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13110 SLS ASH DRIVE
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PLUMBING PERMIT
CITY OF T I GARD PERMIT . . . . . . : PLM96-01 78
COMMUNITY DEVELOPMENT DEPARTMENT DATA.` ISS#UED: V16/28/96
13125 MAI Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 1_'ARCEL: 2'1,310 2 C A—0 0 2 2 7
11--- l-4lJJ.;kL'1. . . . : 13110 'Z-)W ASH DIS:SUBDIVISION. . . . : VIEWCREST TERRACE ZONING: R--4. 5
BLUCK�.. . . . . . . . . . : LOI.. . . . . . . . .
(.'LASS OF WORK. . :ADD GARBA.-2- DISPOSALS. : 171 MOBILE HOME SPACES. 0
r'YPIE OF USE. . . . :SF� WASHING MACH. . . . . . ! 0 BACKFLOW PREVNTRS. . 0
OCCUIDANCY GRP. . : R3 FLOOR GRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . .. 0
STORIES. . . . . . . . . 0 Wf4'TER HEATERS. . . . . 0 CATCH BASINS. . . . . . . : 0
FIXTURES—------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . 0
:3 1 N".S. . .. . . . . . . . : 0 U R I NAL S. . . . . . . . . . . 0 GREASE TRAVIS. . . . . . . . 0
LAVIC4VOI'Tt.S. . . . . : 0 OTHER FIXTURES. . . . 0
I_UB/SHOAERS. . . . c 0 :SEWER LINE (ft ) . . . 0
WATLR ("LOSETS. . : 0 WATER LINE (ft ) . . . I
11 ISHWASHERS. . . , : 0 RAIN DRAIN ( ft ) . . . : 0
Peinar-J(s : Ins',alling water service
Owner-: FEES
JACK BLUM type amol-int by date v,ecpt
13'110 SW ASH DR PRMT E 210. 00 B 06/28/96 96--281123
SPC F $ 1. .0 S 01/28/96 9 6—2:1 a 1 1213
rIGARD OR 9782,23
Phone #:
''Ontr'actor'.-
')IJN!SE" PLUMSING/GARY LONG
, ()0 SW LANDAU
11GARD OR 97223
Pi-ione 50--l—ti,'45-49216. $ 31. 50 TO FAL
-.
Rep #. . 90529
REUUIRED INSPECTIONS
it,x.. permit is issued subject to the regulations contained it the Water^ Set-vice In
Tigard Municipai Code, State of Ore. Specalty Codes and ;w other Final Inspection
applicable laws. All work will be done in accovdance with
approved plans. TnIS permit will expire if wnrk is not started
within 180 days of issuance., or if work is er.sppndpd for more
thar 180 days.
i q n a
Per-mittee IJ I P : C.-n C/
Issi.ted By :
Call for inspection 639-4175
City of Tigard PLUMBING PERMIT APPLICATION Plarick/Rec. #
13125 SW Hall Blvd. Permit # T l`'Iio -
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
"""°'"`""°°""" New Single Family Residences Only
M""' 1_; 1 BATHHOUSE$140 00 ❑ 2 BATH HOUSE$195.00
.lob ) e k T ( ❑ 3 BATH HOUSE $225.00
Address n 1a.. Zip Fee includes all plumbing fixtures in the dwelling and the first 100 feet
_— `\(_ ►lj n Q of water service, sanitary sewer and storm sewer. See fees below.
— "'""""'""°'""""' FIXTURES QTY PRICE AMT
Sink 900
Lavatory _ 900
Owner Tub or Tub/Shower Comb, 9.00
Shower Only 900
Water Closet 9,00 j
Dishwasher 9.000
Garbage Disposal 9.00
Occupant Mw,,,2 •2Hi1 1 �.�. Washing Machine 9.00
I _)11(� �K \�(! Floor Drain 9.00
Water Heater 9.00
Laundry Room Tray 9.00
Urinal 900
) Other Fixtures (Speedy) 9.00
M.&V AAS'222 Phone --- - 9.00
Contractor
, Q b < 1 4 9.00
11 ,nnZIP9.00
Sewer 1 st 100' 30 00
3102 R N2. u"Bu. iv"° —�
Sewer -ea. Addit. 1C7 2500
Water Service 1st 10C 30.00 eft [
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 Ist 100' 30.00
1 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 r�
give reason below I Mobile I lome Space 25.00
Back Flow Prevention
Device _r Anti-Pollution Device 900
"" "° ""° qN'• Any Trap or Waste Not --
CC' t^F/tr Connected to a Fixture 9.00
Descrit5e work new addition alteration t repair Catch Basin 900
to be done residential j non4e idential Q Imjp 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 1500
Proposed use of
budding or property —__ residential backflow
L prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 59'a SURCHARGE l
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PI-AN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions -- --
__ Date issued _ by __—
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation afar Li Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: e- AM P.M.—_ En
Address: ..
Tenant: __.—_-----------_-_. — Ste:_ MST: -_--
BLIP:
Con/Own:_ _ —___— MEC:
PLM:
ELC: --�_____—__
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
i •'
I - -- -
Ins ector Date
APPROVED ^_DISAPPROVED/CALL FOR REINSP. CF CO