Permit CITY OF TIGARD2. PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018 00145
Tf ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/11/2018
Parcel: 251060001400
Jurisdiction: Tigard
Site address: 17051 SW APPLEDALE RD
Project: River Terrace East Apartments,Building A-Clubhouse Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building A:Interior plumbing for clubhouse and 7 apartment units.
Contractor: ALLIANCE PLUMBING LLC Owner: POLYGON WLH, LLC
PO BOX 386 703 BROADWAY ST, SUITE 510
TROUTDALE, OR 97060 VANCOUVER, WA 98660
PHONE: 503-899-9912 PHONE: 360-695-7700
FAX:
FEES
Quantity Description Date Amount
19 ea Rain Drain Connector 04/11/2018 $356.44
Specifics: 1 ea Backflow Preventer 04/11/2018 $31.27
7 ea Clothes Washer 04/11/2018 $175.14
Type of Use: MF 7 ea Dishwasher 04/11/2018 $175.14
Class of Work: NEW 2 ea Floor Drain/Floor Sink/Hub 04/11/2018
$50.04
Type of Const: 7 ea Garbage Disposal 04/11/2018 $175.14
Occupancy Grp: 7 ea Ice Maker 04/11/2018 $87.57
Stories:
1 ea Primer 04/11/2018 $12.51
11 ea Tub/Shower/Shower Pan 04/11/2018 $137.61
13 ea Water Closet 04/11/2018 $325.26
8 ea Water Heater 04/11/2018 $300.16
7 ea Sink 04/11/2018 $175.14
15 ea Lavatories 04/11/2018 $375.30
1 Plan Review 04/11/2018 $594.18
1 12%State Surcharge- 04/11/2018 $285.21
Plumbing
Total $3,256.11
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: h
_ � ; Permittee Signature: _ ` n��C/���0 /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I.
Plumbing Permit AppJicatu 1,'
Building Fixtures Hilt Oil RE I SI; ()NIA
City of Tigard,11 DeaR ci:i/ovedy. 41 •q7,--- Permit No,:ilicri,k i,p.a..)/is. 13125 SW Hall Blvd..Tigard,OR 9722PAR 2 8 20 18 iiii I
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 , Date/By; 4...4...../8 04. Other Permit No. 'fi:4 g ...i.,
- Inspection Line: 503.639.4175 1„. 3 .. • ; ,' Date Ready/By: i_, Juris- FZI See Page 2 foe
T I GA I41)
Internet: www.tigard-orgov . . ,,., Notified/Method:7 („iir Ayr" 7- Supplemental Information
' . iliiik ':t'illiNlii" ' ' i 'f-'
TypE O1 ,.ft• 'A-, - A't". 1,,--11 t., IAA ''..--,.. FE *,, ',$ 41:01JLE
New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
Ej Addition/alteration/replacement 0 Other: New I-2-family dwellin• (includes to()ft.for each utility connection)
OkfEOOWV O CII7ClitOli. ,..:';;k,;:," , SFR(I)bath 312.70
0 1-and 2-family dwelling ommercial/industrial SFR(2)bath 437.78
SFR(3)bath 50032
0 Accessory building El Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOU 'mu 04)1iift*WON AnicocMiejit, .: ,g ; . . site utilities:
/44/9. ,I) I Catch basin or area drain 18.76
Job site address: i 705/ JJ Li- F-Of
Drywall,leach line,or trench drain 18.76
City/State/ZIP: c--7--
/// / l'..- Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: V J Project namegi‘fer rerlrette. c...r).1.4 OrIclOXVOdlittnufrietured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Ad / (91/4-e, Rain drain connector 161 18.76 lg‘,4et
4. .
Sanitary sewer(no.linear ft.: ) Page 2
/
Storm sewer(no,linear ft.: ) Page 2
4
, • Water service(no.linear It: ) Page 2
subdivisiongivtr-r,„eiarj. ie....6v( Avaaetonte,Ats Lot no.: Fixture or item:
Tax map/parcel no.: RacklIow preventer 1 31.27
• DRI /O1+41 W.Q4K ' ... •, Backwatervalve 12.51
ptkkotlaof) vs
11 _
,..' ' '' Clothes washer 4. 25.02 /95,14-cafPV, m de
Dishwasher '' . 25.02 1 7.5:1 ,7 i
'A.)k•4 i,. ),, Drinking fountain
- 25.02 ,
I
4 /
g#1.-1<flU20 Ejectors/sump 25.02
10 PROPERTY OWNER ' • • ' :': b.-4EP/ANT :,„,,,,..,1... Expansion tank 12.51 ..-
Fixture/sewer cap 25.02
Name: illo• .410-1 WLAttiL
Floor drain/floor sink/hubZ 25.02 Sb.
Address: 10'g 4 I) 4. ' St-St1it.. .,50
Garbage disposal 7- 25.02 /Z5-,/tt ...,
City/State/ZIP: .i.i., CI ago A 6 Hose bib I)
25.02
Phone:NO- )4CAS--1-1C0 Fax:( ) Ice maker 12.51 y „.)-- --
-v-CONTACt PERSON Interceptor/grease trap 25.02
Business name: 1 ... kv. . .......
Medical
idar:gas(c(ovmai u:e rS ) . Page2It4UPrimer
i :11
1 61
Contact name: 'rivote_ -11,A. e„.
Address:-it* trdat it...,,..A_,,, .,. 2, 411 1 SinkibasinilavaloaMINFr
gl 25.02
City/State/Z1P: 4 Oume k A- - f) 40 Solar units(pot..le vv:t-.0 62.54 g 50,44„.I.,--
Phone:M )11/490i5-- Fax::( ) Tub/shower/shoss . If 12.51 4.3-71-ye-4
" Urinal 25.02 /3'1. k-.1 --'
IlaiLiViir, .... -Thirilrteeliirfift 41,11401/e.: . ,;,14)4fatiiik Wterclosct
13 25.02 3 75,ztoz-.
, ....,,,,........,.. ,. ,, ..,.
, , Water heater
" 37.52x-yec-,-...,1 C.. f
Business name:Alliance Plumbing,LLC
Water pming/DWV 56.29 f
Address:146 W Historic Columbia River Hwy Other: 25.02 ,
City/State/ZIP:Troutdale,OR 97060 Subtotal aelTt,,,,,
0
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
Plan review (25%of permit fee) 5:4 (.I
CCB Lie.:184601 Plumbing Lie,no.:PB732
Authorized signature: g ** ----. State surcharge(12%of permit fee) ,)
TOTAL PERMIT FEE
Print name:Robert Dishman Date:3.21.2018 This permit application expires if a permit is not obtained Within1ISO days
after it has been accepted as complete.
'Fee methodology set by Tri-County Building Industry Service Board.
EEluildingWermits1PLItitt-PermitAppdoc 10/01M9 440-46167110102/COMME0)
.
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule:
Residential Fire Superession Systems:
4itilftlitaiX1 7'7.! -0-'4:r-6*-f 7 Z"i19,04Liz14,#.141\ lot*, Sqiire FOlitigin7e:''''
Footing drairt-Pi 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
,
Sewer-1st 100' 62.54
— .
7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54
Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 6234
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
041 0iIiiiiPeOkinie0i*iiii: „ Cit::47#:-Cti* - 10,4 each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for
$1.0,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr
each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour)
and including$25,000.00.
Inspections outside of normal business 90.00/hr. $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours)
each additional$100.00 or fraction thereof to
Reinspection Fees 90.00/hr
and including$50,000.00.
Additional plan review for revisions 90.00/hr.. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour)
each additional$100,00 or fraction thereof.
Subtotal;
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity by Fixture Type ' '-'r AlaillfiP/OW'f0i lqfifilliliglliStltliatiOnS' ,..'
Fixture Type for -' - Ren1figei
Work Performed: caPPO Addgik Plan review is required for any of the following.
, ROW*
Please check all that apply.
Baptistry/Font
Bath -Tub/Shower 0 Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool " greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial El Medical gas and vacuum systems for health care facilities,
-Domestic (:.:3 Any multipurpose fire sprinkler system.
Drinking Fountain
0 Any complex structure as defined in OAR918-780-0040
Eye Wash
Floor Drain/sink -2" / AR Fir, Submit 2 sets of plans with any of the above.
Potsi R.dots... -4" / 44` "h"
Car Wash Drain
0 Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial--food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
6 t.-4/31/-az..s-6.-:-7.7 ....!-- (-9 4-1-17-: -2-:,)
Shower -Gang
G-tf'S -c—f-S
-Stall
/
Sink/Lay -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EBUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal
plumbing permit can be issued.
,
Other Fixtures:
CAUsers1gavirilOneDrive-Alliance Plumbing\DocumentsWire SprinklersRTNCity of Tigard Perrrtit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17051 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Plumbing PLM2018-00145
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Bldg. A , correction's are complete, plumbing final approved.
2. 1 " Febco DC model 850, serial # 18005, for irrigation, located in riser room- approved
with test
2. 2" Watts DC model 007M1 QT, serial # 038301 , for Bldg supply, located in riser room-
approved with test.
3. 3/4" Watts RP device model LF009M3QT RP , serial # 170478, for make up water to
pool, located in pool room- approved with test
Violation Summary:
Inspector Contractor