The URL can be used to link to this page

Permit t CITY OF TIGARD 92 ,11111 -M MASTER PERMIT 111 a ' COMMUNITY DEVELOPMENT Permit#: MST2016-00150 13125 SW Hall Blvd.,Ti Date Issued: 05/03/2016 T i,C ART) and OR 97223 503.718.2439 g Parcel: 2S109DB08800 Jurisdiction: Tigard Site address: 13049 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: 156 Project: Summit Ridge No. 5, Lot 156 Project Description: New SF. 5/13/2016: added continuous loop fire sprinkler system for 2119 sf. 9/26/2016: REPRINT to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1019 sf Basement: 136 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 964 sf Garage: 478 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2119 sf Value: $260,023.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 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 2119 Owner: Contractor: DR HORTON INC-PORTLAND 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 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,488.35 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 throug. • ^ 401-0090. 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: - Permittee Signature: f� 7i- 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 PermitApplicat F1)it c F M °� !)x.1,5' ,...,,l 114'of I l trd sF t t� J.K. nr �J��• ,...,V � m 2:;A:03,14"7111814:::134. � 71, � � SEP 2 6 2016 r [ t : rte Ist4i ? ? F ntt4 +84 }#a4 3r tan lon Inspectionttne foil tttet4E (� -�/�} ( (�/yp CIT i OF 5�IGARD Na ,,,tAa Ei any 3 Mot Page 2(p� t4lint("t sestets aaaata€clHar °ardxkra9,'+t�tt,a*.4. °�ae � c9�II�ci Information BUILDING DIVISION. —s _ �..rv.m d, . �._ d rim I',x" AAA - rtia w* USEC Ur t,1 T ' kkOttaitleol permit toot*are bosesion the valets of tho w, it. Ness con tettettots u,AddsEi€n he alunthepla`e m na 1 I performed Mesita te.the value tttuzu8 sf to the rtettrost€ir ilarr§ot.,FF 0 L3ettsotltson 0 titherenc' 64 4414,44414 mala al,,eget tooth 1. ,r t. c l ott sett pttlit CATEGORY OF COXTERECT IV ;-and 2-unary tiweilsra t'en tuercaaltsrtcict s l 0.\ccm €talclin; s rot weri*.tiietfottntatiou use elfoi Fina I 0\lulu-Lanny 0 Mather hutltrea° Other. 1 lta,saaaptholt t1t4 + t ; 7,1 # 1 l _ ,`t `. A iicaa w t .,.,.� _ - a- "#Brat 44114th Pm. —11,1-4--7-44, 3 Iral+�„1t ua9+lrea t. ��§' Black Walnut Street �" �" 2 luflta�b�.e ti#}qua 1131 3a , «,moo, i. if, tits State Zit' dTigard,OR 97223 ' iun:acldttt,tkltt is[I ,Yom, t , Flcta uaa tFtw t. 1- IIIII - 'n eon enI4 '=asst rise_: , i tolesI re arm` SttI11F 3[ Psi Itas s -' ' .l~_w-. ..._.s tt ro e` s srr +.rt,ttaass t sts as>ts site I F#a-clttuaaa Ik ,n 344+rpt,*.-4+,4 _' s e• t lectostettooi Sotto-tett-detest to l II teas?ac:,tstrs tiut3{ate.ma elect-net, - —, _ — ... _ sat sca`h In Suer, to x cI d tits Mr, t _3 } j Stit'ttltStstetif 1 1..4.4`1 n€3. 1e7-1 - _ , !)Cherfue3arsunts '= la m p nelno, 1 1 \\Jterheater -----r---- 3 e* ___„____±„__ ...1. ::p €t'a` etaro'ue-baa au as 1 `•, s a 1 Uwe foe sower sir r � Ie?r1F E tsr;FEltic ...,_,...1_,........t.„33,1124..„..,„;.;..... r ,. . _ _. 1 -1...0Q.It En r s s, 1 I �.. t .. �_ / 1,.. .. !Am:s llecarr.t {{ ' a _.. t+sx,tteaeea I I t biomes-liner flues tem 0� of €. a TENT ' lir _mm W`. , ... _ neiweaatmteatat exhaust and sccctetatt c i Nangs note s Cher kitchen l 1) Horton Inc.irrc .. d :Ss43S0 SWMacadam. Suite.1 ) 1 t lsrlll �,I,.tf.a _ e .4 t t sa ti duo til oose tlratlrscxatos, c Rata ter 1'cartlaxr ?R 97239 ' ._.r...,. _.� ...........®.._ r_a, ...-._.„,., m......„ ,,..._.,� .�„-.H... .m ., _ ft:4n.t at421tollIII:II €srtla t YI.IIet¥a`t9 n5< II I I 1'rwstla. X 503 l 222-4151 ria r t .1 ,tt a�aaaa3slauc taan ,,,21.31:!,,,, ,_m 1 . PP� y r a ta la+e l . ' � Ifuri rt U'MC'SmattDRorton inc. r 1_. _ . �._... _ to latt atm” sou far each Additional t l Corelsol ncra Emerald aid Wee ' 11,441414444t4.CU: 4:tdrtS, 438!SWMacadam Ave Suite 1 1 tom,ltc�t I -® .ml '+telt tt �l gat the:ace �. o._. .i t:rY Ora€ Villa Portland,OR ! tt,rtta atraur r z I rt >ll 150 l ''22- 41°�i x110 tai t r l _. _ tkgate r ,,,,, , , ,, , ,,,,,, , ,c,. , ,, ,, ,„,,,:„:„_-_,, ,,,„.. „.,,,,,-„,,,,, ,,,, , _ ;__, ,,1 LIP,zi,,,,,„1,wri.,,,,, I i 1 za .. I . g)- € = 4 I ()thee- 1 t litattnetts tram" 4 , ,,, .,.,..-.� ..�. a erel1t44 ' , tit State-ZIPilltau r n41144104.4p €tr t Inc d451ta}tom. + Mau revievy t'"=',,tt penult s`cx g I Phone- s,�„- � e. — ,. :A -� ' ` i # 'f . . Stvaa*Fir xcr to ,a4 tmt k'c _ .. (Vii lac .I"'4 ''2' v I I Con t[,r# >u r FEE I - . , Thi*prrrn3t application ea res tt,a permit fa atot filhaattt i,r Rhin azar �r * accepted after it how b ccepted ae acraanpete^tr.. Litton zed 3's[,4ra "' 'F x` * Fc 4-44,4114044,441444 to 4,, le,d;a,;rty' i,k621.ra 44,414444r-No-c..i{.raX,i ..' —1474""- r a e4:s&3.; nr4,'0' /n m- tti41;4 n.. e...... ........«...® _.....m.,�...,.w.c...«...mm +fk '-'Ff Iaf d#7hi!`RP1te A CITY OF TIGARD MASTER PERMIT l s': COMMUNITY DEVELOPMENT Permit#: MST2016-00150 T E C A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2016 /t/. /(P Parcel: 2S109DB08800 Jurisdiction: Tigard Site address: 13049 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: 156 Project: Summit Ridge No. 5, Lot 156 Project Description: New SF. 5/13/2016: added continuous loop fire sprinkler system for 2119 sf. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1019 sf Basement: 136 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 964 sf Garage: 478 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2119 sf Value: $260,023.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 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]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 2119 Owner: Contractor: DR HORTON INC-PORTLAND 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 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,300.99 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.� You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:61\.._)1, Gsi i Permittee Signature: �t r.1.4.._‘, Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application ilimmiiiiiiiin Building Tigard " ` C ��EDReceived PermicNo 13125 SW Hall Blvd.,Tigard,OR C Date/By /�// 1��Oi6�D�� CI Phone: 503.718.2439 Fax: 50 136N.19404 2'3 16 Plan Review other Permit No.: Ate: S"/4 /!s inspection Line: 503.639.4175 T(GADace Rcady/By: lmic: la See Page 2 for Internet: www.tigard�r.gov�'"t1( � _ - Notified/Method: Sappiemental Iaforoadon ❑New construction 0 Demolition For special iufonttrtiou use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-fandly dwellings(includes 100 ft.for each utility connection) ,CAT;>1ORY per Co11 SFR(1)bath 312.70 0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler(LI I ti sq.ft.) ✓ I Page 2 /69,6„0 SITE INT$* AND LOCA 'Siteudildes: Job site address: 1664_01 II ' _ 1 Y SM�/ U14 tk, tV U 1 v vi Vt c Ji'• Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.ao.: I Project name: Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: . Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft.: Page 2 Subdivision: I Lot no.:19 Fixture or item: Tax map/parcel no.: Bacldlaw preventer 31.27 Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/sump 25.02 ti ."o 1 a T , Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 [�; .CttliliT c11;P }7 lnterceptar/grass trap 25.02 Business name: DR Horton Inc Medical gas(value:$ ) Page 2 Contact name: Emerald Weeks Primer 12.51 Roofn(commercial) 5.0 Sink/basin/lavatory 4380 SW Macadam Ave Ste. 100 22 2s.02 City/State/ZIP: Portland, OR 97239 Solar units(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 water closet 25.02 ( g Water heater 37.52 Business name:Gran 1, t u JO l� =tn c Water piping/DWV 56.29 Address: itiC S S, &`reel^-1 v--- e sJ- Other. 1---1 25.02 City/State/ZIP: OreyGnCt+L t 6(2 qi ops Subtotal - Minimum permit fee: $72.50 Phone:(Sa3) ��O-0ZIo3 Fax:(971 ) 25()-3S D Plan review (25%of permit fee) CCB Lic.: 'CL 55($ c Plumbing Lic.no.: %II)(vS State surcharge(12°/s of permit fee) �, Authorized signature: ` TOTAL PERMIT FEE J /� 33�� JJ��"` This permit applicadoa expires if a permit Is not obtained within 1U days Print name: Sp );‘ t � Date: atter it has been accepted as complete. 'Tee methodology set by Tri-County Building industry Service Board. I:\Building\P,rmiu\PLMU-PermitApp.do: IWOOW 440.4616T(l0i02/COM/WEB) CITY OF TIGARD MASTER PERMIT 111111s_: ' COMMUNITY DEVELOPMENT Permit#: MST2016-00150 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2016 Parcel: 2S 109D B08800 Jurisdiction: Tigard Site address: 13049 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: 156 Project: Summit Ridge No. 5, Lot 156 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 4 First: 1019 sf Basement: 136 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 964 sf Garage: 478 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2119 sf Value: $260,023.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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 Other Fixtures: 0 Drywell-Trench Drain: 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'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 2119 Owner: Contractor: DR HORTON INC-PORTLAND 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 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,111.04 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 952-001-0090.01.04—d1/1"—"3--4-4 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: . 01.04._Vl .t? Permittee Signature: i v.lc-+------ Call 503.639.4175 by inspection a.m.for the next available ins ection 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 LS 4/Ail/ , '1u"[b e2 L Residential RECEIVED 1.0R t)1 I- I 1 SF. O\I.\ Cityof Tigard Received /�, g APR 4 2016 DaterBy: /6 Iry CZ1 PermitNo.:M ��/��ISD 13125 SW Hall Blvd..Tigard,OR 97223 Plan Review- Q Phone: 503.718.2439 Fax: 503.598city n Date/By: 1 //( Other Permit:owk.,90&,..,00 g Inspection Line: 503.639.4175 �F T� €�i� Date Read :B '1/ ,^ Jur Is:,r,t:n g, g BUILDING DIVISION , >" _1r Supplemental See Pent n Internet: www.ti and-or. ov Notified;Metltod: � �lX Information 0„, , TYPE OF WORK REQUIRED REQUIRED DATA: I-AND 2-FAMILY DWELLING li New construction ❑ Demolition Z`" Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement D Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q I-and 2-family dwelling ❑Commercial/industrial Valuation: 0I o. $ S. -3 "- Dt) o Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: D.. -- 97 Job site address: 1 JbL W VA/'0_ W AV ��j. New dwelling area:2.-1 ii square feet City/State/ZIP:Tigard, OR 97223 Garage/carport area: l I,�� square feet Suiteibldg./apt.no.: Project name:Summit Ridge Covered porch area: �") Q square feet 9 6 4. Cross street/directions to job site: Deck area: square feet I 0 j 9 Other structure area: square feet 1 3 g REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: ' 1 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, New SFR Valuation: $ 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/ZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT ip 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 972391 r Phone:(503 )222-4151 X1107 Fax: :( ) Amount received: �7 '15! 3`f • PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: esweeks@drhorton.com Commercial and residential prescriptive installation of CONTRACTOR roof-top m. nted Photo Voltaic Solar Panel stem. Business name: DR Horton Inc. Submit two(,_ ets of roof plan wit. •. nection details and fire departme •cress,a • :with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Spe ,Code checklist. City'State/ZIP: Portland, OR 97239 Permit Fee eludes . .n review $180.00 .nd administrativ- -es): Phone:(503 )222-4151 Fax:( ) St• surcharge(12%of permit fee . S21.60 CCB hc.: 130859 Total fee due upon application: 7 P PP $201.60 Authorized signature: / , . " �� Clam'"W' � This permit application expires if a permit is not obtained { w r C within 180 days after it has been accepted as complete. Print name: l- mei 4 ici W-(,J - Date:2016 *Fee methodology set by Tri-County Building Industry ,�-^--�c Service Board. I: Building,Pcnnits\BUP-RESPermitApp.doc 02:2412011 440-4613T(I 1/02/COM/WEB) Mechanical Permit Application FoR ul le l( r l'‘,1. ()MN l City of Tigard IVSD Date/By: Deceive Permit No.: �o�Df la,�/50 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / ' a Phone: 503.718.2439 Fax: 503.598.1960APR 4 2016 Date/By: Other Permit: Inspection Line: 503.639.4175 TIOAKD Date Ready/By lurk: RI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ¢ �C�ITY{OF TIGARD TYPE 171r Jtf1NG DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work •New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:5 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1111 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating cooling: a) 1 Sud c , , ` (�AA.1- Air conditioning 46.75 Job site address: L��.(/�l/' '�/IYN,1 Furnace 100,000 BTU(ducts/vcncs) 46.75 City/State/ZIP: Tigard, OR 97223 I- . 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.: I Lc ,• Other: 23.32 (fJ 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 Single-duct exhaust(bathrooms, City/State/ZIP:Portland, OR 97239 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 Furnace,etc. Address: 4380 SW Macadam Ave Suite 100 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Portland,OR 97239 Water heater Fireplace Phone:(503 ) 222- 4151 x1107 Fax::( ) Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: a 13o `F S (p Z Subtotal City/State/ZIP: AA )OQ' n r- c17 3 Z 1 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(5 4 i ) q Z(v-- )3 -7 Pt Fax:(94) ) ¶ 2,ts-- 7 1 7i("' State surcharge(12%of permit fee) CCB lie.: - c-C) S E( 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: d i* • Fee methodology set by Tri-County Building Industry Service Board Print name: jc�.re y )'i'e:t hFte 1 V Date: j 1.\Butiding\PermnsMEC Permit App_040113.doe 440.4617f(11/02/COM/WEBI Building Permit Application Checklist One- and Two-Family Dwelling I.OR OFFICE FSE ()NIA City of Tigard Received `r g Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: I Phone: 503.718.2439 Fax: 503.598.1960 I 1 C.;1 It!) 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les Ntt N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. : • ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 3 Verification of approved plat/lot. I p ❑ 4 Fire district approval required. Name of district: Tualatin Valley . II ❑ i 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 6 Sewer permit. i 0 0 7 Water district approval. a 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. a 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- Q 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state m ❑ ❑ 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. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if I ❑ ❑ 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 ip ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, PI 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- Oir ❑ ❑ 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. If ❑ ❑ 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- • 0 0 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 ® ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered e ❑ ❑ 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 • ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ 0 1 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required • ❑ ❑ 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 ❑ ❑ 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. IN ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. MI ❑ ❑ 26 "Reversed"'building plans must meet criteria outlined in the Permit&System Development Fees document. II ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. II ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard I ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines. I ❑ ❑ 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, I ❑ ❑ 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. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Applicat CEI ...TR,. ( SL oNi.l City of Tigard APR 4 2016 Received Date/B: Permit#: D--( 1---,p..,/CP—OOf50 1111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503 o r Related Permit#: Inspection Line: 503.639.4175 '' "� TI��r' + ) Ready 1'11',t f.() spec 'P y t�';t Ready DateBy: 7ur6: $( See Page 2 For Internet: www.tigard-or.gov BUILDING D1`til Notified/Method: Supplementallnformation v;'I PE'OP WORK ' ` PLAN REVIEW , r •New construction 0 Addition/alteration/replacement Pkase check all that apply(submit 2 sets of plans winems checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current R' CATEGORY OP%SIV0 Marinasg baud boatyards. ds. • `� �� ' a, SI'1�.ItC1�Ol+i� "'�r �,a:`:':. � exceeds 10,000 amps at I50 volts or 0 Floating buildings. 4 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building kss to mound,or exceeds 14,000 0 Commercial use agricultural amps for all other installations, buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire PSR 0 Installation of 150 K V A or ,. JOBrSITE IN ORMAI ON AND-,1ATION '° 'j n ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 6 �i �� (a IOOHPormore. ❑ A E 1-2 l-3 City/State/ZIP:Tigard, OR 97223 1 4\r, ,L CI-t ❑Six or more residential units. occupancy. V"I0Health cam facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Summit Ridge 0 Hazardous locations. 0 Supply voltage for more than b 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Lot#: i;ID Includes attached garage. 1,000 sq.ftt or less ' 168.54 4 Tax map/parcel#: t Ea.add'I 500 sq.fi or portion 33.92 I t' DESCRIPTION.OF WORK i Limited energy,residential 1 75.00 2 New SFR (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 II F'ROPERI"i OWNER ` `I TENANT` Services or feeders installation,alteration,and/or relocation Name: DR Horton Inc. 200 amps or less 1 100.70 2 Address: 201 amps to 400 amps 133.56 2 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 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel APPIJCA1117 ' ( $"CONTACT PERSON A.Fee for branch circuits with Business name: DR Horton Inc. above service or feeder fee, 7.42 each branch circuit ` Contact name:Emerald'Weeks B.Fee for branch circuits without service or feeder fee,first Address: 4380 SW Macadam Ave Suite 100 brancncircuit 56.18 City/State/ZIP:Portland, OR 97239 Each add'l branch circuit 7.422 Phone:(503 )222 4151 x 1107 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 ''CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Wright 1 Electric Sign or outline lighting 67.84 2 Sibmal circuit(s)or limited-cne.r 2 Address: 11490 SE Jennifer St. panel,alteration,or extension. 0 See Page 2 City/State/ZIP: Each additional inspection over allowable in any of the above Clackamas,OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:(503) 760-8522 Fax:O f/ „ t ,S Investigation(1 hr min) 90.001 hr Industrial plant(1 hr min) 78.18/hr Email: i rlane@wri htlelectr .com g Inspections for which no fee is CCB Lic.:162368 Electrical Lic.:3-332c Suprv.Lie.:3alEs specifically listed C.,/:hr min) 90.00'hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: e/ ,t;4.. - Subtotal: Print name:'-n3ltcJ t�� Date: 2016 ❑Plan Review Required(25%ofpenuit fee): State surcharge(12%of pemtit fee): Authorized sign Bre: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 181) Print name: ..A _ ,----- ----'"-- Date: 2016days after it has been accepted as complete. — • Number of inspections allowed per permit. I Building Pennas ELC_PermitApp_ELR_ERE.dor Rev 06'172015 440-46151(11:05.COMUWEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 Description 1 Qty. I Each I Total Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 `r 50.01 to 100 kva 552.26 2 Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 11 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ 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 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('A hr min) @ 4'7 . f I '� Subtotal(En... $75.00 ter on Page 1): Fee for each commercial system: * Number of inspections allowed per pennit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit AnnlicatiRECEL"ED 1170 y �Z Building Fixtures MAR 2 9 2016 I ,.1: i I 1 1 ii I i .1 1 , City of Tigard l-�/ Received 13125 SW Hall Blvd..Tigard,OR 911751 i OF TI GAFiu y pc:ink No.: K1,5reg I o tgDING DIVIS Plan Review 1 O"C�l(O Phone: 503.71 R.2439 Fax: 50 14 t may, Other Permit No.; Inspection Line: 503.639.4175 Datc RcadyBy. loris: ia see rage 2 for Internet: www.tigard-or.gov Notified/Method: Sapplemeatallaforaaadon TYP OF WORK * s . []New construction 0 Demolition For special isforasadorr ass checklist _ Description [ Qty. I Ea. I Total ID Addition/alteration/replacement ❑Other: New 1-2-family dwells(includes 100 R.for catch utility connection) CATEGORY OF CONSTRUCTION • - SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Comrnerciandustrial SFR(2)bath 437.78 ll ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(211 g,sq.it.) I Page 2 JOB S lT INFORMATK)N AND LOCATION Site utilities: Job site address: I 34,(7 y 5 v B tack L/I j ` fee I Catch basin or area drain 18.76 / n v J Dryweil,leach line,or trench drain 18.76 City/State/ZIP: ((I ) v^ -1_21 / , Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: project name: Summit Ridge I?i 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.: ) Pagc 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: 15 b 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 13 PROSTATY OWNER I p TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 []2ArneECAP1 - El 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/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 beater 37.52 Business name:Gco.aJ 6c `C 1,..,,„„,to tun av,c. woes piping/Dwv 56.29 Address: 1,4,9,. 5- 5, &raj,7ti-4.Q ,tf Other: 25.02 City/State/ZIP: Or gbr( l `C) - 1 0ii5 Subtotal Phone:(5'b,) 4/0-0-1473 Fax:(971 ) LSo_363 0(6 Minimum permit fee: $72.50 CCB Lie.: t 9t.t 505 c Plumbing Lic.no.: Fe5(p(o S Plan review (25%of permit fee) State surcharge T(12%L of permit fee) EE Authorized signature: TOTAL PERMIT FEE Print name: 3-6 y� X11 t.e Date: This permit appliudoa expires If•persalt 4 cot obtained within 11N days atter It has bees accepted u template. *Fee methodology set by Tri-County Building Industry Service Board. IMuildi°F1PavaitaPLMV.PermitApp.duo: 10/01/U4 4444616T(t0/02/COM WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Footing drain-l''100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- 1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 mo�i?�. - eMFee Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for m. each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture TypeThili:ROVIONIF for rl bing Installations Fixture Type for Repacd Work PerformedCapped Added Relocate review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Car Wash Drain Isometric or Diagram Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: G:\Plans\Plats\Summit Ridge\Permit Docs\PLMF_PermitApp.doc 2 .. .. ..e.-- City City of Tigard •III ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: H 5-1--,::, I Lo -CSQ/57 Site Address: /502/9 a) Riad !- Project Name: _7L'm0- d NO- C- Lot #: /c( (New dwelling=subdivisio n c;Addition or Alteration=last name of owner) Planning Review Proposal: - ) < I/Verify site address/suite# exists and activ In permit system. �ll,iver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached iPlan Elements: ree(3)copies of site plan ' ': sting structures on site tte plan must be on 8-1/2"x 11"or 11 x 17"paper in Footprint of new structure (including decks)with finished rawn to scale (standard architect or engineer scale) or elevations v(t) rth arrow tility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number P'.:cation of wells/septic systems plicant information(name and phone number) I, rosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions stgn,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and 'trees names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations (2 foot contour lines if more than sting trees to be retained with drip line,and tree 4 foot differential) protection measures \R.lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Iequired: ElYes,applicant was notified No Received: ❑ Yes E No ublic Faciliti Improvement (PFI) Permit: quired: Yes,applicant was notified ❑ No Applied For: ALJ Yes ❑ No,stop intake r and Use Case #: S'/cge.A -- l t oning: I etbacks: Front /5— Rear /S Side 6— Street Side //9-Garage andscape Requirement: g:3, ./. of Coverage Maximum: Et, Height: 0/0 Maximum Height c.JS--- Actual Height �3 tsual Clearance asements ensitive Lands: 1 Yes ❑ No Type ;i3 jue /l.2..'/j rban Forestry Plan lld Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: ,� ; Date: 747 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: E Approved E Not Approved 1:\Building\Forms\B IdgPennit R vw_RES_012116.doc x Building Permit Submittal Original Submittal Date: hj//[/7/(0 Site Plans: # 3 Building Plans: # �j Building Permit#: LEnter building permit#above. Workflow Routing: Planning Engineering D--Tr"ermit Coordinator 4Ernuilding Workflow Sign-off: CR'Sign-off for Planning(include notes from planning review) Route Application Documents: B'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and �original plan review routing form. a I3uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: • ,, Date: si /5"/6 Engineering Review gf Slope at building pad: 20 .f-2: .‘„7,5,40,9/ / .14 Conditions "Met"prior to issuance of building permit d Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: WL-, Date: L�/ -� 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: 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: kr-SDC Fees Entered: Wash Co Trans Dev Tax: NT Yes ❑ N/A Tigard Trans SDC: r.V• Yes ❑ N/A Parks SDC: V'Yes ❑ N/A .{OK to Issue Permit Approved by Permit Coordinator: 644,.../ CEJ Date: '4 -I a - 1:\Building\Fonns\BldgPennitRvw RES 012I I6.docx 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 13049 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00150 David Young Corrections complete. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test checked. Insulation certiﬁcation checked. C of O left on site with contractor. Violation Summary: Inspector Contractor 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 T I ca AR D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: c k- f tri c,cc DATE RECEIVED: DEPT: BUIL ING DIVTS~ION1:-.1\-,;;:::,L... AUL; 1 201B FROM: 1 ttiLln-„c,..r‘ ,s .' C COMPANY: 012, k4 PHONE: L.S c'>-- ?dd iii;r t By: RE: 130 L1 ct iSty-- Ne,c,L (AA>c.II)Lii di- /-7s-----770/6 --.65)0/_5"0 (Site Address) /� % (Permit Number) 4. li hA ^,14 e 1�4 �' /.3- 1.f� (Project name or subdivisione and lot number) ATTACHED ARE THE FOLLOWING ITEMS: . e a s'e'11I 10.i?I,';..„iti,,.. 11' `. pr ”' 1. w' ![` '.'i ,41--f,IX:A�w:plum . Additional set(s) of plans. - Revisions: 77 /�.- , e.2) /2,17---, 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): j r csG' I n kG L '' ''i - . Q/' "�— o ' -v / REMARKS: C/7 CS /9-4 72-6-- i',-.6 y O 4 T/G FICE USE Routed to Permit Technician: Date: Initials: Fees Due: Lyes ❑ No Fee Description: Amount Due: 4,r-,;,' ar..s a '`44-111-� $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc RECEIVEP Mechanical Permit Applicatigt, V 2 1 2016 City of Tigard tInh.:i.•ttThic,,r',:n".i'''H'.".".3i0st f','v'+F`..i'!-, t,i14t V _ ' :' :21 / 1 s% 'IA Md 1' ord,14R; , ARDI 4ANOFTIG' BUILDING DIVISION . Pn.2 114 '.I 1111:1,7:2:71. ::::°. Del% OF WORK i romMERCIAL FEE*SCIIEMILL - usf:cmEcEi IsT 1,------ - -- . %1L`j.s1114 a r/C111P:let.,•.11C 11,,,..,!,11111,%1111,. ,„,,,,,,:ot,,, U Nium,,,,aller..1:Ion rer,1“term:',.' ' p...7!!, ,.! I,),l,al':41se....111/C1:0,:r.6:‘1 I,i'.., mafc-i.1.a'a•. . ! t.,., Li Ikotiolizion 0 Odic!. f!,,:-Iialo.o!111.111"t1..1... eq.A•toct.t ittil,. .C•t,_•,:.t ; • •••_ ................ •,•••••...... *••• \alat , I ! CATEGORV OE towntvci-Evs , 1 , ___ _ ..1 REEIDENTJAL EQUIPMENT rfiVSTEMS FF/S• ,40 . ,,,bd 7.•farttli)tittclinig 0 t or:1fl71'1A todustriol 0 AL,t•,,,!!) htidt.ling ri,,soes rol inprortatiort.1Ar•s lies ili.s. i D NItilli•lailul: 0 N,Itp..1c,huftikt C 4 MIL': I 1),,,•:i;',.,..., • i.i!, ' I i . , +..... -- .--......-.... . jiestIng I oming: JOB SITE INFORMATION ND 1 MN f .____,.. . .... -U. 11.11 • kit 4t.-: 1 i 1 ..,of, 41.i.10,` \751Xjg. .... OVAL : turu,.... 10,'.0,,,,13 1 I , -, ___ . !•- ! I-mu.., ,. „. . N I'd. ily Tigard,0R9'223 i ...r......._ — : flji I"', ".“'1, Summit Itidgt: ht.t t.: , .-- t f .. •'1,4:1,!11:.1'1f• 1g1 1.1',1./li . I -+ . _. - S—.1I --1 — .;01 IC.110..110..!,pc.11”11:1Ct'1''‘• . 411-*/1. to-tlut t so"21, t.1.1 c'h ___ 4'._'..._ _--- • . hut.%ctir t,4 sils .4 !.4,0,1,J,i,•11 [ _.._ ----------- -- --- Other fuel appliancvs: _i .._..7.....„..„_r_ _ DESCRIPTION OF WORE : ;4....o.lin.r1.1.4::11.elt .... - i _. ' ••!_,..1...1 . . - --- , I lite IV!!ft.. :sale.1,d..,, i...,,Iiit.tlirt A.r!.•... .,_ - . i- 1 1 ;.%it o...4.2.Filet...t‘t.,:___ . _ - ;. 1 ."--- \itACK.CIV . Ao04\1,4,...i___ ; 1t s...1 tittlItt.c stiNcr: ; r------ _______, , -_-.... ---___. . . _ _4 . ' ; (1111/1110'1110 all' 'IV irtOPERTV OWNER I .....,-.-....-- ..-.- NCI TE ion _ ___i , -- --5 __a.__1 , km irdamoital r%hr tati and..4.nil lis two• i .. I \.m DR Horton Inc. 1 i Hi4tIrC tkott other Likther T Addic"4180 SW Macadam Ave Sone, 100 1 (IN male 111'.Portland,OR 97239 1 s,•it:t. it„.1,-,1,,,a.•ihnthNont•. 1 --4. ---- 1 ! , !...2,1!..1,_1_,,,,...LILmill..!tail;unqr„.1. _1 _ ___:. f Piton: i 503 .1 111.41s1 l.0. t ' ' :`.)..1:_`..1'"''P...''..' 'i!' . + _ ....:.' '' I r_.......,.....................„........_,_ _....._ 0 APPLICANT .CONTACI PERSON 114,, . — --- ...________ __ ........ .__ Imo/wpin : ..... 1170.7flok Wine DR Horton inc. . .._ . .... . MI5 fro first litur.TANI fur i-*ii tallihrhotil ! (t'in•st I!..111), Emerald I'Veeks . It 171.i , .. - ..-... ..,...., ___............ .........___ • , . Ad7k,',•• 4380 SW Niacadam AIX SllitC i00 / t - —/- i i 1 ii SiJk/1P- Portland,OR 97139 j 1 , • _ I _ - ... , v! n•,'I CSWeekskodrhorton.com I-- • -______ (osrritAcrox - .. ., • ! 14,...•,,,-1,,,,,„1,....L.-.)' l, L _ i t • _ . ______,_ . _. _ . .1 \it(II Vs1(Al.PF HMI I I I'kV' _-_,._ _ • -t i .a t I 5., i , ' ' • , , %N.!I' ,rh•,:, ,:. ' . )ylifid 1! ;-t- L/d,f,_,i s, 1/.L./._ ,..„...„.! ...___ . . . . _____i I aA, , ::: 7'. : 1- I ._ __ _ _..„. _ _ _ .,:.....,____ ...• i...,_. _.._.......1_ %-- .-1...7-.:.;.:.)ii i 7,.........- _.___ _. ,... __ - . _ • ,- _ ._, _,_.! ,1 •., ., ' ,• .., ,....._,L..' /,---1. . - ._-__. !2tLr' "!10 %L 11111.1 . • 1 in.prima applwallon twit..11 Is pg./11111 I,rio.1 iii III III d,11,. IS' -7 da‘,01.1 11 hie.1.4 gr1,il.g.t1,1,t1............, ,. AutL.1 All ntergdtztc. -' , -5—• . . .