Permit Support Document (2) CITY OF TIGARD PLUMBING PERMIT
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III _ COMMUNITY DEVELOPMENT 1 ZZ Permit#: PLM2022-00248
Date Issued: 7/7/2022
T t C;A R T7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9677 SW WASHINGTON SQUARE RD C05
Project: Levi's Subdivision: None Lot: None
Project Description: Interior plumbing for TI: CAPPING(1)3"floor drain,(1)non-food related sink, (1)mop sink,and(1)water closet.
Adding(1)drinking fountain. Installing(1)water heater.7/18/22: REPRINT to correct address and project name.
Contractor: SAKRISSON PLUMBING Owner: PPR WASHINGTON SQUARE LLC
PO BOX 821 BY MACERICH RET
RIDGEFIELD, WA 98642 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 360-909-8141 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 07/07/2022 $25.02
Specifics: 1 ea Fixture/Sewer Cap 07/07/2022 $25.02
1 ea Floor Drain/Floor Sink/Hub 07/07/2022 $25.02
Type of Use: COM 1 ea Sink 07/07/2022 $25.02
Class of Work: ALT 1 ea Laundry Tray 07/07/2022 $25.02
Type of Const: 1 ea Water Closet 07/07/2022 $25.02
Occupancy Grp: 1 ea Water Heater 07/07/2022 $37.52
Stories: 1 12%State Surcharge- 07/07/2022 $22.52
Plumbing
Total $210.16
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: g.°_,. • '� ^t Cf /
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.