Permit CITY OF TIGARD PLUMBING PERMIT
71COMMUNITY DEVELOPMENT Permit#: PLM2017-00375
T f G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2017
Parcel: 2S111 DA20000
Jurisdiction: Tigard
Site address: 8500 SW SCHMIDT LOOP
Project: Heritage Crossing, Lot 19 Subdivision: HERITAGE CROSSING Lot: 19
Project Description: Backflow preventer.
Contractor: TRADEMARK LANDSCAPES INC Owner: DR HORTON INC
PO BOX 2410 4380 SW MACADAM AVE SUITE 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 09/19/2017 $31.27
Specifics: 1 12%State Surcharge- 09/19/2017 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 09/19/2017 $41.23
Class of Work: ALT Plumbing
90 Investigation Fee 09/19/2017 $90.00
Type of Const:
11 Investigation Plumbing 12% 09/19/2017 $10.80
Occupancy Grp: State Surcharge
Stories:
Total $182.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 1 - / / _,-/ Permittee Signature: S�-z(/1i.. eW L/L AtIJI�i izthr-c---?5- 6
/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit ADDlic$tI r t
Building Fixtures `'� _..,
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City of Tigard E P C ] a s c�
IN4 13125 SW'Hall Blvd,Tigard.OR 9722 ! / (2 , �' S
Phone: 503 718.2434 Fax. 503 39 9o4G Plan Ranew
+ 1 Inspection Line. 503.639.4175 ; Date,%. Ocher Pemut Ne
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�aibed htetbod' Supplemental rnrennnlon
TYPE OF WORK FEE* SCHEDLLE
ys Neu construction 0 Demolition Fee weds'information use checklist
0 Addition/alteration/replacement 0 Other. De>edpdtm I Qty. I Es. I Total
New 1-2-family dwellings(includes 100 h.for each utility connection)
CATEGORY OF CONS'TRU'CTION SFR(1)bath
312.70
a I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437 78
S
❑Accessory building FR(3)bath 500.32
❑Multi-family
❑Master builder 0 Other: Each additional badt'kitchen 25.02
i
JOB SITE IXFOR1tIATION AND LOCATION Site sprinkler t_,_„sq.tt.) Paget
She utilities:
Job site address: 8500 rC_ Zig Catch basin or area drain 18 76
City/State21P: Tigard,OR 97223 A/r l1.14).." p�'�cell,leach Ire,or trench drain 18.76 +
Suite/bldg./apt.no.. Project name,
ame 1.\ Footing drain(ter,linear ft.:�) Page 2
1 Y1 (,(p,�� i inv) Manufecumed home utilities 50.03
Cross street/directions to job site:
��'""�e
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear It:_ ) Page 2
Storm sewer(no.linear h.:___I Page 2
Subdivision: 1�y Water service(no linear ft.._Jage 2
Lot no"jig Fixture or items
Tax map/parcel no.:
Beddow premier
1 31.27
DESCRIPTION OF WORKBackwater valve 12.51
New SFR Clothes masher 25.02
Dishwasher _ 25.02
Drinking fountain 25.02
jeaton`sump 25.02
• PROPERTY OWNER I 0 TENANT Expansion tank
12.51
02
Name: DR Horton Inc. FixttroNsew=reap 25
Address:4380 SW Macadam Ave Suite 100 Floor drain/floor smk'hub 25.02
City/State/ZIP: Portland,OR 97239 age disposal 25.02
Pane:(503)222-4151 I FL' t Hose bib `S 51
1 ) Ice maker
0 APPLICANT *CONTACT PERSON Interceptor/grease trap 12 0I
25.02
Page
Business name: DR Horton Inc. Medical gas(value.S_) 2
Contact name:Emerald Weeks Framer { 12.51
Add/n.14380 SW Macadam Ave Suite 100 Roof drain(commercial) 12.51
si '•
ciIy/sta�
ztP: Portland,OR 97239 OJT 2s 54
Solar units(potable uaur) 62.55
Phone.(503 )222-4151 x1107 I Fax':1 ) Tub/shower/shower er pan 12.51
E-mail. esweeks@drhorton.com Urinal 25 aZ
CONTRACTOR Water closet 26.02
Business nameTrademark Landscapes Inc Water hC°Ie' 6.29
1Vater piping/DN'V 56.29
PO Box 2410
Other ,
Address:
Cit/slalerliPOregon City,OR 97045 25 02
Subtotal-.
Plume:(503) 631-3893 Fax ( y Minimum
503 L3/-y73 7 permit fee: 572.50
CCB Lie.: (I3.S3 %r b Li .: Plan rcharg (32%of permit feel,
Authorized signature: �/'j m State surcharge(1240 of permit fee)
Print name: L. V TOTAL PERMIT FEE l?A.(X)
+ [///7 I Date"2016 I This permit npptiadoa cipires if a permit it not obtained rutin ISO days
after Ir bas been Keepted in awpkee.
`Fee methodology set bI Tri.Cotn, Budding Industry Service Board.
I Bui:hen Peng .PLW-PermlApp.doc 1001 09
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