Permit 4,,„‘ CITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2002 -00084
, DEVELOPMENT H B Tigard, ) 639 -4171 DATE ISSUED: 3/22/02
SITE ADDRESS: 12450 SW WALNUT ST PARCEL: 2S103BC -03900
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 2
OCCUPANCY GRP: R3 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: 655 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of (2) backflow preventers and 655' of private water service.
FEES
Owner:
Type By Date Amount Receipt
WINDWOOD CONSTRUCTION INC PRMT CTR 3/7/02 $249.30 27200200000
12655 SW NORTH DAKOTA ST SPOT CTR 3/7/02 $19.94 27200200000
TIGARD, OR 97223
Total $269.24
Phone 1: 503 - 625 -6526
Contractor:
MSI MECHANICAL SYSTEMS INC
21195 NW EVERGREEN PKWY STE 20
HILLSBORO, OR 97124 REQUIRED INSPECTIONS
Phone 1: 503 - 642 -1234 Water Service Insp Final Inspection
Water Service Insp
Reg #: LIC 00070032
PLM 34 -183 Water Service Insp
Water Service Insp
Water Service Insp
Water Service Insp
Water Service Insp
Water Service Insp
Water Service Insp
Water Service Insp
RP /Backflow Preventer
RP /Backflow Preventer
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All 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 Utility
Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080.
You ay obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issu By: - L�J Permittee Signature: '
Call (503)- • • -4175 by 7:00 P.M. for an inspection needed the next business day
•
: & By: HP Laser•Jet 3100; 407 321 6969; Feb-22- 02 S:SaAtv1; Page 2/3
FRCr : NEW I.jES'f CONSTRUCTORS FAX INC. : 503 977 292E Feb. 22 2002 09: 35A(1 P2
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Plumbing Permit Application ,1 I 1 . t 1 , r { s .
7
City of Tigard --- Da a Itllyived� o a Perm.' pro • ' Ffetoy�- :
r' <: Sewer perin5 no.; Banditti; permit nn.:
Address: 1 1125 S1 Bell Blvd, Tigard, OR 97223
Cni r,J' Phone. (503) 639.417 I Prejte appt. no : Expire date:
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Fax; S03) SOR - 1084 a Daw it hued' By: krcelrn In :
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1 & 2 family dwelling or saeansory 13 t•,ommtruiavinduao•ial O Multi -Willy 0 Tenant 'movement " ' 1J\ \
New construction 0 AddltiortlalteradmVreptacoment 0 Food service 0 Other. _
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1 v.111 ho made by m or the maintenance and repair math; by my regular a
rmployee
on rho propwty, I own of per ORS Chapter d47.
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