Permit (187) CITY OF TIGARD PLUMBING PERMIT
11,11
COMMUNITY DEVELOPMENT Permit#: PLM2019-00327
TtGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2019
Parcel: 2S 101 DC04601
Jurisdiction: Tigard
Site address: 7409 SW TECH CENTER DR 155
Project: Snyder Roofing Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Add(1)break room sink.
Contractor: PORTLAND MECHANICAL CONTRACTORS LLC Owner: WPC TIGARD LLC
2000 HANNA HARVESTER DR 307 LEWERS ST 6TH FL
MILWAUKIE, OR 97222 HONOLULU, HI 96815
PHONE: 503-656-7400 PHONE:
FAX:
FEES
Quantity Description Date Amount
ea Sink 08/14/2019 $25.02
Specifics: 1 12%State Surcharge- 08/14/2019 $8.70
Plumbing
47 ea Minimum Fee Adjustment- 08/14/2019 $47.48
Type of Use: COM 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: '..Sc �'71Cr� _s, � Permittee Signature: r(4,
.._�.///"`Vii' ) 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.
Plumbing Permit Application
Building Fixtures - FOR OFFICE USE ONLY
y 4 2.019 Received
City of Tigard AUG A Date/By: G//t! / '-" PermitrySQLM.20,9-eo 32-7
411 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
N 1
P9.�
Phone: 503.718.2439 Fax: 503 591: Ed Date/By: Other Permit � t , SGj
Inspection Line: 503.639.4175 -I t d PDate Ready/By: Juris: ® See Page 2 for
TIGARDInternet: www.tigard-or.gov i. '' >vNotified/Method: Supplemental Inf
ormation
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❑New construction ❑Demolition For special information use checklist
Description Qty. Ea. Total
tke Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1=11-and 2-family dwelling •Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB`SITE INFORMATION AND LOCATION Site utilities:
-74409 c i� -- Catch basin or area drain 18.76
Job site address:
��� �� Drywell,leach line,or trench drain 18.76
City/State/ZIP: liga, - OR 91' 3
c Footing drain(no.linear ft.:_) Page 2
J
Suite/bldg./apt.no.: 15 Project name: Si l (li 11 TT-. 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 ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
r DE$k RIPTION OF` 'i'ORK
`s Clothes washer 25.02
I ,A �w �u-LO I'O5 14&- S iAX- Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 OPEI TY OWNER : I f.TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
{ ❑ APPLICANT 0 'CON'TACT PERSO+�1: Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory ,3 -41-11-.e.-L,A I 25.02
City/State/ZIP: Solar units(potable water) - " --- 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.St
Urinal 25.02
E-mail:
Water closet 25.02
;CONTRACTOR
Water heater 37.52
Business name: ? r\cujM pGt,...av,.,,c d Co 1rlT v"ek.GL-p(r5 L L anter piping/DWV 56.29
Address: '2000 IAA v &_ 14-6),...\)e(� v. 0s,-. Other: 25.02
City/State/ZIP: t\/(i\W cit, •.e VQ oil ZZZ Subtotal
Phone:(5 3) 6,5-6 -7tQo Fax:(5-03 ) (05T-o�j Minimum permit fee: $72.50 .72_S
Z2 q IL
1/3 Plan review (25%of permit fee)
CCB Lic.: r �� Plumbing Lic.no.: �+ �((�3
/ State surcharge(12%of permit fee) ,p, 7 0
//��/Authorized signature: ------,---- 7!/2- TOTAL PERMIT FEE 671, ?-i
Print name: i
f 'A Date: e/iCifief This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
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