Permit (49) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00620
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 05/16/2017
T[tafd.L'r 9
Parcel: 2S 111 DA21800
Jurisdiction: Tigard
Site address: 8783 SW SCHMIDT LOOP
Project: Heritage Crossing,Lot 37 Subdivision: HERITAGE CROSSING Lot: 37
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 05/15/2017 $31.27
Specifics: 1 12%State Surcharge- 05/15/2017 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 05/15/2017 $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: ,,djzfvt( 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.
, I
Plumbing Permit Application ,
Building Fixtures I(►It 0111( t Ni ()NI r
PI-City of Tigard b 24=IS-AO/4 Receneo
*113125 SW Hall Blvd,Tigard.OR 97223 DateslI Perrm`'i � _ _
II Phone: 503 718 2439 Fax. $03 598 1940 plan Retied
t i I i i,�I t 1) Inspection Line: 503.639.4175
DateBv thherPern,rr` $T�ttil!—GbS`7/
Internet. www tigard-or gov ,,Rate Ready& fri
lurts H See Pagel for
'oti5ed•bieil d: Io/� Supplemental information
TYPE OF WORK FEE* SCHEDULE
a Neu construction 0 Demolition For special information use checklist
Description 1 Qty. f Ea. 1 Total i
0 Addition/alteration/replacement 0 Other. New I-2-family dwellings(includes 100 b.for each utility connection) 1
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 111
>iti l-and 2-family dwelling 0 Commercial'industnal SFR(2)bath 437 78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath�titchen 25.02 '
0 Other. Fire sprinkler(_w sq.A) Page 2
JOB SITE INFOR.IATION AND LOCATION Site utilities:
Job site address: 3-1&3 c5(i�/ ra�, / Catch basin or area drain j 18 76
City/State/ZIP: Tigard,OR 97223 L� Dry ill,leach line,or trench drain I 18.76
Footing drain trio.linear ft.:_) Page 2
Suite/bldg/apt.no.. Project name **Y\-O/�e Cr0 tnOV Manufactured home utilities
J�1'' 150.03
Cross greet/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft. ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no linear ft..____) Page 2
Subdivision: Lot no.:C3 7 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New SFR Clothes waste 25 02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25 02
• PROPERTY OWNER 0 TENANT Expansion tank 12.31
Name: DR Horton Inc. Fixtura'sewer cap 25 02
Address:4380 SW Macadam Ave Suite 100 Floor dram/floor stnk hub 2502
City/State/ZIP: Portland,OR 97239 Garbage disposal 25.
Hose bib 25.0202
Phone:(503)222-4151 Fax..( ) Ice maker 12 31
0 APPLICANT CONTACT PERSON Interco tor.%
�' p grease trap 25.02
Business name: DR Horton Inc. -
Medical gas(value $ ) Page 2
Contact name:Emerald Weeks Primer 12.51
4380 SW Macadam Ave Suite 100 Roof drain(commercial) 12.51
Address
Sink/basmilavaton 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 piping`DR'V 56.29
Address: PO Box 2410 Other: 25 0
City/State/Z1POregon City, OR 97045 Subtotal 1
Phone:1503) 631-3893 Fax (fi) 6,,3/.-y73 7 Minimum permit fee: $72.50
CCB1 L;c.: 13 s3 Plumbin Lie no Plan review (25%of permit fee)
j / ;i f State surcharge(12%of permit fee)
Authorized signature: e/
\.y ! TOTAL PERMIT FEE
Print name: L5 L £//t). I Date'2016 This permit application expires Ira permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodoloo,set by Tri-Count Building Industr;Service Board.
t Burid,ii Per nnoPLML'•PemoApp.do. IC 01 09 44040194110 0.11 COMwEsl
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8783 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 29, 2017 at
11 :58:40 AM
Record Type: Record ID:
Residential - Plumbing PLM2016-00620
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
No landscape irrigation or backflow devise installed at this time. Contractor to void
permit, new permit will be required at time of installation.
Violation Summary:
Inspector Contractor