Permit (29) CITY OF TIGARD PLUMBING PERMIT
° 2. COMMUNITY DEVELOPMENT Permit#: PLM2018-00193
T I(i ,,It.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2018
Parcel: 251060001400
Jurisdiction: Tigard
Site address: 17077 SW APPLEDALE RD
Project: River Terrace East Apartments,Building B Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building B: Plumbing for new 22 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
25 ea Rain Drain Connector 05/15/2018 $469.00
Specifics: 22 ea Clothes Washer 05/15/2018 $550.44
22 ea Dishwasher 05/15/2018 $550.44
Type of Use: MF 22 ea Garbage Disposal 05/15/2018 $550.44
Class of Work: NEW 22 ea Ice Maker 05/15/2018 $275.22
Type of Const: 22 ea Sink 05/15/2018 $550.44
Occupancy Grp: 44 ea Lavatories 05/15/2018 $1,100.88
Stories: 36 ea Tub/Shower/Shower Pan 05/15/2018 $450.36
36 ea Water Closet 05/15/2018 $900.72
22 ea Water Heater 05/15/2018 $825.44
1 Plan Review 05/15/2018 $1,555.85
1 12%State Surcharge- 05/15/2018 $746.81
Plumbing
Total $8,526.04
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: Permittee Signature:
_ mug? e, Gam' •P,17'"711-/e r/C?�
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.
Plumbine Permit Ant____41.1icatio ECEIVED
Building Fixtures FOR OH It l: 1 NI (Yl )
City of TigardReceived ,i
APR 25 2018 7
Date/By: ' 27 ..--fW1-15-47-rin't
. NiPi./10,?0/GP-00/9--3:i...,
, , , 13125 SW Hail Blvd.,Tigard,OR 97223
11111
Plan Review- • Phone: 503.718.2439503.59CITY OF TIGARD DateBY: - -'I 40.4 - °tkl.PennStele.,20/te--. 7C242/ ;
Inspection Line: 503.639.4175
NpalReady/By;
diM7/, s-
T i u 'D Juri lig See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO
Supplemental Information
ntfie4197;F:
- - OF WORK é7,9-i Ab 661-0 t C.- FEE*•SCHEDitE
TYPE
reS3 New construction 0 Demolition For s, dal in ormation use checklist
Descri i lion IMINIEMI Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection)
• .
CATEGORY OF.CONSTIftECTION - SFR(1)bath 312.70
----I
437. 8 MN
la I-and 2-family dwelling 0 Cornmercialfindustrial SFR(2)bath
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 SOB INFORMATION AND LOCATION Site utilities:
.
, . . . . . .
Catch basin or area drain 18.76
Job site address: Af /
' 0 „_.... .
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Filiffkr
8 cl: apt no.: 6 Project name:/ivcr _ If' , • _ ,Ai
Footing drain(no.linear ft.:
, Manufactured home utilities i
, 50.03 ---;
Cross Iiir, 1/directions to job site:
Manholes 18.76
Rain drain connector 18 6 r'' 5 -7 ,
Sanitary sewer(no.linear ft.: ) Mili
Storni sewer(no.linear ft: } 111.111 Page 2
Water service(no.linear fl.: ) 112211
Subdivision: 0 ' a * Lot no.: Fixture or item:
. au._ - _ l'i 112
Tax map/parcel no.: Backflow preventer
IIIIIIIIEIEI -1
CRIPTION • Backwater valve 12.51
, DESOF WORK
• ' ''• ' Clothes washer 25.02 5`50,lilt
:--
t t .... - • 6
Dishwasher I Z.Z. 25.02 •cch 4.4 I-e--
I JO _NIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Drinking fountain
Milirit 6
25.02
Ejectors/sump 25.02 ME
. .
,4 pacsintry"
OWNER _ 0 itivANT Expansion tank Wan=
- ,
. ..
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 5.02
Address:7600 E Doubletree Ranch Road
•
Garbage disposal .... ') r" 25.02 —56 q'
City/State/ZIP:Scottsdale,AZ 85258
Hose bib 25.02
Phone:(602)694-4031 Fax:( )
COM11.11111111111111nar 1151 99 S:•',),.:›1 i
•;
ans 4a, ' ' •• - • w.coorraci*Estim Interceptor/grease trap 25.02
. r-re
. .
, .. . , .
Medical'
Business name:William Lyon Homes,lac gas(value:$ ) Page 2
Primer
Contact name: i Iv - ih 0 , -
Roof drain(commercial) MIR=
Address:1 D 3 coro• , .. A t It 6
Sink/basin/lavatory iir 11111V191 25.02 i jt:S'i.
City/State/ZIP:Vancouver,WA 98660
Solar units(potable water) ' 62.54 .
--4
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 3 fa=456, 36 i -
Wateroloset. - ii. Eat - , ni . •Itk A Ai - AA IEME11.11111111111111111111 251)2 I
. _
•
WM 25,02 16C..17). I---
• ,„ : , , , ,, water heater
. .
aim i e j 4
r ' '
Business name:Alliance Plumbing LLC
Water pipmg/D 1 56.29
Address:146 W Historic Columbia River Hwy
Other: 25.02
City/State/ZIP:Troutdale,OR 97060 IIIIIIIIIrSubtotal --4
,)).2
Phone:(503)492-3490 Fax: 503
f /912-6438 1111111111r Minimum permit fee: $72.50
CCB Lic.:184601 AIM Plumbing Lic.no.:P11732 ENV Plan,review (25%ofpermit fee) 15.55,85 I
WStatesurcharge(12%of permit fee) r/q6.tli 31----
Authorized signature: Ph TOTAL PERMIT FEE
,,R
Print name:Robert Dishman Date:5/23/2016 ,/This permit application expires ire permit is nor obtained within MO days
i lifter it has been accepted es complete.
*Fee methodology set by Tri-Coinny Building industry Service Board
,
2 ,1 i 1 iliuildingTeriiiitsTIALLNermitApp.doc 10101/09 440-4616T(10/02/COM/WtES) '..4 1‘`i C Vti..i.- i p,k
44 t.--
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17077 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Plumbing PLM2018-00193
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Provide clean outs for rain leader's as per sec.1101 .13.1 OPSC
2. Provide test results for back flow device located in riser room.
3. Provide clean out body's and plugs for storm and San sewer.
4. Plumbing final approved with correction's, call when complete.
Violation Summary:
Inspector Contractor