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Permit (46) ©f,v• .711 City of A igard commL.1',1 rY DE\ CLOT NIEN1 )1,,,1 R i LI\T ,..., , : Request for Permit Action T I G A RD 13125 SW Hall Blvd. .Tigard, Oregon 97223 . 503-718-2439 TO: CITY OF TIGARD VOID Building Division ///7A <P.P /----. 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: g Owner El Applicant 0 Contractor Ej City Staff Check(V)one REFUND OR Name: INVOICE TO: (Busincss or Indivciiiah D.R. Horton, Inc. - Portland Mailing Address: 4380 SW Macadam Ave.,Suite 100 t-,ity/Staie/Zip: Portland, OR 97239 Phone No.: 503-222-4151 - PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCI i'd"Vil) Pi:..Rl[I ,\PPT AC:\11()N. tg R NJ NI)iliPJ;IR N1 II'1:1.1"ii; (attach copy of original receipt and provide explanation belinv). a INVO V I'. 1-()liZ FEES DUI:, (attach case fee schedule and provide explanation below). 1 I 12.)1i.N1(}4717RI:,P1„A CI i: CON'I'RA(iTOR ON PERMIT (do not(since! permit). Permit ;/: 1 c c r'i Site AtiilereiiS or 1eei fri3 - --3-- 33"— 5-1.,,,i Arp le wat 4, LA ..... . . Proki t Niihic: Het Italie. Grassing_ Subdii iiion Nime: 1 ,)i t:--ir EXPE ANATI ON: We ar,.. r,o I ) i(j,....:r instaiiiiiii irrigution on this tot ned nee,(1 i(rj9a1ion fetnov) (1. front 1 i Pm int Nance: Mud,. Grisnl,'r (7 R,r:, ,,,j 1.9?6,-y oil.S:C. ,,i, 9 N,it c; ;; rh.;,,iiti:r of ; ri h;";. :1 or 1,1:;;-, ;., ,=„,, li c -,!- 0 tri.1;;`0.':0=0'=- --.0!),I1-- 0= i 0 0- !=3 ht it— I.7; N t''.:,:i,ji'd. tIR .,, ."' +1;,II q -:Mil. r= 00 1.===, -(1 '' P"Ii'' \ii,crumi,,,.,,,;.:,,', ,,1 , i 1 ,.L , - 1 .,,,1.1,. ,,, ,,,,g:.1,!,ick --- I"Y• —50 i",,,';,!, i`ot-10', :(:.,e j. 11,,'. .11ctftliii,, s 0 /- cf, 70 6 , 2 k-, n.'"-- - it,- e ... ,.. volt oiticE LSE ONLY Route to Sys Admin: Date By , Route to Records: Date..,2P,2 /9 BY Refund Processed: Date ;2 073 ,ecr B, ;#) nd Invoice Processed: Date ' By Permit Canceled: Date 07 /er.-- By r-7. Parcel Tag Added: Date / B,;:----- I:\Building\Forms\RiaihirrrytActiog ii92; 4..doc I III i - TIGARD City of Tigard March 1,2018 D.R. Horton, Inc. Attn: Mark Grismer 4380 SW Macadam Ave.,Suite 100 Portland, OR 97239 Re: Permit No. PLM2016-00614 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 15505 SW Applewood Ln. Project Name: Heritage Crossing,Lot 46 Job No.: N/A Refund Method: ® Check#227702 in the amount of$64.96. ❑ Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ Comment(s): Per applicant's request as job was cancelled. Refund 80%of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, ''< :"'"f5f;07r_rz-e--- Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov CITY OF TIGARD PLUMBING PERMIT tPermit#: PLM2016-00614 2 COMMUNITY DEVELOPMENT Date Issued: 04/24/2017 T[ na' R L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111DA22700 Jurisdiction: Tigard Site address: 15505 SW APPLEWOOD LN Project: Heritage Crossing, Lot 46 Subdivision: HERITAGE CROSSING Lot: 46 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 503-222-4151 FAX: 503-631-4737 FEES Quantity Description Date Amount 1 ea Backflow Preventer 04/20/2017 $31.27 Specifics: 1 12%State Surcharge- 04/20/2017 $8.70 Plumbing 41 ea Minimum Fee Adjustment- 04/20/2017 $41.23 Type of Use: SF Plumbing Class of Work: OTR 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: /9Permittee Signature:1/-,4',A/P./IV/Pk/1A_ 5:fe° , 75 % ( 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 Applicatio a, "tily Building Fixtures (1114 01 lit I. 1 .1 41\1 ti city of Tigard !'\11''i V ° .0?h Received Psi do 13125 SW Hall Blvd,Tigard.OR 97223 Daw`B� /A/ //6' i P/ ,?��- p` N.. Phone: 503 718 2439 Fax 503 9 1 '�r I,Iewsew I G1 Plan 14 f Other Permit N,..14‘7.-).6/6�0 S Inspection Line: 503.639.4175 1 1(.n t c t) 1 w TV , pare Read}By loris el See Page 2 for Internet. swsis tigard-or gov BUILDING DIN ; n v'i SJ.( otifed'Method: f Supplemental(nfotmation TYPE OF WORK FEE* SCHEDULE ill Ness construction 0 Demolition For special informotion use checklist Description 1 Qty. j Ea. ( Total ❑Addition/alteration/replacement 0 Other. New i-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath 312.70 • I-and 2-family dxeili SFR t2)bath 437 78 eng ❑Commercialiindusttial Accessory buildingSFR(3)bath 500.32 ❑ 0 Multi-family Each additional bathlitchen 25.02 ❑Master builder ❑Other' Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 'S�c ,....9A, /! l / Catch basin or area drain 118 76 Drywell,leach line,or trench drain18.76 City/State/ZIP: Tigard, OR 97223 Footing drain trio.linear ft.: ) ( Page 2 • Suite/bldg./apt.no.. Project name V\thle,C)c�5,nal 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 Storm sewer(no.linear ft.: _rl Page 2 Water service(no linear ft. ) Page 2 Subdivision: Lot no.: lap Fixture or item: Tax map/parcel no.: Backfloss preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes Hasher 25 02 New SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectorsisump 25 02 * PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: DR Horton Inc. Fixture/sewer cap 25 02 Floor drain/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 f CONTACT PERSON Interceptor'grease trap 25.02 Business name: DR Horton Inc. Medical gas(value.S ) . Page 2 Primer 12.51 Contact name:Emerald Weeks Roof drain(commercial) 12.51 Address4380 SW Macadam Ave Suite 100 Sink/basin/avaror} 25 fl2 City/State/ZIP: Portland,OR 97239 Solar units(potable water) . 62.54 Phone,(503 )222-4151 x1107 Fax ( i Tubishower'shower pan 12.51 E-mail, esweeks@drhorton.com Urinal 25 02 CONTRACTOR Water closet 25.02 Water heater 37 52 Business nameTrademark Landscapes Inc Water piping'DWV 56.29 Address: PO Box 2410 Other: 25 0'- CityiState/Z1POregon City,OR 97045 Subtotal 1 Phone:(503) 631-3893 Fax (i5643) (,,3/-V737 Minimum permit fee: $72.50 Plan reciea t25%of permit fee) CCB Liu.: j is ys r•,-r Plumbing.Lia.Dao: (.2I 1 / /i i State surcharge(12%of permit fee)_ Authorized signature: ! ‹.y (! TOTAL PERMIT FEE Print name: , ,_,,,q_ C l./l • J , Date:2016 This permit application caplets if a permit is not obtained within 180 dais after it has been accepted as complete. "Fee methodolopn set bn Tri-Count Building Industr;Service Board. i Butiding PermnsPL\tU PerrrctApp.doc 10 01 09 .14(.46167,IC 0Z COM WEB)