Permit III4 CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00397
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2016
Parcel: 151260000300
WIMINE Jurisdiction: Tigard
Site address: 9546 SW WASHINGTON SQUARE RD H16
Project: Ann Taylor Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Relocating(2)2"floor drains,(2)sinks,and(1)water closet. 8/3/2016: REPRINT permit
to add(1)water heater.8/4/2016: REPRINT permit to add(2)chilled water lines 60'.
Contractor: CALIBER PLUMBING&MECHANICAL INC Owner: PPR WASHINGTON SQUARE LLC
10940 SW BARNES RD#114 PO BOX 847
PORTLAND, OR 97225 CARLSBAD, CA 92018
PHONE: 971-563-1672 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Floor Drain/Floor Sink/Hub 07/27/2016 $50.04
Specifics: 1 ea Sink 07/27/2016 $25.02
1 ea Lavatories 07/27/2016 $25.02
Type of Use: COM 1 12%State Surcharge- 07/27/2016 $12.01
Class of Work: ALT Plumbing
Type of Const: 1 ea Water Closet 08/03/2016 $25.02
Occupancy Grp: 1 ea Water Heater 08/03/2016 $37.52
Stories: 0 12%State Surcharge- 08/03/2016 $7.50
Plumbing
45 Misc Administration Fee 08/03/2016 $45.00
25 Misc Other Fee 08/08/2016 $25.02
0 12%State Surcharge- 08/08/2016 $3.01
Plumbing
Total $255.16
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: Cad C/
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.
CITY OF TIGARD"hi PLUMBING PERMIT
I COMMUNITY DEVELOPMENT d� Permit#: PLM2016-00397
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2016
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9546 SW WASHINGTON SQUARE RD H16
Project: Ann Taylor Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Relocating(2)2"floor drains,(2)sinks,and(1)water closet. 8/3/2016: REPRINT permit
to add(1)water heater.
Contractor: CALIBER PLUMBING&MECHANICAL INC Owner: PPR WASHINGTON SQUARE LLC
10940 SW BARNES RD#114 PO BOX 847
PORTLAND, OR 97225 CARLSBAD, CA 92018
PHONE: 971-563-1672 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Floor Drain/Floor Sink/Hub 07/27/2016 $50.04
Specifics: 1 ea Sink 07/27/2016 $25.02
1 ea Lavatories 07/27/2016 $25.02
Type of Use: COM 1 12%State Surcharge- 07/27/2016 $12.01
Class of Work: ALT Plumbing
Type of Const: 1 ea Water Closet 08/03/2016 $25.02
Occupancy Grp: 1 ea Water Heater 08/03/2016 $37.52
Stories: 0 12%State Surcharge- 08/03/2016 $7.50
Plumbing
45 Misc Administration Fee 08/03/2016 $45.00
Total $227.13
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: <9�!�Etiy/ j Permittee Signature: & / ��/61---"77‘7,1
:: 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.
Jul. 22. 2016 10: 14AM No. 1865 P. 1
v Numbin Permit Alicatin
!, ) r, ,., .,:.) -
Building Fixtures F!). x!. 1 :- , , ..-+ i - 10k OFFICE. USE ONLY
City of Tigard .II iticd- 711/211=1 Penni'No.: 0,A u A. 0 ....
q 13125 SW Hall Blvd„Tigard,OR,972q , ,.c plan Rinriew: Phone; 503,718.2439 Fax: 503.598.1969 '' Date/6 ; 01•10001.......•••••••=.
Other Penult No.: " / 71
Inspection Line: 503.639.4175_,
TIGARD Date Ready/By: "7 ,,,A ...,E 0 See Page 2 for
rn
Inteet: www.tigard-or.gov 1 '; '' . -(1) Notifled/Meibod:. ' ,..4 / (,,, 197/' Ir- Supplemental Information
• T ': iqf WOW. ''.1 •''',';i .; -. II 4 FEE* SCIJEDULE
0 New construction 0 DemolitiOn For ednt'ormation use checklist.
Description et - Ea. Total
NAddition/alteration/replacement 0 Other: Ncw 1-2-famil dwellings(includes 100 ft.for each utility connectiOn
CATEGORY OF CONSTRUCTION
1:j 1-and 2-family dwelling , .Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 00.32
LI Accessory building 1:I Multi-family
Bach additional bath/kitchen 25.02
0 Master builder 0 Other; Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: ITIllattoki. 5w th)05hi 0,\bn a, A t, • .
it Arran,leach line,or trench drain 18.76
City/State/ZIP: (pork 1 and i 0 a, cry ti,
Suite/bldg./apt.no.: I-1 qp I Project name: A f),.) -ra q 1 b( Manufactured home utilities 50.03
Cross street/directions to job site: Fooling drain(no.linear 11.: ) Page
Manholes
18.76
Rain drain connector
18.76
.. Sanitary sewer(no.linear ft,:___) Page 2
Storm sewer(no.linear ft;_____) Page 2
Water service(no,linear ft.;__) Page 2
ii
Subdivision:map/parcel
division: Lot no.: Fixture o
Tax r item;
no,: Backhow premier 31,27
• -- • ackwater valve 12,51
DESCRIPTION OF WORK . ' •
Clothes washer 25.02 '2,c••0*2.
01,941'40 I ,vicit 1m-ion ill- Po( 'LA Dishwasher 25.02
3011/aqed p11.4mt)VII -K,4i-fives .ife,in an;fort! i./col ,
Drinking fountain
Ejectors/sump 25.02
25.02
PROPERTY OWNER IV . 0 TENANT. , ' v.. Expansion tank, 12.51
Fixture/sewer cop 25.02
Name:
Floor drain/floor sink/hub.,::.2:0
Address;
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
' 'Phone;( ) Pax:( ) Ice maker 12.51
. .„ .
V 0 APPLICANT CICONTACT PERSON . . Interceptor/grease trap 25.02
Medicol gas(value:$ ) Page 2
Business name: C a it bell-BUM bl:/)et i Yilir-hanie'AIA Inc.
12.51
• -. Contact name: e(r)ie 6 60..)It.Li
RProlonYdrrain(coniniemial) 0 12.51
• Address: 636., k ,e." -ec c 3 e„, I I'b e)
Sinkibaskilavatory 2 25-02 5.0.011
City/State/ZIP: Poi-.-/(and a( . • solar units(potable water) 62.54
Phone:(64)3) ii, .,.• c•9 1 IIMENIMIMMI 'Tub/shower/shower pan 12.51 ''
_;•• Equail: i,},16 6 6 6 I i . - c.a n *cat, c 0 EZMIIMMEMPili 25.°2 MI
Water closet ' 'I i: . VA 25.02 2S-, 01
c--. 4....9 . . . CONTRACTOR _ • . . *
Water heater Ad. .- i- tIll 3742
Business name: ea ilber ' furotise ?. ei if -_ 21 KC- Water piping/DWV , A MIME'
Ca' Address: v
. 3 , C etCt C CI4 3 tg.. 14 3 ,o Other. - - "el , 1.-PM 25.02
- --1--
City/State/ZIP: Po(-I la ti(I b a 112 13 ingrnina ....-,
t Minimum permit fee: $72.50 wi
Phone: "11 ) • ,& e 75.•01 / Fax:(50'.) fp s-',.' 6,,7 , q
'-.....„........_
Plan review (25%of permit fee)
N CCI3 Lic,; 20 el 2 --- _ Plumbing Lie,no.:R3 /10 5-6
State surcharge(12%of permit fcc) (r,.10 ajl,
Authorized signature: 5-;4 " ( , 4 TOTAL PERMIT FEE NWIM//40
Thb permit application expires ifs permit is not obtained within 180 days
Print name: e'rrii rt L. , Date: '1 22- 1 6 after It has been accepted as complete,
*Poo methodoloay set by Di-County Building Industry Service Board.
1.1.8vIldIrts\Permht1IIMU-PemiliApp.doe 10/009 440,1610Aio(ovcosswEn)
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
•
Fee Schedule: Residential Fire Suppression S stems
��4�r �.� ,may ��y�,�' �� 5 '}ya�si,,�
M� e ,v.�..+w.XM..'4.%t'Vei.+,+'r,.5 'e • ��t�J OW. �4����'.�,�, FIYR r '`'a-:aqS fF,I PI
Footing drain-1"100's 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $23320
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 pv t .; ml t �y, is 't•• '' :_:
Storm&Rain Drain-1st 100' 62.54 5 i�1 r 00.00 g' e: fee$72�--'mss
$1.00 to$5,000.00 Minimum $72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
k .' � e,.:F-:` r each additional$100.00 or fraction thereof,to
m:(e r`t01:r) ,U. 4 . 1 F r, 5 and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to
and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Conunercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. NM 'st
Plan review is required for any of the following.
lilV440 fold # ar Please check all that apply.
W�rkli`r�#ilaamil:.'.
'.•4t.. Ck ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool New engineer.x
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
-Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher Commercial ❑ Any multipurpose fire sprinkler system.
_Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2" -
Etrttent ;7414
❑ Isometric or riser diagram is required for new buildings
-Car Wash Thain
Garbage Domestic non-food that meet the•ualifications above.
Disposal: -Domestic food related
-Commercial food related
-htdustrial food related
Ice Mach./Refrig.Drains Conunents regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Durrip Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes
Water Extractor assessed for the sewer increase must be paid before the
Water Closet-Toilet j plumbing permit can be issued.
Urinal
Other Fixtures:
1:\Building\Permits\PLMF_PerrnitApp.doc 08/04/2011 2
Y
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENTIN
Permit#: PLM2016 00397
UGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9546 SW WASHINGTON SQUARE RD H16
Project: Ann Taylor Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Relocating(2)2"floor drains,(2)sinks,and(1)water extractor.
Contractor: CALIBER PLUMBING&MECHANICAL INC Owner: PPR WASHINGTON SQUARE LLC
10940 SW BARNES RD#114 PO BOX 847
PORTLAND,OR 97225 CARLSBAD, CA 92018
PHONE: 971-563-1672 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Floor Drain/Floor Sink/Hub 07/27/2016 $50.04
Specifics: 1 ea Sink 07/27/2016 $25.02
1 ea Lavatories 07/27/2016 $25.02
Type of Use: COM 1 12%State Surcharge- 07/27/2016 $12.01
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $112.09
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.
f
Issued By: e`/ /� i Permittee tures .czr l'
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.
Jul. 22. 2016 10: 14AM No. 1865 P. 1
v P1uinbila Pearmit Application
. 4 , ,
Building Fixtures ) _ , .�, FOR OFFICE 1CC USE ONLY
Cityof Tigard • Received ` ��G Date/13 : 7Permit No.: /.• r i.•17
N . •r 13125 SW Hall Blvd.,Tigard,OR$722 plan Review
!" Other Permit No.:.24 Fax: 503.5981960
Phone: 503.718 39Dale/By; .3;1 .r!(tJ7r/
rt GARD Inspection Line: 503.639A 175 Date Ready/By: WE E7 Sec Page 2 for
Internet: www.tigard-or.g0v, . . , ,1 - Notified/Method.. J/lr(p 47. Supplements(Information
T ., ( W 4n6/A FEE* SCHEDULE
❑New construction ❑Demolition For special Lforniatlon use checklist.
Description •t . Pa. Total
Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 __
❑1-and 2-family dwelling XfCommeraial/indusirial
SFR(2)bath 437.78
SPR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other; File sprinkler( sq.ft.) Page 2
q51
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: U1 W 05 1I t' fl )c(AI(L (Lfd , DryuAtca basin Or linaree,drain 18.76
Drywall,leach line,or trench drain 18.76
City/State/ZIP: 900-k\and t 0(f, C11 t1'9} Fooling drain(no.linear It.: ) Page 2
Suite/bldg./apt.no.: 141(p I Project name: A fm -1-4 1 b r Manufactured home utilities 50.03
4
Cross street/directions to jab site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.;_ ) Page 2 ^
Storm sewer(no.linear ft.: ) Page 2
Water service(no,linear ft.; ) Page 2
Subdivision: Lot no.: Fixture or item: -
Tax map/parcel no,: backflow prevenler 31,27
DESCRIPTION OF WORKBackwater valve 12,51
Clothes washer ,r 25.02 2r,".t)2
I 4U4h-fY1 proviat 1(1 11 the, FuljowInj Dishwasher 25.02
5 Q Cd 'r ,roti to Rx1Mie 5 .Tie, 'e, ' ' # g• 0 ./VA Drinking fountain 25.02
Ejectors/sump 25.02
ID PROPERTY OWNER ❑ TEr ANt Expansion tank 12.51 .,
4
Name: Fixture/sewer cop 25.02
' Floor drain/floor sink/hub 25.02 2.s-,a
_\1Address; Garbage disposal 25.02
City/State/ZIP: Idose bib 25.02
Phone;( ) Fax:( ) Ice maker 12.51
• 0 APPLICANT .U CONTACT?PERSON; TnterCeptor/grease trap 25.02
Business name: /� J n Mcdieol gas(value:$_) Page 2
C„ /I heir �G/I1 t/ ►?1�GhQrlrla( Inc, Primer 12.51
'--. Contact name: E(n 1 e i,4,0.3 1e H Roof drain(commercial) 10-
Sink/basin/lavatory
12.51
Address: 6P[l 3(0, r4 ,�u tie r".0,1 V e.1 t .S 1'G if 3 b (� SinkroasiMavatory Ii� ��l' 25.02 Q,O f
City/Statc/ZLP: Poi..-.1(A;, / D n 0).12, 0 Solar units(potable water) 62.54
Phone:(6P3) 2.0tD '- 15 r) 1 Fax::( ).2?,S !o Tub/shower/shower pats 12.51
NE-mail Urinal 25.02
qna�? Cc�/iherm char ,ca/' coir! Water closet 1 25.02 25. 02
d - CONTRACTOR . - Water heater 37.52
Business name: co fiber, ')/t fr'h toe) ? 11'Ze‹,_harnu2 1 Inc,- Water piping/AWV 56.29
Address: :.-. C e(U C c 14 3 t Q . q 3/2.0 Other.
25.02
Subtot ' rte-I4C,l
--..---1-::- City/State/ZIP: pora in Ad 0 n 9'� z 13
5
/ Minimum permit fcc: $72.50
c't Phone:(rrja) p co v.7s-Q1 / Fax:(503) 2 0 6'3 4 ei
Plan review (25%of permit fcc)---f'l�J f ~
(\. CCI3 Lie,; 2(} .2 c- Plumbing Lie.no.: 3 /to S 0 [ tostircIiar (I2%ofPeriit / .cfi
Authorized Signature: ( . ra TOTAL PERMIT FEl? `7 r aq 0IPo3.h'�
1This permit application expires if a permit is not obtained within 180 days
Print name: e rn i et L. 736,„‘f,1-tciDale: 1 /22,. //6, after It has been accepted as complete.
*Fee methodology set by Tel-County Building Industry Service Board.
1,\Building\Pcrn)kAPLMCY-PcrmirApp.doo I0/01/09 440-4614T(10/02ICOM/WEH)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee
1Schedule:
y �pyyRye_sidenti/ayl Fire Suppression Systems:
ll ."_,� �w ,. ae ho-.., ,.. '"'*j�, ec nl a). E. .,`�7i �` Y �✓'► ,,, } .,.,� .„s.h xY,.Y '• dw:�..� ,,
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 , i �
Storm&Rain Drain-1st 100' 62.54 �� x_. ._a.
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
47 ,k ' i„ r each additional$100.00 or fraction thereof,to
Vath' . �4 � 1 _. z, E_Y, ^�,s and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
'1 e _
accurately report fixtures could result in increased sewer fees*. $ �; x a 4i rI.i _74 .
9114tntit' t Plan review is required for any of the following.
'r 'Pc for ' "! �' Please check all that apply.
'W,.or ' rtorme�1. - ., . �. �'
Baptistry/Font 0 Any new commercial building with water service 2"and
Bath:
pti Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall
0 New exterior plumbing site utilities for any complex structure
Drive Thru as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher Commercial
0 Any multipurpose fire sprinkler system.
Domestic 0 Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2" a,
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley ---Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer Clothes
Water Extractor
fees assessed for the sewer increase must be paid before the
�
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Pennits\PLMF PermitApp.doc 08/04/2011 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9546 SW WASHINGTON SQUARE RD H16,
TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2016-00397
Don Sylvester
Corrections complete
Violation Summary:
Inspector Contractor