Permit (23) Ilii CITY OF TIGARD PLUMBING PERMIT
• g. COMMUNITY DEVELOPMENT Permit#: PLM2023-00408
Date Issued: 9/18/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16108 SW 108TH AVE 9
Project: Brightwaters Subdivision: WILLOW-BROOK-FARM Lot: 36
Project Description: Fresh water re-pipe for units 9-16.
Contractor: SUNSET HEATING COOLING& PLUMBING LLC Owner: DHP BRIGHTWATERS LLC
607 S IDAHO ST 32 MEADOW HILL DR
PORTLAND, OR 97239 TIBURON, CA 94920
PHONE: 503-234-0611 PHONE:
FAX:
FEES
Quantity Description Date Amount
8 es Clothes Washer 09/18/2023 $200.16
Specifics_: 8 ea Dishwasher 09/18/2023 $200.16
2 ea Hose Bib 09/18/2023 $50.04
Type of Use: COM 8 ea Ice Maker 09/18/2023 $100.08
Class of Work: OTR 12 ea Tub/Shower/Shower Pan 09/18/2023 $150.12
Type of Const: 16 ea Water Closet 09/18/2023 $400.32
Occupancy Grp: 8 ea Water Heater 09/18/2023 $300.16
Stories: 1 12%State Surcharge- 09/18/2023 $168.12
Plumbing
Total 81,569.16
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:
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 FOR OFFICE USE ONLY
City of Tigard Remy'ed
n 13125 S W Hall Blvd,Tigard OR 97223 Date/By: // A
Phone: 503.718.2439 Fax: 503.598.1960 Pon Rev ew n
Uatc/By: /� Other Permit No.:
T IGARD Inspection Line: 503.639.4175 Date Ready1Byr - Jude. Er See Page 2 for
lntemet: www.tigard-or.gov NotitiiedrMethod supplemental Information --
r; - AY" P,E OF,WOItIC • _. e ',, r x -..,'':E•SCHEDU *.
❑New construction 0 Demolition For special Infarmah`nn use checklist -- - - _
�Addititidalteradon/replacemem 0 Other: Description f Cjty. I Ea. ] Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
UMW 'qt _
ar GO . -OF GO 31S enON.N ' t z.e. SFR(I)bath 312.70 _
❑1-and 2-family dwelling 0 Conercialfindustrial SFR(2)bath 437.78
tm
El Accessory building I ulti-family SFR(3)bath 50032
Each additional bathlkitchen 25.02
❑Master builder _ 0 Other: Fire sprinkler( sq.ft.) Page 2
VIJogisITE iNFOtt1VLs_1Tio D,LOG'A icir -� Site utilities:
Job site address:t t t 01, 1 W 1(�}6 cm jQ, Catch basin or amt drain 18.76
F Qrii Okn t O l- ° f -'- Doting leach line,or trench drain 18.76
Ciry/SmteJ2IP: Footing drain(no.linear ft.: ) Page 2�
Suite/bldgdapt.no.: Project name: rfIrrt-w erg Manufactured homeudbties 50.03
Cross sireet/directions to job site: Manholes 18.76
V\n}• Or... 1 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: J Lot no.: Fixture or item:
Tax map/parcel no.: Backtltew prcvcnter 31.27
'--* 's -:,e Backwater valve
y �p� �
1ES IONOF, O ... u 12.51
{ ` CloWes washer
F t eth wait 1 r e p f pe .F oY � s. F�A*u,�� Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
-41 .0 i' OP<ERTY OWNER --- o �ENANC . Expansion tank 12.51
Name: Fixture/sewercap 25.02
-
Floor drain/floor sink/hub 25.02
Address:
- Garbage disposal 25.02
City/State/ZIP: Hose bib 2, 25.02
Phone:( ) Fax:( ) Ice maker
12.51
74 `. diAPP1dCut CONTACT-YER&ti Interceptor/grease trap 25,02
Business name: �1`toe( /�y'Out�m1II Pi Medical gas(value:$_) Page 2
Contact name:
L Lk pe \la I Ci a • 't Romer 12.51
Roof drain(commercial) 12,51
Address: 31
3N w 2 'St.-.
Sink/basin/lavatory 25.02
city/state/ZIP:9-1dqg f i.eld,, p-glap2142... Solar=its(potable water) 62.54
Phone:(64b 941-- iate5. Fax::( ) Tub/shower/shower pan _ 1'1_ 12.51
F mail: iqe a tqf rit lu,mbi • coin Urinal 25.02
Mak `` a Water closet ,ta 25.02
--_. `_- Water heater 1 37.52
Business name:1- flCO p\wrio►1 Waterpiping/DWV 56.29
Address:�t3 NW Zn� -St' "✓i Other: - 25.02
City/State/ZIP:RI do Lik.l.td I IN a O' LQ,.I}2. Subtotal
Phone:(31eD) CIt''9-II-US, Fax:( ) Minimum permit fee: $72.50
CCB Lie.: 2.14u 51.(Q. . Plumbing Lie,no,:tl'-M()t '182T 0Plan review (25%of permit fee)
�i� State surcharge of permit fee)
Authorized signs TOTAL PERMIT FEE
Print name:LtA,pQ VAttheim Date:gli}1 23• mils permit application wires If a permit is nor obtained xitbia l80 days
after it bus been accepted as complete.
'Fee methodology set by Tri-Comity Building Industry Scrvire Board.
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