Permit CITY OF TIGARD PLUMBING PERMIT
#. COMMUNITY DEVELOPMENT Permit#: PLM2021-00023
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/11/2021
T f C A R I 9 Parcel: 2S102DC00400
Jurisdiction: Tigard
Site address: 9265 SW EDGEWOOD ST
Project: Blauer Residence Subdivision: EDGEWOOD Lot: 16
Project Description: Plumbing for addition.(100 If)storm sewer,(100 If)water service,(5)lay,(3)shower,(2)WC,(1)water heater
Contractor: OWNER Owner: BLAUER, MARC
9265 SW EDGEWOOD ST
TIGARD,OR 97223
PHONE PHONE:
FAX:
FEES
Quantity Description Date Amount
100 If Storm Sewer 02/11/2021 $62.54
Specifics: 100 If Water Service 02/11/2021 $62.54
5 ea Lavatories 02/11/2021 $125.10
Type of Use: SF 3 ea Tub/Shower/Shower Pan 02/11/2021 $37.53
Class of Work: ALT 2 ea Water Closet 02/11/2021 $50.04
Type of Const: 1 ea Water Heater 02/11/2021 $37.52
Occupancy Grp: 1 ea Clothes Washer 02/11/2021 $25.02
Stories: 1 12%State Surcharge- 02/11/2021 848.03
Plumbing
Total $448.32
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. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: }{oUyVa,wl'teeWe,.e Permittee Signature: OvvApphc• atton
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.