Permit (34) CITY OF TIGARD PLUMBING PERMIT
IN
> COMMUNITY DEVELOPMENT Permit#: PLM2016-00113
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2016
Parcel: 25109 DB01800
Jurisdiction: Tigard
Site address: 13052 SW KOSTEL LN
Project: Summit Ridge No.5,Lot 145 Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple
Project Description: Backflow preventer for irrigation.
Contractor: TRADEMARK LANDSCAPES INC Owner: VENTURE PROPERTIES INC
PO BOX 2410 4230 GALEWOOD ST STE 100
OREGON CITY, OR 97006 LAKE OSWEGO, OR 97035
PHONE: 503-631-3893 PHONE:
FAX: 503-631-4737
FEES
Quantity Description Date Amount
ea Backflow Preventer 05/02/2016 $31.27
Specifics: 1 12%State Surcharge- 05/02/2016 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 05/02/2016 $41.23
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 : " - '•- enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or z rect questions to •. C b -. ing 503.232.1987 or 1.800.332.2344.
Issued By: / / Permittee Sigk ature: ) 1
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.
PI nibin Peiag_.._1! piiRA
Building Fixtures ,cN. ,0,, th., „ ,. , ,, ,,,, ,
City of Tigard ))
: ' -'- % Received ,..
1,%\ Date/By (j i 7 16 477-- Permit No.: /vim aadii,:tiolli
ill • 13125 SW Hall Blvd.,Tigard,0 97223 1,
)../` t•I‘r Plan Relic. sv
I Phone. 503.718.2439 Fax: 50.3.598.1.9 . ' 1-". .\,DateirB . Other Permit No.rw-de 1(.0
Inspection Line: 503 639.417514kC)' Y' . ,.
I It API) NpatoeifiReaedtlethod13) - lu... 21 See Page 2 for
Internet: www.tigard-orgov
/....reiC Supplemental Informanon
' •
TYPE OF WORM,/
'1' FEE* SCHEDULE
,New construction 0 -k:, l'on For special information use checklist
Description I Qtv. I Ea j Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
. ,
9 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 50032
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( _sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: I,a1S7.•• c- xl kask31 L. • Catch basin or area drain 18.76
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 name: Summit Ridge
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
. .
Rain drain connector 18,76
i
Sanitary sewer(no.linear ft.:___) , , Page 2
Storm sewer(no.linear ft.:__ ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:
Lot no.: lL1C Future or item:
Tax map/parcel no.: Backflow preventer 1 31.27 3i,/X?,
Backwater valve 12.5 I
DESCRIPTION OF WORK
Clothes washer 25.02
New SFR
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
• PROPERTY OWNER 0 TENANT Expansion tank 12.51
Fixtureisewer cap 25.02
Name: DR Horton Inc.
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
0 APPLICANT . CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: 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/State/ZIP: Portland,OR 97239 Solar units(potable water) 62.54 ,
Phone:(503 )222-4151 x1107 Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: esweeks@drhorton.com
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business nameTrademark Landscapes Inc Water pipinWDWV 56.29
Address: PO Box 2410 Other: 25.02
City/State/Z1P Oregon City, OR 97045 Subtotal 3 i )-7
Phone:(503) 631-3893 Fax:(913) e,3/-4/73 7 , Minimum permit fee: $72.50 '7).5-0
- Plan review (25%of permit fee) --
CCB Lie.: 23..E3,„, 6,-,,,t .......„---- plum.- ktie.n0,:
) State surcharge(12%of permit fee) . g',-70
Authorized signature: 1 I TOTAL PERMIT FEE'-? 'j .)7)
This permit application expires if a permit is not plunked within 180 days
Print name: L5 ,E. 1/Ass Date:2016 after it ba been accepted as compkte.
*Fee methodology set by Tri-Cotmty Building Industry Service Board.
1 BuildingPermrts,PL S{U-Permri App doc 10,.01,09 440-4616Tf I 0/02.COMAVEI3)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13052 SW KOSTEL LN, TIGARD, OR, 97224 May 3, 2017 at 2:08:26 PM
Record Type: Record ID:
Residential - Plumbing PLM2016-00113
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
1 " febco model 850, serial # HE20557
Violation Summary:
Inspector Contractor