Permit (172) CITY OF TIGARD PLUMBING PERMIT
r COMMUNITY DEVELOPMENT Permit#: PLM2016-00020
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2016
Parcel:
1/21/2016Parcel: 1 S134BC0030O
Jurisdiction: Tigard
Site address: 12282 SW SCHOLLS FERRY RD
Project: Burgerville Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Install water heater and expansion tank
Contractor: STEWART PLUMBING Owner: FW OR-GREENWAY TOWN CENTER LLC
9000 NE 90TH ST PO BOX 790830
VANCOUVER, WA 98662 SAN ANTONIO, TX 78279
PHONE: 360-892-5215 PHONE:
FAX: 360-892-5311
FEES
Quantity Description Date Amount
1 ea Expansion Tank 01/21/2016 $12.51
Specifics: 1 ea Water Heater 01/21/2016 $37.52
1 12%State Surcharge- 01/21/2016 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment- 01/21/2016 $22.47
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d rest questionsto OUNC by calling 503.232.1987 of 1.800.332.2344
^ .
Issued By: /,� \ n,^ Permittee Signature:
lj L� (_(�F/�i✓ .-ei r r tom_
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
PlumhinL Permit A plicatio
Building Fixtures
City of Tigard CPN it rc R J / bb /l I�aPp o, LJlJO//i—A40�0
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Sapplencalal Information
TYPE OF WORK FEE` SCHEDULE
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CATEGORY OF CON'S'IRUCTION ! 4'R 111 bath 312.70
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JOB SIIF INFORMATION AND LOCATION Stu mdlUiS
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......wcU c reJ Lm+to'job 111c Nathol s Ih 76
I Ka,n chain Q notclor 16.76
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f 1.10", unlp 2$.02
❑ PROPERTY O\YNLR ❑ TESAA'II.apar,unn Yank I 12.51 1251
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Phone I i Fat:, I - 1--ntak 1 1251
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P113601892-521$ 1a5. 13611)89251HI tub-sho cr'he",I'an 12.`I
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CONTRACTOR Water h n , I 77.5_ 37.5?
1 Bu,me,,name. STENN AR I'PLUMBING li•utar pip ty DW V 56.29
Add,c,, PO BOX 7 �- —-� 0thev 25 D2
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CII, Sl;:u LIP Bill SII PR:\IRIF.,\\':\98606 '. Suhunal 10013
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--_- - Nan Irma t fee 11_'.50 72.50
Phos 111-01892 5216 - Fa5 t36(1)892-4311 — —I Ian 1 -I Ol 5V 1 L���
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12282 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2016-00020
Don Sylvester
Violation Summary:
Inspector Contractor