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Permit (4) 1111 CITY OF TIGARD j PLUMBING PERMIT COMMUNITY DEVELOPMENT I Permit#: PLM201500278 T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2015 Parcel: 2S110AD08700 Jurisdiction: Tigard Site address: 10695 SW MURDOCK ST Project: Pacific Crest Apartments Subdivision: LANG HILL NO.2 Lot: 77G Project Description: 100'of sanitary sewer service for Buildings A,E&F(Reprinted 9/2/15 to correct project description Deb) Contractor: SANITECH LLC Owner: PACIFIC CREST INVESTORS LLC 201 SHIRLEY ST 900 LARKSPUR LANDING CIRCLE#100 MOLALLA, OR 97038 LARKSPUR, CA 94939 PHONE: 503-803-1207 PHONE: FAX: 503-303-8238 FEES Quantity Description Date Amount 100 If Sanitary Sewer 08/20/2015 $62.54 Specifics: 1 12%State Surcharge- 08/20/2015 $8.70 Plumbing Type of Use: COM 10 ea Minimum Fee Adjustment- 08/20/2015 $9.96 Plumbing 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 952-001-0090. You may obtain a copy of the rules or direct qu- • - •OUNC by calling 503.232.1987 or 1.800.332.2344. Issued :y: 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. r r, CITY OF TIGARD PLUMBING PERMIT `°�! COMMUNITY DEVELOPMENT Permit#: PLM2015-00278 Date Issued: 08/20/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD08700 Jurisdiction: Tigard Site address: 10695 Murdock Project: Pacific Crest Apartments Subdivision: LANG HILL NO.2 Lot: 77G Project Description: Replacing 400'of water service near buildings PF,PE&PD. Contractor: SANITECH LLC Owner: PACIFIC CREST INVESTORS LLC 201 SHIRLEY ST 900 LARKSPUR LANDING CIRCLE#100 MOLALLA, OR 97038 LARKSPUR,CA 94939 PHONE: 503-803-1207 PHONE: FAX: 503-303-8238 FEES Quantity Description Date Amount 100 If Sanitary Sewer 08/20/2015 $62.54 Specifics: 1 12%State Surcharge- 08/20/2015 $8.70 Plumbing Type of Use COM 10 ea Minimum Fee Adjustment- 08/20/2015 $9.96 Plumbing 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 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. Aug 191507:46a Sanitech 503-303-8238 p.1 Plumbing Permit AppipiEftErttFn Site Utilities City of Tigard AUG 19 2015 Received c • 3125 SW Hall Blvd.,Tiger uateGY: Y. 010 r Permit No.: rt�/ Plan Review - Ptm�r�i s=t 0..1-7,5. Phone: 503.718.2439 Fai6-408$9${5 0' Other Permit No.: Inspection Line: 503.639' 1 i y: T f i;!,l:I� r_ J t .. Date Ready/By: runs 1 el See Page 2 for Internet: www_ti and-or. Notifcd/Method: Supplemental In forma do n TYPE OF WORK FEE* SCHEDULE El New construction ❑Demolition For special information use check/1st Addition/alteration/replacement ❑Other. cription may- fob •' � New 1-2-family dwellings(includes 100 R for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑1-and 2-family dwelling J Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 /".. (]Master builder Q Other Each additional bath/kitchen 25.02 Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: / Job site address �► ' c-..4. r Catch basin or area drain 18.76 `'� - 41.c_ C.re Ap �ayten .c Ci[y/State/ZIP: E� <'i,1 1.t� j�/(L c� Dt3 wdt,leach line,linear ft: drain 18.76 Suite/bid V11 LLttL� j Footingdrain(no.linearft: ) Paget gJapt.no.: Project name:' 1 I LI - t Manufactured home utilities 50.03 Cross street/directions to job site. Manholes yy,'1i4 18.76 e1 iu,ifJ Rain drain connector 1836 Sanitary sewer(no.linear ft_:1C I 1 Page 2 6101 _5-11 Storm sewer(no.li Clear R: ) Page 2 Water service(no.linear$.: ) Page 2 Subdivision: f Lot no.: Fixture or item: Tax map/parcel no.: Back-flow prevents 3127 DESCRIPTION OF WORK valve 12.51 Clothes washer h Z Of 25.02 �t.�1 j Vl t, �7a13?..( . 0,.1,t'-'1,- f{n��✓ ( / htt 25.02 4 I -) �r i..- f I .CClfj of j4 l j F (.l S(n Drinking fountain 25.02 ii' V a S LL,...; 1 ijp (i Ejectors/sump 1 25.02 © PROPERTY OWNER [] 7ANT ✓ Expansion tank 12.51 t Name: P,ip.1-f-Cd i l,i floorr ap 25.02 Address: floordrain/floor sirlklhub 25.02 Garbage disposal 25,02 6 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 gt APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 �� Business name: r %Ill Medical gas(value:S�) Page 2 Contact name: Prit"er 12.51 '( Roof drain(commercial) 12.51 Address: p 1 � t�7 F Sink/basin/lavatory 25.02 City/State/ZIP: 1+1C�t L�a/ C- -1 1-70�� Solar units(potable water) 62.54 Phone:(VD)9)i_(-ic Fax:(t' 1 ` �' Tub/shower/shower an �,/� � �f .7 I ����-�`�:��� P 12.51 E-mail: :Sid L-C`tnL.s���� iiT1Ut )mac.- 1A.4-1- Urinal 2102 CONTRACTOR Water closet 25.02 � r Water heater 37.52 ■ Business name: t � u'GL4�.d'-1 Water piping/DWV 56.29 Address: ft) 4 ) Li- Other. 25.02 City/State/ZIP: a),'�O"1L-tlt � 9-103( Subtotal ,5 Phone:(5(f!)"lc - !C---)1 r Fax: �"j.`y?-]^%_.� y O--NTS%/-I. Minimum permit fee: $72.50 CCB Lie.: C[ Plumbing •c.no.:1 RE Is);) i Pfau review (25°.6 of permit fee) _ State surcharge(t2Yo of permit fee) '70 Authorized signature - ( �. TOTAL PERMIT FEE J -1 Print name: 1 - c L- -. /"-\ p`.: NO I IS 'Ibis permit application aspires if a permit is not obtained within Sam days after it has been accepted as complete. .Fee methodology set by Tri-County Building tndust y Service Board. 1:43uitdin nitirPLMU-I'erntitApp.doe 1 0/01.179 410-46167110/02/COM/WEB)