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Permit (46) CITY OF TIGARD MASTER PERMIT lig ■' COMMUNITY DEVELOPMENT j Permit#: MST2016-00020 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439ler Date Issued: 05/11/2016 T I i.;�I<.C� g P--$ /6 diik Parcel: 2S109DB01702 Jurisdiction: Tigard Site address: 13140 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 163 Project Description: New SF. 4/20/16, added continuous loop fire sprinkler system for 3129 sf. 11/28/16, REPRINTED to add a/c BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 1061 sf Basement: 656 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1412 sf Garage: 381 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3129 sf Value: $374,386.41 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: 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 'r Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 3129 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: $31,112.37 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr R 952-001-0090.2- You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: . l —2' _O C/yJ,v Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application 1(M Of I I( F I •••I Om N Ci iN of Tigard Jr.'— ....5****''ye-`5.4*--' t 4,-,,,,,,,, P,,t-s,t4 ,.- 1;12"*.SNN Ilan lihd 1 teard,t IR ...11721rIk..,s7:----! M a l'how ii);-IN.:4;,..i I.0. .7,43.i`.)* ,),#.41 fl pct.114,V1 I mc COI r,14 41", IllitTrIC; Lk 4,0...ill'il Or go: NO V 2 8 2016 ,,. i5it.,. 14,$.,' i; `. 'l ",t' I\'' ' MST2016-00020 ID S..,Pap'2 for Supplemtra41 hilt.motto.'-----"' — ...„ TYPE • tit' 1 ,3ARD , ,-- , COMMERCIAL FEE* SCIIEDULE -USE CHECKLIST t p 1 i h.,,m.al pt--mil IAN.*444 IL,ILZ.41 011 Illt,ALI,1;1 OW V..;;k Ili Nev. tonstn.a.tunt 0 Atiditton eration teplaeemcm I perhamed Mai<ate the..,alue+rounded to the ne ,,t Jor.tr. 0 Demolition 0 Utiles M0,11,11115;11,0,31ti-1.115 oampmett, laboT.merhea,1 arnlim.lo CATEGORY OF CONSTRUCTION --,, RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1 w I anti..!...taunil tiv%elIing CI(..oramef chi!rniteattal 0 .1,..,:e.,,,,,,,ot,,, buthinnr! 1 ,r p.'4 rad information also.t lictAiist i -,- 1 0 Multi !mull) 0 Master htliklet 0()Met 0,.....tipti,,,, -----. . . I. JOB SITE INFORMATION AND LOCATION ---, — I . Mating cooldig. . , — ‘d con‘fitlortim: 4' ii.t,',lie addre.,1021 40 SW Black Walnut Stri:et i-- , iuril,a,,! Ioo i ._1 Lit11;$“; i4}10 000, I{11 , , . t .,, ...!..if Tigard,()R 97223 ; -, i, ii, i •-„,,,i,.:h.*. .iiii ii,i l'fiiico.iiiirie Sumniit Ridge 1 DULI A OIL ' _ ---4 ,___— - ---- ---_- , , 1 (;ta,......,,t.n.et dite,,Mom to lob sate tourows 1101 A AO L‘.LIC;I; I -- "" t --- ---.. ---.-----__— — ---;----. kt:LItillitt AI 1,,I!, 115,110111,I ..,-- _________ 1 I 1111 tIC.114.1s ill.k.'14‘r,-,not deco.t ! 1' 11I-14 Ail Itl di.," oopeoded ett— __ — I Inc I'134 4,!,..445.1 ,bt\C -4 , •• i• , „.., l II, TA..? '1 1Iih111 isloll 1 03 Ilk' 1 kci 9 ; .,--- ___ _ -- _______ __ _ Other(udappininetla _ LIN map park.et no k'1 \ , . - I , :.: DES ... DESCRIPTION OF WORK i _ . t., 11, ,,,.- , 11,1, 1, .1 { ; I tilt:lin!lot ',Ile'heater or ea, ...,, 1— i _ I ' l 0 1 IIi m,hilver 41,..5,,, .• —A . .e.. ...... • 1\t.,,i,,cliet ,,,...' 1 fi 1 k _rt.pa,c.:).1.7r1 ‘ o s! I hmilteN.11144.1 lila ,,,' t t • PROPERTY OWNER I0 TENANI I t/the) 1 i 1,m ironnwidal r‘ludtst acid+rntilailutr - \AM,: I)R Horton Inc. ! ; k Any,:Int.,I other istittl;fl I , - _4.'41 4140.1311 1 , .;\thlre''4380 SW Macadani Ave Suite 100 1 iliii,--.a 11, , 1 (;41. ',Lac ZIP Portland,OR 97239 ,, . _ 1100,,,t1,1.2.111M4.III, ii11111,:, to,am, I. 4 1 - I N,'""503 '' 22/-41511 i lk 1 I ' I 0 APPLICANT al CONTACT PERSONI"°f - :. - I, , Fuel riporig: DR Horton Inc. _ _ ...____... I 5(1.!(it 0 f our,1...11lforrath additional I .1040 P,Ifilt Emerald Weds i UHL,, els , -- Ile. ,r, 3\ddr,'s 4380 SW Macadam Aye Suite 100 (1,s• li11!)p 1 1 , ! 4 , \,1 011 NUSpeltd:i.::11144 lit',1i4.t 1 I ( "'''''ffi:/IP Portland,OR 97239 vi,..i.i,ii,:i4,.-1 _ 1 .. + I , 1.1'"e 222- 1503 ' 4151 x1107 1 l,IN ( 1 ' ., i INTL!,C 1 .. i1,in.A• 1 I M''"- esweeksoitirhortori.coni li.sr hi,.` CONTRACTOR - , 1 ioc..,dr,,,..-ic.,, . 1 t: ' 4+414.4 ri,1114t: 41.1). Aik.,. t („:, I-- ,_. 5 ... SIECHANKAL PERMIT FEES* 1 ‘I ./),i / i .4,If c..., ,,,), ,f,41A 1/ .,*-7,-- .:,_ if,i,/-2' , :7 7, 7 Ti-, so,, ,A , -.. ilp , 1-,', ,71,-./..'i i., . .,. ,/.4 (7'.:7.,,(4 (2-7 _ . 4,- -----',' -i ..i.,.. , — 1 Plm,r e:iv,12., ,a 1,,,,na i 1 0, 4.4 , ,, ,:: Tit `'-/. 1 , . .....-- L' ' --„,-- '45-,.' i ,Iya ', 5.-___:.‘ _a, L.?.._ I 1 s“,)14:‘t..I,I',''-',: .).: -t pc-c.I,c,,:c-c•, c I fi lc, .., )...- i---1- 1 01 AI Fl RS111 IFF ,. i ill,I"',oil*pp!.01114,1 espkrt,d A I-411011 t,MO.ddolyo d.400o ix. du!‘'Mr d h.twill Al"I.ph,/a,.toiTilpitit NI41114,11,k'd,414.11:1101!;:' ,/ 1 to 34,3541z., -—'.'"' ,'-- r- CITY OF TIGARD MASTER PERMIT allPe• COMMUNITY DEVELOPMENT rmit#: MST2016-00020 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 TIGARD Parcel: 2S109DB01702 Jurisdiction: Tigard Site address: 13140 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 163 Project Description: New SF. 4/20/16,added continuous loop fire sprinkler system for 3129 sf. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 1061 sf Basement: 656 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1412 sf Garage: 381 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3129 sf Value: $374,386.41 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3129 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: $30,734.21 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987! or 1.800.332.2344. Issued By: �� 'e Permittee Signature: gN.2 /°Z./e- 61 Ai Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Building Permit Application RE CIE Ls Residential FEB 2 16 i OR 0E1.11 i Lsr.OMv City of Tigard Received o2 /i /0 �/A - Pent tNo ire�//—/IOo 2O DatelE3y: (/ � � iJ v . 13125 SW Nail Blvd.,Tigard.OR 97223 }it y ill, »,t •i t= Plan Review 11 Phone: 503.718.2439 Fax: 503.598.196 H 1.I "-' Date-13y: 4 J,. J / other Pennilf6Jjeo ��O��/y Inspection Line: 503.639.4175 T$ �r " (� l 1�,1 t;{l P BUILDING PI`�U 1O T3ttc RiadyrBy: 7 rris 1 H See Page 2 for Internet: www.tigard-or.gov otil ed Method: �g ,'.% Supplemental Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING f New construction 0 Demolition Permit fees*are based nn the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Additionlalteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation,;?...)y A84$ .3S:=61------C4a...Qy R I-and 2-familydwelling0 Commercial/industrial Number of bedrooms:Accessory building 0 Multi-family ❑Master builder 0 Other: Number of bathrooms: Li- JOB .�. JOB SITE INFORMATION AND LOCATION Total number of floors: 1 Job site address: V771 4 0 ,5v\) �`a ` r/I t t/� gb, New dwelling area: ; Zei square feet City'State/ZIP:Tigard,OR 97223 V�+t/�`r Garage/carport area: jS 1 square feet Suite/bldg./apt.no.: Project name:Summit Ridge Covered porch area: l7 S square feet 14 1 � Cross street/directions tojob site: Deck area: ` 1.A- square feetlo 6 / Other structure area: square feet-SC REQUIRED DATA:COMMERCI.AL-USE CHECKLIST Subdivision: Lot no.: 16 Permit fees*are based on the value of the work performed. 1 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 $ CONTACT PERSON BUILDING PERMIT FEES" (Please refer take,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 i Fax::( ) Amount received: E-mail: esweeks@drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photovoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review 5180.00 and administrative fees): Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB he.: 130859 Total fee due upon application: $201.60 Authorized signature. itt / t 7 ., This permit application expires if a permit is not obtained 8 rt ' t' y within 180 days after it has been accepted as complete. Print name: ii ' 4 J, Date:2016 *Fee methodology set by Tri-County Building Industry i C 1 + Y �-j Service Board. IaBuilding'Permits:BUP-RESPermitApp.doe 02'24/2011 440-4613T(I 1/02/COM/WEB) ' Building Permit Application Checklist One- and Two-Family Dwelling FOR 01 1 1( 1: t SI'. O\1.\ Cityof Tigard Received ll Permit No.: likDate/By: 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 1 I(..t tt(� 24-Hour Inspection Line: 503.639.4175 El Electrical ID Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/k I Land use actions completed. See jurisdiction criteria for concurrent reviews. . a ❑ ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. a 0 0 3 Verification of approved plat/lot. [N 0 0 4 Fire district approval required. Name of district: Tualatin Valley . IN 0 i 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 6 Sewer permit. 1111 0 0 7 Water district approval. U 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. a ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- • 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 m ❑ ❑ 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 ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, EN El 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- 4' 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] ❑ El 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- • ❑ ❑ 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 in 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 El ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. [E ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required U ❑ ❑ 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 Cl 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". 0 0 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. IF ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. IS ❑ El 27 "Drawn to scale"indicates standard architect or engineer scale. I ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard Ill 0 ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, I 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, 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) • RECEIVE!) Electrical Permit Application MR OFFI( F.t SL ONE 3 City of Tigard FEB 2016 Received H gf�o b Doti- . Dually: Pcrrnit#: iii a13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718 439 Fix: 503.598.19 a Related Permit P: Plan Review t inspection Line: 503.639.4175 t 11 1 o i t i fit' Ready Date ISv: 1•••n_ 13 See Page lit,\1:1) Internet www tigardor.gov 1 2iTi )l.' G flS i \ tfied V1 ett . Supplemental Infomation i gig New construction 0 Addition/alteration/replacement Please check all that apply(submit1 sets ofplans wfgemx checked):k" 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: Marinas and boatyards. where the available fault current �y [) ��t/`.// c i,i, r 4ttVRY O.17,CON TRVlON r t, exceeds 10.000 amps at 150 volts or 0 Floating buildings. 4110 1-and 2-family dwellingCommercial/industrialless to ground-or exceeds 14,000 0 Commercial-use agricultural 0D Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or 11,.. ,ki'::-JOB"-ars iN ,1001011I D' o X° ;,; , :,r Y., y,,,,.. o0 Emergency system- larger separately derived .lob#: Job site address:17,1 413 c►W �� f7t\yl.L 1004 Addition of ore.motor load of system.A ' t tJ�Xn.1•l LoIOOHPonnore. ❑"A....I .'•i.2....i_3.. City/State/ZIP:Tigard, OR 97223 CA-- six or mare residemial units.0 aeattcy. Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Summit Ride 0 ttazamlous locations. 0 supply voltage for more than Ridge 0 Service or feeder 600 amps or more. 600"ohs nominal. Cross street/directions to job site: FEE SCIED ,. Description i Qty. I Each I Total I'; New residential single-or multi-family dwelling unit. Subdivision: Lot#: I/ Includes attached garage. tt� 1,000 sq.ft.or less ' 168.54 4 Tax mapjparcel#: Fa WWI 500 Wil,ft.or portion 33.92 i ... s �►ESCRfiP"tlUf � It-lit."„ Limited energy,residential 1 (with above sq.ft.) 75.00 2 New SFR Limited energy,multi-family 2 residential(with above sq.fl.) 75.00 Renewable Energy 0 Sec Page 2 titin itR "` ,., 41 n' 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 40I 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 t intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 to amps amps599 Owner signature: Date: 168.54 2 .. Branch circuits—new,alteration,or extension,per panel fl:;ilY;<.tt t7t �Arl~ t A.Fee far htatrtdt circuits with Business name: DR Horton Inc. above rvice or feeder fee, 7'4' 2 cacti 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 branch circuit City/State/ZIP:Portland, OR 97239 Each addi branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503 )222- 4151 x1107 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:esweeks@drhorton.com Reconnect only 67.84 2 COQ . , Pump or irrigation circle 67.84 2' Business name: Sign or outline lighting 67.84 2 Wright 1 Electric Signal circuit(s)or limited-energy Address: 11490 SE Jennifer St, panel,ohmtian,ar extension0 See Page 2 2 City:StatetZIP' 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:(65) 1U a, t r Investigation(I hr min) 90.001 hr Email: Industrial plant(1 hr min) 78.181 hr rlane@wri htlelectri.com90.001 hr inspections for which no fee is CCB Lic.:162368 Electrical Lic.:3-332c Suprv.Lie.:3: specifically listed(1'-hr min) 1� EILECTRICAL:PERMIT:FEES L�} rr.4 Suprv.Electrician signature,required: .44 Subtotal: '. a�t,. Print name icy t FJ .P ) rDatc: 2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized Si: ure: TOTAL PERMIT FEE: - —""" This permit application expires if a permit is not obtained within 180 Print name: i rim Date: 2016 days after it baa been accepted as complete. ' lumber of inspcctians allowed per permit. I t3m7disgP rnits'.LC_PencsApp_ELR FRli.dor Rev 06.17 MI5 445-iStSr1 11:'03 COM WEB • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ppgg p W Fee for all residential systems combined: $75.00 Description Qty. Each Total yRenewable 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 ❑X 50.01 to 100 kva 552.26 2 Garage Door Opener* 100 kva(fee in accordance with OAR 918-309-0040) 552.26 1 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: El Other: Each additional inspection is charged at an hourly(1 hr min) 66 25/hr 1 Inspections for which no fee is 90.00/hr specifically listed('' hr mm) '(till)itidtitaitt,*:tOttt::Vi*Vlffn'TltPF Garr, Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): • Number of inspections allowed per permit (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\Pere tv EL(' PernsnApp_ELR ERF.doc Rev 06/17/2015 Plumbing Permit Aplicatiop ' CECEIVED 1_500 8/' Building Fixtures MAR 2 9 2016 City of Tigard xee«ved 13125 SW Hall Blvd.,Tigard,OR 97 TY OF MARL/D"`By y �� Permit N ��/� Qe gi 020 Phone: 503.718.2439 Fax: 5033 ,�I nReview Inspection Line: 503.639.4175 to DING DIVIS�`4 ��'' Jurh:OthePermit No.: Internet: www. and-or. ov Due Rcady/By: h : ®See Page 1 for g Notified/Method: TYl! OF 11NORtG sappksernal Information SBS" . ❑New construction 0 Demolition Fir special information use the klisi _ Description I Qty. I Ea. ❑Addition/alterationlreplacemcnt ❑Other: Total New 1-2dsmlly 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 ❑Master builder Each additional bath/kitchen I 25.02 ❑Other sprinkler C ___s9• ) Page 2 r-, Fire rinkler 1�9 ft, J06 S TR INFORMATION AND TOCAflON . Site utilities: Job site address: 2 1110 5 $1 k cis 3 i .L l -) Catch basin or area drain 18.76 c k 0 17.Z l[ Drywall,leach line,or trench drain 18.76 City jf lState/Z1P: l ( / Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: l Project name: Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: . Manholes 18.76 Rain drain connector 18.76 Sanitary seam.(no.linear R:, ) Page 2 Storm sewer(no.linear ft.: Page 2 r Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: ,�O 3 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 0 maim OWNikt • ( 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.D2 Floor drain/floor sink/tub 25.02 Address: CitylStatdZlP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax:( ) ke maker 12.51 [] ArivcA191` • - ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:S i) 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.M Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tob/ahower/shower pan 12.51 E-mail:l: Urinal 25.02 COI�lAC1roR Water closet 25.02 Water heater 37.52 Business name:6f-0-vl.k� t wtM)(�Q =VtL Waterpiping/BWV56.29 Address: It(935 5. 6.„ -•Ce fl,r Other: 25.02 City/State/Z(P: orolorc4-1-k1 Lb12_ 81045 Subtotal Phone:(sa3) liCip-(Yt ti^3 _Fax:(9.71 ) 2.c)-3$0 2,, Minimum permit fee: 572.50 CCB Lic.: t 9�S05 t Plumbing Lic.no.: (7�i D b S Plan review (25%of permit fee) ( (, State surcharge T 2%of fee) EE Authorized signature: ty( TOTA[.PERMIT FEE Print name: 3-6 y�� (4, t..P Date: This perish application fter k ypirhas beta accepted u es .t a penal!Is sot obtained widths IN day. "Fee methodology set by Tri-County Building Industry Service Board. t:V)vitliuePumwI) \PLM •PvaritApp.Juc 10/01/U44MF-4616T(&0An2/COM/WEB) II I p 4 " • Mechanical Permit Applicatio ' - ' . _- - FOIA OFFICE (-5i, Oyl ) Received ! /.,��i6 City Tigard FEB ,� Dacey_ Permit No.: f U V, ;� • 13125 SWW Hall Blvd.,Tigard,OR 97223 2��0 • Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I( AI,D Inspection Linc: 503.639.4175 �$� /t'p la"''1 p,-,f Date Ready/By: Iurs See Paye 2 for Internet: www.figard-or.gov t d `-a til+ Notified/Method: Supplemental information BUIr TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work IS 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:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 4 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 ileating/cooling: A-' 0 ^� ?1IkC� Weil I , ` Y�t��- Firace conditioning0, 46.75 Job site address: S WUA�.A1 Furnace 100,000 BTU(ducwventc) 46.75 City/State/ZIP: an Ti d OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Tigard, 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 Other: 23.32 Subdivision: Lot no.: 6 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 T Other: 23.32 At TENANT PROPERTY OWNER 0 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 al CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. 514.15 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 Fireplace Phone:(503 )222-4151 x11.07 Fax::( ) FFiiepe E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: a )3p ' 5 6 7 Subtotal City/State/Z1P: A PO A ti.s.{ 0/'- et.?3 Z I Minimum permit fee($90.00) 1 Plan review(25%of permit fee) Phone:(541 ) Q Z 6,- )3 7 II Fax:(9/) ) i 1 b 7 Z.7 1" State surcharge(12%of permit fee) - CCB lie,: 5- c--.6i STOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: ac*Al * Fee methodology set by Tri-County Building Industry Service Board Lrintname: Ja.o S 11,%"-r`-.Fit`-.FitI IP Date: l^J3uildineasmits'•.MBC_Pcrma/y,p,n40113.d y 440-4617r(11102!COM.'WEB) City of Tigard 71 Ili COMMUNITY DEVELOPMENT DEPARTMENT ■ T l c n R n Building Permit Review — Residential Building Permit #: A4(-7 .20/6, —00O,2O Site Address: /3Jz/d Ek.) .6,24_ Ay/uyt Sk....gal-- Project Name: (0"g j71 Pr* Aio, s-- Lot #: Ae 3 (New dwelling= subdivision Pi* or Alteration=last name of owner) Planning Review (t Proposal: /f& S' g_ a ,Verify site address/suite# exists and active in permit systtee . )/ 'ver Terrace Neighborhood: ❑ Yes 14 No Sit Plan Elements: is.hree(3)copies of site plan ` ' I sting 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) for elevations th arrowI(dtT 'ty locations(required for new,may apply for additions) t address,project or subdivision name and lot number Pt . ation of wells/septic systems I licant information (name and phone number) IF 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 eet names pervious area (applicable if R-7,R-12,R-25&R-40) y reet tree size,type and location 1Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Lettttee of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified 11� No Received: ❑ Yes ❑ No uJ Public Facilitie mprovement (PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: cles ❑ No,stop intake LUland Use Case#: i.� ey 9- Toning: JJJ/ 3 IIID/Setbacks: Front /5 Rear /S Side �• Street Side A PV 7 arage 4 020 rck.i ndscape Requirement: ,20 of Coverage Maximum: Rl } 0/0 �' J�7/� h Building Height: Maximum Heights Actual Height 14 isual Clearance vpasements �/ nsitive Lands: Qa Yes ❑ No Type ,A . 4, .' A A . ,, .. Urban Forestry Plan e ❑ Conditions "Met"prior to issuance of building permit / Notes: ,.. ' 0'1. Ze , 14.. -i. 't =',(-.' , 4 • _i% ';0 iir.. /ii A Approved By Planning: ,,� Date: 43 ke Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPermitRvw RES 070915.docx Building Permit Submittal Original Submittal Date: 2/3//b Site Plans: # 3 Building Plans: # Building Permit#: fl'Enter building permit#above. Workflow Routing: Er Planning j:2-- Engineering 21 crmit Coordinator [ Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: O'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: d2/. 'b Engineering Review Slope at building pad: dr_lir - ...lei dr._ 0 onditions "Met"prior to issuance of building p ,t Easements (encroachments)per engineering conditions of approval and plat AWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes i No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by En c eeri' 1: Date: Notes: " 1 _ ` 40-..__ - _i. _. Approved by Engineering: ilAillri Date: ,Z___:_-11--h 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: 113" Date: -//l ,fp Notes: 4e_e . G Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: "SDC Fees Entered: Wash Co Trans Dev Tax: )Yes ❑ N/A Tigard Trans SDC: ,Yes ❑ N/A Parks SDC: ,Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: V.)-7/� 1:\Building\Fonns\BIdgPermitRvw_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 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. 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 11 Transmittal Letter etter r i I , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: IK )O--V -- DATE RECEIVED: DEPT: BUILDING DIVISION HE GEIVED \\\ �i MAR 2 3 2016 FROM: V o_LC `�i� �-0 '--;:.k . `,= P;� COMPANY: (Th. � ,, t\IP)N PHONE: 56"D-3.0q.‹).- LI x / I D7 k/') RE: / 3 1 LID 6ti. 6.1 L ktL )--t45►—c9o,o-000aO (Site Address) rr'' (Permit Number) JJIA. t-1 IT �lda lo• 5 / 3 (Project name or subdivision nat Band lot number)/ ATTACHED ARE THE FOLLOWING ITEMS: I * ,L • t '41.ltd ,' ''':':e5-td Olga*7 ' ,1 a._dr i' elle 23 1:.c, L1 �r -e�. s 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: — c`�- c.../\I a-,yL.a 1:3-r\, r ✓l Lt��..u. .7 w . . gi n''. i,' l';;;V .Nr...;; .,Y two � ,I.'. ' t 1 x ., '-.. :..V PE'' S .P .1 il '# s ..#.93' ,---.A":' '7: 1JS.''''' Routed to Permit Technician: Date: Initials: Fees Due: i Yes ■ No Fee Descri.tion: Amount Due: w .s„. li g , � Rtf • t„-:-`t --, $ htt:i e driiil T hYt` ft Special Instructions: Re•rint Permit •er PE : • No ❑ Done A. •licantNotified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 1 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 IS , • Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: U)1 D• I ;It'i �` .i ; i 1s DEPT: BUILDING DIVISION MAY 2 • 016 FROM: f/3.�L/P/�''..' CITU '#(,ARD COMPANY: D R # 07) BIM NG MilNiork PHONE: S 0 3 - 2 2 Z - f NJ EcZb_ RE: (6I LI0 & 7ie eL Lo,1/41vtu (Site Address) (Permit Number) 1 iRil 9e 1 63 0 (Project name or subdivision name and lot number) M V I $ CS,/G bp 2 ATTACHED ARE THE FOLLOWING IT u M. I Additional set(s)of plans. i, Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. I k Engineer's calculations. Othe (explain): REMARKS: JeL C v 0 (.0-,.`- --,J40 tka_.....er _ . ,‘ • • Routed to Pe it Tec ' ian: Date: /as j.(, Initials: Fees Due: 1.1 Yes I No Fee Description: Amount Due: 1 7r pits, r'c,,,;e\✓ $ 90 $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes No Done Applicant Notified: Date: 5 3///e, fj0,4 &i -ik Initials: C1347 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1111 ■ T►c A►z D Building Permit Review — Residential Building Permit #: AfS7 2O/6, —QpOGzO Site Address: /3l47l0 So Bizi2eAGoa/m.071 37/72,271-- Project Name: 'ti /V- R1* Ala, `S-- Lot #: / 3 (New dwelling=subdivision sddition or Alteration=last name of owner) Planning Review vVV Proposal: Ah_?e() E I VVerify�gsite address/suite# exists and active in permit systtee . �jj�tver Terrace Neighborhood: ❑ Yes 1Z! No Sit Plan Elements: tree(3)copies of site plan L ' !sting structures on site S' • plan must be on 8-1/2"x 11"or 11 x 17"paper FE ootprint of new structure(including decks)with finished IF D. .wn to scale(standard architect or engineer scale) 11 or elevations P th arrow I XU '' 'ty locations(required for new,may apply for additions) it ijg address,project or subdivision name and lot number 1I, • ation of wells/septic systems lJyrl•.licant information(name and phone number) IF rosion control(including drainage-way protection,silt fence 11 • dimensions and building setback dimensionsign,location of catch basin,etc.) 7. of area,building coverage area,percentage of coverage and V eet names ervious area(applicable if R-7,R-12,R-25&R-40) reet tree size,type and location ropers}-corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Lett of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes El No LlJ Public Facilitie mprovement(PFI)Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake nd Use Case#: U ex) oning :/Setbacks: Front JS Rear /S Side S--- Street Side A Yiparage a0 dscape Requirement: .,,20 of Coverage Maximum: �7L� Building Height: Maximum Height Ssi Actual Height 3l--//ea h Pil isual Clearance vt, asements / 1:2(5nsitive Lands: Qd Yes ❑ No Type Win/ Air i• di. ._,, - 17rban Forestry Plan dr ❑ Conditions "Met"prior to issuance of building permit / Notes: i ' ' i.' Jr, _ Y/_- 0/ '1, ' • c ' -1 :01Wir .• Afa Fl, Approved By Planning: Date: Revisions (after Building Submittal only) Reviewer Da e Revision 1: X Approved ❑ Not Approved AlIkta 440)4- 9 lS ) Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw RES_0709I5.docx Building Permit Submittal )--,1 Original Submittal Date: /3//k, Site Plans: # Building Plans: # ,35 Building Permit#: ia"Enter building permit#above. Workflow Routing: El-Planning ,f Engineering �'f crmit Coordinator lnilding Workflow Sign off: C3'Sign-off for Planning(include notes from planning review) C Route Application Documents: a-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. T Building: original permit application,site plans,building plans,engineer and c/l beam calculations and trust details,if applicable,etc. Notes: I By Permit Technician: Date: a2/ /,6 _._ Engineering Review Slope at building pad: ,�� a �./ _ ICI onditions"Met"prior to issuance of building p t A Easements (encroachments)per engineering conditions of approval and plat AWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 YesNo Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 Yes No cv_i 0 NOT Approved by Enw'eer's .: Date: s Notes: - 1 _ r _i i r h/ ` _L, —I Approved by Engineering: et � Date: _.2%-iff--g„,. Revisions (after Building Submittal only) Reviewer Revision 1: \A Approved ElNot Approved /l I iCt. 4l IS— / . ,....A. Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved kPermit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit 'Approved,NOT Released: "10"--- Date: 42-////ho Notes: 4, zeie.at:C/f 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: JYSDC Fees Entered: Wash Co Trans Dev Tax: );;I:%Yes ❑ N/A Tigard Trans SDC: 522Yes ❑ N/A Parks SDC: "Yes 0 N/A OK to Issue Permit Approved by Permit Coordinator: fit/Kr---e: 0 7/cp /*Kli‘//4 l:\BuildingTonns\BldgPermitRvw_RES_070915.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 111 '' Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: DATE `. vire:N.1ED DEPT: BUILDING DIVISION SEP 15 2016 FROM: Ja 'vi:flaO-f ct�' UTI COMPANY: J) ( g �L� G�IVI PHONE: L�CJ ado 1-86-1 BY:_'_ RE: (/..., 411(0 s) �l' ' N , 5)4`, ms7,2D - --0608 itedress ermn Num, 3e1 vt`j ie-- /COS (Project name or sub ivisr ame and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 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): - 6,,y,-)j,i1,) P, is. ,tenr•, REMARKS: Routed to Permit Technician: rate: 9 - j J . Initials: Fees Due: V. Yes i 0 o A Fee Description: Amount D.e: r `o' p) c,A (C - <_.Vi $ 14 $ $ $ diari -51 Special 0 i Instructions: Reprint Permit(per PE): El Yes ❑No ❑ Done Applicant Notified: Date: Initials: 06 . p1 s lb eA,p 710 - TvS s �w ft,us e4,,, //w 7. I:\Building\Forms\TransmittalLetter-Revisions_061316.doc �`J VEP E lEC Mechanicai Permit Appi 1 I ttlt a,," , I til t►>I e City of 7 igard 1 n I - 7 ?-7/(4, / ,. ,y7 S7"Am(O- OO--O I: .t.0 II::I I1hd tit ' OR 9".q p 2 21116 P. 1i / {• , -_,), t, I.1% 'I':4'.t H,! 0 t,, t' 'i,I. U,•. 0 I'.H. ;r1.1, ,. r 0 ...rr..:tr.. In'_ 'i" ,•V ,t. -'..I.,.r. CITY 014 TIG AL`s. . 1 `Y,`,"„:O.ur>t 1e.r1„n,.l..4, r---__ ---- 11't1U8� M ,�s DIVISION ,,omm.Rum. n r SC:1/1Dl 11 1St CHU 10.1S1_ _ �� —�_ _ _.�. ----- _ -_------ ._. .:,.. i. d I \ p a-,. 0n •'rl t.,:,10,1 ❑ A tlLiriu'1.11'0./10Nr..t s.r-1.;r` 1 ',1 II, ,,t j...0�l clut11 noli ,l'• _T.. _ 1 .._.. .-I•:.'�__.._ t:Al'EGOR1 Of CON%T1tIK•7•it�l RESIDENTIAL EQiJPM T!1SYS7 M 1EIs' • r , .,,ii -i.t:n 1..h+rUaic L;l 1 l r t:l;.l ri.h;•tn.•1 0 at (•w') h.;ti.',n' —/'."yv.i✓lrnlr.rm✓n,na r.hr,Aliv. . ❑ .,_ __ —__ —moi-.. • '.ti ih-1 1n11. ❑t! hatidc' C t'i,. . 1)..„.„,•., tr1 t ..i JOB ME I%Z MAID\ A'ID 'AFRO* H• ,L,.;'cuutin6:..__._ t iir ;Tigard OR 97223 , rl ,..,< I'k,(r . {.i, ; , ,,, • '! "•' 1'r •c''tt n, Summit 1tidbt• '— _ �. -- - r, - .:1,:I .h.,'" I. I 1st, _:_. _..__. ' _ . ., _. Imo.,i,,.I., , ,.i,,.•„r1 1 •:I.. _----_-- _— __.—_--- __.-----_ ^t dirt 1ut•1 i han11. ..._._ I.,' n.., n.,t•..I no \ a h • �Lt .,qc:• -•_, 1 DESCRIPTION OF WORE �i. 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A1•111. . :4•..0;it., • -1 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13140 SW BLACK WALNUT ST, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: November 23, 2016 at 8:14:01 AM Record ID: MST2016-00020 Inspector: David Young Provide approved mechanical and electrical finals prior to building final. Not ready for final inspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13140 SW BLACK WALNUT ST, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: November 23, 2016 at 8:14:01 AM Record ID: MST2016-00020 Inspector: David Young Provide approved mechanical and electrical finals prior to building final. Not ready for final inspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13140 SW BLACK WALNUT ST, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00020 Inspector: Herb Stabenow Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13140 SW BLACK WALNUT ST, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: November 23, 2016 at 8:16:45 AM Record ID: MST2016-00020 Inspector: David Young No permit for AC at this time. Provide protection Ballard for water heater in path of garage door opening. M1307.1 Not ready for inspection. Violation Summary: Inspector Contractor