14095 SW FANNO CREEK PLACE ADDRESS:
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INSPSMON NOTICE
City of Tigard Nuilding Department
131.25 8V 9e11 Bltd, Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 639-4171
Inspections__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk —
Found. Plbq. Top Out Gas Line 1INALLt
Post/Beam Struct. San. Sewer framing -L.d
9•
Post/Beam Mach. Rain Drain Insulation Plumb.
Plbg. Underfloor Water L[ineq Gyp. Bd.
Dato Requestedt ( _ Timet _
Aadre..t 1' �D/�i S-1�c-1a/\V\& Crwo k' i-'I. Permit t,l'U� 9 3 X133
Buildert (,P<0 Z- I(I z--
THE FOLLOW'" C4RRECTIOMS ARE REQUIRED:
-APPROVED DISiPPROM)
AFPROVRD SUMTIF 'm ABOt2
`C']1 Pnr ReLnep.
C17Y OF TIG- ARD t
COMMUNITY DEVELOPMENT DEPARTMENT
-13125 SW Hall Blvd.Tigard,Oregon 9122396/99 (503)639-4/T/
W1hIFaUlOL
1tR�'f�' �: lsrl�•.- 1i . .. l i. ria !i.'
is pe"'r:t i1 Imed -11blict tc the rEquiatlar•t _,ita1►Isd in the va V
Coke, !Ste a u I SpDc. 2ty Codes and Wct`et' �' i.rlr i :.n< re L an
�:: . . t lars. Ai'. mwk %Iil he dobe ir, accordance WiO _
�(�ls Drkrli�'r���tlt�ire=aF >»v�k is rat Sta••tPs .___ ._. ___._.._.__..�__........ _...._..___._._.. _._
City of Tigard PLUMBING PERMIT Planck/Rec. #_
13125 SW Hall Bled. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171 _
Dercipticn
ORS 814.21.610 QTY PRICE AMT
JobF'IW� ��[ �� FIXTURES
Address L In
—T^
vLavatory
«+�• 7.7—
rub or TubiShowGr
Rower only .50
UOM «+ I Water Closet
Owner 5AM waw 7.50_aRr _
_ Garbage msposal
--Waas-in-g�Machine .50
rM r n,w. - r-K)oF UM n
,��_Am Wnter Hester 7.60
••• ray 7.50
Occupant nna
�» Othe,Fixtures(Spee
0
22A ��)uwN C T 7i 7 MISCELLANEOUS
Contractor ,. n
yV SON V►�.(-EI12- G1 76-70
Sewer 1$1 100 30.00
ciy I–TUN. Sewer-ea. L 100 -IT.-00
M�r1-133 Water rvtce 1 st 100 00
a aTge iave r933 this application,that the Water Service ea.Addit.200' 15.00
Information given Is carred,that 1 am the owner or authorized agent of —the owner,that plans submlttod are in compliance with State laws,that I Storm 8 Rain Drain 1st 100' 30.00
am registered with the Conbtruction ContracWs Board,that the number Sturm 8 Rain Drain Addit. 100' 15.00
given Is correct (if exempt from State registration.please give reason
below.) Mobile Home Space 25.00
Back Flow Prevention
' Device or And-Pollution Devioo 7.50
j late•"-rj-WM Any Trap or Waste Not
Connected to a Fixture 7.50 _
Descrirm wafR new addition 0 alteration 0 repair Catch
M b9 done reside tial O on-residential 0 o0
/¢'i Insp.of Ex1st.Plumbing per hr
40.00
Specially Requested Inspections nor hr
Ekisdnq use of Rain n, amo
bulidng or property dwelling 15.00
es ntial backflow prevention
devices 15.00 l
Proposed use of —
building or property
(.xcepr near e"V ac low
prevention devices)
NOTICE 'Minimum Fee V..5.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR IF �--_
CONSTRUCTION OR WORK IS SUSPENDED OR A13ANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCFD. TOTAL 5,7tj
Special Conditions —`----�—,! — – �—
Date issued_ by
rrw uVAWVT
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. 9 3-243120
CHrZ.CK AMOUNT 15. 75
NAME GARRON GROUNDS MGMT CASH AMOUNT 0. 00
ADDRESS a 9720 SW HILI-MAN CT PAYMENT DATE a 08/10/93
SUITE 815 SUBDIVISION
WILSONVILLE, OR 97070--
URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAIYMENT 0MOUNT FEW ID
LUMBING PERM 15. 01a ST. BUILD PER 0. 75
14093 SW FANNO CREEK
OTAL. AMOUNT PAID — — — — t 5. '75'