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Permit (32) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2017-00188 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2017 T[ '` 9 Parcel: 2S1060001801 Jurisdiction: Tigard Site address: 13411 SW PUMPKIN VALLEY TER Project: River Terrace Northwest,Lot 70 Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple Project Description: Adding additional water heater. Contractor: MALMEDAL ENTERPRISES INC Owner: ADLV LAND HOLDINGS LLC PO BOX 207 BY FORSUM, MICHAEL BANKS, OR 97106 7600 E DOUBLETREE RANCH RD STE 1 SCOTTSDALE,AZ 85258 PHONE: 503-324-0759 PHONE: FAX: 503-324-0580 FEES Quantity Description Date Amount 1 ea Water Heater 05/17/2017 $37.52 Specifics: 1 12%State Surcharge- 05/17/2017 $8.70 Plumbing Type of Use: SF 35 ea Minimum Fee Adjustment- 05/17/2017 $34.98 Plumbing Class of Work: OTR Type of Const: Occupancy Grp: Stories: Total $81.20 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: S,7 C ASteh 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 Applica op g Buildin Fixtures t C E I V E D I c,I. 01 1 11 1 ` ti' 4 '. 1 Si • City of Tigard ii A Y 17 2017 n7/L1 remit No.:_____ 1_-_ 13125 SW Hall Blvd.,Tigard,OR 9 k Plan Review °tiler / Phone: 503.718.2439 Fax: 503.e/11g� DatdBpy: 44StezOIG-oo oG7 Inspection Line: $03.639.4175 1%f I Y OF TIGARD Date y, wls: El See Page 2 for Interna: wwwtigard.orgov BUILDING DIVISION Natified/Medrod: °eral„infor "'y°' • flDemolition For specialtafer�Fonlose chhecd Total ®New constructionDescription I Qty. I I ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(ncludes 100 ft.for each utility connection) 'CATEGORY-OF EGORY-OF C,ONS RUCTION' : .. . . SFR(I) 312.70 .....,:',,I.,.1::.�� .... .'• SFR(2)bath 437.78 ®1-and 2-family dwelling 0Cor»merciaUmldustriai SFR(3)bath 500.32 ❑Accessory bmldtng QMulti-family Each additional bath/kitchen 25.02 El Master builder. , 0 Other: The sprinkler(._.._sq.R.) Page 2 ' • . , 1OB BITE IIltFOie.ignO 'ANI)•LOCATION Site nation. Job site address 'Q Mq v�AMAM \U Oatch basin or atm drain Drywall leach tine,or trench drain 18.76 18.76 City/State/ZIP:Tigard,OR 97224 "J! Fooling drain(no.linear ft.:_) Page 2 Suite/bldg./apt no.: I Project name:g wv� f?reactI ivcr Manufaciwxd home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:__,,,..) Page 2 Storm sewer(no.lbwar ft.:_,._) Page 2 L Water service(no.linear ft.: ) Page 2 Subdivision:giver (e rre40.• 'f'1J 1 Wer+- I Lot no.:1 O Fixture or item: Backflow premier 3127 Tax map/parcel no.: Backwater valve 12.51 ,•. ,.1� a• DE$CRR'T10N OF.'WO. . : • Clothes washer 25.02 u C( 'nq 4 i 1 d' ow laity �Od-W Dishwasher 25.02 �Y� N 1` 1 f)J Dunking fountain ' 25.02 ' `Ejectors , 25.02 I © TEI+IANT tank 12.51. ®. RO1tEK11F t?W1cTf8R ' } Fixtrrre/sewercap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doabletrec Ranch Road Garbage disposal 25.02 City/Stale Z1P:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 0 CONTACT PERSON. Interceptor/grease trap 25.02 ®"APl' CANTMedical gas(value:$, ) Page 2 Business name:William Lyon Homes,Inc _ Primer 12.51 Contact namaMade 'Min - Roof drain(commercial) 12.51 ' Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 I Fax::(360)693-4442 Tublaho /sbo' pm 12.51 Phone:(360)05-7700 Urinal 1 25.02 E-mail: Made.:Thorpe (�' p y9jy1f0 Cil -water closer 25.02 CONTRACTOR - water heater , 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Hex 207 Other 25.02 Subtotal City/State/ZIP:Banks,OR 97106 Minimum permit fee: $72.50otal Phone ow 324-0759 Fax:{303-)324.0580 Plan review(25%ofpermit fee) CCB Litt.:102535 'Plumbing Lit.no.:34-276PHState surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Date:04/2512016 1 This Perms application expires iia permit is not obtained within ISO days Printname Carolina ltiahttedal alder k bas been accepted as complete. •Fee methodology set by Tri-County Building Washy Service Board. LiBundmelrs LMU.P A1P•doe to/DUO, 440.4616T(10W02/COM/WEB)