Permit CITY OF TIGARD PLUMBING PERMIT
1
1 COMMUNITY DEVELOPMENT Permit#: PLM2019-00398
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2019
Parcel: 1 S 135CD02401
Jurisdiction: Tigard
Site address: 11945 SW 95TH AVE
Project: Del Rey Properties Subdivision:.HERS ADDITION TO GREENBURG HE Lot: 8
Project Description: Plumbing permit for fixtures installed throughout the house prior to permit.
Contractor: WATERWORKS CONTRACTORS INC Owner: DEL REY PROPERTIES LLC
1954 SW 35TH ST 1831 NE 9TH PL
GRESHAM, OR 97080 HILLSBORO, OR 97124
PHONE: 503-481-1616 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 10/12/2019 $25.02
Specifics: 1 ea Dishwasher 10/12/2019 $25.02
1 ea Sink 10/12/2019 $25.02
Type of Use: SF 2 ea Lavatories 10/12/2019 $50.04
Class of Work: ALT 2 ea Tub/Shower/Shower Pan 10/12/2019 $25.02
Type of Const: 2 ea Water Closet 10/12/2019 $50.04
Occupancy Grp: 1 ea Water Heater 10/12/2019 $37.52
Stories: 1 12%State Surcharge- 10/12/2019 $28.52
Plumbing
90 Investigation Fee 10/12/2019 $90.00
11 Investigation Plumbing 12% 10/12/2019 $10.80
State Surcharge
Total $367.00
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:
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.
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CITY OF TIGARD FEE AND PAYMENT HISTORY
Niti .7
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
PLM2019-00398 - 11945 SW 95TH AVE, TIGARD, OR 97223
Del Rey Properties
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
12%State Surcharge-Plumbing 100-0000-24001 $28.52 $28.52 $28.52
Clothes Washer 230-0000-43101 $25.02 $25.02 $25.02
Dishwasher 230-0000-43101 $25.02 $25.02 $25.02
Investigation Fee 230-0000-43101 $90.00 $90.00 $90.00
Investigation Plumbing 12%State 100-0000-24001 $10.80 $10.80 $10.80
Surcharge
Lavatories 230-0000-43101 $50.04 $50.04 $50.04
Sink 230-0000-43101 $25.02 $25.02 $25.02
Tub/Shower/Shower Pan 230-0000-43101 $25.02 $25.02 $25.02
Water Closet 230-0000-43101 $50.04 $50.04 $50.04
Water Heater 230-0000-43101 $37.52 $37.52 $37.52
Totals for Fees $367.00 $367.00 $0.00 $367.00
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
Total Payments:
Balance Due: $367.00