Permit (58) CITY OF TIGARD PLUMBING PERMIT
IN 2 COMMUNITY DEVELOPMENT Permit#: PLM2016-00370
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2016
Parcel: 2S109DB07600
Jurisdiction: Tigard
Site address: 13020 SW KOSTEL LN
Project: Summit Ridge No.5,Lot 144 Subdivision: SUMMIT RIDGE NO.5 Lot: 144
Project Description: 58 ft.of storm sewer to connect to lateral.
Contractor: G CAM LTD Owner: DR HORTON INC
PO BOX 1144 4380 SW MACADAM AVE SUITE 100
CANBY, OR 97013 PORTLAND, OR 97
PHONE: 503-263-2005 PHONE: 503-222-4151
FAX:
FEES
Quantity Description Date Amount
58 If Storm Sewer 07/12/2016 $62.54
Specifics: 1 12%State Surcharge- 07/12/2016 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 07/12/2016 $9.96
Class of Work: ALT 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: 1-001"10.0e-- ermitteeSignature:
Call 50 .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
Building Fixtures -% 1. u.
City of Tigard " Received 4
E • ]3125 SW Hall Blvd.,Tigard OR 97x23 t� 7 A DateiB icw ,3°/L -�--... Pe,mit No.: �� J-a f _(.J 70
III Phone: 503.718.2439 Fax 503.598 190 .'' Other Permit No.:
Inspection Line: 503.639.4175 \(:,.i/At nc.' Date/Re /1ge2for --f�Ci1 7
Internet www.tigard or.gov >( �) A•g� �' Notified/Method.ethod: Jori'. Pagesfor
To Supplemental Information
Ti'1C'Z''<3F IV. C 4 7 • FHS S
❑New construction Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CAVY CONSTRUCTION SFR(1)bath 312.70
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 Other: Fire sprinkler( sq.ft.)
Page 2
' JOB SITE Il11VORM,4.TION Site utilities:
Job site address: \'i al) Ljti�, ) C / / Catch basin or area drain I 18.76 l
City/State/ZIP: (l"" �lv /
�`�� "W Dtywell,leach line,or trench drain
18.76
Suite/bldg./apt.no.: Project name: Footing (no.linear ft.: ) Page 2
I Summit Ridge Jam-. )i- L] Manufactured home utilities 50.03
Cross street/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: I Lot no.:`
Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
O nnr Told of w+ RTC Backwater valve 12.51
� Y i'1 / Clothes washer 25.02
11/ ` I`V ��/� �j /� Dishwasher 25.02
•. I s I, 1 A C V �"" (y" Drinking fountain 25.02
Ejectors/sump I 25.02
>, .Li MOlarnt . ;Ci. T Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
City/State/ZIP: Garbage disposal 25.02
Hose bib 25.02
Phone:( ) I Fax:( ) Ice maker 1
j} 12.51
0 APP'Il 4N7' 0 CONTACT' PERSON ' Interceptor/grease trap 25.02
Business name: DR Horton InC Medical gas(value:$ ) Page 2
Contact name: Emerald Weeks 12.51
dAddress: 4380 SW Macadam Ave Ste. 100 Roof in(commercial) 12.51
city/state/zit,: Portland, OR 97239 Sink/baain/lavatary 25.02
Solar units(potable water) 62.54
Phone:(503 ) 222-4151 ext 1107 I Fax::( ) Tub/shower/shower pan 12.51
E-mail: esweeks@drhorton.com Urinal 25.02
t
Waer closet
25.02
e/ Water heater
37.52 name (Il.tt \ Waterpiping/DWV J 56.29
Address:
OK `i,/"l C\ Other: 25.02 Q J Jr'` 1b( J Subtotal
,CAS
Phone:: 570"flip b- Fax:(
_
Minimum permit fee: $72.50
CCB Lic.:Q 1 ---r., I I Plumbing Lic.no.: Plan review (25%of permit fee)
Authorized signature O� I ( ♦ - State surcharge(12%of permit fee)
• / l- TOTAL PERMIT FEE
I Print name: ( ^ ! e�� Thispermit applicationexpirespermity
l l ro p ( Date: /j '7 1f aeis not obtained within 18U days
�`� after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry Service Board.
I:\Building\Punaks\PLMU-PcrmitApp.doc 10/01/04 440H416T(10/07JCOM/WEB)
EHOFNEERIN6&FORESTRY .JUN 3 0 2016
12965 SW H .a` €
ernan Rd.Suite 100, Tualatin, OR 97062 ;
B 011
10: Jessicajo Echanis I ROM: Paul Sellke
DR Horton AKS Engineering & Forestry
4380 SW Macadam Ave Suite 100 12965 SW Herman Rd.
Portland, OR 97239 Suite 100
Tualatin, OR 97062
PaulS@aks-eng.com
503-563-6151
PROJFCT: Summit Ridge No. 5 DATE: 6/29/2016
4105
SUBJECT: Lot 146 & 147 Lateral Stormwater ID#: 00073
Analysis
PURPOSE: For your use VIA: Email
REMARKS: Hi Jessicajo:
Attached is the stormwater analysis for the existing laterals serving lots 146 &
147 which shows that a 4-inch pipe has sufficient capacity.
Do not hesitate to call or email with any questions. Thanks,
Paul Sellke, PE, GE
Project Engineer
AKS ENGINEERING & FORESTRY, LLC
12965 SW Herman Road, Suite 100 I Tualatin, OR 97062
P: 503.563.6151 Ext. 219 I F: 503.563.6152 I www.aks-end.com I PaulS@aks-
eng.com
Offices in: Tualatin, OR I Salem-Keizer, OR I Vancouver, WA
DESCRIPTION OF CONTENTS
on, DA I ED 11`I LL NUMBER SILL
4105 20160629 Summit Ridge No
1 6/29/2016 5, Lot 146 & 147 Storm Lateral
Eval.pdf
COPIES:
DCGardner@drhorton.com
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13020 SW KOSTEL LN, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2016-00370
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor