Permit CITY OF TIGARD SEWER CONNECTION PERMIT
8. COMMUNITY DEVELOPMENT Permit#: SWR2022-00129
Date Issued: 12/1/2022
T I G A A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S107AD05200
Jurisdiction: Tigard
Site address: 16823 SW COLORADO LN
Project: South River Terrace,Tract H,Building 2,Unit 1 Subdivision: SOUTH RIVER TERRACE Lot: H
Project Description: Sewer connection for new attached dwelling(1 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: MF
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 160 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
I
Issued By: /. ) I e ,, 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
ECEIVEG
Building Fixtures fi FOR OFFICE US& ON 1
City OCT 1 Z 2022 Received /A 1E3
of Tigard Receive: I�/, l`TF Permit No.:M� -0031 V
• 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
• Phone: 503.718.2439 Fax: 503.598. Other Permit No.:
Date/B : / / .z /��i
SPY OF TIGARD y `''
n It n Inspection Line: 503 639 4175 Date Ready/By: loos: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notifn;d/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
[1 New construction 0 Demolition For special information use checklist
Description I Qty. j Ea. I Total
0 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
Cji 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
El Accessory building 0 Multi-family -
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler240,9q.ft.) 1 Page 2 169.6E
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16823 SW Colorado LN Catch basin or area drain 18.76
City/State/ZIP: Ti ard, OR Drywell,leach line,or trench drain 18.76
9 Footing drain(no.linear ft.:, ) Page 2
Suite/bldg./apt.no.: BId 2 I Project name: South River Terrace Manuthctured 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 Lotno.:241 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clotheswasher 25.02
Dishwasher- MST2022-00318 25.02
Multi-Purpose Fire Sprinklers Drinking fountain 25.02
Ejectors/sump 25.02
Ca PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name, Taylor Morrison Fixture/sewer cap 25.02
703 Broadway St unit 510 Garbage Floor disposal
25.02
Address: Garbage disposal 25.02
City/State/ZIP: Vancouver, WA 98660 Hose bib 25.02
Phone:(360) 695-7700 Fax:( ) Ice maker 12.51
[ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Wolcott Plumbing
Medical 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:(503667-1781 ext. 3081 Fax::( 503-667-9891 Tub/shower/shower pan 12.51
E-mail: cliffb@wolcott.pro Urinal 25.02
Water closet 25.02
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 169.69
Phone:(503667-1781 ext.3081 Fax(5031667-9891 Minimum permit fee: $72.50
CCB Lic.: 112220 Plumbing Lic.no.: 26-824PB Plan review (25%of permit fee) 42.43
State surcharge(12%of permit fee) 20.37
Authorized signature: a gz � TOTAL PERMIT FEE 232.49
Print name:Cliff Bo� Date: 10/10/22 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board
11Building\Permits\PLMU-PermitApp.doc 10N1/09 440-4616T(10/02/COM/WEB)