Permit (47) a
CITY OF TIGARD PLUMBING PERMIT
. . COMMUNITY DEVELOPMENT Permit#: PLM2016 00626
[, AR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2017
Parcel: 2S 111 DA22200
Jurisdiction: Tigard
Site address: 8720 SW SCHMIDT LP
Project: Heritage Crossing, Lot 41 Subdivision: HERITAGE CROSSING Lot: 41
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 03/24/2017 $31.27
Specifics: 1 12%State Surcharge- 03/24/2017 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 03/24/2017 $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: 71
7
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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 ApplicationEC IVF
Building Fixtures
Itilt 011 It I. I tt\I 1
Cite of Tigard NOV Raeeivea
0.
• 13125 SW Hall Blvd,Tigard.OR 97273 2 16 pi R • ,/ /ll��4 Pemnr'so i ��/G�ih•r
1111'11 Phone: 503 718.2439 Fax 503 5980° O(- i(umRL) B` •xw ( Other Permit •t.(v
, i,,;�Ic I) Inspection Line: 503.639.4175 ;:�t E 9 �y �y
J,tJI#_n!N : fli\J1s;O NDate Ready'By �uSJ�N G '�/ .'.
Internet: tv»„trgard-or gov ! res I S See pente 2 for 111 Suppaemeneallntorroation
TYPE OF WORK
FEE* SCHEDULE
For information use checklist •
(p New construction [)Demolition
0 Addition/alteration/replacement 0 Other Description ( Qty. ( Ea- Total
New i-2-family dwellings(includes 100 h.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath
31_.70
#1.11-and 2-family dwelling 0 Commercialrindustnal SFR 12)bath 437 78
❑Accessory building ❑09Wti-family SFR(3)bath
500.32
❑Master builder 0
triter Each additional bath kitchen 25.02
JOB SITE INFOR!IATION AND LOCATION Fire Site uprinkler tsq.g,) Page 2
utilities:
Job site address: S7d-c? p „cull rn11/� y Catch basin or arra drain
U (� �,t1 18 76
Dowell,teach Irne,or trench drain 18.76
City/State/ZIP. Tigard, OR 97223
Footing drain(no.linear ft.:
Suite/bldg./apt.no.. ( Project name' NAlly.,C�` ._._> Page. 2
Cross street/directions to job site: �a Manufactured home utilines 50 03
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear it', ) Page 2
Storm sewer(no.linear ft.: t Page 2
Subdivision: i Lot no.:1,1 I Water service too linear ft..-__) Page 2
Fixture or item:
Tax map/parcel no.: Backflow preventer .
11 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
fj PROP£RT1" OWNER I 0 TENANT Expansion tank
12.51
Name: DR Horton Inc. Fixtttre'sewer cap 2502
Address:4380 SW Macadam Ave Suite 100 Floor drain/floor smk hub 25 02
City/State/ZIP: Portland,OR 97239 Garbage disposal 25.02
Phone:(503)222-4151 I Fax..t Hose bib 25.02
ice maker 12 51
0 APPLICANT *CONTACT PERSON Interceptor/grease trap
Medical gas(value.S Page
Contact name: 1 Primer ) 2
Business name: DR Horton Inc.
Emerald IA eeks l2.51
Address 4380 SW Macadam Ave Suite 100 Roof drain(commercial) 1?51
Ciry�/State/z1P: Portland,OR 97239 _ Sink/ttasin/lavaton 2S 02
Solar units(potable water) . 62.54
Phone:(503 )222-4151 x1107 I Fax::( i Tub/shower/shower pan12,51
E-mail: esweeks@drhorton.com Urinal
2502
CONTRACTOR Water closet 25.02
Business name Trademark Landscapes Inc Fater heater 37 52
Address�Q Box 24I 0 Water piping DV4v
5629
02
Other: 255 0_
City/State/ZlPOregon City, OR 97045
Subtotal
Phone:(
503) 631-3893 I Fax ( ) ti,�"'V73Minimum permit fee: $72.50 ` i
CCB Lic.: i /3 S'-3 1;"f PiumbintLic no, r'C(, Plan review 125%of petioli fee)
Authorized signature: / <,,1, State surcharge(12%of permit fee)
IPrint name: L5/2_4/1_ i'//t : TOTAL PERMIT FEE
Date:2016 1 This permit apptieadon eapirm if a permit Is not obtained within i80 days
1 after it has been accepted as complete.
"Fee rttethodolorn set 1s)Tri-County Building industry Service Board.
i Building PennovPL\n.'•PernitApp.do: 1001 09
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