Permit (40) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00613
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017
TIGARD Parcel: 2S111DA21900
Jurisdiction: Tigard
Site address: 8791 SW SCHMIDT LOOP
Project: Heritage Crossing, Lot 38 Subdivision: HERITAGE CROSSING Lot: 38
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 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
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: % AeV
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 .- a
BuildingFixtures res lPit t)i l,ltl. i til i►\I \ i#
City of Tigard 7 /'V4V%! 5 X14' Retuned /,2-49&
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_ ■ 13125 SW Hall Blvd,Tigard,OR 97223
Dan RexH•
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a Phone: 503 718.2439 Fax. 503 598 is �` ^f h ` 1 Other Permit
Inspection Line: 503.639.4175 A i�� �fB`' 1S y�+D/�Z1S
i I(.Al(I) r rr we Ready By' I twit Fa See Page 2 for
interni. wwntigard-or.gov BUILI)INGDIVLS ,l,edrhtethod: Supplemental information
TYPE OF WORK FEE* SCHEDULE
New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Additionialterationireplacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1l 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437 78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath=kitchen 25.02
0 OtherFire sprinkler( sq.ft.) Page 2
JOB SITE iNFORti1ATION AND LOCATION Site utilities:
Job site address: s7q l �� _5 l_-_t] 1 /, Catch basin or area drain 18 76
City/State/ZIP: Tigard,OR 97223 C/+' `j'f �'weli,leach line,or trench drain 18.76
Footing drain trio,linear ft.: ) Page 2
Suite/bldg./apt.no.. Project name *V\:0 CD��J,fl/7, Manufactured home utilities 50.03
Cross street/directions to job site: J�`' "! 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 ino linear ft..__) Page 2
Subdivision: Lot no.:39c. Fixture or item:
Tax map/parcel no.: Backflow prevcnter 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
,l PROPERTY OWNER 0 TENANT - Expansion tank 12.51
Name: DR Horton Inc. Fixturdscwercap 25 02
Floor drain/floor sink/hub 25.02
Address:4380 SW Macadam Ave Suite 100 Garbage disposal 25.02
City/State/ZIP: Portland,OR 97239 Hose bib2
s.o..
Phone:(503) 222-4151 Fax.t ) Ice maker 12 51
0 APPLICANT *CONTACT PERSON Interceptor/grease trap 25.02
Business name: DR Horton Inc. Medical gas(value.S ) Page 2
Contact name 1 Primer 12.51
Emerald V1 treks Roof drain(commercial) 12.51
Address:4380 SW Macadam Ave Suite 100 Sink/basin/lavatory
25 02
City/State/ZIP: Portland,OR 97239 Solar units(potable water) 62.54
Phone.(503 )222-4151 x1107 Fax::( ) Tub/shower/shower pan12.51
E-mail: esweeks@drhorton.com Urinal 25 02
CONTRACTOR Water closet 25.02
Water heater 37 52
Business nameTrademark Landscapes Inc Water piping DAV 56.29
Address: PO Box 2410 Other: 25 0,
City/State!zIPOregon City, OR 97045 Subtotal
Phone:(503) 631-3893 Fax (31 6,3/-v737 Minimum permit fee: $72.50
CCB Lia: 1 I3 ys �: Plumbin(L.ie.uo: '{ 11( Plan review (25%ofpeimit fee)
i ; ; State surcharge(12%of permit fee)
Authorized signature: y �
TOTAL PERMIT FEE
Print name: L 1//,'. I Date:2016 This permit application expires if a permit is not obtained within(a0 days
after it has been accepted as complete.
"Fee methodology set by Tri-Count)Building Indust)Service Board.
i Budding Per Ml.'-PernitApp.ds: 10 01 09 4046167i 10 4'COMMIS)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8791 SW SCHMIDT LOOP, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2016-00613
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . No irrigation, no back flow device required.
Violation Summary:
Inspector Contractor