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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2020-00316 Date Issued: 8/13/2020 T[GA.R1.7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135AD01700 Jurisdiction: Tigard Site address: 11155 SW HALL BLVD 76 Project: St James Apartments Subdivision: None Lot: None Project Description: Fire damage repair in unit#76. Replace(2)sinks,(1)water closet and(1)water heater. Contractor: REA MECH INC Owner: KAULUWAI CORPORATION 30330 SW GRABEL RD. 2445-A MAKIKI HEIGHTS DRIVE HILLSBORO, OR 97124 HONOLULU, HI 96822 PHONE: 503-969-6252 PHONE: FAX: 503-640-9344 FEES Quantity Description Date Amount 2 ea Sink 08/13/2020 $50.04 Specifics: 1 ea Water Closet 08/13/2020 $25.02 1 ea Water Heater 08/13/2020 $37.52 Type of Use: COM 1 12%State Surcharge- 08/13/2020 $13.51 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $126.09 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center.r.Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: /�1 /e5Z7 _1 Permittee Signature: /9v �C1/49L 7 C�_�e7,1 ���X� /) Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Plumbing Permit Application EC E I�E Building Fixtures D Tigard City of Ti d JUL 2 8 2020 Received ` g pateigy: cr /z/Zo .&n PennitNo.: -1 2oZL^-©03/4r, III • 13125 SW Hall Blvd.,Tigard,OR 972�3 Plan Review V i. Phone: 503.718.2439 Fax: 503.59 .fsti{))I Q F TI GAR D Date/By. Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: lore: ® See Pagelfor Internet: v.'ww.tigard-or.gov Notified/Method: Supplemental Information .._ E""� rs"« n -. „ ., 'SCHEDULE ❑New construction ❑Demolition For special information use checklist Description Qty. I Ea. I Total yAdditiion/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY O -- > SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building Multi-family SFR(3)bath 500.32 �l Each additional bath/kitchen 25.02 D Master builder 0 Other: r Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMA 'ION NDATIQN vA Site ninnies: rrj Catch basin or area drain 18.76 Job site address: ;�\\tj(jV'U.. Drywell,leach line,or trench drain 18.76 City/State/ZIP-TT A('--...\ C Y, �� Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: -. 1! r Project name: S T- Manufactured home utilities 50.03 Cross street/directions to job site: i,- ,E-N1 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 -- -- Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflowpreventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer lu \( 1.. (�Q,�,.r.0,2._' 25.02 � Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: - Fixtlrre/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone; ( ) Fax:( ) Ice maker 12.51 0 APPLICANT t=r [� CONTi�4'tr PE°A e; Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory a 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ,_r) Fax::( ) Tub/shower/shower pan 12.51 E-mail: /^� ►') N 11✓`.`{ ! J ! Urinal 25.02'� CO:YTRACTOR -- Water closet \ 25.02 Waterheater Business named�� C. . 37.52 Address: --- 31S 1 Water ptpmg/DW V 25.02 Other 25.02 city/state/zrnt \ . .\( ) t - y\1.)-3 Subtotal //a.SA> Phone:(SO) 0,1\01..�.)c 4, Fax:( S 7) ‘a 7.r C13314 q Minimum permit fee: $72.50 CCB Liu.: \t 4.3- m Plumbing ye.no.: 4-1PA ii-i, Plan review (25%of permit fee) State surcharge(12%of permit fee) /3,S/ Authorized sigruature\( TOTAL PERMIT FEE V ,I` ` `l� 6 Print name:\\\ --�'��.,F� ,.� Date: This permit application expires if a permit is not obtained within 180 days � after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:Wwilding\Pemita1PLM1J-PamitApp.doc 10/e1/09 440-46I 6T(10/02/COM/WEB)