16345 SW KING CHARLES AVENUE 16345 Sw King Cha,les
King City
1
I
CITY OF TIGARD Plumbing Permit 3 ,# 1
Building Deportment No.
'3eside•tial { Commercial ❑
New Installation � Replace Addition ❑ Alteration ❑ Date
Licenseds '
P Limber L �L(r���' i` - - Owner —_ A
Address Joh AdG:os9 l i' C.r
Phone ._.______�t -d= 'r � __�.____— Applicant _LLI- C+
_ CIT\'_BUSIN_ESS LICENSr-REQUIRED FOR ALL CON TRACTORS AND SUB-CONTRACTURS r
ITEM NO. FEE TOTAL _ _ V fEM NO. FEE TOTA-.
Fixtures- Traps -- _ 7_50_ _! Sewer.First IV0ft. - 30.00
Dishwasher 7.50 Each Addi(.100 ftp
Garbage Disp)sal _7.50 _ Ejector Pump 7_50 —
Water Heater __- __ - 7.50 - Water First 100 ft, 2('.!)0
Backflow Prev9nter7.5.0_ _ Each Addit.?_00 h. 15.00
Storm&Rain Drain:First 100 ft. _30.0v _
Each Addi..200 ft. - 15.00 —
Mobile Hume Spece _ _ 25.00
Other(Specify): — -- �Y Ra„.Drain-Single Fam.Dwelll 15.00
PERWT FEE t r.. ^.orriments:
- - t- Issued By: mac_
STATE 1__%'16 Applicant
L:srReceipt No
p .—.r.._. __ ._.
TOTAL— ._._._ L�'-' � ...� Signature_
---- For Plumbing Inspection Phone 639 4171
i �
BUILDING PERMIT APPLICATION KING CITY DATE
THE Ul'DERSIGALD HEREBY APPLIES FOR APER11IT FOV SHE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYINJ PLANS AND SPECIFICATIONS. OWNERPHONE_
LOT NO.---
gWNER JOB ADDRESS �401VIF ADDRESS
ARCHITECT
t'low _"Oofin- ,0. 434 14 Tillrallift* ENGINEER
ADDRESS DIESIGNER
IgTVRE EINEW 0 Rt MODE, C3ADDI11ON In REPAIR OR.ENEINAL []FIRE DAMAC. 0:)EMOL.ITION
URE%IDENCE CICOMM DEDUCATIONAL CIGOV'T EIRFLIGIOUSOPATIC! CICARrOR, CIG.,,rGE 0 STORAGE LJSLAB []FENCE
EIBOND 0 MOV ING EICONIATIONAL USE DDESIGN REVIEW CICOUNCIL,,PPROVED [:]SIGNS
OCCUPANCY _LAND USE ZONE---- ---13LDG.TYPE---FIRE ZONE PLAN CHECK BY-----.--
C',c,LQAU____ FLv M LOAD__JiUQHT___ ---- NO,SIORIES
BUILDING DEPARTMENT SET BACKS FRONTREAR LEFT SIDE _RICI-Hl SIDE
Permit
TV - PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABILF CODES AND ORDINANCES, AND IT IS HfREBY AGFFFD THAT EHE
WOPK WILL BF DONE IN ACCORDANT. sdTH THE PLANS AND SPECIFICATIONS ANL,,tv CCMPLIANCE WITH
0 PEh,'AIT DJES NOT WAIVE
Sub-total ALL APPLICABLI CODES AFM :)nijINANCES. ri:F ISSUANCE OF THIS
HESTR-C T!VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY POS NESS
State Tax LICENSE. SEPARA,E PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total 16064
By
APPI It Tr<314 i�,r TiN'F
Approved Rpceilil No
DA 'E INSP. TYPE INSPECTION REMARKS i PLUMBING
DATE
Contractor
Permit No.
Rough-in
Fixture
Fina'
HEATING
Contractor
C;.,or
Permit No
Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Stom Drainage
i(Rain Drain)Final
Sideyalk
Curb&Street Final
1 Approach
BLDG. D&T. LFINAL TEMPORARY CERTIF '^ATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
t-andscapirj
Zoning Fina!