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Permit (36) CITY OF TIGARD MASTER PERMIT 11114 u . . ' ' Permit#: MST2016 00017 COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Fr//O`p /' 4'' Date Issued: 03/17/2016 Parcel: 2S109DB01702 Jurisdiction: Tigard Site address: 13114 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 161 Project Description: New SF. 4/20/16, REPRINTED to add continuous loop fire sprinkler system for 2963 sf. - 10/18/2016: REPRINT to add NC 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 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: 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 Fum>=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: $30,481.70 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 -'.I 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: <0 'F. Permittee Signature: 4/t,/ 4 -,,,Pe'/e11-770 A.° ‘ . Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 , , ElVFP Mechanical Permit Applica1 c s 0 Foorricr 1-. :, 0.1.1- City of Tigard Received , Datc/By: /0 /8 4, 4Y " Permit Nth' MST2016-00017 .1 13125 SW Hall Blvd.,Tigard,OR 9722i.1C T 1 8 2016 III Plan Review Other Permit ' . Phone: 503.718.2439 Fax: 503.598.19M , Datc/Ry: Inspection Line: 503.639.4175 CITY OF FIGARD T I G A--R D Date Ready/By J‘...' 65 See Page 2 for Internet: wwwfigard-or.guy [DING DIVISION Notitied/Method: Supplemental Information BUI TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*arc based on the value of the work 4 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* lill I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Fur special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning 1 46.75 Job site address: 13114 SW Blackwalnut Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) , 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.: 161 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater23 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 lireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 lit 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 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 EJ APPLICANT is CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. $14.15 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 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: O ‘30 ic 62_ . __ Subtotal City/Stale/ZIP: A /OA••••‘--k ()./— Cl 7 ..5 Z- 1 Minimum permit fee($90.00) ) 1 Plan review(25%of permit fee) Phone:(511 ) i Z,6— )3 —7 11 Fax:(94) ) i Z.to-- 7 1 -7 t" . State surcharge(12%of permit fee) CCB lie.: $-. 5-'Ci S 8' 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: lirif 61,7"/ * Fee methodology set by Tri-County Building Industry Service Board Print name: J c...te(3 11,"'I.'-‘Fle I I) Date: 1,1BuildlneermriaN1L-C_PcrmilApp_04D1 13 dui: 440-sorr It itovcowwEni i� p CITY OF TIGARD MASTER PERMIT $ COMMUNITY DEVELOPMENT Permit#: MST2016-00017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/17/2016 Parcel: 2S109DB01702 Jurisdiction: Tigard Site address: 13114 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 161 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 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 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 SrvclFeeders 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: $30,149.39 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: eC' �„(-4 .�_a�_r"------� ermittee Signature: Call 503 5 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. - lo 6 R Building Permit Application CSE w / Residential r '" y ?"16 fOR cm I, I I sr.ONI \ Received IN , City of Tigard a , /k, Permit No/tiff7-�/4,X000/7 rr'7� f Uatt?By: 13125 SW Hall Blvd.,Tigard.OR 972 & t %�1j p li,Ai t) Piankeview + Phone: 503.718.2439 Fax: 503.5 yr { Data't; : �Lf T tJthtrPennit:��/6—®0 Inspection Line: 503.639.4175 itrit��;� �a � lo1T Date Read By: / iims• e�� I i i .,1.1) p p ® See Page 2 for Internet: www.tigard-or.gov Notified%Metlx7d /trej,(, Supplemental information Ira 40 tiert'ses.i TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING Ell 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 1 CATEGORY OF CONSTRUCTION work indicated on this application. Q I-and 2-family dwelling 0 Commercial/industrial Valuation e) g eft — ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrootmo: JOB SITE INFORMATION AND LOCATION Total number of floors: 33 6� i..-.3‘.tut WD�n� 2 (z0Job site address: 1 ut �� e New dwelling area: � square feet u City/State/ZIP:Tigard,OR 97223 Garage/carport area: q square feet 1 a'7 1 Suite.-bldg./apt.no.: Project name:SUmmit Ridge Covered porch area: p 1 square feet 9 9 3 Cross street/directions to job site: Deck area: r i square feet 6 9 q Other structure area: square feet ll REQUIRED DATA:COMMERCIAL=USE CHECKLIST Subdivision: Lot no.: ( Ito tPermit fees*arc based on the value of the work performed. 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 it 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 rofre 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+stare/ZiP: Portland, OR 97239 Amount received: Phone:(503 )222-4151 X1107 Fax::( ) E-mail: esweeks@drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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/State/ZIP: Permit Fee(includes plan review Portland, OR 97239 and administrative fees): 5180.00 Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 130859 Total fee due upon application: $201.60 Authorized signature. li ' fe ° 0C t % This permit application expires if a permit is not obtained g � � within 18(1 days after it has been accepted as complete. Print name: i' i i 4 1g.-f 1/V e Date:2016 *Fee methodology set by Tri-County Building Industry Service Board. i I:Building`,Permits i.BUP-RESPcmtitApp.doc 02,24/2011 440-4613T(I 1/02/COM'WEB) RECEIVE!) Electrical Permit Application pT3 F(?12 OFF I( t tit".01t.1 City of Tigard FEB 3 2016 Recrived Perm"' mSTdz>/(Q-cbUl7 'PiDate'By: r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598 I.�`�/ p i i DatilBy: Related Permit St r 1 t;t I:17 Inspection Line: 503.639.4175 �1 1< I V I !1Lt-`` t"' Ready Date+lay; tom; 83 See Page 2 for Internet: www.tigard-or.gov UT "LUTA 91VISIO hvtrtrectrylcthod: Supplemental Information E: wORK III New construction 0 Addition/alteration/replacement Pkase check all that apply(submit 2 sets of plans w+nxma checked): 0 Service or feeder 400 amps or more 0 Building over time stories. 0 Demolition 0 Other: current ❑Marinas and boatyards, where the available fault current CATEGORY OF NsioC'Tl ," z, exceeds 10.000 amps at 150volts or ❑Floating buildings. 4 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground.or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family 0 Master builder Other: amps for all other irstallatioru. buildings. 0 Fire pump. 0 Installation of 150 KVA or 'JOB:SITE."04FORM4IIQhi AND"LOCATION ❑Emergently s stem. larger,,;. . rn } Be separately derived Job#: Job site address: i o2k i -i �1 t 1 f/;1 �Additi�n of oew nrcnar bad of sysrem. lJ\J [✓ t((v//wWW�o��— 100ltPormore. ❑"A',.1;'.„l2 .'l-r, City/State/ZlP:Tigard, OR 97223 ( (�� f Qy� ❑Six or more residential units, accupartcy WA t, 1A.aS ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg,/apt.#: Pmject name: Summit Ride El Hazardous locations. 0 Supply voltage for more than g ❑Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site: Fte SCHEDULE Description I Qtc. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Lot it: 1 J �,, Includes attached garage. t(f 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea,add'/500 suft”or portion C ,.. 33.92 1 yi. , .694:: * RIFtloN P*IRK . �,y Limited energy,residential New SFR (with above sq.ft.) 1 75.00 2 Limited energy,multi-family 74.00 2 residential(with above sq.ft.) Renewable Energy ❑ Sec Page 2 ;'RPto �o* R '-,-,- I" � *0'` ., Services or feeders installation,alteration,and/or relocation Name: DR Horton Inc_ 200 amps or less 1 100.70 2 201 amps to 400 amps 133.56 2 Address: 4380 SW Macadam Ave Suite 100 401 amps to 600 amps 200.34 2 City/State/ZiP: 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 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 401 am to 599 16834 2 Owner signature: Date: Psamps Branch circuits-new.alteration,or extension,per panel :l1PYI:ICAAII GaI�T ACI A.Fec for branch circuits with Business name: DR Horton Inc. above service or feeder fee, 7'4' 2 arch branch circuit Contact name:Emerald Weeks B.Fee for branch circuits without Address: 4380 SW Macadam Ave Suite 100 service or feeder fee,first 5618 2 branch circuit City/State/ZIP:Portland, OR 97239 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503 )222- 4151 x1107 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:esweeks@drhorton.com Reconnect only 67.84 2 ',--714'; :;;; CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Wright 1 Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Pae 2 Address: 11490 SE Jennifer St. - 2 panel,alteration,or extension. Each additional inspection over allowable in any of the above City/StateiZIP:Clackamas,OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:(503)760-8522 Fax:(G>) + to,a„ ti '`3 lnvcstigation(I ht min) 90.00/hr Industrial plant(1 hr nun) 78.18/hr Email: i rlane@wri htlelectr.com lei Inspeuions for which no fee is 90.00/hr CCB Lic.:162368 Electrical Lic.:3-3320 Suprv. Lie.: 11"11y listed(,':hr min) ,r ,? ELE(rRICAL PERMIT T . Suprv.Electrician signature,roquirei: a;C.e,.-Z, Subtotal: Print name rots tEI„. i'Date: 2016 El Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized si use: ` This permit application expires if a permit is not obtained within 180 Print name .,1,--_,---------------'-- ,1, ,- - ""-'-- Date: 2016 days after it has been accepted as complete. * Number of inspections allowed per permit. I.Brt4ing'PamasELC_Pe,r:adpp_ELR_FREdoc Rev 06 17'2015 44lt.4615T(11:x75 COMWEB • _ E fitIL Cpt Mechanical Permit Application FOR 0111( 1 1 'sI ()\I \ City of Tigard FEB 3 ?0 i6 oa �aed i� i • y `/ Illi13125 SW Hall Blvd.,Tigard OR 97223 Plan Review I Phone: 503.718.2439 Fax: 503.598.196(1pa�B Other Permit: Tic;nKo Inspection Line: 503.639.4175 k..,3 1 A k./5-. a '1‘ 11-' l' pate Ready/By )uric' 6J See Page 2 for Internet: www.tigard-or.gov FIC, ,1 :;P 10IV V31( rloutied./Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work 4 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 4 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special infornrat(un use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �� Air conditioning 1 Job site address: 1-` ' K 'no Furnace 1 coning BTU(ducts/vents) 46.75 46.75 City/State/ZIP: Tigard,U 97223 Furnace 100,0001 BTU(ducustvents) 54.91 gi 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 1 Other: 23.32 Subdivision: Lot no.:l 1 VVVVVV 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 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. $14.15 for first four;$4.03 for each additional Contact name: Emerald Weeks Fu nace,etc. Address: 4380 SW Macadam Ave Suite 100 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Portland,OR 97239 Water heater Phone:(S03 )222- Fax::( ) Fireplace 4151 x1107 Rangee E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other. Birchfield Heating&Air MECHANICAL PERMIT FEES* I Address: ?a \-30 '� S 07_ Subtotal City/State/ZIP: A l0A M i 3 " Minimum permit fee($90.00) 1 - �17 , Plan review(25%of permit fee) Phone:(5'4 I ) q Z(o --HI, — 13 j Fax:(5-i) ) i Z b— 7 17 State surcharge(12%of permit fee) CCB lie.: c--CI sTOTAL PERMIT FEE This permit application expires if a permit is nut obtained within 180 days after It has been accepted as complete. Authorized signature: 00/1 * Fee methodology set by Tri-County Building industry Service Board Print name: J e .o(a 13,`-(hF,e ID Date: J i:I3udding,Permns,MEC PcrmitApp_0401 i3.doe 410-461 Tr( /021COM./WEB) RECEIVEP Plumbing Permit Application Building Fixtures FEB 3 2016 I itl: .1 1 1( 1 , ,1 i 0.t ti City of Tigard °`"i' Per-�Ja ,s 2 g Re ay 1 'UC3 !J -vcb 17 i 31._ SW Hail Blvd.,Tigard,OR 972 3C.1 i 'ijr R 1(3`A 1 s,kn Rimer Phare: 503.718.2439 Fax: 503.548 ` t)ttrcrt'ami:ho,. Inspection Line: 503.639 4175 J I�� p �% '9 g� �,. See Peet 2 for Internet: www.ngard-or.Sov S J ,l toformrtien , z ski '''''.'11' a (m New etmstruci n 0 Demolition _ For special infonseten not ckecklise. Description [ Qty. .J Ea. I. Total o Addition/alteration/replacement 0 Other: New 1.2-family dwellings(includes 100 fl.for each utility connection) i 312.70 110 I-and 2-family dwelling 0 Commercial%industrial SFR(2)hath 437.78 SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional bathtkitchen i 25.02 D Master builder 0 Other' Fire sprinkler( sq.ft.) Page 2 t -":„.-..'",,,,,:?,t;:.,1 ' ) s Site utilities: - • lob site address: l 2l L- AA) tk 1+ ap Catch basin or area drain 18.76 Drywetl,leach line,or trench dram 18.76 City/State/ZIP: Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./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 IL:,__) Page 2 Storm sewer(no. inear ft.: ) Page 2 t I v.� Fixture Water service(no.linear ft.:,_,) Page2 Subdivision: Lot no.: � item: _ Tax mapipautel na.: IIackflow preventer 1 11-27 Backwater valva 12.51 ,< Clothe washer 25.02 New SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectorsisump 25.02 ion tank Expansion 12.51 Same' DR Horton Inc. Fixture/sewer cap 25.02 Floor drain/floor sink°hub 25.02 1 Address:4380 SW Macadam Ave Suite 100 Garbage disposal 25.02 City+State/ZLP: Portland,OR 97239 Hose bib 25.02 Phone:1 503) 222-4151 Fax t t lee maker 12.51 3 R cr ., :£` ,,„.„ _ ',t a ,,g-:, Interceptor/grease trap ' 25.02 Business name: DR Horton Inc. Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Emerald Weeks Roof drain(commercial) 13.51 Address:4380 SW Macadam Ave Suite 100 sinklbasin='iavatvey 25.02 City'State/ZIP: Portland,OR 97239 Solar units(potable water) 62.54 Phone:(503 )222-4151 x1107 I Fax':( ) Tub/shower.shower. pan 12.51 Urinal 25.02 . E-mail: esweeks@drhorton.com I ... Water closet 25 '6 ,,,,..� "' .-a 'a� r'''''''ill - Water heater 37.052 Business name:Edward Mullen Plumbing - Waterpiping/DWV � 56.29 Address: 1601 SE River Rd. ~Other: 25.02 Citytstate/ZIP:Hillsboro,OR 97124subtotal Phone:( 503) 640-0113 Fax:( ) v.._.^ Minimum permit fee: $72.50 CCB Lie:96289 Plumbing Lie.no.:34- PS Plan review (25%of permit foe) , Authorized signature: ,,5State surcharge(12%of permit fee) i �..__ TOTAL PERMIT FEE Print name' yny�__�/, ,,,� ate:201 Thistn*m►t zppgeotioo expires it prank oat obtained within 180 dart f6r . J after s tuts bete rneephd toopkrr. 'Per mGlhUdatugy sett b?'Tra-C'owtty Sudden Industry Sera°tee Huard. 1.lu,4ng-PcsrubaLMLI-PotmdApp.doi- 10411:05 4.41,41,i ST(1502'C0M/WEBi City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A K D Building Permit Review — Residential Building Permit #: /t'/S7--.2 e/C - Doo/7 Site Address: /Af/L7! 5 ) /24 pi' _42J ,yL Project Name: gijira✓ Ri* /L/ `---' Lot #: Hp (New dwelling=subdivision gaddition or Alteration=last name of owner) Planning Review 11 Proposal: /Pa() `S VVerify site address/suite# exists and active in permit systtee . /,fuer Terrace Neighborhood: ❑ Yes 14 No Sit Plan Elements: ree (3)copies of site plan ` ' ssting structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper 1E ootprint of new structure (including decks)with finished awn to scale(standard architect or engineer scale) fl or elevations th arrow I t '' ity locations(required for new,may apply for additions) i address,project or subdivision name and lot number ation of wells/septic systems veplicant information(name and phone number) 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 Veet names pervious area (applicable if R-7,R-12,R-25&R-40) B treet tree size,type and location Property corner elevations(2 foot contour lines if more than 0 sting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services–Service Provider Lette of platted prior to 9/10/1995): equired: 1=1Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitie mprovement (PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: 'Yes ❑ No,stop intake and Use Case #: �u� ;�JS_ �iV � 4"Soning: tbacks: Front /s Rear /S Side c--- Street Side /4/4 Garage av . andscape Requirement: Q gid of Coverage Maximum: Id BuildingHeight: Maximum Height ,r—/ Hg g �j Actual Height 2i-i' cil tsual Clearance rcpasements � U• ensitive Lands: �7 Yes ElNo Type S7' �� Ac`ji , f�� rban Forestry Plan (J ❑ Conditions "Met"prior to issuance of building permit �r Notes: _ �" - ' O.1. h , 14 i i •1 ; �, 4 -.. / Approved By Planning: `.,.J / Date: _ ily , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B IdgPermitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: 62/,3//0, Site Plans: # � Building Plans: # Building Permit#: ®''Enter building permit#above. Workflow Routing: 11--Planning 2-Engineering Permit Coordinator C- uilding Workflow Sign-off: E Sign-off for Planning(include notes from planning review) Route Application Documents: 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: Date: �///,63. Engineering Review Slope at building pad: _ do.,_4P�� _� s _` �_.e.00Conditions "Met"prior to issuance of building pe 't Easements (encroachments) per engineering conditions of approval and plat ater 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/A'ppro�veed b Engineering: lDaate: -.� ', Notes: � /4j ��--4 pe i7 /1�� Approved by Engineering: il-pDate: t `f/�j 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 Approved, NOT Released: Date: v9/://B Notes: /lee- tia-44, 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 Taxes ❑ N/A Tigard Trans SDC: ,Yes ❑ N/A Parks SDC: 7Yes ❑ N/A 1,416K to Issue Permit Approved by Permit Coordinator: ( / Date: 3/2/lj 1:\Building\Forms\B1dgPennitRvw_RES_070915.docx Albert Shields From: Albert Shields Sent: Thursday, February 11, 2016 1:26 PM To: esweeks@drhorton.com Subject: MST2016-00015, -00016, -00017, -00018 -00019, & -00020, Emerald, we cannot issue any of these permits for Summit Ridge No. 5 until conditions 24—28 for SUB2015-00007 are Met. Until then we'll put these applications on Hold, marked "Approved but Not Released." Please let me know when the conditions have been met. Thanks, Albert Shields. 1 --.--- '• 4 .1 - Z b G R Building Permit Application Residential ,,. :# ., ;; immiraiii):amms City of Tigard Received i a t Dat, Permit Nn g w a ��i� ��T��b......e0 0/�' � 13125 SW Hall Bh�d.,Tigard,OR 972`':., i P z t lit? / I Plan Review Phone: 503.7182439 Fax: 5(1 1.598.19,0 Yo i., t 11 7,:p4'11)‘. DateBv IN Other Permit. TIGARD Inspection Line: 503.639 4175 ,3;- a_i"t• '_� "i : Date Ready By: Jurls ® See Page 2 for Internet: www'.tigard-or.gov Notified-Method: Supplemental information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING 3 New construction ❑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 ❑Other: equipment.materials,labor,overhead.and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: S 391 e 1-and 2-family dwelling ❑CommCommercial/industriali t . 0 Number of bedrooms: ❑.Accessory building ElMulti-family builder Number of bathrooms: , S ❑ Master ❑Other: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: e2VALV.WOOr\uNess dwelling area: square feet City/State/ZIP:Tigard, OR 97223 4 Garage carport area: 1 1 square feet Suite'bldg...apt.no.: Project name:Summit Ridge Covered porch area: '3 square feet _ 1111 Cross street'directions to job site: Deck area: I iZ square feet •Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdi'ision: Lot no.: ) r„ ' Permit fees*are based on the value of the work performed. YJ 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. New SFR Valuation: 5 Existing building area: square feet New building area: square feet • 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:ZlP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT $ CONTACT PERSON BUILDING PERMIT FEES" (Please refer to fee seGedule) 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: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: esweeks@drhorton.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,alone with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar installation Specialty Code checklist. City/StateiZlP: Portland, OR 97239 Permit Fee(includes plan revieo 51 tit)00 and administrative fees): Phone:(503 ) 222-4151 I Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lit.: 130859 Total fee due upon application: S2(11.60 Authorized signature: (? f 4' " d lii P This permit application expires if a permit is not obtained { f l' Y_ 4P within i80 days after it has been accepted as complete. Print name: y'l I iz1�-'�i i G' Date:2016 *Fee methodology set by Tri-Count}Building Industry Service Board. I.Building'Permit .BUP-RESPerntitApp.doc 0224:2011 440-4613T(11'0_2 CO:`1'WEB t __ FOR OFFICE USE ONLY-SITE ADDRESS: /, 3 i / 6rt 3 1_,:),,..0 4, --t -6-14 7 Col 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 " is Transmittal Letter r;, ,-,I: I, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 1K DATE RECEIVED: DEPT: BUILDING DIVISION riE '.-AVE •` MAR 2 3 2016FROM: �1/V SS CITY OF HOARD COMPANY: 1 . ' . �_, I, PHONE: 5-0-2D- 0,,c9,- L115- 1 X I /D7 i(: _k..1D--) RE: I I [ L `, f 61-c_- L.061.k, H 'mo o/Lo D(X)l 7 (Site Address) (Permit umber) 6- /� / (Project name or subdivision na3e and lot number), �'463(/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: 1 Ail-- N t, l� 6--n\_121 (11. -Y\_ i ✓k L t -Ob- -, FOR OFFICE USE ONLY Routed to Pe! it Technician: Date: Initials: Fees Due: 'fid Yes ❑ No Fee Description: Amount Due: $ / 1. 95 $ $ $ Special Instructions: ----- .) Reprint Permit(per PE): ,01 Yes No ❑ Done Applicant Notified: :. e: q/a q/P Initials: 2.._,_)....( j 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT ii III I. COMMUNITY DEVELOPMENT Permit#: MST2016-00017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/17/2016 Parcel: 23109DB01702 Jurisdiction: Tigard Site address: 13114 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 161 Project Description: New SF. 4/20/16, REPRINTED to add continuous loop fire sprinkler system for 2963 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 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 Rain0 Storm Sewer: 100 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'l 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: $30,339.34 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 952-001-0010 thr OAR 952-001-0090.� / You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 ori.800.332.2344. Issued By: (tet-gcd01_444.-44 y Permittee Signature: C 4r—A Qi(�t� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Q 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. vfluEp 7-) Plumbing Permit ApplicatioiVIA.t i �� t� Building Fixtures 1OI, ul r It F I •1 t).l of Tigard MAR 2 3 2016 Received 74 City g DatcBy: / 7 —t'tnSutN✓LJ7 /6 DOD/7 • 13125 SW Hall Blvd.,Tigard,OR 972 �11r tt� d,.- ,t,"/ g,y i}} Plan Re��ew Phone. 503.718.2439 Fax: 503.59i.,160L lirI iliiiK b) Datc/gy. ta ,G Cg Other Permit No.: `t.l l Inspection Line: 503.639.4175 1t Date Ready/By: ion ® See Page 2 for)I�lLl 'e 91yJI. ^t Internet: www.tigard-or.gov . , G6 . . ' Notified/Method: Supplemental Information TYPE OF WORK FEES SCHEDULE ❑New construction 0 Demolition Fur special information use checklist Description I Qty. l Fa. I Total ❑Addition/altcration/replacemcnt 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.72 Each additional bath'kitchen it 25 02 0 Master builder 0 Other: Fire sprinkler( .246 sq.ft.) l Page 2 JOB SITE INFORMATION ANI) LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: 130i, 5W }�I4L� Wh�f'� 5i�z� City/State/ZIP: I tDrywell,leach tine,or trench drain 18.76 �(� C 7?Z 'Ig i Footing drain(no.linear fl. ) Pa e 2 Suite/bldg./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 ft.:, ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: 1 Lot no.: 1 L Fixture or item: t - — Tax map/parcel nu.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve12.51 Clothes washer 25.02 -----— Dishwasher 25.02 NSFIt Drinking fountain _ 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER r 0 TENANT Expansion tank 12.51 Name: Flxture'sewer cap 25.02 Floor drain/floor sink hub 25.02 Address: Garbage disposal 25 1 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: ISR Morton IIIc Medical gas(value:$ ) Page 2 12.51 Contact name: Emerald Weeks Primer Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sink/basin/lavatory t 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 25.02 E-mail: esweeks@drhorton.com Urinal Water closet 25.02 CONTRACTOR _ Water heater 37.52 Business name: r0 V[ k{\ ti b livq �_ C ---.- Waterpiping/DWV 56.29 ` 1 Address: t 35 , . 6,-,,„---ky—.er. 1c:)tfs Other: 25.02 City/State/ZIP: 000r i L� Ot{' Subtotal Minimum permit fcc: $72.50 Phone:(TbS) LACI D_D1623 Fax:(9 7I 1 2_50-5 o c3 --- plan review (25%of permit fee) CCB Lie.: l 0\14 505" c Plumbing Lic.no.: P6 i D fA S State surcharge(12%of permit fee) Authorized signature: ` TOTAL.PERMIT FEE Print name: Sp,�� t�� Dale: Thal permit application expires if a permit is not obtained within 180 days after h has been accepted as complete. "Fee methodology set by Tri-County Fluildmg Industry Service Board. 1:1Buildiug\P.xmits\PLMU-P,amitApp.du,; I(M.1/9 440}4c 16T(10+02/COM/WtM) cc Plumbing Permit Applicai CEf VED 3'7' R' Building Fixtures MAR 2 9 2016 City of Tigard � �� w �� // Pert N ■ 13125 SW Hall Blvd.,Tigard OR 'R / `� `YYST�fl/to -d moi OF 71GARa Plan Review Phone: 503.718.2439 Fax: 50 . ULSION Y: OtberPermitNo.: Inspection Line: 503.639.4175 NG �` Internet: W W W.ti and-or, ov Daw R y�Y 1 ' ® See Page 2 for 8 8 Notified/Method: k.Supplemental Information 'MK OF WORK • PEP !WHOM. ., ' ❑New construction 0 Demolition For special information use checklist Description 1 Qty. I Ha. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) • CATEGORY OP CONSTRUCTION SFR(1)bath 312.70 ❑1-and 2-family dwelling 0 Commerciallindustrial SFR(2) t 437.78 ❑Accessory building 13Multi-familySFR(3)bath 1 500.32 Each additional bath/ldtchen 1 25,02 ❑Master builder 0 Other: Fire sprinkler(2 if63 sq.ft.) i Page 2 JOS SITE D PORMAIION AND LOCATION ' Site uWtles: Job site address: 31 N 5 w $(6 .k /1 ,1{i1nJt- i i -1- Catch basin or area drain 18.76 City/State/ZIP: 1 f / 0 t� y zz U Dryweil,leach line,or trench drain 18.76 `� / 1 Footing drain(nolinear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: Summit Ridge Manufactured homc utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sews(no.linear ft.: Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: , 6 Fixture or item: Tax map/parcel no.: Backflow prevents 31.27 DESCRIPTION OP WORK Backwater valve 12.51 -eir, - Clothes washer 25.02 Dishwasher 25.02 , l'/S Tin/C ,02/7/7--NSFR - Drinking fountain 25.02 Ejectors/sump 25.02 13 pin m OWNER Q TFAIAIr;T Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: City/State/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 13 A?PL CANT 0 CONTACT?aR$O er buerceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:3 ) 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/showerpan 12.51 E-mail: esweeks@drhorton.com uC1D� 25.02 CONTRACTOR Water closet 25.02 �^ Water heater 37.52 Business name:Gro,V 1 k)k ta.im.c)tel7yx( Water piping/DWV 56.29 Address: L 4ci 35 S. 6 r4.P,.v.-TY---e-C J- Other: 25.02 City/State/ZIP: Or elan C4-Li 4 DO- qi NS. A Subtotal Phone:(Sb,) LtCto_D� 3� Fax:(9 71 ) 2 o-3s O a Minimum pemtit fee: $72.50 t q �O� (P� Plan review (25%of permit fee) CCB Lic.: 1 c Plumbing Lic.no.: i O oS _ f,, ' t Stare surcharge{12°/.of permit ftx) Authorized signature: �.(' 1, ,� TOTAL PERMIT FEE J�'"� ��JJJ��" This Print name: Sp yw �l � Date: permit application aspires if•permit is not obtained within IN days after it has been accepted as complete. 'Fa methodology set by Tri-County Building Industry Service Board. m u k iuorkuu ommu-Pee itApp.duc 1OMIftw 4444616r(1OPo2/COM/WEB) reir Plumbing Permit Auulicatio 'i,.-, � 7�c� "R Building Fixtures 1 Ol: Ori 11 I I .1I OM 1 City of Tigard MAR 2 3 2 6 1 6 Received �:sw A N .: • 13125 SW Hall Blvd.,Tigard,OR 97 , .,,,, DatrJBy: �� /(v �► �-�T�D/6 DOD/7 i dt „�k'fi Ptan Review Other Permit No.: ■ Phone: 503.718.2439 Fax: 503.5 bll E.)14 K p1$ S i TyatC/gy: Inspection Line: 503.639.4175 FIT (,. L r j See Page Z tor Internet: www.tigard-or.gov l itL 3'i Ik6 9J II 3�;7111I 'Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition Fur special information use checklist Description I Qty. I 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 ❑ 1-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 1 25.02 ❑Master builder 0 Other: Fire sprinkler(n2-113 sq.fl.) lt Page 2 JO11 SITE INFORMATION AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/Z1P: 1 y t( 7 "I(( 7�` '� Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Summit Rid:e 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: 1 Lot no.: 1 Fixture or item: Tax map/parcel nu.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 C aN& e2, --- eQN77 17M-.-. Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 [] 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 ❑ 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 _+J 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/showerpan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 Water closet 25.02 CONTRACTOR (,� Water heater 37.52 Business name:Geo�ll�y ul+kll t In� C Waterpiping/DWV 56.29 Address: t • . .--- S• ``r-.. , ---t" , • J%J- Other: 25.02 City/State/ZIP: • 011'-t-1.- ,00.- -IN.j Subtotal Phone:(SD3) LtitiD-0"Z(o3 Fax:(971 ) ZSv-5(80 25 - Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lie.: 1`1L150 c Plumbing Lic.no.: F (D(p 5 State surcharge(12%of permit fee) Authorized signature: `-)L-Q- J TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Se i. �t t,,k Date: after It has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. t:Vlui4liug\Pu'mits1PLMU-PumitApp.du.: 10/01,'09 440-4616T(10/02ICOMAV F.A) 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 13114 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00017 David Young Note: no AC installed at time of ﬁnal inspection. Permits and inspections required at time of installation. 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 13114 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00017 Herb Stabenow Unable to open front door outlet completely to test--ﬂex to water heater not secured per NEC--no deck unable to check exterior light both ﬂoors--partial only--Not ready for inspection Violation Summary: Inspector Contractor RECEIVEP Mechanical Permit Application I(1I ('I I I( 1 1 .1 I 0.1 1 Cite•of Tigard SEP 21 2016 pr<:,-r,9 e,29 /&, r`JJT "b DOD/7 II - 1-:,:fi ski, I IaII HItJ I)Eanl,Ilk c022S *� O IlUllaOJ Ili U I'1.•,n ttli"lt•.�1 i� f a, 4r,t.K`).�>t i�1.1 ,> Ilrc u) It l,eaY ,..:,1nx gftat/41- �i Met 1.7,..,it. ._._. 1 1 GR f 1 0 4r rime 2 ler (nl,.,,o. .\.4 tl'..h1„:_L' 1 1 DIVISI01 f,y.„;:\1,rti,. \tlpplc lei a1.1 lel,H,1fa,1.N, r.........----------......--- TYPE OF WORK t tosImERC7AL FEF.'scurnl)l . - t1Sf ettEcto.isI 1. --- , 1lavhanr..!;write'I to..•.,re isA ..‘1 nf,d•..\lint,-i lit:it/It !.1i N .t,n.Irt i., It O -tldtll1tll JIII•:-ails,,,rt'1)l;....n:t•t ' r,;•rl,•rf'” INK 11i1,aIJt t:.N_ry-k•t'I;/it: nt.IR.I,i..i .' 1 i ❑1)Cuw1t11.rn 0 uRlr:. 41......1-..,w,..•n,.arrta. et 1, •fnd.in'.•._•._ _it..-.,.',_.1„.22:: ••.- , - —.--.------,-._----•--._ `— CATEGORY OF fY?NSTRi>C710\ —___.._.__ tRESIDENTIAL EQUIPMENT'SYSTEMS Fi_f s• _.. I.1 ..x1"_-taiti,k.1.4 lltn. ❑t ratio -LI in.1,1ar1.11 0 A,.c•v,rt hull.lim: f I,If iglinf,nrotte n a.r iOH%HA,. 1 [J%L.UI-Idtml: 0\la-Ie'htuldcl 0 4 III I11..np14,_' — —_ Vi i. ' '- _Hcnin ctwllnb - iau str� t.�t�w_is�Ai or Ago iTwa _— _ _ ,•`•..I. aJ,hc•• \VA al., ‘11 ) 1, t 1 I un.,.•c Iv,1w r II 1'1 _, 1 .1-ltatr Ill97'23 -- -- hone" Itr,INN,•hl l — 1 lb3Tal.OR j -- — ♦.r.4 r6!( .q•t ti, l',,,.-1' 'i Summit Ridge _ - ! I t. '1:c1,Iii.'i ti.•f,4,.tot, J: I It Jt,Nu.I; -,-._- H.-.,,.:tt If- • i,.nl;.,.,,,,' 1 il,alt.,:n. C t:f:r hc.r:; r.�.•rpt.,t1.,:rL. ,•,i. t 1 ----- Het).rot t._I---::,;� - --...__..--- -- [- — -L.-_._ — _--_ _ -1.._ `G �— `Other tort rgNirnees: 1 I at map Nice n,,. -' .. -?-- -: -- _ R eta hcat:f DESCRIPTION OF WORK ,( t'tirc;elat.n..7( _ __ . `'..1- . .__: I ine%o 4 1,,, .air•bc,Ci•M, I .j 1 New SFR ' tirTI:t•p —._...__ _ .- , 1 _..____.__ -.. .__ _ r _ _____ — ' . a c, ' A..,_ / • ________. ., ----, tht.ct . 11 1'RDPER7Y OWNER--.-- 0 TENANT , -- __- — �—___ --._ --__._. .-_-) I.iSi Irunmeatal tillyust and to itilulum: 1 '1'm' 1)R Horton Inc. Ilatfl;c h...d tvhor:n.hn t u/ I_ 4380 S1'1 Macadam Ave Suite)U0 _ _ ' Jis ,•,t,.,,, :t (fh MAI('/IP Portland,OR 91239---- - luvl au.',J..,,,„,Ih..th•,.m.• —� 1 ; Atl1tx 1.,5:$MttP,t'III. t,(tth Ph.ma '603 1 22,x.-4151 i. , �___-_ I r \V to.i,lN, Iu,r. — Q APPLICANT i:U\TACT iv so .(t 1'_` ;.. ! fiu.,n. rrsnu: uelP'Eli—_. - I)R Horton Inc.Inl511.15 1,pro four:S•IA0 tut...h addlli„nd ;' (.,,i., t earn. I_mt.raid'Weeks ft;rn. c.ct, .. _ T . .. - t �•)tr�,-4380 SW Macadam Ave Suite l U(I-— ------ - ('' I"t'•t"'"•'�-_ _ f ,. ( .1, ,l.,11/IP Portland, OR 97239 Vt h,•A„•. 14.. ,. :503 222- 415] x110- 1. .- -- -- - _ _ • I _-_.. . . • 1I rnn. e.a•eeks(wdrhortan.com It1,- t . - �L.� `} /-t' {- - x ._-. --__ — -- VOLHAM( kl PERMI i rt I.1•• "di" :Ji (,ii. yi( / /vim�({-r j.1 t '�•_L-' • .—_. s•uleol.il I.III. t ILI11'`�. i t,10.L I -( ./' •r . ILA �`:. ., - -- ;...- _--..--'..1,,,;__ _ _” - ---- ' I I'l•N , f A 'a I- I a1 1., 1 t 3' % 1. ~ .,,te har pot I I' i :-I',.,,...,i... i t t ii,I. •"/.. 1 101 tI PFR0111 1,11 .Li t _.._ ---- ' - -'--- - 1hh rintta lwatWn et - M pl' W t.ii a permit 1s a,n ulu.m•d..Woo txo de..alt.i II h..bite I,.,ped..tumpI,I. 1.1):ii „i+kNifilu,c .. . 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 13114 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL October 4, 2016 at 2:05:42 PM MST2016-00017 David Young Provide approved thread sealant on cleanout plugs. 316.1 Support drain piping right side front at foundation and provide 12" cover. Seal kitchen sink to counter top. 310, 407 Sink stopper not working upper level main bath. 310.4 Not ready for inspection, work not complete. 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 13114 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00017 Herb Stabenow Upst deck light ﬁxture and outlet missing lower deck incomplete unsafe to enter-furniture covering outlets to be tested not ready for ﬁnal AGAIN a re inspection fee will be charged if not passed next time Violation Summary: Inspector Contractor