Permit _ - _____
CITY OF TIGARD
r , DEVELOPMENT SERVICES PLUMBING PERMIT
. !J IL. 13125 SW Hall Blvd.., Tigard, OR 97223(503) 6394171 DATE 03/23/98 -0077
SITE ADDRESS...: 11175 SW 93RD AVE PARCEL: 18135DB -09500
SUBDIVISION • REEL ACRES
BLOCK ZONING: R -4.5
• LOT :001 JURISDICTION: TIG
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE •SF
WASHING MACH • 0 BACKFLOW PREVNTRS..: 0
OCCUPANCY GRP..:R3 FLOOR DRAINS • 0 TRAPS
STORIES • 0 WATER HEATERS • 0 CATCH BASINS • 0
FIXTURES LAUNDRY TRAYS • 0 SF RAIN DRAINS - 0
SINKS • 0 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 1 OTHER FIXTURES • 0
TUB /SHOWERS...: 0 SEWER LINE (ft)...: 0
WATER CLOSETS.: 1 WATER LINE (ft)...: 0
DISHWASHERS • 0 RAIN DRAIN (ft)...: 0
Remarks: Converting former bathroom back to original use as bathroom.
Owner:
DONNA CHAVEZ FEES
DONNA
SW 93RD AVE t ype amount by date recpt
PRMT $ 25.00 DEB 03/23/98 98- 304317
TIGARD OR 97223 SPOT $ 1.25 DEB 03/23/98 98- 304317
Phone #:
Contractor
R D PLUMBING INC
13900 NW SPRINGVILLE RD
PORTLAND OR 97229
Phone #: FAX 297 -7344 $ 26.25 TOTAL
Reg #..: 000739
This permit is issued subject to the regulations contained in the PLM /Unde INSPECTIONS r
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top —out Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 188 days of issuance, or if work is suspended for more
• than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 -801 -8018 through OAR S52- 0801 -88. You may
• obtain copies of these rules nr direct questisns to CUM by calling
(583)246 -1987.
T
Issued L / , $ Permittee Signature' `- � ��
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
I