Permit (86) CITY OF TIGARD PLUMBING PERMIT
2.. . COMMUNITY DEVELOPMENT Permit#: PLM2018-00076
TI GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2018
Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10655 SW MURDOCK LN 2
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: Installing(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 03/06/2018 $25.02
Specifics: 1 12%State Surcharge- 03/06/2018 $8.70
Plumbing
Type of Use: MF 47 ea Minimum Fee Adjustment- 03/06/2018 $47.48
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 41(
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbin Permit A licat•
Building Fixtures ' 4' `�`
City of Tigard Received ? /r �� ��GY�D7�
11 DateBy: i7l
Permit No/OZ/1620/
• 13125 S50 Hall Blvd.,Tigard,OR 97223
Plan Review �L t;2V!r�e/e/
= Phone: 503.718.2439 Fax: 503 1$¢ si Date/By: OtherPennitNo.
Inspection Line: 503.639.4175 t 1 2 kit i I l. ". 1
T I G A R 1) Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov
BUILDING Da(VISION
tr j Notified/Method: Supplemental Information
TYPE OF WORK
FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist
Description Qty. I Ea. I Total
®Addition/alteration/replacement 0 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 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building ®Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:10655 SW Murdock Lane Apt F02 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.:F02 I Project name:F02 W-D Install Manufactured home utilities 50.03
Cross street/directions to job site:109 th 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
Floor drain/floor sink/hub 25.02
Address:10695 SW Murdock Street
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97224
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:HPS Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Jay Bilgere
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
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:The Plumbers Inc
WaterPm iP g/D WV 56.29
Address:90 NW 150th Ave Other: 25.02
City/State/ZIP:Beaverton,OR 97006 Subtotal
Phone:(503)519-6644 Fax:(503)684-1202 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:177214 Plumbing Lic.no.:PB447
r State surcharge(12%of permit fee)
Authorized signature: ,fp_ TOTAL PERMIT FEE p, 6
Print name:Gerald Bilgere Dater-Z/251/fif This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
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