Permit (91) CITY OF TIGARD PLUMBING PERMIT
111 COMMUNITY DEVELOPMENT Permit#: PLM2018-00196
13125 SW Hall Blvd.,Ti Date Issued: 05/23/2018
TIGARD OR 97223 503.718.2439 9
Parcel: 251060001400
Jurisdiction: Tigard
Site address: 13239 SW 169TH AVE
Project: River Terrace East Apartments,Building F Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building F: Plumbing for new 21 unit apartment building.
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
17 ea Rain Drain Connector 05/23/2018 $318.92
Specifics: 21 ea Clothes Washer 05/23/2018 $525.42
21 ea Dishwasher 05/23/2018 $525.42
Type of Use: MF 21 ea Garbage Disposal 05/23/2018 $525.42
Class of Work: NEW 21 ea Ice Maker 05/23/2018 $262.71
Type of Const: 21 ea Sink 05/23/2018 $525.42
Occupancy Grp: 45 ea Lavatories 05/23/2018 $1,125.90
Stories:
36 ea Tub/Shower/Shower Pan 05/23/2018 $450.36
36 ea Water Closet 05/23/2018 $900.72
21 ea Water Heater 05/23/2018 $787.92
1 12%State Surcharge- 05/23/2018 $713.79
Plumbing
Total $6,662.00
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: /`6rK- Permittee Signature: �� /L,pe-Llet
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 ApplicationtRE :
.
Building Fixtures doic,--4//..2_. - .2 ote I-4)1 of i JCL 1 SI ()NI.)
City of Tigard I,ApR2 'eiz a01 8
1111 13125 SW Hall Blvd.,Tigard,OR 9'7223
: Phone: 503.718.2439 Fax: 503.598.19EITY Date,ST 7:7. Z 7 / ..- ' r Permit)(94/7e2eJief*--. )(2/7,6 'I
fIrtrificiaftr Reyv:iew,....,...40_ip 4:14._ other perthiiiii/202:44:f_em:42 y i
Inspection Line: 5)3.639.417'5 It'-7'int .,., I. a c 1 Ready,Th,:
Internet: www.tigard-or.gov 1.1i4t44il`e.;,,11 1-'' ' f-,‘ ' III'li'fiedihdetico0 7 /ce ..e.W54 i sitpple:fiertm2 Ifenrformation
.... ... -
TYPE OF WORK •-7/(4• k ,thet.' . --.---, . FEE*SCHEDULE ,
I. New construction CI Demolition For special information use checklist
Description Qty. I Ea. 1 Total
0 Addition/alteration/replacement 0 Other: New I-24amily dwellings(includes 100 ft.for each utility connectionl
, .
CATEGORY OF CONS-111E7070N SFR(1)bath 1---- 3)/.70
---'
SFR(2)bath 437.78
fa I-and 2-family dwelling 0 Comatercial/inclustrial
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen
25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
. .
JOB Sift INFORMATION AND LOCATION Site utilities:
/ JP ,
Job sit.e address:i 3-7,39 ,)v\I hp 9 ill 1‘ Catch basin or area drain 18.76
. Drywell,leach fine,or trench drain I
18.76
City/State/ZIP:Tigard,OR 97224
Suite, Idg L no.: F-
C)ip Footing drain(no.linear ft.: )
I Project name:River Terrace.tasi-CA)Aci , Manufactured home utilities I Page 2
50.03
Cross street/directions to job site: Manholes L 18.76
Rain drain connector i fl ,,7 18.76 3
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: 1 I Page 2
Water service(no.linear ft.: _) 1 Page 2
Subdivision: RNer-r. yyrice_ cmyvioks 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer
31.27Backwatervalve 1/
12.51
' DESCRIPTION CW'WORK
Clothes washer 2.1 25.02 525,4.) -
Dishwasher i I 25.02 T:i 5,er,t. I.
Drinking fountain f 25.02
Ejectors/sump ji 25.02
:'5 PliltalMar tyWrittil - Expansion tank 12.51
Fixture/sewer cap 25.02
Name:ADVL Land Holdings,LLC 1
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal „1„ 1 25.02 ss.9,;t
City/State/ZIP:Scottsdale,AZ 85258
Hose bib i 25.02
Phone:(602)694-4031 I Fax:( ) Icemaker ( 12.51 4i,16.) /7(
' NI Ainocinct rl icsanker *so Interceptor/grease trap 25.02
•, .
Medical gas(value:$ ) Page 2
Business name:William Lyon Homes,Inc
Primer 12.51
Contact name:Mic,ho te.11.)orir...
Roof drain(commercial) 12.51
Address:-ID 3 VyroactwaAi SA- Su-iAt. •11) Sink/basin/lavatory t 0 liolgr:// 25-02 /16 51,3;1 I -
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) -1 1 62.54
Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan -- ,- 12.51 45-C i 36 -
Urinal 1 25.02
E-mail: '
• . ' PAI/ . s ell a As- 611
:" (ta 25.02 C/CC .j /. -
. • • , Water heater 2.,i 37.52 yie,?,q, -
Business name:Alliance Plumbing LLC 1
Water pipMg/DWV / 56.29
Address:146 W Historic Columbia River Hwy Other: I 25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal 5-q4p )1
i
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
/ z - /2 Plan review (25%ofpennit fee)
CCB Lic.:184601 Plumbing Lic,no.:PB732
State surcharge(12%of pennit fee) 17/3,761
Authorized signature:
TOTAL PERMIT FEE LC .,t,uo/
Print name:Robert Dishman Date:5/23/2016
This permit application expires if a permit i5 not obtained within ilia days
after it bas been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board
I 113uildirterermitAPLMLI-PermitApp doc 10/01/09 440-4#16T(10/0/CONYWEE) ..-..v_ = ).-
= 4 .',/-
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17181 SW SNOWDALE ST, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Plumbing PLM2018-00196
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction's are complete, plumbing final-Approved ( Bldg. Shell Only ).
Violation Summary:
Inspector Contractor