11477 SW GREENBURG ROAD J
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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 _--