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Permit CITY OF TIGARD _ MASTER PERMIT , l'i '. COMMUNITY DEVELOPMENT + Permit#: MST2016 00016 Date Issued: 03/09/2016 T f eAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 / Parcel: 2S109DB01700 Jurisdiction: Tigard Site address: 13110 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 147 Project Description: New SF. 4/20/16, REPRINTED to add fire sprinklers&stairway revision. 10/6/16, REPRINTED to add a/c BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 699 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 993 sf Garage: 399 sf Front: 20 Smoke Dwelling Units: 1 Third: 1271 sf Right: 5 Detectors: Yes Total: 2963 sf Value: $355,599.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2963 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE,SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 2 A geotechnical report is PORTLAND,OR 97239 required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,808.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain �e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:s /� Permittee Signature: r /t 'T .639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Appli ' 1 FOR Ol hi1``SlOyI.l' Permit Na.: CityReceived of Tigard /�� az/ u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ti Phone: 503.718.2439 Fax: 503.598.1 OT 6 2016 Date/By: Other Permit: T I G A R ri inspection Line: 503.639.4175 Date Ready/By liEl ® See Page 2 for Internet: www.tigard-or.gov Yr • '1 .+i Notified/Method: Supplemental Information tf��t .�i� c'7 I l l a J th - ., COMMERCIAL FEE* SCHEDULE- USE CHECKLIST TYP Mechanical permit fees*are based on the value of the work 40 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 4.7'1 „--, Job site address: 13110 SW Kostel Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(ducts/was) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Summit Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.:147 Other: 23.32 . Other fuel Appliances: Tax map/parcel no.: Water heater , 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Adding AC Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 $ PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: DR Horton Inc. Range hood/other kitchen equipment 33.39 Address:4380 SW Macadam Ave Suite 100 Clothes dryer exhaust 33.39 SCity/State/ZIP:Portland,OR 97239 toilet .duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503 ) 222-4151 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT $ CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. S14.I5 for first four;$4.03 for each additional Contact name: Emerald Weeks Furnace,etc. . Gas heat pump Address:4380 SW Macadam Ave Suite 100 Wall/suspended/unit heater City/State/ZIP: Portland,OR 97239 Water heater .� Fax::( ) Fireplace Phone:(503 )222-4151 X1107Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: )O 136 ' (p 2,, Subtotal 4/Z,.742...— Minimum permit fee($90.00) City/State/ZIP: ) a ti y l !' C1 7 Z l Plan review(25%of permit fee) 'j.ef Phone:(54 i ) q z,iv.. 13 '7 i-t. Fax:(94) ) y 2,(a '717 r State surcharge(12%of permit fee) /4 CCB lie.: s-Q 5 Es' TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Authorized signature: 0051 /*If * Fee methodology set by Tri-County Building industry Service Board Print name: J aye 4 Vise t 1/4-NF1r i V f Date: j I:\Building\Permiis\MEC PermdApp_040113.doc 440-461T1(11/02/COM/WEB) / 3t / `mow k_o57 FOR OFFICE USE ONLY-SITE ADDRESS: 4-0-n- / l / This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 "a II Transmittal Letter r,, , I I, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov r 1K --17 ____ TO: DATE RECEIVED: DEPT: BUILDING DIVISION s t!4...',_.- .. i,-- MAR 2 3 2016 FROM: (iVvAc, CITY OF 1 IGARD COMPANY: (Th. D-,-' - BUILDING IVISIf N PHONE: 5-0-7D-- - (41 S l x / I D7 ) RE: t l) O LiJ 5-43. -4- •i r U. INi`JT- D (l.-- Clx:i(gyp (Site Address) 1 (Permit umber) ��tiVi--11-t— bl(() e. leo. 5 I l 7 � n - r (Project name or subdivision nate and lot number)) k.e y i -77,4 / ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 1 1u `a.x1.N c a-rA_,n ()6-Y , 1 ill3)&613 FOR OFFICE USE ONLY Routed t -Technician: Date: Initials: Fees e:y--Yes ❑ No Fee Description: Amount Due: . $ ig °t - 95 $ $ $ Special Instructions: Reprint Permit (per PE): /i►AAMA_%ig/e / ❑ Don_ Applicant Notified: 6 ate 2 Initials I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 FOR OFFICE USE ONLY-SITE ADDRESS: L0 ' /41/ This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT lig Transmittal Letter T I G A K I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION_ .> APR 19 2016 FROM: -vi lr 4kQ CITY OF TIG�� D 3UILDINO DIVISION COMPANY: „...p, k), J��9� PHONE: // / By:f4 f_// RE: 7/57-70/6 _ 6667.4 (Site Address) R /VT 6,-)4l (Permit Number) (Project name or subdivision name and lot number) ) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: ,,-__. _ f. . FOR OFFICE USE ON Routed to Permit Technician: Date: _• j Fees Due: ❑ Yes ❑No Fee Description: Amount Dpi �: 0, Nr. p), sn r e.\./. $ sr r)- $ $ Special Instructions: / _ Reprint Permit(per PE): ❑ Yes No ElDone Applicant Notified: Date: 17s--/AP Initials:( , . I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT ' 8. COMMUNITY DEVELOPMENT Permit#: MST2016-00016 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/09/2016 Parcel: 2S109DB01700 Jurisdiction: Tigard Site address: 13110 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 147 Project Description: New SF. 4/20/16, REPRINTED to add fire sprinklers&stairway revision BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First 699 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 993 sf Garage: 399 sf Front: 20 Smoke Dwelling Units: 1 Third: 1271 sf Right: 5 Detectors: Yes Total: 2963 sf Value: $355,599.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2963 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE,SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 2 A geotechnical report is PORTLAND,OR 97239 required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,367.34 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- throug OAR 95 -001-0090. You mayobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued /, Permittee Signature: I i r i Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ^ IV , -77-0 77 PlumbingPermit Application Building Fixtures ;;LA{,R, 2 3 2016 t (11t tt)'l It r 1 NI t"1 ' Cityof Tigard Received Permit N /_ !�, w g g (t f (s A R!` Dace/By: i� ��, •��, v Two/!�ADD/t�. 13125 SW]fall Blvd.,Tigard,OR. 2123' Tr �' Plan Revie I Phone' 503.718.2439 Fax: Std8.�[9p p / Other Permit Nu.: Inspection Line: 503.639.411 UILD1Nf 1IV1 SRR)�4 vaee/13y. t.{, c r F Y Date Ready/By. Jo,' : ( See Page 2 for Internet: www.ugard-or goy Not ificd/Met hod: , Supplemental Information ' TYPE OF WORK FEE* SCBfEDULE ❑New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement D Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath ' 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(2.ti t,,$ sq_ft.) / Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: r Catch basin or area drain 18.76 Job site address: r 2)I 1.G > L� :---..1.)t 'f_1 14h-4, _ Drywell,leach line,or trench drain 18.76 City/State/ZIP: 11'p1hY& (I R c 77 1 Footing drain(no.linear ft.: ) Page 2 Suite/bidg./apt.no.: + Project name: Summit Ridge 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 It.. ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I.ot no.: 1 if7 Fixture or item: _ Tax map/parcel no.: Backflow preventer 31.27 - DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25,02 Dishwasher 25.02 NPR Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Fixture:sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: !lose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:$_) Page 2 Contact name: Emerald Weeks Peimrr 12.51 , Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sink/basin/lavatory 25.02 City/State/ZIP: Portland, OR 97239 Solar units(potable water) 62.54 Phone:(503 1 222-4151 ext 1107 Fax: :( ) Tub/shower/showerpan 12.51 E-mail: esweeks@)drhorton.com urinal 25.02 - Water closet 25.02 CONTRACTOR (} [ Water heater 37.52 Business name,Gt-p-Vl3 s. `r uiA.t)J l _-7 V\( Waterpiping/DWV 56.29 y Address: i �35 S, 6 lreeAn.-(,-t �,- Other: 25.02 City/State/ZIP: Or,zAo \CA- i 1)Q qi Ot S Subtotal Phone:(Sa3) LIC)_D-1423 Fax:(lit ) zso-3k8 0 Minimum permit Tec: $72.50 CCB Lic.: ,C\4 b-o Plumbing Lit.no.: Pg I D(D S - Plan review (25%of permit fee) Authorized signature: ( Y State surcharge(12°lo of permit fee) TOTAI.PERMIT FEE ( This permit application expires if a permit is not obtained within IRO days Print name: �osr,� �.-\t t4.14.-� f)att. after ft has been accepted as complete. 'Pee methodutugy set by Tri-County Building Industry Service B card. I'auildwrWanoits,PLMU.PcrrtutApp doe TWO I/try 401-401 ST(1o/02JCOM/W'EB) CITY OF TIGARD MASTER PERMIT IIg COMMUNITY DEVELOPMENT Permit#: MST201600016 Date Issued: 03/09/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DB01700 Jurisdiction: Tigard Site address: 13110 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 147 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 699 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 993 sf Garage: 399 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 1271 sf Right: 5 Detectors: Total: 2963 sf Value: $355,599.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2963 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE,SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 2 A geotechnical report is PORTLAND,OR 97239 required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,132.39 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 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calli 03.232.19871 or 1.800.332.2344.� b` Issued By: 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. . 4 REC-._.r 0 a Mechanical Permit Application i ci u oil I( i l .t O\i 1 f City of Tigard FEB 6 2 n,t;� Received Permit Notts // -/400/6" I ;� " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review S Phone: 503.718.2439 Fax: 503.598.1960Datemy: Other Permit: 55 r 1(,A It D Inspection Line: 503.639.4175 ia.E i 1, (,S 1 t` ``±�.,.I ...Ready/By. Juris. ® See Page 2 for Internet: www.ti -or. ov ,i , [ ' Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work •New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* • 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Fur special iafannation use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: }/ _ Air conditioning 46.75 Job site address: '72\, 0 Svc ( Cls Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard,OR 97223 FFF"""""" H�ace 100,000+BTU(duce✓vents) 5541 pump Suite/bldg./apt.no.: Project name: Summit Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 4,,� Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 • PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: DR Horton Inc. Range hood/other kitchen equipment 33.39 Address4380 SW Macadam Ave Suite 100 Clothes dryer exhaust 33.39 Ci /State/ZIP: OR 97239 Single-duct exhaust(bathrooms, tY Portland, toilet compartments,utility rooms) 23.32 Phone:(503 ) 222-4151 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT • CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. $14.15 for first four;54.03 for each additional Contact name: Emerald Weeks Furnace,ctc. Address:4380 SW Macadam Ave Suite 100 Gas heat pump Wall/suspended/unit heater city/State/ZIP: Portland,OR 97239 Water heater Fax::( ) Fireplace Phone:(503 )222-4151 x1107 Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: ?6 X s 62_ Subtotal City/State/ZIP: A 10 A`.% A,/- G 7,S Z 1 Minimum permit fee($90.00) I Plan review(25%of permit fee) Phone:(5'i) ) t z 6 13 7 t-t. Fax:(91) ) '1 2.b-- 7 1 7 ir State surcharge(12%of permit fee) CCB lie.: S'AC.9 STOTAL PERMIT FEE This permit application expires if■permit is not obtained within ISO /� days after It his been accepted u complete. Authorized signature: !1lp 1 ' Fee methodology set by Tri-County Building Industry Service Board LPrintname: JatoS 174%,-r,-,Fle, 1V I Date: I:\BuiWinecnto s\MEC PermuApp_646t I3.doc 440-46177 111/132/COM/WEB) r Electrical Permit Applica On,ECJ ft)It c)r1 ►( I ( ,t Oil l City of Tigard r:-.3-3 3 2 n tReceived 13125 SW Hall Blvd.,Tigard,OR 9722Plan Review Phone: 503.718.2439 Fax: 503.5 hl 60 Related Permit k: 1 1 t ;,I:I Inspection Line: 503.639.4175 t.,1 i (.)ii )It li.r �),)'t Date/ft Ready Date/By: > 0 See P 2 for Internet www.tigard-or.gov Buioir r' •" ^ Notified/Method: Supplemental Information _ r ` PLAN REVIEW � ,,.� �TYPE OF WORK. II New construction 0 Addition/alteration/replacement Pkase check all that apply(submit I sets of plans w/items checked): ❑Demolition El Other 0 Service or feeder 400 amps or more 0 Building over three stories. ,--*;',OZ � � where the available fault current Marinas and boatyards. \ir,,, ti;` , 3'EGO.RY OF CONSTRUCTION exceeds 10,000 amps at 150 votes or 0 Floating buildings. 4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building kss to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or . =,M k :_. . .4. .f :)0$On INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job# Job site address:13 I ( U SAI 1-.c c ] 1� ' ❑AdI OOHP:n of rrw motor bad of system � or more. ❑..A••..E.. ..I.2.. ..l_3.• City/State/ZIP:Tigard, OR 97223 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt,#: Project name: Summit Ride 0 Hazardous locations. 0 Supply voltage for more than g 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCiV Descdpdo. (On. I Each 1 Totalo � •,. New residential single-or multi-family dwelling unit. Subdivision: Lot#: 141 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 16834 4 Eaadd'1500 sq.ft.or portion %}- 33.92AA, 1 ,. ;,,, .« , ,, ,. : ,'DESCRIPTION OP WORK Limited energy,residential New SFR (with above sq.R.) 1 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ,1 ..1111) OSIER I ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: DR Horton Inc. 200 amps or less 1 100.70 2 Address: 4380 SW Macadam Ave Suite 100 201 amps to 400 amps 133.56 2 City/State/ZIP: 401 amps to 600 amps 200.34 2 Portland, OR 97239 601 amps to 1,000 amps 301.04 2 Phone:(503 )222-4151 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: esweeks@drhorton.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ti;1111,14CANi' � �CONTACT PERSON Branch circuits—ne ,alteration,or extension,per panel ` ; A.Fac for branch circuitws with Business name: DR Horton Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Emerald Weeks B.Fee for branch circuits without Address: 4380 SW Macadam Ave Suite 100 service or reed``fee,first 56.18 2 branch circuit City/State/ZIP: OR 97239 Each add•I branch circuit 7A2 2 ty Portland, Miscellaneous(service or feeder not included) Phone:(503 )222- 4151 x1107 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:esweeks@drhorton.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Wright 1 Electric Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited.energy ❑ See Page 2 2 11490 SE Jennifer St. panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Clackamas,OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:(503)760-8522 Fax:633) 11,0a- ti e -J Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr rlane@wrightlelectri.com90.00/hr Inspections for which no fee is CCB Lic.:162368 Electrical Lic.:3-332` Suprv.JLi 3 specifically listed('/_hr min) ELECTRICAL PERMIT FEES Supra'.Electrician signature,required: Subtotal: Print name'Dmiohs We.1.G1k Date: 2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized si ire: This permit application expires if a permit is not obtained within 180 Print name: A ..'I Date: 2016 days after It has been accepted as complete. * Number of inspections allowed per permit. 1:BuildingPermits`ELC_PamitApp_ELR_ERE.doe Rev 06'172015 44046151(11 05 COM WEB J 1,11 1.'i 1;%7 { ' Plumbing Permit AnolicationL '4- - -4 4' `-' Building Fixtures pc-:--3 `21',16 101( (11 1 It I I .1 ()\1 1 City of Tigard ReceivedDateBy. Permit No.:/l fr�d/G /6. III i S5 Hall Blvd.,Tigard,OR 97221 a I i 1} "- 4 e (i'i 7 Plan Review Phone: 503.7 t 8.2439 Fax: 503.598.1 Dam Other Permit No.. y I 1 ,1) Inspection Line: 503.639.4175 1.31111:di a '�9. 1 ('•-1 Nit$•Date Ready/By: Juni 0 See Page!feu Internet: www tigard-or.gov Notified/Method: s mai Information WI New construction 0 Demolition For special infonrtatiow one checklist. Description 1 Qty. 1 Ea, j Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) _ ::::,--t,.r:#:"g,r, --1',~. ,.. g •. ` SFR(1)bath 312.70 e I-and 2-family dwelling 0 Commercial industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen I 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 7: 1104 tocwrION Site utilities: Job site address: i Catch basin or area drain 18.76 ,l I `'v v Drywell.leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR 97223 Footing drain(nu.linear fl.:_) Page 2 Suite/bldg./apt.no.: I Project name: Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear fl.: ) Page 2 Subdivision: I Lot no.: 141 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 tj. Backwater valve 12.51 ;. • Clothes washer 25.02 New SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .111� _ . , 0 nulteg . Expansion tank 12.51 Name: DR Horton Inc. Fixture/sewer cap 25.02 Floor dram/floor sink/hub 25.02 Address:4380 SW Macadam Ave Suite 100 Garbage disposal 25.02 City/State/ZIP: Portland,OR 97239 Hose bib 25.02 Phone:(503) 222-4151 Fax ( ) Ice maker 12.51 r Acr pippliftn Interceptor/grease trap 25.02 Business name: DR Horton Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Emerald Weeks Roof drain(commercial) 12.51 Address:4380 SW Macadam Ave Suite 100 Sink/basin/lavatory 25.02 City/State/ZIP: Portland,OR 97239 Solar units(potable water) 62.54 Phone:(503 1222-4151 x1107 Fax::( ) Tub.showershower pan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 water closet 25.02 Water heater 37.52 Business name:Edward Mullen Plumbing Water piping/DWV 56.29 Address: 1601 SE River Rd. Other: 25.02 City/State/ZIP:Hillsboro,OR 97124 Subtotal Phone:( 503) 640-0113 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit tee) CCB Lic.:96289 Plumbing Lic.no.:34_ P8 State surcharge(12%of permit fee) Authorized signature: .. TOTAL PERMIT FEE Print name: �e�/� , �, le:2016 This permit application expires If a permit N not obtained w tha 100 days j„�r anter)t las been accepted o eoopkre. •Fee methodotogs set b.Tri-County Building Industry Ser.Ice Board I\Buildir4 Prnms\PLMU-PamIApp.doc 10/01:09 440-46I0-110;02.TOM/WE0) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT 1 I T l c n R n Building Permit Review — Residential Building Permit #: iyiT'aoi, -. . ao/ , Site Address: /3/Jo `?t,t) X/p..kl L�j' Project Name: 504,2,/i. Ri Ai', S---- Lot #: l4-4 (New dwelling= subdivision gafiddition or Alteration= last name of owner) Planning Review 11 Proposal: 1jja) `s /e 4erify site address/suite# exists and active in permit systte . tgrn("ver Terrace Neighborhood: ❑ Yes 1a No Sit Plan Elements: ree(3)copies of site plan L' Rsting structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper I/, ootprint of new structure(including decks)with finished awn to scale (standard architect or engineer scale) flyor elevations th arrow I/ tT:' 'ty locations(required for new,may apply for additions) t address,project or subdivision name and lot number 1P • ation of wells/septic systems licant information (name and phone number) f1, rosion control (including drainage-way protection,silt fence dimensions and building setback dimensions d ign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and V eet names t pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations (2 foot contour lines if more than listing trees to he retained with drip line,and tree 4 foot differential) protection measures Clean Water Services —Service Provider Lettttee of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified IIG No Received: ❑ Yes ❑ No 1!J Public Facilitie mprovement (PFI) Permit: >Lequired: Yes,applicant was notified ❑ No Applied For: Yes E No,stop intake and Use Case #: (.iAJ U/ oning: 1—3 etbacks: Front /5 Rear /5— Side c- Street Side In Garage c:,?(,)44andscape Requirement: ,20 of Coverage Maximum: t7 ) rig :wilding Height: Maximum Height Actual Height In tsual Clearance �asements ensitive Lands: Y481T/es ❑ No TypeActi4.� A a/) .. c2,-,p Urban Forestry Plan ❑ Conditions "Met"7prior to issuance of building permit Notes: ' L}4. /i /L i 4 `I ' _dr-' i 4 Approved By Planning: Date: 7-3tri Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw RES 070915.docx Building Permit Submittal Original Submittal Date: v2/3/�o Site Plans: # 3 Building Plans: # Building Permit#: Center building permit#above. Workflow Routing: R Planning Lg.-Engineering [ ''ermit Coordinator O'�uilding Workflow Sign-off: C'Sign-off for Planning(include notes from planning review) Route Application Documents: E.-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: J4 - Date: /�//a;, Engineering Review Slope at building pad: . ` Q_ ®Conditions "Met"prior to issuance of buildin• p rmit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approv-d b Engineering: Date: Notes: _ i, 's .AL /1 .L? 1f i Air AI/ Approved by Engineering: pi& Date: 2...// Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ►_! pproved, NOT Released: Date: ..2 ' /Mo 1 otes: Gs�v„� ,.,, ,2.4^2 r Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A / Tigard Trans SDC: Yes ❑ N/A Parks SDC: SOYes ❑ N/A OK to Issue Permit / Approved by Permit Coordinator: Date: 3/2"//�O 1:\Building\Fonns\BldgPennitRvw_RES_070915.docx Plumbing Permit Applicata ECEl V ECS . ' 77 Building Fixtures MAR 2 9 2016 City of TigardSi r,-�y OF IG/�RD mt�eyz/'q ,% P.m,ilN,,,/ST�O/4-X00/(0 13125 SW Hall Blvd.,Tigard OR 199+�}.!�.; n Phone: 503.718.2439 Fax: 50 �N�DIVISION Datemy: y Other Permit No.: Date�B Inspection Line: 503.639.4175 p Ready/By: Onix: f See Page Z ter Internet: www.tigard-or.gov Notified/Method: agpkseeW Information TYPE OF WORK. FEE* ❑New construction 0 Demolition For special iayansatiore use checklist Description 1 Qty. ( Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling 0 Commercial/industrialSFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 Each additional bath/kitchen / 25.02 ❑Master builder ❑Other; . Fire sprinkler(29 b3 sq.ft.) Page 2 JOB SITE INFORMATION AND LOCA1TO'J Site Militia: Job site address: ? II 0 Lv 1,9 S NCI 1'414, Catch basin or arta drain 18.76 Drywell,leach line,or trench drain 18,76 Ci /State/ZIP: �,/ OR `J ty (n� 1 � f 7-Z,'I Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Summit Ridge g 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.:.__) Page 2 Water service(no,linear ft.: ) Page 2 Subdivision: I Lot no.: I y 7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 /� DESCRIPTION OF WORK / Backwater valve 12.51 ea"1/v6�'fQLu/Y6/ /G e0/1/771-4167774 6A/ Clothes washer 25.02 -/C/..577Ati-'/ /1/s NSFR / Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker - 12.51 Cl APPLICANT ❑ CONTACT PIERSON Intercgitor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:$_) Page 2 Contact name: Emerald Weeks Primer 12.51 Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sink/basin/lavatory 25.02 City/State/ZIP: Portland, OR 97239 Solar units(potable water) 62.54 - Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 Water closet 25.02 CONTRACTOR GI-0.v tt j -T Water beater 37.52 Business name: l 1ul�rJl� 1VlC _ Waterpiping/DWV 56.29 Address: `lici. 5 S. 6-re.p_tn--1-y--e.e )1/.- Other: 25.02 City/State/ZIP: Orgyn Cy-Li C4(2- i11 ol{S Subtotal Phone:(5'b ) l-!Gi0_�1CZk3 Fax:(9'71 ) ZSo_3$O to Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: I.n‘14,505 c Plumbing Lic.no.: P6 i D ca State surcharge(12%of permit fee) Authorized signature: 'S` a.._, TOTAL PERMIT FEE Print name: Sp v�f.�t �1l � Date: This permit applicadoa expiresIf•permit 4 net obtained within ISO days sitar it has been accepted as eomrlete- •Fee methodology set by Tri.County Building Tndusny Soria Board. I:tBuitaegkP.xmiu\PLMU-PermitApp.doc IWO MY 44N6l6TOC402/COM/WEB) CIV ; 1 7 f Plumbing Permit Annlic an 1�® l C, Building Fixtures t,R. 2 3 2016 , (m (.1 lit 11 .1 C \l 1 City of Tigard �, "'+q y`: y/j/ /�d ;�, Pnmit Nyee Twp/6�DD/(p • 13125 SW Hall Blvd.,Tigard.Qlti '3( ; 1�(3ARt) Plan Revie ll Phone: 503.718.2439 Fax: 5213. 8. 9 LTate/B Other Permit Nu.: Inspection Linc 503.639.41111" ��I -MVI� () � cY T>atc RcadyrBy: Durr: l B See payee 2 for Internet www.tigard-or.gov Notificd/Method: Supplementallaformation TYPE OF WORK FEE* scimpuLE . • ❑New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath j 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen i 25.02 ❑Master builder 0 Other: Fire sprinkler(2q 0 sq.fl.) f Page 2 JOB SITE INFORMATION AND LOCATION ' Site utilities: f Job site address: i f 0 -V (. 1 `,y;y, Catch basin or area drain 18.76 $ Drywcll,leach line,or trench drain 18.76 City/State/ZIP: t G•r(,1 C R f 7 Z. 'I Footing drain(no.linear ft.:�) Page 2 Suite/bldg./apt.no.: l Project name: Summit Ridge 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.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: f Lot no.: 11.1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 e(,i-,u G O/ /o� 1&.._ Clothes we25.02 C� � '�'/��!� Dishwasher 25.02 N S F R Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 T Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT Q CONTACT PERSON Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:$_) Page 2 Contact name: Emerald Weeks Primer 12.51 - Roof drain(commercial) 12.5I Address: 4380 SW Macadam Ave Ste. 100 Sink/basin/lavatory 25.02 City/State/ZIP: Portland, OR 97239 Solar units(potable water) 62.54 - Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 CONTRACTOR Water closet 25.02 ( l Water heater 37.52 Business name:GCOV�+t�i �`�yt��lt :1,1-- Other: Water piping/DWV 56.29 Address: Net 35 S. t&rcev.-Trot Ulf" Other: 25.02 City/State/ZIP: Det enC.-}y 1D� q1o'- S Subtotal Phone:(sad) ��p_0�lp3 Fax:ax:( Z`� Minimum permit fee: $72.50 q71 ) ZS()-JCL Plan review (25%of permit fee) CCB Lie.: l c:\14505 c Plumbing Lic.no.: %t D(O5 ( State surcharge(12%of permit fee) Authorized signature: .11 - a--\ � TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO day; Print name: 3-00c,.ickaJ---Q.)l�t („r Date: after ft has been accepted as complete. •Fee methodology set by Tri-County Building industry Service Board. 1:1Buikliug\Palniu\PLMU-PumitApp.dos 10101/N 440H616T(10/(2/COMM'Eal Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00016 David Young Provide access for inspections, front door locked. 8:40 am Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00016 David Young Provide access for inspections, front door locked. 8:40 am R109.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00016 David Young Provide access for inspection, front door locked 8:42 am. R109.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 280 Insulation FAIL MST2016-00016 David Young Provide access for inspections, front door locked. 8:45 am. R109.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00016 David Young No power at upper level front right bedroom closest to stairs. AC whip not connected at this time. Secure Romex in crawl 4.5 ft max on center. 334.30 Provide full access to front porch GFCI outlet, stone keeping door from opening completely. Re inspect fee applied for third failed inspection without work being complete and ready for inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00016 David Young Vent fan in upper level laundry room not ﬁnished, no trim installed or on site to be found. Note: provide protection impact protection for water heater prior to ﬁnal inspection. M1307.1 Will check at ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00016 David Young Provide approved HVAC contractor for work done on permit. Provide access for inspections, front door locked 8:40 am. R109.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 220 Slab FAIL MST2016-00016 David Young Provide access for inspections, front door locked, 8:43 am. R109.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 340 Storm sewer FAIL MST2016-00016 David Young Provide access for inspections, front door locked. 8:45 am. R109.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00016 David Young Provide permit for AC, not on original permit. Fireplace not working at this time. Not ready for ﬁnal inspection, no inspection done at this time. Re inspect fee to be applied if corrections not complete at next inspection for 3 failed inspections without work being complete and ready for inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00016 Herb Stabenow Light ﬁxture hanging from exposed wires-not ready for ﬁnal Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13110 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00016 Chip Barnett Erosion control approved CWS High-efﬁciency lighting systems form received Street tree cert received Moisture content acknowledged form received Violation Summary: Inspector Contractor RECEIVE') Mechanical Permit Application City of Tigard Si- 21 2016 w+�:,�. �, 1 . t �PAi r0 � ;- r- i Door 131;"W ,1.11!Mt 11 Iwant ()R 9122 I� lit �•�+'•9GA+��Yyj��qy�y� 4a rh:Irrr ti•;`is 243' l at cc�C O'F d 1Gai-DRD ' NI..I :h 4..-. 1 --' -'---- .. '.1,i la.Ia`c a•:I ir.. 0 b,r._(:b'. N NN lir Sd.•,'BUILDING �» Oji grT It , \upplrmreial lel 01 te•b•»r L — TYPE OF WORK _ tOM11FRCI-SL FEE*SCIIEDVLE - It CtILI'bl1%1 — __.__- ' 11t -r .l!Perim:Itz ur I+a,;d on(i,.,1(51,•i th u I�Ni.!,. .Un•ll6(.SIU;1 Q:�,It10hn1:IISC(..:10l1 rrpla.a'tn;tt! 1, ,S•s-•.'I I'Itl,d1:eir vain,'11..114,),41 II'14„ b(441,-N+j..1l, • 0Ocm.r1•Nun 01)11K! • t.,tlrWtl.plIbdf.rt.,1, c,34tp95e•:. Llh,,_,.trlrr.„d .r.,Sl # CATEGORY OF CD'yATlti)C'I101 , RESIDENTIAL EQUIPMENT/SYSTEMS FEES' !IN I-and 2.1311,•1\.1u ciln)/' ln)i i'in10.14l In,1,5\111.5! Q:1,.C.+J!,htliki 1)F__ 1):•,—nr:. rer Tei Ad unJormrb(.n am.ihnkli+e- f []11u111-taints; ❑\t. -k!hIIIIdC( 0t)lu.: . ,.l;� JOB SITE t.NfORMA17Ot AND LOCATION • Orating.cuniial - -_-.-7____-,77.-- <,?,.q,addle.• \ ✓\\:10 �_'�' '\,\ Y1 1•-- _ 1_urtt.4-t 'I. 0r+.,.,1 + - j_. i 1 't, ti:dt Ill'. 71 hlmr !(. t 1;i 1 ._ _—_ 1 1u•I,hid.. ,N e, iPn.-" t,..I" Summit Ridjt -_.. . - - - Ui , - ! 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