12335 SW 72ND AVENUE-1 r
12335 SW 72nd Ave. 1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of InspectionI ✓
Date Requested_ PliTime_.. A.M.
Address _ `s `( Permit
Owner .___ _ Lot #
Builder - — —
The following Building Code deficiencies are required to he corrected:
Presented to __-_-- —-- �- -- n Approved
Inspector _- _ �. Disapproved
Date — - --- - --
CALL FOR REINSPECTION
CA YE! ❑ 40
N r I r
RH� a
PI UM91NG PE–EPIM11
CITY OF T'GA RD PEPM.'I:*T* NO . PL.,8901'5411.
CITY OF TWAV
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COMMUNITY DEVELOPMENT DEPARTMENT CRR104oN 1GSLIED: .3/20/09
13125 S.W.Hall Blvd..P O.Box 23397,Tigard,Oregon 97223.(503)639-4175 1:)M*T* .NU . t3qo!*je41.
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This permit is Issued Subject to the regulations contained in Title 14 ............................................................
of the TMC, State of Oregon Specialty Codes.zoning regulations 1+1 GIL)TIAE'D EX-1
and all other applicable codes and ordinances, and it is hereby 111 Fi UNDE W!:4.Ali
agreed that the work will be done in accordance with the plans and I (1'.) 1 rx [W.Am
specifications and In compliance with all applicable codes and 'd 0 1 1 1-1 L'.1'.Nl:-.
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PI I 11,113:10L)T
business tax permits This permit will expire and become null and 'f'i I td D P A 1 N
void if work is not started within 180 days,or it work is suspended or t 1 1401
ahandoned for a period of 180 days any time after work has
commenced It shall betpm responsibility of the permittee to assure
all required inspect) are a uested and approved
P�,rmitt,e SignaVre
,59LIed By I I I (IN 63r —ej 1. J"'
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
iii W W w t� Illi IAI[ W
P.O.Box 23--fN
CITY OF TIGAR D PLUMBING 1.3125 Sq HaLU RIW.
Applicants must hold Oregon Registration to conduct a plumbing �[;PERMIT A 1'i` Tlq�j CR 97223
R I V l
business or must be property owner/operator not hiring outside help. E 1 639-1175
Name of Uevslolxr,ent
1 N-
J , Plumbing;Permit N.).
Address - _
Description
Job Tax Lota Map.No. ORS 914-21-@10 DUAN. PRICE AMT.
Address
Lot Bloc* Subdivlslon FIXTURES -- -
Sink 750
ams anarne,o�iatness Lavatory v 7.50
Tub or Tub/Shower Comb 750
a ing ress - _
Shower�Iv — - 7.50
Owner City/State Water Closet - - _ --
-- - --- - _7.50
-.
Dishwasher------ 7.50
Phone _Garbage Disposal 7
_ 50
Name - Washin.g Machine _ 7.50 W -
Floor Drain 7.50 "- -
ai irN1 ress PhorN - -- - -- —.._
Water Heater 7.50
Occupant Ciry/Slate ZIP Laundry Room rray 7.50
Urinal 750
Other Fixtures(Specify) 750
e
C' 750 {
Pf10f1v� --_
750_
Contractor 7.50
aP
r
ANEOUS
City Bus Tax No
; ? 1 - / 0— 30.00
lets s. ar3No— tete Phu rs us o. dif.100' s 15. 0
- (Resxfenliaq
Water Service 1st 100' ._--
-- 20.00
heft,y ackno wle,•pe that I have read this application,that the information e ea.Addit.2OD' 15.00 -
given is correct,ftl 1 am re watered with ft State Builder's Board,and also gS�8 Rain[train 1 at.100'
have a State Plumtft bcanse that the rrxrAws given we rxxrect,that all — 30.00
PwrrtbKip work vnU be done in eocordanee with applicable provisions of rare- Storm 8 PPJn r,sin Addlt.100' 15.00
Ston Revised Stabrtes Chapters 447 and 993 and applicable c»des and tnat
no help w1U be employed uniess Ik,eneed under ORS 983 (If exempt frwn Mobile Horres Sped! 25.00
Stats registration,pion""reason txlow), Back FlowPrrrontbn _-- ---- -
14OMEOWNERS-I hereby oertlfy that I am!;b owner of the property de- Device or AntFPdluuon Device 7.50
scribed above,at which kXA00o 1 propose/o make a plumbirV Instakatkxl for Arty Trap or Wrrb Not ----
my own uerl end thio prop"is not bekq constructed for sab,base or rent Connected lo a Fixhxe
7.50
Calcic Basin 7.50
- — --- T_-- ---- k".of Exist.Pkanbnp - 40.00 Par Hr
Salty oupece ru 40.00 Per Hr -`
ANar
of Pkxnbkq within
an Exist vj B1WU 15.00 min.
AU"�l OR1.7ED Slf3NATURE __ ----.-__ _
I ate r8uIld Build.Addtlbn 28.00 min.
[bscribe work clew addition 1 fe fatltil — _
❑ (-1 alteration[) rupeir f 7 15.CU
V)be done residential I 1 r1cx1 residential
ExfsiinU use of
blAk*V or l r"jly
- KWTOTAL
INtposed use of tR or Poe n«tN t tllNOTICE TOTAL
ThioPO'""A bsoornae rxdl and rrdda wort a oonabuolirn"'cnrited r not Wm. _-_ ---
rnwx*d*000 180 41111M er 9 oenrruraon or wont N aapatrlaj x aDarx)oned for
a IDOtW M 180 days Of slay arae ahlsr work N oorneawrosd
8M%kL 00" IT10Ns
Date Issued by