Permit (201) CITY OF TIGARD PLUMBING PERMIT
1111
COMMUNITY DEVELOPMENT
Permit#: PLM2018-00198
Date Issued: 06/27/2018
TIG A p C3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 13187 SW 169TH AVE
Project: River Terrace East Apartments,Building H Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building H: 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
19 ea Rain Drain Connector 06/27/2018 $356.44
Specifics: 12 ea Clothes Washer 06/27/2018 $300.24
12 ea Dishwasher 06/27/2018 $300.24
Type of Use: MF 12 ea Garbage Disposal 06/27/2018 $300.24
Class of Work: NEW 12 ea Ice Maker 06/27/2018 $150.12
Type of Const: 12 ea Sink 06/27/2018 $300.24
Occupancy Grp: 22 ea Lavatories 06/27/2018 $550.44
Stories: 18 ea Tub/Shower/Shower Pan 06/27/2018 $225.18
12 ea Water Heater 06/27/2018 $450.24
18 ea Water Closet 06/27/2018 $450.36
1 12%State Surcharge- 06/27/2018 $406.05
Plumbing
Total $3,789.79
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: / (/ j Permittee Signature: 61/1/
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 ApplicationRECEIV E t
, _ ,
Building Fixtures 1 OR ()1-1 1(E 1 NI ()NI )
0 t: ')f 1 1 Q
City of Tigard
, , 13125 SW Hall Blvd.,Tigard,OR 97223 !
APR ki o &Li!(I Received ,./.2.2 ie „,...i.71), pen.
g Phone: 503.718.2439 Fax: 503.598.19@ln.
1114 Dateikly. •
" Review
OF TIGARe.aney
liss . .5-3--/R 04 Other Permit ti,Ickii/472e,,,,....°4:424 1
T1 D t.1 11 Inspection Line: 503.639.4175
- Internet: www.tigard-or.gov BUILDING DIVISI iik,:,,iiteldYLB,}:,,,7/7 /f 4z_ ___ See
3'2.4 I SFauppl P2:221 fir
TWE OF WORK ' &s774--/ At/C.49.4 .- ' FEE*•Sail64-4:E
[
New construction 0 Demolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 Total
0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft,for each utility connection)
CATEGORY OF CONSTRUCITON SFR(I)bath 312.70
---
SFR(2)bath 437.78
IS:1 I-and 2-family dwelling 0 CommercialAndustlial
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
---
Each additional bathlitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.IL) Page 2
- - JOB Rai INFORMATION AND LOCATION Site utilities:
.Job site address: 131 3\f .pct-rvi N c Catch basin or area drain18.76
„ Drywell,leach line,or trench drain /8.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear R.: ) Page 2
Suite/ Ici7g)itt pt.no.: --
Project name:River Ternice-tasi-C4)nct 4, Manufactured home utilities 50.03 .
Cross street/directions to job site:
Manholes 18.76
Rain drain connector17 14-1 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: 1 I Page 2
Water service(no.linear ft.: ) I Page 2 1
Subdivision: D
r•Nelr Ttiral.C.e.SCAS-t7 C,11-Aao‘s I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27 --I
^ ' . 25.02 BackwaterI 3
valve 12.51
DESCRIMON OF-WORK
. ,, ,
Clothes washer ;V' / - (.0. 4i
'. l !--
U ° ‘ - i , - , Ai/ */ Dishwasher ,../' 1 7..... 25.02 30o . 4 1 -
Drinking fountain 25.02
Ejectors/sump1 25.02
roatn OWNER I ' CI TENANT . ' Expansion tank 12.51
, -
.--me:ADVL Land Holdings,LLC Fixture/sewer cap I 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal v/".i i 2 25.02 3 (^,,44
City/State/ZIP:Scottsdale,AZ 85258
Hose bib i I 25.02
Phone:(602)694-4031 Fax:( ) Ice maker f%X -a 12-51
fiI C
,.. ...,. . , , ... .,-, , ,oligte470° CI,iMpqrscr ruttsalt , Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Mich()te.-Th Orr.
Roof drain(commercial) 12.51
Address: D V>roacLoct.44 Si- Suilic "t,i) Sink/basin/lavatory 13(4 25.02
City/State/ZIP:Vancouver,WA 98660
Solar units(potable water) 62.54
Phone:(360)695-7700 I Fax::(360)693-4442 Tub/shower/shower pan r ire ,i-tia--- 12.51 g6,ite
Urinal
25.02
E-mail:K)ipylo-*„.,71-y‘cly,ve® lticycill(NO .rty.,s C nINN Water closet Mai 8 r 25.02 45
Water heater
V 17- r37.52
Business name:Alliance Plumbing LLC
L
'-`"
Water piping/DWV / 56.29
Address:146 W Historic Columbia River Hwy
Other:
- 25,02
--4
City/State/ZIP:Troutdale,OR 97060
Subtotal ' 1
Phone:(503)492-3490Fax:(503)912-6438 Minimum permit fee: $72.50 t?"..7,917',/,)
CCB Lie.:184601 4 t
Plumbing Lic,no.:PB732 e.,/ '--- aPlart review (25%ofperrnit.fee) 41 /9'
r State surcharge 0 34' o4f
2%of permit fee) 7 ,O-
Authorized signature: kt
TOTAL PERMIT FEE . •
JW• .....!...._.1
Print name:Robert Dishman I Date:5/23/2016 1 This permit application expires if a permith,net obtained within IN clay ...7
after it has been accepted.as complete. ake/,-6
*Fee methodology set by Tri-County Building industry Service' red
K a'.c.Viev\ ;rt1'< ' 12- ‘V 0
I IBuildinerermitsTLMV-PcmitApp dot 10/01/09 440-46 t6T(IWO'2/CONtilVES)