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15565 SW 109TH AVENUE e ADDRESS I l09 VA Mak i Lon J a� w. co LL! J I:V(,cc rd,microflm\targetsltjuildioq.d(x PLUMBTNG PERMIT CiTY OF TIGARD DATE T ISSUED: + 1 ] /02 /955 -033 25 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall 81M. ..pard,O egan 9722368199 (503)839-4171 PARCEL: P51 10DD•-1..-,,'r00 `1TE ADDRESS. . . :. 11565 SW 109TH AVF_: AUPDIVISIOA. . . . : SUMMERFIE"LD 110. 14 ZONING: R-7 3LOCK. . . . . . . . . . . LOT. ... . . . . . 7 . . . . :704 _._.._.._-__•-_•___--_.--.._._.__.-_._.._.--__._.--__,_-_.---•_---_----__ --__-_---••-_- --_--_•L-_•--------_.__.____. :LASS OF WORK. . :ALT GAPPAG1 DISPOSALS. : 0 MOBILE HOME SPACES. : 0 I YPE OF USE. . . . :SF WASHING MACH. . . . . . : el )BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . 1 0 TRAPS. . . . . . . . . . . . . . . 0 ;TORIEL. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 'FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 5F RATN DRAINS- - : it s3INKS. . . . . . . . . . . 0 URINALS. . . . . . . .. . . . .. 0 GREASE TF'APS. . . . . . . . 0 LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUB/S !OW R;. . . . : 0 SEWER LINT' (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 1:1 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . Q1 Remarks : Install water heater Uwrner ______.__._.___-_._-___--___ _.__-- Ft"ES JOHN ALKIRE type amount by date recpe 15565 SW 109TH P R M T $ 2-5. 00 JSD 11/02/95 95 272431 SPCT $ 1. 25 JSD 11/02/95 95-272431 TIGARD OR Phone #: Contractor: ---------_-______.___--_.-_.--..._- - --- tall_ WEST PLUMB DBA/BOMAR INC `=;8.35 LANGFORD LN ..AKE OSWEGO OR 9703.4 r-h o n e #: 62:'0-0217 $ 2,6. 25 TOTAL Rer. #. . : 83717 REQUIRED INSPECTIONS ---- This permit is issued subject to the regulations contained in the Ihi E.0 Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire 0 work is not started with.r 180 days of issuance, or if work is suspended for more +han 180 days. `r. Permittee Signature > fssi.ted Call for inspection - 6.39--4175 _J CITY OF TIGARD BUILUiNG INSPECTION NOTICE �)� Inspection Line (Rec-O-Phone): b39-4175 Business Phone: 639-4171 Inspection-_ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Bearn Mech, San. Sewer Gas Line -Bldg. Plbg. Underfloor R,rn Drain Framing -Plumb Alarm Water Line Insulation -Merh. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Data ;Hequeste/d: 7 ? Time:XAM PM Addre! Buildvr: ly U C� ( � Permit #: ,j D x..301—` THE FOLLOWING CORRECTIONS ARE REQUIRED: J -- cc ti. rn 111 J Ins actor: PPROVED DISAPPROVED APPF'OVED SUBJECT TO ABOVE —Call For Reinsp. I kll 1 I"• ltl*II ILH•II '1,., . ' hIF•ihll-: 3 ill_ I.. l•11-.'�C I 'I ,UIYIr:t [1`•11, 1 t I ,I I I tf'1t i!•.II�I 3 i�1. 1,1�;� !iw I til If iL, 111 11 11t1'i! Ili )1(111. 3 ) I ; tl [..111';C!: II!illl•.L,1) Itl+ ',111+1�1 '•' i '� t.,thl „ 1-11-1 fit )Sf. l:l1 PA 1.11 1.1 I I lhll11 IN I I It I I I.I !'1 1!'1'(1'-,I 1 11 I 't i I I U Id t 111+II III I ['I L«1111AJMI. J C�] C.7 LL) _J 1 C+1 i•il.. S�M� N_IN �••i•I.l :I , �'t,„ c':�+ City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + S' SL .CHARGE New Single Famil. R-PSiden Ls Only .lob `i.'S � ; �� �`�l� ❑ 1 BATH HOUSE $140.00 C1x 2 BATH HOUSE 25.00 � : �� O 3 BATH HOUSE $225.00 Address COMM. ar -- Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sanitary sewer and storm sewer. E:e fees below. ""'"�°'"""°°'a"•""� FIXTURES QTY PRICE AMT Sink 9.00 M""°Ad'... "10"• Lavatory 9,0 Owner At Tub r Tub/Shower Comb. _ J.00 c"r si.i. ro Shower Only 9.00 • /r'»,+J•�P� ^� �� �s',,�• Water Closet 9.00 — "."» rush%.--her 9.00 garbage Disposal 9.00 ` Occupant o - Ph•... 'Washing Machine 900 Floor Drain 9.00 G"iSi1i ^ Water Heater 9.00e U Laundry Room Tray 9.01 "•m• — Urinal _ 9.00 `L- /.y $ 7 :.(4*.*^, Other Fixtures (Specify) 9.00 "e'"°A"u "'"" 9.00 Cont:actor r ► = i.1 �I. _ Y 4.0G CMylSl.l. j� 1 /'�f• i rA•'r•" "-� l .� Sewer 1 st 1 n0' 30.00 SIM.N.MR."d,"0 CNV en T-N. Sewer-ea. Addit. 100' 25.00 -'• , Water Service 1st 100' 30.00 r.% - _ I hereby acknowledge that I have read this appl;.ation, that the Water Service ea Addit. 200' 25.00 information given is correct, that I am the owner or authcrized agent of — the owne•, that plans .submitted are in compliance with S ate laws, that S'orm &Rain Drain 1st 100' 30.00 1 am registered with the Constiuction Contractor's Board, 'hat the Storm &Rain Drain Audit. 10J 25.00 number given is --orrect. (If exempt from State registration please - — ,,t;*e ason beloN ) " Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Devi.;e 900 •"•" °^•"'�'"" — °i'• Any Trap or Waste Not Connected to a Fixture 900 Describe work new addition O alteration repair QI Catch Basin 9.00 to be done residential Q non-residential Q I Insp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing use of building or property Rain Drain, single family dwelling 3000 t/1 Residential backflow prevention devices 1500 t— Proposed use of J buildino or property _ (6rcnpt residential back Row m c� _ prevention devices) w J NOTICE *Minimum Fe a $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK ON CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DA`r3, OR IF 5% SURCHARGE 7 1 CONSTRUCTION OR WORK IS SUSF_NDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT AN( TIME AFTER WORK IS COMMENCED PLAN REVIEW 25% OF SUBTOTAL TOTAL Special Conditions Date issued —by