Permit (104) CITY OF TIGARD PLUMBING PERMIT
`!'� ,..- COMMUNITY DEVELOPMENT Permit#: PLM2017-00195
T[G tt D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2017
Parcel: 2S 106D B08800
Jurisdiction: Tigard
Site address: 17415 SW SABRINA AVE
Project: River Terrace Northwest,Lot 88 Subdivision: RIVER TERRACE NORTHWEST Lot: 88
Project Description: Adding additional water heater.
Contractor: MALMEDAL ENTERPRISES INC Owner: WILLIAM LYON HOMES INC
PO BOX 207 109 E 13TH ST
BANKS, OR 97106 VANCOUVER,WA 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 503.232.1987ALMdt,eieS-4
or 1.800.332.2344.
Issued By: Permittee Signature:
AZ- Sec-- CG (�To'
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 Atmli
ciltECEIVFD
Building Fixtures ,u1< tit 1 1( 1 t `,1 +)\11
• City of 1`igard MAY 17 2017 /DeteiBT ¢ Permit J4.:� ,�t�/J- /c/c--
l 13125 SW Hall Blvd.,Tigard,OR pynReview
` /7 /""
Phone: 503.718.2439 Fax: 503�F TIGARD p Aly: QtberPamit �7{)I, �i )Ij
inspectionrioe: 503.639.4175 BUILDING DIVISION DmeReady/ep: el SeePMye2for
Internet www.tigerd or.gov Natibed/Metbod Snppkmmul information •
..'•. e. r'. ! r SFR-:a ;• ?
®New construction ' fl Demolition For rpeoQI WorynotiOn nettle
Description I Qty. I Ea. I Total
p Additica lalteration/replacement 0 Other New 1-2-family dwdiiugs(includes 100 IL for each utility connection)
CATEGORY-OF CONSTRUCTION' SEE(I)bath 312.70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bah 437.78
SFR(3)bath 500.32
p Accessory building ❑Mehl-family Each additional barb/kitchen 25.02
0 Master builder 0 Other. Fin sprinkler(Y_sq.g,) Page 2
•. JOB 1411'E INFORMATION`PI,ND'LOCATION Sib utilities:
kb site address'1746 Sw Sabrina. Ne_. rDrywCatcb basin anst drain
dl or line,or trend drain 18.76
18.76
Ci tate/ZTP: rd*OR 97224 r
_ Footing drain(no,linear ft.: ) Page 2
Suitelbldgfapt no.: Project name:gi V[�1e,. 1 r'o(�pl_�_- Manua home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
' Sanitary sewer(no.linear ft.:_J Page 2
Storm sewer(no.linear It:___) Page 2
_ Water service(no.linear ft:.. ) Page 2 ,
Subdivision:1,/er I rraCt.. Ait te„c-f` rot no.:Be Fixture or item:
Tax map/paroel no.: B PrC16n 31.27
' a
- . ' AESCRiPTION OF WORK. .• ; Backwater valve 12.51
ll Clothes washer 25.02
9vrifilin A {, 4 V , i t • �/ _al-tiv' Dishwasher 25.0'2
�yb ''. Drinking fountain 25.02 t
r W Ejectors/sump 25.02
OW • Expansion tank 12.51
"'',;PROPffi�'I` JgIitR � . • �. • 0 TEJANT 25.02
Name:AAVL Land Holdings,LLC Fixture/sewer cap
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Read Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694.4031 I Fax:( ) Ice maker 12.51
;_..APP1t:14CANT 0 COT]TAf'i PERSON trap 25.02
Business name:William Lyon Homes,Inc Modica gas(value$_) Page 2
L'k Primer 12.51
Contact uameNithiAlk Roof drain(commercial) 12.51
Address:109 East 13th Street Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 90660 Solar units(potable water) 62.54
Phone:(360)695-7700 /� 1 Fax::(360)693-4442 Tub/shower/shower 12.51
E- : Nichere:Thorpe vl y�rnh s W closet 25. 2
.
CONTRACTOR• , Water heater i37.52
Business name:Maimeda!Enterprises Inc. Water piping/DWV 56.29
Address:PO Box 207 Other. 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.:102535 'Plumbing Lie.no.:34-276PB
State surcharge(12%of permit fee)
Authorized signature: Cr..- - TOTAL PERMIT FEE
Date:04/25/2016 The pmt application expires If a permit is rot obtained within t80 der
Print name:Carolina Malmeda! Mier it las been accepted es complete.
'Fee methodology set by Fri-County Sodding Industry Service Hood.
L.B,,lemlOmichd9tMU-PamhApp.doe 10101/09 440-4616r(10102/COM/WEB)