8000 SW BOND STREET ADDRESS:
sewd sirex-7 -
i\records\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspoction Line (Rec-O-Phone): 639-41 ZS Business Phone: 639-4171
Inspection: _ +11,(
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation P!bg. Underslab Mach. Rough-in Fireplace
Post/Roam StrUCt. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:, -2 C) — '/ Time:_)�AM PM
Address:
Builder. _Pi ri q5-- CbSz
THE FOLLOWING CORRECTIONS AF: REQUIRED:
Iris actor: Date:
PROVED __DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Rainsp.
CITY' OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171
PLUMPING PERMIT
PERMIT #. . . . . . . : PLM95--0050
E�.•339-4171 DATE. ISSUED: 03/ 17/95
PARCEL: 25112CC-04900
-3I TE ADDRESS— ' 08000 SW BOND ST
iUNDIVISION. . . . : ZONING: R-12
1LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
(.'LASS OF WORK. . : RE P GAR13AGE: DISPOSALS. . : MOBILE- HOME. SPACLS. :
r'YPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
JCLU4 ANLY GRP. FLOOR DRAINS. . . . . . . A TRAPS. . . . . . . . . . . . . . ..
i (.1f11E5. . . . . . . . : WATER HEATERS. . . . . . : CATCH E-PSINS. . . . . . . :
LAUNDRY TRAYS. . . . . . a SF RAID( DRA104S. . . . . :
;1 NXS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TPAPS. . . . . . . a
_AVATORiES. . . . . . OTHER FIX"IURES. . . . . : 1
UB/SHOWERS. . . . : SLWE:R LINE (ft ) . . . . :
WF.•TER CLOSETS. . : WATH-R i_INE (ft ) . . . . .
DISHWASHERS. . . . : RAIN DRAIN (ft) . . . . :
temarks : RF_PAIR OF WATER MAIN
,Jwner: --_..._____.__.____ -_____._________._____.__.__._.,-----__.___ _.,_ .___. FEES
13RAU JUHNSON type amoi.rnt by date 1^ecpt:
06000 6W BUND S f REEI PRM'1 $ 25. 00 JDA 03/17/95
bpcl- $ 1. 215 JDA 03/ 17/9 -
1IGARD OR 97224
i'horre #:
4:ont tact ur.
RESCUL RO(ITER
1717 SW NIMBUS
BEAVERf'ON OR 97006
!)hone #: c'43•- 1 1 7L_ > `r,. 25 1'(.)TAI_
,4e y #. . 44677
REUU I RED INSPECTIONS
!nit permit is issued subject to the regulations contained in the FJnal lnapection
Tigard Municipal Code, State of Ore. Specialty Codes and all other _
app.ucable laws. All Mork will be done in accordance with __,_� ___._.__._._. —._._�. _�-----.---•-----•-----
approved plans. This permit will :xpire if work is not started
Kithir i89 days of issuance, or if wlrk is suspended for more
than 108 days.
i e r-rn i.t t e e Ei i g „ ..
Issued E.1y :
Call for- inspection - 639-4175
City at Tigard PLUMBING PERMIT APPLICATIPN Planck/Rec. #
312: SW Hall Blvd. Permit #
•Tigard, J 1 y7223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
=1 "/? Naw 3lnole-Femile Resldencaa Ong
Joh
.Sf .r ❑ 1 HATH HOUSE$140.00 ❑ 2 BATH HOUSE$195 00
❑ 3 BATH HOUSE.$225.00
Add-ass ^xr+sen. n► Fee incliwas all plumbing bdures in the dwelling and the first 10U feet
of water service, sanitary sewer and storm sewer. See fees below.
r
"""'°"^'"'•r FIXTURES OTY PRICE AMT
Sink _ 900-
M ^• Ph- Lavatory 9.00
Yter Tub or Tub/Shower Comb. 9.00
_► Shower Only 9.00
Water Closet 9.00
i- "r^•�� ^r"�"•••' �! Dishwashers 9.00
Garbage Disposal 9.00
OccuN„ntw..o,,,�,„• fiM.. WasMng Machine 9.00
Floor Drain 9.00
C*Wft'• rk i Water Heater 9.00
Laundry Room Troy 9.00
"•^�, Urinal 9.00
Other Fixtures (Specify) 9.00
M•� - 9.55
Contractor ! � ''Q,��41�_.�y�' ' 0
'er- 9.00
CAWSHM zb 9.00
Sewer 1st 100' 30.00
"• d."""^"° ��c�r s. r..r« Sewer-ea. Addlt. 100' 25.00
�j 77 Water Service 1st 100' M 30.00
I hereby acknowledge that I have reed this application, that the Water Service as. Addit. 200' 25.00
information given is correct, that I am the owner or authorizer) agent of
the owner, that plans submitted are in compliance with State laws, that Storm 6 Rain Drain 1st 100' 3000
1 am registered with the Construction Contractor's Board, that the Storm S Rain Drain Addit 100' 25.00
number given is correct. (If exempt from State registration, please - ---
give reason below.) Mobile Horne Space 25.00
Beck Flow Prevention
Device or Anti-Pollution Device 9.00
`�•^••I-.•OW) °"• _ Any Trap or Waste I lot
Connected to a Fixturb 9.00
Describe work new O ad ltlon U alteration O repair Catch Basin 9.00
to be done residential non-residential 0 Insp. of Exist. Plumbing 40 00/hr
Specialty Requested in.:vections 40.00Avr
Existing use of ' p - - -
building or property ►r l�)�/ /�U-� Rain Drain, singe family chvelling 30.00
Residential backtlow prevention
devices 15.00
Proposed use of
building or property `��(� -
- -" -�- •(Krcept resldonNsl backt9ow
prevention devices)
NOTICE *Minimum Fee $26.00 SUBTOTAL Z(�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% QF SUPTC'T'Al -- --
TOTAL
Special Conditions
Date tsnued by
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. a95—e63044
CHECK AMOUNT 26. 25
NAME RESCUE ROOTER CASH AMOUNT 0. 00
ADDRESS PAYMENT DATE 03/17/95
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PLUMBING PERM 25. 00 ST. AUILD PFR
j8000 SW BOND STREET
TOTAL. AMOUNT PAID 26. 25