Permit (35) CITY OF TIGARD PLUMBING PERMIT
ii
. COMMUNITY DEVELOPMENT Permit#: PLM2016-00555
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2016
Parcel: 2S111 DA00400
Jurisdiction: Tigard
Site address: 8516 SW SCHMIDT LP
Project: Heritage Crossing,Lot 58 Subdivision: HERITAGE CROSSING Lot:
Project Description: Irrigation backflow.
Contractor: TRADEMARK LANDSCAPES INC Owner: DR HORTONINC
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 11/09/2016 $31.27
Specifics: 1 12%State Surcharge- 11/09/2016 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 11/09/2016 $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 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: Permittee Signature: &17 Kr
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 Application
Building Fixtures �� , 1,018 01 1'1( 1. 141 ityI 1
4 Received
Cityof TigardrAV,,, ;'' ///f/16 etr. t No tly /E..-490(t5:5.
IN a 13125 SW HallllBlvd_,Tigard,OR Dsa Review-
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� 1� PlaztRertevv
Omet Permit No.,
III Phone: 503 718 2439 Fax: 503.598,196 C? \. Data Br
Inspection Line- 503.639.4175 D t- Date ResdrtBr tins See Page 2 for
1 it'A It I> Internet: w7wv.tigard-or.gov IC t �,,r tottberbStethod: j Supplemental Information
Q )-, ,3V, FEE* SCHEDULE
TYPE OF 4vORl a y t ,,',M,
-.4111)t. •• For special information use checklist
(�New construction Lori: ttt
0 on 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
SFR(2)bath 437.78
1-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 504.32
0 Accessory building 0 Multi-family Each additional bath/kitchen 25.42
0 Master builder 0 Other: Fire sprinkler( sq:ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
8157( ,A�" lL-E, Catch_ basin or area drain 18.76
Job site address: ) 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: \--�(',Y\ �XO` _3 i(1( Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary server(no.linear ft..___,) Page 2
Storm seer(no.linear ft:: 1 Page 2
\Vater service(no.linear ft,: ) Page 2
Subdivision: Lot no.: >j' Fixture or item:
Backflow preventer 1 31.27
Tax map/parcel no.:
Backwater valve 12.51
DESCRIPTION OF WORK Clothes washer 25.02
New SFR Dishwasher 25.02
Drinking fountain 25,02
Ejectors/sump 25.02
10 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Fixture/sewer 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:(543)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. 12.51
Prirtier
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/showerpan 12.51
Urinal 25,02
E-mail: esweeks@drhorton.com Water closet 25.02
CONTRACTOR Water heater 37.52
Business nameTrademark Landscapes Inc Water ptping/DWV 56.29
Address: PO Box 2410 Other 25,02
city/state/zlPOregon City,OR 97045 _ Subtotal
Fax:( ) /- 973 7 ' Minimum permit fee: $72.50
Phone:(545) 631-3893 + Plan review (25%ofpermit fee)
CCB Lic,: Plumbin -.i ,leo,: (12%
/3 State surcharge of permit fee)
Authorized signature;
TOTAL PERMIT FEE
y This permit application expires it a permit is not obtained within 180 days
Print name: L. 14,,7,f /i%3 Date:2()l6 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
t'Building-PcrninrPLMti-PermilAyp.doc 10'0104 440-4ai611i0r'02:C01dwE8)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8516 SW SCHMIDT LP, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2016-00555
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . 1 " febco DC model 850, for irrigation, located by water meter - ok with test.
Violation Summary:
Inspector Contractor