Permit (58) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2014-00186
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13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2014
T[GA •C� 9 Parcel: 2S102AA00490
Jurisdiction: Tigard
Site address: 12085 SW HALL BLVD 130
Project: Arellano's Bar Subdivision: TIGARD HIGHWAY TRACTS Lot: 13
Project Description: Interior plumbing for bar:Adding(1)grease trap,(2)primers,(3)sinks,(1)water closet,(1)DWV,and capping(2)
3"floor sinks.
Contractor: MODERN PLUMBING Owner: HALL STREET CROSSING LLC
11120 SW INDUSTRIAL WAY BY MR&MRS ROGER W TOM
TUALATIN, OR 97062 8067 SW RIGERT COURT
BEAVERTON, OR 97007
PHONE: 503-691-6166 PHONE:
FAX: 503-691-6771
FEES
Quantity Description Date Amount
2 ea Fixture/Sewer Cap 06/05/2014 $50.04
Specifics: 1 ea Interceptor/Grease Trap 06/05/2014 $25.02
2 ea Primer 06/05/2014 $25.02
Type of Use: COM 3 ea Sink 06/05/2014 $75.06
Class of Work: ALT 1 ea Water Piping/DWV 06/05/2014 $56.29
Type of Const: 1 ea Water Closet 06/05/2014 $25.02
Occupancy Grp: 1 12%State Surcharge- 06/05/2014 $30.77
Stories: Plumbing
Total $287.22
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:
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.