9930 SW WALNUT STREET i
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i:\records\micreflm\targets\building.doc
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CITYOFTIFARD TMRD
COMMUNITY DEVELOPMENT DEPARTMENT 0"GON
13126 SW Fill Blvd. P.O.Hoot 23397.Tfpiud,Oregon 97223(603)839.4176
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PLUMBING PERMIT
PERMIT ##. . . . . . . : PLM91-019c:
639-4171 DATE ISSU1,'D: 10/22/91
SITE ADDRESS. . . : 09930 SW WA(..NUT ST PAPCCL.: 2S 11U;eBD-•111210111
aUSDIVISION. . . . : NORTH TIGARDVILLE ADDITION ZONING: C-S
BLOCK. . .. . . . . . . . . LOT, . . . . . . . . . . . . . ?,f.
CLASra OP' WORK. . :ALT GARBAGE D I SPOSALS. . : MOBILE [COME 91-DACES.
TYPE OF USE. . . . -COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . ;
OCC-UPAN,:Y GJRP. . :B2 FLOOR DRV)INS. . . . . . . . TRAPf3. . . . . . . . . . . . . . .
STURIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . ;
t._AUl"DRY TRAY S. . . . . . : SF= RAIN DR')INS. . .. . .
SINKS. . . . . . . . . . : 1URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FTXTUREG. . . . . :
TUB/SHOWE:RS. . . . : SEWER t_INE (ft ) . . . . -
WATER
ft ) . . . . :WATER CLOSETS. . : WATUR LING (ft ) . . . . : [111111
DISHWASHERS. . . . : RAIN DRAIN
Remar^kG : REIDLACE. WATEP 1_1 NE.
Owner-.: FEES
WAL19UT STREET GROCERY type amol_Int by date r ec rt
993C1 SW WALNUT ST PRMT $ 2`... 00 JLH 10/22/91 -
SPCT $ 1. ,=0 JLH 10/22/91
TIGARD OR 97223
Plhone 0-
Cantr-ac:tcrr:
HON STEIN PI.-UMB I NG7
AKA HOME SERVICES INC
3323 S11 MILWAUKIE. AVE:
PORTLAND OR 977202
Phone 4- 2:.,,_ -39--7 $ 26. TOTAL
Rey #. .. - 5f,002
---- --- REC?U I RED I NSPE:CT I ONS
This persit is issued subjr to the reeulatiols contained in the Top---or_1t Insp
Tiqard Mum,cipal Code. Sta.e of Ore. Specialty Codes and all other Final Inspection
applicable laws. h'P work will be done in accordance with
appvoved pians. This permit will expire if work is not started
within 192 days of issuance, or if work is suspended for sore ��
than 192 drys.
Issi.lpd By .
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Ca11 for :nlspection - 639-4175
lf-: I*Y OF' TIGARD RI-CEir.1'r OF PAYMENT RECT I PT 140. 91--r:1 Be b,
CHECK AMOUNT a 2.6. ab
NAME, t a HOME GE RV ICE-, INC CASH AMOUNT 0. 00
ADDRE9S 33R3 t3E MILWAUKIE AVE PAYMEN'r wrt a i k)
t Wf "'I ON
-kDTVIlS
PORTI-T)ND, OR 970,A2.—
PURPOSE' OF= PAYMENT AMOUNT PO 11) PURPOSE OF PAYMEWf AMOUN,r PAID
r}LUMPTNC7 2 . 00 ST. BUILD PER I. ts
'39,30 SW WALNUT
10-fAl. AMOUNT PAID 26. 25
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CITY OF TIGARD
P1,UM BI NG PERMIT 13125 3W HALL BLVD.
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P. O. BOX 23397
Awlicants must hold Oregon Reglst,ation tc .w+dt.la a plumbing TIGARD, OR 97223
business or must be property owner/op^rata,"hiring outside I•elp. (503)639-4175
Name of ?erves0txneM -
Plumbing Permit No. _
AddrRss - i?escnption
Job ORS 814-21810 - QUAN. PRICE AMT.
Tax lot Map.Na
Address FIXTURES
UA Block S(A6vWM rink 7.50
ems «name 7 l�ra/ory - 7.50 _
1 ,14 Tub or Tub/Shower Comb. 7.50
ass ShnwerONy 7.50
�_
Owner W&WOoset - 7.50
� � ._ __
7 C !ishw--_
f'-► - 7.50
�✓/'-~ Phone Garbage Disposal �- 7.50 -_
- Namewastwv Machine ..7.50
J KU L _ ( Fbor(kain 7.5:1
xg e s Water Beater 7.50
9 1 - S Ws �') t aurylrY Room Tray- _ 7.50
Occupant City/State tz Zip Urinal 7.50
Otho Fkyxes(Specify) 7.50
( 7.50
Address .F 7.50
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ContrectoCItylstate _ 7
G� MfSCEtIANEOUS
City er Sue.Tax No. ----
.'iCw1st 100' 30.00
tl S• rJ l�_ r ---- -
�(\ tate s. to s :res_Addit-100' 15.00
(Resden6aQ Vlaw se.vice1st100' 20.00 U
I hereby acloawledge that 1 he"read this appiiaetlon.that the Intormafbn %rafer se rvioe erg Ad w2ff -
4rvan is con ect.Oat 1 am registered with b1e.`Mate&uikWs Board,and also r ions flan Drain 1 at 100' ` :30.00
have a State PkanbkV Iioense that are nlmltrerm given are coned.that a1I -- -
pkm ming work will be done in a000rdw"with appiiceble provisions of Oro- 'Morin i Pyn Drain Adds.I W 15.00
gon Revised Statutes Chapters 447 arxl 693 and appedble codes ar i r:%M Moban Home Spam e'S.00
no help wffl be employed unless Noemed under ORS 601.(11 exernyA from - �-
State registration.ploase give reason below'). Barb Flo Pnwention
HUMEOWNGRS-1 hereby r"f*Out t am the owner of die property de Oevioe«Ar1ti4'bpulipn Device r-50 --
sa abed above,of wh*�h location 1 propose to maks a pkxmAng knte kation lo• Arty Trap or Waste Nat
M own use and this tx�b not berg cors ffirled for sats,lease Of rent Conrar]ed to a Foetus 7.50
Catch Bash 7.50
40.nO Per Hr.
Requested Inspections - -'40.00 Per Nr.
-- --,-- _ Ahm of PIumbing wftt*l
an IJ is"Bldg. 15.00 min.
AllZEO It3AATIJ11E Date Now Bldg-«&M.Addttlon 250)min. -
}= r, �. I C,-I/� �0 1 1 I-� I [kait� a fartlil
1?eacxd)e worts now❑ addition o alteration❑ rePslr r� 15.00 --
12 be rkxle -- residentialo non-reeiderrtial� -
w ExWiV use of
-' tx/Ildklp o protxltty__1. t CS nein 9 0 a"-'__4 $25.00 minimum SUB-TOTAL c
u"of 58 SURCHARGE '
btA orpwperty - --- 258 PLAN REVIEW
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Tt*rAmr*bsoonwe null wvd s old 11 work or oonatrucrl on sullvdied Is 114100(11 --- ----- - TOTAL ,
Menood w101kh Ilia do".w M oxutnudlon or wok 1.obtponded or ab ndoned for
a period of 180 days of any dine aKr wok to oon "oiwx*d-
WECIAL O)/f0(TlOfts---"------._ -
Do" issued T _ by --
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INSPECTION NOTICE 1
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Ling (Rec-O-Phone): 639-4175 Business Phone: 639-41.71
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Poet/Beam Struct. San. Sews.' F:-aming -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plb3. U.:derfloor Water Li a Cyp. Bd. -Mech.
NKDate Requested: f z-L,L-_ Time: ---AN � PM
Address• 1 � — Permit 1 ,I
THIS FOLLOWING CORRECTIONS ARE REQUIRED:
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InspectofAPPROV'ED
Date:DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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