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Permit (24) CITY OF TIGARD PLUMBING PERMIT '�1 v COMMUNITY DEVELOPMENT Permit#: PLM2023-00409 Date Issued: 9/18/2023 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S115AA00100 Jurisdiction: Tigard Site address: 16106 SW 108TH AVE 1 Project: Brightwaters Subdivision: WILLOW-BROOK-FARM Lot: 36 Project Description: Fresh water re-pipe units 1-8 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 ea Clothes Washer 09/18/2023 S200.16 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 $1,569.16 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 Cityof Tigard it 0 I ; ./11 G ll Da1dBy: 7 �� �3 �� Permit No.: 3 -CJ17p,/ ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' : Phone: 503.718.2439 Fax: 503.598.1960 DsteJBy: nip_ Other Permit No.: - Inspection Line: 503.639.4175 -T1G RD Internet: www.ti Date 4eBy: _.. larc to See Paget far t3md-or, oY 8 Notified/Method: /Method: Sap�pk!m�enrtat Information 1 TYPE OF eOR PEE, SCBEDagIRF- L. ❑New construction ❑Demolition For special information ass checklist - - --// Description I Qty. I Ea. I Total (Addition/alterationireplacement 0 Other. New 1-2-tamlly dwellings(includes 100 ft.for each utility connection) 2 'GATEWAY'OF CONSTRU,CEIO“' SFR.(1)bath 312.70 ❑1-and 2-family dwelling 0��Cormnercial/industrial SFR(2)bath 437.78 El Accessory building (Multi-family SFR(3)bath 500.32 Each additional balblldtchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 ' .i 'Ok SITE I RMATJO�N Site utilities: Job site address: t k c 1 0 Oy Y 1 OP a Catch basin or area drain 18.76 y [�mt a t h cni� Drywell,leach line,or trench drain 18.76 City/State/ZIP:/Sffite/ZIP: Y 1 1, V Footing drain(no.linear ft.:_� Page 2 Suite/bldg./apt.no.: I Project name( flJ r t n \l Yi. Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 t�` '�t n li g Ram drain connector 18.76 1' Sanitary sewer(no.linear ft.:, ) Page 2 Storm sewer(no.linear it:_1 Page 2 Water service(no.linear 1L: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflew prevventer 31.27 ' . .._, DEQCIi1PT,ION OF W6� _ 2 Backwater valve 12.51 rp�y,, y�yy Of y Clothes washer $ 25.02 F1 ILLY 1WV11LY Y'�ri�. fOI (At1 favtv,eS Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .. :© PROPERTY OWNER -1 0-7s, ANT -f M Fvpaaaiontank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub , 25.02 Address: Garbage disposal ( 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker $ 12.51 ErAPPLIC. _ - , Q:CONTACT I'.ERSON' huercePtor/grease trap 25.02 Business name: \Y ' O )\v m b‘r^QI Medical gas(value:$_) Page 2 Contact name: tkicn voRncSC1 J Prima 12.51 (� Roof Main(commercial) 12.51 Address:341� NW 2Va C�fi • Sink/basin/lavatory 25.02 City/State/ZIP:cL\d f e1[\r G\ P12• Solar units(potable water) 62,54 Phone:(34 0)CIy il'[.Q Fax::( ) Tub/shower/shower pan 12.. 12.51 I3 monk-, ile.l henco 1 u.m bi 0YY1 Urinal 25.02 :_ - 'Cd It C7' Water closet 1l.2 25.02 Water heater 9 37.52 Business name; --\Q(CI) ti)111rn� pb�1 Waterpiping/DWV 56.29 s Address: 3 N,V ),0 st '" Other: 25.02 City/Slate/ZIP: Q0e(( • t fICk, Wut 31,1 2. Subtotal Phone:Gia q'-t lllz Fax:( ) Minimum permit fee: $72.50 Plan review (25%of penult fee) CCH Lie.:214 U 51 Le Plumbing Lic.no.keNTetritaC1State surcharge(12%of permit fee) Authorized signatu TOTAL PERMIT FEE Print name: L IA.?. {-e1 1 C t a Date:q ill)2 02% This permit application expires Ira permit is mat obtained within 180 days attar It has been accepted as complete. *Fee methodology set by Td-Coanty Building Industry Service Board. 103vilditgiretnIMPLTtt1-PrmtnApp.doe 10/01/09 44046I6T(10N27CO WWE9)