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INSPECTION NOTICE City of of Tlqard 8ulldfng Department
1.372S taw Dall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-PhonP): 639-4175 Business phone: 639-4171
Inspection:___-__--
A
Footing Plbg. Undernlab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out :;as Line FINAL:
Poet/Beam sY_rur_L'. ,an. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Lino ) Gyp. Bd. -Mech.
Date Requested; Co" - / / tl TLMe LAM PN
Addresss__& _;
Builders PJ/ 4 / eC sCCC.0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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09
Inspectors_ Date: %s
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
T _Ca 11 For Reinsp.
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CITY OF TIGARD b
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PLUMBING PERMIT
PERMIT #. . . . . . . : PLM94-0111
639••-4171 DATE ISSUED: 06/23/94
PARCEL.: 1 S 13 CC--01.400
SITE ADDRESS. . . : 1.0305 SW MEADOW ST
SUBDIVISION. . . . : THE MEADOW ZONING- R--4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1 1
----------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE
_HOME-SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
F-IXTURES-•-._...-_._..------.-.•-- LAUNDRY 'TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE T'RAPS. . . . . . . :
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
'TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . . :415
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : REPAIR WATER LINE
iOwner: --._.__.___---____.------- __----______.__.__.__.___..__._._._.______- FEES
JOHN FLAGLE type Amor-int by date recpt:
10305 SW MEADOW ST PRMT $ 25. O0 SW 06/23/94 '-
SPCT 4 1. 25 SW 06/23/94 -
TIGARD OR 97223 '
Phone #:
Cont Tact or-: - ---------------------------•-.-
RESCUE ROOTER
7717 SW NIMBUS
BEAVER'TON OR 97006
Phone #: 243--1172 f 26. 25 TOTAL
Reg #. . : 44677
- -'- REUU I RED INSPECTIONS
---This permit is i.siu!d subject to the regulations contained in the Water Line I n sp
Tigard Municipal Code, State of Ore. Specially Codes and all other 1="inal Inspection _
applicable laws. All work will be done in accordance with _
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for, more
than 180 days. '- - -
Per•mittee Siyn<atr.ArelL /
I s s r-t e d B y c
Call for inspection - 639-4175
'.WMw.N}lc.+wa.WMl\u.'11k1u - •.....""Po: YMHMWww.........-. �� 14/
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # '
Tigard, OR 97223
(503) 639-4171
/Es
escnption
v T ORS 814-21-610 _ —� QTY I PRICE AMT
Job / L—
Addles, ,1.� e fqDsf-
C/
F=IXTURES
_
,?;�i Lavatory 50 —
.m. Tub or Tub ower orn
•hoover Tmy
7,50
a-Rte TC Fosa -73T--
Dishwasher
3—
is was er 7
Uarbage Disposal
Washing Machine 5
<` oor T5Farn
ater T eater
Occupant <.. ""< aun ry oom ray —
rina s
" t er ixlures pea
0 -
50
Contractor ,-, _ .i .t MISCELLANEOUS
1st 100 00
.,N. —
ater , ervice 1st 1
l here y ac now ge atave Area application, that t e J 2 0 C'
information ,ivon Water Service ea. Addit. 200' 15 00
S. ur+ect, 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' 30.00
1 am registered with the Construction Contractor's Board, that the
number given is correct (If exempt from State registration, please Storm &Rain Drain Addit 100' __T5_00
give reason below Mobile Home Space 2500
ac ow revenhon —--
Device or Anti-Pollution Device
" �<i rap or ase o i T i ---
Connected to a Fixture
Describe-Wo—FT-5 ew a rhoneraion�Fepar� Catch asrn
to be done residential non-residential U
40
Insp. of Exist. Plumbing per hr
Existing use of Specially Requested Inspections per hr
building or property ael rairi, singe ami y _
dwelling 15-00
es enha a ow prevention
Proposed use of devices 15.00
building or property --
'(--� x�cept ie�entla c ow --
Prevention devices)
NOTICE "Minimum Fee $25.00 SUBTOTAL — N
PERMITS BECOME VOID IF WORK OR CONSTRUCTION —
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6%SURC4^RGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 1130 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCED, —
Special Conditions LTOTAL
-- -- Date Issued (-y- 3 91-1 by
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CHECK OMt.IUNT 25
NAMt~ a RESCUE I NDI-1 1 R I F S, I N 'n CAU I AMtIUN T a 0. 0(a
faDDRESi3 n 2'8655' SW BOONE".9 F'E'RRY F-'AYMF:N I I)A T E: a 06/23/94
W I t.SONV I t..L.FF., OR SUBD I V[9 t CIN a
9"7070-
PURPOSE
0-PURPOSE OF PAYMENT AMUI.IN'T' F'A 1 I.) (IF F'HIY'MI N I (4wit IN'T PAT D
___ _ ___..........
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P5. 00 ST. BUILDPER
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ICIIAL HMCTUNT' PAID _.. .., _. > P-6. 20..5
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