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Permit ' . � � �� ' - ' � �� ��� �� � - l � � � . � � �. ^� ^ . � �^ � ' .' • ' , ' '' CI TY � m��NL TIGARD , � � � . �>���U�K����������0�00�������������� � • � . . . ' • ', ' 1m Tigard, mr000~o1o4, 639-4171 ` . � � �� PLUMBING PERMIT ' ' ` � � ^ . . / _ ' PERMIT # : 'PLM95-0179 . • �' �39-4171� DATE ISSUED: 08/08/95 � • . � � � ' . , ' ` ` PARCEL: 2S102BC-07200' : ' . SITE ADDRESS...: 12695 SW WATKINS AVE SUBDIVISION : NORTH TIGARDVILLE ADDITION . ZONING:.R-4.5 BLOCK. .-. . .. . . . , : LOT ~2 � . . ' • _ _ _ • -------- � CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : MOBI�LE HOME SPACE��. :, TYPE OF USE, :SF WASHING MACH.. . . . . . : BACKFLOW PREVNTRS. . : `" � OCCUPANCY GRP. . :R3 FLOOR DRAINS ^ TRAPS . ` ' STORIES ^ WATER HEATERS : CATCH BASINS... . . . . :— . . ' FIXTURES --�— LAUNDRY TRAYS : ' SF RAIN DRAINS r. — SINKS.-.... ' ` ' . . . . : URINALS. . . . . .:. . . . . : ' ' GREASE TRAPS. . . � . . : " LAVATQRIf�S. . . . . : OTHEW FIXTURE'S. : � 2 TUB/SHOWERS....: SEWER LINE (ft)..'.:300 ' ` . WATER CLOSETS.': WATER LINE (ft)....: " . • � DISHWASHERS. . . ..: RAIN DRAIN (ft) ' ^ • � . Remarks: Addition of approximately 300' private sewer line from lot 2 .. Owner: --- --- — ' FEES RLR HOMES . ' type amou ' by date recpt 14320 SW AYNSLEY PRMT $ 80.00 B 08/08/95 9886 . .� ' 5PCT $ 4. 00_ B �8/08/95 9886 ' TIGARD OR 97224 � _ . ' . Phone 4.: 503-789-4226 ` � ' ' ^ ' . ' � � . Contractor: -- RLR HOMES ' ' . . RICHARD L. ROBBINS . . ■ ' • 14320 SW AYNSLEY � . . , TIGARD OR 97224-0000 . —' Phone #: 789-4226 $ : 84.00 TOTAL . Reg #..: 106986 � REQUIRED INSPECTIONS . � � . This peroit is issued subject to therego>ations contained in the Sewer Inspection . Tigard Municipal Code, State of Gre. Specialty Codes and all other Final Inspection � __ applicable laws.' All work will be ,done in accordance with � � ` ` approved plans. This peroit will expire if work i ot started •' • ` ' within 180 days of issuance, ,or if work is suspended for sore � ' ., . ' within "than 180 daysdays,' �� '` ' � ' ' . . ' , . � � � . ` ` . ' . � .Permittee 'Signature: _ le\ail,. . � � . ~ � � Issued By: L44u�� �~ w~~-- `. ' Call for inspection — 639-4175 ' . ./ , . ' � � .� ` � � . �, ' � ' ` � . ^ .. .. ' � � .� ` � � . . � � � ' r ' ^ � � ' ` . ' � � � ` � � ` ^� � ` � ` . � ' . ' ` • , . ^ `.. ' � ` � . ' � � � ` � � � � ' � � � ' , � ' , � � ' ' . . .' City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # PLj'YIqtr- 017, Tigard, OR 97223 (503) 639 -4171 DoT 3rL?qy �' f MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE Name of Development New Single Family Residences Only 0 L R -- -o1l ' / _ /� `, ► 0 1 BATH HOUSE $140.00 0 2 BATH HOUSE $195.00 Job a-' t9 - 1 C s k Wakk 1 q 3 Ave, 0 3 BATH HOUSE $225.00 Address (State LP Fee includes all plumbing fixtures in the dwelling and the first 100 feet 1- gav6 i OK q 72 a 3 of water service, sanitary sewer and storm sewer. See fees below. Name (or name of Gushese) FIXTURES QTY PRICE AMT r< LIZ M S 7 g a, ( �22G Sink 9.00 Haim Address l , Q PhoA0 Lavatory 9.00 Owner ) 'I JZ 0 Sw 1 ko.. 31cy Tub or Tub /Shower Comb. 9.00 GtyIState LP Shower Only 9.00 -(G to Q 6 E 1722 Water Closet 9.00 Name (or name of busmen.) Dishwasher 9.00 Garbage Disposal 9.00 Occupant Medrtg ,,maw Phone Washing Machine 9.00 Floor Drain 9.00 C4 ZI P Water Heater 9.00 Laundry Room Tray 9.00 Name �j Urinal 9.00 7 L i }- {, S 78 1- 4-z7G Other Fixtures (Specify) 9.00 MaWng Admen. Phone .. _ . 9 00 Contractor /( 3' S n 'T W 4Q/Ns 9.00 City/State , r rm 9.00 T I G- A (L © U Z T 77-14- Sewer 1st 100' I 30.00 36. e0 State Penniman No City (u.. Tax No. Sewer - ea. Addit. 100' a, 25.00 56, (y) Water Service 1st 100' 30.00 I hereby acknowledge that I have 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 & Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00 num• -r given is correct. (If exempt from State registration, please give a - -on below.) Mobile Home Space 25.00 I KLit,.. -7_ i Back Flow Prevention �s Device or Anti - Pollution Device 9.00 Sputum (owner or agent) Date Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new addition 0 alteration 0 repair 0 Catch Basin 9.00 to be done residential 0 non - residential 0 Insp. of Exist. Plumbing 40.00/ it Specially Requested Inspections 40.00 /hr Existing use of building or property Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 15.00 Proposed use of building or property M C(.-1 C c i- - •(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL 50.00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE 4. Ua 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 Q TOTAL 3 Special Conditions f � ] / Date issued 7/ I �� by L, t.i�2(/,d t ----