Permit CITY OF TIGARD PLUMBING PERMIT
III
11 '> COMMUNITY DEVELOPMENT Permit#: PLM2018-00122
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2018
Parcel: 2S 110AD08806
Jurisdiction: Tigard
Site address: 10790 SW MURDOCK ST 11
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: Alter existing water supply and waste drain for 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 03/26/2018 $25.02
Specifics: 1 12%State Surcharge- 03/26/2018 $8.70
Plumbing
Type of Use: MF 47 ea Minimum Fee Adjustment- 03/26/2018 $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.
-----3,5_
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.
Plumbing Permit Application
Building Fixtures . '.
FOR OFFICE USE ONLY
- City of Tigard Received
'I Inti 2 1 Date/By: ���- /f ,, 140A7---- Permit NyaGp1 /aF��7���
13125 SW Hall Blvd.,Tigard,OR 97223 �ai-q ! }U y
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
TIGARD Inspection Line: 503 639 4175 3 pate/By: Other Permit No.:
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Internet www.tigard-or.gov
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See Page 2 for
r s od /�/ �''' I Supplemental Information
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❑New construction ❑Demolition For special information use checklist
►� Addition/alteration/replacement Description I Qty. I Ea. I Total
❑Other
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY°'OF CtINS7tRIJCTtON€ ri €', SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
ElAccessory building ®Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
r�ha,+ i €t .,,� � - r ,,. Fire sprinkler
Jai. SITE iNFORIl1 altar)`l1�tl ' 'T t ���'w'" sq.ft.) Page 2
�.r_.... ... i,., 0,44 �,,, Fv, ogigi ..1 ... , " Site utilities:
Job site address:10790 SW Murdock Street Catch blasin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 3 ��„/
j ! L' y�f 'leach line,or trench drain 18.76
Suite/bldg./apt.no.:PD11 I Project name:PD11 W-D Install voting drain(no.linear ft.: ) Page 2
Manufactured home utilities 50.03
Cross street/directions to job site:109 th Avenue
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
Lot no.:• Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
,, RI: Backwater valve
• 12.51r - � ' 1DESRIPhI N QTO � � �T5'��'6 � ,� l"• . a• . .,
Alter existing water supply and waste drain for clothes washer Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 5 02
® PROPERTY OWNER % ' '/k ;� trrg delflENANT min k a Expansion tank 2
�;., .,, r ro s,_ ., 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 ( )
51
_. .� , Ice maker 12.
Wii: � � *11%/c pr i tfi �� �� O�lAOT' T}� s1 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:(503)317-7713 Fax::( ) Tub/shower/shower pan 12.51
E-mail:hps@canby.com Urinal 25.02
25.02' y Asa p Water closet. _ .
Water heater 37.52
Business name:The Plumbers Inc
Water piping/DWV 56.29
Address:90 NW 150t Ave Other: 25.02
City/State/ZIP:Beaverton,OR 97006 Subtotal
Phone:(503)519-6644 Fax:(503)684-1202 Minimum permit fee: $72.50 7,,.'?. s
CCB Lic.: 177214 Plumbing Lic.no.:PB447 Plan review (25%of permit fee)
. ��
State surcharge(12%of permit fee) ef, 70
Authorized signatur
TOTAL PERMIT FEE ce7. 4,20
Print name:Gerald Bilgere Date:3/Z i J i ff This permit application expires if a permit is not obtained within 180 days
l �! after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
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