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CITY OF TIGARD BUILDING INSPECTION NOTICE I rtlt ;
tax rrli Ins.iection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL:
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Foundation �x ''%
Water Line Coiling Plumb. ,� 5 �� t �•
r: Post/Beam Mach, Shear/SheathFramin
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. '
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: se U I—C.O
Date: A.M. —P.M. Entry:
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Address: N e C 0 �U R f;: ■
Tenant:— Ste: MST:
Cori/O:_KIS;/N _ MEC:
10 JZ3 PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector:
Sp Date:
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IAPP
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—DISAPPROVED/CALL FOR REINSP. CF CO �t
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RLUNIHING PERMIT (%
CITY OF TIGARDUATRC I ISSUED: • r 7/2.-,.a1-,L )6 ::4,�,
0 /23/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hdl Blvd,Tigard,Oregon 07223.9199 (503)639-4171 PARCEL. is a 11 OCC 14200
I"I E P 1)D R E'i S. , 7 I{3 14I1°Jt.a DR I
;UBDIVISION. . . . » ZUN:CNGs
. . . . . . . . . .. , LOT. . . . . . . . . . . . . ..
wi-ASS OF WORK. . :NEW GARBAGE sDISPOSALS. . t� . - _MOBILE -H011E`!.PACES.., _0�_.___
I i YPE OF USE, . . . :SF= WASHING MACH. . . . . , s 0 BACKFLOW p'RE:VNTRS. , 1
OCCUPANCY GRP. . siRL 1=1._OOR DRAING. . . . . . . 41 TRAPS. . » . . . . . . . . . . . :
STORIES. . , . . . . , : 0 WATER HEATERS. . . . . .. U CATCH BASING. . . , . . . : �►
R IX'1`UF<C: -_- -_.__..__.___._._. L_AUh1DRY TRA'YS. . . . . ., III
SF RAIN DRAINS. . . . . s
SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GRErASE. TRAPS. . ;
I...i'aVAI'C7f•2If.�S. . , » . : 0 '.;l lil•=R FT XTUf2ES. , • , . . •
TUB/SHOWERS. . , . s SEWER LINE (ft) . . . s
WAVER 1.]LOSETS. . o to WA'TE=:R i_. I.NE. ( ft? » . . s io
DISHWASHERS. . . . 0 RAIN DRAIN (ft ) . . . s N B
em class Installing a residential ba(:Igtlow r-t, evc.ntion device.
Owner. - -____._.__.____-__.__.___.---.____.__._.-. .__
1,`'iQ?' .SW KING _-
MtyRe amot.rnt�Y byE�date
..._ r»pCpl:..... �
GEORGE PRMT $ 15- 00 CJ•S; 07/23/96 KING CITY 4
3PC:T t 0. 7':�j (.;J•5 07/23/96 ItIh1G CITY
KING CITY C? 2 972124
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Phone #s
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Phone �. r TC7TAl..
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RE QU I REL INSPECTIONS
This permit is ioaued subiect to the regulations contained in the [?P/f.Aaci,fl ()w I,,,-pv
Tigard Municipal L.ide, State of are, Specialty Lodes and all other Final It1sF)pc-t x on
applicable laws. All work will be done in ?c,ordaace with
approved plans, This permit will expire if work is not started ._..._....
within 18@ days of issuance, ar if Horp is suspended for more
than 180 days. _.__._....__...__.._ .._.........__.
f�'ermittee fiignratur'e : fy1Cl dP_d
i s s,_red Eby • Ch0r
i L.al .t frac iTle•peCtic)n - 639- 4177
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FEB-12-'00 SUN 00:53 ID: FAX N0: #123 P02
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Ctty of Tigara PWMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223 I
(503) 639-4171 ��11"1 7 AJ "',,;,,''i
MINIMUM $25.00 PERMIT FEE+ST, SURCHARGE
06—.1eir°"MI New Single FgmIN Rseldenus on
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UATH HQUSE$140.00 O 2 BATH HOUSE$195.00
Job '+ 2 n t O 3 BATH HOUSE$215.00
Address Fee includes all plumbing &tums in the dwehing and the first 100 feet
of water service, sanitary sewer and storm sewer. See We below.
FIXTURES QTY PRICE AWr
`sink 9.00 H
Lavatory 9.00 '
Owner ��3 L� liG} 1 i Tub or Tub/Shower Comb. _ 9.00 w
Shower Only _ 9.00
Water Closet 9.00
"" • Dlenwasher 9.00
Occupant _ � Garbage Disposal 9.00
p " ° °""• Washing Machine 900
_
`i• b'� :> Floor Drain 9.00
a Wafe. Heater 9,00 j
laundry Room Tray 9,00
Urinal 9.00
Other Fbnures (SDecify) 9.00
cow A&*— Ph— 9.00
Contraetor
8.00
ZIP 9.00
Sewer tat 100' 30.00
Sonmr-ea. AddR. 100' 25.00
Water Service 1st 100' 30.00
1 hereby acknowk►dge that I have read this application, that the Water Service ea Addit. 200' 25.00
information given ir.correct, that I am the nwner or authorized agent of --- -
the owner, that plans submitted are In compliance with State laws, that Sirmn &Rain D,sdn 'at 100' 30.00
I am ieglstmee with the Gonstrvclion Contractor's Board, that the Storm &Rain Drain AddiL 100' 213.ra
number given is correct. (If exempt from State inglstratlon, please
gtva reason below} Mobile Home Space 25.00
Back Flow Prevenlivn
Device or Anti-Pollullon Device 9.00
any Trap or Waste Not w
Connected to a Fixture 9.00
Describe worts ^now addition alteration Q repair Gatch Basin 9,00
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to be done resloentlal Q non-residential 0_ InSD. of Exist. Plumbing A0,00/hr
—� Specially Requested Inspection6 40 00/hr
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Existing g use o1 Rain Drain, nim In family dwellin 4 30.00 --
building or property 9- Y 9
Re9ldentlal Da"flow prevention
devisee
roprrred use of
bullding or prolr+r};
—" '(F.x_tpt wsiCorUAI bec4flow
prw*ntron devices)
NOTICE "Minimum Foe S2S 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CC`NSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR Ir 6%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED - ---
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN RFVIFW 73% OF SUBTOTAL
TOTAL
Spade! Conditions -.. .,_. ..-. _-----.---- ---
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