Permit (47) 7 CITY OF TIGARD MASTER PERMIT
s Permit#: MST2016-00019
. = COMMUNITY DEVELOPMENT M Date Issued: 05/11/2016 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 grff `�
j '
Parcel: 2S 109DB01702
Jurisdiction: Tigard
Site address: 13160 SW BLACK WALNUT ST
Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple
Project: Summit Ridge No. 5, Lot 164
Project Description: New SF. 4/28/16, continuous loop fire sprinklers added for 3004 sf. 10/26/2016:Add NC.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 938 sf Basement: 656 sf Left: 5 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 1410 sf Garage: 390 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3004 sf Value: $359,676.64 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: 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: Y Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3004
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: $30,598.58
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 throughhQQAR 952-' 0094. 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: ���`�. • f ,e7-1-e__ Permittee Signature: CSA✓ ''✓ -'( 77" t
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 Applica C ,-. - . ...../ , •::::'E!'••••7''''".'.:::.'.•-::;•:,:.':...:.•-1:.:-•:rtiiiInrrieraikt4Yq.v.:: ,.•':ii4,1i;,!i,.:!,:,::':::.--..,,!,..-.;:, m
- -v .... .•
:,,i,• •• : • ,•. City of Tigard Reccoreti PP'.-1(0. .4011
13125 SW Hall 9/vd,Ttgard,OR 97323
/PI OCT 2 4 ?016 „,,,c,,,,, /•-!/.42,V4, 49--- PCIThit No. Mgr
PLin Retie
DatetRy Phone 503,718.2439 fax 503 598,190) Olher Polon
2i FGARD, In8Pec"n L".'44- -Ø1694175 (fry 0 rit,A n flak,Rt.attylay I.,, el SAT Page 2 for
i..::::.-.. • '.:, Internet www.itgarthor.gov -3 ”,II...Fein U NE oUltet0Wicthod. Suppionottattnfitrolation
BUILDINcl.DAIL-
, ,,..._ ...... ..„„,„„,._ ..._
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
- —
. ' Mechanical permit fees*are based on the%aloe of the work
1 Alky
lir New construction 0 Addittoni4Iterattuntreplaccrnent performed.Indicate the value(rounded to the nearest(WIWI of all
1 EJ Demolition 0 Other: Lalechanical materials.equyilani:eents.labor,overhead.andomth, ,
CATEGORY OF CONSTRUCTION — — .
L _...I RESIDENTI M.F.QUIPMENT i SYSTEMS FEES*
1 l ,
le I-and 2-family dwelling, 0 Commercial/industrial 0 Accessory budding For vrecird informadon 454,asecilixt.
0 Multi-Family 0 Mastei budder 0 Othcr: I I L Descrignon Qty. Ea Total
FOR SITE INFORMATION AND to('ATioN 1 I neutinghtuttotitIL, .,
----- - — IA condtuotung I. 46.75 I
t lob 5itC address \,\.14")20 SAAT. Blackwain ti 1 ____I i Furnace100,009 BTU tetuc467-
tvvente) ,2
,
1i Furnace 100,000 i DIU tatter,veryl,i 54 91 t
CitYiSt'at&ZIP' Tigard OR 97223
, ....,
tatic/bldg./apt no., Project name: Summit Riddle Heat pump
S
r Duct work 63,06
I 23T21
....._
,
c,.strectithreetions to job site: ; Hydronic hot water system ...3.3
, , ho L__ ........ ...... _
. ,, , “ , ,
, ,, went., ttel traulably f
1 ,1 I-
'c d
rom1
23.32 1 1
1
[ I Lott heaters(fnektype,not elector). I I
imwall intduct,suspended,etc 46 75 l .1
Flue/vent for any n
. above2512
......._ ,-.1.._....1.--•.•— j
_
5-- — - Other [ ; 23 32 1
Subdivision Lot no. - i-1114 ' ' _
—. Other fuel
...- ._ ' appliances:
i ---r ---t
'Tax map.parcel no.: Water heater l 23 32
i
DESCRIPTION OF WORK (Sax fireplace/insert ' 33.39
- ----["--- _
Flue vent tot water heater or gas
i New SFR fire lace _ 23.32
• — -— Loi,lighter()NO t 23 32
ATTing AC —I ,,..y,ociiiirielici Adve 3 3
:I9
. --t
_ 336pOti,.,t1ropturchetsert.
i ChirerieytkonatilkleVent I23,32
. 1 Other 1_?-, 3t1,1_ 1
te PROPERTY OWNER i0 TENANT I
, -- --- Environmental exhaust and ventilation:
I Name: DR Horton Inc. i I Rangehondicalier kitchen r 1 ----7
I ,_..9. 1.1109.5nt i 53,39 I '
Address-4380 SW Macadam Ave Suite 100 , . --ti
t--- I.Clothes dryer exhaust
1 City./Slale/Z11)l Portland OR 97239 ! , Single-duet exhaust(bathrooms, ! i
, Fax:i. ,„.„........„„_........-.24.2........1 , uolet curvarimenti,lariat'rooms)
t et-
' Phone:(503 1 222-4151 ) ; E;,Atticrerawlaeaer lArt ____ ,
0 APPLICANT o_CONTACT PERSON 1 ". Other- 23.32 1
Fuel piping: 1
i flosinesis nanic.. DR Horton Inc. „ _ L __ StiLIS far first fait!: 4O3 far tiach additional
I Contact name. Emerald Weeks Furnace,etc,
as —
Gheat pun I Address: 4380 SW Macadam Ave Suite .100 1
_ Wall/suspended/um)heater
( /Se/ZIP- OR 97239 W1Portland, ater heater,
—_ ---1.
Phone i,Firslitee l
:t503 )222-4 151 x1107 Fax ( ) -4
LLmailt
esweeks@drhorton.com I Barbecue
r
_..i
CONTRACTOR — __ I-. Clotho drvertglx1_ ---t_ I—
I
, — _
I
Business mne: Birchfield HeAting&Air Other.
t
MECHANICAL PERMIT FEW.
Address, iCtt ‘36 9, .6.,)7._ SubtoisT1-11 ;
_„
i raytStatel.Z.IP: A JO A-..,, ,, ct 7 S 4. )
I Minimum permn fee( 90,00)
, i ,I.,,,v.„,welan ItterriTirfllitt t n't-ftry 115:re '''
Phone:(5.1) ) i z 4,- 13 7 P-1, , TT-----:.:(.9.,, 7 2, 7 ':I''
State surcharge(12%of permit feel _SI ja_i
TOTAL PERMIT FEE t ,9---,3
Cu-3 lie $•"' ''''ci S ''.1"
L._ --, Thi%permit applkation'expircs if a perinit is flat obtained uithinTin
days afuir It has bevii acrroltd as complete.
Authorized signature- . aff:I idfiAttf . Fee,n2thatiology set by To-County fitul,Ortg truteutry 6261.422 butra
I Print name, J.,,,,A...c l?,::,(1/44-te I 0 1,Daie.:
_ ,
I Eikoldmit,Vcurcts SMC Pa moApp 545,ii do, 44r1-461 0(1 1r02,4',OWNVER
CITY OF TIGARD MASTER PERMIT
il
111 111 COMMUNITY DEVELOPMENT Permit#: MST2016-00019
Date Issued: 05/11/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S109DB01702
Jurisdiction: Tigard
Site address: 13160 SW BLACK WALNUT ST
Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple
Project: Summit Ridge No. 5, Lot 164
Project Description: New SF. 4/28/16,continuous loop fire sprinklers added for 3004 sf.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 938 sf Basement: 656 sf Left: 5 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 1410 sf Garage: 390 sf Front: 15 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors:
Total: 3004 sf Value: $359,676.64 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: 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3004
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: $30,411.22
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 0 - 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,� /
Issued By: Permittee Signature: 4X1P7a�'l e v
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.
V
Building Permit Application E, LG , LS o? 3 / ,
Residential i Ok (ii i,It 1. I til.ON1 1
City of Tigard FEB 6 Received e, „�
Datertsy: ai er 'b t,// Permit NoJ/(r /_^�O /Q
. i 13125 SW Hall Blvd.,Tigard,OR 97221 t (a s p, k ; 4 Plan Review / �, D ��f� ! 7
Phone: 503.718.2439 Fax: 503.598.19 1 r 1 } �' Date'tty / Other Permit e6,�,,,,,
I,i� Inspection Line: 503.639.4175 !2 TT �'It r )' "` "�'t3ate Readyi}ty: `/ 1�,ris 0 See Paget for
5
Internet: www.ligard-or'.gov t �: P:a Rl Notified"Metlxd: a-7S fQ/� Supplemental Information
TYPE OF WORK rrf f ' r REQUIRED DATA:1-.IND 2-FAMILY DWELLING
311 New construction D Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead.and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this applica'
Valuation: $
Q I-and 2-family dwelling 0 Commercial/industrial i 6
D Accessory building ElMulti-familyNumber of bedrooms:
❑ Master builderNumber of bathrooms: �74
0 Other:
JOB SITE INFORMATION AND LOCATION ( Total number of floors: 3J �t
3
Job site address: 1b'(a) � ) � aC Wal!!!� e-, New dwelling area:.300(4 square feet 1
City/State/ZIP:ity/State/ZIP:Tigard,OR 97223 ✓ Garageicarport area: 0 square feet
Suite'bldg./apt.no.: Project name:Summit Ridge Covered porch area: square feet' ` 0
Cross street/directions to job site: Deck area: IX square feet . 2
Other structure area: . square feet 6,s-6
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: lL f Permit fees*are based on the value of the work performed.
���YYY Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
New SFR
Existing building area: square feet
New building area: square feet
II 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"
Business name: DR Horton Inc. (Please refer roJee schedule)
Structural plan review fee(or deposit):
Contact name:Emerald Weeks
FLS plan review fee(if applicable):
Address: 4380 SW Macadam Ave Suite 100
Cit StatelZlP: Total fees due upon application:
y' Portland,OR 97239
Amount received:
Phone:(503 )222-4151 x1107 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: esweeks@drhorton.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP: Portland, OR 97239 and administrative fees): 518(1'(10
Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 130859 Total fee due upon application: $201.60
Authorized signature: ' } 'r'�t, e t .(4 t This permit application expires if a permit is not obtained
¢ � within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry
Print name: �� tGsl 4 � ,� 1 Date:201f Service Board.
I:Building`:Pernits'sBUP-RESPcnnitApp.doc 02'24'201 1 44046I3T(11-'02ICOM%WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR conic I. ( iI. ()NI.)
Cityof Ti and Received
:1114 ll Date/By: Permit No.:
■ 13125 SW Hall Blvd.,Tigard,OR 97223
I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
I I( Aim
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N./‘
I Land use actions completed. See jurisdiction criteria for concurrent reviews. I • •
2 Zoning. Flood plain,solar balance points,seismic soils designation.historic district.etc. 0 0
3 Verification of approved plat/lot. MI 0 0
4 Fire district approval required. Name of district: Tualatin Valle a 0
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0
6 Sewer permit. a 0 0
7 Water district approval. a El ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. • 0 ❑
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- In 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 ❑ 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
I I 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 4rA 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, • ❑ 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' El ❑
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. IC ❑ ❑
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 ® ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered • 0 0
systems,see item 22."Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists II 0 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 ❑ ❑
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 1 I 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. • ❑ 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. • ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. I ❑ ❑
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 • ❑ El
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, I 0 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, A ❑ El
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\BLIP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application roll oil u i. t SL ON1.1
2, 1
City oT1TigardB CC 16 Received
Datelity: Permitri:
13125 S\V Hall Blvd.,Tigard OR 97227- Plan Review
= Phone: 503.718.2439 Fax: 503.59$,,191)(1, , , i n Date/By: Related Permit a:
I t tJ'.!�1 inspection Line: 503.639.4175 J. g 8 ''six;.)Ready Date/Dy: lure fa See Page 2 for
Internet: www.tigard-or.gov , , 4! Notified/Method: Supplemental Information
TSE i ".„; ,. L A Rte.
r New construction 0 Addition/alteration/replacement Pkase check alt that apply(submit 2 sets ofpions w/items checked>:
0 Service or feeder 400 amps or more 0 Building over thus stories.
❑Demolition 0 Other.
where the available fault current Marinas and boatyards.
Ck'1'tGOR l` R(01IOAf...:-,,,, exceeds 10,000 amps at 150 volts or
,..., •' mp ❑Floating buildings.
I-and 2-famildwelling 0 CommerciaUindustrial0 Accessory building iess to ground.or exceeds 14,000 0Conncrciai•useagricultural
snips for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: OFircum .
p p 0Installation ofl50KVAor
5; _,,, JOB:Sat I,SPO. 1 ,_ .44 41,E A L:Cl)dtrOItl y f., 0 F;mcrgen v 5ystctn, larger separately derived
Job#: Job site address:l 1/p c' �J' m Addition of new motor load of system.
` r" � IOOHPwmarc. ❑"A....F. ..t 2...13..
City/State/ZIP:Tigard, OR 97223 � , O Six or more residential units. oec r atrcy.
0.7 Yt ' 0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.ri: Project name: 0 Hazardous locations. 0 Supply voltage for more than
Summit Ridge
❑Struts or feeder 600 amps or more. 60050115 minInal"
Cross street/directions to job site: 1EE SCHEDULE
.
Dewripnoa I Qty. 1 Sari I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: L(01.1 Includes attached garage.
1,000 sq.fle.ors 168.54 4
Tax map/parcel#:
F• add'I 500 sq tt
,--,,-,:,SP:',,7;' ,,, ,_., . �DE$CRterit)N[OF_WoRK e,,, , Limited energy,residdentialr ion 33.92 1
New SFR �� f (with above sq.fl,) 1 75.00 2
Limited energy,mold-family
residential(with above sq.R.) 75.04 2
:.. , .. E fAri> -.
Renewable Energy 0 Sec Page 2
';:''''-''''111114044020"):***-- -� �� Services or feeders installation,alteration,and/or relocation
Name: DR Horton inc. 200 amps or less i 100.70 2
201 amps to 400 amps 133.56 2
Address: 4380 SW Macadam Ave Suite 100
401 amps to 600 amps 200,34 2
City/State/ZiP: Portland, OR 97239 601 amps to 1,000 amps 301.04 2
Phone:(503 )222-4151 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: esweeks@drhorton.com relocation
Owner installation:This installation is beingmade onpropertythat I own which is not 200 ampsor 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
Owner signature: Date: 401 amps to 599 amps 168.54 2
v _ Branch circuits-new,alteration,or extension, er panel
A,Fee far btattch circuits midi
Business name: DR Horton Inc. above service or feeder fee,
7';' 2
each branch circuit
Contact name:Emerald Weeks B.Pec for branch circuits without '
Address: 4380 SW Macadam Ave Suite 100 service or feeder fee,first branch 2
branch circuit
City/State/ZIP:Portland, OR 97239 Each add'}branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503 )222- 4151 x 1107 Fax::( ) Each manufactured or modular
' dwelling,service and/or feeder 67.84 2
Email:esweeks@drhorton.com Reconnect only 67.84 2
b C Pump or itriyntion circle 67.84 2
Business name: Wright 1 Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 11490 SE lennifer St, panel,alteration or extension. 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP:Clackamas,OR 97015 Additional inspection(1 hr min) 66.251 hr
Phone:(503 760-8522 Fax:(6.,:z) It, ,, t > Inv=estigation(I hr min) 90.00/hr
Industrial plant(I hr min) 78.18/hr
Email: rlane@wri htlelectri.com
g inspections for which no fee is 90.00/hr
CCB Lic.:162368 Electrical Lic.:3-332C Suprv.Lie.:3 &s specifically listed(I:hr min>
ELECTRICAL PET PEs'.
Suprv.Electrician signature,required: S24t. /„..41.44--ZSubtotal:
Print name^ pots, Ut�E1w.C..-Irlt rDate: 2016 0 Plan Review Required(25%ofpetmit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
AuthAuthorizedxi! . ure:
Ow This permit application expires if a permit is not obtained within 180
Print name: elf i •f Date: 2016 days after it hu been accepted as complete.
Number of inspections allowed per permit.
I.Building Peones'a1C_PenneApp_Et.R_FRE.doe Rev OS17 fliS 4404615 II Il'd$COMW'EB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: R
enewable Energy Permit Fees:
Description I Qty. 1 Each I Total I •
Fee for all residential systems combined: $75.00 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
X 50.01 to 100 kva 552.26 2
Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
® 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
charged at an hourly(1 hr min) 66.25/hr I
Inspections for which no fee is
specifically listed(V:hr min) 90 00/hr
3
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ 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\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
Plumbine Permit ApnlicatiRECEIVED ,t 3 y.- 4 L
Building Fixtures MAR 2 9 2016
City of Tigard Received PeN•-.
13125 SW Hall Blvd.,Tigard,OR 9 is TY O ARD D`r�r /�/fo tit y iS7 0/6 ���/
Phone: 503.718.2439 Fax: 503.4•. • 11 ANG OMSK)
�j Other Permit Na:
Inspection Line: 503.639.4175 Date Ready/By: runs: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: S■ppleme■tallafarmatlon
0 New construction 0 Demolition For special br.formatiowuse tAerklisi
Description 1 Qty. 1 Ea. 1 Total
0 Addition/alteration/replacement 0 Other: New l-2-family dwelfinp(includes 100 ft.for each utility comedian)
CATEGORY or CONSTRucTIpN SFR(1)bath 312.70
0 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen J 25.02
0 Other. Fire sprinkler(300/sq.ft,) / Page 2
406 STTt INPORMATRIN AND LOCATION ' Site stades:Job site address: i 3 ib 0 5 (- Etc,C W n/ A- 5-1-(flt ,rt. Catch basin or area drain 18.76
1 f/ �� Y Drywell,leach line,or trench drain 18.76
City/State/Z1P: vy (�
1-17‘Asea Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 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.:_J Page 2
Storm sewer(no.linear ft.:_J Page 2
+� Water service(no.linear ft.:_) Page 2
Subdivision:
Lot no.: 1 V ki Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION O.ARK Backwater valve 12.51
• Clothes washer 25.02
Dishwasher 25.02
NSFR Drinking fountain 25.02
Ejectors/sump 25.02
a prior rr)l ()wig= 0 infAN1' 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
. 0 APPLICANT • - 0 CONTACT int hnmroeptor/gteasc trap 25.02
Business name: DR Horton Inc Medical gas(value:$ ) Page 2
Contact name: Emerald Weeks Primer 12.51
Roof drain(commercial) 12,5I
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
CONTRACTOR
Water closet 25.02
Water beater 37.52
Business name:6r0.V(.' t u„iMi1/4.1 in Waterpipingmwv 56.29
Address: 44935S. &r�.e� �.e fl>r-Tv---t-e_ Other: 25.02
City/State/ZIP: Or On ct-1.,i a No_ qi ot-c5 Subtotal
Phone:(Sb ) 490-(Y-1.4;3 Fax:(971 ) ZS()-3i 0$ Minimum pemtit fee: 872.50
CCB Lic.: t°i t4 505' , Plumbing Lic.no.:
p6 t D b S Plan review (25'/e of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTALTAA FEEPERMIT
Print name: Se v,,4{,t C1t tniL-Lc Date: Tbl.permit application expires It.permit la■ot obtained Maus linsays
after h has beep accepted as complete.
.Fee methodology set by Tri-County Building Industry Service Board.
I:1nuadiugTrotu\PLMU-PrrautApp.due 10/01/04 4404616T(lOH2/COasWEa)
IT-1z iS t t"{ i
Mechanical Permit Application I OR OFfit r I tit ()NI v
City of Tigard� FEBB 3 2G 1b Received
may. Permit No.: ',
4a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
'
e Phone: 503.718.2439 Fax: 503.59R 19641,, i f i 3 Date/By: 011ier Permit:
T I G A R D Inspection Line: 503.639.4175 k E 1 M - "":-- Date Ready/By: lulls' ® See Page 2 for
Internet: www.tigard-or.gov r ; i';7:, Notitied/Method: Supplemental Information
L,.,. n `,:i.. s °'
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
111 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: _mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
110 I-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 HcatinK/cnoiing:
j Air conditioning 46.75
Job site address: 1'-1 /X71) ��w % Pt,,, \ \A-i— '. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97223 Furnace 100,0001 BTU(ducts/vents) 54.91
g ' Heat pump 61.06
Suite/bldg./apt.no.: Project name: Summit Ridge Duct work 23.32
Cross strect/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
loq Other: 23.32
Subdivision: Lot no.: (
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
New SFR fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove , 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
• PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: DR Horton Inc. Range hood/other kitchen
equipment 33.39
Address:4380 SW Macadam Ave Suite 100 Clothes dryer exhaust 33.39
City/State/ZIP:Portland, OR 97239 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503 ) 222-4151 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT • CONTACT PERSON Other: I 23.32
Fuel piping:
Business name: DR Horton Inc.
$14.15 for fiat four;S4.03 for each additional
Contact name: Emerald Weeks Furnace,etc.
Address:4380 SW Macadam Ave Suite 100 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97239 Water heater
Phone:(503 )222-4151 x1107 Fax::( ) FireplaceRa
E-mail: esweeks@drhorton.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES*
Address: 6 13e1 X 5 (o Z Subtotal
City/State/ZIP: A ,JAM. "T C(7 3 l Minimum permit fee($90.00)
( u Plan review(25%of permit fee)
Phone:(54) ) Q Z 6,— 13 -7 4 j Fax:(94) ) y Z ts-- 7z.7 l' State surcharge(12%of permit fee)
CCB lie.: k q s t� TOTAL PERMIT FEE
This permit application expires if a permit is nut obtained within ISO
days after it has been accepted as complete.
Authonzed signature: !�,,,R it * Fee methodology set by Tri-County Building industry Service Board
Print name: ,_J at e 5 i3,`-t - ID Date: J
I mudding\Pernuts,.MEC Pum*App_040113.dos 440-4617T(11/021COM/WEB)
i
City of Tigard
IIr COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
Building Permit #: /fS/�j/(p —.00/9
Site Address: 13 i6 Q s)4_) ,egAck AzWiik.IL
Project Name: ma j . Pi r /J s---- Lot #: _ /60271
(New dwelling= subdivision addition or Alteration=last name of owner)
Planning Review VVVVVV
Proposal: Ne Si,e
VVerify site address/suite# exists and active in permit syste .
Wirer Terrace Neighborhood: ❑ Yes 14 No
Sit Plan Elements:
ree (3)copies of site plan L ' Isting structures on site
S. - plan must be on 8-1/2"x 11"or 11 x 17"paper IC ootprint of new structure (including decks)with finished
7 II awn to scale (standard architect or engineer scale) fl�or elevations
t • th arrow Il tT .ty locations (required for new,may apply for additions)
IE i address,project or subdivision name and lot number IG • ation of wells/septic systems
licant information (name and phone number) IP rosion control (including drainage-way protection, silt fence
vpp
dimensions and building setback dimensions d ign,location of catch basin,etc.)
of area,buildingcoverage area,percentage of coverage and
g p eet names
g g
ervious area (applicable if R-7,R-12,R-25&R-40) {QS eet tree size,type and location
property corner elevations(2 foot contour lines if more than xisting trees to be retained with drip line,and tree
4 foot differential) protection measures
ftClean Water Services—Service Provider Lettee of platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified 1� No Received: ❑ Yes ❑ No
fr Public Facilitie mprovement (PFI) Permit:
Lequired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
and Use Case #: A7IS--—
4etbacks:
oning: -3
Front JS Rear /S Side `---- Street Side
Nirr Garage acs
Ivndscape Requirement: Q
of Coverage Maximum:
Building Height: Maximum Height i Actual Height
isual Clearance 4 ..07
1,7
asements112 �/
Sensitive Lands: �d Yes ❑ NoType —.a. ,1' , . .a, , cat-
❑ Urban Forestry Plan 0
❑ Conditions "Met"7prior to issuance of building permit /
Notes: � � .)-i .I.i , r� ice_- i I '1 : ,.�' i 3
� :0 al Irii
IL
Approved By Planning: A , Date: _ APT ,
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\B IdgPermitRvw_R ES_070915.docx
Building Permit Submittal
Original Submittal Date: c/3//i.".
Site Plans: # 3
Building Plans: #
Building Permit#: E'tnter building permit#above.
Workflow Routing: Planning [Engineering [ —Permit Coordinator i—Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
2"tuilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: 9 -ne5j _ Date: ���A,
Engineering Review
/Slope at building pad: 71.°: ....1,27tpeg/X? ...-.11cD)45.—Zej
Or
onditions "Met" rior to issuance of building gpe •
Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: E Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOTA prow b Engineering: Date: 4e--
Notes: otetf 4/,
Approved by Engineering: ADate:
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: AODate: oZ.n(//o
Notes: 4.6 ZLeG pr./
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:
DC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: )Yes ❑ N/A
Parks SDC: Yes ❑ N/A
K to Issue Permit260
f
Approved by Permit Coordinator: A Date: 3 Z /fr
l:\Building\Fonns\BldgPennitRvw_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
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
e tor
I i I, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: ( K DATE RECEIVED:
DEPT: BUILDING DIVISION iR .a `eV
ED
MAR 2 3 2016
, ,(S _1 D
FROM: �1i�.�,p ;�� s 6;.�;'1� N
COMPANY: 1�. P., . � ,.
PHONE: 5-03 a_ `t I S l x I I O7 y:
RE: 1,' ip0 �to r - sc.L �o 'vvJ H451.49-0//o— ho 0 / 9
( ite dress)
(Permit Number)
r
L� I-- �1moo. s L / (0q
(Project name or subdivision n e and lot number))
ATTACHED ARE THE FOLLOWING ITEMS:
[` `YE ies•� �t % i, p. . . copies:
c r l a
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...A a-,y`,a ())1 ✓1 Lt-a-c1-6
, y ,
Illo
Routed to Permit Technician: Date: Initials. R.
Fees Due: ,`'Yes • No Fee Descri.tion: Amount Due:
kke�y-` `°' i �..: {- 3 # $
$
� w 1 � e Y_�;� 3{66���i. T. $
Special
Instructions:
Re.rint Permit •er PE : ❑ Yes • No ❑ Done
A• .licant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisionsdoc 05/25/2012
1
RECEIVE-II
Mechanical Permit Application um of I 1( 1 I SI
City of'I igard SfP 21 2016 ,,. - 9/3 (6, 4 ... . 'Itsrpeo-Oool 9 '
„.. I:,1:•,.1,5, I Lit fifsj I iyar.1 i)I.t •,-....,
pl,• i , . .
I - fl
I)..,. .
IA* i `'• , 1 ./ -.. CiTy 014- IG'ARD 2, ,.., ,
'.,A 1.,. kl.,.... F.,uppk filtotra lutor molten. ,
BUILDING
DIVISION
, coSoiERCIAI FEE*satetatt.t • 12,Ff IlEcklisi i
r------------ TYPE or WORK
— — NMI':h.‘,'.,rch.,,,Ni..,th,...iii,, .,il,,,,,,,
I 401 No,...41vrt.i.tIon D Addillon aPe:..itliui rvilli,xiltzw ! ' r..-rli•nt.‘AJ 1%04.th•!tic ,J1ft, 1:01.1...k.,I I.i! f.
&II a. '
j,.....,,
IN/litt111:1011 0 Oltie!.
1 CATEGORY OF CONSTRLICIION -------
..!. .ti
•
1 ______
RESIDENTIAL EQUIPMENT isTSTEMs FEEs• •
I. I•And..!•141M1),.lit elliv 0(onvlic•c1.11 inJustri.:1 0 Ak.,.cs,o,)htitittin I nf spal 411 in/wow:Non ow,ht,I kV.
_.-------___.--,---- — . ._.
U mi.lts-lunni, Ej\1:),Ier buiid4r OS It tic:
' 1),,,,t .-I.
• .1-
''"'"'".-- --- _ ......... ----
[
Matting cooling-
JOB SITE IN TI N AND f AWES_ ---
d,1,130, "bN, A....Afi .11 Alk --i ; NII..,•,0111.4.31...
. 4?.
.„,...
...—
:.--...-- _ .._
I I t‘ NI.il, /11'. 1 igard (M 97113 I ti.n..h4 I4PIIMII, !ill .:...- .0. •
r • '".:'r, •
. ,
-1.
,... .b.• .
- ' ileut roll
--. 1
r----
_. _ , P--...., Nutrimil ltitip: .. ..
_____ I hio t‘•-i. -• •.
1 4 re, -Irc,•I aire,tik.r•to...!-•..It' 111...et.o..,. 1 .....- .„• 1 ;':. '
--...—
t -- • If t.`,0-;;;..!: :' "::4. ;*• ;
1,4 n 1„, t.4 : ,.,,f,,,,,,,i,,,,,,,,: i,,,7". TI
..::.,..;;;It .::
iv..i...L... 4. _.,_
I-
I.--.--------.—--..--.------ —
flit,.4.111 1.4 Ato,.01 .11`,Ai. 4 _ .., 2_, •:...,.. ,
... 4 '---
:... •.
1 :ihitt 1.1.4y
... -.1...--.----.. . Other furl appliancea:
I
Li.iti.ar•mid no \‘410 Acme,. I . ... .,
tMt-R.1071M OF WORK
i :t w.f.,tircTio.:4;atv.1.11 .. ;, A.1 •
t--'.- ........ ...._ -•••.-1-1.."----111--••• ---. . 1 lac will I... A..s:2••I.O../
New SFR
I i
t- , ‘A,.,,,,...iroid st.,.._. ____ _, _ l_. t t •- ,
- t ,
i ...._ . 0....C-d ' ..II...,..*14 f .: ; m,,,,J rm.v...!..,.kty..-rt
r—
• (Iliontio litu:r 11 R. .CDT
l.
----1 ,I/the! ..._ . ..• ..•
.• . I
ri. .PROPERTY OWNER 1 0 TENANT .. . . ._
-- . — i . finiuonmenitai ellIMU11 ind‘'lit Hu. : ..s. . .
N'7" 1)R Horton Inc. . p,,,,,r,hi.,•,a other kuch, i
tqiupinnI
, . •• - 1
I Addi'"4380 SW Macadam Ave Suite 100 • ( 4.dt,r,dr•er ckl).1d.:
...
I ,
I N44(e ill'.Portland,OR 97239 %ma:duo exi,,,i,thnihrikri,,
.1.1.21st":2!_nrkulment.. ,•11Iul 11 ) 2..s..
_.1
• •• I
. Piwn` 1503 1 222-4151
_
!_. -
0 APPLICAN1 1-11._ _c. — —
liusin,ss,urn 1)R Horton
_
al CONTACT PERSON
• !
, Slit...N. a.i 10i.
(Itho
'..Furl/b.:14%z_ I
1
.. :' ..-
.
%MI5 lew lint four:54(Li I.or rack_Akilth.tivial, !
1------ . !.... .
1 (‘411.1k.11.011.. Emerald IVeeks ' - (un - ci-
i 3,,lihs."•• 4380 SW Macadam Ave Suitt, 100 ,t,.,.... j,,,,,ris_ ,
._ . . ....- - _ _
i .
/IPPortland.OR 97239 1V1 At,ix".11.- ' 1
. . _
1503 222- 4151 x1107 . t:,,,,, , .
' i
. _ ..
, -
L' I'Io,
d'a esweekspdrhorton.com ,i.,,,,...,..
1.- CONTRACTOR
f Ahr- 1
, P..1....... 1...m., Ai_.t.>Q. 4'IL i.t:.,.,,..
---. --. 7, ,. - i____—_. mt.(MANI(Al.rtRNI11 iitS•
__________
f '‘'Idr- • ' , ti iflitik ,7 ....1._'Z ,,, i - :`, ;,) .),....
.i
I . a 1 p,
mu 1.: •1.I.,,
iti.,/,/a-t!.ii-'1_. V ft ' '1;:>6(•-.!
_.i._
I . ' :'",e'i-..-,. / 1,7 • ' ,.1% 1..... ) 74. ,.
..% -, 0..... /
(1 b.1 ' ,..A.-.4./_2*-11.1 1(rl 11.I'l RNIIT FE,
_
I 1111,prrmit(Irian alloo f1p1(4.(I is pe•IIMI A WA trIllawd%Atm..)I...
. . •. dany aft,;I ha.Neil et tifil,d..,4 ofIlpirl.
\111111.1iLd S4tf1:11141,4.: . / •
! ....... ......,..4-
-0- '
.
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 III Transmittal Letter
T;t;,t It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: C ' C� - l [
DArrg Z1
DEPT: BUIING DIVION
AUG 0 2 1116
FROM: � 1' I ��t�lv,+� UILDG IV1s! m'
COMPANY: ; [kr kr.
PHONE: Jo>
RE: /31 c�i.,`/ P>liAtiE Lt./al d't L/1- CJf' Hg Tc9c/!e 670 /
(Site Address) (Permit Number)
‘51/4/ i{ / y
(Project name or subdivisionlame and lot number)
ATTACHED ARE THE FOLLOWING ITEM;:
Y its
Additional set(s) of plans. Revisions:
Cross section(s) and de Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): er; r It1,11 pi
'5
REMARKS: '/o - 11:1-1 ,
a N re n s
-a a t la,py�� J P s' r id i�i .. 3 7� � hi-kl r h ,4,4
Routed to Pe it Tec 'ciao: Date: Initials:
Fees Due: 1 Yes No Fee Description: Amoun Due:
$ 6
F
, 0:1
Special
Instructions: �/.
N
Reprint Permit(per PE): ❑ Yes o [ Done
Applicant Notified: Date: e 494( l G Initials(
1:\Building\Forms\TransmittalLetter-Revisions_0613 16.doc
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13160 SW BLACK WALNUT ST, TIGARD, OR,
97224
Record Type:
Residential - Master Permit
Inspection Type:
699 Mechanical final
Result:
FA I L
Comments:
Work not complete, not ready for inspection.
AC not wired at this time.
No inspection done at this time.
Violation Summary:
Tel: 503.718.2439
Inspection Date:
November 21, 2016 at
12:16:41 PM
Record ID:
MST2016-00019
Inspector:
David Young
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13160 SW BLACK WALNUT ST, TIGARD, OR,
97224
Record Type:
Residential - Master Permit
Inspection Type:
199 Electrical final
Result:
FA I L
Comments:
Tel: 503.718.2439
Inspection Date:
Record ID:
MST2016-00019
Inspector:
Herb Stabenow
Partial only-- kitchen outlets not properly installed (loose) -plates missing a/c not
connected low voltage incomplete --Not ready for final
Violation Summary:
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13160 SW BLACK WALNUT ST, TIGARD, OR,
97224
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
PASS -CofO
Comments:
Street tree
Moisture content
Lighting efficiency
Insulation
All forms received
Violation Summary:
Tel: 503.718.2439
Inspection Date:
Record ID:
MST2016-00019
Inspector:
Jeff Grove
Inspector Contractor