Permit (9) CITY OF TIGARDMASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2016-00129
T f GA,R..T_ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2016
Parcel: 2S109DB08900
Jurisdiction: Tigard
Site address: 13025 SW BLACK WALNUT ST
Subdivision: SUMMIT RIDGE NO.5 Lot: 157
Project: Summit Ridge No. 5, Lot 157
Project Description: New SF. 7/27/2016: ADD continuous loop fire sprinkler system for 1,954 sf. 9/26/2016:
REPRINT to add A/C.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 907 sf Basement: 116 sf Left: 5 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 931 sf Garage: 421 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes
Total: 1954 sf Value: $239,270.17 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 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: 3 201-400 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 1954
Owner: Contractor:
DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions)
4380 SW MACADAM AVE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97239 PORTLAND,OR 97239 2 A Geotechnical report is
required before the footing
3 Special welding inspection
PHONE: PHONE: 503-222-4151 required before shear wall
FAX: 503-222-1304
Total Fees: $28,009.03
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 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 . 32.1987 or 1.800.33 .2344.
Issued By: T Permittee Signature: 44/( (it ' R/C —S
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.
Mechanical Permit Application I-t in,ti( t- 1 %I 0%1.'t
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CITY OF TIGARD MASTER PERMIT
I COMMUNITY DEVELOPMENT Permit#: MST2016-00129
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2016
Parcel: 2S109DB08900
Jurisdiction: Tigard
Site address: 13025 SW BLACK WALNUT ST
Subdivision: SUMMIT RIDGE NO.5 Lot: 157
Project: Summit Ridge No. 5, Lot 157
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 907 sf Basement: 116 sf Left: 5 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 931 sf Garage: 421 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 1954 sf Value: $239,270.17 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
0
Tubs/Showers: 2 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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 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: 3 201-400 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 1954
Owner: Contractor:
DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions)
4380 SW MACADAM AVE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97239 PORTLAND,OR 97239 2 A Geotechnical report is
required before the footing
3 Special welding inspection
PHONE PHONE 503-222-4151 required before shear wall
FAX: 503-222-1304
Total Fees: $27,685.14
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR• r01-0090. 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: L // - Permittee Signature:
Des//9---",z,,60- i7Q�
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.
,
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Building Permit Application _ .23
Residential RECEIVEDI:uIt OF Fl( I. I SF ON 1.1
City of TigardReceived 37 451X �A/a
MAR 2 3 '2016 DatcBy: .�.�� PennitNo/9.1170207:6' [/ p
13125 SW Hall Blvd..Tigard,OR 97223 Plan keview�}
Phone: 503.718.2439 Fax: 503.598.19 Date.By: _I 4 I j, Other Perug�2 /�G -MAW
Inspection Line: 503.639.4175 CITY OF TIGARD [Pete / lens:
I I ,? F:II p g g BUILDING DIVISION Ready By: 1),
b / /97,1 Supplemental
SeePage
lInr
Internet: www.ti and-or. ov NotifiediMethod. (� Su lemrnfallnformstion
ItEr•.a,la c
TYPE OF WORK REQUIRED DATA: 1-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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuatica39).a7 $ `','"►/
Q I-and 2-family dwelling 0 Commercial/industrial 0
❑ Accessory building 0 Multi-family
Number of bedrooms:
❑ Master builder 0 Other: Number of bathroom
JOB SITE INFORMATION AND LOCATION Total number of floors: a3-7 c
Job site address: � g �t5k, New dwelling area: I square feet
City/State/ZIP:T1.8(302.S
ard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:SUmmit Ridge Covered porch area: 4 square feet C I
Cross street/directions to job site: Deck area: square fees 07
Other structure area: square feet 1 16
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: GI- Permit fees*are 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: S
New SFR ,
Existing building area: square feet
New building area: square feet
Illt 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 ro lee 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:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 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 Insrallation Specially Code checklist.
City/State/ZIP: Permit Fee(includes plan review
y' Portland, OR 97239 and administrative fees): 5180.00
Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): 521.60
CCB lie.: 130859 Total fee due upon application: 5201.60
This permit application expires if a permit is not obtained
Authorized signature: w' / 1/ f, j� % �/ G within 180 days after it has been acepted as complete.
` C/f 1 v *Fee methodology set by Tri-County Building Industry
Print name: �-��:� L �� Wee [� Date:2016 Service Board.
t: Building,Pennits\BUP-RESPennitApp.doc 02)24;2011 440-4613T(I UO2'COM WEB)
• _ ,
Building Permit Application Checklist
One- and Two-Family Dwellin2RECEIV El
FOR OFFICE t SE ON IA
City ll of Tigard MAR 2 3 2016 Received
71
Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
= Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD
' 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical
TIG1Rn DIVISION
0 Other:www.tigard-or.gov B
I Land use actions completed. See jurisdiction criteria for concurrent reviews. I ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. a 0 0
3 Verification of approved plat/lot. 1 0 0
4 Fire district approval required. Name of district: Tualatin Valley . III ❑ i
5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑
6 Sewer permit. a 0 0
7 Water district approval. R ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. I p 0
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state I 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
II Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if al 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size * 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, • 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- et 0 ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. I] ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- II ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ® 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered II 0 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists II ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. if 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required In ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or Q 0 ❑
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. U ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ID ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. I ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. Q 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® ❑ 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, If ❑ 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, • ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
C\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
s
Mechanical Permit Applica'RECEwED roll ()FII( I I S1 ()NI N
City of Tigard Received _
• 13125 SW Hall Blvd.,Tigard,OR 97223 � 2 3 2016 Date/By: i /
Iii kA pp Plan Review
I Phone: 503.718.2439 Fax: 503.598.19601"' Date/By: Other Permit:
TI t;A R D Inspection Line: 503.639.4175 �ITY GF TIG,IARD Date Ready/By tuns H See Page 2 for
Internet: www.tigard-or.gov 1,/'CIr1 Notitied/Method: Supplemental Information
BUILDING D V X711!
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
.New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
ill 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
� \\ Air conditioning 46.75
Job site address: ic SVv `✓v vma1n\A„k- .Sk--• 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.:
C C . Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
. Flue vent for water heater or gas
New SFR fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
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
Single-duet exhaust( rooms,
City/State/ZIP:Portland, OR 97239 toilet compartments,utili+tyrooms) 23.32
Phone:(503 ) 222-4151 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT * CONTACT PERSON Other: 23.32
Fuel piping:
Business name: DR Horton Inc.
$14.15 for first four;54.03 for each additional
Contact name: Emerald Weeks Furnace,etc.
Address: 4380 SW Macadam Ave Suite 100 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97239 Water heater
Fax::( ) Fireplace
Phone:(503 ) 222- 4151 x1107Range
E-mail: esweeks@drhorton.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES*
Address: O ‘3o ' S 62_ Subtotal
City/State/ZIP: A 10 a k O .,-- ct 7 3 .z., 1 Minimum permit fee($90.00)
( Plan review(25%of permit fee)
Phone:(5 j) ) 4 Z 6 13 ^7 II Fax:(9./) ) i Z,b-- 7 1 7 i' State surcharge(12%of permit fee)
CCB lic.: C) cTOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: i1pf /., ' • Fee methodology set by Tri-County Building Industry Service Board
Print name: J o.t.o 5 lits,'(‘'NFIC t I) Date:
j
t.\Building\Permds+MEC Pmmnnpp_040113.doc 440-[6171 II 1/02/COM/WEB)
1
Electrical Permit ApplicationRECElVE
FOR OFFICE CSE O\L1
City o Ti and Received meq,, e�y
`f g 3 2016 Dat'BY: Permit# j e! f9/� -' /�9
III 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 Plan Review• v L d
II Phone: 503.718.2439 Fax: 503.598,1960 patty. Related Permit Il:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By:
kris. fa See Page 2 forf!GARD Internet: www.tigard-or.govBUILDiNG Oivisiohatifed Metlwd:
Supplemental Information
,17YPE.1)P WORK4... PL 7•ItEVIEiv
r New construction 0 Addition/alteration/replacement Pkase check all that apply(submit 2 sets of plans%vitetns checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
. CATEGORY OF CONSTRUCTION, :,, ;k 1. , i, t exceeds 10,000 amps at ISO volts or D Floating building.
4 I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building Icss to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. building.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
' JOB SI'I°E' RMMfON,AND; TlQPI -r' ku, 0 Emergency system, larger separately derived
�O2rJ. � c 0 Addition of new motor load of system.
Job#: I Job site address: 1
City/State/ZIP:Tigard, OR 97223 0 Six or100Hmore residential units. occupancy.
❑liealth careCacilities.
0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Summit Ridge 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qt. I Each I Total 1 •
New residential single-or multi-family dwelling unit.
Subdivision: 1 Lot#: \C. Includes attached garage.
Tax map/parcel#: 1,000 sq.O.or less 168.54 4
Ea.add'l 500 sq.R.or portiot, _ 33.92 1
DESCRIPTION OP' WORK, -- �;'° . Limited energy,residential 1 75.(x) 2
New SFR (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
5:''' ,�,ro..;�, Renewable Energy 0 See Page 2
'PROPER Y'OWNER r 0 E At�TServices or feeders installation,alteration,and/or relocation
Name: DR Horton Inc. 200 amps or less 1 100.70 2
Address: 4380 SW Macadam Ave Suite 100 201 amps to 400 amps 133.56 2
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 I 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 1 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449.670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension, er panel
,1:344,0 ucksIT 4 . i c o.ST cx P sgly, . .
A.Fee for branch circuits with
Business name: DR Horton Inc. above service or feeder fee,
7.42 2
each branch circuit
Contact name:Emerald Weeks B.Fee for branch circuits without
Address: 4380 SW Macadam Ave Suite 100 service or feeder fee,first 56 18 2
branch circuit
City/State/ZiP:Portland, OR 97239 Each add'l branch circuit 7.42 2+
Phone:(503 )222- 4151 x1107 I Fax::( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84
dwelling,service and/or feeder
Email:esweeks@drhorton.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Wright 1 Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 2 2 0 See
Address: 11490 SE Jennifer St. panel,alteration,or extension. Page
CityiState/ZIP: Each additional inspection over allowable in any of the above
Clackamas,OR 97015 Additional inspection(1 hr min) 66.25/hr
Phone:(503) 760-8522 I Fax:(C,3) I l o c2,„ tS " • '� Investigation(I hr min) 90.00/hr
Email: Industrial plant(I hr min) 78.18/hr
rlane@wrightlelectri.com g Inspections for which no fee is 90.00/hr
CCB Lic.:162368 I Electrical Lic.:3-332c I Suprv. Lie.:3 :lics specifically listed(Y_hr min)
ELECTRICAL PERMIT FEES
�t
Suprv.Electrician signature,required: ,,,), '� SubtotSubtotal:f
.lrh_,e. 1/�`-"`�
Print name' its t,j Ltrl,. Date: 2016 0 Plan Review Required(25%of permit fee):v
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized sign ure: _
This permit application expires if a permit is not obtained within 180
Print name: .,I -- �--�--- Date: 2016
days after it has been accepted as complete.
• Number of inspections allowed per permit,
1:Budding Permits ELC PcrmirApp_ELR_ERE.doe Res'0617.2015 440.46151(11:05 COM WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIT ENTIAL WORK'Ol LY` ME
Fee for all residential systems combined: $75.00
Description
Q`�• Each Total *
y Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100 70 z
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
n Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
a Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is
charged at an hourly(I hr min) 66.25/hr I
Inspections for which no fee is 90.00/hr
specifically listed(Vz hr min)
COMMERCIAL WORK a
'I�I,II�rC` 1Ce�LIlsb'nT FEES
Subtotal(Enter on Page I):
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
n Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n Other:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
other installations
I Building`.Permits\ELC_PermitApp_ELR.ERE.doc Rev 06/17/2015
• 4/z9
Plumbing Permit App ' ENECL�
{{--�� 1/7 05 /L.
Building Fixtures �� 1 ,11; 1 11 I I t l I .I n.1
City of Tigard MAR 2 9 2016 Received
Datelly: Penni No.: / AiWO.-L1D Aa
13125 SW Hall Blvd.,Tigard,OR 9722�q3p� Plan Review
II Phone: 503.718.2439 Fax:j� �Jr T I G P 1 D ��y,
Other Permit Nu.:
Inspection Line: 503.639.417
Internee www.tigard-or.geBUILDtNG 4lVIS`QN Not JMetho: �°: S p�=tom
Notified/Method: _ _ S�PpleoeaW Lteroatlon
I'm OF WORK
0 New construction
0 Demolition For special information est checklist
Description 1 Qty. 1 Ea. ( Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
. CATIL ORV at C(NISY71UCtIION • SFR(1)bath 312.70
0 1-and 2-(amity dwelling 0 Commercial/industrialSFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler(1454 sq.ft.) J Page 2
J011 snx INtoRMATmtq AND LOCATION ' Site Wattles:
Job site address: /3c 2 r 5 t'if t( tt Ll h l 4 4-S f•-i..�.f Catch basin or area drain 18.76
City/State/ZiP: �t l1 �Z,` Drywell,leach line,or trench drain 18.76
7 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: Summit Ridge P 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.:_J Page 2
[[ Water service(no.linear ft.:_) 1 Page 2
Subdivision:
Lot no.: 1, 7 7 Fixture or Item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
• Clothes washer 25.02
Dishwasher 25.02
NSFR Drinking fountain 25.02
Ejectors/sump 25.02
10 Ml T'v OWNU ❑ =ANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
D AlrnLFCMry 0 CONLta !$RAOM Interceptor/grease trap 25.02
Business name: DR Horton Inc Medical gas(value:$
) Page 2
Contact name: Emerald Weeks Printer 12.51
Address: 4380 SW Macadam Ave Ste. 100 Roof drain(commercial) 12.51
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: esweelcs@drhorton.com Urinal 25.02
t:O1tTl3lACTtiR . Water closet 25.02
Water beater 37.52
Business name:Gray y V t u.m.(9(1 Inc_c_ Waterpiping/DWV 56.29
Address: Nei 5. S, G rteAr,7Y--t t_ )1,r' Other: 25.02
City/State/ZIP: ortu --icr(4-L D 11Ot{5 1 Subtotal
Phone:(5-b$) Lica p'ID/4a Fax:(971 ) ZSO-iia O tp Minimum permit fee: 572.50
CCB Lic.: 19t.,t 505 Plumbing Lic.no.: P6 i 0(4,S Plea review (25%of permit fee)
State surcharge(t2L PERcrrmil EE
Authorized signature: TOTAL PERMiT Fl_E
Print name: 3-0 int..t�/t kt. i� Date: This permit apjdicadee expires if•permit Is cut obtnlaed Mttein ISO days
after h has bees accepted as complete.
"Fee methodology set by Tri.County Building Industry Service Board.
IABuildiusWrmits1PLMU-PirenitApp.So IOPo IAIV 440-4616T(I0iO2./COM/wEB)
City of Tigard
IIICO■
MMUNITY DEVELOPMENT DEPARTMENT
T 1 C.;n RD Building Permit Review — Residential
Building Permit #: �_..S7 2 /6 -6 /,71
-
Site Address: /369,2s- ` o > ,124 A /,Z,i, <L
Project Name: ----CGmu'A Rte' /4A) _ \S' Lot #: S9-
(New dwelling= subdivision name;.A i .�n or Alteration= last name of owner)
Planning Review
Proposal: Alai) --Sr- ..
IJP Verify site address/suite# exists and activ n permit system.
0/Fiver Terrace Neighborhood: Ia No E Yes,See River Terace Review Addendum Attached
Sita Plan Elements:
i
ree (3) copies of site plan J'sting structures on site
ite plan must be on 8-1/2" x 11"or 11 x 17"paper/Th
I/ ootprint of new structure (including decks)with finishedraven to scale (standard architect or engineer scale) or elevations
orth arrow tility locations (required for new,may apply for additions)
vy •
e address,project or subdivision name and lot number •r . anon of wells/septic systems
plicant information (name and phone number) I. rosion control(including drainage way protection,silt fence
o
f dimensions and building setback dimensions sstgn,location of catch basin,etc.)
Lot area,building coverage area,percentage of coverage and reet names
pervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location
Property corner elevations (2 foot contour lines if more than fisting trees to be retained with drip line,and tree
4 foot differential) protection measures
r,�g `,lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
'equired: E Yes,applicant was notified VJ No Received: ❑ Yes ❑ No
1/ Public Facilitie mprovement (PFI) Permit:
equired: Yes,applicant was notified E No Applied For: Yes ❑ No,stop intake
and Use Case#: S' cp/S- £77�
4 oiling: f T
tbacks: Front /S` Rear JS- Side Street Side N/Garage Q0
ndscape Requirement: ,,,26)of Coverage Maximum: -6 %
Vf'3uilding Height: Maximum HeightS.C--- Actual Height 3
1:1 °.ual Clearance
U asements
ensitive Lands:ii /Yes ❑ No Type 2-6R)�'�� hakia..74-
rban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: �'— __, Date: c_51ffr
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Foiins\BldgPermitRvw_R ES_012116.docx
Building Permit Submittal
Original Submittal Date: 0/.,z.3//o
Site Plans: =.4
#
Building Plans:
Building Permit#: a-Enter building permit# above.
Workflow Routing: Planning U-1 ngineering Permit Coordinator Wilding
Workflow Sign-off: LW-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.
aKBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: 4(9 / - Date: „/as/k,
Engineering Review
®/Sloe at buildingad:
pP
E Conditions "Met"prior to issuance of buildingpermit
❑ Easements (encroachments) per engineering conditions of approval and plat
❑ Water Qualit)/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 Approved by E gineering: Date:
Notes: -f; WZ.
Date:
c_1—� '�`APProved byEngineering:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: E Approved ❑ Not Approved
Permit Coordinator Review
Ni Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
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: [6 Yes ❑ N/A
Tigard Trans SDC: ® Yes ❑ N/A
Parks SDC: 5?) Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: CAull, Date: 3 -a - I
1,0
I:\Building\Forms\BldgPennitRvw_RES_0121 16.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
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
Transmittal Letter
71
T)tr A K D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: '
T_, Th
DATE RECEIVED,
DEPT: BUIL1 NG DIVIS N H i7', ( r' , ;
r,`,. :., 2016.
FROM: t... ,71) /��'�f�,cu,�. �x `' , - „,,,_,
COMPANY: Dia tif'ie. -,
PHONE: L r U `) — — if/,"c11
B, ,'---e-
mire
RE: / 30,#'41:1 CSi,,c/ bitois 1i1 [(lv" /`ISTD/4- —00/2
(Site Address) (Permit Number)
-S' r I- g
(Project name or subdivision nar and lot number)
ATTACHED ARE THE FOLLOWING IT `.
'Cop : `� escript " iiop i ,' :„,,,,,,,,i-,..,,'pi
Additional set(s) of plans. V Revisions:
Cross section(s) and det. Is. Wall bracing and/or lateral analysis.
Floor/roof framing. t_.' - Basement and retaining walls.
Beam calculations. Engineer's calculations.
V i !Other(explain): "' L.'pc r, if( x f imn5 /�"-, -c-r. 0.2/ 7-eP--770n/
REMARKS: C ' C s -�4.-6----,1-.6 y Ong r c e _ ,.(6)44._
Routed to Pe it Technician: Date: Initials:
Fees Due: es ❑No Fee Description: Amount Due:
, Y �. , $ l'ic` j
$
$
- , L $
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\Transmittal Letter-Revisions_061316.doc
Mechanical Permit ADAEIVEI)
1.0a OFFIC E t st i 1\I ‘
City of 1 igard d4 ,, ,, s
I i.u.fi f- dic.-.., i , lo,ii, .414frA0/6,-PQ_AA 9
iii , ,,:.•••V, I lail lihd I watt, illt SE.1? rt,••RI ,•
1.10rh SW-.1 '44 Ii, r-,,i for}l901 2 1 2016
,,, ,,, •
_ 1).e C.... VI 0 ktrAgt:Int
: t t . ;•I
Iftiv.-/tki ..4.tilt..aJ-••(g,, crry OF TIGARD •appl,viriAntal laloiman,,,, •
DIvi ____._ ...- . _ . .. . . ._. .
— -- AvijeTAT it.A •
.\_...--0,,--„n‘in;,t,,...1
—
fp ;thick'',31,cr...,,,,,,II:W.I.:011AI: comMERCIA1 FEE*ICIIEDI'LL - VW CUECE1.1s1
—
--- ----- ‘10.1o.olk.oirc-Hool 1,4.44,*Art.F..1,c.±1W1 14,s-N 4111L.l'i t!W,4'71;
. . .
‘ por,,,ned ho..is,..th:•410:-I rou,kie,i iv 01,-tiC4f,:-.1,/,•fl.,,• 1 ;
1 ,11.011...,!In1.411:11../...uq..pile,•11.,,•1-, ••4.,hC.,,,t
0 Dottolition 0 4..mliel
1 ....
CATEO0110 OF CONSTRUCITON -- ____.
,.
I---------- ____—.____ . I RESIDENTIAL EQuirktrier t sysrrktS Fri s* ,
------ --- L________ __.___
•I'dmil)„bnetimy 0(_ortriwrcks1 tlitiostrtal 0 As-c,•••••)littiltlitii: I'.'r sp.,sal intonmitien"kr..in,Ah4j.
i 0 VItilit-1419114, 0 Mask?:Nikki Di Hite: l),., .1,4•.,,, ! t.,,, 1 I '
----
-1 •t 1,14?ting,cooling-
JON EON ITE INFORMATIND I TION . ;.-
* • Al!,xiiiinailliq 4r.-•,.
--
Nil,otkitt's. Th-G—S' N__ 4,Irt A Al A . .h.n.k., tis,.1.041$11 ,• • -. L. ___....:,:.-- , __
L
' i.... 1.11,3, IfOt 94,-I,i i • , ., ".:9.
4 I '' 'si."‘ /1.1' I.igani,()R 9-223
7"--
! ,•-uic Pl.l..• •11•1 ri 1 I''''''•1 i'''mc Summit Ridge I).:, ‘, ..
1 i to.-•11.:%1•!:N. 41.• 4-.to 1.4F,stit. ' it•.1' , . 4 . , , .1:
i •- — — " 'pc,,t•,:, .‘,
r - _ —
1
- )11-41.1.•inali. . 3i: __',_
_
— — -
. ' Flu, ,c111 1,4 III1,tit ./n•••.t• 4
s itX11%islon
[
I 1
_....
I , 0• • •---
--
---l.------• ;Other Iasi appliances:
- --------•—
-
I 1 a•mar.p.4,1140
.. ., ,
— —.___
DESCRIPTION OF WORK
----------, , I l,,, .cn:i••• A Alt-I,0'I.,T
New SFR tTi,tc ._ . i 4 ..: -•:. .1
i-- —
„.•• ,
, ..„,,,
. ,
,,,_ „.1,,,.,..11,.,,,,,
:- • I 1
1 ,
. lir(Tl.a...t istsuit • ..• •••... 4 .
' l liiinnt.•toner fitly N cti,
., —....— .
t- ....,
0 morzirn•OWNER j aTown
— ----I ,.._,___hi--, _. .
Fat Women's!eahausi and i!tniiimnion:
1)R Horton Inc. , . u.,,,,g, its kki Othrf',MIK...,
A`i•I'L"-4380 SW Macadam Ave Suite 100
---+ ....
( ii ..;1''It'ill' Portland,OR 97239 i•iiigi,di...1010.w,I hillitr,,011, i t
l'h`44 '503 i 222-4151 it,‘ , NI,..,i.,,,,!-T..,,, I.,,,, -1 :-
0 APPLICANT $ CONTACT PERSON t thur I :i-•••• 1;
. -. _ •
'..---------------.' ". rUcl.P.iii%:__.
fiu.loti.,,mini*: DR Horton Inc.
, ___ su.15r,,,pt.;r,,,,,-.,_, .;!..!,!.itist!MIO1111 o In!al‘
t'4;1110 Ilarn. Emerald 1N'eeks .1,.92...,t1._0, _
_________
__________ ---- ----- -----
4i ,.' T • : r ---
4380 SW Macadam Ave Suite 100 , ; - -,
_ _ __ 111.i.L.1 II:i , I ,
Portla _ .
nd,OR 97239 r,.,,,,i„,..42,- _ -.;
. _ . . ... . .. . . . _..__ • --•
211- 4151 xl itC _ _' - - :: 4
-- "
i•4,'444 t'sWeekskt'drhoritin.Lom ..;,,,,, •
. .
CONTRACTOR
, i 0 ,..
' IiIL,V1,;111-.),..,_.4,,I _ i..i ,.-.• _ ____ "cc H.4%1(41 P*I1MI1 FF LS*
.
.-*!..-) iitallizie....-- .1i:!1-I ' __I I. '' ! 'kubloial
--- -- .
.'
(il, V.ilt:,... 4ilitie61,_:Liii..,., _ii,A , ,,..•,,-_,, L.,.../
r--
rs.- l j i , 1'. ....-);. „:1 1.4;-...i" I 1
..--........ 1../
' t i' li i t . -•••" i
. .,... ./.-....4---- . 1(111 tl.l't 10111 ITV I
I ki•prrmit appl•talwa r‘pn...II•prrmit IS Plot WA-roiled i•ithi0;iii,i:
•
' 4.''alit r II ha•Ng h at.'NO a•lomplrii
Author,tti Nietilcil,.. f •
1)51,. .'".. -7.7 /,,
,
.
, le,
I .0 r