Permit (64) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00597
T[cl ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2017
Parcel: 2S111 DA18200
Site address: 8781 SW SCHMIDT LP Jurisdiction: Tigard
Project: Heritage Crossing,Lot 1 Subdivision: HERITAGE CROSSING
Project Description: Backflow preventer for irrigation Lot: 1
Contractor: TRADEMARK LANDSCAPES INC
Owner: DR HORTON INC.
PO BOX 2410
OREGON CITY, OR 97006 4380 SW MACADAM SUITE 100
PORTLAND, OR 97239
PHONE: 503-631-3893 PHONE: 503-222-4151
FAX: 503-631-4737
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 03/24/2017 $31.27
Specifics: 1 12%State Surcharge- 03/24/2017
$8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 03/24/2017 $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: Permittee Signature:
ce.r. fp
available inspection date.503.639.4175 by 7:00 a.m.for the next
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 Anplicatio t . � r` ` a
Building Fixtures
I t►]t ill lilt I. t .r 41\1
City of Tigard g Retet.ea ,:
• 13125 SW'Hall Blvd,Tigard.OR y7�23 Date a 1al--10/ d , Realm\o `,�I /_
' Phone: 503 718 2439 Fax OR
8',y '0, t, Plan Review 7 �y v{�Q� U�
Inspection Line. 503.639.4175 t (1 a ) r a Date Re �S-J Other Pertmt. < or
I�c.n R�t> � �,a,r,r. , Date ReadrB+. .3440/107/nGCI
Internet. MANu ugard-or gov , E r - , r°�s see Page
�� 'I! l � �'otiBeeadv ibpd: 7 7i I sa 8 2 for
TYPE OF WORK pplemental information
/='e'►li;trl..t�.� EE* SCHEDI:LE
fi Ness construction 0 Demolition For special information use chec,Kst
❑Addition/alteration/replacement Descnpn°n Qty. j Ea. j Total
Other' New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath
31:.70 i
el 1-and 2-family dwelling ❑Commerciallindustrial SFR(2)bath 437 78
❑ SFR(3)bath
0:R,lupi-farad} 500.32
Accessory building
❑Master builder ❑Other
Each additional bathlitchen 25.02
JOB SITE INFORMATION AND LOCATION Fire spiiitisr tsq,ft.) Page 2
G Site utilities:
Job site address: O 7FS S, ' s` ; 1 J _ Catch basin or area drain ) 18 76 1
Cin•/State/ZlP: Tigard, OR 97223 ►, •"F' LGt�� p�+ill,leach line,or trench drain 1 18.76
Footing.drain(no.linear ft.
Suite/bldg/apt.no.. 1 Project name ) Page 2 I
J C1'O`�J i r)D‘, Manufactured home utilities 50.03
Cross street/directions to job site: {
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no linear ft.: ) Page 2 i
Storm sewer(no.linear ft.: if
Page 2 i+
Subdivision: Water service(no linear It. ./ Page 2
Lot no.: I Fixture or item:
Tax map/parcel no.: Backflow presenter
1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New SFR Clothes washer 25 02
Dishwasher 25 02
Drinking fountain 25.02
Ejectors sump 25 02
PROPERTY' OWNER 1 0 TENANT Expansion tank i
12.51
Name: DR Horton Inc. Fixture/sewer cap 25 02
Address.4380 SW Macadam Ave Suite 100 Floor drain'floor sink hub 25 02
Cit)/State/ZIP: Portland,OR 97239 Garbage disposal 25.02
Phone:(503)222-4151 Fax t Nose bib
02
12
Ice maker
0 APPLICANT •C'O\TACT PERSON lnterceptor.grease trap12 01
25.02
2
Business name: DR Horton Inc. Medical gas(value S ) Page
Contact name Emerald Weeks Primer
12,51
Address-4380 SW Macadam Ave Suite 100 Roof drain(commercial) 12.51
City/State/ZIPSinkibasin{1asaton 25 02
Portland,OR 97239 Solar units(potable slater) 2.
Phone.( 6_54
503 )222-4151 x1107 I Fax':( i Tubishower`showerpan 12.51
E-mail: esweeks@drhorton.com Urinal
25 02
CONTRACTOR water closet 25.02
Business nameTrademark Landscapes Inc Water heater 37 52
Address Water pipina1DWV 56.29
PO Box 2410 Other: 25 0z
CityrState/z1POregon City, OR 97045
Subtotal
Phone:(503) 631-38931 Fax t Minimum
50�} �,3/-`/�37 permit fee: $72.50
CCB Lic.: f.3.1;3 ,G'�,f Plumbini.ic.no.: (' r" Plan restew (25%of permit fee) f1
Authorized signature: / '� State surcharge(12%of permit fee)
TOTAL PERMIT FEE
f Print name: t�7L L-erJt 11A; I Date'2016 i This permit application e►pires ire permit is not obtained within 180 days
after it bas been accepted as complete.
"Fee meihodolo*set bs Tri.Count,Building Industry Service Board_
i Bundi°g PemutsPLSn:-PetmtApp.00. 10 Ol 09
444.;44i.i6Ti i0 02 COMMIS)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8781 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 27, 2017 at 12:40:59 PM
Record Type: Record ID:
Residential - Plumbing PLM2016-00597
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
1 " backflow device Febco model 850 ser#HE27003 approved with test report
Violation Summary:
Inspector Contractor