Permit CITY OF TIGARD SEWER CONNECTION PERMIT
s . COMMUNITY DEVELOPMENT Permit#: SWR2022-00131
Date Issued: 12/1/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AD05200
Jurisdiction: Tigard
Site address: 16807 SW COLORADO LN
Project: South River Terrace,Tract H,Building 2,Unit 3 Subdivision: SOUTH RIVER TERRACE Lot: H
Project Description: Sewer connection for new attached dwelling(3 of 3)Units,each with separate sewer permits.
Contractor: Owner: TAYLOR MORRISON NORTHWEST LLC
703 BROADWAY ST STE 510
VANCOUVER,WA 98660
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/01/2022 $6,625.00
Sewer Inspection-Residential 12/01/2022 $35.00
Type of Use: SFA
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $6,660.00
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
Issued By: —�E Permittee Signature:
it 'h ". I . I ` �
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 RECEIVE
Received
City of Tigard Date/By: to (a- C13- (C4 Permit No.:M41`ao,?-a_003a(
, ■ 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 1 2 2022 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: ////4-0.4 A. 4[,�jp Other Permit No.:
It n Inspection Line: 503.639.4175 Daa R /By: Jura: RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notificd/Metbod: Supplemental Information
TYPE OF WORK FEE*DIVISION
FEE• SCHEDULE
[51 New construction 0 Demolition For special infornadon use checklist
Description t 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(I)bath 312.70
[a 1-and 2-family dwelling 0 Commercial/industrial
SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(11291.ft.) 1 Page 2 121.9C
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: 16807 SW Colorado LN
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Bld 2 I Project name: South River Terrace Manufactured home utilities 50.03
Cross street/directions to job site: 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: South River Terrace I Lot no.:243 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
Permit - MST2022-00321 Dishwasher 25.02
Multi-Purpose Fire Sprinklers Drinking fountain 25.02
Ejectors/sump 25.02
Ei PROPERTY OWNER 0 TENANT Expansion tank 12.51
Taylor Morrison Fixture/sewer cap 25.02
Name: y Floor drain/floor sink/hub 25.02
Address: 703 Broadway St unit 510 Garbage disposal 25.02
City/State/ZIP: Vancouver, WA 98660 Hose bib 25.02
Phone:(360) 695-7700 Fax:( ) Ice maker 12.51
[)j APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Wolcott PlumbinMedical gas(value:$ ) Page 2
Primer 12.51
Contact name: Cliff Bowman Roof drain(commercial) 12.51
Address:1075 W Historic Columbia River Hwy Sink/basin/lavatory 25.02
City/State/ZIP:Troutdale, OR 97060 Solar units(potable water) 62.54
Phone:(503)-667-1781 ext. 3081 Fax: :(503-667-9891 Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: cliffb@wolcott.pro 25.02
Water closet
CONTRACTOR Water heater 37.52
Business name:Wolcott Plumbing Water piping/DWV 56.29
Address: 1075 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale, OR 97060 Subtotal 121.90
Phone:(503).667-1781 ext.3081 Fax:(503).667-9891 Minimum permit fee: $72s0
Plan review (25%of permit fee) 30.48
CCB Lie.: 112220 ///��� Plumbing Lic.no.: 26-824PB State surcharge(12%of permit fee) 14.63
Authorized signature: (?frrc7Tl a aBUy 4,y TOTAL PERMIT FEE 167.01
Cliff Bow 10/10/22 This permit applicadoo expires if a permit is not obtained within 180 days
Print name: Date: after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I\Building\Permin\PLMO-PermitApp.doc 10/01/09 440.4616T(10102/COM/WEB)