Permit Support Document (32) CITY OF TIGARD tz PLUMBING PERMIT
"Fi s COMMUNITY DEVELOPMENT Permit#: PLM2016-00567
T I C.A It T7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/18/2016
Parcel: 2S 104CD 10200
Jurisdiction: Tigard
Site address: 13611 SW TRACY PL
Project: 13611 SW Tracy Place Subdivision: HILLSHIRE ESTATES NO.2 Lot: 101
Project Description: Basement Remodel. 3/1/17,underslab only,setting of fixtures to be done under separate permit.
Contractor: POWER PLUMBING CO Owner: CERBONE, ROBERT REVOCABLE LIVING
PO BOX 19418 13611 SW TRACY PL
PORTLAND, OR 97280 TIGARD, OR 97223
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
2 ea Sink 11/18/2016 $50.04
Specifics: 1 ea Tub/Shower/Shower Pan 11/18/2016 $12.51
1 ea Water Closet 11/18/2016 $25.02
Type of Use: SF 1 12%State Surcharge- 11/18/2016 $10.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $98.08
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
or direct• :_ _•_ . OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By:
i � Permittee Signature
Call 503.639.4175 by 7:00 a.m.for the next available inspec
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.