13125 SW 124TH AVENUE s.
I1\
1
•
•
I:VccordSVnicroflm\(Lrge(�.Y)ul(ding.doc
CITYOFTIFARD PLUMBINGBING �'ERh!I'r
if] T6ARD
-LMri 1._00$7
COMMUNTY DcdELUPMENDEPApTMENC
13126 SW Hdl BNa P.O.Box ream,TIpM,argon 9722+l603l W9.41 is �A T E ISSUED. 1716/11/91
S1"Ii ADDRES-S. . . . 131L:j SW F'ORCEL: -
Sl!BDIVISIOIq. . . . : "ZONING:
BL..00K. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . c REV, GARUAGE DISPOSALS. . : 11OD i I._E HOM
YF-E OF USr- :SF WASHING MACH. . . . . . . : BPCiKFL.OW PREVNTRS. .
OCCUPANCY GRI`, , r.R,' F-OOR DRAINS. . . . . . . . TRAI"S. „ . . . . . , . . .. . . . .
STORIES. . . . . . . . . WATER HEATERS. . . . . . . r:ATCH BASINS. . . . . . . .
FIXTURES----_- - _....___ ._•
LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . UR I N(ILS. . . . . . . . . . . . • GREASE 'TRAPS. . . . . . . .
I- aVF' DRIES. . . . . : OTHER FIXTUREF. . . . . : 1
I USSHOWERS. . . . SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WA!t_R I- INE (ft) . . . . :
1)1SHWASHE.RS. . . . : RAIN DRAIN (ft ) . . . .
Rem r-ks : REDOING WATER LINE
Owner: ------------------ FEET
JOHN ZUPER t v C)e a M0'Ant by ciei:e r^et. pt
13125 SW 124TH AVENG3 PRM'r s E5. 00 JLH 06/11/91. 2
00-1 $ 1. 25 JLH 06/ 1 . /'3
11GORD OR 9 72'?3--0000
Phone #: 503-629-CA395
CONI 4AC:TOR NOT GNU NILE
Phone 0: $ .?_E.. 25 TOTAL
Rey t4. . .
----------- REQUIRED INSPECTIONS
This at-wit is issued subject to the regulations contained in the Top-ui.1t In-,D
Tigard Municipal Code, State of C". 5Vr :city Codes and ail ether F i n A 1 1 n s per.:t 1 un
acaiicable laws. All work will be done in accordarce with
aor,-ved cIa s, This pereit will expire if work is not started _•� __ _,__.____ __.__ .,�_._.___. _ ..
within 18@ days of lsSuanm ^ it work is suspen,ed for Rare
than leo days.
Poi-mit;tee 5trin. t .ir e :
`i U e i (•/IAC Q/��._ �_.....__ .._. _.. ..t. .. ._.
E_ .,l i f Jr int -tior - 639--4175
J
L
W
J
INSPECTION NOTICE
City of Tigard Building Department
13125 SK Hall Blvd. Tigard, Oregon 97223
tnapection Line (Rec-O-Phone): 639-4175 Bueine3a Phone: 639-4171
Inspection: S \lA U( '%i1
Footing Pibg. Underslab leech. Rough-in Appr/Scwlk
Found. Plbg. Top Out Gas Line FINAL.
Post/Beam Struct. San. Sevin- Framing -Bldg.
Post/Beam !tech. Rain Drain Insulation Plumb
Plbq. Underfloor. Water line Gyp. Bd. -Mech.
Date Req sealed:- 1,_ Timet _ AM •___ _pN
Address: _L1 A.4— / V G Permit it
Builder: Pkj. \AAtL-V _ Ck -
7.•R FOLLOWING OORRECTIONB ARR REQUIRED.
a
h
J
t
W
J
Inspectors /i Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVC
Call For Reinsp.
,M w
t
a '
c i-t Y cr T I CARD - RECEIPT OF F"'r)YMFNT RUC:E I PT NO. :91--2t4215
NAMEs JOHN 11 7.IJEaE:,R CONSTRUCTION CJAEC;K AMOUNT ; :6. ;H,5
CASH AMOUNT ; W. Oki
ADDRESS a POYME NT DATE=: r 06/11/f.)'.I
16r , W 124144f IMIDIV1 1ON
7'16 6 GIN;1, CIR 9"Tc:.'[:',a-- "
F'1.1PPOSF OF r'AYME'NT AMOUN"r {-'ATI) P'URP'OSE OF PAWIENT AMOUNT PAID
P'LUMka,�N0 PERM M1 -00E37 e.n. 00 C;7, _..BUIL.I) PER '___-.__.- ., u;
a
u r
J
W
J
P'I_11118 I NG PERMIT
10 TAL. l'IMCIL.IN-r t:'A 1 1) . 25
CITY OF TIGARD
PLUPABING PERMIT - 13125 SW HALL BLVD.-//_"2 ,//
P. O. BOX 23397
.A�pticants must hotd thegon Registration to conduct a plumbing T I GARD, OR 97223
business or rcwst be property owner/operator nos hiring a :side help.
503)639-4175
Name of Devebpmerl`
(1 \-1 C��b x -�_ Plumbing Permit No.
p ORS 31-21 -610 Ol1l1N. PRICE AMT.
Job Trx Loot Map.No- _r
Address FIXTURES
Lot Block Subdntslan Sink 750 -
7Xname u \ L"ak" 7.50
77\`1 t-1 • 2.LL�j� � Tub or TuW$Fawer Comb. 7-50
NG;;;;j Address Stawer Onty _ 7.50_
\ -5\ � f- W 1 Z_ 111 Water Closet 7s0
Owner Gty/ to --
-\ G(� _ C)i`, _ 7.50 -
PI10ne Garbage Disposal 7.50 _
.7.50
Narne Wast'irg M1acn:'e
FborOrain_ - 7.50 -
nyAddrqlss \ Phone Watertteatec _ 7.50
b�-(-- {
1 �_ 7 � �O�� <7 t sundry Room Tray 7.50
Oc cttpant (,Sy/state 7 2 Urinal
7.50
CA
Na Odw Fufixas(Specify) 750
7v.1\m C"�'f) C C\e w 7.50
C-61� �, 'one O }L ��fie• 7
7.50
Contractor City/State zip
MISCELLANEOUS
City Ekm.Tax No. $aww 1 st 100' 30.00 -
,r o~-oa.Addit.100' 15.00 _
1. Asia
(Resder'tiaQ _ Water Service 1st IOU' 20.00
1 hereby acknowledge the!1 tuvr reed this eppkr adon.Intl I"h' x""tlon Water Ser rioe ea Addd2Wr 15.00
given is horned that 1 am regisiorrd wit.'the State&Ukiah Board.and also Sloan 6 Rain Drain 1 sL 100' 30.00 —
twwo a S'.ale Pkrr**V Wwsse that d"numbers given are oohed.dub at
,Ah rnt.wV work will be done in 000wdena,Mth applicable Ixwisior's d Ore Sim 6 P.-in Orcin Addl_100' 15.00
gon Revised Statutes Cluplors 447 arab C 13 and appAc ble codes s:-..i that moble"br"a Spam - 25.00
no hep wtN be enepbyed unless licensed�^:,few ORS Ggft(n exempt f"Wa
State regisvatwx%phase give reason bekrw). tljv*Flow Prwention
Device or Anti-PdkAion Device 7.50
F10MEOVYNEiLS-1 hereby oentify that 1 am nee orrr'er Of the property do- --- -
scribed above.at wtkh loc&&m 1 propose to make a pkwnbir g tnMaµsdOne" Any Trap at Waste Not
my own use and this property Is not being cm-abucled for sale.hose or reat. Conxw led lo a Foxe 7.50
Catch Bask' 7-50
40A0 Per Nr. _
-- ---- - �paW gusted lnspecdons 40.00 Per Ik. -
Alesr.of Pkrrtt'4'p wMhln
--- - ---- an Exbtlnp Bldg _ — 15.00 nlr'.
AUTHORIZED S1(1f4ATURE 06% New Bldg.or Build.Addftlon 25.00 min.
_ ----^—
- alfer"Wn❑ repalr❑ d+P11 15.00
DesrxtTre work new❑ evdiliort(] _
-� tq be done residential j]-- not[-Iaeldetttinl ---_--
} uldltk'p the of
buMAVaproperty $25.00 minimum SUB-TOTAL _ r-
of 5% SURCHARGE 25$ PLAN REVIEW
----- TOTAL _tL, , >
This pea.I beoonwe null and mini M work Of 00n4tructiOn autl'odked Is wA com
msnoad wltiJn 1 ra0 dayapr M oer'ahudkxt or wok b elxKiendeA a st'sr'da'ed ku .•
a p*dod d 1910 day+d any,offw anw work is c on'rnenowd-
•![DIAL.004410 T10"s_-- -- Data blued .__ by