11960 SW KING GEORGE DRIVE-1 111110 11 IN 0
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CITY OFTIGARD BUILDING INSPECTION NOTYC"
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Inspection lino (Rec O Phone): 639-4175 Business Phone: 639-4171
Inspe-'ion.
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Footing Sus Celin S rink. Rough-in A rr.dwlko a #« �
P• 9 P 9 PP
Foundation Plbg, Underslab Mach. Rough-in Fireplace
tt `4
Post/Beam Struci. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rall Drain Frarnkig Plumb.
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Y( tVlf/ti's 6N Y�"
Alarm Water Line Insulation -Mech. � ,, �t y}
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Under-fir. Insul• Shear Wall Gyp. Bd. -Elect.
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Date Requested: I rl Time: AM PM
Address
Builder: C Permit #:
THE FOLLOWING CORREC-IONS ARE REQUIRED:
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pectof�(� 1�- --- Date
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
PLUMBING PERMIT
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CITY OF T I GARD DATE PERMIT I SSUEIJ: . 01/22.1966-00013
1/22.1966-000£l
COMMUNITY DEV-21-OPMENT DEPARTMENT
13128 8W Hall Blvd.Tigard,Oregon 07223.8108 (603)330.4171 PARCEL: 27:31 10C A--03200
SITE AnDRE> . . 11960 SW KING GEORGE DR
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MfIB I LE HOME SPACES. : 0^`
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . -R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . Q,
STORIES. . . . . . . . : 0 WATER HEA1 ERS. . . „ .. : L7! C'ATE'H BASINS. . . . . . . : N
`4 FIXTURES..__.---•----•--•-- LAUNDRY TRAYS. . . . . : 0 GF RAIN DRAINS. . . . . : 0
JSINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 f:,,7EASE_ TRAPS_, . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURE_ . . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . 0
WATER CLOSETS. . . 0 WATE.R L I NC (-F-t ) . . . 2 0
DISHWASHERS. . . . t 0 RAIN DRAIN (f t ) . . . : 0
■
t lZemarl< : inst,allinri water- service and biiWkf'low m-evention de�vic.e
Owner.
VIRGINIA BLADHOLAM tvpe -amo'.,nt by dAte r^ecr4)t
11960 SW KING GEORGE PRMT 45. 00 S 01/2 '/96 KING CITY
'•_PCT 4p 2. i:25 S 01/24=/96 KING CITY
KING CITY OR 972;:.4
Phone # ii
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Contract or.
1
MODERN PL_U1,1BING
11. 120 SW INDUESTRIAI_ s1AY
1
l'IJAL.ATIN OR
1='I-rnne ##: 61)1 -61 ,f, $ 47. 215 'TOTAL
Req ##. . : 87906 i
_._.__._....._ REUU I RE,D INSPECTIONS —______
This oernit is issued subject to the regulations contained in the WGiter• Large InFW
Tivard M,nicipal Cade, State of Ore. Spzcialty Codes and all other Water-, Sery i r_r-r In
Mlir_atl" laws. All work will be done in eccor•dance with RF=1/S Ac--kf;.crw Pr-ev
aogroved plans. This pertit will axpire if work is not started Final Inspect ion
within 183 days of issuance, or if work is suspended for• tore
than 180 days.
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(ler^m i t t e e ;-;i great im e
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Call fo•f- a;,sr?eut ion — 639--4175
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FEB-08-'00 WO 00:44 ID: FAX NO: q@7.3 PN1 '`� •
Post-It'"brand fax transmittal memo.- «o+ves,es► �'
3,;
City of Tigard P.L,MBING PERMCo. -- co m C
13125 SW Hall Blvd. - -
part+, Phone M
Tigard, OR 97223 _
(503) 639-4171 Ferc a f_« —
711.
r' w..d r..«.m. Now s!n
gts�_Famlly Reeldencee Only
Ad*- ' BATH MOUSE$140 00 ❑ 2 BATH HOUSE$190.00
Job �1 �/ Cl 3 BATH HOUSE$225.00
Address r� rL Fee includes all plumbtrg flutums in the dwening and the first 100 feet
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7.20 ai water servlm, sanitary sewer and storm sewer. See fees below. I
w..r«...R w ' IfiYTURF4 QTIr PRICF Aliff I
Sink 9.00 11
w.wr '•R: Lavatory . _-9.00
Owner Tub or I ub/Sho*or Comb. 9,00
Shower Only 9.00 a
Water ClnsM 9.00
Dishwasher 0.00
Garbage Disposal 0.00
Occupant ,,...-�-. — t.-° -- Washing Machine 9,00
Floor Drain 900—
U
a�vaw: ce Water Hearer 900
Laundry Room Tray
Urinal 9.00
n I
Other Fixtures !Specify) 'i W _�
�..... �• ___� 9.00
Contmewr
i3 [ 3 -1 A.00
1 ra,IM.1. * 9.00
s -
ewer tatw.00
CIV 0.7.W. Sewer-ea. Addit. 100'
791 L r— sem`V Water Service 1st 100' � � 30.00 '
I hereby acknowledge thai I have read this aWication, that the Water Service on, Addil. 200' 25 00
tnformatinn given in correO, that I am the owner or authorized agent of
Me owner, that plans Rern ^. ^__r
ubmitted I :piinnna with State laws, that Stomr &Rain Drain lot 100' 30.00
I om mgistered with the Censtructlop -,intractvr's Board, that the Stnnn &Rein Drain Addlt. 100' 2600
number gluon Is eorreet (if siampt from State registration, please -
give reason below) Mobite Home Spnca 25.00
-T` Back Flaw r'rrrvention
Device or Antt-Pollution Device
on. Any Trap or Waste Not
Connected to a Fixture
Describe work new ditien Q attarafion (D Catch Basin 9.00 r
to be done residential 2�`t[( non-rasldential 0 Insp nf Exist Plumbing 40.00rhr t
Specially R"uested Inspecllans 40.00/hr
EvIsting use of
Rain Drain, Bingle family dwelling 30.00
building or oroperty ----.— �- —
Residential backflow prevention
devices 15.00
Proposed koko of
building or property __-
-(Ercer+r residential bacJrflow
p►ersndon dwlce�)
NOTICE 'Minimum Fee $26.00 SUBTOTAL ys
PERMITS BECOME VOID IF WORK OR CONSTRUCTION - v
R
RCHAGE
AUTHORIZED IS NOT COMMEtJCED WITHIN 1130 DAYS, OR IF 6% SUr �
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -
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FOR A PERIOD OF 190 DAYS AT ANY TIME ArrER WORK IS
COMMENCFD PLAN REVIEW 25% OF SUBTOTALqr
TOTAL ).'=� (i
6peClal Cendlrlana __._---_-------__-__ -•- -,�
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