Permit (31) CITY OF TIGARD PLUMBING PERMIT
IN I COMMUNITY DEVELOPMENT Permit#: PLM2018-00194
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 05/15/2018
Tk1R.IJ 9
Parcel: 251060001401
Jurisdiction: Tigard
Site address: 13265 SW 169TH AVE
Project: River Terrace East Apartments,Building D Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building D: Plumbing for new 12 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
18 ea Rain Drain Connector 05/15/2018 $337.68
Specifics: 12 ea Clothes Washer 05/15/2018 $300.24
12 ea Dishwasher 05/15/2018 $300.24
Type of Use: MF 12 ea Garbage Disposal 05/15/2018 $300.24
Class of Work: NEW 12 ea Ice Maker 05/15/2018 $150.12
Type of Const: 12 ea Sink
05/15/2018 $300.24
Occupancy Grp: 21 ea Lavatories 05/15/2018 $525.42
Stories: 18 ea Tub/Shower/Shower Pan 05/15/2018 $225.18
18 ea Water Closet 05/15/2018 $450.36
12 ea Water Heater 05/15/2018 $450.24
1 Plan Review 05/15/2018 $834.99
1 12%State Surcharge- 05/15/2018 $400.80
Plumbing
Total $4,575.75
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: r / Permittee Signature: "7479/94.7C"'
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 ApplicationRECEIVEL
Building Fixtures FOR 01 1 IC r 1 sl 0\1 )
City of Tigard 4 PR 25 2018 zR ,43eivedy, y/, --;;//of x6ile Permit N,ozyti evef- c2/9 Y i
, ,..._ 13125 SW Hall Blvd.,T 1: igard,OR 97223 11
Phone: 503.718.2439 Fax: 503.598. / TY OF TIGARD Plan ReviewDateBY, s-i-/PI, 04 Other Permit lici4/4;20/4af-,0e4Z2 I
R D Inspection Line: 503.639.4175
MI I:apple:1V trformation
Internet: www.tigard-or.gov BUILDING DIVISIOrigf=titt-F?fil"- ^z!--
TYPE,OF WORK --t=7. tg,Y1 Y--1 „,k/ii,eiite,i_ " Fh7E*-sattnitu I
I New construction El Demolition For special information use checklist
.- Description I Qty. I Ea. I Total l
0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft,for each utility connection)
CATEGORY OF CONSTPUCEION SFR(I)bath I 312.70
----
437.78
fa I..and 2-family dwelling E1 Commercial/industriSFR(2)bath al
SFR(3)bath 500.32
0 Accessory building 0 Mob family
Each additional bath/kitchen
I25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 3-LCos- ,skij I 9Th Catch Catch basin or area drain 1-1-18.76
r . Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2 I ,
Suite )apt.no.: 0
Pmject name;RIVCr TnraCe-EOSA-Cana i Manufactured home utilities I
ji 50.03
Cross street/directions to job site: Manholes 18.76
---
Rain drain connector (F tZ 18.76 3 57 4C,
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: } Page 2
Water service(no.linear ft.: ) 1 Page 2
Subdivision: R Noe-r.e/rnice.. Es--col\clos Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
• - •OF WORK Backwater valve 12.51
DESCRIPTION
/ ---
1-iv- 25.02 t-3(-,':(\ ,, et
Clothes washer
Rop-u ti - bo093 /-2_. ' Ai/73
Dishwasher t 2._LV' 25.02 3cio
Drinking fountain 25.02 ,
Ejectors/sump 25 07
17 . -
, ,
:i "wry
ow _ , 0 TviANT Expansion tank 12.51 1
• ... . .
Fixture/sewer cap li 25.02
Name:ALM.,Land Holdings,LLC
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal i,,,,,l. 25.02 .:30c,,„4 q
City/State/ZIP:Scottsdale,AZ 85258
Host bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker Ja7 12'51 /16!- il
8 ArforAN, • cycorraor room Interceptor/grease trap , 25.02
. ,.• . , , , ,
Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2
ir
Primer ' 12.51
Contact name:N)ichote.-Thorct, _......
Roof drain(cornmercia_ I ralillEall -
Address:1D 3 3rOacbaJeiti Si- Suat. -‘,1") p.,-
Sink/basin/lavatory 1 ft 1 34 r 25.02
City/Statei21P:Vancouver,WA 98660 Solar units(potable wer) I 62.54
_
Phone:(360)695-7700 I Fax::(360)693-4442 Tub/showerishowervan tb 12.51 ))5./P, ---
Urinal 25.02
Watercloset
E-mail:kV)Viry0 , -ille‘,Orcle® a 9 kliffIllf\ty7APiS
BM 25.02
. - Water heater 1/..- 3752 45C.,)4
Business name:Alliance Plumbing LLC
:
Water piping/DWV 56.29
Address:146 W Historic Columbia River Hwy Other:
25.02
City/State/ZIP:Troutdale,OR 97060 Subtotal 3Y3c1,416
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
ci4
CCB Lic.:184601 iifi Plumbing Lic.no.:P5732 Plan,review (25%of permit fee) Fief, 1
ico
State surcharge(12%of permit fee) L ..2.(2.
Authorized signature:
TOTAL PERMIT FEE 4
Print name:Robert Dishman I Date:5/23/2016 J
This permit application expires Ifs permit is not obtained within 110 days
after it has been accepted as complete.
*Fee methodology set by Tn-Couriry Building industry Service Board
I IBuildingTermiten)411-PemitApp dac 10/01/09 440-46 10T(10/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13265 SW 169TH AVE, SHERWOOD, OR, 97140
Record Type: Record ID:
Commercial - Plumbing PLM2018-00194
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction's are complete, plumbing final-approved
Violation Summary:
Inspector Contractor