Permit �r _ •A ,
CITY OF TIGARD. •
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503 mom��r�
' PLUMBING PERMIT
PERMIT #...."..: PLM95—W055
639-4171 DATE ISSUED: 03/29/95
PARCEL: 2S101DB-0D1(Di
SITE ADDRESS... 07420 SW HUNZIKER ST
SUBDI VISION— ..: ZONING: C—P
6LUCK. . . . . .
______________
CLASS OF WORK— :ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES. :
| Y Ph OF USE— .:COM WASHING MACH.......: BACKFLOW PREVNTRS..
OCCUPANCY @RP..:B2 FLOOR DRAINS.......: TRAPS. .............:
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :
F IXTURES-- — LAUNDRY TRAYS......: SF RAIN URA INS— .,.
SINKS..........: URINALS............:1 GREASE TRAPS.......:
LAVATORIES. ....:2 OTHER FIXTURES.....:
TUB/SHOWERS....: SEWER LINE (ft) ....:
WATER CLOSETS. .: WATER LINE (ft)
D1SHWASHERS....: RAIN DRAIN (ft) ....:
Remarks: ADD 2 LAVATORIES, 1 WATER HEATER AND DEMO 2 WATER CLOSETS AND 1 URINAL.
Owner: ------ -------- FEES --------------
MP PLUMBING CO type amount by date recpt
P 0 BOX 393 PRMT $ 54.00 SW 03/29/95 —
PLCK $ 13.50 SW 03/29/95 —
CLACKAMAS OR 97015 5PCT $ 2.70 SW 03/29/95 —
Phone #: 655-9161
Contractor: — --
MP MILWAUKIE PLUMBING
PQ BOX 393
CLACKAMAS OR 97015 — ----------- --
Phone #: 244-6600 $ 70.20 TOTAL
Reg #..: 005002
REQUIRED INSPECTIONS -------
This peroit is issued subject to the regulations contained in the PLM/Underfloor
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspect ion
approved plans. This peroit will expire if work is not started —
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature:
��-�� ��_
issued By _
Call for inspection — 639-4175
;;r:.of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
' =.13125 SW Hall Blvd. Permit # PLmg5 -0055
Tigard, OR 97223
(503) 639 -4171 -
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Tt of� «+t C New Single Family Residences Only e l
Address ' (4 4. ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00
Job 'IL/OD l t i l _ b ❑ 3 BATH HOUSE $225.00
Address /stet, 3 zip Fee includes all plumbing fixtures in the dwelling and the first 100 feet
i A d ( CA_ of water service, sanitary sewer and storm sewer. See fees below.
Name ( m e of Business) FIXTURES QTY PRICE AMT
Sink 9.00
Miming Address Phone - Lavatory Z.. 9.00 t is-.
Owner Tub or Tub /Shower Comb. 9.00
City/State Tot Shower Only •
City/State 9.00
Water Closet D`F ,o '2-, 9.00 1,2,-_
Name (or name of business) Dishwasher 9.00
Garbage Disposal 9.00
Occupant Maim, Addrass Phone Washing Machine 9.00
Floor Drain 9.00
Citr /$fafe Zip Water Heater 1 9.00 q,-^=
Laundry Room Tray 9.00
Name Urinal ') \! r ' ,o 1 9.00 0t
H /_.._v- -A hi; ndj Co Other Fixtures (Specify) 9.00
Maiing Address Phone 9.00
Contractor
PO obk 3 L i L4 . 9.00
City/State LP 9.00
(j A 'A 97 Di Sewer 1st 100' 30.00
State Registration No. City Bus. Tax No. Sewer - ea. Addit. 100' 25.00
aYD 3 7 Water Service. 1 st 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 reason below.) Mobile Home Space 25.00
'� � Back Flow Prevention
C � �� �(� Device or Anti- Pollution Device 9.00
y ,atwe (wvura -a agsnt; ie Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition 0 alteration 75 repair 0 Catch Basin 9.00
to be done residential 0 non - residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
'(Except residential backflow
prevention devices)
•
NOTICE *Minimum Fee $25.00 SUBTOTAL 54 -,=:.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE 2.10
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL 1 1 X50
.r
TOTAL 10. ZD
Special Conditions , D\ ` �1 \ ( 1
Date issued .'� r�A..ZAJL by 3 \ 2_0, \0,5
CITY OF TIGARD BUILDING INSPECTION NOTICE
'-- Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639- 17
p
Ins ection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdw
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in INAL:
Post /Beam Mech. San. Sewer Gas Line - Idq.
Plbg. Underfloor Rain Drain Framing t'Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. �v 7-75 c7
Date Requested: .x///95 Time: AM A PM
•
Address: 77 2d /
8y1 46
Builder: Perm -
t �9�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
— /P�
Inspector: ���� Date: I
-ROVED DISAPPROVED APPROVED SUBJEC r TO ABOVE
_ Call For Reinsp.