Permit C ,
I F�
,_ ' " CQMMUIVITY 'DEVELOPMENTDEPARTMENT _ _
-131E6 ,SW HaII Slid. Tigard, Oregon, 97223■8199:';(503)'639 -4171, �' -� i� I ill r�'E FZI�I I' T
r„ PE,Rri T " T r°° o ';, ° r, 'PU19 s -0 J 9 • :
` . • ' 1.639 -4171' .. DATE I SLJED't 09/= �) /93J, .
I. - . PARCE.L 1 :151,3C
,EC-Iii 1V :11 _ 1
I TE "aDDRES 11747 1747 SW. '.PAC: I E I: .1-!!a": •
' SUBDIIVISI.Oi�l'° NG1.
CL i)S t''' ; WCRR { . P'_ .T'.'' ' . Gf�,RB�-1UF • D,ISPUSALS„ ° , 14LD,ILE 1-i0ME .;i-PfCE ,;';v
•.:Y= 'E "'OF`' 1ISk COM ` 'WASH I NIG MACH-'.. .. ° ° BACRF LOW. 'DE') R'q
RNT. ', 1
OECCJF'Ai CY '- - P. _ ; B�• FLOOR ^ D' R I1'••iv' - ° -. • TRIP - ° - - •
S T'CrPIESe `" = s i - WATER ER 1-1EAl ° ° • ' r - ,CATCI -I p.Rs ° ° o ; ° "
='F I .X �•URES - - -- • ' - -•: ' L'AUNDPY-' 'TP_f�YS� " � ° ° F: : S)= RAIN' D�,R )11 S : o ° _ ° ' ' -- ,
• 'SINKS. „ a ° •URINf-1LS..' _ ° • GREASE TRAPS. -.;.• _ , r I
; IES - 0 - THEIR '.xTURC u,' ,o . - - r ' ' .
'; �'` .`; IU,�= i /SHOWE'l: '.� : T.
EWER LINE ;'t'f=t'.);:o _ . '(,: • ' ' " „ • ''(•-,',',._::' '
,, E - AIT.« 'L3:�NE- (t•Ft)_ „ °. 13 � -.: ..
1 1::TGfa ' i�i:U"1+1 �_ 'W
: T RS :. ° ` -' ' : `RAI i'.I Dfdf - -.i i■I (=''t) Y. ° . ' i ., -
- ' " hs'a'. e pl;a�e , - la.neo NOTE 'ANY, WORK. DONE., IN 'PUBLIC RIGHT OF WIY• REO.UIR .
. ' A' "S l'7 NG. .F'ERNIT FROM 'II bra RD° ENGINEERING DEPT. I F
. CHEVRON : - . ' - .. • - t yOe .am'o.u!nt ' by • date r :e.ept .
. 7. 4'7. Sle'7 PAC I1= IC i-WY • PR, T $' 35° 0121 , 3'Fa, -.149 /�E9/93 -
. - • S ACT:, - 1.;75,.JH "I '9iti 9/93 -
1 :1-t -1RD• OR cj72_E2� -
Co;s �1 r' et o t' f! • ..--- •- '- •--- - _.-- _” - - - - -- -- --- _ - i t: ,. , _ . .
OF 'TEMPLE' CO - _' _ ' .' ',;�„ .
i951 -1:!W' OVERTON ST - ,_ . - :
r-'? 1'f Pl " # " • ` - 'S ' - .36..,75 'TO'TAL.. ' •
R e-!`_•::4 ,1.1 - ,.1 .,,,,!, - i i _
( • -- - -- PE QU I RED INSPECTIONS', - .-- - --- -- •
MIS . cel'ni 't 'is sued sub ect in the l'rt2!liat•ions contained in the Water Line. I n s l7 _ ,
,',H, , Tigard Mu?icralf,Ccde - -of Ore., Specialty CDdes -and all ,Other, .- FAnal Inspect ion' . .
apni cabin ?an5,'' 11ll'Wf7r'1{ will be done °`in accordance with _ ,
' aplroved.plan . Tri si pero - will exrire if ,Worlt is tot started . _ -_ -_ �-
:r Atha...' Ito Jaye 'Gi f 3ssu - ante. O -if .work 'l s susporded `o Elor -__ .. ,
i' t'lsan 8 days.
Perm E'' r1 S t I e Q S i., i� n'a �, a r^ . ' -' = . `' — • _ �� _. _ --
. ": : ,, : _:.: i , ' . , , : . .. ‘''' ' ..''' _.-
i " "
Call' for i nsper_ ' t i on 6 -4.,7, •
is ' ' " • • - _s•`` "'• ,'
/ av zG 9
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639 -4175 Business Phones 639 -4171
Inspection: PI (.UW 1 �0 I VlG(- LL. W €tr-U (C-Q,
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line �1 Gyp. Bd. -Mech.
Date Requested:
r C I - 2 + 2 ' / - 3 I ,� �n Time: AM PM
Address: 1 4 -7 , 6 4 --el- C ho `(. OW V r u{ipermit #:
Builder: b EM t° 1..0• J 2_2_ 7 - 2C o c 'f /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Age 4f
dip; 11111,
Inepectora Dater/ �1�
/�( APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
v \
Call For Reinsp.
p .. CITY OF TIGARD
PLUMBING PERMIT 13125 SW HALL BLVD.
P. O. BOX 23397
\ . Applicants must hold Oregon Registration to conduct a plumbin g TIGARD, OR 97223
business or must be property owner /operator not hiring outside help_ (503)639-4175
N :. • r P. . Iopmont
i i I _ • ' i � Plumbing Permit No.
/1'y .,� �, 7 ' O Oescripon
81n4- -21 -610 t]UAN. PRICE MAT -
Job Tax Lot . No.
Addre sa FIXTURES
Lot Block Subdivision Sink 7.50
Name (or name of busumes;) Lavatory 7.50
Tub or Tub/Shower Comb. 7.50
Mailing Ad&ess Shower Only - 7.50 1
Water Closet 730
Owner Guy /State ZP - —
Dishwasher 7.50
Phofle Garbage Disposal - 7.50
Washing Machine • -7.50
Name —
Floor Drain 7.50
.Ma sTeng Address Phone Water Heater _ - 7.50
Laundry Room Tray . _ 7.50 •
Occupant City /Slate ZP Urinal _ 730
Phone ' Other Fixtures (Specify) 730 •
/
II _7;7.-.26(41 7.50
`' . Phone 7.50
/ 957 � ; . z'z7-24tr 730 Zip Contractor Ctly /StQ !/ -
`/ 9 72-.0 % MISCELLANEOUS
/f �!'� City Bus- Tax No. Sewer 1st 100' 30.00
o f "✓ ` v Sewer - ea Ad�cL 100' 15.00
State BldE
¢s.oardNo- State S. lie. No.
(Resdendal) , Water Service 1st 100' /3o/ 20.00 'ZOO •
1 hereby ev
dwwiedQe that I have read this srpplicatlon. that the intormatan Water Service tea. Addit ' 15.00 J r t/r/
given is correct, that I am regis(eredvvith the State Buldees Board, and also ' Si & R Drain 1st. 100. 30.00 -
have a State Plumbing %cec se that the numbers given are correct. that all 15.00
plumbing work w co
ill be done in ecrdanoe with amicable provisions of Ore- Sloan & P_in Drain AddrL 100'
Qah Revised St atutesettripters 447 and 693 and applicable codes and that Mobr•y Home Space 25.00
no help wU be employed unless tioenaed under ORS 693. (U exempt from
State registration. 1 atton P reason below). 730
HOMEOWNERS - I hereby certify that I em the o Back Flaw Prevention
Device or
owner of the property de- iOr' Davies
sorbed above, at which Iocatlon I propose to make aplumbkng Inatsiadon for Any Trap or Waste Not •
my own use and this prape ty Is not being constructed for sale. lease or rent Connected to • Fixture 7.50
Catch Basin 7.50 •
knsp- of Exist. Plumbing _ 40.00 Per Hi. -_
• Specialty Impactions - 40.00 Per Hr.
• Rain Drain, - 1500
' i _ Single Fem. Dwlg. -
Describe wont new ❑ addition fu alteration repair
• be done residential II non -ne3 I ■ • .
MINIMUM PERMIT FEE 25.00
Existing buildfrip arty • SUB -TOTAL / QV •
of 5% SURCHARGE / 75
b orpioperty 25% PLAN REVIEW N /
NOTICE - TOTAL 3� ? �
This pea nut becomes nufl and void M work or ooinstrnnorton sutlnodted is not corn-
rrNnosd vA hln 100 demo( It oontuctlon or work is atwpandad or abandoned for .
period of 100 days d eny am. diner work is oomnisnoed.
arECLAL 00N0010NR -
Oslo issued by - - -•••— - --