11340 SW WALNUT ST APR -07 -1997 13:46 GEORGE MORLRN D P.02
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WASHINGTON COUNTY RESIDENTIAL
Department of Land Use & Transportation c
Plumbing Inspection Section `b PLUMBING PERMIT
155 North First Avenue, #350-12
Hillsboro, Oregon 9 7 1 24 rojectl
r ation: (503) 640-3470 Fax: (503) 681 -3993 Permit Number �� " t !/ Date
Information:
Requests: (503) 6813699 or 6814698 Permit ee Schedule
PLEASE PRINT and complete all sections. : DESCRIPTION OTY. COST (Ea.) AMOUNT ,
RESIDENTIAL - SFR (1) BATH $210,00 --- -- Name of Development NEW SFR (2) BATH 275.00 •
Job SFR (3) BATH 325.00
Address J SINK KITCHEN) 9.00
Address 1/ No (i.,) x1/ .(4.
Map N t ax L WATER HEATER &le4r,'- 1 9.00 _
t DISHWASHER 9.00
Thomas Page Section DISPOSAL 9.00
Map Book „_ WATER CLOSET 9.00
Directions to Site BASINS , 9.00
or Cross Street ° '
-- TUBS 9.00
SHOWERS 9.00
Name CLOTHES WASHER 9.00
/ r4►N 46i,rA LAUNDRY TRAY 9.00
Mailing Address / 'G �) MISC. 9,00
Owner JI M) rt....) C 1, cis REMODEL EACH FIXTURE
City /Stage I1 a �' 2 �3 (minimum fee - $25.00) 12.50
Phone �"";""� L J ! `
� / I FLOOR DRAINS 9.00
�lO RAIN DRAIN /DOWNSPOUT 9.00 _
Name 6cr.) ff l / ` . �j/ J� DRY WELL/LEACH LINE 10.00
WATER SERVICE first 100' 30.00
MtiVddressc l■-d fl /lWATER each addnl 100' 25.00
Contractor Cty /State , t Zip REPLACING in building
i M - �4 e7 Z2 . water supply lines
Phone CC FIRST FLOOR 30 00
Zq '" 7d 1 ADDN'L FLOOR each J 12.00
State Registration No. Plumbing tic. No SAN. CONNECTION
0273 2GGO►l11 SEWER first 100' 30.00
I hereby acknowledge that I have read thla appileadon, that the each addnl 100' 25.00
information given is correct, that I am the owner or authorized
agent of rho owner, that plans submitted are In compliance with seperate permit to prevent
State laws, that I am registered with the State Builders' Board, that two contractors from working
the registration number given Is correct (If exempt from State
registration, please give reason here.) off same permit 40.00
BACK FLOW PREVENTER 9.00
STORM up to 4" diameter - per 100' 10.00 .
SEWER over 4" diameter - per 100' 15.00
7 t /71; L/ 1e� for ea. addnl 100' 30.00
CATCH BASINS /AREA DRAIN 10.00
' 9--7--- 17 MOBILE HOME UTILITIES 60.00
Authori Signature ature Date � INSP. OF EXISTING PLUMBING
Describe work per hour 40.00
to be done ❑ new addition p alteration re SOLAR MINIMUM 30 00
/�3 / ` l R `�/ - q COL E NEL 9.00
NOTICE: TANK 9.00
This permit becomes null and void if the work MINIMUM FEE 25.00 i
or construction authorized is not commenced SUBTOTAL I
within 180 days, or if construction or work 5% of subtotal for State Surcharge
authorized is suspended or abandoned at any
time after work is commenced. lg TRUST ACCOUNT TOTAL FEE DUE 06.25
• ,,,,, • 9/9S
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
OREGON Page : 1
Date : 04/15/97
Time : 17:04
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Permit Type : RESPL•MB Permit # : 05093592
Permit Status : APPROVED Applied : 04/15/1997
Site Address : 11340 SW WALNUT ST TI Issued : 04/15/1997
Permit Descr. : SFR - ELEC WATER HEATER Completed :
To Expire : 10/12/1997
Project # : P0067818 Valuation : $.00
Parcel Number : 251 03AB 02400
Legal Descr. : ACRES .34 (FROM A &T:05/10/96)
Owner : RABURN, BRIAN Construction : OTH
Applicant Name : GEO. A. MORLAN PLUMBINGClassification : 700
Applicant Addr. : 12585 SW PACIFIC HWY Occupancy :
TIGARD, OR 97223 Validated By : TLM
624 -7381 Inspector Area :
Applicant Phone : 771 -1145
Applicant Fax : 02734 \MECH
Permit Fee Obligation Permit Account Status
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Plumbing Fee 25.00 Fees Calculated : $26.25
Additional Fees : $.00
State Surcharge : 1.25 Fees Due $26.
•
Payments to Date: $26.25
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NOTICE: This permit becomes null and void if the work or construction for which it is issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction is interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy Is revocable until all inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all inspection requirements.
APPUCANT'S SIGNATURE
Al Al