Permit (43) CITY OF TIGARD PLUMBING PERMIT
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COMMUNITY DEVELOPMENT Permit#: PLM2016-00624
Date Issued: 04/24/2017
T[ ARZ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111DA22100
Jurisdiction: Tigard
Site address: 8740 SW SCHMIDT LOOP
Project: Heritage Crossing, Lot 40 Subdivision: HERITAGE CROSSING Lot: 40
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
41 ea Minimum Fee Adjustment- 04/20/2017 $41.23
Type of Use: SF 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: �� '/ i Permittee Signature: iiA rU//
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.
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PIumbing Permit Applicatioi , " eta, ' i l
Building Fixtures lilt of hit t. 1 si 40,1 .'<
Nfl N . City of Ti rd V n16 Raai.ed
13125 SW Hall ,Tigard.OR 97" Date By /2/A)//& / ( Pernnt�o ///k1)(16°— -J
III Phone: 503 718.2439 Fax. 503 598 50; w f ; r t kyr other Prnnit`A.'S7�)l10_�
Inspection Line: 503.639.4175 Date Re } �ee
I i t,n ii u r ' Due Readr�B}° 1 loris See Page 2 for
Internet. mvw i tigard-or 3.g �'i s' f .f i S,.t riNot,BeivNiethod: { Supplemental information
TYPE OF WORK FEE* SCHEDULE
011 Ness construction 0 Demolition For special infonnotion use checklist
Description 1 Qty. 1 Ea. I Total
❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 10.n ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
ft 1-and 2-family dwelling 0 Commerciai'industnal SFR 121 bath 437 78
13Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bathlitchen 25.02
0 Other Fire sprinkler(`sq.R.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: S7`t r7 ;It-L) hhn t L{- 1---1). Catch basin or area drain i18 76
Drywell,leach line,or trench drain 18.76
City/State/ZIP. Tigard, OR 97223 Footing drain(no.linear ft.:,) Page 2
Suite/bldg./apt.no.. Project namCx-\11��.(. o531 Cl/ Manufactured home utilities 50.03
Cross street/directions to job site: 1 .`J Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_,_) Page 2
Storm sewer(no.linear ft.:t Page 2
Vater service(no linear ft.. . _) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Bticl;flow preventer 1 31.27
DESCRIPTION OF WORK Back water valve 12.51
Clothes washer 25 02
New SFR
Dishwasher 25.02
Drinking fountain 25.02
Ejectors'sump 25 02
1/8 PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: DR Horton Inc. Frxture'seirer cap 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 bib 25.02
Phone:(503)222-4151 Fax ( ) Ice maker 12 51
❑ APPLICANT * CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value.S ) Page 2
DR Horton Inc.
Primer 12.51
Contact name:Emerald Weeks
Roof drain(commercial) 12.51 •
Address-4380 SW Macadam Ave Suite 100 Sink/basin/lavatory 25 02
City/stateizIP: Portland,OR 97239 Solar units(potable water) 2,6,.54
Phone.(503 )222-4151 x1107 Fax-:1 ) Tub/shower'shower pan 12.51
E-mail: esweeks@drhorton.com Urinal 25 02
Water ater closet 25.02
Vater heater 37 52
Business nameTrademark Landscapes Inc Water piping'DWV 56.29
Address: F. • :, . . 1 Other: 25 02
CityiState/ZlPOregon City, OR 97045 subtotal i
Phone:(503) 631-3893 Fax ( ) 4,3/-g737 Minimum permit fee: 572.50 '
CCB Lic.: i /3.s3 1,,''� Plumbink1.1a. `it°: - -c (t Plan resiew (25%of permit fee)
1,��,' State surcharge(12%of permit fee)
Authorized signature: / '�`�--t.� '- TOTAL PERMIT FEE
,,, This permit application expires if*permit is not obtained within 180 days
Print name: V< � / f I Date.2016 after it has been accepted as complete.
"Fee nwthodolotn set In Tri-County Building Industry Service Board.
i Binding Permits PLM PemcrApp.doc 10 01 09 44040101,10 01 COMMIS)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8740 SW SCHMIDT LOOP, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2016-00624
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . 1 " febco D.C., model 850, serial # HE20020, for irrigation, located by water meter - ok
with test.
Violation Summary:
Inspector Contractor