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16874 SW RIVIERA LANE r� I 4� — 16974 SW Riveria Dr. Kind City MEMORANDUM CITY OF TIGARD TO: Don Palmer, Accounting Dept. Rerpond By FROM: Brad Roast, Building Officiai-�-�_;'�.- v For Your Information DATE: 9-7-89 Sign and Return SUBJECT: Plumbing Permit refund Please refund the entire amount: of fees collected for plumbing permit #P1Pile41. '*'he permittee has requested the refund becauiie the project will not be done. Make the check pavabLe to Mr. Frank Ryan 16874 SW Ttiver,s St King City, Ore 97224 PE11:11,11*1.1' N(7 . . PI-0918'elj. CITY OF TIGA RD CITY OF WARD COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEL) : 0/31/89 13125 S W Hall Blvd..P.O Box 23397.Til 3rd.Oregon 97223.(5011639-4175 PPIM. MT .NO, 8919411 — JOH ADDRESS: 16874 SW HIVERIA DR 'TAX MAP/LOT SUB: KING LA'.TY LT HK : LAND USE : I UT SIZE : ITEM: N('.) NO: WORK CLASS: ALTEMAIJON WATER CLOSET TRAP usE 'T,Y[)F.: s:[N(A-r r6mi:L..Y URINAL BKF'L.(]W PPVN7'P CONS T . 'T YPE: L.AVOIZATORY TRAP PRIMER 0MUP. UPP. IJB SHOWER (3P1'-::A5E TRAPS Dl�-.MUSAL NO. STICIPIES ; /WASHING MACHINE DWELL . UNITS : LAUNI)PY TRAY ULDG . DPAIN ( DIA FLOUP MAIN GINK a S.-sEWEA (F*T') WATER HEATER STOAM/PAIN (FT REMARKS : c:mit intii existing ht3t & c!(3J.(J w1at".1-1 lirietii fc)r !amvall Ini.inclir-y ti.it) F-EES : 0 1-y Ilk 11 W N 16874 E kj.I.% j, t,y c)r, R I:*•,IIOjIE: (503) 684-01.07 -TATIE TAX ()THER C 0 N MODERN 1-4-LIMBINU, T R PORCIXF23307 A Tigard OR 97 P F2,13 C T PHONE (503) 63-9-3701 0 NO. 181 TOTAL: REECE I PT NO. This permit Is Issued subject to the regulations contained In Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations PE WUIPEE) INSPEt-fIDNS and all other applicable codes and ordinances, and it Is hereby PLB .11 NDEWA-AB agreed that the work will be done in accordance with the plans and NDE LF15—A 1.1 specifications and in compliance with all applicable codes and POST & DE ordinances Th-. issuance of this permit does not waive restrictive WA,rr-,l L.I N F. covenants Contractor and subcontractors shelf have current city PI—F31 nPOUT business tax permits This permit will expire and become null and I..)R I void if work is not started within 180 days.or if work is suspended or PAIN L DRAINS abandoned for a period of 180 days any time after work has 11� .INA commenced. It shall be the responsibility of the permittee to assure all reQUIred inspections are requested and approved "ft. 4"4 We I Permittee Signature Issued By 6A9 4 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C17Y OF 716A RD PIT NO. G PE 93. I�C�PMIT' NO. PLf391.E3A1. U�OFZTW' COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED E)i31/139 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)634-4175 PP]:M M. PMT .ND, 991E141 .JOR ADDPE:SS : 1687A SW RIVE.PIA DR TAX MAP/LOT SUB: KING, C J:'T'Y LT: 3K : LAND USE: 1-01' 51 ZE: : .11 11.- : NO : NO: WORK CI—ASS: ALTERATION WATER CLOSET TRAP USE TYPE: SYN(31_E. FAMILY UPINAL 13KIFLOW PPVNTR CONST . TYPE: L.AVORATOPY TIeAP PRIM-IN OCCUP.GPP. 11.113 til-IOWI:_R (:;PEASE TRAPS DISHWASHER GARBAGE DISPOSAL 110. S1 ORIF-..'S : WASHING MACHINE DWELL. UNITS : I...AUNDPY TRAY I31-M... DPAT.N (DIA FLOOR CoPAIN SINK 1. Sc-WER (F-T 1 WATER HE AJ E k S t ORM/RAT (FT OTHER REMARKS . r_!t.it into exirati.ncJ 1-113t. & r..(31(1 water- Lines f o 1` 'a m xt].7. :I.eu.t n ca r•y t r.1 la FEES : O 1'y tEt.l1 t r 11►n lc PERMIT 11:1.'5 . 0 0 W N 16H7A mw r•iver•i.ia dr E k:Lnrxl r`J.t,y or 9722A F',IXT'tJRE:S R 111.40NE: 11:303) 68A••-01.07 STATE: TAX 11111 . 75 (:)T HH.13 C 0 N MUI?VPN PLUMB I:NG R P00C.IXF23307 A 'T'i.gcard OR WIP-3 C T PHONE:'. 11,1503) 6 3rir-- 370i. O PEG1STRATI(:)N NO . 1.131 T'OT'AL: $15 .75 R RECEIPT NO. T his permit is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty GG les,zoning regulations pE(JUIREE) TmriPECTIONS and all other applicable codes and ordinances, and it is hereby agreed that the work will be done in accordnr,ce with the plans and PLt3 .UNDhIi' LA13 specifications and in compliance with all applicable code. and POST a E)LAM ordinances The issuance of 1hiE --rmil dogs not vh ve restr ctive WAT'E::I. LINE covencnts Contractor and subcontractors shall have current city Pl_F) TO POUT business lax permits. This permit will exi ire and I nromey mull (I PAIN DETAINS void if work is not started within 180 days.o1 if work 14 auspendnd or NAL- abandoned for a period of 180 days any •!;ire after w)rk has E' 7.NAL_ commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved Permittee Signature. Issued By _....---------._.__-_-- I 1 P444___+ I C`rM,' inA-rr nrnsartc nencrrnCn coo 1affNDW n-rLICfb Tr.JAKI r%VCt- fltlr--n nofN%IC P.O.EbX 2339 CITY OF TIGARD PLUMBING 13125 SW RM Blv�'_ Tigard az 9x7223 1 Applicants must hold Oregon Reglsh..tion to conduct a plumbing PE IA M I�I 639-4175 business or must be property owner/operator not hiring outside help. Name of Development Qql r4l Plumbing Permit No. (L Address Description ORS 814-21.610 DUAN. PRICE AMT. Job Tax Lot Map.No. Address FIXTURES Lot ©lock Subdivlskxn $ink 7.50 •s0 amo or namesjness Lavatory 7.50 I ub a TubtShowcr Comb. 7.50 _ ai ing re:s i Shower Only 7.50 Owner City/State Zip Water Closet — 7.50 Dishwasher 7.50 — Phone Garbage Disposal _ - _ 7.50 Washing Machine 7.50 Name ' Ryan , Frank G . ci-�- Floor Drain 7.50 _ _ `-t�-1- 7.50 Wiling Address Water Heater • 168714 5W R i v e r i a Dr _ Laundry Hoorn Tray 7.50 Occupant City/State zip Urinal _ 7•50 1' T Y n R a Other Fixtures(Specify) 7.50 erne _ . Modern Plumbing Co . 639-3701 7.50 Mailing Address Phone Contractor CMy/State — ZIP — 7.50 MISCELLANEOUS City Sue.Tax No. Sewer 1st 100' 30.00 01810 SWs. o. tate s s.Z.,c. o. Sewer-ea.Addi;_t CC' 15.00 (Residential) Water Servim 1st 100' 20.00 I hereby ackrxrvrledge that I have read m application,that the inlomtatioti Water Serviaa sa Addil 2Mr 15.00 given is axTect,that 1 am reglsfered with the State Builders Hoard,and also Storm d Rain Drain 1 st 100' ,1! 30.00 _ have a State Plumbing license that the numbets given are correct that all Ojmbinp work will be done in accordance with applicable proviskm of Ore- Storm b P:.in Drain Addit.100' 15.00 gon Revised Statutes Chapters 447 and b93 and applicable codes enol that Mobile Horne Spa.— 25.00 no help will be ompioyed unless Itconaed undw ORS 683.(it exempt from Stale registration.please give reason below). Back Flow Prevention HOMEOWNERS-I hereby certify that 1 om the owner of the property do Device or Anti-Pollution Device 7.50 1 acnbed above,st which location 1 prcocme to nuke a pkxnbkV helallation for Any Trap or Wase Not my own use end this prop"h riot boknq constmcled ler sale.lease or rent. Conrwoed to a Rwx rs� 7.50 Catch Basin 7 r0 1nap.of Exist.MAT*** 40.00 Per Hr. ---- SpeciaayFkKrjestedk1s;laCions 1 '40.00 Per Hr. Akar.of Pl rnbing wMNn an Exbtlng 8109- -- 15.00 min. i New Bldg.or Build.AddWon 25.0r,min. A;JTHORl2ED SIGNATURE Date- -- n e faMl _ Deacribe work new❑ addition❑ alteratKxF� rt�palr❑ 1V 15.00 to be done residential fl r1or1 reeldential Gds&V use of aPrrtY - - SUB-TOTAL /. O O IM F'tr7pVeed u"of 5% SURCHARIE 25% PLAN REVIEW Notic1 -- - Thla pannM beoomo*mM and wk111%"*or orxusruc*)in authodzacf is r.ot com TOTAL rrwww-*d wtthln t oo dwy a^v onrw*uc&wn n work ie otmperxied car abarxio nod fa s twitA of 190 days at any&no eller wrxk is nomrrAncvd. tl"[CIAt.00WM1?0ft9._--------_—.- Date issued -.3d U Y1 by