Permit (54) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT
Permit#: PLM2017-00177
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2017
T t Gf Parcel: 2S104BB11000
Jurisdiction: Tigard
Site address: 14008 SW WALNUT CREEK WAY
Project: Roy Subdivision: WALNUT CREEK Lot: 27
Project Description: Add shower
Contractor: MANZHURA PLUMBING Owner: ROY, SHUBHRO&MITALI
PO BOX 820429 14008 SW WALNUT CREEK WAY
VANCOUVER,WA 98682 TIGARD, OR 97223
PHONE: 360-772-8145 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 05/15/2017 $12.51
Specifics: 1 12%State Surcharge- 05/15/2017 $8.70
Plumbing
Type of Use: SF 60 ea Minimum Fee Adjustment- 05/15/2017 $59.99
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 e rules adopted by the Oregon
Utility : — a is -- ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. YF may obtain a copy of the rules
or• ect questions to O •• ca ;ng 503.232.1987 or 1.800.332.2344.
Issued By: 111 / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available spectio, 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. 1
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