Permit t CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2022-00243
Date Issued: 12/19/2022
T I O AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S126CC00200
Jurisdiction: Tigard
Site address: 10069 SW CASCADE AVE
Project: Tesla Subdivision: None Lot: None
Project Description: Interior plumbing for service area.
Contractor: COLUMBIA ALLIED SERVICES INC Owner: 10065 SWC LLC
1315 SE GRACE AVE SUITE 130 BY ALSTON & BIRD LLP
BATTLE GROUND,WA 98604 BANK OF AMERICA PLAZA
101 SOUTH TRYON ST STE 4000
CHARLOTTE, NC 28280
PHONE: 360-256-1024 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 11/28/2022 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 11/28/2022 $25.02
1 ea Primer 11/28/2022 $12.51
Type of Use: COM 2 ea Sink 11/28/2022 $50.04
Class of Work: NEW 1 ea Water Piping/DWV 11/28/2022 $56.29
Type of Const: 1 ea Water Closet 11/28/2022 $25.02
Occupancy Grp: 1 ea Water Heater 11/28/2022 $37.52
Stories: 1 Plan Review 11/28/2022 $57.86
1 12%State Surcharge- 11/28/2022 $27.77
Plumbing
Total $317.05
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 ules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou ay obtain a op of 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.