Permit (192) 'PiCITY OF TIGARD PLUMBING PERMIT
x ' COMMUNITY DEVELOPMENT Permit#: PLM2018 00199
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2018
T l ''�E�C� g Parcel: 251060001400
Jurisdiction: Tigard
Site address: 13191 SW 169TH AVE
Project: River Terrace East Apartments,Building J Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building J: 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 06/27/2018 $469.00
Specifics: 22 ea Clothes Washer 06/27/2018 $550.44
22 ea Dishwasher 06/27/2018 $550.44
Type of Use: MF 22 ea Garbage Disposal 06/27/2018 $550.44
Class of Work: NEW 22 ea Ice Maker 06/27/2018 $275.22
Type of Const: 22 ea Sink 06/27/2018 $550.44
Occupancy Grp: 44 ea Lavatories 06/27/2018 $1,100.88
Stories: 36 ea Tub/Shower/Shower Pan 06/27/2018 $450.36
36 ea Water Closet 06/27/2018 $900.72
22 ea Water Heater 06/27/2018 $825.44
1 12%State Surcharge- 06/27/2018 $746.81
Plumbing
Total $6,970.19
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ' Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application RECEIVED
Building Fixtures 1 oR ()I I I( F.. 1 s I tivL)
APR 25 2018 „ .,...„
City of Tigard Received
4/As'IC)11"--- Permit N/2/41,1:2teVicP---ee/e7-2
,71 ' 13125 SW Hall Blvd.,Tigard,OR 9722 TY OF TIGAR t Fla:Review
: ' Phone: 503.718.2439 Fax: 503.598.1.Y. DateBy: S_r)..I e , Other Perrin' ,:f.....z2e7427
Tiut.P1) Inspection Line: 503.639.4175 BUILDING DIVISI i Nate Ready/By: --.4
Notified/Method:ethod.,, ,/,/.7///cf-,441_ Aids ii$ See?age 2 fur .
Internet: www.tigard-or.gov Supplemental Information
- "ttrE OF WORK ' 4717/97 1._ ,v,e,-/et ,-.-.FEE.•sturbutz
New construction 0 Demolition For special information use checklist
Description I Qty. 1 Ea. 1 Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
' - CATEGORY OF coNFritOrnoN SFR(I)bath 1---- 312.70
SFR(2)bath 437.78
El I-and 2-family dwelling 0 Commereial/ industrial
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
' Each additional bativkitchen
25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB ME INFORMATION AND LOCATION Site utilities:
, , . - .
Job site address: 13 I q I SW i (p 9 til ilAN/e....- Catch basin or area drain 1------1-18.76
Drywell,leach line,or trench drain I 18.76
City/State/ZIP:Tigard,OR 97224
Suite*d)./apt.no.:3 Project name:iliverTeIrrace-t.ast-Conc165 1 Page50.032 -'
. NiFootanuinfgactdurareind(hnomo.lein:tarilitiftes:• )
Cross street/directions to job site: Manholes 18.76
Rain drain connector ,)S 18.76
Sanitary sewer(no.linear ft.: ) Page 2 i
Storm sewer(no.linear 11: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: R Ivey-TR/rrar_e.E.as-i-C,O,ncl.D‘S I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
• , ' • Backwater valve 12.51
DESCRIPTION OF WORK * -1
•
. .
Clothes washer 2-2- 25-02
t5 0 Qun - u
0ool- e, ,2_ /v/-7--- - Dishwasher
Drinking fountain 25.02
Ejectors/sump 25.02
.
''.1 Pilrg*Sart OWNER Q. TENANT Expansion tank 17.51
, - •
Fixture/sewer cap 25.02
Name:ADVL Land Holdings,LLC
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal ;)a 1 25.02 $5d,14
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031 Fax:( ) Ice maker 2 L 12.51 29.5:3
, •.-:.-., .... a 4-A-14,46%., -lit,', - '' - 'a-001-A4t mitsoN Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Primer
Contact name:Nichote.lRoof drain(commercial)horir, 1 12.51 -----1
12.51
Address:1 D 3 13rocicluicui SA- Su..61f, --1,1!1 Sink/basin/lavatory ,t I(0c() 25.02 ,(.z,.,51,3),
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) / I 62.54
Phone:(360)69S-7700 I Fax::(360)693-4442 1 Tub/shower/shower pan , SV2 12.51 45(.„36_. 1 --
Urinal 25.02
E-Mai"k)riSe.-Y)°Ar-t,„,11)(‘DrgliatiaCFIVNOPileiS .C.,C)PC\
25.02 :766,9 a 1-
. Water heater ....., 37.52 E j 5,44 1 -
Business name:Alliance Numbing LLC ,
Water piping/DWV / 56.29
Address: 146 W Historic Columbia River Hwy Other: f 25.02
.._
City/State/ZIP:Troutdale,OR 97060 Subtotal /),23.3E1
1
Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50
CCB Lie.:184601 lkfd Plumbing 1.4c,no.:PB732 6. „6t,b 6- Plan review (25%of permit fee)
State surcharge(1 ria of permit fee) /)116,8 I IL--
Authorized signature: TOTAL PERMIT FEE 67,26,17;‘./
Print name:Robert Dishman Date:5/23/2016 This permit application espirter ifs permit is not obtained within l80 days
_ after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1‘BuifdinglrermitePtAfti-PennitApp.da 10/01/09 4W-46161(10/02/CONLAVEB) a),. ...‘4....k,....1.,..,_-,,,_ 5 5
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