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TxGARD� OR SUBDIVISION
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Ta rAl-_ AMOUNT PAID _. �.
CITY OF TIGARD
CQMMUNITY DEVELOPMENT DEPAR-rMENT
13125 SW Hall Blvd.Tlgwd,Onopon 07223.8199 (1-03)839-4171
PLUMBING PERMIT
PERMIT #. . . . . . . r PLN194--0107,,
6 �9-41 1 DATE ISSUED: 05/11/94
2
14
PARCEL:. c51 1 1 DB._010llIIi
SITE ADDRESS. . . : 15:.80 SW ALDERBROOK CIR
' SUBDIVISION. . . . : SUMMERFIELD NO. 8 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :430
------------------------------------------------
CLASS OF' WGRI:. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . BACKFLOW PREVNTRS. . 11
OCCUPANCY GRP. . R3 FLOOR DRAINS. . . . . . . : 1-RAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . : WA"(ER HEATERS. . . . . . . CATCH
FIXTURES-------------- LAUNDRY TRAYS. . . . . . : S!= RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINPLS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE. (ft ) . . . . :
WnTER CLOSETcc;. . : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : INSTALLING A BACK FLOW PREVENTION DEVICE
Owner: -------------------------------------------- --------- FEES
W MC/Ci18E type amol_Int by date recpt
tti38(0 SW ALDERBROOK CR PRMT t 15. 00 HLT 05/11/94
5PCI I 0. 75 BLT 05/11/94
IILARD UR 97224
Phone #:
Contractor: -------------------------------
OWNER
---- ------------------------------
Phone #: f 15. 75 TOTAL
Reg
------ - REQUIRED INSPECTIONS - - —
This perrit is Issued subject to the regulations contained in the ?op—ol.lt 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. Thi. per@it will expire if work is not started
within 180 days of issuance, or if work is suspended for @ore
than l8P days. _
P e r m i t t:e e S i g n a t 1.I r e :
sued By :
Call for inspection — 639-4175
city -s Jr-ar'+ ' PLUMBING PERMIT Planck/Rec. # _
11-111-15 F,'N Hall Biv i,
.01 APPLICATION Permit #
Figard. OR 97?"3 �£
(50,"!'1 .",K-4171
pts«;
ORS 914.21 610 �OrY PRICE _AMT
i
7;t r-iXT1JRES
vatcxy ---- —7.
ub or I u ower Gom,.
ower --- --
• �— �—
Water Closell ,
Owner ' 3Dea�/ ---
r ge nspo�' S
—
FfoorFain
Water Heater
- u n 1iTay
� —73
Occupant n��---- --- —
-' - tSFier Fixtures pea -
7.150
«. ter--- --- ----`—
Contractor — __—_-_ MISCELLANEOUS
9-ewer I st
wer-ea. t. —i36 fi -
ater Service s-1 1 100'
TT*-ery j-)717ui owl a gave read 11iis aptca an, die-- Water Serge ea. Addit.200' 15.00
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 I Storm h Rain Drain 1st 100 :10.00
am registered with the Cons.iuction Contractor's Board,that the numbor Storm S Rain Drain Addit. 100' 15.00
given is correct. (If exempt from State registration, please give reason
b44ow.) Mobile Home Space 25.00
Back Flow Prevention
Device or Ant Pollution Dewce 7.50
nyrap-T or Wasto-NoT--- --
Connected to a Fixture 7.50
�esat'f-ie wor now-Uadd[i'an 13aTterahonv-impair U -Gatch asrn W� ,
to be done residential Q non-residential Q -
Insp.of Exist Plumbing per hr
Spedally R•aques,,d Inspections per hr
Existing use of Aam�raTn, sin 1eT,v
e 'yt----
building or property _ — dwelling 15.00
s ntm T yk w r••,,;entron —._-- _--
o -'s 15.00
Proposed use of -- ---- -- -
building or property _
t Xee; s�fr�6ack77jw - - - —
p. c. 7 devkes)
NOTICE •Minimur i,=..e S25.fQ SUHTOTA1 $ (J v
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5.1.SURCHARGE '� r
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF --_- -
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED PLAN REVIEW 2R%OF SUBTOTAL
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED
TOTAL
- — _ Date issued by
kW"-UMW r
INSPECTION porl'CE
city or Tigard Building Depart:re_••F -
13125 90 Bali Blvd. Tigard, Oregon 97223
Inspection Line (Rec-Cl-Phone): 639-4175 Business Phone: 639-4171
i
Inspections --
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top 01. _ Gas Line FINAL-
Post/Beam rcrust. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mesh.
Date Roquested: / lD �� Lass ----AM pp
Add reaa:���V/ /?/car br11� C,t.Pesioi �s / �;�` oa 1�
Builders
TME FOLLOW CORUMIONS ARM RNMIREDz
i
I
I
Inspector: iDates
APPROVED _ _ nISAPPP(rMD APPROVED 9U9JECT TO ABOVE
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call For Reinep.