Permit FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
)111 IITransmittal Letter
,�4<I 1 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: \ D y' BD(iAaSk+-e/r DATE RECEIVED:
DEPT: BUILDING DIVISION REGLi
FROM: JUN 2 8 2023
�GtU ( C CY1 MCA-1'Ll� ' CITY OF TIGARD
COMPANY: -�-jl e BUILDING DIVISION
PHONE: )2)-0UI^Gly�� �( BY: T
EMAIL: 2I e GL A4 L-C rn IM-R,VJ CCy v1
RE: (2AVeir TC.t/Ya-U- t'AM) �1 1 7i2D046-
(Site Address) (Peonit Number)
v
`TAPI
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions: ,- -piy,a,LMQ.,
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: (P_D11A
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: g— q-a 3 Initials: A
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: t t i.i j }3 Initials: /3
4111 / .
I:\Building\Fonns\Transmittall -Revisio�ns_073120.doe
p CITY OF TIGARD PLUMBING PERMIT
2 COMMUNITY DEVELOPMENT Permit#: PLM2022-00487
Date Issued: 12/29/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S1060003300
Jurisdiction: Tigard
Site address: 13875 SW MERCANTILE TER
Project: River Terrace Town Center Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project Description: Site utilities for(5)buildings: 13785, 13825, 13855. 13875,and 13935 SW Mercantile Terrace.
Contractor: D&T EXCAVATION INC Owner: AG EHC II (NWHM) MULTI STATE 2 LLC
PO BOX 3767 BY THE NEW HOME COMPANY INC
WILSONVILLE, OR 97070 BY KAWANAMI, MARK 1
15231 LAGUNA CANYON RD STE 250
IRVINE, CA 92618
PHONE: 503-263-2607 PHONE:
FAX: 503-263-2648
FEES
Quantity Description Date Amount
1 Plan Review 12/29/2022 $62.54
Specifics: 6 ea Info Process/Archiving-Lg 12/29/2022 $12.00
$2.00(over 11x17)
Type of Use: COM 1 12%State Surcharge- 12/29/2022 $30.02
Class of Work: OTR Plumbing
560 If Water Service 12/29/2022 $250.14
Type of Const:
Occupancy Grp:
Stories:
Total $354.70
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: Permittee Signature:
r '' 27 �l[ �S'
�'
7Call 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.