Permit (117) IN CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit# PLM2018-00002
TrGD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018
� R° g Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10787 SW MURDOCK PL 3
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (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 01/03/2018 $25.02
Specifics: 1 12%State Surcharge- 01/03/2018 $8.70
Plumbing
Type of Use: MF 47 ea Minimum Fee Adjustment- 01/03/2018 $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:
— 4110.411P
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
z.of Tigard
City g l l a t. afeBya i.11 Permit No.:Q/,,�x °'7P1 t f("s•(r�k ft
. �� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review s L/ t o'11 /J
Phone: 503.718.2439 Fax: 503.598.1960 ,..,, , r., Date/B Other Permit No.:
r
Inspection Line: 503.639.4175 ; ; L.U�.� Y''- Date Ready/By: Juris: El See Page 2 for
TIGARD
Internet: www.tigard-or.gov Notified/Method: -PC Supplemental Information
TYPE OF WORK ITV F t(A FEE* SCHEDULE
❑ De ll <" `4 '' t For special information use checklist
❑New constructionn13 + Ea. Total
Description Qty.
illil Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling
❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building hitMulti-familyEach additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
n 1 mn` Catch basin or area drain 18.76
Job site address: (O'1 T) LA) L(I'? t L rb
Drywell,leach line,or trench drain 18.76
City/State/ZIP:`'•1"-i 1j,A X21) () 71 zza ;4i-i_�f __cres37 isoting drain(no.linearft.:_) Page 2
Suite/bldg./apt.no.: 003 il Project name: 3 Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
1,01 441
Ave Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
Backwater valve 12.51
DESCRIPTION OF WORK 2 Z
Clothes washer 1 25.02
.�NYZ A-kJ.... k--kO.,r i� Ce,Lo 5"pp(y It. Li-PA S're Dishwasher 25.02
F-0 1C W'A.S i-te IIC ANO D>K 7e.,' Drinking fountain 25.02
Ejectors/sump 25.02
( PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Au K- Re1,060I, Pc '5 PE LLC Floor drain/floor sink/hub 25.02
Address: t(:),(p.3.5- 5 sA) W1 V Q Oa(,g- $3- Garbage disposal 25.02
City/State/ZIP: --r-1 Arc.1 or 9 7ZZq Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12,51
El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: }�, min c 12.51
Primer
Contact name: .1";4.1 33 ILG.610E Roof drain(commercial) 12.51
Address: d aoK 231 g-7 Sink/basin/lavatory 25.02
City/State/ZIP: l c/4y-J 1 Q 7e 9 7'Z 7j/ Solar units(potable water) 62.54
Phone: (5-a 5 3a" --)lp 3 Fax: :( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: k ,(�) aC42( r1 b 1 + CO it,�
l:/ Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: TI_IE 17Ld0,056 _r-1,4 C. Water piping/DWV 56.29
Address: 90 moo /50+3' A V6' Other: 25.02
City/State/ZIP: ' flYEJ •ro N t 04. ct"704 Subtotal 2.5e-0,•,
Phone:(56 3) 57 (o(o 414, Fax:(se 3) Cog`i- /2.0 2 Minimum permit fee: $72.50 -22_51N
�.-
� Plan review (25%of permit fee)
CCB Lic.: l-112.1q Plumbing Lic.no.: ) 7 State surcharge(12%of permit fee) 1:f 70
Authorized signatur . TOTAL PERMIT FEE /o
Date: /Z(Z3 j/ This permit application expires if a permit is not obtained within 180 days
Print name:Gjr -j�l4t.� B"tL.Gf RE after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I.\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10787 SW MURDOCK PL 3, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2018-00002
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor