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Permit (143) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2016-00499 T[GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2016 Parcel: 25111 DA00400 Jurisdiction: Tigard Site address: 8573 SW SCHMIDT LP Project: Heritage Crossing,Lot 13 Subdivision: HERITAGE CROSSING Lot: Project Description: Backflow preventer for irrigation system. 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 11/29/2016 $31.27 Specifics: 1 12%State Surcharge- 11/29/2016 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 11/29/2016 $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: Permittee Signature: t -47P 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. ii i 1 737,1-rt Plumbing Permit Applic �` Building Fixtures Hitt 1 I It I R sI sit City of Ti and `yam v � 2 l 2016 Reteiied Pemut o '/ 13125 SW Hall Blvd,Tigard;OR 9 223 Dart=s, Y�I/G (^ ee L Phone: 503 718 2 i39 Fax 5 g�i T" I plan Ressea !� ` J tJa10/G�OO�ty'C/ ih � k �° Jlis.�@. Dat 'Bv OtberPerrotzNa_. "�, �_ t t >n it r t Inspection Line. 503.639 4175 /`g /,r/�'-t.:l')a 3 Internet 1t11 A.ti d-or gov i @ ,Etta Reeadgibl ! hurts Bf see Page 2 for BUILDINGS f @ 3 1 �osifitd �iethud: Supplemental Information TYPE OF WORK t FEE* SCREW.LE a Ness construction 0 Demolition For special inforf tnti,nusechecklist Description [ ' 1. Ea. ! Total Q Additionlalteratiott feplacement 0 Other; New 1.2-family.dwellings(includes 100 ftfor each utility connection) CATEGORY' OF CONSTRUCTION SFR(1)bath 312.70 fl 1-and 2-family dwelling 0 Commercial industrial SFR 121 bath 43718 ©Accessory building SFR(3)bath 0Multi-family 500.32 ❑Master builder Each additional bath kitchen 23.02 Utiles: Fire sprinkler( si.i.t.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 1 Job site address: Catch basin or area drain 1 18 76 Dry well,leach line,or trench drain 18 76 City'/State/ZIP: Tigard,OR 97223 Suite/bldg/apt,no.. Project name *Ill' y�� r Footing (no.linear fr. 2222) Page 2 '0 5 i Manufactured home utilities 50.03 Cross streets/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no linear ft: .-__) Page Storm sewer(no.linear ft. i Page 2 Subdivision: Water service(no linear It.: ) i Page 2 I Lot no.: Fixture or item: Tax map/parcel no.: Backftott presenter 1 31.27 I DESCRI[PTIOr. OF WORKBackwater valve 12.51 {: New SFR Clothes washer 25 02 1 Dishwasher 23 02 Drinking fountain .25.02 Ejectors sump 25 02 PROPERTY OWNER I 0 TENANT Expansion tank 12.31 ` I Name: DR Horton Inc. Fixture/sewer cap 25.02 Address:4380 SW Macadam Ave Suite 100 Floor drain/floor sink hub 25 02 Garb City/State/ZIP: Portland,OR 97239 Hose age disposal 25.02 bib 25.02 Phone.t 503)222-4151 i Fay t t Ice maker 7 51 (] APPLICANT i COtTACT PERSON Interceptorgrease trap i 25,02 2 Business name: DR Horton Inc, Medical gas(value 3 ) Page Contact name Emerald Weeks Primer 12.11 Addre is Roof dram(commercial) 12.51 4380 SW Macadam Ave Suite 100 sink 1>a,rt3asator ds 02 City/State/ZIP' Portland,OR 97239 Solar units(potable water) 62.54 Phone:(503 )222-4151 x1107 Fax- I ) Tub/shower:showerpan 12.5 E-mail; esweeks@drhorton.com Unnal 25 02 CONTRACTOR Water closet 25 02 Business name.TraWater heater 37 52 Trademark Landscapes Inc Water ptptngDV4'4 56.29 Address: P©Box 2410 Other 250'_ City/state/ZIPoregon City, OR 97045 Subtotal Phone:(503) 631-3893 Fax t,j( 1 &Ili-`,✓'73 Minimum permit fee: 872.50 CCBLic.. y,,-• Plan reties,. i25%ofperntitfeet t3 s3 :Phtmbin L.io no: �i Authorized signature: ° f't State surcharge(12%of permit fee) ,& S TOTAL PERMIT FEE 1 Print name: L5 4s� [4/46: f nate;2016 j This permit application expires if a permit is not obtained within t80 days after it has been accepted as complete. *Fee methodolo5 Set in Tel-Coon Budding industr Service Board. I u,idirlg PemuusPC3n.=PentsoApp es. 10 01 09 440-4SrST110 02 COM:W 87 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8573 SW SCHMIDT LOOP, TIGARD, OR, 97224 January 16, 2018 at 1 :49:03 PM Record Type: Record ID: Residential - Plumbing PLM2016-00499 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor