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12715 SW 121ST AVENUE -' 12715 SW 121st — I I Ul N fn ern r'�1 INSPECTION NOTICE City of Tigard Building Department i P.O. Box 23397 Tigard, Ord;,^n 97223 Phone: 639-4175 Type of Inspection Date Requested 7_'5�0 Time�'C�`A.11!} P.M. { Address /c.; '715 AX 5� Permit Owner _ _ Lot Builder The following Build Code deficiencies are required to be corrected: Presented to _ %Approved Inspector, �,c _— sapproved Date CALL FOR REINSPECTION YES L-7 NO w 1� d ' Project No WASHINGTON COUNTY INS TION CARD j DEPARTMENT OF LAND USE AND TRANZPORTATION PERMIT NO. � � 1 FOR INSPECTIONS CALL: 640-3561, 24 HOURS FOR INFORMATION ALL: 640-3410 DATE }' ' ADDRESS < _- -� PERMITFEJ ifz DIRECTIONS '� -(''� l'. — PHONE NO. r .SPECTIONS: L I STR/UCTMPLUMBMECH ELECT CALLED IN BY- APPROVED. —_ n REOUESTED INSPECTION APPROVED L__11IOW .SCR NOTE: (� T APPROVED: l t'•_:PAIR OR REPLACE AND RE-INSPECT: i1 STOP WORK UNTIL DA INSPECTOR AAWASHINGTON COUNTY INSPECTION CARD Project NoVEPAFITWENT OF LAND 1JSF AND TRANBPORTATION PERMIT NO. FOR IPSPECTIONS CALL: 640-35i 24 H"Im„ / FOR 111FORMATION CALL: .640-3470 DATE �( I ADDRESS V`' / -- PERMITEE ! DIRECTIONS PHONE NO. -- -- -- INSPECT IONS: STRUCT _CtPLUMB/, FIMECH []ELECT J �: !'�,�1�,•� I%c.t1CiL J CALLED IN BY — — APPROVED. REQUESTED INSPECTION APPROVED NOW��APPAOVED. NOTE : REPAIR OR REPLACE. AND RE-INSPECT: STOP WORK UNTIL `— DAT INSPECTOR _ _ 1 'Pro WASHINGTON COUN� INSPECTION CARD ject No DEPARTWENT OF LAND USE AND TRANSPORTATION PERMIT NO. T� - ,111J L/ FOR INSPECTIONS CALL: 640-3561, 24 IIOUR'j FOR INFORMATION TALL: 640-3470 DATE �' ! i ADDRESS —� PERMITEE DIRECTIONS---- 1" rrPHONE NO.NJ -__— . XfCTIONS: R STRUCT PLUMB MECH ELECT �y I�' �: /' ` 1 /(1 c i CALLED IF. BY__.,. ❑APPROVED. _ — - REOUESTED INSPECTION APPROVED HOW R !VOTE. i T APPROVED: REPAIR OP REPLACE AND RE-INSPECT: 00, �--� - � I STOP WORK UNTli..: DA T F J/7' INSPECTOR _ ✓ * _�_T.__— -- --_-_ .._ -— AWASHINGTON COUNTY INSPECTION CARD Project No DEPARTMENT OF LAND USE AND 7RANSPORTAI'ION PERMIT HO. =��• FOR IN''PECTIONS CALL: 640-3561, 24 HOURS fOR INFORMATION CALL: ,640-3470 DATE ADDRESS " /' "� e PERMITEE J�11-4_yjl � DIRECTIONS �� -� `� ^ / (I�•� PHONE INSPECTIONS: STRUC7PLUMB, MECH ELECT �,1t✓� _ '�'7�� ✓'✓� f I CALLED IN BY ❑APPROVED. C —0 REQUESTED INSPECTION APPROVED HOWEVF OTE : c APPROVED REPAIR OR RULACE AND RE—INSITCT: L � [STOP WORK UNTI yrL: '.1 / IiAl ! INSPECTOR—+--l' NSPECTOR 'L w _ W W w IFJ�4!K!7k�-FAw-j�wWw-JLWX P L U 1Y1 B'l N G 0['-*R M I T Ci7YOFT167ARD '0� R 1111' It. *. . . . . . .. F'1-1190-01.54 WYOFTWARD/ FRIM. PERM11 #. COMMUNITY DEVELOPMENT DEPARTMENT ORE00H Do 'T'I:-:* IS'3UED.- 13126 SW I W E td. P.O.Bo�23397,Tigard,Oregun 97223 (503)899-11 7,1; SI FE A 1)D k J.2 5 b W :ic.l5I PARCEL- 2S:L93R(-'---013G0 SUBDIVISION. . . .. : ZONING-. R 4. 5 BLOCK. . . . . . . . . . . ........................ CLASS OF WORK. ADD GARBAGE DISPOSALS. MOBILF HOME- SPACES. 'TYPE:: 0 F' U!'3 E. ..S1= WASHING 110CH. . DACKF OW PR F.-V N'T'RS.. 0(",'CUPANCY GRP'. R3 FLOOR DRAINS. . . . » . .. . TRAPS S7,0RIES. . . . . . . W A T F:R H E-A J'E 1--.,,**). .. .. . .. . CAT(,'H BASINS. F7'I X W R E---S LAUNDRY TRAYS— SF RAIN DRAINS. . . . ., ;: N K 13. . . . . U R I N A LAS. . . . . . .. . . . .. 0 R E A 13)F I'R 0 1.S., L.A V A 1,0 R I U-,S. 0 7+1 rI R F1 X'T U N E S. T'UF1/1-')H0WF'PS. . R L.IN F :'ft) CLOSETS. . W A'T E:*R 1-INEL : 30a OTSHWASHL'RS. . . . .. ROIN DRAIN I;F�ni o.-r k r.-i- Owric-�-r: iyin. r F*YRk- type arnat.tilt by d.?te r)i: P A Y 11 36. 7.*5 JLH 08/31/90 PRM7 9 35. 0(9 11 h c)ii p # 5 P ROYHORN" S FILUMBING 17645 SW JURGLNS RD TUOLA'r1t,i OR 970c.,E 1-`tiarica #-- ;'iO3--6` P--413 9 3C,, 75 TOTAL R e 1.4 W, . - 44110 REOUIRED INSFIF'CTIONS This permit is issued s„bject to the regulations contained in the TC)P-attt 11-it-;p ligard Municipal Code, State of Ore. Specialty Codes and all other F i I),..%I I I I S r.)e,-,t j,0 1-1 applicable laws. All work will be dope in accordance with approved plans. This permit will expire If WOTP is not started .................--- within 188 days of isstiance, or if work is suspended for more than 180 days. ....................... .......... ......... Pp-rniittee Si.qi-i.AtU-vej ..................... By - ....... ........ Ca 11. fo-r illspectic)ri 639-4115 CITY OF TIBARD RECEIPT OF PAYMENT RECEIPT 1140. . 90-2043-213 CHEM: f'�MOUN'T* a 63.Cio NAME PAYBORN 'S H. LJMb I NC-1 CASH AMOUNT 0. 00 ADDRESS PAYMEN-r DAT El CIS/3 1190 'BU89TVISION PURPOSE OF r-AVrlF.NT AMOUNT FAID rURf`05E OF PAYMENT AMOUNT 1,-'AID ► PLUMPING PERM L --0157, 25.(C) 51 . BU I LU) F`VR -25 )0 FLUM9ING PERM P!-11190-0154 CT. BUILn PUJ;: 1 . 75 1272!'5 AND 1271t; SW 12107' rf)TAt. AMOUNT PAID ........... i CITY OF TI ,l PLUMBING MIMI'I' 131:.'5 SW HA'! RD P. 0, BOX 2: L BLVD. Applicants must :iold On-Son Registrition to conduct a plumbing TIGARD OR r 39'7 basin Css or must be property owner/operator not hir;ng outside help. r Name of Development - (503)639-41 : 7223 _ , - - --- Plum 5 Address Dscri o .ng Permit No.1,271 QYA ORS 814-21-610 QUA, _ _ - Job Tax Lot Map.No. Address P910E AMT. ------• -- - _FIXTURES --- 'Let Dock fA bdivislon Sink -- W"- -or-naiiiwof NJs+ness -- lavatory— 7.50 --- MaflAdd --- Tub or Tuty/Slto- Comb. 7.50— irtg ress Shower Only ��-- 7.50 Owner Gty%r-tate 1 Tip Water Closet _ 7.50 Dishwasher - -. 7.50 Phone Garbage Disposal__._____ - 7.50 - [Name Washin!1 Machine 7.50 Floor Drain 750 cing Address Phone Water HeaVer —._-- 7.50 Occupant City/State Tip V'-airy Room Tray _ _ 750 Urinal 750 --�- ame i Other Factures(Specify) --- 7.50 MmkrqAddrfts 7.50 _ 7.50 Contractor /Ztae�t-"L Zip ` C 7.50 t i MISCELLANEOUS 750 444 1L) City Bus.Tax No. Sever 1 st 100' Sewer-es.Addit.100' late � tat�iir+�ers s. c 911.00 -- (Residential) 3 N-&(r.` Water Service i A 100' 15.00 I hereby acbnawledge that I have reed this spplicatirxt,that the information Water Samoa ea.Addit.2001 �— 20.00 7 given is correct.that I am registered with the State INAder's Board,and also Storm&Rain(rain lat.100' - 15.00 �� he"a State Pl,"Ti*g license that hie numbers giver,ars Conan,that ail — ir Stomi 6 Pert Drain Addit.100' 30.00 ph rtbrug work well be done lo saxxdance with eppiicablA provisions d Ore- -- I gun Revised Statutes Chapters 44 7 and 697 and apl,Ilrabie codes and that Mobile Home Space 15.00 no help wfll be wnpkyyed unless lW*nsed undm ORS 693 (tt exempl from _. State registration,please give reason blow) Back Flow Prevention 2500 fXWEOWHERS -I hot"certify that 1 am the owner of d"lyrolxi,ty de Device orAnti•PofkilionDevice scribed atKi e,at which location 1 propose to make a pkmbirV Installation to Any Trap or West Not 7.50 my own use and this p"Xwq is not being constructed hr sale.loss"of rent COrxtected b a Fixture - Catch Basin 7.50 Insp.of Exist.Ping - 7.50 Specially Requested Inspecdons 40.00 Per Hr Rain Drain, 40.00 Par Hr - Single Pam. Dwlq. --AUSIGNATUM - _ Date ----- — 15.00 e wrork stew[- edddion( ) - alMretlon[� repels(Ibenu rosidential non-residential ---- — —ll -- -`_ _— -1-_--- Exlstln0 use of MINIMUM PERMIT FSS buUdVV or properly - -- --- - _ SUB-1 25.00 Wu&V or U" teri - - —�- --- - -- — — --- 5# URCEI )TALI 25% PLAN RE 1 RGE 1>r�tcsF AWL This pOn, beoomos null anw d ide w x k or Consbuti ri authortted is rKA oom `—-- - -- - !I EV_ - -- rnenoad iii 6 1 11110 d"Ar a nir,dna,inn w iinork 1s ativ>Iendsd or sbw AM Md for - --- -- •tiww M 1911 days at any ra,w aftw w.rh Is nrrranerj sd )TAL •MC1At CX)IIOfT10Ns IAtte lestwl by