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Permit (37) CITY OF TIGARD 1 MASTER PERMIT r COMMUNITY DEVELOPMENT / Permit#: MST2016-00111 T f r R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ,�� Date Issued: 06/13/2016 Parcel: 2S109DB07500 Jurisdiction: Tigard Site address: 13017 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: 143 Project: Summit Ridge No. 5, Lot 143 Project Description: New SF. 8/16/16,fire sprinklers added. 3/1/17, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 907 sf Basement: 116 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 931 sf Garage: 421 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1954 sf Value: $239,270.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All -- _Other:—N_ --- Ocher pesrs�___�_r__t�rur - - _-.. - - Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1954 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 2 A Geotechnical report is required before the footing 3 Special welding inspection PHONE: PHONE 503-222-4151 required before shear wall FAX: 503-222-1304 Total Fees: $27,966.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATT i c : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 0010 through*AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin. -:-. 32.1987 or 1.800.332.2344. Iss ed By: I V ..,1_1..,1_1 . 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. ai i L7'• F '3 V .s4 0 'I':A , 1.., , '-' Mechanical Permit ADD tiitkIli' 1 City of Tigard ill 13125 SW Hall fUsd.Tigard,OR.9iAP 2.0 17 Phone: 501.7 04.2439 Fax: 503390 1%0 Inspection Line. 503 639A 1 75.,..,.,.,,,,••., ,. .-,. .;,: ), :;,:r r-, Doc itts,dyily, IMMO. wast.thorcl-or gm -,.. `e. ..: ",_.!' -, i.',.-ri--,.•..... Fleary.,..:71: /7 ftnnii 14‘''' „,V.1974,-011/ (*whom: 146* ill ht hip 2 ler Sreophorstal lihrorgihr - — , ..„ Mechanical permit fees*mas e hosed the vatic vibe wall 41p1 New construction 0 Additalterationtreplacement portioned.Wreath the value(warded to die nearest dither)%all 0 Demolition 0 Other: trio:hanks!manna*coutholontt,Imhof,9%0'604 . Value:S •I-and 2-family dwelling 0 Commettialiindustrial (3 Acixtsory building Fa'valid isfrnastiore Mt tilledUlig, 0 Multi-family 0 Master bulkier 0 Other Dosoiption I Qty.I F.a. I TOW , .." .-- r• .-- ,..„: ,•:' irtti-•:-)...,_ „, . ,•... N - c.,......... • - '' ' ''- '.''' ' *--"'''''''''',......''''''- '-' '.*' - '° " condition' 1111111111!E111111111111 Job titi:address: 411 Ira I.. & I r. . i, 0000ni duclV Veto.* Indli 4&75 NNE cliy,s1"."-IP: Tigard1OR 97223Foreoce I•t 1300+BTU reacts saint NIB 54.91 NM Heat pump III 41 Oft 111111 Suitethldpropt.no.: PttiXt Raffle' .5 Duct wort MIN 23.32 Cross streetrderections to job site. Oky, .. ic hat water - 11111111111111,1 Residential baiter(radiator or (134("ti(Lc.) 23.32 Bah boaters(fad-type,not electric), in-wall,Ischia,smoothed.etc. 46,13 Flue-vent for any of above 23.32 Other: 23,32 I Subdivision Lot no 1 Other fuel enerthuserst Tax maprpon:el no.: Wain.heater 23.32 , " - •1•"..-.4....'s.'!,' 1 's' '; ' ,' (4111IIL ',W•.•,,,i7'''''r.,,-':'.: , i:Wit ° 3139 ft r -laterm"" flue vent nater hestor pa 0 Lace I • .lrirwMP5INIIIIIIIIIIIIIIIIII 2 .32 1111111111 W f), S 14V1(... . Woothpelkt moth 1 33.39 Wood fireplaceirrisett 2332 r ChionneylinarllucAthe 23.32 1111 23.32 • AI ni°1110••'' ••'.......- '---- '''•'''-; •• ''!''-'4'' '''"ri:)-4,'.......:,-, • '' and'enfilades: Nirile: DR.Horton Inc. Range hoothothet kitchen wittinmeth 3139 A(Mr0A4380 SW Macadam Ave Suite 100 Clotho doer exhaust 33.39 cilY'siate'21P•Portland,OR 97239 Single-duct iodising(bathrooms. toilet compatencrits.utility rooms) 23.32 Plkine:(503 (222-4151 Fax:( ) Attic/cuss . s fate23 12 fie-Ca'ii,,,,h:,,,Z,„tiii " .:-"i44 fistafrirst ''Z ',',...,J, Other: '• tr... ".4.--Cit,,,,:;`%ifid9a,''s;',,Vi.,,,,,,,,,7,. .. • re':'''....,'"'"."'""7- ,,,,: " rt.00lirP:-- ' ' ' IIIIIII1MMI Feel _ liu'iilc-"•na'ne' DR Horton Inc. $14.15 hr erre herr;sale hr art aehlissai Comact name.Emerald Weeks Furnace,etc. Address:4380 SW Macadam Ave Suite 100 — Wallsumended'unit limier c•113'slaWZIP:Portland,OR 97239 Water heron Phu'w:(503 )222-4151 x1107 Fax: 4 ) Fireplace — Kmiec L-Rwil: CSWIMILSOdthOT1011.03M Barbecue •'.•r„,":-..1,---4.,..••....,, ;s t,. • ,,,,,, ,.„„it:,,,,,,,,, -. . „, ; ,,,,,k„ IIM!CMF511111111IIIIIII ' 'l'AP - - . ' rEtEaNIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII Business name •04', .1( .. A.A ''''';"T"-•',A'.7-'-'''•'"-'...:.''' -=73.77:77;:,,..111 A4df,--, nt-,)lliAtAiiiii r 611re76 7-97.. .., &mew (ity•Surle•ZIP: P ' 'A IliAll:) WA- •eigli,' 024 — Minimum•- ' fec(D110.00) Nan review 423%of•- ••• feet Phone:13W - '?rg oq Fax 34i0 a2t,i7/-10' State surcharge(12%of permit fee) . CCB lie.: ...)), _ # TOTAL PES ERMIT F /' ill Ilk pool opplearho mhoa if a pin*It art slashed WWI"th Olikyr Art M has be**iitatilltie as trogith. Authorized -, 1 ' lot nwthr4okl,sal*'In•Covesty Sinkbas brhuar).S41,-...r Ktur,1 Print • - my: Ma:r(?;./S.-42 .*swiss es•nnoi, oHar Apr,04011111K .14,'40',A i o;((At ik I HI 1 CITY OF TIGARD ; ``` i ' MASTER PERMIT api I '' COMMUNITY DEVELOPMENT Permit#: MST201600111 TJ A.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2016 Parcel: 2S109D1307500 Jurisdiction: Tigard Site address: 13017 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: 143 Project: Summit Ridge No. 5, Lot 143 Project Description: New SF. 8/16/16,fire sprinklers added BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 907 sf Basement: 116 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 931 sf Garage: 421 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1954 sf Value: $239,270.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1954 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 2 A Geotechnical report is required before the footing 3 Special welding inspection PHONE: PHONE: 503-222-4151 required before shear wall FAX: 503-222-1304 Total Fees: $27,818.17 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 t h OAR 952-001-0090.00You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued 84: ✓� �—'�V� 4��i -r1 Permittee Signature: r•- e, ,i;E / 1 LeA.1 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. 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 III 2 Transmittal s lttal Letter 1:c;A Ix i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: i c�� i,,^ rd_, DATE RE yED» .0;. DEPT: BUIL ING DIVIS Nt.RV # b 4 k , .�- AUG 0 2 2010 FROM: t -C t iivttsi „ 7 Ati , F1 COMPANY: 0 f / � i � �<X ��r� �,�, PHONE: Jo 3 ?ci-d--- "lA5) y: RE: 1301 7 Wit,,/ 16):,7_ 1e./1 .,r 9 " 1--1 ' O)‘p -00/ 1 l (Site Address) (Permit Number) '-SU v, 1- it'd t, h- . (Project name or subdivisio ame an. ot nu se ATTACHED ARE THE f�—FOLLOWI IT S: i.r; %� a ' it s' i � wide ; X7 6 s_1 a ` " a5� , v sic, s._ Additional set(s) of plans Revisions: Cross section(s) and det.ils. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations.r-; Engineer's calculations. x . Other (explain): I 4rn�; REMARKS: Routed to 'e •'t Technician: Date: Initials: Fees Due: l a Yes ❑ No Fee Description: Amount Due: � $ / . ,7,-,,,,,,,,,,,,,,„,!,,,,,,,,,,,,..i„ 9 t N �� 5 f $ 14'. 63 r $ .tF _ r., _ , ==It sii /36?, 53 Special Instructions: Reprint Permit(per PE): ❑ Yes Done Applicant Notified: Date: c4 st.i 1 10 Initials: 1:\Buildlng\Forms\TransmittalLetter-Revjsjons 061316.doc CITY OF TIGARD MASTER PERMIT Iiii I. COMMUNITY DEVELOPMENT Permit#: MST2016-00111 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2016 GARD 9 Parcel: 2S109DB07500 Jurisdiction: Tigard Site address: 13017 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: 143 Project: Summit Ridge No. 5, Lot 143 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 907 sf Basement: 116 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 931 sf Garage: 421 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1954 sf Value: $239,270.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1954 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 2 A Geotechnical report is required before the footing 3 Special welding inspection PHONE PHONE: 503-222-4151 required before shear wall FAX: 503-222-1304 Total Fees: $27,681.64 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 throu•. OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued y: o _/�' i! .I Permittee Signature: C1 _ i 6`--- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. i Building Permit Applicata T �� L . 3 �iiiimiii X105 -Ql- Residential iEi�lV ° ` Cityof Tigard MAR 1 6 2016 Received QST �� g �p Permit Nc . ;� 13125 SW Hall Blvd.,Tigard,OR 9,73 vatelBy: �/O �/ 0 �� g c ° Plan Review Phone: 503.718.2439 Fax: 503 OF T��"� DateiBy: 43" Other Perit ee —QQQ Inspection Line: 503.639.4175 ti ti !N G f) V S O N Date Ready;By:: /i G ® " auris See Page 2 for I i I:1.) Internet: www.tigard-orgov NotifiedlMetho ��/ % Supplemental Information 4M/t/t-- 4 :2476:724-1.—..6 TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING 2 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: Q 1-and 2-family dwelling 0 Commercial/industrial ?,9 1�$ / ❑ Accessory building 0 Multi-family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms; JOB SITE INFORMATIONS F}AND LOCATION Total number of floors: Job site address: l ��' Sw �/ utAit, New dwelling area: lot square feet 7City/State/ZIP:Tigard, OR 97223 + Garage/carport area: yZ' square feet Suite/bldg./apt.no.: Project name:Summit Ridge Covered porch area: square fee93 ) Cross street/directions to job site: Deck area: square feet 901 Other structure area: square feet , j g REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: `Li ° Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New SFR Existing building area: square feet New building area: square feet a PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy groups: City/State/ZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES* Business name: DR Horton Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 I Total fees due upon application: City/State/ZIP: Portland, OR 97239 p pp Phone:(503 )222-4151 x1107 Fax: :( ) Amount received: E-mail: esweeks@drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist. Cit /StatelZlP: Permit Fee(includes plan review y Portland, OR 97239 and administrative fees): S 180.00 Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB he.. 130859 1Total fee due upon application: 520 L60 n l jL Authorized signature: i ° 1' f/1 This permit application expires if a permit is not obtained f �'� !" within 180 days after it has been accepted as complete. Print name: 1 Y1,'�f i 4 1,-i t'' /?' [� S Date:2016 *Fee methodology set by Tri-County Building Industry /" �-' Service Board. I:'Building.Pennits'BUP-RESPennitApp.doc 02'2412011 440-4613T(I li02'COM'WEB) t si tjRCEVED Electrical Permit Applica O FOR OFFI(I'. I SF O\I.\ I Cityo Tigard MAR 16 2016 Received 111 1315 Hall Blvd.,Tigard OR 97223� r Da Review Permits: fr�/6-.001 , I Phone: 503.718.2439 Fax: 503.9�'P 0E- 15(%, !A L Date/B : Related Permit s: Inspection Line: 503.639.4175 ! i r,.I f2 ?.)!\it.F`.. ro,,rt a Ready Date/By: kris: B! See Page 2 for i it i t I:I t Internet: www.ti -or. ov 't° ' Notified.Method: � .rg�jp /y /� y`may f.��{�j�'SyaLpplemen[al Information t;. t # .� .W r .PE''OE O ,, ' 's ;!'C ilt:t f{, tot-v tot -. 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 1 sets of plans wrnems checkeM1''d ): - 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural amps for all other installations. building. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or ,`,'' JOB`SITE`INFORMATION AND LOCATION '`r' 0 Emergency system. larger separately derived .� ❑Addition of new motor load of system. Job#: Job site address:1`�`�' ‹,u1/43 ‘,.e4 ,•• .. a 1(xlHPornnore. ❑"A' "E' "1-- . I-3". City/State/ZIP:Tigard, OR 97223 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Summit Ridge 0 Hazardous locations. 0 Supply voltage for more than b ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE,'SCUEDUI,iN` Description i Qh. i Each I Total ) `.. New residential single-or multi-family dwelling unit. Subdivision: Lot#: 1�� includes attached garage. l 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel# Ea.add'I 500 sq ft.or portion 3 It. 33.92 I a -"-* `' DESCRIPTION OF'WORK `' " . Limited mew,residential 1 75.00 2 New SFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 •.PROPE .TY.OWl ERTENANT-, _ Services or feeders installation,alteration,and/or relocation Name: DR Horton Inc. 200 amps or less 1 100.70 2 Address: 4380 SW Macadam Ave Suite 100 201 amps to 400 amps 133.562 401 amps to 600 amps 200.34 2 City/State/ZIP: Portland, OR 97239 601 amps to 1,000 amps 301.04 2 Phone:(503 )222-4151 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: esweeks@drhorton.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447.449.670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 0 APP ICANT, - , I; CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: DR Horton Inc. above service or feeder fee, 7.42 , each branch circuit Contact name:Emerald Weeks B.Fee for branch circuits without service or feeder fee,first Address: 4380 SW Macadam Ave Suite 100 branch circuit 56.18 2 City/State/ZIP:Portland, OR 97239 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503 )222- 4151 x1107 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:esweeks@drhorton.com Reconnect only 67.84 2 ' -CONTRACTOR'1'(. Pump or irrigation circle 67.84 2 Business name: Wright 1 Electric Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited ener(,ry 0 Sec Page 2 2 11490 SE lennifer St. panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Clackamas,OR 97015 Additional inspection(I hr min) 66.25/hr Phone:(503) 760-8522 Fax:( Z15) tILOi -- R`.,S Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr rlane@wrightlelectri.com electri.com Inspections for which no fee is CCB Lic.:162368 Electrical Lic.:3-332e Suprv.Lie.:J? specifically listed(Ya hr min) 90.001 hr 'ELECTRICAL PERMIT-FEES Suprv.Electrician signature,required: 45)./..,-J4,..-45)./..,-J4,.45)./..,-J4,..- Z/1/7Subtotal: Print name').�te �j t�`„� Date: 2016 O Plan Review Required(25°/a of permit fee): State surcharge(12%of permit fee): Authorized sign ure: TOTAL PERMIT FEE: -- This permit application expires if a permit is not obtained within 180 Print name: Date: 2016 days after it has been accepted as complete. — • Number of inspections allowed per permit. 1:'Building Permits ELC_PmnsApp_EtR_ERF doe Rev 06.'17:':015 440-46151(I 1.05 COSt-'WEB I I' s Mechanical Permit Application‘r_ FOR (11 1-1( I 1 •l O\I 1 Ci of Ti and R UddVED Received /d,^r p� 4,1 g Date/By: Permit No�"l J /i, f(/v i& IN 's 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 6 0k p 503.598.194 1 Other Permit: 1'il'-1f1 2�� Date/By: T l U.. RD Inspection Line: 503.639.4175 Date Ready/By- Suns' RI See Page 2 for Internet: www.tigard-or.gov CITY OF ! r� Notified/Method: Supplemental Information R. -%"tL TYPE0/79& COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work .New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* . 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 dOB SITE INFORMATION AND LOCATION Heating/cooling: {," _ c� t , �, p Air conditioning 46.75 Job site address: \`f� �CL�Y� \T`��1kiLae, Furnace 100,000 BTU(ductsivents) ( 46.75 City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(duets/vents) 54.91 g Heat pump 61.06 Suite/bldg./apt.no.: Project name: Summit Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: I,o[no.: tqa Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas ftreplacc/inscrt 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 6replace/insert 23.32 Chimney/liner/flue/vent 23.32 • PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: DR Horton Inc. Range hood/other kitchen equipment 33.39 Address:4380 SW Macadam Ave Suite 100 Clothes dryer exhaust 33.39 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 a CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. $14.15 for first four;$4.03 for each additional Contact name: Emerald Weeks Furnace,etc. , Address:4380 SW Macadam Ave Suite 100 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Portland, OR 97239 Water heater Fireplace Phone:(503 ) 222- 4151 x1107 Fax::( ) Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: )O t3o ' S 02- Subtotal City/State/ZIP: A 0 ' 1 (:),"-- CI732. , Minimum permit fee($90.00) ) Plan review(25%of permit fee) Phone:(59 1 ) 4 z,(n- 13 -7 q Fax:(9. ) ) G i Z b-- 7 1 7 i" State surcharge(12%of permit fee) CCR lie.: - i-"9 S E( TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Authorized signature: i ��/ * Fee methodology set by Tri-County Building Industry Service Board Print name: jace h )3,'r t h5tu 1 P Date: j 1\Building\Pcrmi,s'M EC_Permnnpp_040113.doc 440-46171(II/02/COM/WEB) IL Plumbing Permit Appl C E EtVED Y7D.5 r L Building Fixtures MAR 2 9 2016 131ty25 of TBall Received 3/3i /� �tS�-26/6-t�O/// 13125 SW Hal!Blvd.,Tiger.C.i- --tvF 5TIG IstON Due/By ermitNu. •SI Phone: 503.7111.2439 FRD 3 ` �,VI�`�o1V Review Inspection Line: 503.639. v v 1 Date/By: Other Permit No.: Date Ready/By: lurk: HI See Page 2 for Internet: www.tigard-or.gov Notified/Method: I SrpplcocoW Lfornatlon • TM OF WOWCr SCALE. r❑New construction 0 Demolition For special iieforaurbon use checklist Description I Qty. I Ea. 1 Total ❑Addition/alteratiorJreptaceent Other:m New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OP CONSTRUCTION SFR(1)bath 312.70 ❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen 25.02 Other: Fire sprinkler(ISS '�sq.ft.) �' Page 2 JOB SITE INEORMATKRI AND LOCA ON Site utilities: Job site address: t 3 7 rj( / L t:,,,, Catch basin or area clrsin 18.76 Ci /State/Z1P: �s,� J Dtywell,leach line,or trench drain 18.76 ty fir o.. g7ZZ" g >< � Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: IProject name: Summit Ridge 50.03 Manufactured home utilities Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft.:-) Page 2 Y� Subdivision: Lot no.: Y Fixture or Item: Tax map/parcel no.: Else-know preventer J 31.27 DFSCRIM`iON OF WORK Backwater valve 12.51 ' Clothes washer 25.02 Dishwasher 25.02 NSFR Drinking fountain 25.02 Electors/swnp 25.02 9 rROPIERTY OWN= a UNAN* Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floordrain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 • 0 APnJCAP1r 0 CONTACT PitilsoN Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:S ) Page 2 Contact name: Emerald Weeks Primer 12.51 Address: 4380 SW Macadam Ave Ste. 100 ROOFS(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP: Portland,OR 97239 solar units(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 CONTRACTOR Water closet 25.02 A.A./ � � (• Water heater 37.52 t'a Business name:6V� u!M l (�=y�L Water piping/DWV 56.29 Address: tyi' J S 6 . .r2.F.v5- (9 �.�J- i1 f' Other: 25.02 City/State/ZIP: orelan tt+L tDO- g1o'&5 Subtotal Phone:(s-b ) ►trek p_0-14,.3 Fax:(TV ) 2.S°-3s 0 23 Minimum permit fee: $72.50 CCB Lic.: '4c:‘14 505 Plumbing Lic.no.: Oa i D(O S Plan review (25%of permit fee) 4c:‘14 Slate surcharge fee) Authorized signature: 01- TOTAL PERMIT FEE Print name: �p 0,t.�� Dale: Tho permit applicadea espires It■permit is as obtained within 18 days after It has been accepted aa complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1BuildiuglPmits\PLMU-PcrwApp.duc la/UI/W MWtit6T(10412/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT II igs T I G A R D Building Permit Review — Residential Building Permit #: /47S 7—v20/(, -. 00/// Site Address: /3oJL -A) c)61 Ly,, Project Name: -__S"L/j97A.14/- &' Al S` Lot #: /43 (New dwelling= subdivision , c;Addition or.\lteration=last name of owner) Planning Review Proposal: i'V$11 ,Pie 11X V/ erify site address/suite # exists and active ' permit system. , ver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site Ian Elements: ee (3) copies of site planfri? sting structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper 11 ootprint of new structure(including decks)with finished /e wn to scale(standard architect or engineer scale) •or elevations v th arrow IF tility locations (required for new,may apply for additions) Ip * - address,project or subdivision name and lot number EP I ! ation of wells/septic systems 1 .plicant information (name and phone number) 7 Erosion control(including drainage-way protection, silt fence dimensions and building setback dimensions sign,location of catch basin,etc.) Il. of area,building coverage area,percentage of coverage and Greet names i ervious area (applicable if R-7,R-12,R-25&R-40) reet tree size,type and location roperty corner elevations (2 foot contour lines if more than 0 isting trees to be retained with drip line,and tree 4 foot differential) protection measures 0Ilalean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No le' Facili ' s Improvement (PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Use Case #: , OOC vi/Land S� ' ('��'� O- oning: P.:7etbacks: Front / /S—Rear � Side Street Side NM- Garage 2n 'andscape Requirement: C=.20 °� Vof Coverage Maximum: °o Building Height: Maximum Height 3S Actual Height & , folpisual Clearance IG asements ensitive Lands: VIes ❑ No Type �LU— Ve.21G Al i Crban Forestry Plan onditions "Met"prior to issuance of building permit Notes: Approved By Planning: ...sosolliw - . ,it— Date: .3//6440, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:ABuilding\Fonns\BldgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: .36//,(, Site Plans: # 3 Building Plans: # -3 Building Permit#: :3-Enter building permit# above. Workflow Routing: a-Planning E --Engineering D---P rtnit Coordinator ®wilding Workflow Sign-off: 5I--Sign-off for Planning(include notes from planning review) Route Application Documents: 'ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. rieYBuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: _ Date: , /V/4, Engineering Review Slope at building pad: Z�j Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes 11 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 3W .33 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: E Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review E Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 'DC Fees Entered: Wash Co Trans Dev Tax: P.Yes ❑ N/A Tigard Trans SDC: • Yes ❑ N/A Parks SDC: 3S0 Yes ❑ N/A ''rPOK to Issue Permit 47K---Approved by Permit Coordinator: Date: 3 2 I�i I:ABuilding\Forms\BldgPennitRvw_RES_0121 16.docx REcEivErt Mechanical Permit Application It/U(1i I II I I NI i)\I \ CitV of Tigard 4)R ,-SEP 2 1 2016 • a Pi t•.nt V/1 70,24;, t aN .',03 /,,!IteL,1 CITY OF TIG RD IFIlerlh' .1.%A lig..,f.1 or g 1\ 1 e•ET,,IVF„.--' 5 5 b„ !;.,, t 0`......7 /Le 44"^ Doe It). Roc II,,e,,0 —Yffsraa/6. -00/// n nil,Inctr,, ,-• 0 %,r,-ring,2 lor •Applantratal Itklormaii..,. BUILDING DIVISION ------ . -- TYPE OF WORK ; 4 COMMERCIAL FEE*SCHEDIT.1. • USE OIECkl,ISI , — -. -------i . Mo.Itani‘al renin 16.-.•arc hj•Cl.f WI IN,n.jIlV.,1 14.•'4 i ign. NVA 3..0L11'41-11.FIT/$1 ED NihIrtion atte-dt..”.r..1,12...•elt),.."it ' rx-rt..r.r...1 bsdu.me Ow s du,',m.o.:L -1i,,li,, 1,,,/,,.&II": . ,...irw...11;mo..4! tWert..;1-. c4.. ort,I IA,. 4,,11...! otd-, 1 2 7.. 0 DcmipIlli,o 0()Iii ! r I ,.... ... CATECORV OE CONSTRUCTION t l;atm S RESIPENTIAL EQUIPMENT i sYstEmsrErs• _______, - I. I ,,nil-.,‘..1.1m1)4.1v,elkig 0 i ,..,1t.:1%WI itolusil I.,: 0.‘,,,,,,,t)bLIIIi/Ille fer yu.Jur inforstwiwn si.f.8 het Atht. 0 Miiiii-htillii 0.0.1,:e!NiIidCt EA nhe: : ih:,orr.w.-i, i.:.. I, . _ —-- 1 : Ileitian'conhat: JOB SITE IN/ RMATION AND OC-TIO ' ;....._.....,....._,_.._ .4 • --, 1 ',4,nol, atIttre, IISAI ii, Oil ' lir 1 • Furisa..-, IIv,0,0..1)i t , ,t, ,, ".. I I Is .“4" ill' I irard,OR 97223 1,;,,,„.1.4,004)• ." I r ,. I 1 1"11c SUMIllit Iti4.11;I: tit,'tt. , — 7'- 1 if fi-. •tfit.i:f:FC..M.Ii•1: h'I''‘,1, , : -— ...- ...... ---..--.—.—............—. • i . ..1,i'l I, •...1,. ,...eh:,1,.. — ,..r.,74..ii ch. __..' P.: • ,I J- ut-%got 1,:,I,,,-1 ..i.•;e r• -.'. SJIxtis:son 1.‘1!, —7- Iti .----..... 4 ..--... ..---- -- ; Other fuel appliance.: I i.15 ma),rand 110 5....ter herk, I •::, . 01CR/PTION OF MURK (..i.IK111,k,.mm31 , 1,,„:%on!1.,1 .Me'Ie'tir,•1 of t•... I :: :‘, New SFR _ * !,•t.ri..,.5._ 1 i ;.' •= j 1 . ,.. V,ots_r_.11 st•ilei.lo%,__. _4, _ L .• ., , .... __ .. .. ' a IA f • , ,. -., I • I- ...,.111111,00.J194.1 Iii..,.‘ ., •PROPERTV OWNER 0 TENA ---1 NT i _ _ . ._ . 1.. — .__. ._, ..___ .—._._......4 I nsininntental rallauSI and.entilidtun: I. N Ink 1)R Horton Inc. I.1itrf hood omer kslehm -i ...pm-mu-Ili I. 4380 SW Macadam Ave Suite 100 t,,,h,....att,e,ctiwas: :I : I I (us %1,41c in. Portland,()R 97239 .1.4.1,c tith.i 01,11,1 i Nithroom, I Ph''rh" '503 i 222-4151 ,.....- ,.. 1.,* . ' 1..t.i.±!!1...1,t-..,,!..!!, ........___ . f.. 0 APINAICANT 11 CONTACT PERSON 1.:4or — ..—..-----.--,-----... ... I uc!pipin:_ lito.m.:‘,Mane. 1)R Horton Inc. • .. . . ... ... ..._; .14.1$h lint roof:41,03 tor rat*iddiiiiffial , (oinaL I raiiii: I'merald Weeks 1 %dare- 4380 SW Macadam Av.'Suitt, 100 , • , ' 4 is siok in' Portland.OR 97239 \,. r• . . ' . I '"''' -! • i 1.‘ , •. -• -- - i i :nu.w esweekskhdrhorton.com t - L _ _ . ., co. vrat 4.croa . . , ..II,, d ..,.i 4 . - • .• -..•8 ........ . .8 i .."----'.--• I • i . , f,.•Tio,-,.Nur, I,t I, y ,/, ,i..._ ‘t, , MFAMAIMCAI PERMIT FEL.s• • VIlivo • ./ I , '.•,...,. .,. j/::.1 r, i i i, 4. ,..... 1 I ti'y NI,Ilt./II' ;4)1'7 1.14..A.,.//',i .1 14 , .. t........1 , i ‘1 tilpilon,polio•je,,OM ,.. !..-—.... ......-..--,...6..-..3..1-1......... , . • —r-.1...).;,-;.,-... Pi .,; I'..) , A -,*\.! :•-•(IL.''1 I 155 :',1.1, •,,ft 1)../in..I' ,n':V,,t':1',k,- ..., ..., ial U.PERMIT Ill i -. _iz_..........-1---- liiis pgrrnit applocallos,elpit0,li a f1.101111.1.4 44,1•11.41.01.11 D.,' .., da‘t ail,Ill ion IN,It at.I Will a.1"mplt I. A-uk s. ,-:ii Sierli Ink : / ;. . --r. ...... ,Z. --; ..__. /.. i ..._ .... . ....._. .. . . _ ._ City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13017 SW KOSTEL LN, TIGARD, OR, 97224 March 2, 2017 at 11 :22:29 AM Record Type: Record ID: Residential - Master Permit MST2016-00111 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: AC to be added to permit prior to final inspection. Violation Summary: Inspector Contractor