Permit (100) 1111 CITY OF TIGARD PLUMBING PERMIT
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i COMMUNITY DEVELOPMENT Permit#: PLM2017-00191
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2017
Tr '" ` 9 Parcel: 2S 106 D B08200
Jurisdiction: Tigard
Site address: 13314 SW SATSUMA AVE
Project: River Terrace Northwest,Lot 82 Subdivision: RIVER TERRACE NORTHWEST Lot: 82
Project Description: Add additional water heater.
Contractor: MALMEDAL ENTERPRISES INC Owner: WILLIAM LYON HOMES, INC.
PO BOX 207 109 E 13TH ST.
BANKS, OR 97106 VANCOUVER, OR 98660
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: -ph
AIIP Permittee Signature: v-rG /`, aU�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. J
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 ApnlicatiP/E C E I V E D
Building Fixtures
City of Tigard MAY 17 2017 Sll ? . P1-Ar.oi 7-°°111
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13125 SW Htdl Bivd,3T9.41,OR 9 plan Review
tt Phe: 503.7181:39 Fax: s03.54H45d OF TIGARD umdar ° t'�IST�9IG�b3`��
Inspection Line 603.639.:176 BUILDING DIVISION t eReadyBr• Seeenb
Internet WWW.tigard-orgov Noti6ed/Metbod. Supplementallu[armatlon
®New cottslntcxion ' fl Demolition For special infDesmiptionI an�y,� { Tota!
❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 R.for each utility connection)
CATEGORY'OP CONbT,$11(�701!1' SFR(1)bath 312.70
SFR(2)bath 437.78
®1-and 2-family dwelling Q Cornrnctciarmdusttial • SFR(3)beth 500.32
o Ate,building 0 Multi-family Each additional bath/kitchen 25.02
❑Master builder Q other. Fire sprinkler L__sq.R) Page 2
'' .IOB SITE �pRMA`t1ON•AND•LOCATION Site utilities:
^ t r! Catch basin or area drain 18.76
Job site address: J"3317 SW .�54 f Yrk 1 ! Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard OR 97224 Footing drain(no.linear It.:_••._) Page 2
SuitelbIdgJapt.no.: 1 Project name: '.e t'Y'A,t,/dam Manufactured borne utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_-„_) Page 2
Stoun sewer(no.linear ft.:____) Page 2
Water service(no.linear It:__I I Page 2 t
I
Subdivision:1Zder-IC tract_.IVlarifivll
t -- Lot no.:B2., ^Fixture or item: 31.27
Hackney.,premier
Tax map/parcel no.: Backwater valve 12.51
/' pEBC 1tO. QF.W�OIi,1C/ a�Y. . 'r Clothes washer 25.02
0 Cls !n 4144(.1401411 �J(A Y �� Dishwasher 25.02
Mr STIR* -.00 Drinking fountain 25.02
Ejectors/sump 25.02
• 0 TENANT Expansion tank 12.51 -
®,:i!AO ' . Fixture/sewer cap 25.02
Name:ADVL Land Hollings,LLC Floor drain/floor sink/hub 25.02
Address:7600E Doubletree Ranch Road Garbage disposal 25.02
City/StatcJZlP:Scottsdale,AZ 85258 Hose bib 25.02
Pham(602)694-1031 I Fax:( ) Ice maker 12.51
Cl CONTACT PERSON Imarcep�Ig�trap 25.02
`APP)l.IGAN1 Medical gas(value:S..__) Page 2
Business nater~Wim Lyon Homes,Inc Primer 12.51
Contact nameM auk Inn Roof drain(commercial) 12.51
Address:109 East 13th Street Sink/basin/lavatory 25.02
City/StaterZTP:Vancouver,WA 98660 Solar units(potable water) 62.54
Fax::(360)693-4442 Tublshvwerlahowwer pan 12.51
Phone (360)69&1700 / Urinal 25.02
Emnaf: MGhvt€•� (pot!,/4c iflOtYrr (.t- n Water closet 25.02
COW1RACfOR/. • Water heater , 37.52
Business name:Mabnedal Enterprises int. Water piping/DWV 5629
Address:PO Box 207 Other 25.02
Subtotal
Banks,OR.97106 M ,permit 572.50
Phone (503)3240759 Fax:(503-)324-0580 Plan review (25%of permit lee)
CCB 1.ic.:102535 'Plumbing Lic.no.:34-276YB State surcharge(1296 of permit fee)
Authorized signature: (L.- TOTAL PERMIT FEE
Aare:04/25/2016 I We pe appficatioe expires if a perotit ser not obt*Ined within 180 days
�Prirnt name:Carolina IVlaitnsdal os It by n-C unty Bed as Industry
*Fee methodology set Tri-County Bw'iding IodnseY 3erviee Board.
t App.doe 10101/09 440.4616r(t0$02►COAllWEn)