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Permit (46) CITY OF TIGARD PLUMBING PERMIT 1 COMMUNITY DEVELOPMENT Permit#: PLM2018-00056 T r C;A 1=.f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2018 Parcel: 2S110AD08701 Jurisdiction: Tigard Site address: 10665 SW CANTERBURY LN 8 Project: Pacific Crest Apartments Subdivision: None Lot: None Project Description: Interior plumbing:Installing water supply and waste drain for clothes washer. 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 $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / Illr !—�wittee Signature: ti0,3h 1/4C-V Call 503.639.4175 by7:00 a.m.for the ext available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application RECEIVED Building Fixtures FOR OFF ICL l se oyl.l City of Tigard ri=? 1. 2 2 eived Date/By: ©� Permit No.: III13125 SW Hall Blvd.,Tigard,OR 97223 ' =��� 'i37.�- iptivipiU1�' r' II Phone: 503.718.2439 Fax: 503.598.1960 CITY OF.�A c Mew Other Permit No.: l I c A K D Inspection Line: 503.639.4175 t ►= . ) i p� Internet: www.ti azd or. ov f� ( q$�� t�` r y Juris: ® See Page 2 for g gULtI1 U I ethod: "j'cFao, Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition For speda!information use checklist Description I Qty. I Ea. Total ®Addition/alteration/replacement 0 Other: New 1-2-familydwellings ngs(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:10665 SW Canterbury Lane Apt A08 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.:A08 I Project name:A08 W-D Install Manufactured home utilities 50.03 Cross street/directions to job site:1096 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 Clothes washer 1 25.02 25.02 Install water supply and waste drain for clothes washer 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 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:HT'S Inc Medical gas(value:$ ) Page 2 Contact name:Jay Bilgere Primer 12.51 Roof drain(commercial) 12.51 Address:PO Box 23187 Sink/basin/lavatory 25.02 City/State/ZIP:Tigard,OR 97281 Solar units(potable water) 62.54 Phone:(503)317-7713 Fax::( ) Tub/shower/shower pan 12.51 E-mail:hps@canby.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Lovett Inc Water piping/DWV 56.29 Address:6920 NE 42nd Ave Other: 25.02 City/State/ZIP:Portland,OR 97218 _ Subtotal ,35";c Phone:(503)737-8423 Fax:( ) Minimum permit fee: $72.50 7).--.0 CCB Lic.:125507 Plumbing Lic.no.:26-773PB Plan review (25%of permit fee) 1 State surcharge(12%of permit fee) '.7c Authorized signature: - TOTAL PERMIT FEE ) r�(i ids L Print name:Gerald Bilgere Date: 2.-•i l --18 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. i R.F.mnthnrinlno,c,t by Tri-Cn„nh,Rnildino Tndnetry CPnrira Rnard