Permit (10) INCITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: PLM2016 00481
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2016
Parcel: 2S 111 DB08700
Jurisdiction: Tigard
Site address: 15430 SW OAKTREE LN
Project: THORNE Subdivision: SUMMERFIELD NO.10 Lot: 548
Project Description: (1)shower and(1)sink.
Contractor: ASSURED PLUMBING INC Owner: THORNE, CLIFFORD D JR
PO BOX 230816 THORNE, STEPHANIE E
PORTLAND, OR 97281 15430 SW OAKTREE LN
TIGARD, OR 97224
PHONE: 503-985-9093 PHONE:
FAX: 971-249-3145
FEES
Quantity Description Date Amount
1 ea Lavatories 09/19/2016 $25.02
Specifics: 1 ea Tub/Shower/Shower Pan 09/19/2016 $12.51
1 12%State Surcharge- 09/19/2016 $8.70
Type of Use: SF Plumbing
Class of Work: ALT 35 ea Minimum Fee Adjustment- 09/19/2016 $34.97
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 opy of the rules
or direct questions to OUNC by calling 503.2 ._ . :10.332.2344.
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.
Location:
Record Type:
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Inspection Date:
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Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15430 SW OAKTREE LN, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2016-00481
Don Sylvester
Violation Summary:
Inspector Contractor