9425 SW 74TH AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECI'ON NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Meth.
?Ibg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Posticleam Struct. Mach. Rough-in vp. Bd. -Bldg.
Gas Line Appr/Sdwlk Reins
Other: —
Date: —� A.M. P.M. E try:_
Address:
Tenant: S,-e: _ MST:
BUP:
Con/Own: MEC:
PLM:
ELC: _
THE FOLLOWING CORRECTIONS OU RED: ELR: -- —
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Inspector: ` -- Date
APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD 1='ERMIrU#. . . .. . . .BING PLM96 -01 11
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/09/96
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639-4171
PARCEL: 1 S 1225D8-•12000
SITL ADDRESS. . . SSW 74T'ri AVE
SUBDIVISION. . . . : PARTITION F'LA'f 1990--8 MLP ZONING: R-4. 5
1'sl_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
CLASS OF WORK. . :ALF GARBAGE. DISPOSALS. : 0 MOBILE HOME SPACES. : 17,
TYPE OF USE. . . . :SF* WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 'Zi
OCCUPANCY GRP'. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . 0 WATER HEATE:RS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES--- -- ___..__._ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAIN'i. . . . . : 0
9iINKSi. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . 0 OTHER FIXTURES. . . . : ai
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 1
WAT F R CL_.OSI_'T'S. . : 0 WATT R L I Nf_ (ft ) . . . : V1
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Re,narks : Sanitar^y sewer line r^epair^
Owner•.: -_. _ FEL-S
I3U ,11 KRAMMER type amount by date recpt
PRMT $ 30. 00 JSD 05/09/96 96--279196
94 2t SW 74TH AVE 5P(11T $ 1. 50 .JSC., 05/09/96 96-2 9190
T I GARD OR 97223
Phone #:
Conti^actor: _._.____.__.___._______------.-•--____--
RUTO ROOTLFR SERVICE & PLUMBING
HOFFMAN SOUTHWEST CORP
4248 NE 1.48TH AVE
PORTLAND OR 97230
Phone it : $ 31. 50 TOTAL
Rey #. . : 013989
---- -- - REQUIRED INSPECTION'S ---
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, Stat. ^f Ore, Speciaity Codes and all rther Final Inspection _ _
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within IAN days of issuance, or if work is suspended for more
than 180 days.
1-'e r m i t t e a Si gnat r e ka
1 s s 1-ted H y .
Call for inspection - 639--4175
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City of Tigard PLUMBING PERMIT APPLICATION_ Planck/Rec. #
13125 SW Hall Blvd. Permit # ( c
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
F T_YA 0 :41- \ �.1_ _\,_V1
New Single Family Residences Ong
u0ei L 1 BATH HOUSE$140.00 CI 2 bATh HOUSE $195.00
Job c (- t- n i^-. 0 3 BATH HOUSE $225.00
Address Gmstn. no Fee includes all plumbing fixtures in the dwelling and the first 100 feet
1 c C of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES OTY PRICE AMT
Sink 9.00
Lavatory 9.00 +-
Ovvner Tub or Tub/Shower Comb. 900
cmc.' Shower Only 9.00
Water Closet 9.00
Dishwasher 9.00
Garbage Disposal 9.00
Occupant M.�.,a.... Washing Machine 9.00
Flo,r Drain 9.00
Water Heater 9.00
Laundry Room Tray 9.00
Urinal 9.00
Other Fixtures (Specify)(Sped ) 9.00
M.r,a Feu... Ph- 9.00
Contractor
4 9.00
GM9fM - rr 9.00
7 Sewer 1st 100' 30.00
01.1.R,Wtl.0 N. CM%._T••N. Sewer -ea. Addit. 100' 2500
Z,q G C I Water Service 1sl 100' 30.00
1 hereby acknowledge that I have read this application, that the 1 Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State !aws, that Storm $ Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Ston &Rain Drain Addit. 100' 25.00
number given is correct. ilf exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-P0111.1tion Device 9.00
.;Kr.m.ywgQr iy,ami Crit -
� Any Trap or Waste Not
Connected to a Fixture 900
Describe work new -0 addition (� ai,eration Q repair Catch Basin 900
to be done residential non-residential 0 Insp. of Exist. Plumbing 40 00/hr
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
�= building or property
Residential backflow prevention
rn devices 15.00
Proposed use of
~ building or property _
J -- - (Except residential backflow
prevention devices)
r NOTICE 'Minimum Fee $25.00 SUBTOTAL JC/rI
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PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCVp PLAN REVIEW 2540 OF SUBTOTAL
TOTAL
Soecial CondirWns
Date issued by