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Permit (105) IIICITY OF TIGARD PLUMBING PERMIT 11.. . COMMUNITY DEVELOPMENT Permit#: PLM2017 00190 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2017 f tV f. g Parcel: 2S 106DB08000 Jurisdiction: Tigard Site address: 13354 SW SATSUMA AVE Project: River Terrace Northwest,Lot 80 Subdivision: RIVER TERRACE NORTHWEST Lot: 80 Project Description: adding additional water heater. Contractor: MALMEDAL ENTERPRISES INC Owner: WILLIAM LYON HOMES INC PO BOX 207 BY POLYGON WLH LLC BANKS, OR 97106 ATTN GAST, FRED 109 E 13TH ST 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 $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Z ,4-Aeo,APermittee Signature: � l, .2 Z -#4/ 475sil s Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit AnplicatkI 1 CEI v E D Building Fixtures 1(>x <,i I( 1 I �1 avI 1 - City of Tigard MAY 17 2017 ' 7/� /� I "N° 1D .�G�7'C�l^�� u 13125 SW .718.Blvd.,Tigard,503.5OR 7223 Pdm Review tidier Permit No S7i�(e.-(�o 3R3 Phony 543.7182439 Fax: 503.5980tjDY OF TIGF�RD Datdey. wet,. is 1,04tsSee Page 2.. Inspection w Line: 503.639.4175 BUILDING DIVISION �" -lib' for Supplemenaltntormatis Internet vrww.tigandor.gov _ ..;,. „y,• •. ;:,41.:,;:4,'.':•..;,,.,:...:.,,- •...• ;,i'*<'Fx!'�YF' ��:,:r. ...... ... .':;....!....:1.:::•.....,-.:. ... `•., .:1G'�"• ';',.*.;;;!::'[..:'4';',.;'44.45::,'..$.44 �'•:.-.... ,.. ,- New mon ©Demolition For W used ® Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 1008.for each utility connection) •CA °EGQRY'OF CaiV51Ri14'3IO]!1 SFR(I)bath 312.70 :2-familyComnnercialfindusirial SFR(2)bath 437.78 ®.1-and dwelling 0 SFR(3)bath 50032 ❑Accessory building 0 Multi-family Each additional bath/lcitchen 25.02 0 Master builder 0 Other. Pore sprinkler(._.^-sq.f) Page 2 _ . JOB UTE INFORMATION AND'LOCATION', Site utilities: •' 33 S, A t It • a Catch basin or area drain 18.76 Job address V V - Drywall,leach line,or trench drain 18.76 City/State/ZIP:1"igsrd,OR 97224 Footing drain(no.linear ft.:_..,__.) Page 2 Suite/bldgJapt.no.: Project name:R Wer I?r"ea gild.... Manufactured home utilities 50.03 Crass�xf/directions to job site: r Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_„__) _ • Page 2 Storm sewer(no.linear 8'.: ) _ Page 2 Water service(no.linear ft:_) Page 2 Subdivision:giver I e tya(._ N ter-/" Lot no.:W Fixture or I. . : Tax map/paroel no.: B 31.27 Backwater valve 12.51 /t%� 't DP CRF1:1 14 OF-.WOOX: : Clothes washer 25.02 t�Cq fel r i t1 an idd,1 f Y ak Dishwasher ' 25.02 /11372410♦ ✓'tiq3 Drinking fountain 25.02 Ejectors/sump 25.02 - CI TDi3ilArir Expatiatetank 12.51 �'U�pIVER Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLCFloor drain/Soor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031Fax:( ) Ice maker 12.51 • ,•,••®.AI'1'X:iCANT . ' . 0 CONITACE PERSON. I �B�trap 25.02 '' Medical gas(value:S ) Page 2 Business mune:William Lyon Homes,Inc Prima 12.51 Contact name-Mak Dzaoaftr Roof drain(comercial) I2.51 Address:109 East 13th Street Sirnk/basin/tavatory 25.02 Cid:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 /� I Fax::(360/),693-4442 ThWshowe Ishower pan 12.51 Email: &PDf LIILNn9Im'r- Weer closet 25.02 C• R . Water heater 37.52 Business name:Matsuda!Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other 25.02 City/StataJZIP:Banks,OR 97106 Subtotal Minimum permit fee: $72.50 Phone:(503)324-0759 Fax:(503-)324-0580 Plan review(25%of permit fee) . ' CCB Lie.:102535 'Plumbing Lie.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C......---- ..c TOTAL PERMIT FEE Date:04/25/2016 This Aad applindoe expires ire permit is not obtained witbia ISO days Pant name:Carolina Malmedal , attar it has bee.accepted as nom "Fee methodology set by Tri-County Building Industry Say=Board. i.-1134ddingPC5CIPLMU.PorMApp.doe Loaves 4404616t(1O /COTt(WEa)