Permit _ . •
CITY TIGARD (# : pLM2OO2-O PLUMBING PERMIT
tve.In DEVELOPMENT SERVICES 0426
:• � DA ISSUED: 11/7/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16655 SW 72ND AVE 200 --- PARCEL:-251 13AC -OEi
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I -P
BLOCK: LOT: 029 JURISDICTION: TIG
CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: 2 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: 0 SF RAIN DRAINS:
SINKS: 1 URINALS: 1 GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 1
'PPeD efbl73
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft = • E3
RS. RAIN - DRAIN: _ — -
G Remarks: Plumbing Fixtures. New 1 lav, 2 showers, 2 -2 "floor drains, replaced; 2 toilets, 1 water heater: capped: 1
urinal, 1 mop sink and 1 drinking fountain (other fixture).
FEES
_ ^Dessripti Date A mount
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 -WM I [PLUMB] Permit Fee 11/7/02 $182.60
PORTLAND, OR 97224 [TAX] 8% State Tax 11/7/02 $14.61
Total $197.21
Phone :
Contractor:
DEAN WARREN PLUMBING*TERMINATED`
3111 SE 13TH
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone : 236 Rough -in Insp
Top -out lnsp
Reg #: LIC 172 Final Inspection
PLM 26 -736PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. AD 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
Issued By: Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day