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Permit (147) CITY OF TIGARD PLUMBING PERMIT IIII. ' COMMUNITY DEVELOPMENT Permit#: PLM2018-00560 T f G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/27/2018 Parcel: 2S107AA25600 Jurisdiction: Tigard Site address: 14301 SW RIVER TERRACE BLVD Project: Polygon at Roshak Ridge Neighborhood Park Subdivision: ROSHAK RIDGE Lot: N Project Description: Site utilities for a neighborhood park. Contractor: NORTHWEST EARTHMOVERS INC Owner: POLYGON WLH LLC PO BOX 1609 703 BROADWAY ST SUITE 510 SHERWOOD, OR 97140 VANCOUVER,WA 97223 PHONE: 503-625-3100 PHONE: 360 695-7700 FAX: 503-625-3108 FEES Quantity Description Date Amount 11 ea Catch Basin or Area Drain 12/27/2018 $206.36 Specifics: 672 If Storm Sewer 12/27/2018 $287.66 1 Plan Review 12/27/2018 $123.51 Type of Use: COM 1 12%State Surcharge- 12/27/2018 $59.28 Class of Work: OTR Plumbing Type of Const: Occupancy Grp: Stories: Total $676.81 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: � 7 Permittee Signature: / er 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 Applicatioi IECEIVED Site Utilities y FOR OFFICE USE ONLY DEC 1 2 2018 Received �N Cityof Tigard Pe o p 131SW Hall Blvd.,Tigard,OR 97223INI III DateBy: I i'3 �, ¢�' f a(x8 (�'�,� � Phone: 503.718.2439 Fax: 503.598logD TY S Plan Review Other Permit No.: Inspection Line: 503.639.4175 *BUILDING iVIVibiON Date/BY: ty. i ..-l0 i3 I WARD g g Notified/Method: i I id' 37 Supplementaln2Inr Internet: www.ti ard-or. ov �! Page 2 Information Date Read B Juns: See Pa TYPE OF WORK *kt 4.l. " © 6, .F-a, FEE* SCHEDULE For special informations use checklist. 4 New construction ❑Demolition Description Qty. 1 Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ►,1 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:i !�3c 1 560 v21�vz rz-77c,�,.G Catch basin or area drain 10 18.76 187.60 City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 18.76 A4,--5-o-6,_ n-' i51 yd. Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.:N/A I Project name:Roshak Ridge t��L.Q.itzzz Manufactured home utilities 50.03 Cross street/directions to job site:North of Bull Mountain Road Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:660) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at Roshak Ridge I Lot no.: Fixture or item: Tax map/parcel no.:2S107AA25600 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Neighborhood Park storm utilities Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Polygon WLH LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway ST Suite 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:(360)693-4442 Ice maker 12.51 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:same as owner Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Northwest Earthmovers,Inc. Water piping/DW V 56.29 Address:13600 SW Galbreath Dr.PO Box 1609 Other: 25.02 City/State/ZIP:Sherwood,OR 97140 Subtotal Phone:(503)858-9231 Fax:( ) Minimum permit fee: $72,50 6-9 CCB Lic.:62761 1 1130 i,v _ PI bing Lic.no.: Plan review (25%of permit fee) -11 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE 4636 C `Z�'2 t tS This permit application expires if a permit is not obtained within 180 days Print name: A. G r et3tw 3 Date: s after it has been accepted as complete. ------•.„ c9-07 a y "Fee methodology set by Tri-County Building Industry SCM, ., j} I:�Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/4VEB) C 74,``"6" Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Total 3 �� e. rt Footing drain-161 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52e3 p " 3. �, .k Storm&Rain Drain-1st 100' 62.54 �� $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 5,S 37.52 2t37,2,6 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ,3� " 3`t =4, each additional$100.00 or fraction thereof,to ,`f 'j' - and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. =1tureType*oPlan review is required for any of the following. �rk Perfor , . gipped` Please check all that apply. Baptistry/Font Bath Tub/Shower El 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 exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" X133 € Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes 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 plumbing permit can be issued. Other Fixtures: C:\Users\eric.hawkinson\Downloads\PLMU PermitApp.doc 2 /Plumbing Permit Application Site Utilities FOR OFFICE USE ONL\' ved City of Tigard Day: Permit No.: ,!_j) M1 U �Ai8IoO50 • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Revie11 w ,f�,,� q n/� I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I pc tr2O-f J `LC! Other Permit No.: T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: furls. ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OEMOi.K FEES IEDIJLE * .ArNew construction �❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGQRV t GONSSTRUCTION 4,f SFR(1)bath 312.70 ❑ 1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory ❑Multi-family Each additional bath/kitchen 25.02 Master builder El Other:Oth Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION 4ND J 3:ION Site utilities: - Job site address: 14.30( S,W k;veer 'r r t2 it,a Catch basin or area drain 1 18.76 �Q6.3(� U Drywell,leach line,or trench drain 18.76 City/State/ZIP: F'IY�{ci Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: k7 t d(� �C3 Va CAA Manufactured home utilities 50.03 Cross street/directions to job site: R,S Y,(„A( i,d `Par(( Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 - Storm sewer(no.linear ft.:al 'J Page 2 oirz 66 Water service(no.linear ft.:_) Page 2 Subdivision: ( Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DiiC�%RIP ' OF 6 , Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER 144.' :: 1<',...; Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 l4 cAtik., IIG1►1�PIv :CONTACT PERS Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 IY co" -*q T �r Water closet 25.02 .i ` `' Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 4 94.02 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) /23.51 State surcharge(12%of permit fee) s9.a8 Authorized signature: TOTAL PERMIT FEE Ai%.8 Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Pee(ea) Total Square Footage: Footing drain-151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 := Storm&Rain Drain-1st 100' 62.54 ba 54 Valuation: Permit Fee:,1 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' ( 37.52 22.5./,'1 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees; may' Fee lea) otal ` each additional$100.00 or fraction thereof,to fir;' _ and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the fust$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: 6182 6t° Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Pla> Itev a r l Bing Installations Fixture Type for Replace/ Plan review is required uired for anyof the following. Work Performed: Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath Tub/Shower 1:1 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 exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 3,, Iso��etric it s•rTi ° tr.goo Car Wash Drain Garbage Domestic-non-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) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes 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 plumbing permit can be issued. Other Fixtures: I:\Building\Permits\PLMU_PermitApp.doc 2 Branden Taggart From: Branden Taggart Sent: Thursday, December 27, 2018 3:37 PM To: 'angela.grajewski@polygonhomes.com' Cc: #Building Permit Technicians Subject: RE: Roshak Ridge Neighborhood Park Plumbing Permit: PLM2018-00560 - 14301 SW River Terrace Attachments: Branden Taggart2.vcf; PLM2018-00560 Roshak Ridge Park.pdf Angela, I have issued the Roshak Ridge Neighborhood Park site utilities permit; However, someone will need to pick up the plans prior to inspections. The permit paperwork is attached above. Please let me know if you have questions. Thank you, Branden Taggart IS ■ City of Tigard 1. s , Senior Permit Technician ' „ Community Development 13125SWHallBlvd Tigard,OR 97223 (503)718-2449 brandent rrtigard-or.gov From: Branden Taggart Sent:Thursday, December 27, 2018 7:55 AM To: angela.grajewski@polygonhomes.com Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Roshak Ridge Neighborhood Park Plumbing Permit: PLM2018-00560- 14301 SW River Terrace Hi Angela, The Roshak Ridge Neighborhood Park site utilities plumbing permit is ready to issue now. The balance due is$676.81, and I have attached an invoice of the fees due above for you to reference. Would you like us to pay the fees from the trust account? Thank you, Branden Taggart From: Angela Grajewski <Angela.Grajewski@polygonhomes.com> Sent: Thursday, December 27, 2018 8:59 AM To: Branden Taggart Cc: #Building Permit Technicians Subject: RE: Roshak Ridge Neighborhood Park Plumbing Permit: PLM2018-00560 - 14301 SW River Terrace Please use the trust account to pay this permit. Thank you! Angela Grajewski PROJECT MANAGER Angela.Graiewski(7polygonhomes.com Office 360.695.7700 Cell 971.212.2144 Fax 360.816.7817 PolygonHomes.com PAN?Da.44.4'4yi W 14te lit two, From: Branden Taggart [mailto:brandent@tigard-or.gov] Sent:Thursday, December 27, 2018 7:55 AM To:Angela Grajewski <Angela.Grajewski@polygonhomes.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Roshak Ridge Neighborhood Park Plumbing Permit: PLM2018-00560- 14301 SW River Terrace Hi Angela, The Roshak Ridge Neighborhood Park site utilities plumbing permit is ready to issue now. The balance due is$676.81, and I have attached an invoice of the fees due above for you to reference. Would you like us to pay the fees from the trust account? Thank you, Branden Taggart City of Tigard IN Senior Permit Technician,. � Community Development TIGARD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 bra ndentttigard-o r.gov 1 Julie Drinkwater From: Eric Hawkinson <eric@pacific-community.com> Sent: Wednesday, December 12, 2018 5:51 PM To: Julie Drinkwater Cc: Angela Grajewski Subject: Fwd: Roshak Addresses Hi Julie, We just had an address set up for it. Please see the email below from Oscar Contreras in GIS.Thanks! Eric Sent from my iPhone Begin forwarded message: From:Angela Grajewski<Angela.Grajewski@polygonhomes.com> Date: December 12, 2018 at 5:49:01 PM PST To:Oscar Contreras<OscarC@tigard-or.gov> Cc: Eric Hawkinson<eric@pacific-community.com> Subject: RE: Roshak Addresses Fantastic,thank you! Angela Grajewski PROJECT MANAGER Angela.Graiewski c(�polygonhomes.com Office 360.695.7700 Cell 971.212.2144 Fax 360.816.7817 PolygonHomes.com <image001.png> From:Oscar Contreras [mailto:OscarC@tigard-or.gov] Sent:Wednesday, December 12, 2018 5:47 PM To:Angela Grajewski<Angela.Grajewski@polygonhomes.com> Cc: Eric Hawkinson<eric@pacific-community.com> Subject: RE: Roshak Addresses Hi Angela, Yes, please use "14301 SW River Terrace Blvd" for the park on tract N. • Thanks for catching this, <image002.jpg> 1