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L1463 SW GREENBURG ROAD
PLUMBING PERMIT V"
CITY QF TIGARD DATTEIISSUED:. 06/14/966-014ts
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)339.4171 PARCEL: 1 S 1 35CD-09100
I.TE ADD12Lbb. . . 1146, bW URLf_N1.3U11b 111)
UBDIVISION. . . . : MLP94-0003 -ZONING: R-1
LAI-OCK. . . . . . . . . . il LOT. . . . . . . . . . . . . :00
CLASS OF WORK. . s NEW GARBAGE. DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . LAF'%J WASHING MACH. . . . . . .. 0 ;AC'K;-LOW PREVNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
5T'ORIES. . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES----------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 1 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER 1-IXTURE,. . . . : 0
TUR/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 300
DISHWASHERS— . - 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Water service to :300ft.
Owner: -------- ____.__._._._ _.-.---..___.__.._.___._.__.______________._.__ FELS ------------_..-
JOHN DRENNAN type amot.int by date recpt
FSO PDX 2:3603 PRMT $ 55. 00 CJS 06/14/96 96-280366
5PCI $ 2. 75 CJS 06/14/96 96-280368
TIGARD OR 97281-360:3
Phone #: 50:3-•639--5792
Contractor: -------------------------_.--_.___
STRAIGHT & STURDY FENCING
PO BOX 23603
T I LiARD OR 97281-3603 ------------------------- --------. -.._
1+hone #: 503-639-5792 $ 57. 75 TOTAL
Peg #. . : 27194
------- REGUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Dre. Specialty Codes and all other Water Set-vice 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 190 days of issuance, or if work is suspended for more
than 190 days. _
Permittee S i g n a t u r e :
1 s s -i e d P Y. ..XCl./21iG�f _...___ -•---•----
Call ror- inspection - 639-4175
City of Tiprd PLUMBING PERMIT APPLICATION Planck/Rec.
13125 SW Hall Blvd. Permit #
M'11C-64liX
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
-- N.m..1 o..a.o t / New Single Family Residences OnIY
/ flu A S I DC Alc e F
�..■ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE 3195.00
Job (� �,C,(J (T ' jv�rJ2( Po O 3 BATH HOUSE $225.00
Address COMM. m Fee includes all plumbing fixtures in the dwelling and the first too feet
1 n' 1r-11 1 61 , 21 - of water service, sanitary sewer and storm sewer. See fees below.
N.— 8.4-1 � FIXTURES QTY PRICE AMT
J ��►Iw Wr )(li,NN/4N Sink 7.00
Nanq.WbH. Ph— Lavatory 9.00
Owner P 0i 6 v)( 13603 J I - -5-74j t Tub or TublShowe Comb 9,00
C.rsyn. Shower Only 9.00
I I d-A Q \, 772 , Water Close) 9.00 -
a.m.tw n4m..1 t—A-) Dishwasher 9.00
Garbage Disposal 9 00
Occupant u..,q,,, - Washino Machine 900
t ti fn;j) Floor Drain 900 �-
(�^loL c. m.. Water Heater 9.00
Laundrj Room Tray 900
�qc � Urinal - 900
--.1 t rn FE At( iN(- Other Fixtures ISpeaf),) — 900
Ph�• 900
Contractor - - —
O,uU ?-3 6 0 & f ' S 761� — 900
o nSt— in 9.00
-1-7 �'-/� /t �)�'. 72 A� 36,0!-f Sewer 1st 100' — _ 30.00 _--
sw. Co 8u. T.p"° Sewer -ea Addit. 1 Uo' 25.00
Vater Service 1st 100' _ 3000
I hereby acknowledge that Il have read this application, that the Water Service ea. Addit. 200' f 2500 5-1Od
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 Fs Rain Drain 1st 100' - 30.00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 1C0' 2500
number given is correct. (If exempt from State registration. please —
Moble Home Space 25.00
give reason below,)
Back Flow Preventicn
Cevice or Anti-Pollution Device 900
sqnnc-11
.,M�/ -� Any Trap cr Waste Not ---
fit, 6 -C (, Connected to a Fixture 900 --�
Ges 11be work new r1 addition Q alteration Q repair 0 Catch Basin 9.00
to bill done residential 0 non-residential O Insp of Exist. Plumbing 40 OUlhr
Sreciaily Requested Inspections 40 00/hr
Existing use of Rain Drain, single fanuly dwelling 3000
building or property yS(r _
Residential backflow prevention
devices 15 00
Proposed use of /1\/
build,ng or property -VEf.�) - /"I�S I-o C _ —
'(Ercept residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL ()
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR !F 5°, SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED --' --
=OR A PERIOD OF 180 DAYS AT ANY TIME .AFTER WORK IS
PLAN REVIEW 25'o OF SUBTDAL
COMMENCED 7
TOTAL
Special Conditions _
Date ssued 6 96 -by C�js-