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InitiallyGood 0 I 0 W N A N £ m O Z Z N b b K t I I 10354 SW BONANZA WAY CITY OF TIGARD C:OMMUN"TY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171 PLUMBINU P1-r 1IT F-'ERMIT ##. . . . . : PL-M9 -0c:1='1=1 639•--4171 HATE ISSUED: 09/30/94 FIARC;EL: S 1 148[; Ill: '70171 SITE nDDR17.S!' . . . : 10:354 SW BONANZA WAY SUBDIVISION. . . . : RIVERVIEW ESTATES NO. c' ZONING' R-7 FID BLOCK. . . . . . . . . . . LOT. . . . . . . ,. . . . . . :111-74 CLASS OF WORK. . :NEW GARBOGE. DISPOSALS. . MOBILE_ HOME SPACES. TYPE UF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVN7'RS. . : 1 OCC:LJ1=IfaIVC:Y GRP., . : R3 F=LOOR DRAINS. . . . . . . . TRAPS. . . . STORIES. . . . . . . . .2 WATER HEATERS. . . .. . . : CATCH BASINS. . . . . . . F-IXTURE=;.3 ..__. ---... _ .____._. _. LAUNDRY TI'mYS. . . . . . .. SF= RAIN DRAINS. . . .. . S I NKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE 'TRAP'S. . . . . . . . LAVATORIES. . . . . : OTHER F=IXTURES. . . . . : -F UB/SHOWE::RS. . . . : SEWER '._INE. (ft ) . . . . : WATER CLOSE'TS. . a WATER I...INE::: (ft ) . . . . : DISHWASHERS. . . . a Rf;IN DRAIN (ft ) . . . . : Remar^krs : -.NS10L_I_.ING BPCKF=I_-CIW PREVENTION DL:.V1CL-'b Owrel': _.._.__ _______.___.___._____.___._.—__.._ __._.___.._._._._._.._.._._-.---..._. FEES LUHR JENSEN i yt' amo .int by date recpt 10354 SW BONONZA WAY PRM'I $ 15. 00 BLT 09/3121/94 11 51P-CT $ 01. 75 BLT 013/30/94 0 TIG -3RD OR 9-1224 Cont Tact or: -------------- - -- ---- - -- --- LANDSCAPE. SERVICES CO 14311 SEE WE:BSTER RD { MILWAUKIE OR 97267 I L"IF1tine #: $ 15. "75 TOTAL. Reg #. . . 5732 ------ - REQUIRED INSPECTIONS This permit is iFsued sub)ect to th, regl,lattons contained in the Top -o1_tt Insp Tigard Municipal Code, State :e Ore. Specialty Codes and all other F i n a 1. Inspection applicable laws. All Nora will be done in accordance with approved plans. 'his permit will expire if wor6 is not started within 188 days of issuance, or if work is suspended for more than 180 days. 11 Cir"m 7.ttP@ S3 yry t 1-i t,e, ._.__.�1......._. ._.__.....___.. _ i Shl..letj By . Call for- :inspection - 639--4175 City of Tigard PLUMBING PERMIT APPLICAT10N Planck/Rec. # 13125 SW Hall Blvd. Permit # �- Tigard, OR 97223 (503) 639-4171 MINIMUM $25,00 PERMIT FEE + S�. SURCHARGE 14 rd ON rr.w New Single Famlly Reeldencas OnIX V M Job '� G1 BATH HOUSE$140.00 132 BATH HOUSE$195.00 ©3 S S. (.t!, 2 C3 3 BATH HOUSE SM.00 AddressxaMarr _ ar Fee Includes all plumbing Postures in the dwelling and the first 100 feet of water service, sandary sewer end stone sewer. See fees below. nriwprirnrawurr -�-- FIXTURES CITY PRICE AMT L u 1"Fe, JLLIV Sr-jkj Sink VA"Marr Lavatory 9.00 Owner Tub or Tub/Shower omb. 9.00 44MA« Shower Onty _ 9.00 1 1 ) 2 Z Water Close. 9.00 N-J.-r°-1 Dishwasher 9.00 Ga-)ane Disposal 9.00 Occupant ,,,",,,� Washing Machine 9.00 Floor Drain 9.00 C "°t Water Heater 9.00 Laundry Rmm Tray 9.00 Urinal - 9.00 vs - s CF"S Other Fixtures (Specify) 9.00 ContractorMM"MOM �;moi i 9'00 Gvesf, _ �'v� 9.00 =rw 9.00 Sewer 1st 10V Y 30.00 aw.R 0 1 M& cwf°w•T. ~ Sewer-ea. Addit 100' 25.00 2 Water Service 1st 100' 30.00 1 hereby acknowledge that I have read this application, that the Water Service ea. AddiL 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 8 Rain Drain 1st 100' 30.00 I am registered with the Constriction Contraclors Board, that the Storm &Rain Drain AddiL 100' 25.00 number given Is correct (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 Bank Flow Prevention Device or Anti-Pollution Device 9.00 ".v °"" Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new 0 addition 0 alteration 0 repair Catch Basin 9.00 to be done residential 0 n-in-residential 0 Insp. of Exist Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing use of 7 building or property Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 15.00 Proposed use of building or property�� S�ege&-r, _ - '(Exctpt residential baerdlaw prevention devices) NOTICE "Minimum Fee $25.03 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE 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 Special Conditions Date issued by�- Page No. 1 CASE H`STORY FOR CASE NO.: PL•M94-0224 LUHR JENS2N 10354 SW BONANZA WY 01/27/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Dare By PLMA050 (F) Issue permit / / / / 09/30/94 ISSU RT 09/30/94 BLT PLMA800 Case Finaled / / / / 10/10/94 ONE. DOUBLE CHECK PASS MS 10/10/94 MRS i {t 1 I } i 1 3