8990 SW PINEBROOK STREET 8990 SW PINEBROOK STREET
A
L
61
N
N
1J
V
0
0
N
4
N
C
Ln
a
Ln
O
Oh
co
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone: 639.4171
(Type of Inspection — —
Date Requested_ ti,:�t� Time
�i A.M.---_--P.M. I
Address 9�✓ –d« � � ` Permit #.�J _�
Owner- - --- ---- ,— Lot # _
Builder
The following Building Code eficiencies are required to be corrected:
-- - v
Presented to — l- Approvec!
Inspector
—------ ❑ bisapprc red
Date
CALL FOR REINSPECTION
YES Ca NO !
CITY OF TIGARD Plumbing Permit
Building Department
Residential L1.11 Commercial
New Installation El Replace [I Addition U Alteration
Date Z,
-icensed
Plumber I ilk t�', 4'..t Owner !;v .11
Address
Job Address J YQ 4f1 ('L't-i F_
Phone ------ Applicant Q
CITY BUSINESS LICENSE RCOUIREr-,FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM ,NO. FEEE TOTAL ITEM P10. FEE TOTAL
Fixtures-Traps 7.50 Sewer.First 100 ft, 30.00
Dishwasher 7,50Each Addit. 100 0, 15.00
Garbage Disposal
.50 Ejector Pump 750
Water Heater 7.50 Water:First 100 ft.
Backflow Prevqnter 1 7.50 Each Addit.200 ft, 15.00
Storm&Rain Dram:First 100 ft. _ 0.00
Each Addit.200 ft. 15.00
7" Mobile Home Space__ 25.00
Other(Specify): Rain Drain-Si;ic 15.00
ple Fam.Dwelling
r sac. Comments:PERMIT FEE
STATE Is,-,ued By: --I t-A
Receipt No. Applicant bl4tf.10
TOTAL SIgnaturs
For Plumbing Inspection Phone 639-4171
i
ICITY OF TIGARD Plumbjrq Pamnt It
Building Deparfii.e NO.
Residentia _ 0ommercial ❑
New Installation [] Replace [J A66,,ion [] Alteration U Date
ilicensed
Plumber .o Lr-614 - _--_----__-.�_ Owner �T_ �_ _--___--_-------_-- k
Address l`l7cp(tJ x,17,ec R_k-- -- ----- - Job Address_ `" S 6-
Phone ._ ------- --- Applicant Eli D_ V3-�(_3.0n, s�� f
CITY BUSINESS LICENSE REQU!aEC,FOH ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEE TOTAL ITEM _ - NO. FEE TOTAL
Fixtures-Traps 7.50_ Sewer:First 100 ft. 30.00
Dishwasher _ 7.50 I EachAddit.1009._ _ 15.00 --
Garbage Disposal - 7.50- Ejecto•Pump - 7.50 -
Water Nsater 7.50 I 'Nater:First 100 ft. 20.0_0 _- -
Backflow Preventer 7.50 Each Addit,200 ft. - 15.00
IS11 I r pa A.o 15 Storm&Rain Drain:First 100 ft. -- - 30_00 r
( _— Each Addit.200 ft. _ 15.00 --
__-+_ -- Mobile Home Space 25.00
Other(Specify) - — Rain Drain-Single Fam.Dwelling 1500
PERMIT FEE 1.15 o` Comments: -----____— -.__----_------------ ---__��__ ---
&0 Issued By:
STATE % -_-_-- -_- __
Receipt No.
TOTAL J- 15 &61
— _ Signature
For Plumbing Inspection Phone 639-4171
r
Addre4s�' �0 P'.n.r�_ _ Permit
Name of nccnpant Permit charge 2- 1_
Connection fee •�SAO
Paid by
---------�_._ ---- — ----- Date connected
Type of Building Inspection fee__/O
Servile Rate,_ Paid by . ).Date
Contractor .. Assessment--- ---- - _Paid
Size of connection '¢ _
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 1046 DATE
PFRMIT IS GIVEN 7 7 r �•/ t {i� c ... /y, ,
OF
TO CONNECT A fc'. r.«_;?`�"T—_- T.- r • �'�✓ I�[art �! r.A A_
TO THE QYSTEM OV TIGARD SANITARY DISTRICT
ATJ
THIS PERMIT MU3T BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADI' AND INSPECTION OF CONNECTION NAS BEEN COM-
1'LETED.
PERMIT FEE PAID I... ............................T►t',IRD SANITARY DISTRirT
y^. By
CONNECTION INSPECTED AND APPROVE?ID
Date Superintendent
i
�. "�_ac rho..
10 1 . VI YN.
O
d _
Mr Flow
• Nw�(3
a (T1f P)
w
C3
►f wt Ir.....
I l r l� r T1. s.rry Nlr 41111W1 .
Square Tom
Itr.r Flow
1/11 o I holttout 0000 cai �;►k ><4 .� L p6.1C
.'Z-P►•rT Mat C/i
�C� Nrh r..i r►Iv M fJti J StG6 AC r
8 rc� nni h.lwfuvh uS��r•q �uq ��'�� �_ra�te_I''
tori ntl.r
D/rrer.oUa1 &Noor i1r Dl..d Ta1.0
`/T D.11.r val.
1• Ih11�1
yl• ...I.t..
y1. 1 lie T WittWre Oas.••r
Toa IIMN �DyMo Ulm OD COLL&AL 11D OW so cQuar tw yh• I v►• f
7/N t 1/r .
{ -- —_r1/t• A► ►«t •ler r.r omisiq
1711• Ilhlon
.�st.04hr1 t.r.t ?Whigs of Now
—
M
Floor Dl MQUw1 _ Ur cam,Wits yt• wtll Moo ima'ul►la.
Ii}. D/ra.tlr
An1A'fRafs Ospp17 .;
}h' vote Mlwr
Jilt r.w to son" Tr Ira.r D.esaro (►rrW-t! Y
-
ons rales to utir Tea :rotor. Dha.or (t>v)
OIr(ar�Nlaf tahr�.tat
Iraw1 vl•llrr y4te•
-.--.-..—to Dl FAreot l V boo4or s Toss 10 uv
------to Owls
W Uhl DlAlo MA 'T* Y &MLS