Permit i
CITY OF TIGARD .,./
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COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PLUMBING PERMIT
PERMIT * : PLM95 -0133
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639 -4171 DATE ISSUED: 07/05/95
PARCEL: 1S1260C- -01107
SITE ADDRESS...: 09633 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C -G r
BLOCK • LOT ° 66-61- 7-613 / '
CLASS OF WORK. ° :TEN GARBAGE DISPOSALS° ° : MOBILE HOME SPACES. :
TYPE OF USE. ° °° :CON WASHING MACH— ° ° ° °.: BACKFLOW PREVNTRS ° ° :1
OCCUPANCY GRIP ° :B2 FLOOR DRAINS °1 TRAPS
STORI ES. ° ° ° ° ° ° °: WATER HEATERS °1 CATCH BASINS °
FIXTURES - - LAUNDRY TRAYS ° SF RAIN DRAINS• °°°°:
SINKS °2 URINALS GREASE TRAPS. °° °°°°:
LAVATORIES OTHER FIXTURES '5
TUB /SHOWERS SEWER LINE (ft) °
WATER CLOSETS. °: WATER LINE (ft) °
DISHWASHERS RAIN DRAIN (ft ) °°°°:
Remarks: food court tenant
Owner : -. -- -• FEES --
STEPHANIE INC type amount by date recpt
610 SW ALDER *821 PRMT $ 90.00 SW 07/05/95 -
PLCK $ 22.50 SW 07/05/95 -
PORTLAND OR OR 97205 SPOT $ 4.50 SW 07/05/95 --
Phone #: 220 -01227
Contractor: -- -• - - --
MICHAEL NOLAN PLUMBING
10600 EVERGREEN DR #1
WILSONVILLE OR 97070 - - - --
Phone #: 685 -9153 $ 117.00 TOTAL
Reg ' ° .,: 78388
-. REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Top -out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection —
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not started
within IN days of issuance, or if work is suspended for core
than IN days.
vi....g/e.;
X _______
Perm it•tee Signature:
I s s u e d By 2 rJ ‘,_ �uA.X ----- - — —
Call for inspection - 639 -4175
City of Tigard PLUMBING PERMIT A - PLICATION Planck/Rec. # c=5- C9C
. 13/12d Hall Blvd. �, Permit # C 5' D I �� ��
Tigard, OR 97223 �° k, . r te) (A)6 9 S -02 41'
(503) 639 -4171 / 4f -? G ,(6'
Coo l 1 �)-1p i/ ,- } MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Name of Dembvmem New Single Family Residences Only
( c)asoc/N y 'LL_ 5-7 /204g_ koa' C �
^..e1e ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00
Job �� 33 ,it) Wao, d ❑ 3 BATH HOUSE $225.00
Address at za i Fee includes all plumbing fixtures in the dwelling and the first 100 feet
---- c l� ' ,.j,L� of water service, sanitary sewer and storm sewer. See fees below.
Name xer J f �+�f 1 -) FIXTURES QTY PRICE AMT
Sj� -e10t Q ,f4l.r✓ l AJ (' • Sink 9.00 f q
Melling �f G � Ph o n e Lavatory 9.00 I
Owner 4, /0 Sid Q kr e -e S'il Tub or Tub /Shower Comb. 9.00
C 1s Shower Only 9.00
��// q9'a� Water Closet 9.00
Nerve x« nerve a bunseef Dishwasher 9.00
‘7.------P----414/4/11-447 61---1(-7 Garbage Disposal 9.00
Occupant Meg o ,,,, Phone Washing Machine 9.00
T ��%y_ Floor Drain I 9.00 y
City /Sate DP Water Heater / 9.00 q
,------ / 0 ,. -e Laundry Room Tray 9.00
Name 14. � Urinal 9.00
11 ol(�•+ti ep /u u/ 9.00 q-,_,-- 6'6 Maanp / / / ,...� �� f ,n _{ t, 9.00
Contra or n O O _.0 'ti,/`7c( 9.00
�1��/ Day/State "v zw 9.00
b Sewer 1st 100' 30.00
01, 51.-A.-
� 5 state Repefratlon No. a u. Ten No. Sewer - ea. Addit. 100 25.00
0 Z, 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 ntreetors- Board -that the Storm & Rain Drain Addit. 100' 25.00
number-Oren-is-correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
L�!/ Device or Anti - Pollution Device / 9.00 j_l_
Spa o-ner « mat Date Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new )2r..._. 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
Specially Requested Inspections 40.00/hr
Existing use of
building or property 1-1/0(' ., Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of ��� �
building or property [ 6, *(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL qO � m '
PERMITS BECOME VOID IF WORK OR CONSTRUCTION ,, // jr.:,-- ��
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE `(•� 19/ C'�
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 II * • "
re PI; e-
Special Conditions -i�;
r �"
Date issued by `'
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 63• 1
r iii
Inspection: �isr;� i ,• Irt•. � g ._ J
/ w
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing umb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall p / _Gyp. Bd. - Elect.
Date Requested: 7 `0 l v Time: AM K p1�
v
Address: q6 33 (.(,) / 4 - S & . ?.. D -
Builder: - 74S — 306, o Permit #;�,/, 2
THE FOLLOWING CORRECTIONS ARE REQUIRED: c..,/ 33
-.IMINV.:a
Inspector: ± Date:
APPROVED DISAPPROVED APPROVED SUB E T TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING IPISIIIV ^•tIiON NOTICE ,
Inspection Line (Rec -O- Phone): 639 -4175 h Business Phone: 639 -41 NI
Inspection: 4 IL:,C: _ " ... 0 /
6I i 07
Footing Susp. Ceiling Sprink. Rough -in Ap /'d • I.
WO
Foundation Plbg. Underslab ech. Rough -in Firep ace
Post/Beam Struct. Plbg. Top Out El c. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas ine -:Idg. _SL
Plbg. Underfloor Rain Drain Frami
Alarm Water Line Insulatio -MecR5
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 7 120 (`j S Time: /v PM
Address: '6 3 3 W A- . S 0
Builder OL!U — a--9 (-- ( 9 ,?6 Permi . 2 : ... w .ar ' ZIC:' (
THE FOLLOWING CORRECTIONS ARE R QUIR ate. £, 7 .-- C l✓�C
( 7
ift. 95- 3 3 I gi / W_____ Inspector: Date: 7/2 O / 5
CAPPf16VED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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