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Permit (29) 71CITY OF TIGARD t I MASTER PERMIT COMMUNITY DEVELOPMENT 1,013 Permit#: MST2016-00027 T E G„.,,,,RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2016 Parcel: 2S109DB01800 Site address: 13076 SW BLACK WALNUT ST Jurisdiction: Tigard Subdivision: SUMMIT RIDGE NO.5 Project: Summit Ridge No. 5, Lot 160 Lot: Multiple Project Description: New SF. 4/20/16, REPRINTED to add continuous loop fire sprinkler system for 3365 sf. 9/12/16, REPRINTED to add a/c. BUILDING Stories: 3 Floor Areas Required Setbackc Bedrooms: 5 First: 656 sfRe__paies. _ Height 32 Bathrooms: 4 Basement 0 sf Left 5 Second: 1079 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 381 sf Front 20 Third: 1430 sf Smoke Right: 5 Detectors: Yes Total: 3165 sf Value: $377,835.05 Rear 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Lavatories: 5 Laundry Trays: 0 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Tubs/Showers: 5 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer: 100 Footing Drain: 0 Water Lines: 100 Drains: Ice Maker: 1 Hose Bib: 2 BackwaterBckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Value: 1 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuei Tvaes 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 t Service Feeder -------.__ _ o TemSrvc/Feeders Branch h Circuits 1000 sf or less: 1 0-200 amp: 0 Ea add'I 500 sf: 5 0-200 amp: 0 W/Svc or Fdr: 0 201-400 amp: 0 201-400 am 0 p' 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 Other: N Other Description: y Garage Opener N All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW SF VB Type of Constr: Occupancy Group: Square Feet: Owner: R-3 3165 Contractor: VENTURE PROPERTIES INC DR HORTON INC PORTLAND Required 4230 GALEWOOD ST STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175ms and Reports(Conditions) LAKE OSWEGO,OR 97035 PORTLAND,OR 97239 2 A geotechnical report is required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,897.39 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 952-001-00 e ..:.OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503,232.1987 or 1,400.332.2344. Issued =y: ` �.. ��``.it,, Permittee Signature: nom" Call 503.639.4175 by 7:00 a.m.for the next available inspection da e. U;f "I` 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 Application City of Tigard t'ved DatdBy Permit No: '1» �t n t Jl el 13125 SW Halt Blvd.,Tigard,OR 97223 Plra Reviex'7111 a- VJ $ Phone 503 718 2439 Fax. 503.598.1960 Uatair Other Permit: T t G a R[) Inspection Line 503.639 4175 Date Re4d¢B mm Internet: www tigard-or.gov Notified/method. S See Pent i Int Supplemental Information J TYPE OF WORK j COMMERCIAL FEE* SCHEDULE- USE CHECKLIST 1111 New construction 0 Addition/alteration/replacement placement f Mechanical permit fees*are based on the value oldie work performed Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other mechanical materials,equipment,labor.overhead,and pmfii, CATEGORY OF CONSTRUCTION Value $ 413 1-and 2-family dwelling 0 Commercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 Accessory building Far special infiiraration use Checklist ❑Multi-family ❑Master builder 0 Other: Description _ Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address � �� `rA n� � Furnace 100,000 BTU iducurventst 46.75 City/State/ZIP: Tigard,OR 97223 � (-t/ Furnace 100.000i BTU tduusivenul 54.91 Suite/bldg./apt.no. Project rtame: -,t� Heat pump �� 61.06 . _ 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 few any of above 23.32 Subdivision: lot no.:V06 Other: 23.32 tl�J 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 fire' 23.32 Log tighten(gas) _ 23 32 -- Wood/pellet stove 33.39 0a,y _n Wood fireplace/insert 23 32 / �`�•+ Chimney/liner/flue/vent 23.32 • PROPERTY OWNER 0 TENANT Other 23.32 Environmental exhaust and ventilation: Name: DR Horton Inc. Range hood/other kitchen Address-4300 SW Macadam Ave Suite 100 Clothe dr ipment 33.39 � Clothes dryer exhaust 33.39 City/State/ZIP:Portland,OR 97239 Singtc-duct exhaust(bathrooms, _toilet companmenus,utility rooms) 23.32 Phone;(503 ) 222-4151 _ Fax ( ) Attic/erawlapace fans 23.32 0 APPLICANT • CONTACT PERSON Other: 23.32 Business name DR Horton Inc. Fuel piping: 511,15 far first four;54.03 for each additional Contact name:Emerald Weeks Furnace,me Address:4380 SW Macadam Ave Suite 100 Gas heat pump Wall/suspended/unit heater City/State/2IP:Portland,OR 97239 water heater Phone:(503 )222-4151 x1107 Fax' ( ) Fireplace — --I Range E-mail: esweeks@drhorton.com Barbtxate CONTRACTOR Clothes dryer(gas) Business name- Birchfield Heating&Air Other �6 `� MECHANICAL PERMIT FEES• Address: Subtotal CityiState/ZIP. A 1 A ti /� `� I j) 61 7 3 L l Minimum permit fee($'81.00) Phone: 1y�, _ Plan review_(25%°of permit fee) (5 I ) Q Z r'S 3 -7 I" Fax'(SY) I y Z b" ']Z ? Stan surcharge(12°ti of permit fee) CCB tic.: $- -C) s E. TOTAL PERMIT FEE Thla permit application expires iia permit Is not ubidncd within ISO �r// ,r drys deer tt his been aectpted rs compLete. Authorized signature: / !r,L+-fp11�hl * fcc methodology set by Tri-County BuiWisp tndunry Service Board IPrint name: J std 5 )1,,,"("t tt t V Date. I 1'-Building\PermaeMEC_PermsApp.,ami;0.40. 445-451n t/1/02/COM J 144CIy v TY OF TIGARD MASTER PERMIT i ' COMMUNITY DEVELOPMENT Permit#: MST2016-00027 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2016 Parcel: 2S109DB01800 Jurisdiction: Tigard Site address: 13076 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 160 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 656 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1079 sf Garage: 381 sf Front: 20 Smoke Dwelling Units: 1 Third: 1430 sf Right: 5 Detectors: Yes Total: 3165 sf Value: $377,835.05 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 Drains: 0 Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 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 3165 Owner: Contractor: VENTURE PROPERTIES INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 PORTLAND,OR 97239 2 A geotechnical report is required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,610.08 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y obtain a copy of the rules or direct questions to OUNC by calling •232)987 r 1. 00.332.2344. Issued By: /��_,` _� — ��-- Permittee Signature: wollor ' ' 39.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Ajt M6.10 ECE'1'JE'f RResidentialRl"()R t)I 1.1( I t `,l,t>.► \ e City of Tigard Recgate/t3ivey:d 8 /6 01! Permit No.: ii�Clti(u/ �// �'� _ ,7 13125 SW Hall Blvd.,Tigard,OR MO 1 1 2016 Plan Reie Phone: 503.718.2439 Fax: 503.5 t)ate.-6y:vII7/I Other Penmitg(,012.20l4-t, 1 i I, q r lnspeclion Line: 503.639.4175 DatetFeady,ily: Jona: 63 See Page 2 for Internet: www.tigard-or.gov CITY OFTIGARD NoufieaiMetlwd: 3/; 4Supplemental Information TY1114 IQ G DIVISION t ,..-e4 REQUIRED DATA:I-AND 2-FAMILY DWELLING New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this appiica e 1-and 2-family dwelling 0 Commercial/industrial Valuation3 7,)BSS$ ^/ U ,i /TJ ❑.Accessory building ❑Multi-family Number of bedrooms: . ❑ Master builder 0 Other: Number of bathrooms: Lk JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: L- 0-4-(0 `quo 2\n W c_ w�v\vc- c1/. New dwelling area:� (05 square feet 1 City/State/ZIP:Tigard, OR 97223 V Garage/carport area: 4i5` square feet 1 43o Suite/bldg./apt.no.: Project name:Summit Ridge Covered porch area: square feet, 0-25 Cross street/directions to job site: Deck area: k square feet � L ‘-'c‘-'c''Other structure area: square feet `+- REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: j Lot no.: I(00 Permit fees*are based on the value of the work performed. l� Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New SFR Existing building area: square feet New building area: square feet e PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy groups: City/State/ZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: DR Horton Inc. Structural plan review fee(or deposit): Contact name: Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: City/State/ZIP: Portland, OR 97239 Phone:(503 )222-4151 x1107 Fax: :( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* esweeks@drhorton.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photovoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon -Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist. City%Stater`ZIP: Permit Fee(includes plan review Portland OR 97239 and administrative fees): slso.00 Phone:(503 )222-4151 Fax:( ) State surcharge(124'0 of permit fee): S21.60 - CCB lie.: 130859 Total fee due upon application: S201.60 Authorized signature: " rI This permit application expires if a permit is not obtained t ' GC. �+ within 180 days after it has been accepted as complete. Print name: (" `�f''i"4 'd ilke,`-"-.--' Date:2016 211 k 1(1 ) *Fee methodology set by Tri-County Building Industry t(i Service Board. I:i Building yPennits\BUP-RESPennitApp.doc 42!24/2011 440-4613T(11/02/COM/WEB) j� .Electrical Permit Applic�E1.ED FOR O1.1.1C: t St Ovi_l City of Tigard Received / 11111 13125 SW Hall Kiva.,Tigard,Ole 311 2016 aatedBY: 02 i n Permit a: N a0/4 -a Plan Review ■ Phone: 503.7182439 Fax: 503.598.1960 Datc/B : Inspection Line: 503.639,417 (` i�, ReadyDate/B : toes: I'it,:,t:I) Internet: www.ti rd-or. ov LI 11 Ur i IUAKL NotitedtMethod: to See Page 2 for Ba 8 Supplemental Information zt 'SVIVA ., .". 1,<.u,E 0 4/Y1,S i.T' a x.. . ±,,. ..4, •,t, ; t ':riii ,.ter;::. r New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlrtems checked) D Service or feeder 400 amps or more D Building over three stories. ❑Demolition ❑Other: �, where the available fault current D Marinas and boatyards. .g..,? ;r�, 1,Zn kms% .y tt`A � N� � b1 :_H _ .,W exceeds 10,000 amps at ISO volts or 0 Floating buildings. 4 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Coimtercial-use 0 0Accessary building agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump, 0 Installation of ISO KVA or F =..:", 4i413.$ q F tom, r. OS., 4 :.F. ^,r, ❑Emergency system larger separately derived �, �I , 0 Addition of new motor load of syste , Job#: Job site address:t730-11, �tot,,ir✓ hNr new system ,Job or, e ❑"A" "E" ,.l-2' '°1 -. City/State/ZIP:Tigard, OR 97223S . D Six or�re residential units, occupancy. ' D Health-carr facilities. ❑Recreational vehicle packs. Suite/bldg./apt.#: Project name: Summit Ridge c.)Hazardous locations. D Supply voltage for more than g 0 Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site: s . .. ; , ; , Mechanical Permit Ap RECEIVED D HIR OF'FIc I I ()yI.Y City of Tigard E : 'im unrl Permit No.: y�`i .4 DI_oa 13125 SW Hall Blvd.,Tigard,OR97224Plan Review _ Phone: 503.718.2439 Fax: SO�gCI9 1 2016 DateiB _ Other Pcrmitk I - a Inspection 503.639.4175 y ! i—`�, 1 1 i,ARO p Date Ready/By: ludo ® see Page 2 for Internet: www.tigard-or.govt ITY OFTIGTARI) Notified/Method: Supplemental Information T lial VI A'ISIO ` COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit tees*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:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* •] 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building Far special infinnratiun 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: ` QAC /' Y, �NI Nkh' G . Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 �l/�' Furnace 100,000+ BTU(ductsivents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Summit Ridge Ductwork 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.: tl^n Other: 23.32 U1�J 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 • PROPERTY OWNER 0 TENANT Other: 23.32 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 City/state/ZIP:Portland, OR 97239 Single-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. S14.15 for first four;$4.03 for each additional Contact name: Emerald Weeks Furnace,etc. Address: 4380 SW Macadam Ave Suite 100 Gas heat pump , Wall/suspended/unit heater City/State/ZIP: Portland,OR 97239 Water heater Phone:(503 ) 222- 4151 x1107 Fax::( ) Fireplace Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: a \3o ' ' S 6 Z Subtotal City/State/ZIP: A 000,........ 0., G1 7 3 2,. ) Minimum permit fee($90.00) ) ( Plan review(25%of permit fee) Phone:(5.1 i ) ft'Z I.O-- 13 7 if Fax:(91) ) I 1‘-- -7'Z"7 t' State surcharge(12%of permit fee) CCB lie.: $-S-C` S 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: i L: . Fce methodology set by Tri-County Building Industry Service Board Print name: J ate') 131'-t 4-te 1 p Date: 21 I t 6 j I:UiuiIding\Permits:MEC_Perm0App,_0401 13.doc 440-46177 ti1/02/COM/W EB) r a . Plnmbin Permit A IDC EIVEP . Building Fixtures 1()1.: tit 1 It t 1 �1 41,1 '5 City of Tigard 1 l 2016 M '• -_... Pc an Nu: IN __ 13125it -Jlllot SW Hall Blvd.,Tigard OR F9a P Review d`�2o�011p-�� Phone: 503.718.2439 Fax: 503.59/L1960 Other Peru No, a dr Inspection Line: 503.639.417 ITy OF TIGARD) 1 ,I ,.1, R+ /By: Awn >a seer 2 tor Internet: www.tigard-or.gov a a $ ,, Notified/Method aentrt tstonratloa m '1"est i. 0 f�f 'K 4y,£ ✓. u . ' �y„/, 3". .,.,,;h. �� aa�5�-�. ,� z, •� ,,X.,., .a r5." ,,�_A, f'i„' - (i New construction 0 Demolition For special is.-7,,,,..,,,„,....... Description Ea. j Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwelt',.� (includes 100 ft.for each utili connection) ,Y dwelling 0 CommerciaL'indust _ I-and 2-familytrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 0Multi-family Each additional bathtkitchen ( 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.(1) Page 2 '''.':;.i''',„ ,, - ty� ; ' �.i ,44)474ft� Csritch basin m. t 'sor area drain 18.76 Job site address: . * r' (` • 97223 Drywcll,leach line,or trench drain 18 76 City/State/ZIP: Tigard,OR Footing drain(no.linear ft.:^) Page 2 Ridge Suite/bldg./apt.no,: ( Project name: Summit iManufactured 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 Subdivisi • City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT T I G n R D Building Permit Review — Residential Building Permit #: H i 9c 1 La -000 , 7 Site Address: 1301 6 SW B 161 & WC+'no- S•1- Project Name: SU YYl fl'►i f P id( N.0 • S Lot #: Z s (New dwelling= subdivision name;;kddition or.k iteration=last name of owner) Planning Review Proposal: fV-eM/ F(L Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes gf No Site Plan Elements: /Three (3) copies of site plan 'ffE isting structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished /Drawn to scale (standard architect or engineer scale) floor elevations /North arrow ZUtility locations (required for new,may apply for additions) Ctite address,project or subdivision name and lot number ' tocation of wells/septic systems //Applicant information(name and phone number) /Erosion control(including drainage-way protection, silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area ercentage of coverage and /Street names impervious area (applicable if�,R-12,R-25&R-40) ,1 Street tree size,type and location Zroperty corner elevations (2 foot contour lines if more than /Existing trees to be retained with drip line,and tree 4 foot differential) protection measures ,l Clean Water Services—Service Provider ett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified E No Applied For: E Yes ❑ No,stop intake Land Use Case#: St/Q 2,01c - 0000-i , St g2oi f- °woq e Zoning: Q,_1 XISetbacks: Front l S Rear `.S Side S Street Side I 0 Garage -7,0 .'Landscape Requirement: °./0 ,1Lot Coverage Maximum: Q ,/Building Height: Maximum Height S 5 Actual Height 2 2 s Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type ,l Urban Forestry Plan Er Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /wOG1/11 el /3 i 10 64Lemon.L, Date: 21 I I ) I Jo Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennit Rvw_RES_070915.docx Building Permit Submittal Original Submittal Date: 3 Site Plans: # Building Plans: # Building Permit#: 4G Enter building permit#above. Workflow Routing: 2—Planning C-'engineering emit Coordinator —ilding Workflow Sign-off: O'Sign-off for Planning(include notes from planning review) Route Application Documents: [l'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal plan review routing form. n Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: i--- By Permit Technicia#: _, .1 - -ice ' Date: p.. // f� Engineering Review fSlope at building pad: 4.• 41 ,y � � ❑ Conditions "Met"prior to issuance of building permi 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: E Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved • E :ineering: Date Notes: ��r � , i'_ � r .5. -go '► ',ice -- Approved by Engineering: /4Z 27 Date: '. �,2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved E Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: "ld -------D--;te:,„1/1 0(=:' Notes: 6,4144-11-""'v7 / &,L de yta 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: ( eN"Yes ❑ N/A Parks SDC: iit,Yes ❑ N/A OK to Issue Permit )‹ Approved by Permit Coordinator: / Date: 3/ /1.- (:`Building\Fonns\BldgPennitRvw RES 070915.docx Plumbing Permit AnulicB EIVED .;7500 f / k Building Fixtures MAR 2 9 2016 1 t)It r)I ) 11 1 I .r t i,I City of Tigard Received Permit N • 13125 SW Hall Blvd.,Tigan Is 0� TIGARD Plan rn 3`?//,, WS 70/6 ODD 7 Phone: 503.718.2439 Fax fp 3 O`V�S�ON Amy,ew omerPermitNu.: Inspection Linc: 503.639.41 ��Vt B Ready/By: ' it See Page 2 for Interna: www.ti -or. ov 8 8 Notfied/Metlad: 1 Supplementallafarmatien ' toe OF WORK .PEE* sC Li£ . .• . ❑New construction 0 Demolition For special Iwfarasoatost use checlaiss Description 1 Qty. ( Ea. ❑Addition/alteration/replacement 0 Other: New New 1-2-family dwellings(includes 100 R.for each utility connection) ' CATEGORY OF CONSTRUCTION • SFR(1)bath 312.70 ❑1-and 2-family dwelling 0 Commercial/industrial SFR(2) ' 437.78 ❑Accessory building 0 Multi-family SFR(3)bath i 500.32 Each additional bath/kitchen ' 25.02 ❑Master builder 0 Other: Fire sprinkler(37/a sq.R.) i Paget • !O$slit n PoklwA'TOOpi AND LOCATION ' Site utilities: Job site address: 13 o7 b S V,/ . i 4(k ^ t ;'✓l,l ( _. Catch basin or area drain 18.76 �i _ q 0 k q-7z z J f- Drywell,leach line,or trench drain 18.76 , City/State/ZIP: WLwgl Footing drain(nolinear ft.:_) Page 2 Suite/bldg./apt.no.: l Project name: Summit Ridge Manutctured 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 pp Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: it,0 Fixture or item: Tax map/pareel no.: Backflow preventer 31.27 DESCRIPTION OF WORKABackwater valve 12.51 C4971(66---A- 7e/A/6" en//7-141 �L DA/ iothes washer 25.02 { Dishwasher 25.02 f s77.' j-P /T, NSFR .445,/___ Drinking fountain 25.02 Ejectors/sump 25.02 13 "noticary OWNIR . © =Am 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:( ) lee maker 12.51 A1PLICAN ' • ❑ comma!'nutsoN Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:S ) Page 2 Contact name: Emerald Weeks Primer 12.51 Roof drain(commercial) 1231 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 Water heater 37.52 Business name:Grim/Lk., k tLiA1G(LA 7h t'_ WaterpipingfDWV 56.29 Address: tt{a135 S. &r`t.e.Vv-TY--.a�Jltr Other: 25.02 City/State/ZTP: o elan c.d L do- g t1 NS Subtotal Phone:(5 ) 4(10_016,3 1 Fax:(IT( ) z _5s 0 2, Minimum permit fee: 572.50 t soc g pn t D b 5 Plan review (25%of permit fee) 9Lt CCB Lic.: Plumbin Lic.rw.; CJ r, , t State surcharge(12°/.of permit fEe) Authorized signature: .C31 - {1..\111.` TOTAL PERMIT FEE Print name: Se rll tA.14-tt Date: This permit apptiatiaa expires if•permit is sol obtained within III days after h has been accepted as eomplets. `Fee methodology set by Tri-County BuildingIndustryService Board. IABriid eRnoliu\PLMU-Pr itApp.duc IWOI/UV 440461 6T(OW/92/COUWF.5) ikr, . I 8 r. Plumbing Permit Auuli*EIC I I) `7 " /F' ` &9 4 ' Building Fixtures i t.i; milt 1 1 .t 1 , City of TigardEl MAR 2 3 2016 Received y/ �/�X1_ PamitNo � /�Q�D�7 13125 SW Hall Blvd.,Tigard.OR 97223 Datc/8y �� / QTY Plan Review Phone: 503.718.2439 Fax:. +` Q q 1 Date/By: Other Permit Nu Inspection 503.639.417/5 0i1�h P Parc RcadylBy: Juric BJ See Page 2 for Internet: www.tigard or$+ _ LI t r ' Notified/Method: Supplemental Iafurmadoo ' TYPE OF WORK FEES SCSI ' 0 New construction 0 Demolition For special information use checklist Description 1 Q . 1 Ea, ] Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 10011.for each utility connection) CATF.GORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath f 500.32 Each additional bathlkitchen /� 25.02 0 Master builder 0 Other: Fire sprinkler(3/IS sq.ft.) / Page 2 JOB 8I'IZ INFORMATION AND LOCATION Site utilities: 1- r Catch basin or area drain 18.76 Job site address: 1 3 076 5 a �j!4 C( \,,,';,,,,,04 A Drywell,leach line,or trench drain 18.76 City/State/ZIP: 0 e Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt,no.: J 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 r Subdivision: Lot no.: .1) Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DFSCRIP'1'ION OF WORK Backwater valve 12.51 649 /1 -y�a� Clothes washer 25.02 e^/9 A/6- t2 W N�.- -�� Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/sump 25.02 Q PROPERTY QTR I 0 Trwq'lr Expansion tank 12.51 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 3 APPLICANT • ❑ 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) 12,51 Address: 4380 SW Macadam Ave Ste. 100 Sink/basin/lavatory 25.02 City/State/ZIP: Portland,OR 97239 Solarunits(potablewater) 62.54 Phone:(503 ) 222-4151 ext.1.-1-077-73c::( ) ^� Tub/shower/shower pan 12.51 E-mail: esweeks@drhorton.com Urinal 25,02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:G+ re,..V(,c‘..( uIM.>3 ILA-I) =VA L _ Water piping/DWV 56.29 Address: 1 tC 35 5. G rzev.-V v-"e(_._.Dtf' Other: 25.02 City/State/ZIP: Or e11 C.t-I-Li ,DQ- 91 fit{' Subtotal Minimum permit fee: $72.50 Phone:(Sa3) yet(}-D1t03 Fax:(971 ) ZS()-3S0(2) . _--- - Plan review (25%of permit fee) CCB Lie.: t(114505" t Plumbing Lic.no.: P6 t D S ( State surcharge(12%of permit fee) Authorized signature: � ��-^^`^^`1 � TOTAL PERMIT FEE �� -- a-- SI- This permit application expires if a permit is not obtained within 180 days Print name: Sp,� t u�� Date. atter it has been accepted as complete. •Fee methodology set by Tri-County Building Industry Service Board. tAPuildiakRarmiu(PLM[i.PumitApp.due 10/(11Aw 440-4616T(iO/O2JCOM/WEa) FOR OFFICE USE ONLY–SITE ADDRESS: ` 30 744 �j(��y _ (,�� -t—I 0 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 :11h1 Transmittal Letter e I, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: DATE RECEIVED: .,, DEPT: BUILDING DIVISION (( I \ �j MAR 2 3 2016 • FROM: �11/ aJCc9 CITY OF t iGAi COMPANY: (Th. 3UILDRPjGDIVISION PHONE: 5-0 --o�oa, LItSl x / ID7 Y: k RE: l9D07 t.A3 LDa-())/t,fr" 1(o -coo 2v7 (Site Address) (Permit Number) 5- /60 (Project name or subdivision n e and Iot number)) 055Gta-i ' 3�7/ 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: q ( ✓l FOR OFFICE USE ONLY Routed to Permi�T'echnician: Date: Initials: Fees Due: es ❑ No Fee Description: Amount Due: $ /( 9. 94 $ $ $ Special Instructions: Reprint Permit (per PE): _ • ❑No 111 Done l Applicant Notified: ate: g-v f Initials: f1j l:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 1111 CITY OF TIGARD MASTER PERMIT a:7 COMMUNITY DEVELOPMENT Permit#: MST2016-00027 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2016 Parcel: 2S109DB01800 Jurisdiction: Tigard Site address: 13076 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE N0.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 160 Project Description: New SF. 4/20/16, REPRINTED to add continuous loop fire sprinkler system for 3365 sf. BUILDING Flogr Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First 656 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1079 sf Garage: 381 sf Front: 20 Smoke Dwelling Units: 1 Third' 1430 sf Right: 5 Detectors: Yes Total: 3165 sf Value: $377,835.05 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: 5 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 3165 Owner: Contractor: VENTURE PROPERTIES INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 PORTLAND,OR 97239 2 A geotechnical report is required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,800.03 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 AR 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 B • Permittee Signature: ca-elf-,PC-c-AY- 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. id Plumbing Permit Appli t L 5( ) Building Fixtures 1 OR OI l U F I (1.I 1 City of Tigard MAR 2 3 2016 Received a/�. Pnm t Nu • 13125 SW Hall Blvd.,Tigard,OR 97223 Dam // / - /+ /1�S /6 pDD�7 Plan Review IN I Phone: 503.718.2439 Fax:; y9� r'��1 I Other Permit No. Inspection 503.639.4175} i A}tk x I6ARU Date/Re I:•..N.1,1 t p ,` Date Ready.. : tori,: ® See Page 2 for Internet: www.tigard-or.gov 1ING �j Notified/Method: Supplementallnfwrnadon TYPE. OF WORK ` 1�I�+I �1 > • SCHEDULE El New construction ❑Demolition Fur special information use checklist Description l Qty. J Ea. I Total ❑Addition/alteration/replacement ❑Other: New l-2-family dwellings(includes 100 ft.for cach utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling I ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath / 500.32 Each additional bathik Itchen ' 1 25.02 ❑Master builder 0 Other: Fire sprinkler(31l- sq.ft.) / Page 2 1 JOR SITE INFORMATION AND LOCATION Site utilities: _ (3 G /b ,)U 6'1 C.t k \A:* +v > Catch basin or area drain 18 76 Job site address: t Drywcll,leach line,or trench drain 18.76 City/State/ZIP: Ti,y��4y -1 q 7 �, Y Footing drain(no linear ft.: ) Page 2 Suite/bldg./apt.no.: Y 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 set-vice(no.linear ft.: ) Page 2 Subdivision: Lot no.: tt C- Fixture or item: Tax map/parcel no.: Backflow preventcr 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ' Clothes washer 25.02 Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER [ ❑ TENANT Expansion tank 12.51 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 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:S _�) Page 2 Contact name: Emerald Weeks Primer 12.51 Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sink/basia/lavatory 25.02 City/State/ZIP: Portland, OR 97239 Solar units(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/showcrpan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 Water closet 25.02 CONTRACTOR - ` j Water heater 37.52 Business name.&to-V t t"-( ?,ul�lU t� alv3 L Water piping/DWV 56.29 Address: t`1935 S- & - --t€. 01- Other. 25.02 City/State/ZTP: Df'eloouty 4 DO-- qi oqs Subtotal 1Minimum permit fee: 572.50 Phone:(5'03) L.60_��{(0 3 Fax:(9'71 ) ZSO_7J� -- - Plan review (25%of permit fee) -^ CCB Lie.: '91.1505- , Plumbing Lic.no.: P i D(n5 - (' � Sta[c surcharge(12%of permit fee) Authorized signature: t-S3 a.._._,,,, TOTAL PERMIT FF.F Print name: T YN JJ�At. 1, Date: This permit application elpire if a permi['u not obtained within 180 days J o✓K.� l�tc-� after It has been accepted as complete. `Fee methodology set by Tri-County Building industry Service Board. I:\Buildiuripo'mies\PLMU.PunutApp.dui 10,111/04 440-44,16T(10102/COM/WF.a1 1 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00027 David Young Provide approved plumbing ﬁnal for lawn irrigation Backﬂow device. Attach shower head trim in main level bath, lower level bath, all baths. Provide hot water tempering valve for master soak tub, water heater not approved tempering device. 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00027 David Young GFCI in kitchen by fridge location not working, island plug has no power. Fix box in kitchen sticking out from wall. 314 No access to upper level deck outlet, electrical not done at this location. Not ready for ﬁnal inspection, no inspection done. 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00027 David Young Provide permit for AC installed without permit. Condensate drain buried below grade right side of house. Provide timer or de humidistat at main level full bath. M1507.4 Seal wall penetrations for mechanical in garage. R302.5 Not ready for mechanical 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL September 15, 2016 at 9:28:26 AM MST2016-00027 David Young Provide correct mechanical contractor for work done on permit prior to ﬁnal inspection. Low voltage wire for hood fan not connected. Provide tamper proof locking access port caps on AC. M1411.6 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00027 David Young Correction for Backﬂow devise on building ﬁnal inspection results. 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL September 15, 2016 at 9:42:03 AM MST2016-00027 David Young Provide missing timer or de humidistat for main level full bath as noted on previous mechanical 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00027 Chip Barnett Previous corrections have been completed 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00027 Chip Barnett Erosion approved by CWS Moisture content form received Energy efﬁcient lighting form received Street tree CERT received Blower door test approved by Performance (label at electrical panel) Insulation CERT at electrical panel Previous corrections have been completed Violation Summary: Inspector Contractor • • Electrical Permit Applicatio _ '', ; r' I OR 01.1 1( E t `,1 0,1.1 City of Tigard °`d 7/1%� `` Permit No.: -lj7 )/2 _000.2 7 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 4 2016 Plan Review ' I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit. Inspection Line: 503.639.4175 r ' , q •„ Date Ready/By: Juris: ®See Page 2 for Internet www.tigard-or.gov ° gi ` z NotiSed/Method: Supplemental Information TYPE OF'WORD. PLAN:REVIEW 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit g sets of plans wlnterns checked below): 0 Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY_OF CONSTRUCTION .. exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000' ❑Commercial-use agricultural ❑1-and 2-family dwelling ❑Commercialindustrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder r 0 Other: ❑Fire pump. 0 Installation of 75 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of 0"A","E","1-2","1-3", Job no.: Job site address: 13076 SW Black Walnut Street loolIPormore. Recreation ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: 0 Health-care facilities. 13Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: Summit Ridge ❑Service or feeder 600 amps or more, FEE SCHEDULE • Cross street/directions to job site: Description I Qtr. I Fee. . I Total I • New residential single=or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 160 1,000 sq.ft.or less 168.54 4 Tax map/parcel Ea.add'1500 sq.ft.or portion 33.92 1 no.: Limited energy,residential DESCRIPTION OF WORK.. • (with above sq.ft) 75.00 2 Limited energy,multi-family 75.00 2 Ce49,v ' -.4- o,.. 00V tom/s 77J residential(with above sq.ft.) t -,1772, Services or feeders installation,alteration,and/or relocation E. "f IT 200 amps or less 100.70 2 0 PROPERTY OWNER 1 0 TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Ci /State/ZIP: Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation Phone:( ) Fix:(. ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 _ 2 Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. • Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with to 0 APPLICANTI 0 CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: DR Horton Inc B.Fee for branch circuits without Contact name: Emerald Weeks branch circui der fee,first 56.18 2 4380 SW macadam Ave Each add'I branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:(503) 222-4151 Fax::( ) •, Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: • Signor outline lighting 67.84 2 CONTRACTOR i - Signal circuit(s)or limited-energy panel,alteration,or extension. 2 2 Business name: s (A�, �- (per G > Address: �i tt. rt_ Each additional inspection over allowable in any of the above 2 (�0 y ��' ��"7 r. �� If Additional inspection(1 hr min) 66.25/hr � / Investigation(1 hr.min) 66.25/hr City/State/ZIP: V� 0&t (� l/1/74 ,,erg C/ Industrial plant(1 hr min) 78.18/hr Phone:(31, 5'/e, 7;57_9 Fax:OyCC2) 326-- ,966 Q Inspections for which no fee is 90.E . specifically listed(%a hr min) CCB Lic.:1.—y.26-249 Electrical Lic.:.6-Z 30 Suprv.Lic.: /75'S S ELECTRICAL PERMTT. FEES Subtotal: Suprv.Electrician signature,required: Plan review(25%of permit fee): Print name:Ch 6-.5.11.-4, 22 f; .f Date:•• State surcharge(12%of permit fee): - . TOTAL PERMIT FEE: ~ • Authorized Signature: 7,(..,„ ....,.....- This permit application expires if a permit is not obtained within 180 Print name: .. 9_ Date: k days after it has been accepted as complete. —V9'V Number of inspections allowed per permit. I:\Building\PermitatELC-PermitApp 440.4615T(11/05/COMIWEB 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL September 15, 2016 at 9:12:33 AM MST2016-00027 David Young Provide approved plumbing ﬁnal for lawn irrigation Backﬂow devise. Change mechanical contractor on permit to contractor who did the work. Siding not done around deck, deck not complete at this time. Provide approved ﬁnal erosion control inspection. Not ready for 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00027 Chip Barnett Previous corrections have been completed 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2016-00027 David Young Duplicate inspection scheduled. See results of other building ﬁnal scheduled for same day. 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 13076 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2016-00027 David Young Provide approved plumbing ﬁnal for lawn irrigation Backﬂow devise as noted on previous failed ﬁnal inspection and previous plumbing ﬁnal inspection. Provide approved mechanical ﬁnal inspection. Provide approved electrical ﬁnal inspection. Provide approved deck framing inspection with city approved plans. Violation Summary: Inspector Contractor Mechanical. 'er . t Application0. 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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. IN _, City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: �� DATE RE DEPT: BUILDING DIVISION aCIVr SEP 11i 1I FROM: ja 1 v/ 1 - CITY a.3 !ill:AP - COMPANY: J l VcAr1t f1 PHONE: (5-C) a3� Ll,c1 e,x4, Ili By:e� LiE: d C 5k) 3 e* 41./4 t/V•i t— (3) . S/(o--coC�a- (Site A dress) (Permit Nu"m88"r Summa i 1- 0I e.. L-i' 1 (d (Project name or subdivisio ame and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 01; !,: , 3 3 RFs , 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. -3 Other(explain): jf REMARKS: Routed to Permit Technic'an: Date: 9 _ J 9 - j -c Initials: 4 Fees Due: E1 Yes /I No Fee Description: . I. : ., Due. – 1. i-ik pJ,-, re' e`.^./ . .,-411011 J $ A/O -mss $ 4- ^ Special ~t Instructions: Reprint Permit(per PE): \Yes ❑No ❑ Done Applicant Notified: Date: q4'!A & I Initials: . h, f� a ridf ,-r,u.-� e; e ,4,_ s,' - ploys lb a 0 IMuilding\Forms\TransmittalLetter-Revisions 061316.doc • City of Tigard 1111 COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 C;n K D Building Permit Review — Residential Building Permit #: H51`9c I La —OCA0. Site Address: 1301 6 Sw B 1cAc.t., Wt;,Invi- S4- Project Name: SU m i 4- Ric( N.0. S Lot #: -z, s (New dwelling=subdivision name;Addition or,\Iteration=last name of owner) Planning Review Proposal: lv 1m/ s F R Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ Yes ,2r No Site Plan Elements: 'Three(3)copies of site plan `Brxisting structures on site /Site plan must lig on 8-1/2"x 11"or 11 x 17"paper ,Footprint of new structure(including decks)with finished i Drawn to scale(standard architect or engineer scale) floor elevations ,North arrow ZUtility locations(required for new,may apply for additions) ,ite address,project or subdivision name and lot number 'tocation of wells/septic systems ,Jnpplicant information(name and phone number) 'Erosion control(including drainage-way protection,silt fence 1 rLot dimensions and building setback dimensions design,location of catch basin,etc.) %Lot area,building coverage area ercentage of coverage and ,P'Street names impervious area(applicable ifeita,R-12,R-25&R-40) , Street tree size,type and location ' Iroperty corner elevations(2 foot contour lines if more thanJExisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean\Vater Services—Service Provider ett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No /] Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake i`-' Land Use Case#: Q 241 S - 000(7 , S19201!- 0000 9 e Zoning: Q._1 Z.Setbacks: Front IS Rear I.S Side S Street Side l v Garage -z42 Landscape Requirement: °''o fLot Coverage Maximum: Q .2Building Height: Maximum Height S GActual Height (2,--(- ZVisual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditions"Met"prior to issuance of building permit Notes: Approved By Planning: /ll/4VV1?-0t /3 1pd.( et,t,‘ Date: 24 I I J I b Revisions (after Building Submittal only) � Reviewer Date Revision 1: /N. Approved ` i❑ Not Approved Oh jf,e,,% ii/(0 A...1-1/0-1 6//14 MO Revision 2: Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved ' 1:\Building\Forms\BldgPenn itR vw_RES_070915.docx Building Permit Submittal Original Submittal Date: 3 Site Plans: # Building Plans: # j Building Permit#: Enter building permit#above. Workflow Routing: "Planning a-Engineering emit Coordinator -Ll tsuilding Workflow Sign-off: Pr-Sign-off for Planning(include notes from planning review) i Route Application Documents: Z.-Engineering: (1) copy of permit application, (1)site plan,(1) building plan and original plan review routing form. 6 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technicia#: ,( vJiDate: l Engineering Review l Slope at building pad: /' sAur ❑ Conditions "Met"prior to issuance of building permi Easements (encroachments)per engineering conditions of approval and plat '''`Ni Water Quality/Quantity Facility: 3 Assess Water Quality Fee in-lieu: ❑ Yes t No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: CI Yes No ❑ NOT Approved c E ;ineering: Date �Mir Notes: .r .� .. i'- J/ IK �, i �► ',�t� Approved by Engineering: d2._____/2_q Date: ______,2 Revisions (after Building Submittal only) Reviewer /ate \ Revision 1: ��kpproved CI Approved M K A- 4.-9 `C(1/% Revision 2: ❑ Approved ❑ Not Approved Revision 3; ❑ Approved ❑ Not Approved Permit Coordinator Review q ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: Otr- Date:�<0(0 Notes: L.,O :411---1 e•Gtia N. Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: `k Revision Notice 2: Date Sent to Applicant: ii4 Revision Notice 3: Date Sent to Applicant: VSDC Fees Entered: Wash Co Trans Dev Tax: / Yes ❑ N/A Tigard Trans SDC: c,MF'Yes ❑ N/A Parks SDC: F'Yes ❑ N/A OK to Issue Permit )‹ Approved by Permit Coordinator: Date: 3/ /� 1 X O(( -11 17ssL,f. - ( u. jL Cc VIc/f I:BuildingWorms\Bid gPennitRvw_RES_070915.docx