11540 SW TIMOTHY PLACE-1 i � '
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jNSPECTION NOTICE
City of Tigard Building Departaent.
L1125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)e 639-4175 Business Phone: 639-4171
Por-ing Plby. Underslan Mech. Rough-in Appc/Sdwlk
Pound. Plby. T,p Out Gas Line ! .4AL:
pout/Beam St:ruct. San. Sewer Framing --Bldg.
Post/Roam Merl:. Rain Drain Insulation -Plumb.
Plbo Underfloor stater{ Line Gyp. Rd. -Hoch.
Date Raquenteds c/ Times AM PM
1
Addreor: I j L _ Permit Ise m �f _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector `-- ._ _�� Dates _
APPROVED DISAYPRCVp.D APPROVED SUBJECT TO ABOVP
Call For R,-Insp.
���OFTIGARD (CITYOF'f16ARD
C,0Mh1UNrTY DEVELOPMENT DEPARTMENT 0410WON
13 1�S SW HWI Blvd. p.O.Sm 233g7,Tlgwd,Oregon 972Z3 (603)&X"176 PLUMBING PERMIT
T-,r -T—F. ._. . . . - PL-M 2-01451
639-4171 DATE ISSUED: 09/22/9
SITE ADDRESS. . . : 11540 SW TIMOTHY PL PARCEL: IS134CA-00107
SUBDIVISION. . . . : BARTON SUBDIVISION
ZONINGc R-4. 5
BLOCK. . . . . . . LOT. . . . . . . . . . . . . 14
CLASS UF WORK. . cADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVN1'RS. . : l
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . ' TRAPS. . . . . . . . . . . . . . '
WATER HEATERS. . . . . . : CATCH BASINS. . - - - - - :
STORIES. . . . . . . . : SF RAIN DRArNS. . . . . t
FIXTURES----------.--.-- LAUNDRY TRAYS. . . . . . : GREASE TRAPS. . . . . . . :
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . .
OTHER FIXTURES. . . . .LAVATORIES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . s
WATER CLOSE'.S. . I WATER LINE (ft) . . . . .
D11--)HWASHERS. - - - 11 RAIN DRAIN (ft ) . . . .
Hemarks : SPRINKLER SYSTEM
---------------- FEES
Owner-: --.________________.________--•_--
----------- type amount by date v,ecpt
TDAVID VANOOSTEN PRMT $ 15. 00 JH 09/22/92 —
11540 SW 'IIMOTHf PLACE 5PCT $ 0. 75 JH 09/22/92 —
TIGARD OR
I-,hone #t
Lontr,actori
MODERN PLUMBING
po BOX 23307
-----------------------------------------
TIGARD OR 97223 15. 75 TOTAL
Phone #1 639-3701
Re R 0. . - 01810 -------- REQUIRED INSPECTIOMS --------
This pit is issued subject to the repulations contained in the Top—out Insp
Tigard mq-.Iicipal Code, State of Ore. Specialty Code: and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This pereit will expire if work is not started
within 180 days of issuance, or if work is suspended for sort
than 188 days.
Pev-mittpp S i g n a t l_�
Issued BY :
1 for inspection 639-4175