Permit (90) CITY OF TIGARD PLUMBING PERMIT
.111,„
COMMUNITY DEVELOPMENT Permit#: PLM2018-00075
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2018
Parcel: 2S 110AD08700
Jurisdiction: Tigard
Site address: 10783 SW MURDOCK PL 11
Project: Pcific Crest Apartments Subdivision: None Lot: None
Project Description: Adding(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: 7tei'\.... ... Permittee Signature: /+
f G' ry
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 Applicatio V �l Irv;
Building Fixtures d�_ y .i '
FOR OFFiCI. l SE ONLI
City of Tigard FEB 2 7 2 0 1 ri Received
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 3 r1 i i�� = ermit No.:� ��,/ �d7c-
III
_ Phone: 503.718.2439 Fax: 503.58I'"it�I )Y i Plan Review f�
TI G A R D Inspection Line: 503.639.4175 "n ' Ifs Date/By: Other Permit No.
H i);IN s 4 I Date Ready/By: Jufurls' H See Page 2 for
Internet: www.tigard-or.gov $3•!I
,,, .�;� .' Notified/Method: SapplementalInformation
TYPE OF WORK
FEE* SCHEDULE
❑
0 New construction Demolition For special information use checklist
®Addition/alteration/replacementDescription Qty. Ea. Total
0 Other: New 1-2-familydwellings rigs(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath
312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building ®Multi-family SFR(3)bath 500.32
❑Master builder Each additional bath/kitchen 25.02
❑Other:
sprJOB SITE INFORMATION AND LOCATION Site utilFire utilnkler( sq.ft.) Page 2
ities:
Job site address:10783 SW Murdock Place Apt Dll Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.:Dl l I Project name:Dl l W-D Install Footing drain(no.linear ft.: ) Page 2
Cross street/directions to job site:109 th Manufactured home utilities 50.03
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Subdivision: Water service(no.linear ft.: ) Page 2
I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer
31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Install water supply and waste drain for clothes washer Clothes washer 25.02 j
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:AUK Redwood PC SPE LLC Fixture/sewer cap 25.02
Address:10695 SW Murdock Street Floor drain/floor sink/hub 25.02
City/State/ZIP:Tigard,OR 97224 Garbage disposal 25.02
Phone:( ) Hose bib 25.02
Fax:( ) Ice maker
12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap
25.02
Business name:HPS Inc Medical gas(value:$ ) Page 2
Contact name:Jay Bilgere Primer 12.51
Address:PO Box 23187 Roof drain(commercial) 12.51
City/State/ZIP:Tigard,OR 97281 Sink/basin/lavatory 25.02
Solar units(potable water) 62.54
Phone:(503)317-7713 I Fax::( ) Tub/shower/shower pan 12.51
E-mail:hps@canby.com Urinal 25.02
CONTRACTOR Water closet 25.02
Business name:The Plumbers Inc Water heater 37.52
Address:90 NW 150th Ave Water piping/DWV 56.29
Other: 25.02
City/State/ZIP:Beaverton,OR 97006
Subtotal
Phone:(503)519-6644 Fax:(503)684-1202 Minimum permit fee: $72.50
CCB Lic.:177214 Plumbing Lic.no.:PB447 Plan review (25%of permit fee)
Authorized signature: __ State surcharge(12%of permit fee)
TOTAL PERMIT FEE y(,26>
Print name:Gerald Bilgere I Date:Z Z,,�5/texpires if a I This permit application! Dpermit is not obtained within 180 days
Q after it has been accepted as complete.
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