Permit /' �--
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PLUMBING PERMIT
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CITY OF � PERMIT # oo15 . --
DATE ISSUED: 07/31/96
COMMUNITY DEVELOPMENT DEPARTMENT
1o1um - SW *a:B^m�no�m.o��vn w�o °n1om �o�m�41r1 PARCEL: 2S1 11BD-02700
SITE ADDRESS...: 14650 SW 97TH AVE
~ ^ ^ ' T/
SUBDIVISION..: _- / / / '
.. / ` ZONING: R-3.5
BLOCK. . . . . . . . . . : LOT.... . . . . . .m�. . :9 - - -- `
__ _ _ ______ _____
CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE....:ED WASHING MACH......: 0 BACKFLOW PREVNTR8..: 0
OCCUPANCY GRP.. :E1 FLOOR DRAINS ^ 0 TRAPS........... ... : 0
STORIES........: 0 WATER HEATERS ^ 0 CATCH BASINS.......: 0
FIXTURES -------- LAUNDRY TRAYS.....: 0 SF RAIN DRAINS.....: 0
SINKS :15 URINALS...........: 1 GREASE TRAPS.......: 0
LAVATORIES..... : 5 OTHER FIXTURES.... : 6
TUB/SHOWERS....: 0 SEWER LINE (ft )...: 0
WATER CLOSETS.. : 5 WATER LINE (ft). . . : 0
DISHWASHERS....: 0 RAIN DRAIN (ft)...: 1
Remarks: Interior d
� emar s: remodel
Owner: ------- • FEES - ---
TIGARD TUALATIN SCHOOL DIST type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 358.00 JSD 07/24/96 96-281990
PLCK $ 89.50 JSD 07/24/96 96-281990
TIGARD OR 97223 5PCT $ 17.90 JSD 07/24/96 96-281990 1
Phone #: 684-2353
Contractor: - --- -
CARROLL MECHANICAL CO
2305 SE 50TH AVE
PORTLAND OR 97215 - - • --
Phone #: 231-3842 $ 465.40 TOTAL
Reg #..: 033403
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Water Line 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 Rain Drain Insp ______ ____
approved plans. This permit will expire if work is not started Final Inspection _____ ___
within 180 day, of issuance, or if work is suspended for more __ _
than 180 days. _
__ _ _ __
/
Permittee Signature: _ - _-_-_-
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�� � liojo, � _ _ _- _ /4 ~ ' / ' ' ' ^' ' �~-+~ ' __ _____ -- _ ___-
____ _
Issued By: ___ ____� ___
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Call for inspection - 639-4175
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - lum
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: / 4i rn
[/ /� A.M. P.M. Ent
QJ ry:
Address: ! 6
Tenant: ,C� �� ,Q�%r'� ° 5�e: MST:
BUP:
Con/Own: ?7 ( .R MEC:
PLM:76 C9/ 025"
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
.0
-,
1
Inspector: 7 Date: ( � 0
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspectioe (Rec -O -Phony : 639 -4175 Business Phon - 639 -4171
_ / �� / i
Inspection: _ /W. Z_ i • � ' ;4" /L� ' i
Footing Susp. Ceiling S rink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer s me -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: ‘ � / Time: ,. 1 AM I( PM
Addres : e I) m 6 / ' I SC() - 7 '
L FC --(5 /
Builder: • � Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: per/ -- 067
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Inspector: Date: ,-
i
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath' Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
r
Other: a. 6 LD-, 41 2 /44;44 cp
• Date: _ 7 / r C q (.0 A.M. —7 Q
P.M. Entry:
Address: / 4 7 1, -S - 7) ! "` —
Tenant: TAU=' --& Ste: MST:
CAA _Q 7n.t Cl,,`/ MU
Con /Own: MEC :
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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L� ids //'_ f ::L _
�/►I .s��
— ..,A.Mff ' ■Ir Ag ill
spec Date: 2�7g7
OVED _ DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk �' Reins.
Other: ��Gtli -GQ dGze�vQ ' cesse.d4. 04" — ,- j p
Date: 7- /2-- - M _ Entry:
Address: / 7" 6 5 54.) . V7
Tenant: ( �l a �tc �j
Ste: MST:
` ` /C L / G:
.1.(1
Con /Own: e G- lt�t2 4l �-E' MEG: M
A 3/ - 3. ELC:
T E FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
2- Y /// A<a 2_90
''' ./ //' �2 �/ _ 4:_..,- //E� /-4 , i d ,or
„...
if" . _
Inspecto : Date:
— ?f . .7.
APPROVED DISAPPROVED /CALL FOR REINSP. CF W CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: V�C.�-t 4iQ.!/� TXti
Date: 7 3 / 41. A.M. P.M. Entry:
Address: / `f (o SO Sly '- c-
Tenant: / &42 � // te: MST:
Con /Own: Cc. R31 3 7 0` MEC:
C\ PLM:
D,1. J 46 ELC:
T.HE FOCLOWINGCORRECTIONS ARE REQUIRED: - ELR:
itO 1 7/& .
sa714.. t4S-D iVu
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Inspector: Date:
_APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
T6 Wee, s, Lp -7 D' - I( , 1-- 1 - r" r ' c a -2/ /6
"City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 5 Ihf3C-
13125 SW Hall Blvd. Permit # l fir -O( -
•
Tigard, OR 97223 %,g110- t?Ztpo
(506) 639 -4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Name of Development New Single Family Residences Only
, - 1 `e•r.A..L.tT V, Y1'\. 'SC eat) L
Address ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00
Job I Q(0,50 S - 5'^1 cr1 22 3 ❑ 3 BATH HOUSE $225.00
Address Gty/State z4 Fee includes all plumbing fixtures in the dwelling and the first 100 feet
'T 1 C--% „p,' q t : _\ 2. a 3 of water service, sanitary sewer and storm sewer. See fees below.
Name (or name of Business) FIXTURES QTY PRICE AMT
7, v +Aar c,ue.0 L ‘5.-;-- Sink l 5 9.00 / 3 .S--t.
Mating Address Phone Lavatory rt t 3 S 9.00 L 5'
Owner Tub or Tub /Shower C omb. J ' 9.00
City /Stale EP Shower Only 9.00
Water Closet YeCkoetV4 '; 717 9.00 /4..s t.
Name (or name of tameless) Dishwasher J 9.00
Garbage Disposal 9.00
Occupant ,,,,,,,g Address Phone Washing Machine 9.00
Floor Drain 9.00
Crt ' Water Heater 9.00
Laundry Room Tray 9.00
Name Urinal 1 9.00
---p (4R ul.l rill Gc , 2'f-3''42 '� Other Fixtures (Specify) 9.00
Mailing Address Phone ®/ 9.00
Contractor 'C� *2 . 54/ / f , WC) 236.5 Sc- 5 O - Ric A Y ' 9.00 LAC
City /State Zip 9.00
P - � - ' zi Sewer 1st 100' 30.00
State Registrat rJo. y Bus. To No. Sewer - ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' / 30.00 a� [,�
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' r 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
2,.., l Back Flow Prevention
Device or Anti - Pollution Device 9.00
Signature (owner or .... '_ Date Any Trap or Waste Not
•- - r 1'd./ d t Connected to a Fixture 9.00
Describe work new Q addition 0 alteration 0 repair 0 Catch Basin 9.00
to be done residential 0 non - residential 0 Insp. of Exist. Plumbing / 40.00 /hr Lp.t
Specially Requested Inspections 40.00 /hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
• devices 15.00
Proposed use of
building or property
'(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL L'(/ °
PERMITS BECOME VOID IF WORK OR CONSTRUCTION '
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE 0 16
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS G7(
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL I- 16Ct‘)
Special Conditions '
r`` Date issued by
-