Permit CITY OF TIGARD
PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: P 11/200 5 - 00090
DATE ISSUED: 3/11/200
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112BC -13900
SITE ADDRESS: 08053 SW LEISER LN
SUBDIVISION: LEISER PARK ZONING: R - 4.5
BLOCK: LOT: 008 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Backflow device.
Owner: FEES
LEGEND HOMES
12755 SW 69TH AVE #100 Description Date Amount
PORTLAND, OR 97223 [PLUMB] Permit Fee 3/11/2005 $36.25
[TAX] 8% State Surcha 3/11/2005 $2.90
Phone : 503- 620 -8080 Total $39.15
Contractor:
GREEN EARTH LANDSCAPING
22600 NW MEIER RD.
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Phone :
Reg #: LIC 7817
PLM ALL PHASE PLUS
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling (503) 246 -6699.
Issued By: � Permittee Signature: S?5xn,t
Call (503) 639 -4175 by 7:00 P.M. for an inspection the next business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
03/10/2005 13:27 5036470468 PAGE 05
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