Permit (8) CITY OF TIGARD PLUMBING PERMIT
" 1. COMMUNITY DEVELOPMENT Permit#: PLM2023-00153
T 1 G r1 F,I7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 I 1
ME " Parcel: 1S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 410
Project: Ikigai Wellness Subdivision: ASHBROOK FARM Lot: 5
Project Description: Interior plumbing for TI:Adding(1)2"floor drain/sink and(1)sink; Installing(1)primer and(1)water heater.
Contractor: GRIDLINE PLUMBING&HEATING Owner: KING CAPITAL INVESTMENTS LLC
14844 SW 109TH AVE ATTN KING,THOM
TIGARD, OR 97224 19250 NE PORTAL WAY
PORTLAND, OR 97230
PHONE: 971-275-6167 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Floor Drain/Floor Sink/Hub 04/27/2023 $25.02
Specifics: 1 ea Primer 04/27/2023 $12.51
1 ea Sink 04/27/2023 $25.02
Type of Use: COM 1 ea Water Heater 04/27/2023 $37.52
Class of Work: ALT 1 12%State Surcharge- 04/27/2023 $12.01
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $112.08
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: A.,„... Permittee Signature: 7 /J tiv
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.