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Permit (3) CITY OF TIGARD PLUMBING PERMIT ; a .IN COMMUNITY DEVELOPMENT Permit#: PLM2019 00494 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/26/2019 Parcel: 1 S 133DB07400 Jurisdiction: Tigard Site address: 13456 SW HAWKS BEARD ST Project: Summer Creek Apartments-Club House Subdivision: 1996-059 PARTITION PLAT Lot: 2 Project Description: Replace doublecheck device. Contractor: ADVANCED PLUMBING LLC Owner: COMMERCE SUMMER CREEK LLC PO BOX 593 BY COMMERCE INVESTMENT INC PORTLAND, OR 97207-0598 1000 SW VISTA AVE SUITE 114 PORTLAND, OR 97205 PHONE: 503-241-4945 PHONE: FAX: 360-571-4188 FEES Quantity Description Date Amount 1 ea Backflow Preventer 12/17/2019 $31.27 Specifics: 1 12%State Surcharge- 12/17/2019 $8.70 Plumbing Type of Use: COM 41 ea Minimum Fee Adjustment- 12/17/2019 $41.23 Plumbing Class of Work: OTR 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: <IC / 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 AECEIVED (11y of Tigard DEC 12 2019 Received • 13125 SW Hall Blvd.,Tigard,OR 97223III Date/By: , v /E 9 , -"Permit t `'it/v.7ji c--©49'4'V Phone: 503.718.2439 Tax: 503.598.1960 Plan Review IIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date/By: Other Permit No: Date Ready/fay �r- lues: �- ----- Internet: www.tigard-or.gov BUILDING DIVISION 10 See Notified/Method Z J/� Supplemental Information TYPE OF WORK VP?7/L- ' -5rc- E* SCHEDULE 0 New construction ❑Demolition For special information use checklist NI - Description Addition/alteration/replacement ❑ er: P OthI QI • I Ea. I Total __ New 1-2-family dwellings(includes 100 ftfor each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling U Commercial/industrial SFR(2)bath 437.78 • ❑Accessory building 0 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: i�i-•\(%)w (SW �1Jit�t �a t"L,e/OorlA 1} j Catch basin or area drain 18.76 City/State/ZIP: 1 1 Coj Y�l Jl Drywell,leach line,or trench dram 18.76 Tt �' Y , T{?1(� oil��`L - Page 2 J Footing drain(no.linear ft.: j Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street'directions to job site: GVA1r'} 6ft1r,,�t Manholes 18.76 V /t V Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Subdivision: I Water service(no.linear ft.:_) Page 2 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 1 DESCRIPTION OF WORK Backwater valve 12.51 "' �`` A Clothes washer 25.02 `k )kQCW Y3 /_,V1V AINe_,Ch ec cte'sQ i ce Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25,02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: f "' Fixture/sewer cap 25.02 �3 y\s/f\-^I ~aI 0 l "� cite L Floor drain floor sink/hub 25.02 Address: e OW `,1 eJAJ I, \\\ Garbage disposal 25.02 City/State/ZIP:-^` f Q0� q. 0V Liv X 4Al2-0C) Hose bib 25.02 Phone:( ) x:( ) Ice maker 12.51 Ili APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 - �t ,ate, P4 C\i` ruh��i • Medical gas(value:$ ) Page 2 Business name: t7 r pal' ► ' `/ �•-l�-�b mon ..y.. Primer 12.51 Contact name: (,,‘F\ , lr0 1{s�v-- Roof drain(commercial) 12.51 Address: SC) \2("& (432 ('� / Sink/basin/lavatory 25.02 City/State/ZIP: gtAIIQ UbtStr 1is0�s Solar units(potable water) 62.54 �� �,� C. r Fax:: Tub/shower/shower pan 12.51 Phone:�G1�JJ /41„„_ Li ( 25.02 Urinal E-mail: �;,? '�5 1 (z C=-t:t YC ki,t`1I °>Iti b+� a i F� 25.02 ---� :�� 7- � � Urinal closet CONTRACTOR '" .. 1 Water heater 37.52 • Business name: h A y, L LG Water piping/DWV 56.29 Other. 25.02 Address: C.lL(C, . '•1 / ' subtotal P Lewo 22- _ 2i , City/State/ZIP: �� Minimum permit fee: $72.50 Fax:(I ) - Plan review (25%of permit fee) Phone:( ) • + Plumbing Lic.no.► State surcharge(12%of permit fee) CCB Lic.: t. TOTAL PERMIT FEE Authorized signature: - GThis permit application expires if a permit is not obtained within 180 days -*---,111b.4 ,►CM Date: - -2,•i_1 after it bas been accepted as complete. Print name: r) '� *Fee methodology set by Tri-County Building industry Service Board. I:V3uildingiP g1PLMU-PermitAPP• doe 1"1" 410-46t6T(10/02/COM/WEB)