Permit (133) CITY OF TIGARD PLUMBING PERMIT
2-' COMMUNITY DEVELOPMENT Permit#: PLM2016-00500
TrGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2016
Parcel: 2S 111 DA00400
Jurisdiction: Tigard
Site address: 8511 SW SCHMIDT LP
Project: Heritage Crossing,Lot 18 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 9
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.
t"
Plumbing Permit Applica rid-9 1 ' '
Building Fixtures
h�\ 1,w 441 I iE 1 1 Ni 4111 1
City of Tigard :i_ ' i L Received /�
iii ., ■ 13125 SW Hail Blvd.,Tigard.OR 97223 z 1. #'i a.'� 1tI pate/B9 .. Penult bio.: a So*"OO 5-4°
Phone: 503.718.2439 Fax, 503 1°.<> k e. 4-z Plan Review
T"'k i t€,`�{`. DattIBY, Other Permit\o.
Inspection Line: 503.639.4175 13, 31v.
Internet: ww tigard-or.gov t t 1,c ''4"_' tote e4,Ni1 auris H see Page l for
i.YU t*aified(Atetgnd; I suppksientsthttarmntinn
TYPE OF WORK FEE* SCHEDULE
la New construction 0 Demolition For special information use checklist
Description ( Qty. j Ea. } Total
0 Addittonfalteration/replacement �]Other: New 1.2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath _ 312.70
IN I-and 2-family dwelling 0 CommerciaYindustrial SFR(2)bath 437 78
(]Accessory building 0 Multi-family SFR(3)bath 500.32
Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler(; sq.ft.)
JOB SITE INFORMATION AND LOCATION Site utilities: Page 2
Job site address: Pl f cii,, #�L__- r� 1 Catch basin or area drain 18 76
City/State/ZIP: Tigard,OR 97223 t��t be Dr)�vel#,leach line,or trenril drain 18.76
Suite/bldg./apt.no.: Project urine: home
Footing drain ear ft,._) Page 2
�h C, ,t na , Manufactured utilities 50.03
Cross street/directions to job site:
Manholes
...4 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: 1 Page 2
Subdivision: Water service(no.linear ft.,_,,) 1 Page 2
Lot no.:
Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK B lcwater valve 12.51
New SFR Mob) �'rU Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25,02
PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: DR Horton Inc. Fixture/sewer cap 25,02
Address:4380 SW Macadam Ave Suite 100 Floor drain/floor sink/hub 25.02
City/Suite/ZIP: Portland,OR 97239 Garbage disposal 25.02
Hose bib 25.02
Phone:(503)222-4151 Fax:( ) Ice maker
12.51
0 APPLICANT
CONTACT PERSON Interceptor/grease trap 25.02
Business name: DR Horton Inc. Medical gas(vatic.$ ) Page 2
Contact name:Emerald Weeks Pruner 12.51
Address:4380 SW Macadam Ave Suite 100 Roof drain(commercial) i502
SinlobasinIlavator) 23.02
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 Drina! 25 02
CONTRACTOR Water closet 25.02
Business name.TradeWater heater 37.52
mark Landscapes Inc
Water piping'D V
56.29
Address:
PO Box 2410 Other: 25 02
City/State/zlPOregon City,OR 97045 subtotal
Phone:(503) 631-3893 Fax:(603) 6,3/—v737 7 Minimum permit fee: $72.50
CCB Lic.: i/3 S3 1,, numbintLi .tto.: Plan review (z5?i°of permit fee)
Authorized signature: / 'y State surcharge(12°1°of permit fee)
,,,,,,./
✓ TOTAL PERMIT FEE
I Print name: tet. [//,3sDate*2016 I This permit application expires if a permit la not obtained nithin 180 dais
alter it has been accepted ab complete.
"Fee methodology set bti Tri.Count?Building Indust)Service Board.
1`Building PermnsFL‘lU-PerralApp.doe 10 01 09 410-AC+i6liitotCOMWEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8511 SW SCHMIDT LP, TIGARD, OR, 97224 March 8, 2017 at 8:36:23 AM
Record Type: Record ID:
Residential - Plumbing PLM2016-00500
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
1 " backflow preventer Febco model 850 ser#HE20594 located right of front door
approved with test report.
Violation Summary:
Inspector Contractor