Permit (41) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00602
TFC3ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017
Parcel: 2S111DA22000
Jurisdiction: Tigard
Site address: 8805 SW SCHMIDT LOOP
Project: Heritage Crossing, Lot 39 Subdivision: Lot: 39
Project Description: Backflow preventer for irrigation.
Contractor: TRADEMARK LANDSCAPES INC Owner:
PO BOX 2410
OREGON CITY, OR 97006
PHONE: 503-631-3893 PHONE:
FAX: 503-631-4737
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 04/20/2017 $31.27
Specifics: 1 12%State Surcharge- 04/20/2017 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 04/20/2017 $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:e< -pfl 5 rc air&QQ77/7% /7
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 Application .t4tECEivin
Building Fixtures )1:510 it ink (H Fit I. 1 �1 41\1
Citi of Tigard g � 016 p w`By +A i 3 1/, 14 I Penn'Noid t (-,adyaC Z
N. . 13125 SW Hall Blvd,Tigard.OR 97223_q Plan Re�xN r
2 Phone: 503 718 2439 Fax. 503 598 I((i4l ' $ Y4 I r.A�RDPD terB} Other Perm9tf4 7-d 6—00c773
l i c.n it t t' Inspection Line. 503.639.4175 �j 4te Read>Hy r rurb H See Page 2 for
Internee. w0wi ugard-or gov L vT I (Is d V1i lO ltiSedr%leil>,sd: I Supplemental information
TYPE OF WORK FEE* SCHEDULE
U1 Ness construction 1 0 Demolition For special information use checklist
Description I Qty. j Ea. I Total
❑Addition/alteration1replacemem I 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 I1
1-and 2-family dwellin SFR(2)bath 437 78
g ❑Commermaliindustnal
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bathl,itchen 25.02
❑Master builder ❑Other' Fire sprinkler( sq.h.) Page 2
JOB SITE INFOR.4IATION AND LOCATION Site utilities:
Job site address '�QQW � L L4f z Ic_,, Catch basin or area drain 18 76
`, V Drywell,teach line.or trench drain r 18.76
City/State/ZiP: Tigard, OR 97223
Footing drain(no.linear ft. _) Page 2
Suite/bldg./apt.no.. Project name' V1 All IL C'0 roti Manufactured home utilities 59.03
Cross streetidirections to job site: Manholes 18,76
Rain drain connector 18.76
Sanitary sewer(no.linear ft. ____-) Page 2
Storm sewer(no.linear ft.: i Page 2
Water service(no linear ft.._) Page 2
Subdivision: Lot no.:(.3C( 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
Ejectorsi'sump 25 02
* PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: DR Horton Inc. Fixture/sewer cap 25 02
Floor drain'tloor sinklhub 25.02
Address:4380 SW Macadam Ave Suite 100 Garbage disposal 25.02
City/State/ZIP: Portland,OR 97239 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(value S ) Page 2
Primer 12.51
Contact name Emerald Weeks Roof drain(commercial) 12.51
Address4380 SW Macadam Ave Suite 100 Sink/basin'1avatory 25 02
City/StateiZIP: Portland,OR 97239 Solar units(potable water) _ 62.54
Phone.(503 )222-4151 x1107 Fax':( ) Tubishower'shower pan 12.51
E-mail: esweeks@drhorton.com Urinal 25 02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business nameTrademark Landscapes Inc Water pipingDWV 56.29
Address: PO Box 2410 Other: 25 02
( City/State/Z1POregon City, OR 97045 Subtotal
Phone:(503) 631-3893 Fax (( 1 L3/—V737 Minimum permit fee: $72.50
Plan reetew (25%ofpermit fee)
CCB Lic.: I /3,S"-3 �-� PlumbintLie.Oto: � -r je _
� State surcharge(1-/0 of permit fee)
Authorized signature: _, ! TOTAL PERMIT FEE
Print name: � � £/f jS Date 2�1� This permit application expires if*permit is not obtained within MO dais
after it has been accepted as complete.
"Fee methodology set by Tri•Countt Building Industry Service Board.
1 Building Pernuis PL Ata"-PertniApp.eo: 10 01 09 -140-10161110 02 COM WEB I
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8805 SW SCHMIDT LOOP, TIGARD, OR, 97224 August 31 , 2017 at 10:07:49
AM
Record Type: Record ID:
Residential - Plumbing PLM2016-00602
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
1 " Febco backflow assembly model 850 ser#HE40293 approved with test report.
Violation Summary:
Inspector Contractor