Permit A -
CITY OF TIGARD PLUMBING PERMIT
I� DEVELOPMENT SERVICES PERMIT #: PLM2005 -00145
J I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/13/2005
PARCEL: 2S112BC - 13500
SITE ADDRESS: 08036 SW LEISER LN ZONING: R -4.5
SUBDIVISION: LEISER PARK LOT: 004 JURISDICTION: TIG
Project Description: Backflow device.
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
Owner: FEES
LEGEND HOMES
12755 SW 69TH AVE SUITE 100 Description Date Amount
PORTLAND, OR 97223 [PLUMB] Permit Fee 4/13/2005 $36.25
[TAX] 8% State Surcha 4/13/2005 $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 : 503- 647 -0467
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 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: -
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that 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.
04/12/2005 10:45 5036470468 PAGE 05
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(�' II - ad 2 ally (Wang Cu mm cW4 SP a) bath • 73000
C +rooms_ bufidln; ❑ Ms t! -�mty, siR+, 04 99.00 .,
C h�tss 11 kW O odl re Boob .ddldonal WOMAN 43.00 �. •
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le : ,, he WI is O 0 � �L Cobh basal a aRS d>�a �, •• 16,60 .
Q; ° q r OIL i7 /'e -- Drywall, Web fine, orswathdTah1 160 ••
St 1 Idb> I I• na: U Piton msr Posting dais (so. liiltor R: > z - --
--' ' ' ' Atanthts rad boron elides 1 10,00
0 : is Moil roedotls 1n jab alna n ---∎ --
: I r-.`, , l bolas I , 16.60
• • L I !di-, P/ h W q ! , ' Ralt4 drain ommetdnr 16.60 _ �^
-J: . , P 44:. Sadray eewa b1o. hot Rt _..__3 _ Pane 2
_ _ • storm newer (no. bar A.: _) : Pp 3 - •
Si ! :NW= /44 / PA 'IC_ 1 roan ao_ /� Wow 'ivies (nor Mornay b.; __ _I J Pap e 2 ▪ • I
TI : zsistsi i ores
Mon sr ttetn ._ • _ - .
; ; i; ,,,., �{f`�{,- 7ptATli t ,1� j �]}t� ] }}� Abaotyboav�M T � 16.60 ..
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&Mow preys= Page 2 •
s i 1 . - I v, S . .:., 9 n .,, a. B valve tG GO •
iil ,, Clothes *tuber ' 16,60
Dishwastur 1 6.60 ,
' l ti ' 1 ` 7nt • 1 :''' r +.f . ' , � 1∎7 r 'i DrU11dn0 f'atnmlo 16.60 . _ _
Ni t ix , I / . o. •
Rectorstsurfp 16.60
� � `_ PP�aosfon tank 16.60
_ ft 1
Ac 1 r -- 4 17 . ' KIM IA) 19 'air t'@ F /DO Fbuure►s.wr cap • 16.60 „ _.-
0 1 Wi A. . . i g23 Mar drain/11wifolrAutb 16.60
Ph ! 431; ;1 , 20 -m x gt) Pa 6 3) `?v o aMt?a a d1 pe"1 _, 16.60 ▪ "_
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; % 5 . � �, u.i CiA 1 1fZ4 L�#S jd ' %)7:4,i: We 16 Bose bib . 16.60
• Bu : ;ens nvl _._
i 1.. P f.!" 1!�L ... ` e .4Il f . b1tersomsdataaw Imp 16.60
..
Co ; ,nor nut ' . A 'y L� - J _ .. -
maw 8u (whim S..___) Pale 3
Ad !ass: 1t 0 D / �W t ',�. 4 ' :I • Pruner r 1.60 ..
d ' '13tatdi_l 4h6 /30W i Di( /112 '� Roof drain (cot ers:PA 1, 16,60
Ph : u C (0:. 14'7 43 + Pea : P , ) "1 ?- p ti( ' aiallt/bfBMtruery 16.60 .. _�
art ; Al: I ^- TubfolvAvaishower pan 16.60 _
; Ih 1;x..1 of } fil nr-,/ittivirl. y, • r A� ��' f 6 , � y 16.60 .. _ .
d1,. „�I i - ir411 4 a ;.ui1,13ii• ''¢ '.:. IrHfR) e d ' .ti ...1111211
QCl03a 16.60 _..
135 , ma nsai i � G , Weser beater 1640
Ad ! +pint - mar ,.
at 4n1te2f - .
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Fhl ; ..r d,; r btfnitnutn permit he 172.5 ,� ,. ,
! r •'� (.'7 Pa>n (£ ��) /0/7 _1 t..f Resideotlol bsekf)ew raleiegrn t the 1362E : 'L.�2:
CC I , � ' 1 1 JAM" PhDTibtr ft iota nor: -f */'7 • - 1rl.n Teview 12 3% of 7e ' alt to ,
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Au I sl ;micro LW; _ Sane sur charge (S% of 00 lit rw) �! ■ ▪ • 5 •
E >/1 l am/. D. {' . Te1a - 11 TOTAL MU : 7 - - �, q,r v /<
' AL a p aPP ■ expires N a permit A tot obdis I n11 10
150 days stbx It hat bees aaaepted oomplate,
wk.. �•stt.�al ,tiadvt�. i7pi "Fee irsitcdolomr set by7rI -C.a ityBuSldtr g1 Murry Sent Board
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