Permit CITY OF TIGARD PLUMBING PERMIT
l . COMMUNITY DEVELOPMENT Permit#: PLM2020-00315
T((.r;1 A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8J13/2020
Parcel: 1 S135AD01700
Jurisdiction: Tigard
Site address: 11155 SW HALL BLVD 74
Project: St James Apartments Subdivision: None Lot: None
Project Description: Fire damage repair in unit#74. Replace(1)sink,(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
1 ea Sink 08/13/2020 $25.02
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 $10.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $98.07
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.4,..51,94,,,htlec...4_"/
Those rules are setforth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: 0,V( �j/6� .7CJ�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
Building Fixtures RECEIVED i:t1R (11'FIC' t Ni (),1,,
of
ed
• 'v 13125 City WTiagB Tigard Tigard,OR 97223 IJUL 2 8 2020 xk�l2/w .CQd Permitxn. `�2aZo-flo3IS
Phone: 503.7182439 Fax: 503.598.1eTY OF TIGARD pianRer
Date/8 . Other Permit No.:
TIGARDinspection Line: 503.639.4175 BUILDING DIVISION DateReady/By: iris HI See
Internet: www.tigard-or gov Nonfied/Nlelhod age 2 for
Supplemental information
` 0 New construction I ❑Demolition For special information arse checklist l
Addition/alteration/replacement ❑Other: Description I Q I I Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGOR OICONSTRLCTION- '' SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial 5FR(2)bath 437.78
❑Accessory building " ulti-family SFR(3)bath 500.32
❑Master builder additional bath/kitchen 25.02
I]Other:
Fire JOB SITE INFO TJO &..ND LOCATION Site utilities:
( ft.) Page 2
Job site address: \\\c( .� \\ Catch basin or area drain
18.76
'�` \F�e �\ ) L Project name: Drywall leach line,or trench drain 18.76
City/State/ZIP:
Suite/bldg/apt.no.:'\ Footing brain(no.linear ft.: ) Page 2
S Manufactured home utilities 50.03
Cross street/directions to job site: 6-P 6-��- )\J TC Manholes
18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Subdivision: Water service(no.linear ii: ) Page 2
Lot no.; Fixture or Item:
Tax map/parcel no.: Backflowpreventer 3127 ,
" d Backwater valve 12.51
DESCRIPTION OF WORK �__,.
Clothes washer
25.02
,' -t --c\t (\G.x,k. J� Dishwasher
25.02
Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWPIER J rs:[ ^ •s
�, ,.., P*pansian tank 1251
Name: Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
City/State/ZIP: Garbage disposal 25.02
Phone:( ) Fax ( )
Hose bib 25.02
APPLICANTIce maker
0 -_ . .. 12.51
!� �,a ° a�� ��r � vs Interceptor/grease trap
�,� 25.02
Business name: Medical gas(value:$i) Page 2
Contact name: Primer 12.51
Address: Roof drain(commercial) 12.51Addretate/ZIP: Sink/basin/lavatory 125.02
City/SSolar units(potable water) 62.54
Phone: I Fax::( ) Tub/sbower/chower pan
mail12.51
E-
r� r'1 i,. od YV,A"1 ` , a Urinal 25.02
;' � Water closet
� 1 25.02
Business '4" Water heater )
�\ \ 110
t-' Water pipineJDWV 37.52
Address: {_ 31� 56.29
City/State/ZIP (��` ( c� 11� Other 25.02
3 p
Phone:(�j � ) c1�c1- u i Fax: d C ``` Subtotal t7 7 ,5-b
(V ) L4V_ 1 �`I Minimum permit fee: $7250 CCB Lic.: \ a}}j-A Plum( in : S4-3a I t Plan review (25%of
permit fee)
Authorized signature��C{ �-tn State surcharge(12%of pennit fee) ley 4t/
Print name\k \� 'Cpf \-t�, J 1 iolaLPERAn1 Far
J\ I Date: },1 This penult application expires if a permit is not obtained within 80 days C.
after it has been accepted as complete.
I:lBia7dingV'«mBs1PLMU- Fee methodology set by Tri-County Building Industry Service Board.
retau(ApP�doc IOPo1/09 404616T(10/02/00M/WEB)
i