Permit - 7 —
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` COMMUNITY DEVELOPMENT DEPARTMENT .
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13125 SW HaH Blvd. Tlgard, Oregon 0722308199' (503)636-4171 PLUMBING PERMIT PERMIT
1 PERMIT #. . . . . . . : P' M95-0183
63974171 DATE ISSUED: 08/02/95
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^' • PARCEL: 2S112DA 00400 `
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SITE ADDRESS...: 06650 SW REDWOOD LN #S.;. #S.;.
SUBDIVISION ^ ZONING: I-P • '
BLDOK.....a.....: LOT.............: � �
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CLASS OF WORK. . :NEW . GARBAGE , DISPOSALS—: MO DLE HbME SPACES.:
TYPE OF USE.,;, :COM WASHING MACH....... : BACKFLOW PREVNTRS. . : '
' OCCUPANCY GRP' . :B2 -FLOOR DRAINS. . . 1 TRAPS. . . . . . . . � . . . . . :. . . ,
STORIES. . . . . . . . :3 WATER HEATERS .1 CATCH B lNS:. . . . . . : . •
FIXTURES---- - LAUNDRY TRAYS ^ SF RAIN DRAINS' • '^ .
SINKS -1 URINALS ^ GREASE TRAPS. . . . . . . :
, LAVATORIES. ..':.:1 ..'. : 1 . OTHER FIXTURES' . . . . : .
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TUB/SHOWERS--.:1 SEWER LINE ,(ft) ^ . _
WATER CLOSETS:.: WATER LINE (ft) . . . . :
DISHWASHERS....: RAIN DRAIN (ft)....:
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Remarks: TI for Image Builders Software; adding fixtures .'
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'_ Owner': � - ---�---�--- -�-- F EES _ -------------
DEAN WARREN PLUMBING CO. type . amount by date _ recpt
3111 SE 13TH PRMT $' 45.00 JDA 08/02/95 0-
. SPOT $ '2.25 JDA 08/62/95 0
` PORTLAND OR 97202 PLC.< $ 11.25 JDA 08/02/95 0-. .
Phone #: 503-236-4152
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Contractor: ••,• ----- ,
DEAN WARREN PLUMBING ' . ., _ '�' ,
3111 SE 13TH . .
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PORTLAND OR 97202 . �------ --------------- ---' '
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Phone #g 236-4152 ' ' $ 58.50 TOTAL
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Reg' #— 000172
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REQUIRED INSPECTIONS -------
This permit is issued subject., to the regulations contained in the PLM/L/nderfloor __,_ • .
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top-out lnsp __ �
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 180 days. � _ '
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Permittee Signature: �~ `�=~- ^�_-~-�� �� .
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Issued � By: ' ' ' --- ' ---' ---- �
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Call for inSpeCtion - 639-4175
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8 i3O ors o a-71 ,cj C
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
,13125 SW Hall Blvd. Permit # 0-Mgc -- 0/S3
Tigard, OR 97223
(503) 639 -4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
NVfe of °"iepiner° New Single Family Residences Only
"°°'a" ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE $195.00
Job ❑ 3 BATH HOUSE $225.00
Address C Y 1se,. zip Fee Includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
Prarmof 8is""'r � - FIXTURES QTY PRICE AMT
G l� S 1 / Sink / 9.00 9 oa
Mang kW's, Row Lavatory / 9.00 O/ o=
Owner Tub or Tub/Shower Comb. 9.00
"'" zip Shower Only / 9.00 q
Water Closet 9.00
N"'" (or name 01 °ia1ni') / Dishwasher 9.00
Occupant
/NA 46 r. U t (��,�5 Garbage Disposal 9.00
Washing Machine 9.00
Q S W Reott.004 Floor Drain / 9.00 9 6-9-
C°''s"" S u � t= Water Heater 9.00 9 ° -
( 77 6-� Laundry Room Tray 9.00
d N.n» Urinal 9.00
--11-)--, kiA_,Q4 - ' 0---1(- Other Fixtures (Specify) 9.00
Mang Meow p,e,y
Contractor /4......'..-t 9.00
M S /3 r 9.00
ap 9.00
ps gL. 4} -►,, Q Jig G 76/oa Sewer 1st 100' 30.00
Mow N•°° °s°In Ni. / City Bus. Ti t No. Sewer - ea. Addit. 100' 25.00
' 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 Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason low.) Mobile Home Space 25.00
/2 e Back Flow Prevention
Device or Anti-Pollution Device 9.00
I " (Inner or agent) NW Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition Q alteration 0 repair 0 Catch Basin 9.00
to be done residential 0 non - residential 0 Insp. of Exist. Plumbing 40.00/hr
' Specially Requested Inspections 40.00 /hr
Existing use of Rain Drain, single family dwelling 30.00
building or property ,
Residential backflow prevention
devices 15.00
Proposed use of
building or property
*(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL 1. s od
PERMITS BECOME VOID IF WORK OR CONSTRUCTION �
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE � L
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL s
COMMENCED. // �
TOTAL 5 4 T-ri
Special Conditions . •
' Date issued by