Permit (84) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017 00472
Date Issued: 11/22/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 22/201 3800
Jurisdiction: Tigard
Site address: 13009 SW REDFOX TER
Project: River Terrace East,Sales Trailer,Lots 137&138 Subdivision: RIVER TERRACE EAST Lot: 138
Project Description: Plumbing fixtures and 52'of sanitary sewer line for manufactured structure on(2)lots at site address 13009 and
13019.
Contractor: ALLIANCE PLUMBING LLC Owner: ADLV LAND HOLDINGS LLC
PO BOX 386 BY FORSUM, MICHAEL
TROUTDALE, OR 97060 7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
PHONE: 503-899-9912 PHONE:
FAX:
FEES
Quantity Description Date Amount
82 If Sanitary Sewer 11/22/2017 $62.54
Specifics: 1
ea Lavatories 11/22/2017 $25.02
1 ea Water Closet 11/22/2017 $25.02
Type of Use: CMS 1 12%State Surcharge- 11/22/2017 $13.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $126.09
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�JOUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: !l stJ t Permittee Signature: iC9/17 —1✓
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.
Plumbin2 Permit Application
Building Fixtures 1 im Ott It , t 'NI. ()NE'S
, .
City of Tigard Ft LC.f:WED Rereimi ...
Deie/By// 45- /7 1 r-VIP f P'it N/12.147260,7-C20 4/7-24-
13125 SW Hall Blvd.,Tigard.OR 97223
. ' Phone: 503.718.2439 Fax: 503.598.1 ,
7i1 Plan Review
Other Permit tific,/,„241/7-62,,,54,51
Inspection Line: 503,639,4175 "Py 1 3 2017 Dated3y.
1 I SARI) Date Ready/By: 1,./„.., hors 13 See Page 2 for . •
Internet: www.tigard-or,gov Nottfiedimethod,/ LC / / Suppkusental Information =
L.,;iI Y-Ut iGARD ' ' '
' . • .FFFli,°F IltrftfCiltkle,,,.olvIsta &714.7,-/L, iiiiehi7,6-FEE* SCNEDULE
... New construction 0 Demolition For special information use checklist. •
Descriptiori I Qty. I Ea. I Total 4),
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
' CATFOORY OF CONSTRUCTION SYR-Hi-beikik.._-- 312.70
_ 1-and 2-family dwelling gCommerciallindustrial SFR(2)bath 437.78
SFR(3)bath 500.32 rl
0 Accessory building 0 Multi-family ..,
Each additional bath/kitchen 25.02 ‘.3
0 Master builder - 0 Other: Fire sprinkler( sq.ft.) Page 2 I
JOB An ENfORMATION AND LOCATION Site utilities:
.
Job site address: /3D)9, $ 13009 SJ p_pA fx ,7 '
ac Catch basin or area drain 18.76 .iziz,
Drywell,leach line,or trench drain I 8.76 A).)
City/State/ZIP:Tigard,OR 97224 -,
Footing drain(no,linear ft.:_) 4 Page 2 'c)
Suite/bldg./apt.no.: Project name: 1/ T' A . - as Manufactured home utilities 50.03
.....,
Cross street/directions to job site: Manholes , 18.76
Rain drain connector ' 18.76
4.-.. _
Sanitary sewer(no.linear ft.:-,0-7.'7) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft: ) Page 2 ,
Subdivision:IZA\i-ex Te)rrace ---cks-k- Lot no.:131-13i, Fixture or item:
Tax map/parcel no.: Backflow preveriter . 31.27
• DEsoiwnon OF444*43RK Backwater valve 12.51 '
,
1
Clothes washer 25.02
51 -0-- .-i- gavrizei ,,,c,..,-e.-- Dishwasher 25.02
1
----,
Drinking fountain 25.02
Ejectors/sump 25.02
,'':..t • r OWNER 0 TENANT Expansion tank 12.51 I I
Fixture/sewer cap 25.02 i
Name:ADVIL Land Holdings,LIC
Floor drain/floor sink/hub 25.02 I
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
a agigrAcir istssEgig Interceptor/grease trap 25.02
$
gas(value: --1
Business name:William Lyon Homes,Inc Medical ) Page 2
Primer 12.51
Contact name:10 tc,),(\b\?..„ \---)1W)Cli,C, , .i
Roof drain(commercial) 12,51
Addresslb3 PJT1 -14 k.kr-iNk-A S- ' 5)414-e s\O Sink/basin/lavatory i 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
i
Phone:(360)695-7700 . Fax::(360)693-4442 Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:N\,(•_‘\.(-\-iix ":"V\(\ (., 1,, \, 49)0- \(-\, ,,,e5,(Iptn, , WclOset,
/ 25,02
37.52
Business name:Alliance Plumbing LLC
Water piping/DWV 1 56.29
Address:146 W Historic Columbia River Hwy Other: 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal .
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 7,2,s'0 ,
1
Plan review (25%of permit fee)
CCB Lie.:184601 Plumbing Lie.no.:PB732
State surcharge(12%of permit fee) k .70
2 ,
Authorized signature: iTOTAL PERMIT FEE 17 2-0;
....-
Print name:Robert Disbman I Date:5/23/2016 This permit application expires Jr&permit is not obtained within ISt days
after it has been accepted as complete.
*Fee methodology set by Tri-County Budding industry Service Beard
I‘hoildiagahonatadhAU-PentitApo doe WIC/VD9 440-4616T(10/0/COMAVIER) , #.i -.. ,,,,,.. _ .4 11- 7-. A '1 - kin 7
/672_ A/lei-74-4=i.-c.- ///7ejf? "j4(74e,s751-4...,.....
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13009 SW REDFOX TER, BEAVERTON, January 30, 2018 at
OR, 97007 10:58:21 AM
Record Type: Record ID:
Commercial - Plumbing PLM2017-00472
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Corrections completed
Violation Summary:
Inspector Contractor