8445 SW HUNZIKER ROAD-1 4 w
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v City of Tigard Brsildioq Departaent kf°
13125 M Ball Blvd. =i9axd. oregon 97223
Inspection Line (Rea-O-Phons)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk i e
o Gas Lina FINAL:
bund. lbg. Top Out y, s,
1.
Post/Beam Struct. CSn Sawer Framing 9•
.on
Post/Beam Nech. Rain Drain InsulatS -Plumb.
Plbq. Underf'laor water Line Gyp. Bd. -Mech. ¢' t �yi{6 a A,'fit
ri �#FI Alf s11 l:f�
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1 /� AN __PN
Date Requested:`�_T� --_.—TLIUe i —
(-�+� Permitr f
Address! �' �� • tt, �r# t
�� L►i — tSr "r '} ^* c lel
'. Huilderiy,�,Z_ ------- - ` •. t ay,sg`?}:
TBR !C)LLOwiY.l CORRECTIONS AM REQUIRED:
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Inspectors Dates /
DISAPPROVRD APPROVRD SUBJECT TO ABOVR(,_�PPROVRD
Call For Reinsp.
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A CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PLUMBING PERMIT
PERM I 1' #. . . . . . . : Fil-1194—026
639 -,171 DATE_ ISSUED: 12`/12/94
PARCEL: 2S 1 O 1 ESC-01.2 141 r •
SITE ADDRESS. . . : 248445 GW HUN IKF-_'R ST
SUBDIVISION. . . . : KNOLL ACRES ZONING: R--4. 5
BLOCK. . . ... . . . . . LOT. . . . . . . . . . . . . : 7 r
CLASS OF=' WORK. . :ALT GfaRBAGE DIS GALS. . : MOBILE HOIrIE SPACES. : I
TYPE: OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLCJW F'REVNTRS. . :
Y
OCCUPANCY GRP. . :R3 FLOOR DRAIN 5. . . . . . . . TRAPS. . . . . . . . . . . . . . . M►
STORIES. . . . . . . . . WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . .
LAUNDRY TRAYS. . . . . . : 5F RAIN DRAINS. . . . . ..
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . .. OTHER FIXTURES. . . . . : I aer
IUB/SHOWERS. . . . : SE,WE R LINE (ft) . . . . :30
WATER CLOSETS. . : WATE k L IN1-7 ( Ft ) . . . . :
D1bHWAS'HE:.RS. . . . : TRAIN DRAIN (ft ) . . . . :
F<Emar;�s : 301 clF <iewev- line
Uwner: ___._____._._._________._...._._____.__._.__._.._.._____.____.____.___._______ FEES
LUCETTE WILDER ty10e amo,-Int by (late vecf71;
8445 SW HUNZIKER PRMT' $ 30. 00 JF 12/12/'"4 -
�PCT A 1. 5,0 JF 12/12/94 —
TIGARD OR 97223
Wflane #:
Cant r�r.t a►^; ____.__.__._._.__._-----______________.
SHOES r S
IWCI .� INC/DDA IwR ROOTER
i-'Cl BOX 1897
HIL_LSBORO OR 97123
I=i-rone #: 357—`2"52 $ :x1. 50 TOTAL
Req #. . . 93705
R-*.QUI RED I NSPE'CT I ONS ----_...
This oereit is issued subject to the regulations contained in the Sewer ins;iection
Tigard Municipal Code, Crate of Ore. 5aecialty Lodes and all other Find Inspection
applicable laws. All work will be done in accordance with
approved plans. This pereit will expire :f work is not starte
within 188 days of issuance, or if work 1s suspended for torp
than 188 diys. -------_��____ . _____._ --• �-
E y e r^m i t t e e S i y n a t i_l r-e :
Call for^ inspection — 639-417
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. Exp. �. � �i1 .'1'. - - .+m:•;a,.`m.
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City of T;gard PLUMBING PERMIT APPLICATION Pianckifrec. #
13125 SW Hall Blvd. Perm?t # `1q—
Tigard, OR 97223 / L �
(503) 539-4171 �(� ,✓ R.--
/ MINIMUM $25.00 PERMIT F_E + ST. SURCHARGE
_ I
Now SinglaFamily ResldAnces Only
t 1 0 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
0
L4 X1.5 Sl.`� ❑ 3 BATH HOUSE$225.00 I �
ASS WIN." c, cm Fee includes all plumbing fixtures in the dwelling and the first 100 feet
b � t-7 Z Z of water service, sanitary sewer and storm sewer. See fees below.
»"•°��°"�'� FIXTURES QTY PRICE AMT
Sink 9.00
A"— .�. Lavatory _ 9.00
Owner Tut• or Tub/Shower Comb. 9.00
Shower Only 9.00
Water Closet •r
---- 9.00
Dishwasher 9.00
Garbage Disposal r
Occupant M�Ad*— — �,. 9.00
Wasp, ig Machine qq
Floor Drain 9.00
Water Heater 9.00
Laundry Room Tray 9.00
�� t'e�S 1 3S 7-2 SSZ Urinal �- 9.00
_ 2 Other Fixtures 'Specify) 9.00
MMh
Contractor y�4*—
._, g 00
�•Q � tirj��
9.00
�1/�1~• ( C), � __ 9.00
Sewer 1st 100' _ 30.00
a.e.n.pea■naNo •�
C" Sewer-ea. Ado,:. 100'
_75_00
ate, Service 1 st 100' _ 30.00
I hereby, acknowledge that I have read this application, that the Water Saviors ea. 'iddi!. 200' r
information given Is correct, that I am the mkier or authorized agent of 25.00
the owner, that plans submitted 6,9 in compliance with State laws, that Storm & Rain Drain 13t 100' 30.00
I am regoat.red with the ConstruLtio Contractor's Board, that the Storm & Rain Drain Addit. 100'
number given is correct. (If exempt from Spate registration, please 25.00
give reo en below.) Mobile Home Space 25.00
r�n� Back Flow Preventior
12 /2- `jY Device or Anti-Pollutior Device
9,00
Any Trap or WasteNc t
Connected to a Fixture 9.00
l Describe work new addition () alteration (� repair' Catch Basin 9 qq
to be cone residentia' 0 non.residential (� -
Insp. of Exist. Plumbing 40.00fir
Existing use of Specially Requested Inspections -To_007hr
building or property ` Rain Drain, single family dwelling 30.00
Residential backflow prevention
Proposed use of devices 15.00
building ur property
-� '(rZxcept residential backflow,
prevention devices)
N*7174'E 'Minlmuni Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SUPCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDUNED --______�_ _
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMEN' .j PLAN REVIEW/25%, OF SUBTOTAL
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Special Conditions TOTAL
_ Date issued _ _by
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