12461 SW KING GEORGE DRIVE-1 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE " r
Inspection Line ec O Phone): 639-4175 Business Phone: 639 417 •
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+ Inspection: k✓ �- L�' L lr��i �r,o° a" �'
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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Foundation Plbg. Underslab Mech. Hough-in Fireplace
FINAL:Post/Beam Struct. Pib . Top Out Elec. Rough-in
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Post/Beam Mech. San. Sewer Gas Line -Bldg. 14
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Plbg. Underfloor Frain Drain Framing Pfumb
Alarm Water Line Insulation -Mech. )r } r
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested;_ I! \ Time: AM PM 'R` '
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Address: ��_� �•=-=+�-gyp-- a� �.
Builder: Permit k: 'i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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lnspectoDate:_
j APPROVED _DISAPPROVED ^ tjF "
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Gr6'�
• _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation fJbg.Lladarsl�b Mech. Rough-in Firerlace
Post/Beam Struct. Plbg. Top Out } Elec. Roug .-in FINAL:
Post/Beam Mech. San. / Gas Line -Bldg.
�Plbg. Jnderfloor Hain Drain Framing Plumb.
Water Line Insulation -Meth. ■
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested:_ % S Time:4AM PM
■
Address: 0r��,�'_
Builder: Permit ta: `7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
n ector:��l� ✓'✓ _ Date;
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
� I
CITY
OF TIGARD
COMMUNITY DEVELCPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722:•6190 (503)839-4171 r-'LUMB I NG F'E R1',1 I T
PE RIY1,11' #. . . . . . . . F'1_M95) V0137
,3rd ..:,171 LATE ISSUED: 07/ 121/95
F ARCEL: 251 11Z1CC•__1 72x0111'
ITL
ADDRESS. . . 1,2461 SW KING GEORGE DR
,UBDIVISION. . . . : ZONING:
14LOCK. . . . . . . . . . . LOT. . . . . .
CLASS OF WORK. . :(.-4LT DI5P'0Sf;)LG. . : MOBILE HOME F�P,AC[y. i
TYT:,E: OF USE. SF WASHING MACH. . . . . . . . BACKFLOW F'REVIJ'TRS. : s
OCCUPANCY GRP'. . :R3 FL.0 R. DRAI:NS. . . . . . rRAr a. . . . . . . . . . . . . !
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . s CAT'CrI B!"ISING. . . . . . . s
F lX'il1f2E:i -_..._._.•____. _._.__. LOUNDRY -rf2AY . . . . . . . GF Rf'Ihl DRAII`lCi. . . . . :
SINKS. . . . . . . . . . :0 URINALS. . . . . . . . . s GREASE TRAPS. . . . . . . .
LOVATCIRIF S. . . . . : 1 OTHER (=IX7iJRF:s „
TUE/SHOWERS. . . . : SEWER LINE: (ft ) . . . .
WATER CLOSETS. . : 1 if)7F R I_I 1Ai ft ? . . . .
DISHWASHERS. . . . s RAIN DRAI1\1 (ft > . _ . . :
Remar : Install one lay and one water clnc.set
G"w11er - —___._.______.____ __._._.._.._..__-..___,________...____.__.__._.__.___...-. FEES
NIRS Et-,SNER type amol.tnt by cdrtt e recp
12:461 SW KING GCORGE: DR PRMT $ 25. 00 JD 07/10/95 KINGC11Y
PCT $ 1. 23 .JD 1717/1.0/95 KINf3CITi"
1:IN(3 CITY OR
Phone #: 6F_ +-10:173
Cnntract or:
MODERN PLUMBING
+ 111;121 SW INDUSTRIAL WAY I:
TUALPTIN OR 9706Jw'
Phone 1t-, 091 -6166 $ 2G. 25 TOTAL
87906
RE UUVD INSP,ELTION5
-his permit is issued subject to the regulations contained in the Final Inspect -tun
'igard Municipal Code, State of Ore. Specialty Lodes and all other _ ,,._ , ._,_.__ __.•____ _ �__.
applicable laws. All work will be dcne in accordance with
approved plans. This pereit will expire if work is not started .__.. __.__�._......__......_____ ...._. ____.__�..._-.___.__
within 20 dais of issaance, or if work is suspended for more
than 180 day¢.
Per-rrittee Cli nw ..rr c �. �• � 4
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;. Gall far inspecti.an 63q 417
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f' TQL-02-'00 MON 05:23 I D: 4286 P02
City of Tigard PL MBING PERMIT APEL.ICATION Planck/Rec. #
13125 SW Haul Bled. Permit # P�
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE •
Trow s note Fmoy Reetdga Only
,,�,,, 1 -^'�'-"'t�'+" ❑ 1 BATH HOUSE 3140.00 0 2 BATH HOUSE$195.00
Job (,p I K1, 17/t O a BATH HOUSE$225.00
Addrestt a.
I Foe includes an plumbing, forturoe in ttta d*vmryj and the first 100 foot
�+t of water service, sankewer'and storm Bawer. See teas
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FIXTURES GTY PRICE AWT $
l +I Rt, Lc-/.s MCP, Sink I 9.00
M.N"w..- •^' Lavatory 9.00
Owner Tut!or Tub/Shc�wer CWft- 9.00
wd.. Shower Only 9.00
�r Wabrr Closet 9.00
a rr...i IF Dishwasher 9.00
4601t,- flarbaye Disposal 9.00
Occupant ,iiej ,..� - Washky Machine 9.00
Floor Drain 9.00
a "M av Water Heater 8.00
Laundry Room Tray �- 9.00
Urinal 9.00
Other 1=1Yturps (So") 9.00
►�-- 9.00
Contractor 9.00
-
i 9.00 I
sewer 1st 100' 30.00 j
Sevnr-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I lrereby acknowNdgs that I hwe read this applf-- ca'~tion, that the Water Service ea. Addit. 200' 2,5.00
Information given is con", that I am the owner or authorized agent of Storm &Rain Drain let 1W. 30.00
the ov nor, Gnat plans subtxMW ora in compliance with Slate laws, that _
I am Mgistetprl with the Construction Contractors Board, that the Storm A Rain Drain Addle 100' 25.00
number given is Correct. (if exempt frons State registration, please Mobile Home Space 25.00
give reason below.) -
'"'- flack Flow Prevention
Device or Anti-Pollution Device 9.00
Any Trap or West* Not
Connected to a Fixture 9.00
Describe work new I addltlon O alteration repair Catch Basin 9.00
to be done resklontial Ok non-residential 0 Insp. of Exist. Plumbing 40.00r
-� Specialty Requested Inspections 40.Mhr
Existing use of Rain Drain, single femlly dwelling - 30.00
building or property
Residential backAnw prevention
devices 15.00
Proposed use of _
building me property -- '(E eopt molden(fal backflow -
prevetrdun devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL af(p
PERM"T;, BECOME VOID IF WORK OR CONSTRUCTION 596 SUHA
RCRGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF a�S
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORD IS PIAN REVIEW 25%OF SUBTOTAL
COMMENCED
TOTAL S
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f1 —=------,TUL-02-100 MON 05:22, ID: 'F'AX 457: - 13286 P01
KING (CITY �
16300 SR'.116th Avenue King City,Oregon 97224 Phone:699.4082 i
PT,TJMBIIVG 'PLRMIT AVVT- ICATION
7- /v - YT-
DATE: RrNG CITY BUSINESS LICENSE NO. --
NAME OF APPL_T.CA.:;T1!'1a M6)
ADDRESS:0 ,0- 64a_(L�L1ll
NAME AN ADDRESS OF PROPOSED JOB: 1!').�5- ��5+✓� PHONE D
NAME OF CONTRACTOR:,O--WA PHONE'
ADDRESS:u/�D,S ��(/��! f�,'/AL�/t� T� 1�ze L I CENSE N0
DESCRTPMION OF WORK TO BE DONE; 007t,�J�
SIGNATURE OF APP',ICANT
*APPROVED APPLICATIONS ARE VALID FOR SIX MONTPJ ONLY*
NOTE: Oregon Homebuilders Law requires that all persons Who
contract for work on a residence be registered With the
Builders Soard which means the contractor is banded and
insured on tha job site. For your protection , be certain
your contractor is registered by calling 1-503-318-46.21 .
R OFFICE, USE ONLY
APPLICATION REH VED PY _ DATE-J-E % _._
APPLICABLE FEE RECEIVED $�, - _ CONDITIJ�`NS/COMM NTS_
APPROVED BY DATE
Note: A permit mutt also be obtained from the City of Tigard
Pepartment of Community Development Yes No___
CITY OF TIGARAINSPECTION REP4R'�
This project has been inspected and Apr roved___ ___—_nenied_.
Comments
Signature Date
(City of V Lord please return one copy to King City)
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JUL-02-'00 MON 05.23 ID: FAX NO: 4286 P03 t
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of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
1-11125 SW Hall Blvd. ` 2 (1� 9�T� Permit #
Tigard, OR 97223 (5 '
(503) 639-417'1
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Now Single Family Residences Only
.,.... � ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE S195.00
Job D Q ❑ 3 BATH HOUSE$225.00 '
Address ar+s•� -� v m - Fee includes all plumping natures in the dwelling and the first 100 feet
K t^c t n p , of water s arvice, sanitary sewer and storm sewer. See fees below.
r�..y�.� a.... -1L FIXTURES CITY PRICE AMT
Sink I 9.00 r
Map raaw Ph- Lavatory 9.00
Owner (p Kl _Cr:� r, Tub or Tub/S.iower Comb. 9.00
awsa. n• Shower Only 9.00
Water Closet _ 900 Q
Dishwasher 9.00
i: A CUL Garbage Disposal 9.00
Occupant Mann„e,..• Ph.,. Washing Machine 9.00
Floor Drain 9.00
Water Heater , 9.00
Laundry Room Tray 9.00
N.T. Urinal 9.00
Other Fixtures (Specify) 9.00
N,r.a A"- � Ph.. M 9.00 � 4
Contractor - 9 00
// / ,40- ����c C _ �- 9.00
- ZIP
Seaver 1st 100' - 30.00
F' Tri"• Sewer-ea. Addit. 100' 25.00
aWater Service 1st 100' 30.00 _
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
informatlon 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 -
1 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
Mo
give reason below.) hile Home Space 25.00
Back Flow Prevention
Device or Antt Pollution Device 9.00
•a�.•.,i..�. •o.•u �•• Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition 0 alteration repair U Catch Basin - 9.00
to be done residential non-residential 0 Insp. of Exist. Plumbing 40.00/hr
Sp,rially Requested Inspections 40.00/hr
Existing use of Rain is a!n single family dwelling 30.00
building or property _ -
Res.iential backflow prevention
devices 15.00
Proposed use of
building or property _ -
.(Except residential backflow
prevantfon devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL �?5W)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITH!': 190 DAYS, OR IF 546 SURCHARGE a s
CONSTRUCTION OR WCRK IS SUSPENDEC OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 254e OF SUBTOTAL
TOTAL 5
Special Conditions
Date ssued J S� by '11'e" G e- -
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