Permit CITY OF TIGARD PLUMBING PERMIT
III ,. t COMMUNITY DEVELOPMENT Permit#: PLM2013-00290
Date Issued: 08/20/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 20/201 0001
Jurisdiction: Tigard
Site address: 9210 SW CENTER ST 1
Project: Willow Bend Apartments Subdivision: WILLOW BEND CONDO,THE Lot: 1
Project Description: Replace 50'of drain line under units 1 and 2.
Contractor: THE PLUMBERS INC. Owner: CLE PROPERTIES LLC
90 NW 150TH AVE BY PORTER BRAUEN PROPERTY MGMT
BEAVERTON, OR 97006 PO BOX 28182
PORTLAND, OR 97228
PHONE: 503-519-6644 PHONE:
FAX: 503-684-1202
FEES
Quantity Description Date Amount
50 If Storm and Rain Drain 08/20/2013 $62.54
Specifics: 1 12%State Surcharge- 08/20/2013 $8.70
Plumbing
Type of Use: MF 10 ea Minimum Fee Adjustment- 08/20/2013 $9.96
Plumbing
Class of Work: OTR
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. ,/,p,O
Issued By: Permittee Signature: O/✓f / l°G./e 4,-779A/
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 AnnlicatifiECEIV E
Building Fixtures
AUG 19 2013 Received p
City of Tigard Dataay, rr �d 43 - Permit No/0�oZ0 3 DOa2fO
: :+ 13125 SW Hall Blvd,,Tigard,OR 972 TIGAR® Plan Review
Phone: 503,718.2439 Fax: 503.598 I Oflier Pa n it No.:
Inspection Line: 503.639,4175 Date/Ry:
I I t... I:.1 �IL®�1G®�UISlQ�I Date Ready/By: r�See PrEe2 for
Internet: www.tigard-or.gov Notified/Method: SupplemeotaI Information
I1fPE or WORK. FEE* SCHEDULE
❑New construction ' ❑Demolition For apedol Infosmo Hon use checklist.
Description I Qty. ( Ea. I Total
Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
GAIF.CORiC OI+ CONSTRI1CTiON _SFR(1)bath 312.70 _
El 1-and 2-family dwelling %Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
Each additional bath/kitchcn 25.02
❑Master builder Ej Other:
Fire sprinkler( sq.ft.) Page 2
. 'JOB SITE.INFORMATION AND LOCATION Site utilities:
Job site address:CI Q,C) C-)1/0 C.e i - -• Catch basin or area drain 18.76
� �' Drywell,leach line,or trench drain 18.76
City/State/ZIP: 1 i cl ,--4 t o a-- �3 Footing drain(no.linear ft.:,,,,,--,) Page 2
Suite/bldg./apt.no.: `� 1 Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:5) Page 2 60:2,,94
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or Item:
Tax map/partdl no.: IIackflow preventer 112k? 31.27
Backwater valve 12.51
DI�SCI��''I'[gN oF'��R1C
rev?!rtC, da is 1( V"2._ d�•t- Dishwasherhar 25.02 J
L4 IA ( I •* [ '- Drinking fountain 25.02
Ejectors/sump 25.02
Q.:TROPW*.O.Vi"1tlFR... . . ..I... .. ... ... ❑,.Y'ENAN')<'. .. Expansion tank 12.51
Name: Fixture/sewer cap 25.02
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
44.APPLICAN'T .' 7 ❑:CONI'Ae iE890N Interceptor/grease trap 25.02
Business name: �I M 0K� � Medical gas(value:$ ) Page 2
Contact name: \--j(a ��.5 Romer 12.51
Q ,_\ Roof drain(contmcrcial) 12.51
Address:aO ,Q1/3 1 SIc)�� .e , Sink/basin/lavatory 25.02
City/State/ZIP: ,,p pI U t az 01)(5( Solar units(potable water) 62.54
Phone:(9) 51 cr.. ��(- C.i pax::(,�f3)b 4 y-)a(�fr-�Z Tuh/shower/shower pan 12.51
E-mail:-)n c'Q(�*W1,A yl/(�,Qf 5i/)`t.avr Urinal 25,02
1'CONTRACTQR Water closet 25A2
•
P Water heater 37.52
Business name: C`1f e/ e a. O t((`A Water piping/DWV 56.29
Address: Other: 25.02 •
City/Staate/ZIP: Subtotal e514
Phone: Minimum permit fee: $72.50
( ) Fax:( ) .,,• a
di..//rf g ��y Plan review (25%of permit tee)
CB Lie.: "77 2� Plumbin Lic.no.;t y 7
(((jJJJ/(r State surcharge(12%of permit fee) 9. 70
Authorized signature: L/ TOTAL PERMIT FER
Print name: -3ptM 1 �C, ei 1 Date:5-15-1 3 Timm permit application emplrea if a permit Is not obtained within 180 days��
t y after it has been accepted ea complete.
•Fee methodology set by Tri-County Building Industry Service Bonrd.
I\autlding&ermItt\PLMU-PermItApp,dot IO/O1lf19 440-4o1Gr(Iartnieummaa)
Z /T .aovd ]ids' 91:60 ETOZ-9T -bn1