Permit A CITY OF TIGARD
PLUMBING. PERM IT
DEVELOPMENT SERVICES '
~==~�m~m~�~. n�n�~n�" ��u�""�"~�~~�~ PERMIT #.......: PLM97-0071
�11- ''''IJ2. 13125 SN/ Hall Blv� Tigard, OR9y223 (503)039-4171 DATE ISSUED: 03/04197
•
PARCEL: 1S134AB-02900
SITE ADDRESS...: 11307 SW IRONWOOD LP
SUBDIV'I8 ION— .: ENGLEWOOD' °^~ ' ` . ZONING,:' R_4.5 .:
BLOCK..........: LOT. ............:86
_ _ _
CLASS OF WORK. .:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0
TYPE OF USE..,. :SF WASHING MACH. ..... : 0 BACKFL8W PREVNTRS.. : 0
OCCUPANCY GRP..:R3 FLOOR DRAINS......: 0 TRAPS..............: 0
STORIES..,. . . . . c .0 . WATER, HEATERS.... . ., g',. 1 CATCH BASINS . . .. .. : 0
FIXTURES- ----- LAUNDRY TRAYS.....: 0 SF RAIN DRAINS.....: 0
S INKS. .,..~_.....:`: 0 ; . . U . 0 ., ` GREASE TRApS...~..~.: 01
LAVATORIES.....: 0 OTHER FIXTURES....: 0
TUB/SHOWERS.'.�,: 0° , ` SEWER LINE .(f�)..�� � � 0 �
' ,�� WATER LINE (ft)... ` .� ... � . �
WATER CLOSETS..: 0 : 0
' DISHWASHER.S.., . v : 0 . _ , RAIN DRAIN ( f t ) , . . , : 0 `
Remarks: Install water heater
Owner: . . 7 FEES -----
DOUG HOFFMAN type amount by date recpt
11307 SW IRONWOOD LP ��` _ � PRMT $ .. 25 . 00 .JSD 03/04/97 97-291171
• 5PCT $ 1.25 JSD 03/04/97 97-291171
TIGARD OR
Ph one ,:#:
^
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Contractor: --- ' .- . _
SPECIALTY HEATING & FABRICATIO
• 9528 SWTIGARD_ST :
TIGARD OR 97223 --- , ------
Phone #: 620-5643 $ 26.25 TOTAL
Reg #..:•066578
^^,__ , ' , . _ . _ / . `. . REQUIRED, INSPECTIONS --
This permit is issued subje.ct to the reoolat . .,�•. Mi. sb,.. Inspection.`
Tigard Municipal . Co�i Stat e of _ _ Final. Inspe ction _ -
appl icable laws. All,wo!k will be done in accordance. witk _____ _ ___ �'
approy*d. plans. Thi�,p9rmit will'e�piro if•wnrh, is not started . . __ -
within 18N' days' of- iSsuaxce, or if:wmrk �
i�moeuded:foT more � � ' � ___ � ' � �_ '
than in' days. � - ' _________ ,�
---- -- - --
� _---_- ____-_-_-
� , « __-_ _______
Permittee Signatu• ~' '~~" ' ~ - _____�_ ' ' ___
- . _______-
Issued B ___- '__
. . . . C a l . � 639 � „.
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City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125-5W Hall Blvd. Permit # 9 .-#v 7-o (
Tigard, OR 97223
(503) 639 -4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
"em a Oeveketatent New Single Family Residences Only
f �'/'�� //� ❑ 1 BATH HOUSE $140.00 ❑ 2. BATH HOUSE $195.00
Job Maraca
/ 1D ��%�(,ti13� (�P ❑ 3 BATH HOUSE $225.00
Address caw /
/ G m
7i2- Fee includes all plumbing fixtures in the dwelling and the first 100 feet
7 of water service, sanitary sewer and storm sewer. See fees below.
"""' (e` nem of aaneee) FIXTURES QTY PRICE AMT
Lel P - r i S J//q Sink 9.00
teeing Add A101' Lavatory 9.00
Owner / / 3 (2? 1-rl 6 ( 'F ' Tub or Tub/Shower Comb. 9.00
Clty/State ao Shower Only 9.00
/ q Z-2r Water Closet 9.00
Mane (a name a east.eN Dishwasher 9.00
,7Wr Garbage Disposal 9.00
Occupant tees g 1Odtle A,a» Washing Machine 9.00
Floor Drain 9.00
Ctom. m Water Heater ) 9.00
Laundry Room Tray 9.00
Name Urinal 9.00
S�jL /4/ y CZ - ofl Other Fixtures (Specify) 9.00
gem»
9.00
Contractor is.- Z Si". 9.00
CapState DP 9.00
727,//1// Sewer 1st 100' 30.00
State Regtetratien rm. Cite Ster. T" Mo. Sewer - ea. Addit. 100' 25.00
�-- 961 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
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
R � /�, �' Device or Anti - Pollution Device 9.00
Signature (owner or owe) °"° Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition 0 alteration'; repair 0 Catch Basin 9.00
to be done residential non - residential 0 Insp. of Exist. Plumbing 40.00/hr
(( 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 2
PERMITS BECOME VOID IF WORK OR CONSTRUCTION `
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE S
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL "26'
Special Conditions
Date issued by
SP--6 . j411 . '
CITY OF TIGARD BUILDING IN NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
7
Footing Rain Drain Cover /Sgrvice FINAL: .
Foundation Water Line Ceiling P "
Post/Beam Mech. Shear /Sheath Framing
Plbg.Und /Flr /Slab Plbg. Top Out Insulation s'
Post/Beam Struct. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: �` ` ,/G�.IG
.
Date: /ll ` l / A. 4. P.M. Entry:
Address: d I J _A/ _ momzo..� /
n
Tenant: Ste: MST:
BUP: _
Con /Own: . dI.. _I // MEC: `�Of.
! PLM: '� 00 1
� ��, Co E REQUIRED: ELC: ` li►Mtl/:�
THE FOL OWING C R IO NS ARE REQUIR D: : ELR:
Inspect ...,:_./ Date: 7 r 2'2
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO