13638 SW BENCHVIEW TERRACE I
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13138 Sid BENCHVIEW PLACE
CITY ®F TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CF_-RTIrICATr_'* OF
1,1125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 0 C C_'U P A N C Y
PERMIT" Vii. . . . . . . . M S T
;a0--4171. DnTE ISSUED:
PARC171
3I TE nDZ)RES`... . 13638 ^W DENCHVH'W r-IL
SUBD I V I S 1 ON. . . . SENCHVIEW ESTATEC ZONING:R-4. S
BLOCK. . .
-----------------
Gf- WORK, NEW
ryr.,,E or, USE. . . :SF
OCCUPANCY l3pr,, ;R3
OCCUPPNCY 'LOAD:224 4
Path I
Owner- .
SCHULZ
NW 159 PL.
3 E A V Elf?T(3 N ti[
cj n t ract
J. RNS7'aDT I InMES
13765 NW COPNELL RD SUITE 100
�'ORTL.A;qrj 017 17-.22`9
644-.8061
7 08 Ql
Jccupency of t h e above rP f er,encpcl bkt i I d i ng j s her eby L_i v en, and c ert i f i s
1;h e mp) i ance wi t h t h e St at e Of 01-k?gon pe,--i a 1 4 C,-)d e s f or t F p1, 0 1.1
g p
,-)cc.j.ip.Rnr_y, and use undei- which the veferenCed f i + issued.
POST IN CONSPICUOUS PLACC
CITY CSF TI CARD .�
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)839-417,
PLUMBING PERMIT'
PERM11 #. . . . . . . : PL.M94--019,:;
639--4171 DATE ISSUED: 1119/'711/94
PARCEL.- 2S 104DC--0060Q1
:11 TE ADDRESS. 1.:,638 SW iaE�NCHV IEW PL
SUDDIVISION. . . . a PENCHVIEW ESTATES ZONING: R-4. 5
8L0CK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :6
CLASS Q1z WORK. . :1JF_W GARBAGE DISPOSALS. . : MOP I LE-HOME-GPA�:ES. :_--_-
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PRE VNT RS. . : 1
OC(::UPAIV(;Y GRH. . :R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . .
STORIES. . . . . . . . :2 WATER iiEATERS. . . . . . : CATCH BASINS. . . . . . . s
FIXTURES---- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
ST.NKS,. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE= TRAPS. .
LAVATORIES. . . . . OTHER FIXTURES. . . . . „ � • � � �
T(.1B/SHOWERS. . . . a SEWER LINE (ft ) . . . .
I WATER CLOSE=TS. . : WATER LINEr (ft ) . . . . 1
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : PAC'KFI (')W DEVICE
Owner: FEES
GARY SCHUI-TZ type Amount _ by date recpt._.
13638 SW PENC,AV. EW PLACE= PRMT $ 15. 00 JF 09/01/94 -
TIi:7ARU OR 97x'`4 5PCT t 0. 75 JF 09/01 /94 -
Phone #:
3ff>xf?i'Y 5TEl'EN-UN INC
PO BOX 1372
TUPLAT IN OR 9 .106 ________.---------------------.-.-__ ____._
`'hone #: 692-3046 x 15. 75 TOTAL
Reg #. . . 6224
--_•-----• REQUIRED I NSF'ECT I ONS
h.s
permit is issued s rb)ect to the regulations contained to the RP/Pack f low Prev
Tigard Municipal Code, !/tate of Ore, Specialty Codes and all other Final Inspection - �-
applicable laws, All Murk will be done in accordance with _ _ -
approved plans. This Ferait will expire if work is not started
wtthir 180 days of issuanct, or if work is suspended for more
than 180 days.
Dermittee SignGat•.are :
Issi-ied BV:
C:a11 for inspection - 639-4175
City.of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # ) "LL 2q-01��
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N.-of D-lop +M New Single Family Residences Only
Job •• 563 S p/ ❑ 1 BATH HOUSE$140.00 3 BATH HOUSE$x5.00 BATH HOUSE 5195.00
sry Rzuwvifv/G
Address c.h-sl.l. m Fee includes all plumbing fixtures in the dwelling and the first 100 feet
T/G' r7 7,-Z y of water service, sanitary sewer -ind storm sewer. See fees below.
FIXTURES CITY PRICE AMT
G SGKllGTZ ?��� Sink _ 9.00
Mel"A"... • Lavatory 9.00
Owner 4,,W
£ 4A #mRs:5s Tub or Tub/Shower Comb. 9.00
aNla.l. za Shower Only 9.00
Water Closet 9.00
N.m.1.n-.1 t) Dishwasher 9 00
varbage Disposal 9.00
Occupant M.Ing Ada... "•^• Washing Machine 9.00
Floor Drain 9.00
ZIP Water Heater 9.00
Laundry Room Tray 9.00
�.m. Urinal 9.00
I Y f t f,Q-y 57"5,-w 02_-301'16 30y6 Other Fixtures (Specify) 9.00
MM'+°A".. rn 9.00
Contractor
�0 80 /37 Z" 9.00
C.,,,,,.,. zip 9.00
1j 1+ta4T 1A/ OQ 9 70�? -Sewer 1st 100' -- 30.00
°I.I.R.°Y°«b°N. an al..T.N. Sewer-ea. Addd 100' 25.00
(� Z 2 4 Z69-2 Water Service Ist 100_ 30.00
I hereby acknowledge that I have read
6
e 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 8 Rain Drain Ist 100' 3000
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 -
ive reason below.) Mobile Nome Space 25.00
g -
/ Back Flow Prevention
Device or Anti-Pollution Devin, 900
Di1• Any Trap or Waste Not
Connected to a Fi;;ture 9.00
Describe work new U addition alteration Q repair 0 Catch Basin 9.00
to be done residential non-rosidential O Insp. of Exist. Plumbing 40.001hr
Specially Requested Inspections 40.00/hr _-
Existing use of
building or property K�S�'� 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 'Minimurn FeA $25.00 SUBTOTAL l
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHO.2IZED IS NOT COMMENCED WITHIN 10' 'JAYS, OR IF 5°/. >URCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFrER WCRK IS
COMMENCED PLA': <e41EW 25°/. OF SUBTOTAL
TOTAL
Special Conditions
Date iscued _by