Permit (207) CITY OF TIGARD PLUMBING PERMIT
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' COMMUNITY DEVELOPMENT Permit#: PLM2016-00564
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2016
Parcel: 2S 111 DA19200
Jurisdiction: Tigard
Site address: 8596 SW SCHMIDT LP
Project: Heritage Crossing, Lot 11 Subdivision: HERITAGE CROSSING Lot: 11
Project Description: Backflow preventer for irrigation.
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: .<111 / Permittee Signature: I
Ila) .-i 64.0j1-770r/
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.
Plumbin' Permit A? slicatioll,- ,,f--1 -N-1
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Building Fixtures „, ,,f 7 ...:,1 h :.:o it aliVAMit*Vii!,,,,,:,4 Tiln:ieotirif**0:1:4 4 Xi A:5: .:,i,li":723R(i)lgl!ii4):tri.
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"'..:: Cit Y of Tigard . RtfttlCd
13125 Mk Hall Blvd,Tigard.OR 97223 No v it 6 16
III ?0wits) ht /4, /4, ze7)--t. Penta',ic A/kigt7/6-6D%*
Plan Revim
Phone: 503 718 2439 Fax, 503 598 196t2 '' Omer Permit No./.32$7,0,7p/6-09407
Data.B;i
Inspection Line. 503.639 4175
1 ai A lift! Internet. wxtigard-or BY 1P2 Date h:- Sr:Page2tor
\0, ,, ruptlmento1 inormarion
TYPE OF W TALDUNG: DIVISI(M; FEE* SCHEDI.LE
r„4 New construction 1 0 Demolition Forspecial information use cherklin
Description 1 Qtx:, j Ea Total
0 Additionalteration/replacement tI 0(.7ther Nevi 1-2-family dwellings findudes 10,7 ft.for each utilici connection)
C ATEGORA OF CONSTRUCTION SFR(1)bath 312 70 1 ,
. .
itY 1-and 2-family dwelling I 0 Commocial industrial SFR 121 bath 437 78
SFR(3)bath 500.32
0 Accessory building 0 Multi-famil:i
1 Each additional bath kitchen 23.02
0 Master builder 1 0 Other
I Fire sprinkle!( sq.ft) Page 2 „
JOB SITE INFORMATION AND LOCAT ION Site utilities:
(
Job site address: 8596 SW Schmidt Loop 4 Catch basin or area drain 18 76
Di)well,leach line or trench drain 18.76
Citx-/StatelZIP. Tigard, OR 97223
Footing drain(no.linear ft ) Page 2
Suite'bldg/apt.no. Project nameM
anufactured home utilities .. 50.03
Cross street;directionsto job site:
_____ __ Manholes 18,76
.4
Rain drain connector 18.76
H
Sanitary seer t no linear ft• , ) Page 2
Storm sewer(no (meat ft.: i ,., Page 2
Seater service(no linear It= ) L Page 2
Subdix ision' Lot no.: 11 Fixture or item:
BackfiCW preventer 1 31.27
Tax map'parcel no.:
_
DESCRIlrf ION OF WORK
Backwater liale
12,51
Clothes washer 25 02
New SFR
Dishwasher 2502
Drinking fountain
_ , 25.02
Ejectors sump 25 02
PROPERTN ONNAER
1 0 TENANT Expansion tank 1'2.51
Fixture/sewer cap 25 02
, Name: DR Horton Inc, _
Floor drain floor saga/hub 1 2502
Address.4380 SW Macadam Ave Suite 100
Garbage disposal 25.02
City/State/ZIPPortland,OR 97239
Hose bib 25 02
Phone=(5033 222-4151 1
, Fax t ) Ice maker .
1231
0 APPLICANT i hp CONTACT PERSON Interceptor grease trap 25.02
t , 1
Medical gas(value S ) Page 2
Business name. DR Horton Inc.
Printer 12,51
Contact name Emerald Weeks
Roof drain(commercial) 12,51
Address4380 SW Macadam Ave Suite 100
Sinkftiastr!iavatorx 2302
City/State ZIP: Portland,OR 97239 Solar units(potable water) 62.54
' a
Plume'(503 )222-4151 x1107 I Fax' ( ;
T
! elvsbowte'shom,er pan 12 51
Lrinal 25,i2
E-mail. esweeks@drhorton.corn
Water closet 25 22 I
CONTRACTOR
\ ater heater 37 52
Business aarneTrademark Landscapes Inc [......Wattr ming DWV 56 29
Address PO Box 2410 Other 23 02
Cit!!/State/ZIPOregon City, OR 97045 Subtotal I
Phone-(503) 631-3893 1 Fax (61,12.1 6,3/--t/73 7
„Minim=permit fee. 872.50
Plan reiew (25%of permit fee)
- -1
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CCB Lic,: /3 57,3 .,,,, di, PtutntnnLi.to no - , i, , , .
State surcharge(12%of permit fee)
... ,
Authorized signature: e , 4 ___‘',,,:e:.A. /'
TOTAL PERMIT FEE 1
, 1
Thu permit application expires ir ii(permit is not obtained within 180 da's
Print name: 5/1 (//,:r I Date'2016 after it has been accepted as complete.
*Fee metat'idolc. set b>Tri-couno Building industr;Service Board
l lautitlin.Perransn Mt'PermtApp La, it 0:()‘3 ,40,;.4.,ital if;v:com WEB y
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8596 SW SCHMIDT LOOP, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2016-00564
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . 1 " febco DC, model 850, serial# HE21139, for irrigation, located at left side of
driveway, - ok with test
Violation Summary:
Inspector Contractor