11800 SW 113TH PLACE-1 i
ADDRESS:
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PLUMBING PERMIT
CITY OF TIGARD DATF1TISSUE=D: . 1L,/13/y9`'.....k>,CF L
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 07223.8199 (503)830.4171 1-'AR(7EI._.: 1 S 134DC -0` 600
:.�11L.. 11,4 L; )RF_SS. . . : i1800 SW 113"111 1->L
SUBDIVISION. . . . : MUTTLF_YS ADDITION ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1.9
CLASS OF WORK. . :ALT GARBAGE D I aPOSALS. : rn MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . 0 BACKFLOW PREVNTRS. . : 0
OCCI.PONCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . ID
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH PASINS. . . . . . . : 0
FJXTURF_S-----------_-__.- LAUNDRY I-RAYS. . . . . : 0 SF= RrAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 'JRINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . . : 0 OTHER FIXTURIZ5. . . . : ID
TUB/SHOT*ERS. . . : 0 SEWER LINE (ft ) . . . -. 0
WATER C'_OSETS. . : 0 WATFP LINE ( ,`t ) . . . : ID
D I 5HWASHE RS. . . . : 0 RAIN DRAIN (ft ) . . . : rD
Remar14s . Install water I-ieater•
Owner.: __..._._._._----_--•----.------._.____._____-----__._...._._._________- FEES
BRANT type ainc r.lnt by date recpt
11800 SW 113-FH PL PRMT $ 25. 00 JSD 12/13/95 95-27363 6
5F'(-'T 1. .'S .JSD 12/1-3/95 95-27382'
T I(:TARP.. OR 972=23--3959
Phone #: 968--6767
COLUMBIP HEATING
PO BOX 23.0397
T I GARD OR 97281
Phone #: 6:_4-2'7rD4 $ 26. 25 TOTAL
Req #. . . 76359
------- REQUIRED INSPECTIONS - ----- -
This peroit is issued sub iect to the regulations contained in the Misr. Intipectian _._�,.•.._._, _ _
Tigard Municipal Code, State of Orr, Specialty C^des and all other Final Inspection
applicable laws. All work will be done in accordar,: with __�_ _ ____ __ _• „_
aper-ved plans. This peroit will expire if worr. is not started
within 180 u.,vs of issuance., or if work is suspended for eorr
than 180 days.
Call for. inspect ion - 639--4175
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phorn;: F39-4175 Business Phone: 639-4171
Inspection: W ( �" _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Strict. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumh.
Alarm Water Line Insulation -Mech.
Ljiderflr. Instil. Shear Wall Gyp. Bd. -Elect.
Date Requested: _� �� & Time: AM PM
Address: / 1 Y�C� / f L A0��'
Builder: -4 70� _-PermitTHE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: �� Date
S��PPROVED DISAPPROVED __APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
INSPECTION NOTI,-'E
City of Tigard Bu'.lding Depart Ant
13125 911 Sail Blvd. Tigard, Oreq,a 97223
Inspection Line (Rec-WPhone): 639-41'15 Business Phonet 639-4171
Inspection: __ IA 1/) "y L,"—t
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwl.?t
Foand. Plbg. Top Out Cas Line
Post/Beam Ftruct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.)
Plbg. Underfloor Water Line J / Gyp. Bd. -Meeh
-) 1 �1 y
Date Requestedt1� �,�) —TZ
AM � PN
1
Address: P iti� L �•
THE FOLI.OiIING OORR9cTI0N6 ARE REQUIRED:
SnaFwr.t-o[: ----------- -- - - --- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rcinsp.
CA t OF I Iol.110) - 11. 1 111 L1111011- Nl f41 (:I 11-1 1 HI(I.
NAME : ('331-AlMrt f(4 I-W.141 I(' G (INO
I lull)14F.-St, 0 CIT)OL)PI114 INC VII y 14 Pj I I I I
891?IA !N VAI]IINVIC'M SJ #I-.1, I.0 IAJBU IV I i IN
I J IA W1 1 IN 4 7 P,'3---
ONIA 11\4 1 14411) 1 It IN It it J 1 11- [,(-Jypll W f Iml A IIA I I,If 11)
PLUMB INO PERM it.. tAsA " I - Will 1 111 p
I
If It PAJ!,
City o` Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # T �:
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Single Family Residences Only
L7 1 BATH HOUSE$140.00 E 2 BATH HOUSE$195.00
Ob 7 0 3 BATH HOUSE$225.00
Address _wm.4 Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer See fees below.
�— "•^tet« "go�s"'"Ni ? FIXTURES QTY PRICE AMT
b��pd q' -(?'70 Sok 9.00
M.a aM... Lavatory 9.00
Owner • -) � U��• ba
Tub or Tub/Shower Comb. 9.00
C" e► Shower Only 9.00
fi j h L .-c7 Water Closet 9.00
N.-It^•m•0^•••••••t Ll Dishwasher 9.00
i Garbage Disposal 9 00
Occupant „,• "•, vn«• — Warhing Machine 9.00
Floor Drain 9.011
C"Y'Swe s" Water Heater 9.00
Lau- y Room Tray 9.010
N. . L al 9.00
( '1 T,1 / Other Fixtures (Specify) 9.00
..""'•'`"d- °""'• 9.00
Contractor �
9.00
�"rYmN• zip _ 9.00
Sew�r 1 st 100' _ 30.00
�'H•n „lean''• C"+'Mo.T••w Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
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 Storm & Rain Drain 1st 100' 3000
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please --
give reason below.) Mobile Home Space 25.00
r r Back Flow Prevention
1, _ Device or Anti-Pollution Device 9.00
-•r•�• ^•^^M•y^� a'• Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new () addition alteration O repair O Catch Basin 9.00
to be done residential Q non-residential O Insp of Exist. Plumbing 40 00/hr
Specially Requested Inspections 40,001hr
Existing use of -
w building or property Rain Drain, single rami'i dwelling 3000
00
rz Residential backfluw prevention
F--
N devices 15.00
Proposed use of
budding or property
•� '� - - '(Except residential backflow
CAO L prevention devices)
c7
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BEG"'A"VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS t OT COMMENCED WITHIN 180 DAYS, OR IF 51/10 SURCHARGE f .
CONSTRUCTION Or' WORK IS SUFPENDEn OR ABANDONED
FOR A PERIOD OF 1i 0 DAYS AT ANY TIME AFTER WOFK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions
Date issued by
emw
C11YOFTIVARD
C17y0 TMRD
COMMUNITY DEVELOPMENT DEPARTMENT 01110011111t
13126 SW Hell Blvd. P.O.Box 23397,Tigeml,Oregon 97223(603)M4176 7
PLUMBING PERMIT
PERMIT #. . . . . . . : P1.1192-00/'
639-4171 DATE ISSUED: 06/02/92
STTE ADDRE�39. . . 1180121 SW 113TIA PIL PARCEL. IS134DC--05600
SURD IVISIC),' . . . : MUT-1-LEYS ADDITION ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 19
------------------------------------------------------------------------------------------
-LASS OF WORK. . :qDD GARBAGE D I SP,OGALS. MOB-LI-E 1-40ME SPP(J7_79.
'TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW F-10F.VNTRS. . : 1
"JCCUP,AI\JCY GRP. . : R3 F 7 LOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . .
STORIES— . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . . . . .
1374UNDRY TRAYS. . . . . . : SF PAIN DRAINS. . . . .
114K S. . . . . . . . . . URINALS. .. . . . . . . . . . . : GREASE TRAPS. . . . . . .
LAVI-iTORIES. . . . . . OTHER F I X TURES.
IUN./SHDW'–ZRS. . . . SEWER LINE (ft ) . . . . :
WATER CLOSETS..: WATER LINE ( ft) . . . . :
DISHWASHERS- -- RAIN DRAIN ( Ft ) . . . . a
Remarks SPRINKLER SYSTEM
k0wn e r-: ————--————--——————————————---——————---- FEES
JACK CROWELL type amount by date r,ec:pt
1180121 SW 113TH PIL DRMT $ 15. 410 JLH 06/02/92 —
FjPCT $ 0. -15 JLH 06/0;.-2/9a –
IGAF D OR 9722-*3s
i-'hone #:
Cont ractor:
3RE.GORY LAW LANDSCAPE
5400 SW ioqT'H
IJGARV OR 97224
1=1i(jnv #: 639-0968 $ 15. 75 TOTAL
5299
REUUIRED I NSPLCI IONS
Tnis permit is issued subject to the rentilations coi,taired in the Top—OLlf. ItISD
Tigard Munic;pal Code, State of Ore. Specialty Codr; ani all other Final Inspertion
applicable laws. All work will be done in accordance with
ADaroved plans. This permit will expi-e if work is not started
oithin IN days of issuance, or if work is suspended for more
than 180 days.
P-r,m i t t e e S,i qnat 1.n-e
u e d 12Ay
Call fov- inspection 639-4175
CITY OF T I CARD - RFCE 11",T CIF PAYMENT REC•E"I F''T NO. ;92.
CHSCK AMOUNT fi 1'�;, 75
1AW. I-OW, GREGORY LANDSC AIA-'E GASH AMOUNT r 0. 00
Il1Z}Ri--'SS . 1,5400 SW 1091"H PAYMENT DATE : O9;R
SUPDIVIS1014
1 I GARY, OR 9'7:::24--
LJHPUSE OF PnYMEN-f AMOUNT F'OID PURPOSE Cl�: PAYMENT AMOUNT V'AID
LU NG PERM 15. 00 ST. PUILD PER
c.
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C ROWEl_L
11800 SW I13TH F'l_.
TOTAL. AMOUNT PAID _ } 1 Vii. 75
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 sw Hall Bird. APPLICATION Permit At _
FO Box 23397
Tigard, OR 97223 �, 13�� 1_ — — 0
(503) 639-4171 _
.m. op• oscnpnon
ORS 614-21-610 OTY PRICE AMT
Job �/ �c / /�,� �46f FIXTURES
Address ■» Siiifc 7.50
_ — ,� -✓lam 7.50
,x
� Zj/�� S Lavatory
(oA Tub or Tub/Shower Gomb.
ShowerOnry7.50
A,".« h— Water Icset 7.50
Owner ,/nom 5w�x 7.50
7.50
.. DID Garbage Disposad _
Washing fv:achine 7.50
.m. 1—) Floor Drain 7.50
f ator HDater 7.�0
..• Laundry Roo ray
ro7.50
cupan( Urinal 7.50
-+r �• .w tier ixture' .50
7.50
7.�j0
Zip MISCELLANEOUS —
Contractor .,,, ru
("4 674 '17Z� viewer 1st 100 30.00
r—.�. .r. w Sewer-ea.Addit. 100 15.00
.52 9 F ater,.erme 1st 100' 20.00
7TF_)r_@7y_acknowIedgo that I have read is application,t at 7e Water Service ea. Addit. 200' 15.(X)
information given is correct, that I am the owner c_authorized agent of
the owner, that plans submitted are in compliance with State laws, that I Storm 8 Rain Drain 1st 100' ?J.00
am registered with the Constrwtion Contractor's Board,that the number Storm b Rain Drain Addit. 100' i 5.00
given is correct. (If exempt from State registration, please give reason
Mobile Home Space 25.(xi
below.)
Back ow Prevention
Device or Anti-Pollution Devic* 7.50
17
. ^. . Any rap or Waste of
Connected!o a Fixture 7.50
e, work new a -itiori a terabon repauCatch Basin 7.50
to be done residential Q non-re-idential Q 4000
Insp. of Exist. PlumNig per hr
—_ 40.00
Specially Requested Inspections per hr
Exis6rki use of aInrain, ung a amfy
building or Property dwelling 15.00
;yPlesidential backflow prevention
R devices 15.00
rj Proposed use of
> building or property
►- ( xcop►residential beckflow
J prevention devices)
m
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK,OR CONSTRUCTION
5%SURCHARGE 7
AUTHORIZED IS NOT COMMENCED WITHIN 18u^AYS,OR IF — -- -
CONSTRUCTION OR WORK IS SUSPENDED OR A2,INDONED PLAN REVIEW 25%OF SUBTOTPI_
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTEV WORK IS _
COMMENCED
TOTAL `
Special Conditions -
Da,e issued by _ --
w.a uuavui