Permit •
C ITY O FTIGA RD
` -" 'COMMUNITY DEVELOPMENT DEPARTMENT, - ' '
•
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) ' . - . PLUMBING PE RM I T
PERr1.IT ... r PI_M9S -G i7 6 •
. - .. 63.9- 41. :7 '.,. .. . DATE IC SUED•o 06 /Qi1 /9 •
PARCEL 1 S 1 .6i C -I 1 1®7. . '
.SITE ADDRESS. ..'o 096 51 SW WASHINGTON SG!UARE ,RD' • '
SUFDIVISIONo . n .: . : ' ' •••• ZONING :. C - .
BLOCK,'.. _ . . '_. LOT. ....... a .. - • .
CLASS Or WORK.,. i:AL -.., ' . ' GARBAGE DI•SPOSALS.. _, MOBILE- HOME'.. SPACES'.. : " .'
. TYPE OF , USE. , o,COM WASHING MACH.. •BACE-;i=LOW- PREVNTRS, .. :2. -.
' OCCUPANCY GRP, o E'::: FLOOR • � DRAINS ' ', . = TRAPS.. ; .. . ... .
• 9TOR•TES': . . WATER HEATERS..... - , .. e •CATCH BAS INS .. • f .
Fl k ? "URES-- , - 7 - : ,: - : - : - , ; -----:. :4 .--- LAUNDRY TRAYS : 1 • • SF RAIN DRA.INS.. .. ' •
.•SINKS.. . z 2 - URINALS. '. . GREASE=. TRAPS. . -
LAVATORIES. . 1 OTHER rIXTi_lREy�.—, . ,
TUB/SHOWERS . . • SEWER • LINE •(ft )
WA?;ER' CLOSETS.'. o WATER LINE (ft) _ • .. •
DISHWASHERS. : 1 ' - . RA I,N DRAIN - (f t) a... . •
Reinar�k•s : II for : r:e'stavran.�
. rFE
reiAt:-!EEDNi�1 i'.1Oilr;c IrEc TPUr3 yy- • -.. i3y i al4e • recpr •
1020 SW T YLOR. ,:SUITE ; 385 ''. PRM T - $. . 1'26. @QI ,SW :06/01/95 - : .
. .. .. , • PL(K $ 3..1. Sal SW 06 /.471 /' C • ' - , • -
�;ORTLA;• '• OR 9.7214%,: , . , SPC?" $ , L1.,, 3K : SW 06 / 01 /' 5. - '
Phone . 4 : ,274,- olzio1 :. . • . •
Contractor -- • - - - -.' - - : - - - - -- . -- - ,'
ANC? .. . I'L• PLUMBING ,
LUMLB I ilir r ' • ' : ' • -
BEAVERTON•• OR )76.16 -• - -• - ----,----•----'---•---.-----;------:---..-- .
Pt e' .} '„ 642-7323 .: $ 16..:3 1301 TOTAL -
' ' Re.g' DIY.. 24184 . . .. • .. •
. . ----- •-- - -- REQUIRED ••I NSP`'ECT I ON S - -- _._._.- •
' This perr.it is issued subject to the regulations contained in the • PLM /Underf 1 oor •
- -
Ti ga ^d Municipal Code, State of Dr,".. •Specialty Codes and all other " - F i na.1., I n sprer_: L i n. r _^
applicable bdiis. Ali 'ark will' be. done in accordance with y — _ '
_ppr�c;'cd plans. :This •pi:r rit. will ,iiif'.-ir a It •?or:{ is •not'Star d
' IN ,days 'of is`suan ^e, or,i,f''ai•k is suspended' for .00rz --
'. than i8ii days: . • • • : - -- .. - - - - - -._
. . ' --. 4.'",:e..!"1E)--- -- ; '
. .. . ,
. . . .
. , . .
7.ssu ed ^y - \�^�'� " -•- ____._ .. - - - - --
-• Cp11 'f'o'r" "•inSDE'Ction -• '63S -- 4.1.7`, '
•
•
•
,
MAY -25 -95 THU 14:22 ANCTIL PLUMBING INC 6427755 P.02
,; of Tigard PLUMBING - E,.Itrthall C 'i'ru Planck/Rec. #
13125 AN Hall Blvd, • e s� � , A I Permit # FL. V
`' Trgard, OR ! 3 ,ii
x (503) 6 I-4171(..... fro': �: �eP Qp�
V '
6 _.(...____PAIN UM $25.00 PERMIT FEE + ST. SURCHARGE
j ¢ New Single Family Residences Onle
}' 1ds ° 0 1 BATH HOUSE 5140.00 0 2 BATH HOUSE S195.00
!< Job �� a 0 3 BATH HOUSE $225.00
ei ; , o.
Address ,+am Fee Includes all plumbing fixtures In the dwelling and the first 100 feet
t _! ; . • of water service, sanitary sewer and storm sewer. See fees below.
Ni` rw apo,. of Illadm0 FIXTURES QTY PRICE AMT
r, `: Sink 9 18, oo
r+q Mow rr.. Lavatory HoL Nei Sark I 9.00 9_ ea
`• Owner Tub or Tub/Shower Comb. 9.00
` i. ,
� , w er Shower Only 9.00
Water Closet 9.00 .
arm t ' "°" al rat. D ishwasher
1 9.00 9.00
.1.: 5 Garbage Disposal 9.00
Occupant Mime rte. Washing Machine 9,00
i.:,,::.,. Floor Drain 9.00 ,S'y, 00
�� 4 - Water Heater j 9.00
s' ^ Laundry Room Tray fn op S „ k - 1 9.00 9.0 0
Woo Urinal 9.00
Other Fixtures (Specify) 9.00
/6� S w. 12 0 C.vz ?32.1 . 9 o
'` OA ' 7o °6 0.00
Sewer 1st too' 30.00
° j °'' Tun Mr. Sewer - ea. Addit. 100' 25.00
Z y 8 / y Water Service 1st 100' 30.00
• •,', ' I hereby acknowledge that I have read this application, that the Water Service ea, Addil 200' 25.00
A.^ Information given Is corned, that I am the owner or authorized agent of
;r the owner, thet plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 30.00
I am fegislered with the Construction Contractors Board, that the Storm b Rain Drain AddiL 100' 25.00
,
number given IO coned. (If exempt from State registration, please
give mason below.) , . Mobile Home Spew 25.00
j Back Flow Prevention
„ G /��hr Device or Anti - Pollution Device 9.00 / 8
tom .F ere 111 41 Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work now 0 addition RI alteration Q repair 0 Catch Basin 9.00
to he done residential Q . non - residential fili Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr ' i} Exlalhtq Into Ot
Dung Rain Drain, single family dwelling 30.00
Residential badQiow prevention
't" • devices 15.00
',v.';'
4i' : Pin e d ia0 of • b4iflding or property
` (Except residential bacldlow
prevention devices)
t' ' OTICE Minimum Fee 525.00 SUBTOTAL
' . ' PERMITS BECOME VOID IF WORK OR CONSTRUCTION
• AUTHORIZED 18 NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE 31.50
' : :. .,, 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 (9./O
7:" ' ' TOTAL A(93.0
�,
'Special Conditions
n ,
•
r i g " 4 `": '' Date Issued �o l l I C I '5 by `A JtR/� /
1/ N
c� V'N' R
f41 a WaleR 3 rn 4 Mete R 1/Y
k
7Ther Y2. wit
Ln y Ib A R FA5 . i
1 _ S�w1� ■ Ic i'�ricmoyG I f (�
7 0.0 3 /y N r " C °, 3 pet n -;
/S d h -as di n -,
c pr,ftea ^� FM p rGP
�CINES No,►.f i sA0 F /S
rr 1/). i+/r.msk *Pa)
..
z i
' rye P t)' p
E I/ ,-� `
�� syNK k [
I l7. 2. 4 r e
J
a
J
- 2 M
F/d - 3� Y n
a ,4 s
Gorekr Q. 4 /Ne.
r ,SaNirail Sewer
I
o
I
~ Po P m a c Ai'NC - 7% It
i llipR F
m
(1 F/S A / _,', ;PEE V, Pio �o U SE
r pop IP C ME Wt. sl..�, y S1u21^L°
E �R P4F torts r ' UeNtt a4,4 L o a re. 1 , -
_ j N C fi). Pi .1.4. mJ iN9 ; n,c
CITY OF TIGARD BUILDING INSPECTION NOTICE �
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: ; GC.e
Footing Susp. Ce ' g Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall f Gyp. Bd. - Elect.
/-� Date Requested: 3/ 9_3 Time: AM PM
Address: ?CST A.) . - 2.0
Builder: Permit #: 2r- o'' 7 4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
•
Inspectort Date: 2
V _APPROVED _DISAPPROVED APPROVED SUBJE T TO ABOVE
_Call For Reinsp.