Permit (152) CITY OF TIGARD PLUMBING PERMIT
'111 111COMMUNITY DEVELOPMENT Permit#: PLM2016-00605
TIGARD 13125 SW Hail Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/01/2017
Parcel: 2S 111 DA23200
Jurisdiction: Tigard
Site address: 15500 SW APPLEWOOD LN
Project: Heritage Crossing,Lot 51 Subdivision: HERITAGE CROSSING
Project Description: Backflow preventer for irrigation. Lot: 51
Contractor: TRADEMARK LANDSCAPES INC Owner:
DR HORTON INC.
PO BOX 2410
4380 SW MACADAM AVE STE 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 02/23/2017 $31.27
Specifics: 1 12%State Surcharge- 02/23/2017
$8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 02/23/2017 $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: A% ' ALCfr QL/r/s Permittee Signature:
U
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.
mill,iPlumbin Perrnit A _ lien , , C DI
Building Fixtures . . . , ., .. :.,...,.....,
i OR Oi i.1( f.
City of Tigard OCT 2 5 2 0 16
Oat
.... ..
14, it 13125 SW Hall Blvd,Tigard.OR 9'223 plan:Re,,,,m,-- / ,,
' 11 Phone: 503 718 2439 Fax 503 598 1
Inspection Line 4175
tit),OF TIGARD CI:78' i °The'Perm"1:41 API
503.639.
la see Page 2 tol-
1 Internet tiaard-or gov PLANNING/ENGINEERISE
Supplemental.information
TYPE OF WORK FEE* SCHEDt LE
hTMIIIIIIIIIIIMill
Ne.comma", 0 Demolition uo...c,_ Ears' °aim amaaria.....,,,......_a use cheek/41: .
ri.ion
Egg= Ea , Total
'
0-Addition/alteration/replacement 0 Other Ness I-2-family dwellin-s(includes 100 ft for each utilin,connection)
CATEGORY OF CONSTRUCTION SFR(1)bath al 3 12 70 I ;
4E1 I.and 2-family dwelling 0 Commercial industrial SFR(2)bath In 437 78
E1311111M
0 Accessory building 0 Multi-fa
500.32
n
0 Master builder 0 OthEach additional bath-kitchen
er: Fire sprinkler i sq tt.) .10111=
JOB SITE INFORMATION AND LOCATION Site utilities:
, i a
Job site address: Catch basin or area drain 18 76 wirEnitemomielrentilstimpri . aim
Cit3/StateiZIPTi,tard,OR 97223 wig"v A vii Dr)well,leach line.or trench drain (876
.
Footing drain(no linear t1 ____:/ 1111111112111.111111
Suite:1)1dg/apt no. Project name 'y‘ .
I Lic-,- ' Manufactured home utilities .50.03
_
1
Cross strealdirections to job site: Manholes ' 18 76
_,
Rain drain connector MO 18 76
Sanitary sesser(no linear ft, ,) Iffial Page 2
Storm sekser(no.linear ft i agurn
Water service trio linear ft Page Page 2 ,
Subdivision- Lot no.: POIM Illnmarinemnimminammimin
Backflms pre enter ININ
31 27
Tax map/parcel no.:
DESCRIPTION OF WORK12:11112121111.mmik...111111111LIBMIllim
Clothes washer Mill 25 02
? New SFR
Dishwasher alli 25 02
Drinking fountain : 2q02
Ejectorsesump IMIN 25 02
• PROPERTY OWNER 0 TENANT ExParlsion tan(
FixturoSeuer cap 2502 MN
I Name: DR Horton Inc.
Floor drain floor sinkihuh 25 02 Mil
Address'4380 SW Macadam Ave Suite 100 Garbage disposal min 25,0 ,
Cir)/State/ZIPPortland,OR 97239 Hose bib aim 2502
Phone-(503. 222-4151 1 fax ' ) 121Malomiggill11111111111111111111
0 APPLICANT ' CONTACT PERSON Interceptor tease trap um. 25.02
Business name: DR Hotton Inc. _ _ medkat gag iyakte_4, i aim page!
Primer 1251
P • ' ' Roof drain(commercial) 1111111 12.5 1
Address43 80 SW Macadam Ave Suite 100 sinkit asiroavarar> IIIIIIIIIMEN3
1117"1911111MIEMININIM
Ciry/StatellP Portland,OR 97239
Solar mitts(potable mated
IIIIIIIIBZUIIIIIIIII
PhOne:(503 )222-4151 x1107 f :!ax-:( Tub/shos.trsui..oer pan (2.51
E-mail esweeks@clrhorton.con-i Efall111111111mmillillEDS11
Water closet 25 32
CONTRACTOR
37 32
1112112:21111.1111..1111111111 -
Business nameTraclernark Landsca.es Inc Water piping DWV ' 56 29
Address. *0 :4,. . , 1 11=1111111111111111111111111mmillil 2382
Cit),StatralPOPe:Orl Ci ,OR 97045
Subtotal ----1
Minimum permit fee: 872.50 #
Phone: 5v
( ,1'1..))
631-3893 InnellifirESIM
Plan resiew (25%of permit feel
CCB Lie.: /3"5-3 -----. ,PltirtibiqLio,)to, tc.,„I-:'.:?e'-,
i
State surcharge 112%of permit fee)
... ,
Authorized signature: ,X*ff,CK_____\,,, ,
TOTAL PERMIT FEE
This permit appbranon apnea if n permit is not obtained within ISO days
-------7)—;',T-2-07;"------ ' - - ' .e • -• ' obtained rint name. ti is
after it bas been!stewed as complete.
'Fee mcModologi,eel b:,Tri-Counn, rimktIng Indmr;Sen-s.,-Board
t Buoclirg.Perms Pi 511:-PentrtApp daz too:no
4,41.4$16T,to.:-fosf WEB)