Permit CITY OF TIGARD
PLUMBING PERMIT
II a ,. COMMUNITY DEVELOPMENT Permit #: PLM2010 00070
,,-a s0x Date Issued: 03/19/2010
T i GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
,,','.4:-.i.:„ ,,m Parcel: 2S102BA00302
Jurisdiction: Tigard
Site address: 9900 SW TIGARD ST
Subdivision: Lot: 0
Project: High Impact Tech
Project Description: Install new hand wash sink.
Owner: FEES
TIGARD INDUSTRIAL LLC Quantity Description Date Amount
5805 JEAN RD
LAKE OSWEGO, OR 97035 1 ea Sink 03/19/2010 $25.02
1 12% State Surcharge - 03/19/2010 $8.70
PHONE: Plumbing
47 ea Minimum Fee Adjustment - 03/19/2010 $47.48
Contractor: Plumbing
CROWN PLUMBING
5429 SE FRANCIS ST
PORTLAND, OR 97206
PHONE: 503 - 771 -9449
FAX: 503- 771 -9454
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 -0100. You may obtain a copy of the rules _
or direct questions to OUNC
1111 y calling 503.246.6699 or 1.800.332.2344.
Issued By: � — Perm Signature: � / / , i
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Call 503.639.4175 by 7:00 a.m. for an inspection that b Alt day.
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.