Permit / ��� ���� C!1YF •
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��OMMUNIfY DEVELOPMENT DEPARTMENT OREGON PLUMBING PERMIT
`»1momw Hall Blvd. P.O. Box 23o97 . Tigard, Oregon eroo(5m) a39-4,rs 'PERMIT'#.......: PLM92-0074
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639-4171 DATE ISSUED: 05/28/92
SITE ADDRESS...: 07300 SW LANDMARK LN PARCEL: 2S112AB-00500
SUBDIVISION....: ZONING: I—H
BLOCK..........: L8T.............:
CLASS OF W0RK..:ALT GARBAGE DIGpOGALS..: MOBILE HOME SPACES.:
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :1
OCCUPANCY 8RP. . :B2 FLOOR DRAINS.... . . . : TRAPS.. .. . . .. .. . . . . :
STORIES........ : WATER HEATERS......: ' CATCH BASINS..... ^. :
FIXTURES----- LAUNDRY TRAYS......: SF RAIN DRAINS.....:
SINKS ..........: URINALS............: GREASE TRAPS.......:
LAVATORIES.....: OTHER FIXTURES.....:
TUB/SHOWERS....: SEWER LINE (ft)....:
WATER CLOSETS..: WATER LINE (ft)....:
DISHWASHERS....: RAIN DRAIN (ft)....:
Remarks: BACKFLOW DEVICE
Owner: ----- FEES -----
CASCADE PACIFIC type amount. by date recpt
7300 SW LANDMARK PRMT $ 25.00 JLH 05/28/92 —
. 5PCT $ 1.25 JLH 05/28/92—
TI8ARD OR 97224 •
Phone #:
Contractor. ------- — -----
MODERN PLUMBING
PO BOX 23307
TIGARD OR 97223
Phone #: 639-3701 $ 26.25 TOTAL
Reg #..: 01810
REQUIRED INSPECTIONS -------
This yeroit is issued subject to the regulations contained in the Top—out Insp
Tigard Mumtcipel Code, State of Ore. Specialty Codes and all other Final Inspect ion
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started
within 180 days of issuance, or if' work is suspended for core
than 180 days.
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Permittee — ------' -------- --
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Issued By: ___� ----
Call for inspection — 639-4175
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CITY OF TIGARD
PLUMBING PERMIT
- . 13125 SW HALL BLVD.
P. 0. BOX 23397
I Applicants must hold Onegon Registration to conduct a plumbing
- ------- TIGARD, OR 97223
business of must be property owner/operator not hiring outside help.
(503)639-4175
Narrie,gf Developmerst
:1 LLCN5Cad/2_,.12- -. ? 0, -C , ' 't.' C .., Plumbing Permit No.
10
4 Address Description
7 36V Lilt) locIrnarK ORS 814-21-610 ClUAN. PRICE AMT.
..i Job
Tax Lot Map. No. A
- Address --
FIXTURES
Block Subdrvision
' . Sink 7.50
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I Name (or name of business) Lavatory 7.50
Tub or TubtShower Comb. 7.50
Mailing Address
, Shower Only 7.50
Owner City/State Zip Water Closet 7.50
, Dishwasher 7.50
Phone
Garbage Disposa: 7.50
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Name Washing Machine • 7.50
7.50
• Nitiiiiii Kaag ress Phone W ik H an e l ater • 7.50
Laundry Room Tray . 7.50
Occupant City/State DP -
Urinal • 7.50
Phone Other Fixtures (Specify) 7.50
Na Rooeicif■ It, RA. (1735- 3 76/ 7.50
Phone
4 Ad AZC 23.307
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Contractor City/State Zip • 7.50
-T-'m,0 0 2a3 MISCELLANEOUS
City Bus. Tax No.
Sewer 1st 100' 30.00
• State gs. BoanThNo. State Plumbers Bus. tic. No. Sewer-ea. Addit. 100' 1500
(Residential) Water Service 1st 100 20.00
'■ • I hereby acknowledge that I have read this application. that the information Water Service ea. Addit.2120' 15.00
given is =Toot, that I am registered with the State Builder's Board, and also • Storm & Rain Drain 1st. 100' 30.00
have a State Plumbtng license that the numbers given are COrred, that all
plumbing work wig be done in accordance with applicable provisions of Ore- Storm 8 Fitin Drain Addit. 100' 15.00
gon Revised Statutes Chapters 4.47 and 693 and applicable codes and that Mobile Home Space • 25.00
. no help will be employed unless licensed under ORS 693. (It exempt from
State registration, please give reason below). Back Row Prevention
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HOMEOWNERS - I hereby certify that I am the owner of the property de-
Device or Anti-Pollution Device 7.50
embed above, at which location I propose to make a plumbing ktatalsOloci for Any T or w N
my own use and this property is not being constructed for sale, lease or rent Connected so a Fixture 7.50
Catch Basin 7.50
Insp. of Ex}st. Pltrribing 40.00 Per Hr.
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Specialty Requested Inspections 40.00 Per Hr. .
Rain Drain,
15.00
i ) Single Fam. Dwlg.
Allkif.ey Mal . 2 11 3 Ictcas.
t • • (ZED ' e • RE .. - Date
Describe work new 0 addition 0 alteration E:1 repair 0 - ..
1 _Si be done residential n non-residential 5Z1
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MINIMUM PERMIT FEE 2 5 . 00
Edging use of
bliAliding or Property . i SUB-TOTAL 2.S ap
• •.• . . • ule of 5% SURCHARGE 1 2-5 ,
...-._. orpeop
2 5% PLAN-REVIEW
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NOME _______
This permit becomes null and whit wort or construction authorized la not corn- . • TOTAL 2( ,2 6
minoad within 190 deyasx V oonsanictIon or work te tamp or abandoned for
• period of 180 dart at any time air work Is °omit...nose.
.1111•1601AL 00/40111C*48
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Date Issued by
INSPECTION NOTICE
City of Tigard Building Department .
' SW Hall Blvd. Tigard, Oregon 97223
Inspect idn Line e .ec -O -Phone : 639 -4175 Business Phone: 639 -4171
Inspection: 1 ___I f �_
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Poet /Beam Mech. Rain Drain
Insulation - Plumb.
Plbg. Underfloor 6-- .Water Line Gyp. Bd. -Mech.
r .+ Time: AM PM
Date Requested: � y,� (( �/��/� w�
Address: ; AP AO '� - / / ,✓d v w // Pe �C� 6
Builder: .f : d % �� /ii._ T J 70
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: / I Date-- - ?
j�( APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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- __Call - Call For__ ReinaP.- - —