Permit (26) CITY OF TIGARD PLUMBING PERMIT
@J. f COMMUNITY DEVELOPMENT Permit#: PLM2017-00207
Date Issued: 05/31/2017
T-f,r,z,ti :r D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10755 SW MURDOCK LN 10
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: Building G,unit 10-Installation of clothes washer
Contractor: WESTERN SPRAY FOAM &PLUMBING Owner: AUK-REDWOOD PC SPE LLC
PO BOX 3703 10695 SW MURDOCK ST
GRESHAM, OR 97030 TIGARD, OR 97224
PHONE:
PHONE: 503-661-3645
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 05/31/2017 $25.02
Specifics: 1 12%State Surcharge- 05/31/2017 $8.70
Plumbing
47 ea Minimum Fee Adjustment- 05/31/2017 $47.48
Type of Use: MF 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 N. . •• • -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d. -ct questions to OUN• by calling 503.232.1987 or 1.800.332.2344.
By: 0110Z/Z&-4 Permittee Sig :tures
sued s,//�/�/0��//�-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.
25 May 17 02:05 Western Spray Foam&Plum 503-4825853 p.2
Plumbing Permit Application �Db 1 J _i (�'b` -- Do
Building Fixtures �/ FOR OFFICE LSE ONL\
71 City of Tigard RiznEI`/E 1 .1,...---,13-ed.: 5- 3/ /7 ,. 1 ?emit so.- ' Il o rj YC oC
13325 SW Hall Blvd..Tigard,OR 97223 plan Review
Phone: 503.718.2439 Fax: 503.598.196Q 1^1V�N 2 Date/B} Penn
it Pert No./ ,Pqc9CJ� t L Fr
Inspection Line: 503.639.4175
T 1 G A It D 2 017 Date Ready/By: Joos: Ei7 See page 21'or
Internet: www.tigard-or.gov Notified/Method:
��� ,t Supplemental Information
. - TYPE OF ILDING`t IU1'AND - >
❑New construction Li Demolition DIVISION t���Q� Fir special information use checklist
Description I Qty. I Ea, I Total
Addition/alteration/replacemont 0 Other: New 1.-2-family dwellings(inritdes 100 ft.for each utility connection)
CATEGORY Or:CONSTRUCTION I IONN SFR(1)bath 312.70
❑ 1-and 2-family dwelling SFR(2)bath 437.78
❑Accessory building
SFR(3)bath 500.32
Each additional bath/kitchen 25.02
Q Master builder _ ■ 'U r: Fire sprinkler( sq.ft.) Page 2
JOB SITE'INFORMATION ANA LOCATION Site utilities:
Job site address: l tri-c5 s t lorklr�S Catch basin or area drain 18.76
Drvwell,leach line,or trench drain 18.76
CitV'Staroe/T]P.
"Tgct..(i�z�l. 0y2 °I 1721`\-
� / Footing drain(no.linear ft.: ) Page 2
Suite bldg.apt.no.:
/.. 1 b I Project name:-p6,„6- ,f-ti
t`✓ J/ i,PC Manufactured home utilities 50.03
Cross street/directions to job 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 it: ) Page 2
Subdivision: 1 Lot no.; Fixture or item:
Tax map/parcel no.: Backflow prevents 31.27
OrRBackwater valve 12.51
IESCRIPtIN OOC
Clothes washer t 25.02\0<i 0 \M0
Ou a-4`
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
,❑ PROPERTY'OWNER 0:TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
City/State/ZIP: Garbage disposal 25.02
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLIC4NT " 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Contact name:
Primer 12.51
• Roof drain(commercial) 12.51
Address:
Sink/basinrlavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: L( -�� •A) ? Urinal 25.02
CONTRACTOR l -e,'
����t Water closet 25.02
Water heater 3732
Business name: `{ L 5y �. ? p4� Water piping/DW V 56.29
Address:l� li1 '(?U .-(..7..i. -1 D.3 Other 25.02
CihdStaterZIP: G.Ar est,ruifiA t 0 at 1 6 .-0 Subtotal
Phone: 1Y )0 J 2 _i ft Fax;( ) Minimum permit fee: $72.50 7a.5-0CCB Lie.: } 'S 1,e
r t, 1�ii) f 'J Plumbing Lie.no.: Plan review (25%ofpermit fee) ��
l P' // State surcharge(12%of permit fee) .70
Authorized signature: Pa( 7/L f l7 TOTAL PERMIT FEE '/.0
Print name:�,�q'�+ f j 1/}/l Date; -yl ti (moi This permit application expires if a permit is not obtained within 180 days
✓✓v c 1 4 r`iI t�!�1 l ` atter it has been accepted as complete.
'Fee methodology set by Tri-County Building industry Service Board.
laBuilduigtPermits\PLMU-PevnitApp.doc 10/01/09 440.4615I(10/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10755 SW MURDOCK LN 10, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Plumbing PLM2017-00207
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor