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]INSPECTION NOTICE
city of Tigard Building Departtaont � /
13125 SR Ball. Blvd. Tigard,
Oregon 97223 ✓ y � �+ 1
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639 .4171y
Inspection: '-
5 x
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Footing Plbg Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
� 3
; + •
Post/Beam Mech. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Kanter Line Gyp. Bd. -Mach.
Date Requested! F I L� I TieMt zPH * •
Address:_ �f:�� Permit ftl77 LIy'1jlI/' Lv723
Builder:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:. / _�_. Date: /—
f DISAPPRr,VED - APPROVED IIUBJHrT TO ABOVE
Cs.l For Reinap.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.91V (503)638-4171 PLUMBING PERMIT
PERMIT #. . . . . . . : PLM94--002-
41 7:L DATES ISSUE=D: 02/07/94
PARCEL.: `S 1. 1 1 DB-0840Q1
SITE ADDRESS. . . : 15370 SW OAKTIEE LN
SUBU I i)T S I ON. • . . : SOMME RF I ELD NO. 10 ZONING- R-7
BLOCK. LOT. . • . . . . . . . . . . :545
CLASS^OF- WORK. . :ADD-----�GARDAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 �
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES---_-- -- - LAUNDRY 'TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . o
LAVATORIE=S., . . . . : OTHER FIXTURES. . . . . :
fUB/SHOWER£;. . . . : SEWER LINE (ft ) . . . . :
WATER CL.OSE'TS. . : WATER LINE. (ft ) . . . . :
DISHWASHERS. . . . : RAIN DR DIN (ft ) . . . . :
Relnarl<s : LICENSED PLUMBER TO INSTALL BACKFLOW DEVICE.
Owner: __ _ _-__ .__.__ ---__-_--- FEES
MARY L;!UINL'Y �-_._.__.____._____.__---- tYPr' amol_1nt by date recpt
15370 SW OAKT'REE LN PRMT $ 15. 00 JH 02/07/94 -
SPCT $ 0. 7"_-i JH 02/07/94
T I GARD OR 97223
'hone #: 6 0-5616
Cont Tact or:
SHAWN 'SELL_
12085 SW 135TH, #50
CARD CSR 97223
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Phone 41 : 524--5153 $ 1 5. 75 TOTAL
Reg #. . a 6017
--------- - REQUIRED INSPECTIONS
._.---•.._._-.--
This permit is issued subject to the regulations contained it the RP/Backflow F-rev
Tigard Municipal Code, State of Are. Specialty Codes and all ether Final Inspection
applicable laws. All work will be done in accordance with —
approved plaas. This permit will expire if work is not started
within 198 days of issuance, or i' work is suspended for morethan 180 days. — -------- -'
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Perm i t t e e S i gnat 1.1 r e :
Cal for inspection - 639--•4175
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City of Tigard PLUMBING FIERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
�- -cr a�: esrnpUon Z L,I /'1 G� ORS 814-21.610 QTYELRICE AMT
Job O jL•v ,✓e C- (,orrE' FIXTURES r
Address Sink _. -
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u or a I ower om _
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Cl v- ^ LA.I'VI I
(,20 5 1 f lower my-- _ _ •
¢y� Water Closet
Owner -awre c+s r?bove-
�IsFiw`asTier '�
ageIspvS •
50
Washing Machine
wi.
rain
ater eater
— aun ry oom ray
Occupant nna 7.50 {
-Zvi,r„---- er IX1Ure5 pec
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I� Hs- S , C MISCELLANEOUS
Contractor - —
I 712.3 west
Ill ----�- sewer ea.
{,rnpp ica ig Water rvice s` ��6'--- -
i;pi�i y i iw'�edge U a ave reams Is on,-that 15e�- Water Service ea. Addit. 200' 15.0 -
trtonrwr n given is corn rct,that I am the owner or authorized agent of Storm g Rain Drain 1st 100' 30.00
Pie own, that olans s,,omitted are in compliance with State laws,that 1
am reg.dared vwh the Construction Contractor's Board,that the number Storm& Rain Drain Addit. 100' 15.00
givrm is cortect. (J exempt from State registration, please give reason - 25 00
below) Mobile Home Space - _-
c - Bevio3 or reventwn
Devica or Anti-Pollution Device 7.50
II // ny rap or as
1 it /rn��4.�I��� -, r'✓r,'yG i.Jr� S 5 r r rr 1 Connected to a Fixtures- 7.50
-N-scribe new mac dltlon alte�abon U repair Catch Basin
to be done residential Ip non-residential 0
Insp.of Exist.Plumbing per hr
s Spe`Jly Requested Inspectious per hr
Existing use of _TFrain, r.InT al-ml-„iy`---
buiHing or property -____ d•ieiling 15.00 _-
es nna nc'K ww plevenhon
devices 15.00
Proposed use of -
building or property.____ _
ceprosr enba ac o�
prevention devices)
NOTICE *Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION s96 SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
C014SIRUCTION OR WORK IS SUSPENDED OR ABANDONED PLAN REVIEW 25%OF SUBTOTAL
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS -
COMMENCED.
TOTAL
Special Conditions
Date issued by
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