Permit (39) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00444
TR. kRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2016
Parcel: 2S111BB01301
Jurisdiction: Tigard
Site address: 14150 SW DRIFTWOOD CT
Project: Homestead Commons Apartments Subdivision: TIGARDVILLE HEIGHTS Lot: 9
Project Description: Replace approximately 100'of 1 1/4"water line
Contractor: COMMERCIAL PLUMBING SERVICE Owner: INVEST TDT LLC
21185 NW EVERGREEN PKWY SUITE 105 HC APARTMENTS LLC
HILLSBORO, OR 97124 4380 SW MACADAM AVE,#575
PORTLAND, OR 97239
PHONE: 503-439-9999 PHONE:
FAX: 503-439-1999
FEES
Quantity Description Date Amount
100 If Water Service 08/16/2016 $62.54
Specifics: 1 12%State Surcharge- 08/16/2016 $8.70
Plumbing
Type of Use: MF 10 ea Minimum Fee Adjustment- 08/16/2016 $9.96
Class of Work: ALT 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 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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: C / Permittee Signature
—7 ./d--
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.
From:Cindy Woollett Fax:(503)439-1999 To:5035981960@RCFAX.t Fax: +15035981960 Page 3 of 3 08/10/2016 10:41 AM
Plumbing Permit Applicata rctlFii ' w
BuildingFixtures `'` x
FOR OFFICE USE ONLY
C1t f Ha 131(� 77 tl�1 Receised Penmt No J,0
ie 13125 SWOHall Blvd.,Tigard,012 972 �I 1 .0 t. 1 I6 Date,Ry �j�/ J ( -W[r
Phone 503.718.2439 Fax: 503.53 ,1960 Plan Review
Other Permit No.:
TIGART? Inspectionl.ine: 501639.4175 bfr � t '1'4( : Datc.liv.
� DateReady/By
Internet: 'a vow ttgat'd-or.gav loris. t3 See Page 2 for
T TM r Notifiedth4ethod: SapptententalInformation
iYPF 01FE� i ' P :
F1±;Ea $CHI;llULE
[}New construction ❑Demolition For•special iizforntalion use checklist.
Description
L QtY_.• >✓a. Total
®Additiutt allot itIut>/rc placement ❑
Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
CATF.t:ORYv OF CONSTRUCTION SFR(1}bath 312 70
❑ 1-and 2-family duelling ®Commercial/industrial SFR(2)bath 437.78
❑Accessory building ElMulti-familySFR(3)bath 500.32
Each additional bath/kitchen 22.02
U Master builder ❑Other
biro sprinkler( sq ft-) Page 2
JOB SITE INT Itb1A'1'iON AND LOCATION Site utilities:
Job site address:14150 S%Driftwood et Catch basin or area drain 18.76
Drywall,teach line,or trench drain 18.76
City/State//IP:1'igard,Oregon,97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: Homestead Commons Apts �- �_
- -.--- Manufactured home utilities 50.03
Cross street/directions to job site:sw 103rd and mcdonald st Manholes 18.76
Rain drain connector 18.76
.Sanitar sewer(Ito.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
-
f Water service(no.linear 11.:4(;)0/ Page 2
Subdivision: 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backtlow preventer 31.27
DESCRIPTION O F1`ORK Backwater valve 12.51
replacing about 100'inch and a quarter water line
Clothes washer 25,02
Dishwasher 25.02
Drinking fountain 25.02
Ejector c/s utnp 25 02
_® PROPERTY OE�NER ❑ 'IENAN, Expansion tank 12,51
Name:flomestead Commons Apartments Fixture/server cap 25.02
Address:14150 SW Driftwood et
Floor drain/floor sinkobub 25.02
Garbage disposal 25 02
Cit}/State/ZIP:Tigard,Oregon,97224
Huse bib 25.02
__
Phone:(971)998-2319 Fax:( } � Ice maker 12.5E
❑ APPLICANT ® COiN'I'AC1 PERSON J Interceptor/grease trap 25.02
Business Horne:Commercial Plumbing Services Medical ass(value:$ ) Page 2
Contact name:Steve Pailetfe Framer 12.51
Rool drain(commercial) 12.51
Address:21185 NW Evergreen Parkway Suite 105 Sink/basin/lavatory
25.02
City/State/ZIP:Ilillsboro,Oregon,97124 Solar units(potable water) 62.54
Phone:(503)439-9999 I Fax::(503)439-1999 Tub/shower/shower pan 12.51
E-mail:dispatch/eCeps-ser•viees.biz Urinal 25.02
CONTRACTOR Water closet 25.02
Business_ R%ater heater 37.52
..name:Commercial Plumbing-Serivee _ -. .............
Address:21185 NW Evergreen Parkway Suite 105 Other 25.02 - -
2222
i City/State/ZIP;Hillsboro,Oregon,97124 Subtotal ! 62.54
I Phone:(503)439-9999 Lax (503)439-1999Minimum permit 1'ee: 572.50 72 50
i........_____
CCB Lie.:126015 .,)'lambing Lic.Ito.:37-421PB Plait review (25°.a of permit fee)
State surcharge(12%of perutit Pee) i 81.20
Authorized signature:
iTOTAL PERM(t'FLE 81.20
- This permit application expires if a permit is not obtained within ISO days
Print namL:Heather Farmer Date.
""---""---_------- - /gyp/>d after it has been accepted as complete.
Fee methodology set by Tri•Coomy Buildinu la/lastly Sendce Board
I App.Jac 10,01,09 don-:sisr lcoo'coM'wpt31
From:Cindy Woollett Fax:(503)439-1999 To:5035981960 c@RCFAX.t Fax: +15035981960 Page 1 of 3 08/10/2016 10:41 AM
FAX
Date: 08/10/2016
Pages including cover sheet: 13
To: 5035981960@RCFAX.CO From : Cindy Woollett
Commercial Plumbing Servii
21185 NW Evergreen Pkwy
Hillsboro
OR 97124
Phone Phone 15034399999
Fax Number +15035981960 Fax Number (503) 439-1999
NOTE:
signed copy
From:Cindy Woollett Fax:(503)439-1999 To:5035981960@RCFAX.(Fax: +15035981960 Page 2 of 3 08/10/2016 1041 AM
I PLUMBING
'cp
SERVICE
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14150 SW DRIFTWOOD CT, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2016-00444
Don Sylvester
Replacing existing metallic water piping with plastic. Ensure proper grounding is
maintained per section 604.8
Violation Summary:
Inspector Contractor