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Permit (38) CITY OF TIGARD'IN PLUMBING PERMIT 2 :` COMMUNITY DEVELOPMENT Permit#: PLM2016 00168 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2016 � C�aR, 9 Parcel: 2S109DB06800 Jurisdiction: Tigard Site address: 13153 SW KOSTEL LN Project: Summit Ridge No.5,Lot 136 Subdivision: SUMMIT RIDGE NO.5 Lot: 136 Project Description: Residential backflow preventer for irrigation. Contractor: TRADEMARK LANDSCAPES INC Owner: DR HORTON INC PO BOX 2410 4380 SW MACADAM AVE OREGON CITY, OR 97006 PORTLAND,OR 97239 PHONE: 503-222-4151 503-631-3893 FAX: 503-631-4737 FEES Quantity Description Date Amount 1 ea Backflow Preventer 08/05/2016 $31.27 Specifics: 1 12%State Surcharge- 08/05/2016 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 08/05/2016 $41.23 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:CL (:C-(04--&; 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 Applicati fiECEiv ED Building Fixtures 1 ok mil( 1/ I SI 0 N 1 1 City of Tigard MAR 3 0 2016 Datc.Rer-e'iBedr, 3 6c, f/.0 - I Permit No.: Lay.09a62---eriet/67 .14 . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 5030#TrOF JIG ARD DateiBr Other Permit No.: 1 lc,A im Inspection Line:.503.639.4175131.IILDING Date ReadyfBr Jun& 55 See Page 2 for Internet: www ugard-orgov - DIVISION NoiSedifslethod: Soppkmental Information „ TYPE OF WORK FEE* SCHEDULE j New construction 0 Demolition For special information use checklist 1 Description 1 Qty. i Ea. .1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 e 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25 02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: k .A sz cuo V....ocAel LcuAs2_ Drywell.leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 .. Rain drain connector 18.76 Sanitary sewer(no.linear 11.:---.) , Page 2 Storm sewer(no.linear ft.:_j Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: I, -' 40 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 111 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: DR Horton Inc. Floor drain/floor sink/hub 25.02 Address:4380 SW Macadam Ave Suite 100 Garbage disposal 25.02 City/State/ZIP: Portland,OR 97239 Hose bib 25.02 Phone:(503) 222-4151 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: DR Horton Inc. Primer 12.51 Contact name:Emerald Weeks Roof drain(commercial) 1251 Address:4380 SW Macadam Ave Suite 100 Sink/basin/lavatory ' 25.02 City/State/ZIP: Portland,OR 97239 Solar units(potable water) 62.54 Phone:(503 )222-4151 x1107 Fax::( ) Tub/shower/shower pan 12.51 E-mail:: esweeks@drhorton.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water healer 37.52 . Business nameTrademark Landscapes Inc Water piping/DWV 56.29 ' Address: PO Box 2410 Other: 25.02 City/State/ZIP Oregon Ci , OR 97045 Subtotal Phone:(503) 631-3893 Fax:(603) eo3/-4/73 7 Minimum permit fee: $72.50 2,s& , ., , cPlan review (25%(25%©f permit fee)Lic.: ( /3 S'S Plum. ipap. --- i State surcharge(12%of permit fee) c.70 Authorized signature: e.---} ' TOTAL PERMIT FEE I.?O Print name: ,370ts...4).a_ i//is Date:2016 This permit application expires if a permit is not obtained within II)days after it baa been accepted as complete. "Fee methodology set by Tri-County Building Industry Semite Board. I BuildingsPermrisTL MU-Permit App.cloc 10/01,09 440-4516T{iwozrromisvEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13153 SW KOSTEL LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2016-00168 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: 1 " febco model 850, serial # HE06804 located right front. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13153 SW KOSTEL LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2016-00168 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Note: back flow for irrigation passed on 3-27-2017. Violation Summary: Inspector Contractor