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Permit .._,.CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PLUMBING PERMIT PERMIT #- PLM95 -0328 639 -4171 DATE ISSUED: 10/30/95 PARCEL: 19125DC -02200 SITE ADDRESS...: 07005 SW VENTURA DR SUBDIVISION ° WASHINGTON SQUARE ESTATES �O ZONING: R -4.5 LOT ° OT ° 1 2 ,14's� _ - - - -- CLASS OF WORK..: ALT GARBAGE DISPOSALS..: .. E HOME SPACES.: TYPE OF USE -SF WASHING MACH BA O OW PREVNTRS.. : OCCUPANCY GRP.. :R3 FLOOR DRAINS . TRAPS STORIES WATER HEATERS :1 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: One alteration of a water heater. • Owner: - - -- FEES JAMES MONROE - type amount by date recpt 7005 SW VENTURA PRMT $ 25.00 CJS 10/30/95 95- 272271 SPCT $ 1.25•CJS 10/30/95 95- 272271 TIGARD OR 244 -2:03 • Phone #: Contractor: POWER PLUMBING CO PO BOX 23144 • - TIGARD OR 97281 Phone #: 244 -1900 $ 26.25 TOTAL Reg #.. : 52378 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water Line Insp — Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 18® days of issuance, or if work is suspended for more _ than 18® days. —. Permittee Signature: AM _ —^ -- - — Issued By: __.LLJ_ _C s 127'r v — ___________ _ Call for inspection — 639 -4175 • • City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 95-0) 7a .17/ 13125`'SW Hall Blvd. Permit # PI/V9'S`o3 Tigard, OR 97223 (503) 639 -4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE Name e' Devetopmem New Single Family Residences Only Address ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00 Job 7005 S. W. Ventura ❑ 3 BATH HOUSE $225.00 Address catst.t. zip Fee includes all plumbing fixtures in the dwelling and the first 100 feet Tigard 97223 of water service, sanitary sewer and storm sewer. See fees below. Name (or nerve of Buenee.) FIXTURES QTY PRICE AMT JAMES MONROE 244 -2303 Sink 9.00 Meiling Address Phone Lavatory 9.00 Owner 7005 S W V F.NTi1R A nR . Tub or Tub /Shower Comb. 9.00 - CartState nO Shower Only 9.00 Tigard 9 7 2 2 3 Water Closet 9.00 NOTe (or name 01 boomen) Dishwasher 9.00 Same Garbage Disposal 9.00 Occupant Mang ,,, Phone Washing Machine 9.00 Floor Drain 9.00 City/State ZIP Water Heater 9.00 9.00 Laundry Room Tray 9.00 Name Urinal 9.00 POWER PLUMBING CO. Other Fixtures (Specify) 9.00 Malang Address Phone 9.00 Contractor P 0 BOX 23144 244 -1900 9.00 City/State DP 9.00 Tigard 97281 -3144 Sewer 1st 100' 30.00 -• - Sate Registration No. Cdr Bu.. Tax No. Sewer - ea. Addit. 100' 25.00 )f 52 378 /Metro 146 -,` _ � ' ,:,_-; Water Service 1st 100' 30.00 ... I hereby acknowledge that I' have read this application, that the Water Service ea. Addit 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 30.00 I am registered with the Construction Contracto oard, that the Storm & Rain Drain Addit 100' 25.00 number given is correct. (If ex pt from St r stration, please give reason below.) Mobile Home Space 25.00 • Back Flow Prevention -27-95 Device or Anti - Pollution Device 9.00 &finesse (moss or agent) Di Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new 0 addition 0 alteration - repair 0 Catch Basin 9.00 to be done residential non - residential 0 Insp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing use of building or property Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 15.00 Proposed use of building or property '(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL 25.00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION - _... - AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE -- 1 -. 2 5 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 25% OF,SUBTOTAL - -- TOTAL 0 Special Conditions � �- Date issued /O - 3 - 9S- by CC