9245 SW 69TH AVENUE-1 t
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-- 9245 SIV 96W AVENUE _--
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INSPECTION NOTICE
City of Tigard Building Department
P,O Box 23397
Tigard, Oregon 97223
Phone: 639-417
Type of Inspection
Date Requested
� / rime—1
—1 ` A. -P.M.
Address 7_!e' --'Lc L� --L-=/�%. Per
Owner Lot
Builder jV —
The following Building Code deficiencies are required to be corrected-,
Presented to _ Approved
nspector -- U Disapproved
Date —
CALL FOR REINSPECTION
(- YEi O NO
JIRFU
INSPECTION NOTICE
City of Tigard Bwiding Department
P.O. Box
Tigard, Oregonon 97 97223
Phone: 639-4175
Type of (nape on
Date quested�� _ Time A.M. P.M.
Address _ G 0 � Permit #
Owner _ [ Lot #,/
Builder
The following Building Code deficiencies are required to be correcte :�
Presented to _ Approved
Inspector r -� ❑ Disapproved
Ya r
Date
CALL FOR REINSPECTION
13 Y18 Cl NO
W WIWI Ws W jW
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection � --
Date Requested �Z in Time A.M. P.M.
Address J [ ``,L Permit #
Owner _. / --------- 2 Lot
'#
Builder --L
---_ �
The following Building Code deficiencies are required tfi'be bo rested:
- r s
F,—,-
Presented to _._ ❑ Approved
Inspector � . _ ] Disapproved
Date t r
CALL FOR REINSPECTION
,�_YES 0 NO
[IN I
CIIYOFTIFARD PLUMBING PERMIT
PERMIT NO. : P189261.2
c7�TM.PMT.NO.
(
COMMUNITY DEVELOPMENT DEPARTMF`'T E ISSUED: 12/ 7/99
13125 S.W.Hall Blvd..P O.Box 23397,T)gard.Oregon 97223,(503)6' 5 892612 �
JOB ADDRESS: 92451 SW 69TH AVE
TAX MAR/LOT SUR: LT: BK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORM. CLASS: ADDITION WATER CLOSET 1 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW F'RVNTR
CONST.TYPE: VN L. AVORATORY 2 TRAP PRIMED
OCCUP,GRP'. : R3 TUB SHOWER 1 GREASE TRAPS
DISHWASHER
GARBAGE DISPOSAL
NO.STORIES: WASHING MACHINE
DWELL..UNIT S: LAUNDRY TRAY BL_DG.DRAIN (DIA
FLOOR DRAIN 1
SINK SEWER (FT)
WATER HEATER STORM/RAIN (FT
OTHER I
REMARKS:
Remodel and addition
Cher is Jacuzzi
FEES: — -- ---- ----- --..I
0 Tomasovic Bob PERMIT $45..00
W 9245 SW 69th Ave
E Tigard OR 97223 FIXTURES
R PHONE (503) 293-6241 STATE TAX 40.25
OTHER
p MORLAN GEORGE
N MORLAN PLUMBING APPLIANCE
R 5529 SE FOSTER RD
C POR'0,AND OR 97286
T
R REGISTRATION`NO. 2734 __— TOTAL: $47.25
RECEIPT NO.
This permit is Issued subject to the regulations contained in Title 14 --------------------
of
________________.__of the TMC. State of Oregon Specialty Codes.zoning regulations REUUIRE.D INSPECTIONS
and all other applicable codes and ordinances. and It Is hereby P40* 01 /sK u2.2
agreed that the work will be done in accordance with the plans and ROUGH-I N
specifications and In compliance with all applicable codes and
ordonances The Issuance of this permit does not waive restrictive PLII.TOPOUT
covenants Contractor and subcontractors shall have current city F INAL
business tax permits This permit will expire and become null and
void If work is not started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be We responsibility of the permittee to assure
all acquired insncwons are requested and approved
i
Permittee Signature+
CALL FOR INSPECTION 639-4175
Issued By
tPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
13125 SW BALL, BLVD.PLUMBING PERMIT' P. o. BOX 23397
Applicants must hold Oregc n Registration to conduct a plumbing T I GARD, OR 9'12 2 3
busine,s or must be property ow ner/operator not hiring outside licit). 5 03 J 639--4175
1 Name of Devek><xnent 7 2
Plumbing Permit No��
Ar dcrsss - Doi3cnpbon _
ORS 814-21-010 DUAN. PRICE AMT.
Job Tau lot - Map.No. -Address FIXTURES
FIXTURES
tnt Block Sut)divlsbn - ------ "
Sink 7.50
-� Name or name rsuwys lavatory -- �- 7.50
S 0 0I T,rb or Tub/Showe(Comb 7.50
Mailing Address 1,-I\ ShowerOnty -� 7.50 7.S C)
Owner Clay/Statezip WaterClosel I - 7.50 7.SCJ
✓,(. Dishwasher 7.50
Phone Garbage Dispor is 7.50
W' '335- 147tif- _
Washing Machine _ 750
Floor Drain Y!_ 7.50 -
�drTress Inocula Watrsr Healer -_ - 7.50 _
Occupant (State Laundry Room Tray _- 7.50
Urinal 7.50 _
Name Phone Other Fixtures(Specify) 7.50
C) �; i'�d �� ,� -7-7! -IiYS 7.50
Ui ress 1 Ytona 7.50
Contractor City/Slate -- ZIP _ - _ - i 7.50
MISCELLANEOUS
-- City Bus Tax No. Sewer 1 st 100' 30.00
Mate s.Eirier3No. .,tele n.Lic.No Sewer•ea.AA01.1(10'-- 15.04)
(Resdential) Watm Service est 100' 20.00
I h►reby acknowledge a ret 1 h► ,read(hie application.that the kTlormation `!Water ServikA ea.AdditX0 15.00 --
given is torrent.that I am rt)7Wwod with the Stats Builder's Board.and also Storm d Rain Drain 1 Ill.100' 30.00
Rave a State Plumbing lk:xx that the numbers given are caned,that all -
plumtwV work wA be done in w)cordarxvo with,pp6cebfe pcovisioris of Ore Storm 6 P:}n Drain Addit.100' 15.00
grin Rernsed Statutes Chapers 447 and 693 and applicable codes and that Mobile Horne Spare 25.00
no►soli)-111 be employed unless Ikxwteed under ORS C43 (It exerro from ------ -
State registration,please give reason below). Badu Flow Prevention
I"AF-OWNf_tTS-I hereby certify that I ern the owner of the propmty do- Device or Anti-PoUionDevice 7.50
scrt)ed above.a1 which location 1 pnVose b make a plumbing linstelletlon kx Any Trap m Warne Not
my own use and this p""tty In rwA being oortstnKW for tale.base rx re,M Ctxwwcfed to a Fiuhrre 7.50
Calm Bask, 7.50
kap.of EjMt.Plur"bing 40.00 Per Nr
Spedally_Rer»stedlnspocd-u _-_ 40.00 Pot Ht.
_--- - Abu of Plunbing wftt*l
an EA**V ITktg 15.00 min.
AUTIKNTIZED SIGNATURE -- ---- - OnM N4ew Bldg.or Build.Aldit)n 26.00 n*%
sh r4le fans 1
[)6ecritM work now[-] addition U afteration N rLpisif U dwelling- 15•00
_!q be done rosidential _ non-reeldentI310 "-
Fxismnq euro of
tx/iMVol fxopmtv__ (I"t SUES-TOTAL 5.
INTweed uee of , 5% SURCHARGE
IRilkIng tx
PLAN REVIEW
NOTICE
Ttiia Pwty*boxw"es null and void fl wrxk or oonstrtrdkxn outiodrod Is not corn) TOTAL q 1a25
rtlarnpaQ wAQTh1 100 dayr xw w onratnix*m or work I•sd»panfad or stMndonod kv
a pes"I M 1w0 days M arty WTw~worts U ocrnrwa'w*d
"CiiA1-(X110(1KW8_..
0atrt lit-u+td .. _.... . by ---- _
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