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Permit irh CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit it: PLM2011 -00074 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/10/2011 Parcel: 2S 110AD08806 Jurisdiction: TIGARD Site address: 10660 SW MURDOCK ST, APT# 1 Project: Pacific Crest Apartments Subdivision: PACIFIC CREST APARTMENTS Lot: 0 Project Description: Repair approximately 30' of water service. This is water service for all units in this building. Office is located at 10695 SW Murdock. Contractor: PIPELINE PLUMBING Owner: TIGARD COLONY LIMITED PARTNERSHI 333 S STATE ST, STE. V -108 380 UNION ST STE 300 LAKE OSWEGO, OR 97034 WEST SPRINGFIELD, MA 01089 PHONE: 503 - 624 -1906 PHONE: FAX: 503 - 624 -1926 FEES Quantity Description Date Amount 30 If Water Service 03/10/2011 $62.54 Specifics: 1 12% State Surcharge - 03/10/2011 $8.70 Plumbing 10 ea Minimum Fee Adjustment - 03/10/2011 $9.96 Type of Use: MF Plumbing Class of Work: REP 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, r i work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility 1 otification _ ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or • ect questions to O by : '-g 503.232.1987 or 1.800.332.2344. • I - ued By: Permittee S' • , 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. p.1 Plumbing Permit Application Building Fixtures . City of Tigard c /p /( , 1Pamittke L ne2011 - 0607y 13125 SW Hell Blvd, Tigard, OR 97223 Pbsi Review I : Phone: 503.639.4171 hoc 503598.1960 Date/By: OthaPerrcuNo: c ; ;t r, t won Line: 503.639.4175 ) e gd brim 161 See I 2 fc Internet www.tigard-or.gov Notifedthethod: Seppiaaeatat lsfs.-mstras TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special infenteafion usc checklist Description I Qty 1 EL Tn•-e1 I P Addition/alteration/replacement ❑ Other • New 1- 2 - f a m f y dwellings ( in c l u d e s 100 f for ca b ua1U mimicries) CATEGORY OF CONSTRUCTION SFR (1) bath 31270 P El 1- and 2- family dwelling T Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 50032 • © Accessory building ❑ Multi-family Each additional bath/kitchen - 25.02 ❑ Master builder ❑ Other Fire sprinkler (_ - - _ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: IC r l �t +, Catch basin or ama drain 1836 Job site address: f V (0 0 r) 7LA. 1 . ' ^ •cam 6 q Diywe}I, leach line, or tralch drain 18.76 CitylSfetrlL� t' f j . C 2 _ •1 Footing drain (no. linear It: _J Page 2 Suite/bldg./apt no.: Project named E-c . Clt5r F Manufactured home utilities 50.03 Cram street /directions to job site: Manholes 18.76 RAin drain for i8.76 '��i.�_ ` sanitary sewer (no. linear ft : _� Page 2 {'J t Il t • Storm sewer (nor linter ft: ) Page 2 t , " h 1 1' R r ± e Water service (no. linear ft.: as.L) I Page 2 - Subdivision: l p(crfC 'iS1 1111.(,( G- Lot no.: Future or item: Tax map/paioel no.: Backfow premier 3 1 . 27 DESCRIPTION OF WORK Backwater valve 1251 aothes washer 25 -02 atkiy // ai eg' r - vi el . re pa. ( -- Dishes 25.02 9 — Drinking founDom 25 -02 / 0 t3(✓ Z 1<`F-z 0 — (�' "Q &i.) O''' � , F cctoislswup 25.02 0 PROPERTY OWNER [I TENANT Expansion tank 12.51 F siuree/sewer cap 25.02 Name: Floor drain/floor sinkhub 25.02 Address: Garbage disposal 25.02 City/StateJZIP: Hose bib 25.02 Pi ( ) Fax: ( ) Ice maker 1251 0 APPLICANT 0 CONTACT PERSON Intercepmrlgrease bap 25.02 r Medical gas (value: f ) Page 2 Business name: 9+ ', ■ 1 A b 1 s. Primer 12.51 Contact name: Rmf drain (commercial) 12.51 Address: Sinklbasiallavatnly 25.02 City/Stair/ZIP: Solar units (potable water) 62.54 T / pan 12.51 Phone: ( ) Fax : ( ) " Urinal 25.02 E-mail: . mail: 1 c ' 1• 1 ' ' _ ' CI) %1 L J '� A R • . '1 Water closet 25.02 CONTRACTOR Water hem 37.52 ■ Business name: PI 1 ' L1 ( ( alp I WaterpipingIDWV 5629 Address: ' ' - ' 7 L - - a ) . f - - / j ), ' - -Other. 25.02 City /S1aielZIP: C �•- ;, Subtotal p Mm ®um permit fee: S72.50 7,,Z, Phone: ( ?j) (0 ` k--1 - I d Q U� Fax: (5 ! (t1 2 j c ' - Plan review (25% of permit fee) � f Plumb' Lie. no.: �i lc - 6 Sr- �O CCB 1O g State surcharge (12% of permit fee) Authorized signature_ TOTAL PERMIT FEE 0 j . XL.) . /Pi 1 r �y j� This Permits spoliate/cm expires if a Pewit is oat obhiaed within 150 days Print name. , 1 �y 1� ., - a Ytr 1 s 1' `� D I Date , 1 ' after it has been a rmeri h as complete. •p.....WMrMxnwr M i... TriJ'...eeo AA:Lg... r,.xv..e.., q....i.•. n,....1