Permit Support Document CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2021-00448
Date Issued: 11/18/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9348 SW WASHINGTON SQUARE RD W14A
Project: Sunglass Hut Subdivision: None Lot: None
Project Description: Interior plumbing for TI:ADDING(1)3"floor drain, (1)Roof drain(commercial), (1)lavatory, (1)water closet,&(1)
water heater.
Contractor: PMSI LLC Owner: PPR WASHINGTON SQUARE LLC
8295 NW EVERGREEN PKWY#204 BY MACERICH RET
HILLSBORO, OR 97124 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-466-2222 PHONE:
FAX: 503-466-2211
FEES
Quantity Description Date Amount
1 ea Floor Drain/Floor Sink/Hub 11/12/2021 $25.02
Specifics: 1 ea Roof Drain (Commercial) 11/12/2021 $12.51
1 ea Lavatories 11/12/2021 $25.02
Type of Use: COM 1 ea Water Closet 11/12/2021 $25.02
Class of Work: ALT 1 ea Water Heater 11/12/2021 $37.52
Type of Const: 1 12%State Surcharge- 11/12/2021 $15.01
Occupancy Grp: Plumbing
Stories:
Total $140.10
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
Issued By: ,� Permittee Signature:
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.