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Permit CITY OF TIGARD PLUMBING PERMIT t14 Permit#: PLM2023-00058 1: . COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/21/2023 Parcel: 251060003300 Jurisdiction: Tigard Site address: 16692 SW JEAN LOUISE RD Project: River Terrace Town Center, Lot 16 Subdivision: RIVER TERRACE TOWN CENTER Lot: Project Description: Plumbing for sales trailer:Adding (1)lavatory,and (1)water closet. Also adding Rain drains&20 ft water service. Contractor: G & B PLUMBING &SONS INC Owner: AG EHC II (NWHM) MULTI STATE 2 LLC PO BOX 92 BY THE NEW HOME COMPANY INC ST PAUL, OR 97137 BY KAWANAMI, MARK 15231 LAGUNA CANYON RD STE 250 IRVINE, CA 92618 PHONE: 503-868-1417 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Rain Drain Connector 02/21/2023 $18.76 Specifics: 1 If Water Service 02/21/2023 $62.54 1 ea Lavatories 02/21/2023 $25.02 Type of Use: COM 1 ea Water Closet 02/21/2023 $25.02 Class of Work: ALT 1 12% State Surcharge- 02/21/2023 $15.76 Type of Const: Plumbing Occupancy Grp: Stories: Total $147.10 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. Th e rules set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: —Permittee Signature: �� ��� .1— 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. 1 Plumbing Permit Applicat --r ; _', _ -/ - Building Fixtures 1 i,I: (.1 1 Ii t 1 ki,i � City of Tigard Received 0.1 1 rli iI1 ` ` Re eive ' 1- Prn rGilroZ0.3-elGYrc'� at 13125 SW Hall Blvd„'I'tgard,OR 97j2t7 '"i:.' Plan Review. ,0 ,,//� 9Z ■ Phone: 503.7;8.2439 Fax. 503 598 1960 ° s Dated13v: V L - / Tli ,p Inspection tine: 503 639 4175 RU:L 1���A DiVISiON Dale Ready/By' Iuris t ® See Page 2 for Intemet: www.tigard-or.goy Notified/Method. _ Supplemental information TYPE OF WORK FEE" 5 1Th.DULE ❑New construction ❑Demolition For spednlWar wt 'iu use checklist Dosertpuon Qty. [ Ea. { Total 'Addition/alleration/replacement ❑Other: New 1-24amily dwellings(mete'ts 1t00 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312-70 SFR(2)bath 437.78 ❑ t-and 2-family dwelling Commercial/industrial - SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bathikitchen • 25.02 D Master builder ❑Other: Fire sprinkler( sq.ft.) Paget JOB SITE INFORMATION AND LOCATION Site utilities: _ Catch basin or area drain 18.76 Job site address: (6CI CIE 9,.) Sec A } ow se rtti. Drywall,leach lice,or trench dtai. 1 8 76 City/State/ZIP: $IAevL.S0 0R Q1iyo Footing drain(no.linear ft.:�,-� Paget Suiterbldg./apt.no.: Project name: tier Tcc ro a '6.0.-► Ceuttr Manufactured home utilities 50.03 Cross streevdirections to job sue:5(.. Qtyct' 1Ctt'c gr 1-Mlaa Manholes 18.76 Rain drain connecter I. 18.76 Sanitary sewer(no.linear R. ) Page 2 Storm sewer(no linear ft.:, ) Page 2 Water service(nu.linear P.. � j Page 2 Subdivision: 2_tvf.S TC o,,e._ T(yJK Ciw cc Lot no.: t 6 Fixture or item: Tax map/parcel no.' 2. $ i0 6exad 33cc, Backtlow pre'enter 31 27 Backwater valve 12 51 DESCRIPTION OF WORK 11 Clothes washer 25.02 $a�1C5 Ocoee. it ;ICC. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 $7'PROPERTY OWNER CI TENANT Expansion ink 12 51 tea,��yy t rr__ `.. 1t �r Fixture/sewer cap I 25.02 Name: Tmoc, V14Lt� C)11.t LLC �} _�` Floor drain/floor sink/hub 25 OZ Address: (5 L.3\ ' 400044 CQ onorai L RRC 5TE 25o Garbage disposal 25.02 City/State/ZIP: 14•V 1N4. (A q 61$ Hose bib - 25.02 1 Phone (SON) °''),_ U Of7 , r15 7 t Fax ( ) Ice maker 12 51 APPLICANT Q'CONTACT PERSON Interceptor/grease trap 25 02 T A,I I . ©„E6Q� L4G Medical gas(value S_) Page 2 Business name: ice+ (( q Primer 12.51 Contact name: rCCRy JGNC.1t41ycNt Roof drain(commercial) 12.51 Address: 15yi5S t\ ecs. bc1cc Rif Yt& y '4*2-I"10 Sinkibasiaitivatorr> 1 25.02 City/Slate/ZIP: [ AJGc-'csr Q , C'{1006 Solar units(potable water) 62 54 Phone:(5e 5) 3 to IT In Fax ( ) Tub/shower/shower pan 12.51 �t Urinal 25 02 �s E-mail, t$t�kcket VG•k�`w. A wk t € i>vo- 25.02 Water closet _ ( CONTRACTOR Water heater 37.52 r,...,, ,,,,....,o. 6-4-e, tJ/u►v)b.f 4 Sons Inc' v~,,,.,, ,,,t,;.,o nw.. - _ co on i Address; VoA.F61. t Other: 25.02 City/State/ZIPLlttD '' q 1/3', , < L3 u Subtotal l Q Phone:al) 90- i Ili j Fax.( ) � � MI mam permit e: 872.50 Plan r'time (25%of permit fee) CCB Lie.: 1/ Plumping Lie.no.: 7.3 Stale sur'tat he(12%of permit fee) Authorized sign tore: 'OFAI.PERMIT FEE 7 x,3 This permit application expires •a I,rrmit is not obtained within ISO days Print name : ��)!e t „�- Date: / .� after it has be ta- teii as complete. .` ^Fee methodology set by Tri- )unry Building Industry Service Board.. d<o-0616T in/soicOaa/WEU) islBuJdi�;lPermitslPLSlli-PermaApp doe Ib/OIAW ( Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppressiol. Systems: Site Utilities; QtY^ Fie Oa) _ Total Square Footage: Pero it I?ee: Footing drain-1" 100' 50.03 0to2.000 $121.9( Footing drain-each additional 100' 37.52 2, 1 to 3,600 $169 5t 3,601 to 7,290 S233 2( Sewer-1st 100' 62.54 7,201 and greater S32 7 5, Sewer-each additional 100' 3752 Water Service-1st 100' ( 62.54 Medical Gas Systems: Water Service-each additional 100' 37 52 Valuation: Permit F c' Storm&Rain Drain-1st 100' I 62 54 SI AO to$5,000 00 Minimum fee 72 0 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,0000.00 $72.50 for the arst.$5,000.00 and S 1.52 for Other Inspeel,Lions or Fees • Fee(a) Total each additionz S 1 200 or fraction thereof,to and including 10 00.00, Inspection of existing plumbing or for $10,001 30 to$25,000.00 $148 50 forth firC $10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additions::$I+:.0.00 or fraction thereof,to (minimum charge-1/2 hour) and including_ 25.':100.00 Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for th firs:$25,000.00 and$I.45 for hours(minimum charge-2 hours) each additioro'$1 i:0.00 or fraction thereof,to Reinspection Fees 90.00/hr and including '50,,10000. Additional plan review for revisions 90.00/hr $50,001.00 and up S742.00 forth. In a S50,000.00 and$1.20 for (minimum charge-1l2 hour) each additions S1+:0.00of fraction thereof. - Subtotal: Commercial;Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to — _ accurately report fixtures could result in increased sewer fees*. Plan Review for Plum tiI<_ Installations Qaaa' by Fixture Type Plan review is required for any of the t"o..awing. Fixture Type for Repiseei Please check all that apply. Work Performed: capped Added Relocate ❑ Any new commercial building t Lb .Waer service 2"and Baptistry/Font greater,except systems designet an I stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site util ,es For any complex structure Car Wash: -Each Stall as defined in OAR9 I 8-780-004 -Drive 3hru ❑ Medical gas and vacuum system:ft r health care facilities. Cuspidor/Water As :rater ❑ Any multipurpose fire sprinkler ,ys'am. Dishwasher: - ommercial 0 Any complex structure as dcfin lit OAR9 18-780-0040. -Domestic Drinking Fountain' Submit 2 sets of plans w h any of the above. Eye Wash Floor Drain/sink -2" "' 3.. Isometrie or RI er Dia_ram a" • Isometric or riser diagram is 'ec[rired for new buildings -Car Wash Drain that meet the •ualifications r-:xiue. Garbage -Domestic non-food Disposal' -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.:Drains Comments regarding fixtu-e Nork: Oil Separator(Ga5 Station) ,. Rec.Vehicle Dump Station -Stall -' Sink. -(av/Bu non-food related - i -Bradley - —,- -Com/Serv/Util food related -Service *Note: If the fixture work and r .is permit results in an Swimming Pool Filter increase of sewer EDUs,a sewe permit will be issued and Washer-Clothes fees assessed for the sewer inert Se must be paid before the Water Extractor Water Closet-Toilet r plumbing permit can be issued. Urinal Other Fixtures: 1:\Building\Pertl ts1PLMF_PermitAppAloe 08/04/2011 2