Permit (32) CITY OF TIGARD PLUMBING PERMIT
712. COMMUNITY DEVELOPMENT Permit#: PLM2016 00638
-f-[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2017
Parcel: 2S 111 DA24300
Jurisdiction: Tigard
Site address: 8559 SW SCHMIDT LP
Project: Heritage Crossing, Lot 62 Subdivision: HERITAGE CROSSING Lot: 62
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 04/11/2017 $31.27
Specifics: 1 12%State Surcharge- 04/11/2017 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 04/11/2017 $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.
1
Issued By: G,^G Permittee Signature: ? / / k/_'L._/j
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 A ECEl , � (Olt tzt lit I. t .l f1\1 ti
City of Tigard Recened A42-/7/610-
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13125 SW Hall Blvd,Tigard.OR Nth 8 2016 Plan Re ss /,Z //
Plan Retxw•
a Phone: 503 718 2439 Fax. 503 598 1960 Date By i Other Permu4572c ce.. tS-cy‘
t 1 t.n it n inspection Line. 503.639.417CITY l'. .1 ,MK Date Ready:By ! Curls see Paagye/23foor� '�'tv�"'�
Internet. www tigard-org._ ! ) \,...),,;,, ,r,,t Notified etliod: ! Supplemental information
TYPE OF WORK FEE* SCHEDULE
a New construction I 0 Demolition For special information ase checklist
Description Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other. New I-2-fhmily dwellings(includes 100 ft.for each utility connection)
CATEGORI OF CONSTRUCTION SFR(1)bath 31.70
1-and 2-family dwelling 0 Commercial/industnal SFR(2)bath 437 78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family Each additional bath kitchen 25.02
❑Master builder 0 Oilier Fire sprinkler tsq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: RZS'st.1 Sc —„ , `'^�� / Catch basin or area drain l 18 76
mpDn well,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 IN (.y _txo5 ()O\ Manufactured home utilities 50.03
Cross streeddirections to job site: JY” Manholes 18.76
Rain drain connector 18.76
Sanitary serer(no.linear ft. ) Page 2
Storm seder(no.linear ft.: i Page 2
Water service(no linear ft.._____) Page 2
Subdiv ision: Lot no.:(9 a Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New SFR
Dishwasher 23.02
Drinking fountain 25.02
Ejectorssump 25 02
• PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: DR Horton Inc. Fixttue`srwer cap 25 02
Floor dram/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:(503)222-4151 Fax.t ) Ice maker 12 51
0 APPLICANT •CONTACT PERSON Interceptorgrease trap 25.02
Business name: DR Horton Inc. Medical gas(value $ ) Page 2
Primer 12.51
Contact name:Emerald Weeks Roof drain(commercial) 12.51
Address:4380 SW Macadam Ave Suite 100 Sink/basinliavaton 25 02
City/State/ZiP: Portland,OR 97239 Solar units(potable water) 62.54
—
Phone.(503 )222-4151 x1107 Fax: ( Tub/shower/shower pan 12.51
E-mail. esweeks@drhorton.com Lona' 25 02
Water ater closet 25.132
Water heater 37 52
Business nameTrademark Landscapes Inc Water piping'DA V 56.29
Address.p0 Box 2410 Other: 25 02
City iState/ZIPOregon City, OR 97045 Subtotal
Phone t 503) 631-3893 Fax (,503163/-41737 4173 7 Minimum permit fee: $72.50
ti� Plan review t25%ofpermit feel
CCB Lic.: j /3 5.3 . .PlumbinkLic.no: LI 1:1
ifs,;i ;`7 State surcharge(12%of permit fee)
Authorized signature: /e.W,`<.� -ti.f' TOTAL PERMIT FEE
£f��t ( D8te'2016 This permit application eapires if a permit is not obtained within CSO days
Print name: t.>
after it has been accepted as complete.
'Fee methodology set b Tri.Counts Building industry Service Board.
i Buudini Perm tsPLMU-PernrtApp.do.. 10 01 09 449..ISISTi 10 0:COM WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8559 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 22, 2017 at
10:16:05 AM
Record Type: Record ID:
Residential - Plumbing PLM2016-00638
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
1 " Backflow device Febco model 850 ser# HE45878 approved with flow test report.
Violation Summary:
Inspector Contractor