Permit (153) CITY OF TIGARD PLUMBING PERMIT
2 •" COMMUNITY DEVELOPMENT Permit#: PLM2016 00600
T[GAP,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/01/2017
Parcel: 2S 111 DA 18400
Jurisdiction: Tigard
Site address: 8753 SW SCHMIDT LP
Project: Heritage Crossing,Lot 3 Subdivision: HERITAGE CROSSING Lot: 3
Project Description: Backflow preventer for irrigation.
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:
/1/1,4/./11/.14
22 Permittee Signature:
/
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.
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City of Tigard Recetxed
Date'B
' Perm's'm
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,I14....... " 13125 SW Hall Blvd,Tigard..OR 97223
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a Phone: 503 718 2439 Fax 503 598 1960 ‘ ., / A,„ s $ , ti%
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1, Inspection We. 303.639 4175 /-it
WI .1 t:." • . ' N3 see Page 2 for
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, ' Supplemental info
TYPE OF WORK ' ' FEE* SCHEER LE
rotation
Ness construction a De,4 1 1 I For s,eclat in°emotion use checklist
Descri ton
Ea To' tal
1 0 Additionlalterationireplacement 0 Other
Neu 1-2-family&veiJjal.s(tmludes 100 ft,for each unlit)connection)
,
CATEGORY OF CONSTRUCTION SFR(I)bath MB 312 70
f5 1-and 2-family dwelling 0 Commerciallindustrial
111211111111 500-32
SFR(2)bath 111111
0 Accessory building
0 Multi-family
Each additional bath kitchen al 2502
0 Master builder 1 0 Other,
Fire sprinkler( so ft i 11111 Page 2
JOB SITE INFORMATION AND LOCATION Sire utilities:
_
Job site address: k i." AM1161121pRimillnialillil Catch basin or area drain al111 18 76
Dry well,leach line or trench drain 18 76
Citv/Srate/ZIP: Tigard, OR 97223 4............
Footing drain(nolinear ft, ____,) 111111M111111111
Suite/bIdg/apt no., Project name 'yk itryi ' n ., Manufactured..
,...., k actured home utilities
:
----I
Cross streetidirections to job site:
Manholes
18 76
Rain drain connector 18.76
Sanitary sewer too linear ft ) 01111 Page 2
.... SI::sewericeo
iinoblinearft.ANtc.-1 11111111a '
Page,r,
Subdisision-
Lot no.:
Fixture or item-
Tax
!revolter an
31 27
Tax map/parcel no.:
DESCRIPTION OF WORK 1122111M1111
Clothes washer 1111 25 02
I New SFR
Dishuasher
alli 22550022
Drinking fountain
IIIINIMENIMMIN
Ejectors sump
PROPERTY OWNER 0 TENANT Expansion tank 11111111 12 51
ese MI
Name: DR Horton Inc,
Fixturwer cap 25 02
Floor dramlloor smkThub 2302 MN
Address-4380 SW Macadam Ave Suite 100
Garbage&spout NMI 25.02 '
Cir}/State/ZIP: Portland,OR 97239
Hose bib agg :,.5.02
Phone:(503,1 222-4151 Fax t ) ETIONINImgmulMINIECINIIIIIII
0 APPLICANT " CONTACT PERSON interceptor grease trap
Business name. DR Horton Inc. EmEssommanamillnl :..17.t.75`0_2
11111111111/1
cmtatmimi-Emerald Weeks RPnoornfedrram(commercial)
11111111311
Address-4380 SW Macadam Ave Suite 100
nii v TM
Sink/bast a a ,,
City/State/21P Portland,OR 97239
Solar units(potable ssaterl 11111 6:54 1111111111
Phone-(503 )222-4151 x1107 Fax'i( Tubishosser bower an
's p 12.51
MIN
Urinal
25‘,J2
E-mail esweeks@drhorton,com
Water closet
25.)2
CONTRACTOR
111
31Maillammill. 3752 --1
Business nameTrademark Landscases Inc
Water mpingOWV
56
29 111111111
Address- 0• :, 0
Other:
1111111 25 02
CiDiSiaSeiZIPOFE:OI1 Ci ', OR 97045 01111.11111111111111111111111111=
Phone-t 503) 631-3893 ' Fax ( ..at 1 403/-V'73 7
_arm, Minimum permit fee, 872.50
i n : y7,,,1 1.0 I _ Plan res iess (25%of permit fee)
CCB Lic, ,,,T piumballiiiio
. o; iSS
- - 'N...-____,
State surcharge(12%of permit fee)
, - ,
Authorized signature: 1Ki„, -".
TOTAL PERMIT FEE
This pertnit application expires if a permit is not obtained within 1St days
after it ass been accepted as complete.
*Fee mothodologl set 1-i>Tri-Cu , Budding industr?Service Board
1 fttaIdtag PetransPLW-PerniApp doz 10 a:at
441.1-4010110 0.1 COM WE011
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8753 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 27, 2017 at 12:01 :19 PM
Record Type: Record ID:
Residential - Plumbing PLM2016-00600
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
1 " backflow device Febco model 850 ser#HE28912 approved with test report
Violation Summary:
Inspector Contractor