Permit (274) .
C171Y OF TUFA RD 1 A
� COMMUNITY
1o�smwm�ouueoB�e��.nem�m=g�n7o��mmm�wro N. ^ � PLUMBING PERMIT
PERMIT 0.......: ,u'/;.1.
639-4171 DATE ISSUED: 01/04/91
'
SITE ADDRESS...: 9438 SW TIGARD ST PARCEL: 2S102AB-01300
SUBDIVISION....: NO.TIGARDVILLE ADDITION AMEND. ZONING: I—P
BLOCK..........: LOT .:55
----------- ------------------------------- --------- -- ---
CLASS OF WORK..:ALT GARBAGE DISPOSALS..: MOBILE HOME SPACES.:
TYPE OF USE -COM WASHING MACH.......: BACKFLOW PREVNTRS..:
OCCUPANCY GRP..:B2 FLOOR DRAINS.......: TRAPS .........:
STORIES.... ^1 WATER HEATERS ^1 CATCH BASINS... ^
FIXTURES------------- LAUNDRY TRAYS......: SF RAIN DRAINS.....:
SINKS ^ URINALS : GREASE TRAPS.......:
LAVATORIES ^1 OTHER FIXTURES :
TUB/SHOWERS ^ SEWER LINE (ft) ^
WATER CLOSETS.. :1 WATER LINE ( ft) :
DISHWASHERS ^ RAIN DRAIN (ft)
Remarks: Tenant Mod: Re—install plumbing fixtures.
Owner: ---------------------------------- --- — FEES --------------
ATLAS GENERAL CONTRACTOR type amount by date recpt
9380 S„ W. TIGARD STREET PRMT $ 25.00 / /
PLCK $ 6.25 / /
TIGARD OR 97223 5PCT $ 1.25 / /
Phone #: 292-5002 PAYM $ 32.50 JLH 01/04/91
Contractor: --------- --------
D R ALLRED
ATLAS STEEL.. BUILDING CO.
9380 SW TIGARD AVE
TIGARD OR 97223 -- — -----------------------
Phone #: 503-292-5002 $ 32..50 TOTAL
Reg #..: 35718
— REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Rough—in Insp _________
Tigard Municipal Code, State of Clre. Specialty Codes and all other Top—out Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started ___..______________
within 180 days of issuance, or if work is suspended for more ______________________ _________________
than 188 days. _—'___—
--- -- - ---' ---
------------- -------'-------
/ a
Permittee S
Issued By: ��‘ ----------------- ------'-----'-------
`~ Call for inspection — 639-4175
CITY OF TIGARD
PLUMBING PERMIT 13125 SW HALL BLVD.
P. O. BOX 23397
Applicants must hold Oregon Registration to conduct a plumbing T I GARD , OR 97223
business or must be property owner /operator not hiring outside help.
Name of Development (503)639-4175 /94 q/ - 000/
. Permit No
, e943g, /
l / a/ l.�/ . ORS 814-21 -610 DUAN. PRICE AMT.
Job Tax Lot Map. No.
Address
FIXTURES
lot Block Subdivision
Sink 7.50
Name (orr name o sutess) Lavatory / 7.50
ri ' M 7 / C 21 (/ f Tub or Tub/Shower Comb. ( 7.50
Mail CdaCi «Tess
Shower Only _ 7 .5 0
Owner City /State ZIP Water Closet 7.5
Dishwasher 7.50
Phone Garbage Disposal 7.50
Name Washing Machine .7.50
Floor Drain 7.50
•
Marling Address Phone Water Heater / • 7.50
Occupant . Laundry Room Tray . . . _ 7.50
P City /State ZIP 7.50
Urinal
Na P Other Fixtures (Specify) 7.50
� / 7.50
Marling Aess 7.50
Contractor City /State ZIP _ 7.50
MISCELLANEOUS
City Bus. Tax No. Sewer 1st 100' 30.00
• State NO. State Plumbers Bus. tic. No. Sewer -ea. Addit. 100' 15.00
(Residential) Water Service 1st 1 00' • 20.00
I hereby acknowledge that I have read this application. Coat the information Water Service ea Addit200 15.00
given is correct, that lam registered with the State Builders Board. and also • Storm & Rain Drain 1st. 100' 30.00
have a State Plumbing license that the numbers given are correct, that all
plumbing work will be done in accordance with app.cable provisions of Or Storm & Pin Drain Addit. 100' 15.00
gon Revised Statutes Chapters 447 and 693 and applicable codes and that Mobile Home space • 25.00
no help will be employed unless licensed under ORS 6113 (If exempt from .
State registration. please give reason below). Back Flow Prevention
HOMEOWNERS - I hereby certify that I am the owner of the property de- De or Mti- cation Device 7.50
sated above, at which location I propose to make a plumbing installation for Any Trap or Waste Not .
my own use and this property is not being constructed for sale, lease or rent. Connected to a Fixture 7.50
Catch Basin 7.50
Insp. of Exist. Plumbing 40.00 Per Hr.
malty Requested Inspections 40.00 Per Hr.
Rain Drain,
Single Fam. Dwlg. 15.00
AUTHORIZED SIGNATURE Date
•
Describe work new ❑ addition 0 alteration 0 repair ❑ -
• be done residential • non - residential
use MINIMUM PERMIT FEE 25.00 ,019
Existing _ bUildlrp or property SUB -TOTAL ,0
.bt use of 5% SURCHARGE 1.13
apppetty 25% PLAN REVIEW ,I,
NOTICE TOTAL .2.�
This permit rn
Osootra null and acid work or f1 w construction authorized is not corm .
msnoa0 within 180 dayaox M oonatnuflon or worlds ehaparded or abandoned for
• period of 180 days at any time after worts is oommn nced.
11PRCIAL CONDITIONS •
Date issued by - --