11481 SW GREENBURG ROAD 0
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-- 11481 SW GREENBURG ROAD
PLUMBING PERMIT L/
#. . . . . . :
CITY OF T I GARD DATEPERMIT ISSUED: . 06/14I/966-0141.
COMMUN'.TY DEVELOPMENT DEPARTMENT
13125 SW Hall B:vd.Tigard,Oregon 97223*3199 (503)330.4171 PARCEL: IS135CO-09200
,3I1'F pD[;RESS. . . : IJ481 SW ( REENBUkU RL)
:jULADIVISION. . . . : MUP94-0003 ZONING: R-12
BLOCK. . . . . . . I LOT. . . . . . . . . . . . 1003
-------------------------------------------------------------------------------------
GLASS OF WORK. . :NEW GARBAGE DISPOSALS. ; 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :W5P WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
F*IXTLJRES---------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . . 0
WATER CLOSETS— : 0 WATER LINE (ft ) . . . '. 300
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Water set-vice 1st 10OFt.
Owner: FEES -----------------
JOHN DRENNAN type amoi.trit t)y dat e recpt
PO BOX 23603 FIRMT $ 55. 00 CJS 06/14/96 96-280368
3PCT $ 2. 75 CJS 06/14/96 96-280368
1 IGnFRD CIR 97281-3AO.';
Phone #: 503-639-5792
Cei)tractoro.
STRAIGHT & STURDY FENCING
P0 BOX 23603
TIGARD OR 97281-3603
Tone #: 503--639-5792 $ 57. 75 TOTAL
f�eg #. . : 27194 RE,'oUIRED INSPECTIONS
rhis permit is issued subject to the regulations contained in the Water Line Insp
I igard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applic-phip laws. All worts will be done in accordance with Final Inspec-cion
approvea plans. This permit will expire if worn is not started
within 180 days of ii�uance, or if worm is suspended for more
than 180 days.
i -erinittee Sitil-011
I s i t_t ed By Ili"1 f
Call foi inspection -- 639-4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # r 4�
13125 SW Hall Blvd. Permit # T7 �i X16
'Tigard, OP 97223
(503) 639-417'1
MINIMUM $25.00 PERMIT 4-EE + ST. SURCHARGE
New Singe Family Residences
-/ur�Gc Ci S1D�/4L Only
Jobr:11 BATH HOUSE$140.00 ❑ 2 BATH HOUSE S195.00
❑ 3 BATH HOUSE$225.00
Address zipFee includes all plumbing fixtures in the dwelling and the first 100 feet
TI�✓ FZ Ulf, -' ? 1 1 of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES ----� QTY PRICE AMT
JUHly ,ir/ J
Al/v F), •u Sink 900
M.�°Ad*...
Lavatory 9.00
Owns, L� TCS ,S GCr ' c
•� j -7 z Tub or Tub/Shower Comb. 9 00
ry,s.• "° Shower Only 9.00
r ` �`�i^ O�, �� / f U ' Water Closet
900
N.m•,o n.m.. w.. n Dishwasher 900
Occupant Garbage Disposal 9,00
M.0�O A�'.• Washing Machine 9.00
Npavi'rk n Floor Drain `
-,�— 900
Water Heater _ 900
_ t.aundry Rootn Tray goo
N- Urinal 9.00
RlC N ' ✓i'ily /C NC /iV(_ Other FixtUleS 1Sp) Cif ) 900
M.+w.+4a... -- _
Contractorrn.n• 9.00
� 0, 13 ox 2 .� b u ty 39-..5 --
9.00
s oa
T1( ,411I �r', 9 729/- (o03 Sewer 1st too' - 3000
Sia.R•, ""Ek" '""° Sewer-ea. Addit. 100' 25,00
Water Service 1st loo'`~ - 3000
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' D/
information given is correct, that I am the owner or authorized agent of - `500 00
the owner, that plans submitted are in compliance with State laws. that Storm & Rain Drain 1st 100' 3000
I am registered with the Construction Contractor's Board, that the Storm & Rair Drain Addit 100'
numbe given is correct. (If exempt from State registration, please _ 25 00
give reason below l Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-P011uron Device 900
r. "�1 / I J '"'• Any Trap or Waste Not
liv �i `9 L, Connected to a Fixture 900
Descr a work new addition L) alteration O repair t3 Catch Basin 9 Co
to bqhone residential S non-residential C) Insp. of Exist. Plumbing 40.00/hr
Specially RegUested Insoections I 40.00/hr
Existing use of 4 _
budding or property '/q L /4 N j Rain Drain, single family dwelling 1000
Res:;ential backflow prevention '-
devices 15 Co
Proposed uz�, of / ---
budding or property E W I��� f 1i,{ r2 _
-� *(Except residential backflow -
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL_
_ SS Ori
PERMITS -BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 541 SURCHARGE 15
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
Special Conditions TOTAL JAI.
Date issued 6 !3-6IG by C 7S