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CITY OF TIGARI,- �
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DRAWING IS LESS CLEAR THAN
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• SW 114TH AVENUE
iWHIM
IN5P--CTION NOTICE
City of Tigard Building Department
P.O. Box. 2' 197 I�
Tigard, Oregon 97223
Phone: 639-4175
- -��
Type of Inspection
Date Requested _�L-�-� �/ Time_____ A -
cT�� Permit #
Address ---
Lot #.
Owner
Builder
The following Building Code deficiencies are requir.d to be corrected:
Presented to - -- - //« Approved
Inspector Disapproved
Date —4L2--2:-
CALL
- L2--2 CALL FOR REINSPECTION
YES ❑ NO
PLUMBING PERMIT
CITYOFTIGARD
PERMIT NO. : PL892505
CITYOFTM
TE ISSUED: 11/22/39
COMMUNITY DEVELOPMENT DEPARTMENT IM.RMT.ED: 892585
13125 S.W.Hall Blvd.,P O Box 23397,Tigard,Oregon 97223,(503)639.4175
JOB ADDRESS: 13695 SW 114TH AVE
TAX MAP/LOT SUB: LT: BK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
r WORK CLASS: ALTERATION WATER CLOSET TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY TRAP PRIMER
OCCUP.GRP. : R3 IUB SHOWER GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL
NO.STORIES: 1 WASHING MACHINE
DWELL.UNITS: LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER STORM/RAIN (FT
OTHER
RFMARKS:
kitchen remodel
---- ---- -- -- FEES: - -
t� PERMIT
W
N FIXTURES
li S1ATE TAX $.75
OTHER
HIEi-IELD EDWARD
N OREGON CITY PLUMB AND HEATING
T 611 7TH ST
A Oregon City Or 97845
T PHONE (503) 656-8558
REGISTRATION NO. 2132 TOTAL-: $15.75
la
RECEIPT NO. IC)(4.,I lf 11
+—
I r,,s irernm e;issued subject to the regulations contained in Title 14 — —
„t u)e TMC State of Oregon Specialty Codes,zoning regulations REQUIRED INSPFCTIONS
and an other Applicable codes and ordinances, aid it is hereby POST R BEAM
agreed that the work will be done in accordance with the plans and RO11GH_.IN
;iw, tic-ahons and to compliance with all applicable codes and PLB.TOPOUT
0uuuues the issuance of this permit does not waive restrictive FINAL
�ivnoants Contractor and subcontractors shall have current city
tm,oruoss tax permits This permit will expire and become null and
,(mi I work is not started within 180 days,or it work is suspended or
.rhandmwcl for A period of 180 days any time alter work has
mmonc ed It shall be the responsibility of the permittee to assure
,,ii n flint d mspPctions are,te.quested and Approved
"'�_
-oov Signature
CALL FOR INSPECTION 639--4115
SFPARATF PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
P � �
PLUMBING PERMIT 13125 SW HALL BLVD.
Y. O. BOX 23397
Applicants must hold Oregon Registration to conduct a plumbing T I GARD r OR 97223
business or must be property owner/operator not hiring outside help.
Nameol IopmeM (.503)639-4175
Numbing Permit No.
Address Descnpbon -_
hC SLV AV= OAS 6 14-21-6 10 WAN PRICE AMT.
Jub Tax tool Map.No. - --
Address
- FIXTURES
Sink
-- ams ocnamo oTE-ws+rosslavatory - 7.50 -
____ Tub or Tub/Shower Comb 7.50
at c� ress - -
Slvwor Only 7.50
Owner Gky/Stato -Zip Water Closet ---- 7.50
--- -- Dishwasther 7.50 7
Ptuoho Garbage Disposal _ _ 7.50 _
Washing Machine-'-_-- - 7.50
Floor Ora,,, 7.50
h.acuhg ress -__- Pthone - Water Heater - - 7.50
Occupant �P
/Slab -�- laundry Room Tray 7.50
�Y
Urinal 7.50
- Naam�e=r:r�� w Other Fixtures(Specify) - -- 7.50
M 1 Add t� r��c -- ----- 7.50
MajWV Address Phone - ----
7.50
Contractor City/State Zip --- -�- - 7.50 --
MISCELLANEOUS
City Bus Tax No. Smver 1 st 100' 30-100
eles Board No. tate s. o Samba.Addit.100' 15.00 -
(Re tial) Water Service 1st 100' 20.00
I tHwnfy ack.nowlodge that I have roved this appNcati n.Oval the information _Water Servioeon.Addit,M' 15.00
;Iver IS O[rTod.that I am rogisletad with 11w Stale Builders Board.and also Storm R Hain Drain 1 st.100' 30.00
have s Stato 1'lxrhbkhg boon"that the rHxtttoera given are exxrehl,that all --
1.11MIMhg vr[xk will Im done in s000rxdancs witth applicable provislrhrhs d Ore- Stone 6 Prin Drain Add 4.100` 15.00
S?,-'Revistwl Statutes Chapter 447 and 693 and appfkabie codes and Chat Mobile Hone Spew 25.100
I"help will bn o"vAoyod unless Ncensed u ndw ORS 683 (11 exeno trite
Stale regisustwfin.please give reason below). Back FkYw Prevention
HOMEOWNUR S- 1 hereby Certify Cut 1 am the owhher Of the praperty dol IN wkx or Anti-Pollution Dowse 7.50
scribed atxw".of wf*b location I propose to malar a pkxnbkh0 Installati,xh fur Any Trap or Wattle Not
my own ur..,a,hd 11h1s P cOrWty is r0 bele onmtructed for sale.teas^or rerhl -Connected to a Fixhxe 7.50
Catch Basin 7.50
kap.of Exist.Plxnbing 40.00 Per Hr.
Specialty Requested Inspections 40.00 Per Hr
_ _ - _- ------- Aker.of Pkrnbkq wttln -an Exkr*V BkV 15.00 min
AUTHORIZED SIGNATURE -- - - - -- nate Now Bldg.or Build.Addition 25.10 min
Qain,sip�1e
Describe worts new Q addition[] tslterebw p repair O 1fattil_ 15.00
19 be tiorte residential ton-residential Ij
'
Existing tttt+a of .- _---------- --- --
btlik V or p ropooity- - -�� ___--- - ----- -- SUB-TOTAL
1'^nl)oaed use r>1 51L SURCHARGE
txrlkSlnp tx pux>Mty -- - �`
- 251 PLAN REVIEW
NottcF -
It*parmll t»chrvhhas thud and vold*wok at oonsuucotlxh n llwmila,l Ps,vA uxt, TOTAL 5 -!�
mwvra,l*WN"190 d",or tt otxrdruriian or wnrk is stlapenrled,x a er"),vwl l,v
a pwrkvl M Intl Ito"M any now attw wnri,Is rvhrrhnw,vAo
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