #1 ZONING: I -P BLOCK LOT .............:18 CLASS OF WORK..:NEW GARBAGE DISPOSALS..: MOBILE HOME SPACES.: TYPE OF USE •COM WASHING MACH • BACKFLOW PREVNTRS..: OCCUPANCY GRP.. : B2 FLOOR DRAINS.......: it TRAPS STORIES •1 WATER HEATERS •4 CATCH BASINS - FIXTURES -• LAUNDRY TRAYS SF RAIN DRAINS SINKS •8 URINALS •6 GREASE TRAPS - LAVATORIES °13 OTHER FIXTURES •3 TUB /SHOWERS....: SEWER LINE (ft) • WATER CLOSETS..:17 WATER LINE (ft)....° DISHWASHERS RAIN DRAIN (ft) • Remarks: Construct new tilt -up bldg. Owner-: - - -• FEES - - - -- PACIFIC REALTY TRUST type amount by date recpt 15115 SW SEQUOIA PARKWAY PRMT $ 412.50 JLH 06/11/92 - PLCK $ 103.13 JLH 06/11/92 - TIGARD OR 97224 5PCT $ 20.63 JLH 06/11/2' - Phone #: 624- 6300 • Contractor: JOHN REINHARDT PLUMBING P 0 BOX 129 NEWBERG OR 97132 - - Phone #: 538 -9464' $ 536.26 TOTAL Reg #..: 01870 . REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Top -out Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This pernit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. • Permittee Signature: _ — - --- _�. - -- ----- , _-_____ -_ - _ -- Issued B y : V 7A-9 ` � -_A -.-_ _ Call for inspection - 639 -4175 • CITY OF TIGARD PLUMBING PERMIT 13125 SW HALL BLVD. O. BOX 23397 -, Applicants must hold Oregon Registration to conduct a plumbing TIGARD, OR 972234) business or must be property owner /operator not hiring outside help. (503)639-4175 GA Name of Development PAC TRTTST- BUTLT)TNG # 168 Plumbing Permit No. Address Description 16650 S.W. 72ND, TIGARD ORS 814-21-610 OUAN. PRICE AMT. Job Tax Lot Map. No. Address FIXTURES Lot Block Sulx Mslon Sink 8 7 . 0 60.00 • Name (or name oibusiness) lavatory 7.50 • GENERAL . H.L. GREEN CO., INC. Tub or Tub/Shower Comb. 7.50 CONTRACTOLL4alTre9 Address 15115 S.W. SEQUOIA PARKWAY, STE 2C0 ShowerOnty 7.50 Owner Clty /State . Dl) Water Closet 7.50 Billi PORTLAND, OREGON 97224 Dishwasher 7.50 IIIIIII Phone Garbage Disposal 7.50 I . (503) 624 -7177 - Name Washing Machine • .7.50 PRECISION INTERCONNECT Floor Drain 7.50 0.00 . 4 dress Phone Water Heater 11111111 7.50 0.00 16640 S.W. 72ND 620 -9400 Laundry Room Tray . 7.50 • Occupant City/State ZIP - P RIM ORTLAND, OREGON 972 ?4 Urinal 6 7.50 Name Other Factures (Specify) 7.50 JOHN E. REINHARDT PLUMBING. INC. DRINKING FOUNTAINS 3 7.50 22.50 Mailing Address Phone P.O. BOX 129 (503) 538 -9464 7.50 Contractor City /State DP 7.50 NEWBERG, OREGON 97132 MISCELLANEOUS I 3 9 City Bus. Tax No. sewer / st 100 30.00 • W / Bus. 2 - Sewer -ea. Addit. 100' 15.00 W State &dss. Board NC. State 0338 tic. No. (Residential) #36 -9PB Water Service 1st 100' 20.00 1 hereby acknowledge that 1 have read this application. that the information Water Service ea. Additaar 15.00 given is correct. that 1 am registered with the State Builder's Board. and also • Storm & Rain Drain 1st. 100 30.00 have a State Plumbing license that the numbers given are Coned. that all plumbing work will be done in accordance with applicable provisions of Ore- Stonn & P.. in 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. (11 exempt from Back Flow Prevention State registration, please give reason below). Device or Anti-Pollution Device 7.50 HOMEOWNERS -1 hereby certify that 1 am the owner of the property de- sorbed above. at which location 1 propose to make *plumbing Installation for Any Trap or Waste Not my own use and this property is not being constructed for sale. base or rent Connected to a Facture 7.50 Catch Basin 7.50 Insp. of Exist. Pkxnbing 40.00 Per Hr. / Specialty Requested Inspections 40.00 Per Hr. Rain Drain, 1500 �� Single Fam. Dwlg. A • • IZED SIGNATURE Date • Describe wort new ❑ addition' alteration ❑ repair ❑ be done residential • non-residential • use MINIMUM PERMIT FEE 25.00 of Existing bWt3kgorproperty SUB -TOTAL 412 50 um. of 5% SURCHARGE 20 -6 PooPerty 25% PLAN REVIEW ! This psndt beoontss ttuN and void *work or oortsauctlon authort:ed Is not oom- • TOTAL 6. 26 minosd wkhl n 1110 deYkerlfoonstruction or work is elrapsrded or abandoned for a period of 180 days at any dm. alter work Is commenced. SPECIAL OONDmmmONS . Date issued by - - UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY FIXTURE UNIT RATINGS - 81d9 TOTAL TOTAL FIXTURE VALUE I NUMBER NUMBER BAPTISTRY /FONT 4 Shell BATH - TUB/ SHOWER 4 - JACUZ /tHPL 4 CUSPIDOR /WATER ASP 1 D 1 SHWASHER - CON ER 4 DONEST 2 ORINICING FOUNTAIN 1 FLOOR DRAIN - 2 INCH 2 - 3 1NCH 5 - 4 1NCH 6 GARBAGE DISPOSAL - DOM (1O 3/4 HP) 1 6 - COMM (TO 5 HP) 32 - 1ND (OVER 5 HP) 48 OIL SEP (GAS STA) 6 SHOWER - GANG 1 - STALL 2 S I INC - BAR 2 - • - BRADLEY 5 - CONWERC 1 AL 3 - SERVICE 3 WASHER. CLOTHES 6 WATER EXT 6 WATER CLOSET 6 URINAL 6 T.rari 6/b FO /EDU 77;42/ , 0/0 1512hs - cilad?h _ 1 Su/iP rni/ No. 92-0/4$ DATE %-.5,l /92 NSP ° ! TOTAL BUS I NESS S /CZ /w ®ac J EDU „ ADDRESS J .< S 4) / 2nd .41.e N PERMIT O. �( f1 1 < - l ( : COUNTED FROM TAX MAP/ LOT 73 -25 R83 INSPECTION NOTICE ` /�� City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: 7.7Y _ Footing Plbg. Underalab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet /Beam Struct. San. Sewer Framing -Bldg. Post /Beam leech. Rain Drain Insulation limb. Plbg. Underfloor Water Li Gyp. Bd. -Mech. Date Requested: 9 / a 1 / 7 Z Time: AM /: PM Address: 1 4 ,7 ,S 72. Permit i : / L 1 41-2-00047 -2 — �O7 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: 0.EFFP1771.49'‘..iiillidWfAd_...../-"V - AI . _ ... d e / / Inspectors. /��/ / & Date: - 4 APPROVED DISAPPROVED j APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Li (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Plbg. nderslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Le Gyp. Bd. -Mech. Date Requested: ,/ J1 �` /`' • Time: AM PM Address: / Permit #: Builder: / 6 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors / / A ` y�/ Date /O g� PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall 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 FINAL: Post /Beam Struct. San. Sewer Framing -BLdg. Post /Beam Mech. Rain Drain Insulation Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: // // c� / in Z Time: AM PM Address: /64 03— 70 2 17 Permit #: � ` � 2 / Builder: f} TEE FOLLOWING CORRECT ONS ARE REQUIRED: Aiiii d .,......... ir p------- - fr i do / /'" ,r/,���' / i� / , PT j - ij j 191 Inspector: / /9 77---- Date: 1/- /6 l ii V-- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE (1-----(---1/-' City of Tigard Building Depardment 13125 SW Hall 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. C bg. Top Out ) Gas Line FINAL: Post /Beam Struct. San. Sewer /// Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: '� 2 .- .� T�� AN PM Address: /6‘ (/J S5 1 7C7 1- Permit #:92 QC et Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: AO Inspector: 1977,57 Date: OL _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE 1 . City of Tigard Building Department 13125 SW Hall 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 FINAL: Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: ) / '- 5 / 2 Time: AM et, Address: / (d�L , SS 7 h � Permit #: g2.--0,4 U tO Builder: A.A. _: . .d -/t / .1 i4_- THE FOLLOWING CORRECTIONS ARE REQUIRED: Ai 1 1 ' / ' A__.' A ,`r# mil � � it i� �! __ 1 inspectors � Date: / (, APPROVED DISAPPROVED // , APPROVED SUBJECT TO ABOVE Call For Reinsp.