Permit (157) CITY OF TIGARD PLUMBING PERMIT
1" - COMMUNITY DEVELOPMENT
Permit#: PLM2018-00025
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018
T t Cat .L'� Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10765 SW MURDOCK LN 7
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (1)clothes washer.
Contractor: THE PLUMBERS INC. Owner: AUK-REDWOOD PC SPE LLC
90 NW 150TH AVE 10695 SW MURDOCK ST
BEAVERTON, OR 97006 TIGARD, OR 97224
PHONE: 503-519-6644 PHONE:
FAX: 503-684-1202
FEES
Quantity Description Date Amount
ea Clothes Washer 01/18/2018 $25.02
Specifics: 1 12%State Surcharge- 01/18/2018 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 01/18/2018 $47.48
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard a Received r �y ��`
- �. y * t y: //a Q (/ Permit No.:n �0i$c„, a-.r+t747
III �r 13125 SW Hall Blvd.,Tigard, 97 r �� ! � Date/B D o
g "u'. J Plan Review Other Permit No.:
Phone: 503.718.2439 Fax: 503.59 Date/By: MI'Gr 'it,at)Lot
TIGARD Inspection Line: 503.639.4175 •)7" Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov -�[j1, 1 Notified/Method: _' Supplemental Information
TYPE OF WORK FEE* SCHEDULE
LI New construction E r- r-'"‘'' For special information use checklist.
113r Description Qty. I Ea. Total
Ilt Addition/alteration/replacement LJ 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 ❑ Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ® Multi-family
Each additional bath/kitchen 25.02
❑ Master builder LI Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 10166" (I.Au .i�be.K LAME'
Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: '-icts A Z.P OR. 00045- Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 60Project nam f Manufactured home utilities 50.03
Cross street/directions to job site: f .ce f c c„..e=5 "r ,tue sh Manholes 18.76
lto G OA /4 qE Rain drain connector 18.76
/�t 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 preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 1 25.02 aS-UA.
T141_L 5vpPw� i kJAs-recolt Dishwasher 25.02
(
vi,ity,a V7G )44 AC-G.!in'EY Drinking fountain 25.02
Ejectors/sump 25.02
gp PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: i`�C J'v_- j ®v a_ `-A, Li,,,�, Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 40t0 cis" 7V µc11epQCi.' Sr- Garbage disposal 25.02
City/State/ZIP: -'"icieve...D/ Oe Q1 ZZ y Hose bib 25.02
Phone:( ) f Fax:( ) lee maker 12.51
at,APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: i_vp5 .
Primer 12.51
Contact name: 14,1 .1L1....elIZ Roof drain(commercial) 12.51
Address: 76F20Z3t87 Sink/basin/lavatory 25.02
City/State/ZIP: •""rievIke i> ! ag, 9 1 Zs / Solar units(potable water) 62.54
Tub/shower/shower pan 12.51
Phone:(503) 3n71 (?� Fax: :( ) 25.02
Urinal
E-mail \e‘p S ea Cc,,,, 0 I • Cr wt Water closet 25.02
CONTRACTOR Water heater 3752
Business name: THE •PLclr 5-02..x, Cyt G Waterpiping/DWV 56.29
Address: CO If Uv t ®'-'I et Os U E Other: 25.02
City/State/ZIP:-5E lA J c-1-0 yt)a ' 9,1Oc 4+ _ Subtotal a�
Minimum permit fee: $72.50 -7).-.
Phone:(56 3) 511 e,"O 44 Fax:(ca 3) (08 4- (z4 Plan review (25%of permit fee)
CCB Lie.: 111 Z '4 Plumbing Lie.no.: 76 444-1
State surcharge(12%of permit fee) , i-,"70
Authorized signature: TOTAL PERMIT FEE :J
ii
This permit application expires if a permit is not obtained within 80 days
--,
Print name: �,q1���� Date: 1._ after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I.\Building\Penults\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10765 SW MURDOCK LN 7, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2018-00025
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor