Permit (113) CITY OF TIGARD PLUMBING PERMIT
IN
2 - COMMUNITY DEVELOPMENT Permit#: PLM2018-00144
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2018
Parcel: 251060001400
Jurisdiction: Tigard
Site address: 17043 SW APPLEDALE RD
Project: River Terrace East Apartments,Building C Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building C: Interior plumbing for building C-12 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
21 ea Rain Drain Connector 04/17/2018 $393.96
Specifics: 12 ea Clothes Washer 04/17/2018 $300.24
12 ea Dishwasher 04/17/2018 $300.24
Type of Use: COM 12 ea Ice Maker 04/17/2018 $150.12
Class of Work: ALT ea Sink
Type of Const: 12 04/17/2018 $300.24
22 ea Lavatories 04/17/2018 $550.44
Occupancy Grp: 18 ea Tub/Shower/Shower Pan 04/17/2018 $225.18
Stories:
18 ea Water Closet 04/17/2018 $450.36
12 ea Water Heater 04/17/2018 $450.24
12 ea Garbage Disposal 04/17/2018 $300.24
1 Plan Review 04/17/2018 $855.32
1 12%State Surcharge- 04/17/2018 $410.55
Plumbing
Total $4,687.13
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: 4\�0
Permittee Signature: /
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 Application
Building Fixtures 01 i ,/,:tk 1 ?
1,01,i OH It'I. l',4'. ()NIA
l't.
City of Tigard Receiver • . Permit No.• Z. #,,A ) ...C.t.„,
..drar
, 9 13125 SW Hall Blvd..Tigard,OR 97223 , 9 ‘„"s ?Hr, pDat,„ R:„1 ir
: I Phone: 503.718.2439 Fax: 503.598.1960 MAT\ 44 t ''' . 6;t-e,iii;,.e A.4,4 g CS Permit
Tit, N.46/4.20/e,..0009dlt,
71
_Altn Inspection Line: 503.639.4175 -"r
, _, ..,,, :,':, \i' ,,wate Ready/By: ,a/ / ...471- ,,loris 1 Ft!See Page 2 for .
Internet www.tigard-or.gov 'i;1' c ' • _, N,Afied/Melliod:/ /27/ef "iti--/r- 7.--re supplemental information
TYPt 00 WORK 7--' It„N:1314.V1 v°' ;t- •/t/o ..e#04E"' ,PEE, g6r*OH-Lt
poihN1,,,tit . riv 4 -, For s riai in or,roorion as e dire/dist,
ew construction i__i &ahem
Description Qty. I Ea. i Total
0 Addition/alteration/replacement 0 Other:
New I-2-fairilly dwelliny.(includes 100 ft.for each utilit connection) ..%
CATEaOHlt OF 01: ',° , ;ItrIN:'',..'. ,K-7 k '- ,-.,", SFR(I)bath MI 312.70
0 1-and 2-family dwellingommerm
V •
* . al/industrial SFR(2)bath 437.78
SFR(3)bath
500.32
0 Accessory building 0 Multi-family
i_. Each additional bath/kitchen 25.0
0 Master builder
u Other:
Fire sprinkler( sq.ft.) Page 2 Q)
J011',SITP:: 44*Ifithl ANIk.Li3COOPZ. '"''7 '-'?' ' ''''''''' '''' Site utilities. st,
Q
Job site address: /
'7(,5/.73 JA)49tcht_i_2_ £4 Catch basin or area drain 18.76 (;)
Drywell,leach line.or trench drain 18.76 \•)
City/State/ZIP: -- '-4,est
Footing drain(no.linear ft.: )
Suite/bldg./apt.no.: :/i /
Project Ilamegiere
lte -rrette, r rAii tkpc, . ,---,anufactured home utilities Page_
50.03
Cross street/directions to job site:
Manholes 18.76 11.1
; r
/ 4 Ai/7-S Rain drain connector 18.76 3,73,qt
I,-
Sanitary sewer(no.linear It.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2 I
Subdivisiongivbr.-17lefAlitturrovots I Lot no.: Fixture or item:
Back.flow preventer 31,27 I
Tax map/parcel no.:
alb
„ BaekWater valve 12.51
TIESCRIITION-OF WOEIC '' '
Clothes washer 12. 25.02 300t 2 - 1
IP ,
it 4,lit alk lit fit 144 L ‘ tAa Dishwasher III 25.02 30,0
11/41\rin'1 k Drinking fountain 25.02
_
i:
Ejectors/sump 25.02 -
,PROPERTY OWNER , ,::'A. ' :,, :: a 14144A* : ,- : Expansion tank
12.51
Fixture/sewer cap
25.02
Name: Ort w 1 4 i 1 r
--tt-k-v-
Floor drain/floor sink/hub 25.02
Address: i tkivit dre.., * : 'P.... 0
Garbage disposal t Z. 25.02
city/state/zip:VIWOUVer Vkliq ' IP i fr 6 Hose bib
25.02 i
Phone: A ) Or -1111 Fax:( ) lee maker Ili 12_71 /50‘/, -1
d co4tAet 0-60,0hr , Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: ?
Primer , 12.51 I
Contact name: kr ' - IA 0 t •
‘'
Roof drain(commercial) LA , t/.5 12.51
Address: 6111 it., . , 11
Sink/basin/lavatory 1 ' era 25.02 850, ..8
City/State/ZIP: it A i lame # # 00
Solar units(potable 'atell 62.5
Phone:31,0 )(fic.,... #6 Fax::( ) Tub/shower/shower pan iil 12.51 15,,,0 --
E-mail:Alit/10 It ThorgrieLrhontes .torn Water closet
3
litreill
Business name:Alliance Plumbing,LLC
Water piping/DWV
Address:146 W Historic Columbia River Hwy Urinal
Other:
- ' Water heater 25.02 g 50.
IRE!' 3752 Mai----
11132111 :
25.02
City/State/ZIP:Troutdale,OR 97060
Subtotal I ,1
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 e
Plan review (25%of permit fee) '''55,3).
i CCE Lie.:184601 A Plumbing Lie.no.:P8732
Authorized signature: '-." .----- State surcharge(12%of permit fee) (0,5 5
TOTAL PERMIT FEE 'g'il 7,/3
1 This permit application expires ire permit is not obtained within 80 days
Print name:Robert Dishman Date:3.21.2018
after it has been accepted as complete.
*Fee methodology set by in-County Budding Industry Service Board.
I 4BuddinglPen1itstPLMU-PermitApp dot 10/01/09 440-46161110/02,r0M/WEB)
r
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule:
Residential Fire Suppressionression
Systems.,44-,1111404.;;:::;,111 > t* tee fes P " ,Wiget ei;IIiitIe@.Fopting drain-1"100' 50.03
0 to 2,000 $121.90
Footing drain-each additional 100' 37,52 2,001 to 3,600
Sewer-I st 100' $169,69
62.54 3,601 to 7,200 $233.20
Sewer-each additional 100' 7,201 and greater $327.54
37.32
Water Service 1st 100' 62.54
Water Service-each additional 100' 37.52 Medical Gas Systems
Storm&Rain brain-1st 100' ''i FOB: (:
62.54 i< f: ik i '_ ..
Storm&Rain Drain-each additional 100° $1,00 to$5,000.00 Minimum fee$72.50
37 52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
! .Spee kor' ei 00! -t;" Q 41;#-") 'fota� each additional$100.00 or fraction thereof to
Inspection of existing plumbing or for and including$10,000.00:
$10,001.00 to$25,000.00 $148.50for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to
Inspections outside of normal business 90.00/hr, and including$25,000.00.
hours(minimum charge-2 hours $25,001.00 to$50,00000 $379.50 for the first$25,000.00 and$1.45 for
each additional$100.00 or fraction thereof to
Reinspection Fees 90.00/hr
Additional plan review for revisions and including$50,000.00.
(minimum charge-1/2 hour) 90.00/hr. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof.
Subtotal;
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If i4yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*..
QUtkn#[� Ur Fixture Type' � -*lei'�m 1 1 t � .a
e dif FlxtartT a for " Rp ,
Work 'erformed: ., caPPW Added ate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath Tub/Shower ❑ 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 exteriorlumbin site utilities for any complex structure
Cuspidor/Water Aspirator Dp g
Dishwasher Commercial as defined in OAR918-780-0040.
- omestic 0 Medical gas and vacuum systems for health care facilities.
Drinking Fountain 0 Any multipurpose tire sprinkler system.
Eye Wash 0 Any complex structure as defined in OAR918-780-0040.
Floor Drain/sink -2'
Submit 2 sets of plans with any of the above.
n
Car Wash Drain '" ii t ,+ r 9m'.Uiagralln
Garbage Domestic-noa-food
0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station Comments regarding fixture work:
Shower -Gang
-Stall
Sink/Lav -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 EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal
Other Fixtures: plumbing permit can be issued.
C:\Users\gavin\OneDrive-Alliance Plumbing\DocumentsWire Sprinklerst`fi'rCity of Tigard Perntit.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17043 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Plumbing PLM2018-00144
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 .corrections are complete, plumbing final for Bldg C - approved
2. Note: call when rain leader clean outs are complete.
Violation Summary:
Inspector Contractor