Permit (131) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00494
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2016
Parcel: 2S 111 DA00400
Jurisdiction: Tigard
Site address: 8540 SW SCHMIDT LP
Project: Heritage Crossing,Lot 57 Subdivision: HERITAGE CROSSING Lot:
Project Description: Backflow preventer for irrigation system
Contractor: TRADEMARK LANDSCAPES INC Owner: DR HORTON INC
PO BOX 2410 4380 SW MACADAM AVE SUITE 100
OREGON CITY, OR 97006 PORTLAND, OR 97239
PHONE: 503-631-3893 PHONE: 503-222-4151
FAX: 503-631-4737
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 11/29/2016 $31.27
Specifics: 1 12%State Surcharge- 11/29/2016 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 11/29/2016 $41.23
Class of Work: OTR Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
11
Plumbing Permit ADD' 's. A
Building Fixtures i tion SII l it I 1 ,1 tit ,
City of Tigard SEP 2 7 2016 xeeelred IUfap/!o�Y91
w 13125 SW Hall Blvd.,Tigard.OR 97223 Dau By: _� o7fj it Permit tio..
Phone: 503.718.2339 F r, l Plan Review
1 Itlspecrion Line: 503.639A1‘75-
Date
03.639:I`7 y _ 1 ': l DataBr- Other Permit No.:
Internet: sv w.tigard-or, 1$l �a l l q' Date Ready/By xu ®See Page l for
t'�r_. i 1 rr Notified/Method: # Supptdmenptl tnformntion
TYPE OF WORK
FEE* SCHEDULE
a New construction 0 Demolition For special information tae rhecklisc
❑Addition/alteration/replacement Other:
I i Description New
l a [ Total
0 New I.2-family dwellings(includes 100 fr.for tach utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312,70
45 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-familt SFR(3)bath 50(}.32
Master builder ❑Other:
Each additional bath/kitchen 25.02
Fire sprinkler(s sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION
g� Site utilities:
lob site address: Ocrel(%j d lA., CVrt e./1-'
` I�,Cp s etch basin or area drain 18.76
City/State/ZIP; Tigard,OR 97223 c' tan well,ieacn Invor trench ara;n 18.76
Footing drain(no.linear ft.>
Suite/bldg./apt.no.: l Project name: *V\ r ) Page 2
.Y0 11'�Qt Manufactured home uulit;es 50.03
Cross street/directions to job site: All•J 4 Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear it.:.,..j Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft: ) Page 2
Subdivision:
.1 -
Lot no.::6 7 Fixture or item;
Tax map/parcel no.: Backflow prev
cnter 1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New SFR t"�i l fes. Clothes washer 25.02
Dishwasher 25 02
Drinking fountain 25.02
Ejectors/sump 25.02
Ali PROPERTY OWNER I 0 TENANT Expansion tanl:
12.51
Name: DR Horton Inc. Fixture/sewer cap X5.02
Address:4380 SW Macadam Ave Suite 100 Floor draimlfloor sink/hub 25.02
City/State,ZlP: Portland,OR 97239 Hose bi aisposal 25,02
Phone:(503)222-4151 Fax;( Hose bib 2s.o2
Ice maker
0 APPLICANT •CONTACT PERSON Interceptor/grease t 51
� 25.02
Business name: DR Horton Inc. Medical gas(value.$ ) Page
Contact name'.Emerald Weeks Primer 12.51
Address4380 SW Macadam Ave Suite 100 itoofdran(commercial) 12.57
Sinlobas;rdlavatory 25.02
City/State/ZIP: Portland,OR 97239 -
Solar units(potable Meter) 62.54
Phone:(503 )222-4151 x1107 I Fax::( ) Tub/shower/shower pan ( 12;51
E-mail: esweeks@drhorton.com urinal 25.02
CONTRACTOR Water closet 25.02
Business name�rademark Landscapes Illi Water heater
37.52
Water pipinginAli 56.29
Address: PO Box 2410
Other: 25.02
Cit}`/Stare/z)POTEgon City,OR 97045
Subtotal
Phone:(503) 631-3893 Fax:( C.3 y'73
/- _ Minimum permit fee: $72.50
CCB Lie.; tor l3 s,3 `�plumbitt$t i . Rio,: Plan review 125%of permit fee)
Authorized signature: ,,/ �` .-- State surcharge(12%of permit fee)
t✓ is G l�1TOTAL PERMIT FEE _
Print name, I Date:2016 This permit applicadon expires ifa ceptet is sot obtained within 180 days
after it has been accepted as twmplete.
*Fee methodolop.set b.Tri-t:ounn Building Indust Service Board.
I'Building Permits PL.AML-Psrrtr;tApp.a u IQ 01 09 4451671100:=roNtuEH)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8540 SW SCHMIDT LP, TIGARD, OR, 97224 March 14, 2017 at 12:59:19
PM
Record Type: Record ID:
Residential - Plumbing PLM2016-00494
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
1 " backflow preventer Febco model 850 ser#HE20598 approved with test report.
Violation Summary:
Inspector Contractor