Permit (61) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00616
f f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2017
Parcel: 2S 111 DA20400
Jurisdiction: Tigard
Site address: 8560 SW SCHMIDT LP
Project: Heritage Crossing,Lot 23 Subdivision: HERITAGE CROSSING Lot: 23
Project Description: Backflow preventer for irrigation.
Contractor: TRADEMARK LANDSCAPES INC Owner: DR HORTON INC.
PO BOX 2410 4380 SW MACADAM AVE STE 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 02/15/2017 $31.27
Specifics: 1 12%State Surcharge- 02/15/2017 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 02/15/2017 $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: / % 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 Applicatd E -
Building Fixtures 1 t►It 4)1 liIt I. t st 41\1 1 '
City of Tigard �)�! 2016
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t . 13125 SW Hall Blvd,Tigard.OR ,, oawB)e Za/t�t'/rf& ,; { Pemm`o )D „Cy/_A ti
I Phone: 503 7)$2439 Fax 503 pt a $.4 J Plan Re.xH ova v �[.vi (/J
Date'By i Other Permrt�
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Inspection Line: .639.4175 r r Q a e for(o f)
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Internet: y\�\�y ugard-or gov 1I t_� � G I�l S t �1? Date Ready�By f loris la See Page 2 for
Noti&ed&Method: } Supplemental information
TYPE OF WORK FEE* SCHEDCLE
US New construction 0 Demolition For special information use checklist
Description I Qty. [ Ea. I Total
0 Addition/alteration/replacement 0 Other. New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY' OF CONSTRUCTION SFR(1)bath 3170
ifl 1-and 2-family dwelling 0 Commerciallindustnal SFR(2)bath 437 7$
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builder Each additional bathlitchen 25.02 .
❑ `t Fire sprinkler tsq.ft.) Page 2
JOB SITE INFOR.i11ATION AND LOCATION Site utilities:
Job site address: 15-5 I_ ,� Catch basin or area drain 18 76
(vU �.�n(wy�/� �.r,�,J 1
City/State/ZIP: Tigard, OR 97223 Dn'\cell,leach ltne,or trench drain ! 1$.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.. Project name' N thy., 1 t'1� Manufactured home utilities 50.03
Cross street/directions to job site: Jam' Manholes 18.76
Rain drain connector 1$.76
Sanitary sewer(no.linear ft.:,,,,„,j Page 2
Storm sewer(no.linear ft.: i Page 2
Subdivision: Water service(»o linear ft..- ) Page 2
Lot no.: 3 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 .
DESCRIPTION OF WORK Backwater valve 12.51
New SFR Clothes washer 25 02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors-sump 25 02
• PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: DR Horton Inc. Fisture/stwer cap 25 02
Address:4380 SW Macadam Ave Suite 100 Floor dram/floor sinkhub 25 02
City/State/ZIP: Portland,OR 97239 Garbage disposal 25.02
Hose bib 25.02
Phone:(503)222-4151 Fax:t ) Ice maker 12 51
❑ APPLICANT •CONTACT PERSON Interceptor/grease trap 25.02
Business name: DR Horton Inc. Medical gas(value$ ) Page 2
Contact name:Emerald Weeks Primer 12.51
Address
4380 SW Macadam Ave Suite 100 Roof drain(commercial) 12.51
Sink/basinlavaron 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
CONTRACTOR Water closet 25.02
Water heater 37 52
Business nameTrademark Landscapes Inc -
Water pipingDA'V 56.29
Address: PO Box 2410 Other: 25 02
City+State/Z1POregon City, OR 97045 subtotal I
Phone:(503) 631-3893 Fax (45,5431 6,3/-y737 Minimum permit tee: $72.50 ' l
CCB Lic.: �3.S3 Piumbin I.)e.no: r_ Plan review 125%of permit feet
,=t Stale surcharge(l 2%of permit fee)
Authorized signature: ,....,,) y /
TOTAL PERMIT FEE
Print name: L5/42_,401. ��/r Date:2016 This permit application expires if a permit is not obtained within I80 days
after it has been accepted as complete.
"Fee methodology set bs Tri-Counts Building Industr;Service Board.
iBuddingPermnsPL\tt:.PernctApp.co 100t09 .140-46 167,10 02 COM EB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8560 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 22, 2017 at
10:18:31 AM
Record Type: Record ID:
Residential - Plumbing PLM2016-00616
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
1 " Backflow device Febco model 850 ser# HE45873 approved with flow test report.
Violation Summary:
Inspector Contractor