Permit (10) IliCITY OF TIGARD MASTER PERMIT
8 .' COMMUNITY
DEVELOPMENT Permit#: MST2016-00132
TARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2016
Parcel: 2S109DB06800
Site address: 13153 SW KOSTEL LN Jurisdiction: Tigard
Subdivision: SUMMIT RIDGE NO.5 Lot: 136
Project: Summit Ridge No. 5, Lot 136
Project Description: New SF
BUILDING
Floor Areas Required Setbacks
Stories: 3 Bedrooms: 4 Required
First: 1012 sf Basement: 136 sf Left 5
Parking Spaces: 0
Height: 32 Bathrooms: 3
Second: 957 sf Garage: 478 sf Front: 20
Dwelling Units: 1 Smoke
Third: 0 sf Right: 5 Detectors: Yes
Total: 2105 sf Value: $258,446.75 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0
y Rain Drain: 1 Urinals: 0
Lavatories: 3
Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100
Tubs/Showers: 4 Garbage Disp: 1 SF Rain Storm Sewer 100
9 Water Heaters: 1 Water Lines: 100 Drains: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: Catch Basins: 0
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
Furn<100K: 1 Other Units: 0
Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders
1000 sf or less: 1 Branch Circuits
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 am 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0
p 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 SecurityAlarm: N
Vaccuum System: N Garage Opener N All
Other: N Other Description: Y
Ecompasing:
BUILDING INFO
Class of Work: Type of Use:
NEW Type of Constr: Occupancy Group:
SF VB Square Feet:
R-3 2105
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 Fire Sprinklers are Required
3 A Geotechnical report is
required before the footing
PHONE: 503-222-4151 PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $28,240.66
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
..L.Z:::26Md&kkd___________
952-001rtT115170OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued •
Permittee Signature: 7 t()- l__----1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 4 1-6(4
Residential RECEIVEDI.1 �
FOR OFFICE I�sl,on�t.1 4
�
City of Tigard Received
N . 13125 SW Hall Blvd.,Tigard,OR 97223MAR 3 ® 2016 Date;Bvy: ege)/6 k i• Permit No.: G7�// „•00/2 n
_ Phone: 503.718.2439 Fax: 503.598.1960 Paan tteview J (D JJ
Inspection Line: 503.639.4175 �s Date'By: /���� ()flier Permit e��6for
T!G A a2 Im p C OF Tl GAri LI Date heady.By: e-CQ
Internet: www.tigard-or.gov BUILDING DIVISION Juris l S See Paged Informationnr
BUILDING 1�otifiedFMetltod; � /���4 �- �
J.4,1
Supptementat
111 TYPE OF WORK
REQUIRED DATA:I-AND 2-FAMILY DWELLING
New construction
0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Q I-and 2-family dwellingValuationacs eief�$ el
❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms; .
❑ Master builder
0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION -
� ,,� /� Total number of floors: a �3
Job site address: /�\ b' 6t , A �/�.s4p 1 La...AL L
�) LTJ l� New dwelling area21 CN square feet
City/State/ZIP:Tigard, OR 97223
Garage/carport area: 1l square feet
Suite/bldg./apt.no.: Project name:Summit Ridge l
Cross street/directions to job site: Covered porch area: /2.42, square feet qs 7
Deck area: square feet 1 O IA,
Other structure area: square feet ,3 r
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Lot no.: 1 No Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
New SFR Valuation: ` $
Existing building area: square feet,,,
New building area: square feet
it PROPERTY OWNER [ ❑ TENANT
t 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
Phone:( 503) 222-4151 Fax:( ) Existing:
0 APPLICANT New:
CONTACT PERSON BUILDING PERMIT FEES*
Business name; DR Horton Inc. Mame refer to fee schedule
Contact name: Emerald Weeks Structural plan review fee(or deposit):
Address: 4380 SW Macadam Ave Suite 100 FLS plan review fee(if applicable):
City/State/ZIP: Portland, OR 97239 Total fees due upon application:
Phone:(503 )222-4151 x1107 ! Fax; :( )
Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: esweeks@drhorton.com
CONTRACTOR Commercial and residential prescriptive installation of
Business name: roof-top mounted Photo Voltaic Solar Panel i.
DR Horton Inc. Submit two(2)sets of roof plan with - ection details
and fire departure cess.al. with the 201 U Oregon
Address:4380 SW Macadam Ave Suite 100
CitylState(ZIP: SolarInstallation Sped,, Code checklist.
Portland, OR 97239 Permit Fee etudes review
Phone:(503 )222-4151 Fax:( ) nd administrative ,-s): $180.00
CCB lie.: 130859 State su -..rge(12°10 of permit fee): $21.60
Authorized signature: C if , S
/ �r *
Total fee due upon application: 5201.60
/ fC '}� � This permit application expires if a permit is not obtained
i ei.4 ( 'I weeks� .,, I Date:2016
within 180 daysafter
by it hasi-C been accepted as Industry complete.
Print name: -- t I *Fee methodology set by Tri-County Building Industry
I:yBuildin PermitsyBUP-RESPemmitApp. c / 42011 do0221Service Board.440-46I3T(I 1/02/COM/WEB)
Mechanical Permit Application FOROFFICECSE Oyl Y
q City of Tigard RECEIVED DRa«;By _ rj /(p IR+ Mr._ 140....06
40137-
`J g ► permit No.: �
13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
il Phone: 503.718.2439 Fax: 503.598.1960111
pate/By Other Permit: (J)12..90//0"1:19/66 Line: 503.6394175 MAR 3 0 �01�TIGARD Date Read /ey: aurisH See Page 2 forInternet: www.tigard-or.gov
Notitied/Method:
Supplemental information
CITY OF TIGARPD
TYPE OFEwlrG DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
ION Mechanical permit fees*are based on the value of the work
New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special information use checklist.
❑ Multi-family 0 Master builder 0 Other: Description P Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
\ 5.. S \ 4( Liju' .Q, Air conditioning 46.75
Job site address: W Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Summit Ridge
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: 1 VJ Other: 23.32
1 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
at 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 • CONTACT PERSON Other 23.32
Business name: Fuel piping:
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
Phone:(503 )222-4151 x1107 Fax::( ) Fireplace
Range
E-mail: esweeks@drhorton.coln Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Birchfield Heating&Air Other:
MECHANICAL PERMIT FEES*
Address: .C5 t30 X ci 6-z_
Subtotal
City/State/ZIP: A )D o,..v ,-- C1 7 3 2, ) Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(54) ) t Z(r -- 13 7 t-i. Fax:(9.4) ) 1 2,6-- 7 2:7 ir State surcharge(12%of permit fee)
CCB lie.: - TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: 6fi ; Fee methodology set by Tri-County Building Industry Service Board
Print name: J ace h 1'ise-(h to t l) Date: j
L I3uildinglPermdsiMEC_PermsApp_040 113.doc 44046I 7T(11/02tCOM/WEn)
Electrical Permit Applicatiotil ECE1 V ET.I) FOR or,,,,,-. USE("LN
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223MAR 30 2016 Date
III ffirWilrEILM2NEME
plan Revielmill3 : , #X phone: 503.718.2439 Fax: 503.598.1960 DataillffMIIIIIIIIIIIIIIIIIIIII Related Permit ..00.....90/
Hi;mo 1 Inspection Line: 503.6394175 CITY OF Titzlh;...f ii Ready Date/Fly: furis' e Ste Page 2 for
' Internet www.tigar"r.g" E3UILDING r.),MS f-". NNIfiedNicti)°d' Supplemental information
Atk::t'-'-,(*',,W,P*'!'!44,;/";':.',,/' :,r/:;e.!d.,A:'VCIM' ' ',.,,,,,I;'..14.0';';****ir-:
MI New construction 0 Addition/alteration/replacement Please check all that apply(submit..2.sets of plans se/hems checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
c.Att.,011)1!,04;t.0 0,10 ; [,./// -: //Wk4.4/WiXA exceeds 10,000 amps at 150 volts or 0 Floating buildings.
4 l_and 2-family dwelling 0 Commercial/industrial 0 Accessory building l's to gr"und•or exceeds IOW 0 commemiakuse agricultural
mops for all other installations. buildings.
0 multi-family 0 master builder 0 Other: 0 Fire pump. a Installation of 150 KVA or
4,00.40VINE,01001110$!..4*;:::404,16. 1'..flit-A-iX$PMrk ini:Emergency sYstow liner separately derived
Job#: 1 Job site address:i 2,‘_S- ‘.,i1/43 icaK4e.1 iyi. —11":17.ipo:roi!"„onerew. motor
load of 0 -3';'t'e.r'''1E-,-1-2-,-1-3-,
City/State/ZIP:Tigard, OR 97223
OSix or more residential units 0PatiCY
El Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 1 Project name: summit Ridge 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal,
Cross street/directions to job site: .Stlitrfat
Desolation i Qts. 1 Each j Tots! j .
New residential single-or multi-family dwelling unit.
Subdivision:
.1 Lot#: 1 6-14 Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less I , 168.54 4
„ a Mtn 500 sq.fl.or portion .g. 33.92 1
.500, 10,?0,j*.t61:,t4*'°,1';'!'/..l:tAilliffitttt Limited energy,residential
New SFR (with above sq.ft.) 1 75.00 2
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
, , ,, , . Renewable Enemy
'WrizottittY,:o**** .--'-ii:"::,.',.it':-,..f,'-' ::::.,'::‘:„..-f.,-..;,:.10,,,*+,4*t.„„..3 -';. ,,,p',i-.; services or feeders installation,alrielraSteiconP,aagned2Jor relocation
Name: DR Horton Inc. 200 amps or less 1 100.70 2
Address: 4380 SW Macadam Ave Suite 100 201 amps 10 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Portland, OR 97239 .., 601 amps to 1,000 amps 301.04 2
Phone:(503 )222-4151 I Fax:( ) over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: esweeks@drhorton.corn 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
,CO:fit/A1**0-14,4 -:17:' BArZteriZuni:Isl-m:rncet;t;=ration'or extension'per panel
Business name: DR Horton Inc.
above service or feeder fee,
7.42 2
each branch circuit
Contact name:Emerald Weeks B.Fee for branch circuits without
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 I Fax::( ) Each manufactured or modular
er 67'84 2
Email:esweeks@drhorton.com dwelling,service and/or feed
Reconnect only 67.84 2
010Altittrrokkhk:.1/31'/:, ''.'-//''.;';'/:1-/,.:4- .:/'.'/A.A414 ' Pump or irrigation circle 67.84 2
Business name: Wright 1 Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy See Page 2 2
Address: 11490 SE Jennifer St. panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Clackamas,OR 97015
Additional inspection(1 hr min) 66.25/hr
Phone:(503) 760-8522 I Fax:( (t3.) I 1 0,a— I i',, ,...**), investigation(I hr min) 90.00/hr
Email' rlane@wrightlelectri,corn
Inspections for which no fee is
Industrial plant(1 hr min) 78.18/hr
CCE Lic.:162368 I Electrical Lic.:3-332c suprv.Lic.: „,oot hr
.g. 14/4S-S specifically listed('''''tn.min) 'L.
, , 4.7' i,„”-, -",-l':'..,,:,'':,',ELHCETRIC4--,..BERMIT'--FgEs,
Suprv.Electrician signature,required; i) Subtotal:
Print name:i)n,,ofts uotzt_t4... liDate:2016 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized sign. ure:
This permit application expirea if a permit b not obtained within ISO
i Print name:if I op! ,A __----------- Date: 2016 days after it has been accepted as complete.
Number of itsspectiotis allowed per permit,
L fluildiogTermits'ELC jeurulApp_ELR_ERE doe Rev 061712015 440-4615TO 1 05 COMVER
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined: $75.00 Description I Qty. I Each j Total I
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
0 Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
a Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/:hr min)
1� TrZ I
..:�.-,
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\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015
Plumbing Permit Application
Building Fixtures RECEIVEDfO►t OH 1( 1 l •,r ON►.l
City of Tigard Received
Permit No.: MST2016 00132
Date/By:
11111 13125 SW Hall Blvd.,Tigard,OR 9722A p Plan Review
V Phone: 503.718.2439 Fax: 503.598.1 R 1 1 2016 Daffy: Other Permit No.:
i ; ,l 1
Inspection Line: 503.639.4175 CITY Datc Rcady/By 'cru: BI See
Pag2Ior
p 8 g ur GARS for
Internet: www tiardor ovj p�+ �-y Nottficd/Mcthod
TYPEOF g .DiW C 0l ,/f,S)t"t* Supplemental oraratlon
[D}New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY .00NSI;Rije ,ON 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 1 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler(2034sq.ft.) 1 Page 2
:."408'...4********
+lam 03CA►49141Site utilities:
Job site address: 13153 SW Kostel Lane Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.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.: ) Page 2
Storm sewer(no.linear ft.:___) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.:136 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
NSFR Drinking fountain 25.02
Ejectors/sump 25.02
a 1*01101 pW 1 ] T Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: _
City/State/ZIP: Garbage disposal 25.02
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
:.;..-C1,404-4:144.• C3 coNmGT p s j Interceptor/grease trap 25.02
Business name: DR Horton Inc Medical gas(value:$ ) Page 2
Contact name: Emerald Weeks Primer 12.51
Roof drain(commercial) 12,51
Address: 4380 SW Macadam Ave Ste. 100
Sink/basin/lavatory 25.02
City/State/ZIP: Portland, OR 97239 Solar units(potable water) 62.54
Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pan 12.51
E-mail: esweeks@drhorton.com Urinal 25.02
water closet 25.02
^' Water heater 37.52
Business name:Gr0-v� v k t �t� _�C Water piping/DWV 56.29
Address: (L9 ,5 S, G`�-Lev\---cti--2 P c .- Other: 25.02
City/State/ZIP: Or or G- t Do... (j i 044.S- Subtotal
Phone:(S 2) LtClo_0119.1 Fax:(971 ) lco-5s 0 to Minimum permit fee: $72.50
CCB Lie.: ti'\U 50c� PlumbingPlan review (25%ofpemtit fee)
S�-� .,.\)- Lic.no.: Q�t`l l a(o 5State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: 3o y� At t.A. -LQ Date: This permit application e�ires if a permit is not ab[ataed within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry Service Board.
I:\Buikliug\Pumits\PLMU•PcrmitApp.doc 10/01/09 440-4616T(t0/02/COM/WEB)
.421:
IIIIII City of Tigard
a Ill
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Residential
Building Permit #: ` S i c-2C /le-DO132',x+►- 4,90/6-00 lc to
Site Address: ( 31 S 3 Svc KOSt-c 1- nAn.
Project Name: 0 corn i t k�c - e Lot -
(New dwelling=subdivision name;Xddition or Alteration=last name of owner)
Planning Review
Proposal: 11/1/V ,crrz..
/Verify site address/suite# exists and active in permit system.
7 River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan ❑hxisting structures on site
/Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
Drawn to scale (standard architect or engineer scale) floor elevations
orth arrow /E Utility locations(required for new,may apply for additions)
AlSite address,project or subdivision name and lot number ation of wells/septic systems
Applicant information (name and phone number) fisErosion control(including drainage-way protection,silt fence
ZLot dimensions and building setback dimensions design,location of catch basin,etc.)
/Lot area,building coverage area centage of coverage and Street names
impervious area (applicable i( '' -12,R-25&R-40)
,,�{{Street tree size,type and location
/Property corner elevations (2 foot contour lines if more than /LJExisting trees to be retained with drip line,and tree
4 foot differential) protection measures
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes E No
❑ Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
C/d' Land Use Case#: S tJ (3 2 c:\S - 0 000`1 : SL YZ WI S -- 0 O00 y
Zoning: R--i i
yJ Setbacks: Front i S Rear J S Side 5 Street Side 1 0 Garage-Z."0
Landscape Requirement: 7,0
Lot Coverage Maximum: 0 %
gr Building Height: Maximum Height 3 5 Actual Height 72—
Z.-
Visual Clearance
7 Easements
p-, Sensitive Lands: ❑ Yes ❑ No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: 04/1A- (/' ,— Date: 3/ '30/ r 0
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\B1dgPennitRvw RES 012116.docx
Building Permit Submittal
Original Submittal Date: 6160 /Ca
Site Plans: #
Building Plans: #
Building Permit#: Er-Enter building permit#above.
Workflow Routing: Er Planning 12--Engineering i;"?-lermit Coordinator Building
Workflow Sign-off: Q–Sign-off for Planning(include notes from planning review)
Route Application Documents: 2"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Er Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: C 11\_...) ( aGz--yvt.,a, Date:Oiec)l t ,
Engineering Review
1 Slope at building pad: 1.--,2;
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: D Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes I No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: WIEN Date: —,....
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
ie Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
]'SDC Fees Entered: Wash Co Trans Dev Tax: W. Yes ❑ N/A
Tigard Trans SDC: W1 Yes ❑ N/A
Parks SDC: f�' Yes ❑ N/A
OK to Issue Permit Q
Approved by Permit Coordinator: CitL Au� Date: – (a /
I:\Building\Fonns\B1dgPennitRvw_RES_012116.docx
4C---'
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 our .ro'ect.
apil City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
1 ,(,A 1;n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-o_r gov
11111111111111111111111111111111111111111
TO: 1 .�* 1
,. . �.- DATE 1 CCIVED: ' :'.
DEPT: BUDDING DI ION
FROM: cjle4-4-
COMPANY: DO,
PHONE: i5 e13-• c? — 11/S)
ill.—ElliMaAi°
RE: 1 /,.0 3 ,. /cyr ,. rl�—oo
(Site Address) 13 r
(Aerm�t Number)
sxmoi,(14 Q}c' - i
(Project name or subdivision and lot number)
ATTACHED ARE THE FOLLOWING ITEMS: t 2 ( 51-bg)
I.Copies: !"Description: i Copies: ] Descriptions
Additional set(s)of plans.
Cross section(s)and details. Revisions:
Wall bracing and/or lateral analysis,
Floor/roof framing.
Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): c . _Soil
REMARKS: O c
d
Routed to Permit Technician: Date: FOR OFFICE USE ONLY
Fees Due: f ' -s No Fee Description: Initials:
Amount Due:AC• = o fp y' t
�'_ ' d O
t
$
Special
Instructions: 1
Reprint Permit(per PE): 0 Yes . ❑No
Applicant Notified: I Date: i Done
Initials:
1.tBuildinOorms TransniinalLetter-Revisions_061316.doc
D%icehanical permit AppliC ECEIVE FOR OFFICE ISEOVLY
(It) of'I igardSI
1:23 .,. /-75:—.A0,/6-C%�13,2-
I,i_<SN II.1!Klsd Itgeid 1yl( ''-"OS EP 21 2016 �".1`n,-`.
Pl.ii,c .11t-1*_' t' Ia. 'II+1'1T
inion,i %t Inc ant n r.,41",
---- •---.____
1 N .r 1.II• . .. re 41 Pat.:Lr
inttll,el %t AM tl,.,r,,or�„, CITY OF TIGARD ,t,�.\,:,1 .pplr m.#tat Iwl...mal.•.r,
......` -- TypaiiktioLUNG DIVISIONi • Co>MIICRCIAI rEc• scTlloln a cll____.,r
Viahrm.ei pernlu/cc,'.Irc b...I a,tin...11.1C 01 the a.Ni
IN\c.. ..r(isItl:.tl.,!1 n \dam,.altcrattt,rlra•t114c.iniiI _ pat.,nn..1 hub,e4,tt,c..11ut•.„.... il.,tilt•1IC..i,'r.1o11.•f:
i 0 1)t'r Ihilit lvn 0(>thet. Mil.ll4111..11 nuht1..1. etn1.maU L1>.. .•.crlxxl awl pr,:''' .
-I %Auc S
ATI
CATEGORY OF I
RE810EAL 1Qutsvar 1 r r NY/ITEMS FEES i
I 41 1 .IM1_., laltnl% .11.dling 0( .,1:yt114:ra141 nxlu.trl,tl ❑A..is.t,tl hwldln: I...4'n Irl.n/wwo1.r use I/tn blot
u[ Multi lamih [3 Ma.tet builder 0 t litho
JOS
r n�_ 1—' I
Joe SITE LtiiORlMATIUI 1n LOCATION ; Ilertitl,(0,,i
.k„„,,,(0,,,,,1 1h
.11, a1
.kn.. —
131 -5 1 05 e..1T l QA I tx.lt.IIKI I4K II l 1 3! `
•
I ! t
Tigard,UR 97223 i utit. c Intl 11110)• ttll •a« ..tro, tf vl
r.
, "(.1111.-PRI,: API.no. I I tint n.tmc SUmn4gt.iii Ri
• 1 r,----.IfCO.IIIL\tittn.I..tot,.Iti ' Il.dl.rt:.11,.I.131.9,..:< 1 ' •t•.
-- ----.. .—_ _ IL e.Kkl.0 Jl lh Nla,1•.ld ldltn..r
l21-42112 _
_ ..-__ _.-_. . — �_---_-�
1 MI Ix•aler.!loci typr,Ma Io 11,1 '
_- __.__..— —.--.__ .__.__.._____ ! lu well.111-t/1141 .0+pmsckJ.ex 1 ar
I luc volt for ill.,t ab_..• 1 I . 1=.4 -.- .
I , 1>tlx9
— ! (Aber furl ahl(laaten: 7
t 1.map 1.anc1 M+ t 1(,1.•1 hc.rt_r j
I.
�oWORK ( Ito+tinplaac na91 ' '4 1
ew
1`luc+rnr tot ualr 114,..111.1w,
.1
` ' ..-_----- , fit tat c '. :, I i
I..y I.ghla Ige.l _1 ••
•
'.....- \UNt N ,qI lire�llat n.-rt '
•
t lurnnc.lin i I1ue.rnl t'
� thlxi ' '_
tPItOPE ITY OWNER 1 O TttMANT
h—lik-----
..
a . ls.uorat�rlW r►bwI111M.rulflalwc1c l)R Norton lnc. . V.na'.>t, ttth.�l,n.M-n7"- .1h... Macadam --f - -
a.Kn SW AI'C Suite I(x} (krha,dnacthlu.i �—
T— - ., '- - ',MO.'41x1 c.l.u.t Ihathr ntI.,
t ,1, a.lte n1..Portland,()R 97239
boo atgnp.ttytn(Ili..ulititl r«1m.1
I'r.,�1: 1503 1222-4151 l.i, , :.4''s4.1..41.`"V”'''''s_ ,. .
1 — .
w_ ❑ ATH.ICAN(T is CONTACT PERRON ,--
liu.mc..tunic I)k Horton Inc. lrelplp{%.
,_ --_ -_ '.--.- -. _ 511.II,ha line lour.S1.ktIw tub�Ix.nal
1 otitac 1 NM.' Emerald Weeks - tunu.c a. ___ I
i.idn. SW .e Ixv3zun1
4380 Macadam Ave Suite 100 _ -- 1 i
-M. _...�____. _ _ _.. . . Nrll.u.pnwkJ unit reale, , {!
( II 11.11. i'll �; I- I 1 •
Portland.()R 9,__9 N Ater fM,trt 111111
ih,1.e i?fl 222 4151 xIIo- 114.
I.* +Lxc 1 I
iItrlge ,
I ,t.4..1 car,.•eeks4.+drhttrton.com Itart/CS la:
CONTRACTOR 4 t,tilt.dna 11..., • ..
A �.^.I T Ikhyf
14.1xY•rynx J ill' 1, G _. .
rr11 ........(Cf.... YY d
�— 111EC11A1►KALPERNtTIEES•
_j'k'''Vii zu#1h_A1.`-�r 'i1� i I ..?7-)- - ! ,.(�t„l.l_
' ( n.1141./IP. 'f�`i / l ,�{ - -- ~ -- _ \Imlmum pavtmt Ice.PM'.p.
jr� "✓ �x�(�i it/I,.
I I Plat,K11CV I:v".•t 1...111111!VC.
I h nc A l r k er (a. lour•>,nh ,ec.l'^
(fine.
,it 1111 1 P!Klflt F!.!
L. _..__....1 .__._...._..__-..-... -._.._..._.___.__�..-._..-._.__-._ _ _...._. n16 PrralR applkaws.11..,.•,1.Ir.nul,1H4+./Connal r.IMn 1 KU
r
6.,aft..n W.1w.I.a...pwd..,un.PM t.
\n111,11vc I...Mn..;--•....1.-...i
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
4
112 Transmittal Letter
h!c A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: r/t c. 76,. _,
DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: U ' % !O(1ttc.,ti ���
COMPANY: D 6,1, Tr i
1—
PHONE: SOI- /3 — L/16-1 By:•r1,r
RE: I� 5
,, , (YenitNumb�r) Vv
15e
�A 14.1C2_-- /3 c
(Prod,. name or subdivisione and lot n )
ATTACHED ARE THE FOLLOW G I EMS: ,
Copies: I Description: j Copies: I Description:
Additional set(s)of plans. V- Revisions:
Cross section(s) d d tails.
Wall bracing and/or lateral analysis.
Floor/roof fr g. ' Basement and retaining walls.
Beam calcula ons. / Engineer's calculations.
Other(exp in): . /
REMARKS: U 4-6 'h «.�.�;t5 cw. - (3,11.1r. L-. r,
irc ,�.. (-Jul- iA5L,e,5 / .1 .3
/
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: 1 a� Li - 6
Fees Due: Initials: --t)D No Fee Description: Amount Due:
J' Lir P)c." re.../.`., $ 4S-
$
$
Special $
Instructions: I
Reprint Permit(per PE): ❑Yes I4No
Applicant Notified: I Date: ❑Done
�' /�//r��/i.• ( Initials: 47_
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
Stnenind- 2 '4z 7071— /3? 7 O/ -Od/3 ,,
Tom-
Regarding the 4704. Summit Ridge lots 136,138,142
We need to make some changes to the strong walls at the entry due to door rough out issues. We
updated the strong wall notes on 1.1& 1.2. We also added some king studs and A35 clips to the entry.
If you have any questions, please let me know.
RECEIVED
Thanks, DEC 14 2U16
Amanda Loveridge CITY OFTIGARD
BUILDING Drvi1
DR. Horton. 503-222-4151,ex 1147
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13153 SW KOSTEL LN, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2016-00132
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
_
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13153 SW KOSTEL LN, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2016-00132
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide address on site for final inspection. R319.1
Remove temp service and meter.
Finish taping Sheetrock joint at stair location in garage for fire separation to living space.
R302.6
Exterior grade to slope away from house 6"/10' or provide approved drainage swale.
R401 .3
Calk base of tub main bath upper level. 310.4
Provide city required documents on site for final inspection.
Work not complete, not ready for final inspection.
Not a complete inspection.
No AC installed at this time, permit and inspection required at time of installation.
Violation Summary:
Inspector Contractor