11375 SW 92ND AVENUE 1••
ADDRESS:
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TY OF , IGA RD
WYOFTW,40,
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW HWI Blvd. P.O.Box 23 W,Tigiud,Omgon 97223(503)M-4175
PLUMBING V4t'.'.RM I"T
Rtyl I r #. . . . . . . PLM9 2'
6 ,9-4111. DATE ' ISSUED " 07/23/92
SITE ADDRESS. . . : 11375 SW 9,-:'ND A V E PARC PL: t9l35DB-04bLt
SUBDIVISION. . . . : DOGWOOD RIDGGE ZONING- R-4. 5
BLOCK. . . . . .. . . . . : LOT. . . . . . . . . . . . . :5
--------------
CLAGS OF WORK. . :ALT GAR11AGE DISPOSALS. MOBILE HOME SPACES.
TYPE OF USE. . . . :SF WASi4ING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . : R3 PLOOR r-PAINS. . . . . . . .. TRAPS. . . . . . . . . . . . .. .
STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
LAUNDRY TRAYS, . . . . . : 9F RAIN DRAINS. . . . .
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . c DTHEt' ."T)(TURES. . . . . :
TUB/SHOWERS. . . . : 1 SEWER LINE (ft ) . . . .
WATER CL OSP-75. . : WATER LINE (ft ) . . . .
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Re Mat-k S 9
Owner— ------------------ FEES
GRETCHEN PF(;FFLE type -Amol-mt by date
1137"S 13W 92ND PRMT $ 25. 00 JH
55 P C I" $ 1. 25 JH
T16AT<[) DR 972,23
Phone # I
Conti-acturi
CHRISTIAN PI.-UMBING INC
2it-,91t.) SW ST'Af-PORD RD
I-Uf4L(-4TIN OR 97062
0hone 638-6231 $ f,. i,5 10-1 P41—
Re q 0. 40671
REUUIRED INSPECTIONS
This pervit is issued subjezt to the regulations contained in the Tap—ol.tt Inc;p
Tigard Municipal Code, State of Ore. Specialty Cedes and all other FinaT Inc-pection
applicable laws. All work will be Bore in accordance with
approved plans. This ce-vit oil] expire 'r work is not started
within 160 days of issuance, ------
or if we,-!, is suspended for tore
than IP@ days.
py -
r ,, 1, 1 4F— n=per k i on 6-n 9—41 75
A4SPECfION NOTICE
City of Tigard Building Departaent
13125 ns Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): TIL-,t
4175 Business -hone: 639-4171
Inspections —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Untirfloor Water Line Gyp. Rd. -Mach.
9 Date Requested: s/ T s AN P!f
Address. / •� %ZIJI Yas'm1 s-
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors ------ Dates
pROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
�T�
Call For Reinsp.
INSPECTION NOTICE /�'
City of Tigard Building Department / �'�
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-C -Phone): 639-4175 Business Phone: 639-4171
Inspection:__ _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam (tech. Rain Drain Insulation -Plumb.
Plbq. Underfloor ) Water Line Gyp. Bd. -Mech.
Date Requested: / % Time: AM PH
Address-• 7,5 ��' Permit !r/
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: `' Date: / �L
APPROVED DISAPPROVED APCROVF.D SUR.iF.CT TO ABOVR
�/f` Call For Reinnp.
INSPECTION NOTICE
City of. Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg1 Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line F1NAI:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Mec1: ,
Date Roquesteds r �/ TWe-t` !_AM __PM
Addresst
Ru.11der s -)
THE FOLLOWING CORRECTIONS ARE REQUIREDt
J
Inspectors. 000 Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinap.
CITY OF TICARD RF-CE.lrT OF r'AYMENT RECCE ip,r NO. :92-2r-.'9817
CHECI( f4MOlJNl s 26. 25
NAME s r-MPISTIAN PILAMBING COSH AMOUNT s 0. 00
SW STAFFORD PD VAYMENT DA 1"E s 07i23/92
SUBD I V I q 10111
TIJAL(ITIN, OR 97062—
URPTISE OF: V.,AYML--.NT AMOI INT PA 11) P,URPOSE OF PAYMENT AMOUNT PA 1
I.LJMDING VSRM 25. 00 ST. EAUILD PIER
G7
11375 WSW 92ND AVF
To,mt.. AMOUNT PAID 25
City of Tigprd PLUMBING PERMIT Planck/Rec. #
131'f5 sw Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
escnptlon
ORS 814-21-610 aTY PRICE AMT
J0l�,- �''3 Jj s�, 1� FIXTURES
Address UN - in 50
avatory .50
«» w^• u or Tub/Shower Com—7—
Shower Only 7.50 c-
kolm.v Adck« t— 4 Water Closet 50
Owner Dishwasher� �� � .50
•r,— ZIP Garbage Disposal
Washing Machine 7.50
•^ ^•^» •1 or rain 7.50
Water Heater 0
^o — PFry Hoorn I ray
Occupant Urinal 7.50
.y-u• LP Other Fixtures(Lpgci ) 7.50
M 7.50
_YZ-3/ 7.50
w11 —
Contractor ` /1t-/- I MISCELLANEOUS
OP
Sewnr 1st 100' 30.00
W •� Sewer-ea.Addit. 100' 15.00
'3 Water Service 1 st 100' 20.00
ere y ae ge that have rea Is application,that to Water Service ea.Addit. 200' 15.00
ow
information given is correct,that I am the owner or authorized agent of
the owner.that plans submitted are in compliance with State laws,that I Storm &Rain Drain 1st 100' 30.00
am registered with the Construction Contractors Board,that Jte number Storm & Rain Drain Addit. 100' _ 15.00
given is correct. (If exempt from State registration, please give reason
be w.) y/J_ Mobile Home Space 25.00
c oPrevention l/L Device or
Anti-Pollution Device 7.50
,r +°•^• ° —�-+-- Any Trap or Wasto Not
Connected to a Fixture 7.50
.121oscribe work new addition alteration 0 repair 0 CatchBasin 7.50
to be done residential O non-residential O 40.00
Insp. of Exist. Plumbing per hr
40.00
Specially Requested Inspections per hr
Existing use of Rain Drain, sing g ami y
building or property _ dwelling 15.00
Residential backflow prevention —
devices 15.00
�- Proposed use of
`n building or property
'(Except resT entiFl backflow
.. prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL I
co
PERMITS BECOME VOI^IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 1
CONCTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 2596 OF SUBTOTAL
COMt1AENCED.
TOTAL
Spectral Conditions
Date issued by
A✓PIUMRPMT
�°RfnunM.