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Permit (135) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00059 T f C-A I=.i7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2018 Parcel: 2S110AD08701 Jurisdiction: Tigard Site address: 10685 SW CANTERBURY LN 1 Project: Pacific Crest Apartments Subdivision: None Project Description: Interior plumbing:Installing water supply and waste drain for clothes washer. Lot: None Contractor: LOVETT INC Owner: AUK-REDWOOD PC SPE LLC PO BOX 86280 10695 SW MURDOCK ST PORTLAND, OR 97286 TIGARD, OR 97224 PHONE: 503-737-8423 PHONE: FAX: 503-288-1630 FEES Quantity Description Date Amount 1 ea Clothes Washer 02/15/2018 $25.02 Specifics: 1 12%State Surcharge- 02/15/2018 $8.70 Plumbing Type of Use: MF 47 ea Minimum Fee Adjustment- 02/15/2018 $47.48 Class of Work: ALT Plumbing 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: ee Signature: G4-2/110��Gt , Call 603.639.4175 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 City of Tigard CEIVEJReceived Permit No.: lig ill 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ),.1/4-y ),.1/4- f "- Q •� i Phone: 503.718.2439 Fax: 503.598.196 T. 2 ) Plan Review /" v'�F EB 1 2 018 Date/By: Other Permit No.: T t G n K D Inspection Line: 503.639.4175te/ See 1. i l( o t!IGARB Notified/Method: .7f Supplemental Information TYPE OF W I ' j nAt Ar FEE* SCHEDULE ❑New construction 'I efili5lil`foit DIViSIOA For special information use checklist Ni DescriptionTotl- Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 1100 Qty. for each utilitylconne tion) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 11 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0er Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:10685 SW Canterbury Lane Apt A0l Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.:A01 I Project name: Manufactured home utilities 50.03 Cross street/directions to job site:109th Ave Manholes 18.76 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Install water supply and waste drain for clothes washer Clothes washer 1 25.02 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:AUK Redwood PC SPE LLC Fixture/sewer cap 25.02 Address:10695 SW Murdock Street Floor drain floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97224 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ti APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:HPS Inc Medical gas(value:$ ) Page 2 Contact name:Jay Bilgere Primer 12.51 Address:PO Box 23187 Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Tigard,OR 97281 Solar units(potable water) 62.54 Phone:(5d 3) 3 I-) -'7 7/ 5 Fax::( ) Tub/shower/shower pan 12.51 u , E-mail: 5 a co,N 1I cow Urinal 1 25.02 CONTRACTOR Water closet 25.02 Business name:Lovett Inc Water heater 37.52 Water piping/DWV 56.29 Address:6920 NE 42°d Ave Other: 25.02 City/State/ZIP:Portland,OR 97218 Subtotal G2- "t, Phone:(503)737-8423 Fax:O Minimum permit fee: $72.50 CCB Lic.:125507 Plumbing Lic.no.:26-773PB Plan review (25%of permit fee) -- Authorized signatur _ ___T, State surcharge(12%of permit fee) -70 TOTAL PERMIT FEE ft 3'*) Print name:Gerald Bilgere Date:z/l//45 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *FaP mrthnrinlno.,s.t hi,Tri_Crmnh,Rnilrlina tndnctry Snn,inr Rnarrl