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11477 SW GREENBURG ROAD J J O r I I f i rt, ' r m r i i C 11477 SW GREENBURG ROAD PLUMBING PERMIT CITY OF TIGARD PERMIT #. . . . . . . : PLM96­0150 COMMUNITY DEVELOPMENT DEPARTMENT DATE !SSUED: 06/14/96 13125 SW Hall blvd.Tigard,Oregon 972234199 (503)639-4171 PARCEL: IS135CD--09200 REENBJRG RD .JITL ADDRESS. 114*17 SW U ZONING: R-12 SUBDIVISION. . . . : MLP'94--0003 LALOCK. . . . . . . . . . : LOI.. . . . . . . . . . . . ._._00J-.__ 03 -------- -- - (."LASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . !W"'� WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . 1 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WA'rr_-k HEATERS. . . . . : 0 CATCH BASINS. . . . . . . n 0 F= IXTURES---------_----_.. LAUNDRY TRAYS. . . . . : 0 SF FRAIN DRAINS. . . . . : 0 I..;I NKS. . . . . . . . . . : 0 UR I NALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . 1 0 I-AVATUFRIES. . . . . : 0 OTHLR FIXTURE=S. . . . 0 IUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . _100 i.)ISHWASHERS. . . . ' 0 RAIN DRAIN (ft ) . . . 0 Remarks : Water- S. ev-yire to 30OFt. owner-: FEES -----------___–_– JOHN DRENNAN type amol-int by date r,ecpt 110 BOX 23603 PRMT $ 55. 00 CJS 06/14/96 96-280368 5PCT $ 2. 75 CJS 06/ 14/96 96-280368 TIGARD OR 97281-3603 Phone #: 503-639-5792 i_ofktr actor-: SIRAIGHT & STURDY FENCING i-_,O BOX 23603 TICARD OR 97281-3603 Phone #: 503-639-5791D $ n7. 75 TOTAL Reg #. . 1 27194 ------- R['PUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water- LineI n s p Tiyard Municipal Code, State of ol'e. Specialty Codes and all other Water Service In 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 lee lays. per-mittee Signatl.tr-e : .........—----------...... Issued By : Cull for- inspection 639--4175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # �6- a,3�C) 3Ce 13125 SW Hall Blvd. Permit. # F/IY7,16 Q)50 'Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Single Family Residences Only. •,,,,,. ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE 5195.00 C p Job 1 ]4 C! 3 BATH HOUSE $225.00 i � .�, t,�-/, 7ti4 f/1l t.f�1'G �:r Address CAV'!A,. . Fee includes all plumbing fixtures in the dwelling and the first 100 feet (-1 (r--A VQ-6 Cir. ct j of water service, sanitary sewer and storm sewer. See fees below FIXTURES QTY PRICE AMT Sink 9.00 � 4' M/..,a ... ph.. Lavatory 900 Owner 1"•(J• (/X 2 i r� 6 39 5 1 Tub or Tub/Shower Comb. 9.00 ze Shower Only 900 q'72 R I — 3 6 0 7 Water Closet 9.00 Dishwasher 9.00 Garbage Disposal 9.00 Occupant, M,M — �• Washing Machine 9.00 o •" Floor Drain 9.00 Water Heater 900 v Laundry Room Tray 900 a— Urinal 9.00 J�7 tl `iV R Jy FC�V L/Aet' Other Fixtures (Specify) _ 9.00 M..g Ad*... -T . J 3.00 Contractor 236o39 00 9.00 1 C_� )�;. O�' 1, J�4� 1_. 7�(�Q3 Sewer 1st 100' �� 30.00 3u,.a.P.".��«,.M ! c•n�• T.,N. Sewer -ea. Addit. 100' 25.00 '1 21 CLj_ 4 (J - Cj ��� Water Sernce 1st 100 ,/ 30.00 ,a; I hereby acknowledge that I have read this application, that the Water Service ea. Addil. 200' / 2500 a5 00 information given is correct, that I am the owner or authorized agent of Storm & Rarn Drain 1s! 100' 3000 I he owner, that plans submitted are in compliance with State laws, that I am registered with the Construction Contractor's Board, that the Storm d Rain Drain Addit, 100' 25.00 number given is correct. (If exempt from State registration, please ?5.00 give reason below.) Mobile Home Space Back Flow Prevention Device or Anti-Pollution Device 900 ;0es Fdone Any Trao or Waste Not Cunne..ted lu a Fixtufe 900 v new , addition Q alteration Q repair Q Catch Basin 9.00 to residential 0 non-residential Q Insp of Exist. P!umbmg 40 00/hr Specially Requested Inst actions 40.00/hr Existing use ofRain Dram, single family dwelling 30.00 (/ builaing or property _A V - Residential backflow prevention devices 15 00 Proposed use of ! /rL� ire S/ building or property �C (Grcept residential backfiow prevention devices) NOTICE 'Minimum Fee S25.00 SUBTOTAL 0,00 'ERMITS BECOME VOID IF WORK OR CONSTRUCTION 5". SURCHARGE p?. AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL COMMENCED _.- ---- !� TOTAL l Soeciat Conditions Date issued 6- 96 by _--