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Permit F , , CITY O • - ,„„.,„,„ DEVELOPMENT PLUMBING PERMIT ~�u~���"_~�" "�"n�u�" ~*=~uu�x��"�"� PERMIT # ^ PLM97-0053 o�� 13125 SW Hall Blvd., Tigard, ~-- '' DATE ISSUED: 02/21/97 PARCEL: 1S135DB-04300 • SITE ADDRESS.,.:'11285 SW 92ND AVE . ' SUBDIVISION .D0GW8OD'RIDGE. - ' ZONING: R-4,5 ~ • BLOCK..........: LOT.............:1-2 _____ _____ __ CLASS OF WORK..:ALT GARBAGE DISPOSALS.: 0 MOBILE HOME SPACES.: 0 TYPE OF USE....:SF WASHING MACH......: 0 BACKFLOW PREVNTRS..: 0 OCCUPANCY GRP..:R3 FLOOR DRAINS ^ 0 TRAPS..............: 0 STORIES........: 0 WATER HEATERS.....: 0 CATCH BASINS - 0 FIXTURES LAUNDRY TRAYS - 0 SF RAIN DRAINS.....: 0 • SINKS.....,._,,..: 0 �H�._^i,URINALS , •:..,...rr;��' 6 �'�' GREASE.'TRAPSp~.^�^^'~`�„0' . LAVATORIES.....: 0 OTHER FIXTURES....: 1 TUB/SHOWERS..,.: 0^ SEWER -LINE (ft1,.'.:: • 1.A • WATER CLOSETS..: 0 WATER LINE (ft)...: 100 DISHWASHERS.... 0 ` RAIN DRAIN (ft)...,: 0 ` , Remarks: Adding double check valve and water service Owner: ------- - --- FEES --- BILL WEBBER type •amount by date recpt 1t285, S14,92ND. , , , _. '. , ' . `` PRMT $ 39.00 DRA 02/21/97 97-290739 5PCT $ 1.95 DRA 02/21/97 97-290739 TIGARD OR 97223 ` Phone #: 63 9 -3 234' .'' . . Contractor: ---�`� ' � CHRISTIAN PLUMBING . 23172 SW STAFFORD RD. TUALATIN OR 97062 ' . - - - Phone #: 503-638-6671 $ 40.95 TOTAL Reg #..: 42671 . ' . '� �` ''� . ...�^, . REQUIRED INSPECTIONS This permit. is issued sobject • t the th� ,�'., W�ter�Line InsP^ Tigardi'Municipal�ode Codes l�ther` ^ Wate� Geryi/ze, Jn_ _ . law�� All monk.11`bedone'in. w�h_ _,,��• Rough Insp_ ., ' , '� . ,aooro T u h�»ermitav��l.exp�e if work,44,'oo startodi„:„ PLM/Underflpor, .. ^ ' ' ~ . within.' 180 days 'of, is*ope-4'or':jƒm8rk 'is 's fpt op!! :, _ '.Top _, __ ` than 18Ndav� ` � ' ' . ' �� ; M� so. ' Ipspection . .. ` ' ' . Final Inspection __ ___- /1A4 - Permittee __ ____ ^ Issued By. ____ . - ' _Call for inspectior! 7, 63974175 ., .~ . ' • :i •° ME17. c) 1 :LIUJ 111'i �.�; 1L; f H " NIJ: #15b PU2 .... . le . • • City of PLUMBING PERMIT APPLICATION Planck/Rec. # ' 13125 SW Hall Blvd. ' . Permit #%/17-E .3 Tigard, OR 97223 (503) 639 -4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE Nano of Ore.rolash...,,t /12-65 S i t f ‘1.2-A/-11-1 ' New Strtgte ozamily Residences QRIY "` ^� 0 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00 Job •-f J(.4 p 0 972-2-3 . 0 3 BATH HOUSE $225.00 Address avow. k+ • Fee includes all plumbing fixtures In the dwelling and the first 100 feat __ • of water service, sanitary sewer and storm sewer- See fees below. . fn nom* of amstin o FIXTURES QTY PRICg� AMT IZ /,�Nl vv e/ G� Sink - " 9.00 . Mang aeaeota "'°"' Lavatory . Owner / 1 Z $ S °J Nd 6 ? }•- 32 .3 1 1' Tub or Tu/Shower Comb. 9,00 utossui. z ° Shower Only 9,00 17644) O e 9'7 Water Closet' - 9.00 """` ` "Wo, of °uai"i0 Dishwasher 9.00 NE Occupant M -1 Garbage Disposal 9.00 °"°'. Washing Machine 9.00 • Floor Drain - 9 s.r cayre as, Water Heater 9.00 Laundry Room Tray 9.00 Urinal 9.00 .C�..0 /,St//�i/ ,O /(//N/3 /N(, Other Fixtures (Specify) 9.00 Atsatto Contractor 771 `�° 4 /N9, 9.00 Z 3 / 7D- ,5z-d ��cFd,C4ie,Q . ®ov 61, c hac 1i,4 _ Boo xwsmr. �/�� 9,00 , � . c /(O�LAr. ,://2_, , 7 (9A-z -q Sewer 1st 100' !' 30.00 NOM S IM R " ri ioteon No. G"°. Tax )4o. Sewer - ea. Addit. 100' 25.00 0:/ 7 26 7/ _ • 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' 30,00 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 -no! below.) Mobile Home Space 25.00 / :21:,/,..461/4 Sack Flow Prevention r1 '14 f I 4 7 Device or Anti - Pollution Device 9.00 • i• ,• -`,4•,,s 1 _ °a ' Any Trap or Waste Not • a Connected to a Fixture 9.00 Describe work new addition C5 alteration 0 repair 0 Catch Basin 9.00 aill to be done residential non - residential 0 Insp. of Exist. Plumbing 40.00/hr Specially Rec Inspections 40.00/hr _ Existing use of • � building or property Rain Drain, single family dwelling 30,00 Residential back prevention devices 15.00 Proposed use of IIIIMIINIIIIIIIIIIIIIIIMI MI building or property -" "(Except rasld hsckl/ow prevention devices) r` NO DICE, "Minimum Fee $25.00 SUBTOTAL 111111 5? • PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE • CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED - -- FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS - COMMENCED. FLAN REVIEW 25% OF SUBTOTAL, • TOTAL all i tliall " ' '2'..k ' „Special Conditions L. �i, '`. . ,�,, _ r.,,•�c. w....__ Date Issued by - - .. t M• G, CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. r ::: ewe� Gas Line Appr /Sdwlk Reins. � � 1 1/ j� - /i Date: l o-- � f l q 1 / — A.Me* P.M. Entry: Address: / / O. if , c) � / ,? vrid_) Tenant: Ste: MST: 01/Own: P i I - BUP: MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: ,) / X . , { .- Lf P r Insp ctor Date:2 G. PPROVED DISAPPROVED /CALL FOR REINSP. CF CO