Permit . .
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to��0NUN�Y K�EVEL0P��ENT DEPARTMENT. . '
13125 pw **mBlm. ;Tigard. Oregon 9722 348199' (503) 6394171 ' PLUMBING PERMIT
� PERMIT #. . . . . . . 65
: PLM9�-048
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639-4171 DATE ISSUED: '04/05/93 .
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SITE ADDRESS...: 16640 SW 72ND AVE #B-10 . PARCELL 28113AD-0180Q
' SUBDIyIS�IQN. . , . : ROSEWOO� ACR� TRACTS _ ZONING: I-L
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . -------- � �' � '
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CLASS OF WORK.. :ALT GARBAGE DISPOSALS—: MOBILE HOME SPACES.: .
TYPE OF USE.... :IND WASHING MACH....... : BACKFLOW PREVNTRS.. 2
:OCCUPANCY GRP,. :B2 FLOOR DRAINS. . . . . � . : 1 TRAPS. . ~ . . . . . . � . . . . :
STORIES. . . . � . . . :1 WATER HEATERS. . . . . . :1 :CATCH BASINS, ,
,', 'FIXTURES---7---------,1 LAUNDRY TRAYS. . . . . . : • SF RAIN DRAlNS. . . . . : ` '
SINKS,. . . . . . . : 1 URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . : • .
LAVATORIES.....g OTHER FIXTURES.....:
:TUB/SHOWERS....: . SEWER LINE (ft). . '
�� WATER CLOSETS..: WATER LINE (ft)....:
DISNWASHERS....: RAIN DRAIN (ft) ~
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Remarks: Odd fixtures zr technology area. •
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Owner: 7 --�- �
PACIFIC REALTY ASSOCIATES . type amount by date recpt
111 SW AVE` SUITE 2950 PRMT $ 04/05193 25.00 JLH 04/05/' 93-238 -
. ` 5PCT .$' 1.25- JLHi 04/05193 93-'236' `
PORTLAND OR'97204 � ^ � `
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Phone #: 224 . . � . ' .
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Contractor: 7 — — ' -------�— `
JOHN RETNHARDT PLUMBING . •
P n BOX 1 2 4 '
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NEWBERG OR97132 ----------------
Phbne it: 536-9464 't 26.25 TOTAL ' '
Reg 4,:. 01870 '
' ------- REQUIRED INSPECTIONS -------
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. ' permit 'ii issued subject to the regulations contained in the • Rough-in Insp ___ _a_ Tigard ��
Tigard �ipa�Codo, State of Ore. Specialty Codes and all' other Top-oqt Insp- _ __________,_
ayPiicab e laws. Ali work will be done in accordance. with ' Final .Inspect ion - ___.
approved plans. This permit will expire if xork is net' started • _________ .. in withio � days of issuance, a�ce or if work is suspended for oore .
than 18N days, __--
-- 7 __
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Permittee Signature: ' _____ _____ , ,
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Issued By: _ __ ____ ____� _______ __ ,
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Call for inspection - 639-4175 '
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CITY Or' TIGARD
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PL PERMIT 13125 SW HALL BLVD.
P. O. BOX 23397
Applicants must hold Oregon Registration to conduct a plumbing TIGARD, OR 97223 •
business o must be property operator not hiring outside help.
Name (503)639 -4175 00,09_06
TECHNOLOGY AREA - PRECISION INTERCONNECT Plumbing Permit No.
Address . Description
16640 S.W. 72ND AVENUE. TIGARD ORS814- 21.610 OUAN. PRICE AMT.
Job Tax Lot Map. No. -
Address
FIXTURES
Lot Block Subdivision
Sink 1 7.50 _ 7.50
Name (or name of Lavatory 7.50
CONTF ACTOR.... NORTHWEST CONSTRUCTTON SFRVTCRS Tub or Tub/Shower Comb. 7.50
Ting Address Shower Only 7.50
8060 S.W. LANDAU STREET - Water( set 7.50
Owner City/State Zip
PORTLAND, OREGON 97223 Dishwasher 7.50
Phone Garbage Disposal 7.50
KELLY 245 -8624 -
Name Washing Machine - 7.50 •
PRECISION INTERCONNECT Floor Drain 1 _ 7.50 _7.50
Marling Address Phone Water Heater (MOVE) 1 7.50 7.50
Laundry Room Tray . _ 7.50
Occupant City /State Zis Urinal 7.50
Name Phone Other Fixtures (Specify) 7.50
JOHN E. REINHARDT PLUMBTNG, INC. - 7.50
Mairmg Address Phone 7.50
P.O. BOX 129 (503)538 -9464 7so
Contractor Cty /State Zip
NEWBERG, OREGON 97132 MISCELLANEOUS
City Bus. Tax No. Sewer 1st 100' 30.00
#01870 #93 -1799 Sewer-ea. Addis 100' 15 -00
• State Bldgs. Board Flo. State Plumbers Bus. I.X. No.
(Residential) # i h -9PR Water Service 1st 100' 20.00
I hereby acknowledge that I have read this application, that the information Water Service ea Addis r 15.00
given is correct, that t am registered with the State Builders Board. and also • Storm & Rain Drain 1st. 100' 30.00
have a State Plumbing license that the numbers given are correct. that all
plumbing work will be done in accordance with applicable provisions of Ore- Stone & P. in Drain Addi1.100' 15.00 .
gon Revised Statutes Chapters 447 and 693 and applicable codes and that Mobile Home S 25.00
no help wit be employed unless licensed under ORS 693. Of exempt from
State registration, please give reason below). Back Flow Prevention
HOMEOWNERS - I hereby certify that I am the owner of the property de- Device or Mti- Pollution Device 7.50
embed above, at which location I propose to make a plumbing Installation for My Trap or Waste Not
my own use and this property Is not being constructed for sale, lease or rent. Connected to a Fixture 7.50
Catch Basin 7.50
Insp. of Exist. Plumbing 40.00 Per Hr. --
/ Specially Requested Inspections 40.00 Per Hr.
Rain Drain,
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O ( 3/31/93 Single Sam. owig. -
• • IZEO S i TURE Date
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Describe wort( new O addition alteration 0 repair ❑ -
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be done residential • non- residential •
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use MINIMUM PERMIT FEE 25.00
Existing . bWdktp «property SUB -TOTAL 25. nn
uas of 5% SURCHARGE l 9 5 ,
bt�gorptoperty 25% PLAN REVIEW - '
NOTICE TOTA
This permit becomes nut and roil C work or oonstruulon authorized is not corn- 2 h . _ 2 S
minced wRhkh 190 dayam It oonstuclbn or worts M sUaperded or abandoned for
• period of 180 days at any erne adtsr work is oorrrm:raad.
$P CIAL of)NOmONB •
Date Issued by - --