Permit CITY OF TIGARD PLUMBING PERMIT
1111 . COMMUNITY DEVELOPMENT Permit#: PLM2017-00192
T f G.A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2017
Parcel: 2S106DB02300
Jurisdiction:
Site address: 13416 SW SABRINA AVE
Project: River Terrace Northwest, Lot 23 Subdivision: Lot:
Project Description: Add 2nd water heater.
Contractor: G&B PLUMBING&SONS INC Owner: WILLIAM LYON HOMES, INC.
PO BOX 92 109 E 13TH ST.
ST PAUL, OR 97137 VANCOUVER, OR 98660
PHONE: 503-868-1417 PHONE:
FAX:
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: NEW
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: 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 App
licatilnECEINIF,-) •
1 . . . .. . .. . •
Building Fixtures
. City of Tigard MAY 1 7 2017 lietiSivedav
. DaiarS . 3 k Pen'"°- 144,20 7-zei9/- .
INI i. 503.7Pbone182439 Fax t5)0R3197g2861Y OF'T 1 G L 6 0 P1.1". li.eviaiv otherPonattiuk.145 ar..4 ,r:6.10 Ra)
Inipecithin Lion: 503.639A175 BUII_D1NG DIVISION pea i!;,dyjag: 'oft IN sei Page 2 fir
' _Intetnet is*vaPrd-or .°v NotiSedMetbitd: • Sa Image Infoirmstion
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-. NB' . Forapecierlisfemistion iise chesiklisL
•••6:"Nowoonalzuction In Demolition Description Qty. I Ea. j Total
0 AdditiontidtetationirepindeMeut 0 Other:: Nevi 1-2-family&ream(Incudes 100 ft.for each utility connection) ,
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SFR C2)-bath 437.78
1.!and 2-faniftYllwelling 111 CommertinVoidintrial ..
SFR(3)Oath. 500.31
El mosso*,bociiing 0 Multi-family Each additional badt/hitchen 25M
. 0,Matitar.limb:* . 0°then... , Fire sprinkler.•(_,sq.ft.) Page 2
7::::.,--.z.... ;-.., :r..',":-.. f.2:•'T*1-'17-77:--11•••4-T".F'•11',..F ,1-7f."'TT:4,its:FT.it-N,t7.W. T;f7rq -Site utilities.:
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Catr.b basin or area drain 18.76
Job site address: /31/14, sky 54111,iftl /9144,
Drywall,leach line,or trench drain 18.76
17sty/StatufZIF:Tigard,.OR 97224 Footing drain(no.rumor ft.: ) Page 2
.,
. P111.1~4Pt no;: I Project 4ame./2 i Ve r 7f.rra(e piD1414UKS4 ...Mallufacd liome uliikilts . 50.03
Crass itneddirectionktpjob site: ..Manbales , . 18.76
lain drain.connector 18.76
. .. _..
,. . .. .
- • ,_.Sanitary teiver(no.linear ft::......J Pap 2
Storm newer.(no..linear it: ) Palle 2
•
. . . . • • Water dervic'e(do.linear ft.: ) Page 2
• Subdiviii4 ( '24ver-rf rrate, Narfliwe 14--- utum: 23 Fixture or Item
,,Bacidlowpreventer 31.27
TstfeinVpilrcel mi.:
B . 12.51
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-7iiiIr 25.02
04 . i . •0. Mal Otler flea fedle- -.. .tiiiroadiet, , . . 25.02
A4s72.6 6-Øc _. pno.ftfir.Augain. . 2.5.02
'Ejectors/sump, 25.02
.,
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25.02
Natoc.iiiktit Lindliiiiiings,LLC
F1601*401100 pink/hub 25.02
Adclrfts;761/01E,Doubletree Ranuh Road Garbage disposal 25.02
tityState/i3F:ScOihniale,A'z 85258 Hike bib 25.02
,
Pirrrt(6414)494740:1i. Fax.( .) Ice n34ft 12.51 .
rr.•-----'''''',77-7-7::...-:',':.--..f.-%7'.'-j.FTi,,...ffl",:'',',.:.7.='.. '-‘c,--;F.,:'-r,TT E,7--,,f,-,.).F .-..TT_:!.:-.J17.5.'7,°,,Z7_7E--,,I.:,4'z,25•?,-.'1.•- ktifeit4itorigreate trap 25.02
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Btosiness name;Vi'llijmn_Lyen Noma,hc Printer 12.51
tJtc-Inakrihonoe- .Roofilrain(commercial) 12,51
ilichiNaa:109 r.,..!ft WI stile Sioldbasin/liwatory 25.02
diti/Sigteith:IrautaInver,*A 98660 Solat units(potable water) 62.54
111.0**!.0)6954700 Fax,::(360)693.4442 Tebii.howeriallower pan . 12.51
• Waal 25.02
f/114. jr.,,. *wet dose
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-iniinaseatnie:, 6,14 t . . . %..ert-.Sovit Tot- v;ratex piping/PWV 56.29 ,
4444* 'ell• 11'0iC CIA Other:
_ .
-4:341sOlear0: 5•T's P43 % art_ . . '11t31 . . __ , dt Subtotal
Minimum pemfte;S72.50
Acme;011---a44.- 14t1
Plan win, (25%of permit fee)
CO8.1./c., 'BIM . Plumbitiejc,06,Pb .63t1 -
State stiteharge.(1254.orPormitibe)
4iiitborhed sigaPtur=
- TOTAL:M*1T Ega:
'',Sii(iigtmei.;S÷f..;tit w.14,.E___ p#03,36-lb This pserioit appliestims aspires if a permit is itot Wilke!!WItldif11041.sys
after it bis beet isaiited is Coniphti.
*Fee nicaodology Dig by Tri-Calmay-Building Industry Service Board.
msdadwauguipthaiicmpp,ckz loiwo9 440.4116T1W02/60)NWS8)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13416 SW SABRINAAVE, SHERWOOD, February 1 , 2018 at
OR, 97140 9:07:43 AM
Record Type: Record ID:
Residential - Plumbing PLM2017-00192
Inspection Type: Inspector:
399 Plumbing final Allyson Armstrong
Result:
PASS - NoCofO
Comments:
2nd water heater ok
Violation Summary:
Inspector Contractor