Permit (82) IIINCITY OF TIGARD PLUMBING PERMIT
8.. COMMUNITY DEVELOPMENT
Permit#: PLM2017-00388
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/27/2017
€ '�'�� 9 Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10700 SW CANTERBURY LN 2
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: Install(1)clothes washer.
Contractor: THE PLUMBERS INC. Owner: AUK-REDWOOD PC SPE LLC
90 NW 150TH AVE 10695 SW MURDOCK ST
BEAVERTON, OR 97006 TIGARD, OR 97224
PHONE: 503-519-6644 PHONE:
FAX: 503-684-1202
FEES
Quantity Description Date Amount
1 ea Clothes Washer 09/27/2017 $25.02
Specifics: 1 12%State Surcharge- 09/27/2017 $8.70
Plumbing
Type of Use: MF 47 ea Minimum Fee Adjustment- 09/27/2017 $47.48
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: . ✓�� Permittee Signature: � � .e 77 p
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
�� )��7 j
t,..; - 1 c ;,d q ' /; 4 Permit No.: /-2.44Gi4!/L 7 W�
Cityof Tigard �.�
a 131SW Hall Blvd.,Tigard,OR 97223 " £,eirie�7�e0.74,2_
IIIIII - g Plan Review Other Permit No
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Juris/
: 0 See Page 2 for
Inspection Line: 503.639.4175 r L➢ 1 bate Ready/By: pplemental Information
TIGARD Internet: www.tigard-or.gov JC-I G '` l� Notified/Method: Su
TYPE OF WORK , r
FEE* SCHEDULE
For special information use checklist.
❑New construction 0 Demolitio fix.,^ 3-: k '' �` - I Qty. � Ea. I Total
�'�� t 'gl'V�I �,��� Description
51 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRC7ChoN , SFR(1)bath 312.70
437.78
' SFR(2)bath
El1-and 2-family dwelling
❑Commercial/industrial SFR(3)bath 500.32
❑Accessory building [A 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:Catch basin or area drain 18.76
Job site address: l d`1 OO u) 6\n -,z.: q�A.i t"n• Drywell,leach line,or trench drain 18.76
City/State/ZIP: 'T6,,a1t17 ®IQ '1 ZZ'f Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1-A.0 Projectz name: i-ko Z. VJ/17 .J.-ii.STAe-L Manufactured home utilities 50.03
tOCi
Cross street/directions to job site: 5`neSer Manholes 18.7618.76
Rain drain connector
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:
Backflow preventer 3127
Tax map/parcel no.: Backwater valve 12.51
DESCRIPTION,OF WORK ; Clothes washer t 25.02 pc 0 Z
TJ..L.jTP.ut-- LNv y1 D121 Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Expansion tank 12.51
0 PROPERTY OWNER 0.TENANT 25.02
Fixture/sewer cap
Name: ikV 1L,- Rep v-itSO'i) PL 5?6 LLC Floor drain/floor sink/hub 25.02
Address: 4 0(4,9 S 5 w okur 2pd CK 1-1--Yze15'T Garbage disposal 25.02
City/State/ZIP:"'T'-lC .,04e_i)t 04 411Z-2-4Hose bib 25.02
Phone:( ) 12.51
Fax ( ) Ice maker
25.02
Interceptor/grease trap
( APP ICANT v Q CONTACT'-rERSON" Page 2
Medical gas(value:$ )
Business name: 4-CPS .1N C Primer 12.51
Contact name:
tatt,,A -61 th Roof drain(commercial) 12.51
Address: L5
�d eox Z 3 k 81 Sink/basin/lavatory 25.02
62.54
City/State/ZIP: '-rI[�f4�ot OR ,7 2 8\ Solar units(potable water)
Tub/shower/shower pan 12.51
Phone:(jp3) 3(1 Z 7 1 3 Fax: :( ) Urinal 25.02
E-mail: V.vz,S i, cQ y� Vj:�( • Gd Water closet 25.02
CONTRACTOR Water heater 37.52
"ij-�E PLO .�KL Water piping/DWV 56.29
Business name.'i�• 25.02
'j9 0O 5 i o .� # I S Other:
Address: t 1 t2 N M�I M Subtotal ZS r'4-
City/State/ZIP:
City/State/ZIP: 1 l CsrA 0.ti)r 0 ZZ 3Minimum permit fee: $72.50 ']Z S u
Phone:(60s) 5 t 9 " (e ,44i Fax:( ) Plan review (25%of permit fee)
KO
CCB Lic.: i 1 1 Z I E-1PlumbingLic.no.: p s 44 State surcharge(12%of permit fee) g
TOTAL PERMIT FEE el .40Authorized signature:
This permit application expires if a permit is not obtained within 180 days
�- I Date: X1214I(3- I after it has been accepted as complete.
Print name: cl J lam '6 *Fee methodology set by Tri-County Building Industry Service Board.
(.\Building\Permits\PLMU-PermitApp.doc 10!01/09
440-4616T(10/02/COM/W EB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10700 SW CANTERBURY LN 2, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2017-00388
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor