Permit (27) IN2 CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit e: PLM2023-00319
-FICA P.L3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/2 512 0 2 3
Parcel: 2S108DC23600
Jurisdiction: Tigard
Site address: 15204 SW FLATCREEK LN
Project: River Terrace Crossing,101 Subdivision: RIVER TERRACE CROSSING Project Description: Second clothes washer. Lot: 101
contractor: EDWARD MULLEN PLUMBING
Owner: STONE BRIDGE HOMES NW LLC
1601 SE RIVER RD BY CHICAGO TITLE COMPANY OF OREGON
HILLSBORO,OR 97123 ATTN KEARNEY, MOLLY
1500 NW BETHANY BLVD STE 301
BEAVERTON, OR 97006
PHONE: 503-640-0113 PHONE:
FAX: 503-640-4483
FEES
Quantity Description Date Amount
ea Clothes Washer 07/25/2023 $25.02
Specifics: 1 12%State Surcharge- 07/25/2023
$8.70
Plumbing
Type of Use: SF 47 ea Minimum Fee Adjustment- 07/25/2023 $47 48
Class of Work: NEW Plumbing
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 s ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Cent . T se rules are set fo -in 952-001-0010 through OAR 952-001-0090. You may obtain a copy o e rules
Issued By: —
11—t<r—
Permittee Signature:
Call 503.839.4175 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.
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Plumbing Permit Application FOGI01
Building Fixtures
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 PlateBy: I/ W (/�' A p permit
No.r �
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Phone: 503.7182439 Fax: 503.598.1960 Plan Review
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Dale'By: LiII - Other Permit No.:
T I G A R D Inspection Line: 503.639.4175
Date Kd/McthY: luris Sa See page 2 for
Internet: wtivw.tigard-or.gov
Notified/Method: Supplemental Information
TYPE OF WORK FEE"' SCHEDULE
®New construction ❑Demolition For special information use checklist.
•
IDAddition/aIteration/replacement 0 Other: Description Qty. Ea. l'otal
New 1-2-family dwellings(includes 101)ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath I 312.70
❑X 1-and 2-family dwelling ElCommercial/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: 15204 SW FLATCREEK LANECatch basin or area drain 18.76
City/State/ZIP: Tigard, OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:River Terrace Crossing
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 IL: ) Paget
Subdivision: River Terrace Crossing Lot no.:
to Fixture or item;
Tax map/parcel no.: Dackflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
add 2nd washing machine
Clothes washer 1 25.02
Dishwasher 25.02
-- Drinking fountain 25 02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: Stone Bridge Homes NW, LLC Fixture/sewer cap 25.02
Address: 4230 Galewood St. Suite#100 Floor drain/floor sink hub 25.02
Garbage disposal 25.02
City/State/ZIP: Lake Oswego, OR 97035 Bose bib 25.02
Phone:(503)387-7577 Fax:( )
Ice maker 12.51
RI APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Stone Bridge Homes NW, LLC Medical gas(value:S_) Page 2
Contact name: Permit Tech Primer 12.51
Roof drain(commercial) 12.51
Address: 4230 Galewood St. Suite#100
Sink/basin/lavatory 25.02
City/State/LIP: Lake Oswego, OR 97035 Solar units(potable water) 62.54
Phone:(503)387-7577 Fax: :( ) Tub/shower/shower pan 12.51
E-mail: portlandpermits@stonebridgehomesnw.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater
Business name: Edward Mullen Plumbing 37.52
Water piping/DWV 56.29
Address: S. E. River Road Other:
5.02
City/State/ZIP: Hillsboro, OR 97113 Subtotal
Phone:(503) 640-0113 Fax: ( ) Minimum permit fee: $72.50
CCB Lic.:92689 Plumbing Lie.no.: 34-260PB Plan review (25%of penult fee)
Authorized signature:
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name: Jeremy Crace Date: 7/18/2023 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Pee methodology sethy Tri-County Building Industry Service Board.
t:tBuildingAl'cnnilsAPLMU-Perm"Appdoc to/9I;09 440-4616r(10.02ACOM/WCB)