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Permit (98) CITY OF TIGARD114 PLUMBING PERMIT 11. COMMUNITY DEVELOPMENT Permit#: PLM2017-00196 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2017 T E ''� g Parcel: 2S106DB06400 Jurisdiction: Tigard Site address: 13309 SW PUMPKIN VALLEY TER Project: River Terrace Northwest,Lot 64 Subdivision: RIVER TERRACE NORTHWEST Lot: 64 Project Description: Adding additional water heater. Contractor: MALMEDAL ENTERPRISES INC Owner: ADLV LAND HOLDINGS LLC PO BOX 207 BY FORSUM, MICHAEL BANKS, OR 97106 7600 E DOUBLETREE RANCH RD STE 1 SCOTTSDALE,AZ 85258 PHONE: 503-324-0759 PHONE: FAX: 503-324-0580 FEES Quantity Description Date Amount 1 ea Water Heater 05/18/2017 $37.52 Specifics: 1 12%State Surcharge- 05/18/2017 $8.70 Plumbing Type of Use: SF 35 ea Minimum Fee Adjustment- 05/18/2017 $34.98 Plumbing Class of Work: OTR 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: 0§/t(7.14/ 0 t Permittee Signature: cfr- �'% I^11 6PaO il 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 ApolicaRECEIVED Building Fixtures 1 0i: (71, f i( I t �r 1,\1.1 City of Tigardgi• MAY 17 201? /� / Permit No.:`o 13125 sw eau Blvd.,Tigard,OR OFTI GAR D Other Pelton No G D Phone: 933,7132439 Fax: 50 Inspection Lia 503.639.4175 NG DIVISIONDais Min H SeePa e2for Internet Www.dgard-ot.gov 1Joofied/�M�od: Supplemental brformation -•1•'aq4.4:v:s.. i :. )PE'YP., 4;:.•r...-.. ...• .......3. .,,, '.r: •t•; ;.:-.':. }f, ..:.,t: yh .,..' «. CA New con on ' ]Demolition For tpedel information we Description jteat Q Addidaa/alteaation/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) 'CATEGORY:0 t;QNS!!'1WCTION.. SFR(I)bath 312.70 SFR(2)bath 437.78 ®I-and 2-family dwelling 0 Commercialrmdusuial SFR(3)2bath 500.32 ©Amy,building 0 Multi-family Each additional bath/kitchen 25.02 0 Master budder ❑Other: Fee sprinkler(__sq.IL) Page 2 JOB SITE IIFORMATION''ANI'LOCATION ... •. sits'Milt*: 3th site 133(Y'15w PaMpK.un ' P T'e -cum basin or arca drain 18.76 addz�s: 1 leach fine,or trends drain 18.76 City/State/ZIP:Tigard,OR 97224 _ Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: 1 Project name: i err e f` NL go- Manufactured home utilities 50.03 Cross street/directions to job site: V� Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm server(no.linear ft.:...__,) Page 2 Water service(no.linear it:_,) Page 2 Subdivision:gi'/2r le eaCe_.North '+ Lot no.(p4 Fixture or item: Bactdlowpreventer 31.27 T �Tto^ 12.51 DESCRIPTION OF WOW ; . Backwater valve p -Clothes washer 25.02 udel fl � KG�i /_- ¢Akt 'V A VDishwasher 25.02 ' � y� 3L 1 ZT Drinking fountain 25.02 ��►u)� J Ejectors/swop25.02 I 0 TENANT Expansion tank 12.51 ®. OWIKER Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sInk/hub 25.02 Addixers:7691)E Doubletree Ranch Road ' Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 • App ❑ CONTACT PERSON, Interceptor/grease Interceptor/greaserap 25.02•t- Business Business name:William Lyon Homes,Inc Medical gas(value:$4444) Page 2 L'/ �fL Prhner 12.51 Contact nemoeNie/[iff� !) Roof drain(commercial) ' 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:'Vancouver,WA 98660 Solar units(potable water) 62.54 Pone:(360)b95.7700 , Fax::(360)693-4442 Tublshowa/sbower pan 12.51 /'� Urinal 25.02 E-mail:J hvle..711 (CPD( r/4its-COrn ' Water closet 25.02 - • CONTRACTOR • . Water heater , 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal 5034 324-0580 Minimum l�R flet: $72.50 Phone:(503)324•A759 Fax:( ) Plan review (25%of permit See) CCB Lio:102535 'Plumbing Lie.no.:34276PB State surcharge(12%ofpennit Ex) Authorized signature: C„.„...------�1 TOTAL PERMIT FEE Date:04/158916 me p application expires if a permit it�t obtained within)80 days Print name:Carolina Malmedalatter it hes bean accepted as complete."Fee methodology tat try Tri-County Building indusby Service Board. L• App,doe 10/01/09 410.46161t10MVCOM1W68) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, August 18, 2017 at 9:16:15 BEAVERTON, OR, 97007 AM Record Type: Record ID: Residential - Plumbing PLM2017-00196 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: Final inspection for added water heater ok. Violation Summary: Inspector Contractor