Permit (133) r �--ili , CITY OF TIGARD . t / MASTER PERMIT
i COMMUNITY DEVELOPMENT /� !//li��t Permit#: MST2016-00406
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 11/30/2016
6t[n�jt.G'� 9
Parcel: 2S 111 DA00400
Jurisdiction: Tigard
Site address: 8615 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot:
Project: Heritage Crossing, Lot 10
Project Description: New SF. 4/25/17 REPRINTED:to add A/C unit. Placement of NC unit must comply with
manufactures installation requirements.
BUILDING
Floor Areas Required Setbacks Required
Stones: 2 Bedrooms: 4 First: 1311 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1639 sf Garage: 401 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2950 sf Value: $352,022.05 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: 3 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: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 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: V
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2950
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
PORTLAND,OR 97239
PHONE: 503-222-4151 PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $30,696.75
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 95 -001-0090.00You may obtains a copyof the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �? a D&Pi'�V/l..e..a -- Permittee Signature: t /jv 'eee- %-,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.
RECEIVED
Niechattieat Permit A phi h i t,:I+9 t 1, I , ., t3vr t
C"iT} t�#Tigard �f 201 iiu.'it,� ���/7 �i ras�,�>.i t 1 oti :, �1
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1 t(kln4t43130SW MacaaamAve Suite 100 (-iutluvt ert,ow..l S3.d4
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CITY OF TIGARD permitMASTER PERMIT
#: MST2016-00406
�; COMMUNITY DEVELOPMENT Date Issued: 11/30/2016
T E to t1 T?.j
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111DA00400
Jurisdiction: Tigard
Site address: 8615 SW SCHMIDT LP
Subdivision: HERITAGE CROSSING Lot:
Project: Heritage Crossing, Lot 10
Project Description: New SF
BUILDING Required
Floor Areas Required Setbacks
First: 1311 sf Basement: 0 sf
Left: 5 Parking Spaces: 0
Stories: 2 Bedrooms: 4 Smoke
Second: 1639 sf Garage: 401 sf Front: 15 Detectors:Smke Yes
Height 26 Bathrooms: 3 Right: 5
Dwelling Units: 1 Third: 0 sf
Total: 2950 sf Value: $352,022.05 Rear: 15
PLUMBING Urinals: 0
Laund Trays: 0 Rain Drain: 1
Sinks: 1 Water Closets: 3 Washing Mach: 1 ry : 100 SF Rain LinesStorm Sewer 100
0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Drains: Catch Basins: 0
Water Heaters: 1 Water Lines: 100 Bckflw Preens: 0
Tubs/Showers: 3 Garbage Disp: 1 Backwater Value: 1
Footing Drain: 0
Ice Maker: 1 Hose Bib: 2 Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N
Vent Fans: 5 Clothes Dryers: 1
Heat Pump: N Hoods: 1 Other Units: 0
Natural Gas Gas Outlets: 4
Furn<100K: 1 Vents: 0 Woodstoves: 0
Furn>=100K: 0
ELECTRICAL
Service Feeder Temp Srvc/Feeders Branch Circuits
Residential Unit 0 0-200 amp: 0 W/Svc or Fdr: 0
0-200 amp:
1000 sf or less: 1 W/O Svc/Fdr: 0
Ea add'I 500 sf: 5 201-400 amp: 0
201-400 amp: 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
Gara e Opener N All Y
Audio&Stereo: N
HVAC: N Security Alarm: N Vaccuum System: N gEcompasi All
Other: N Other Description:
BUILDING INFO
of Use: Type of Constr:
Occupancy Group: Square Feet:
Type 2950re
Class of Work: VB R-3
NEW SF
Owner: Contractor:
DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions)
4380 SW MACADAM AVE SUITE 4380 PORTLAND,MACADAM AVE SUITE 100
1 Ersn Cntrl 503-639-4175
100
9
PORTLAND,OR 97239
PHONE: 503-222-4151
PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $30,644.39
This permit isaccordance
ordancesubject
to the approved eplans. Thisopermitwllthe
exp e ifworkMunicipal
not started withinf 180 daysSpecialty
ssuance, orand
ifall
work is suspendedlaw.
for morework
the 180
be done in NTIOd the Oregon
days.2ATTENTION Oregon law requires you OAR 952-001 0 90. You ma to••follow'• -copy of th rules adoptedrectyquestionns to OUNCIity by calling 503 232.1987 or 1.800.332.2344.tification Center. Those rules are set forth in OAR
952-001-0010 through /
- Signature: *la-- �a ' '
Issued By: —� - 7
/ Call 5 ' 175 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.
4
•
Bu Iclin Permit AppIleatiot c-37027
Residential 6� 6-127----/tial i,. „_ �� 2,
City of Tigard +cr� )1 1 is I ( .r itis
131255W
Hall Blvd.,Tigard,OR 97223 r ' F) (� b Received
41
Phone; 503.718.2439 Fax: 503.59 . c oatcH �/� // /
F i Inspection Cine: 503,639A175 8 1 Xao{114
ba vMao etoRe%leu ��sx'� Pea"N ..// —�e!r9U
Internet: www.tigard-or.gov '-�` t t :t 6 al Utlrcr['e rat P*
-s _Aa,.k 'y`' , 'Norlt ebdecho; i��Y✓�6"orm 0
Kq••rMedxid: („ la See Page 2 for '
7]P _ f1
E OF WORK `'/ dart 1� Hill xnpPkmrnral Intormatian
I New<construction ,....-.......4,
0 Demolition REQUIRED DATA:1-the a 2-FAMILY DWELLING
0 Addition/alteration/replacement
Permit fees*
0 Other: ees are based on the value of the work
Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF perrned.
CONSTRUCTION
equipment,materials.labor,alerhead,
al-and 2-fatuity dwelling work indicated on this application. and the profit for the
[]Accessory budding Commercial/industrial0
Valuation;
0 Master builder Mpfn-family 3`v
Number of bedrooms: "1
0 Other:
JOB SITE INFORMATION Number of bathrooms, 3
Job site address: V�� AND LOCATION
(,�/ r Total number of floors:a
city/state/zip:Tigard, OR 97223 t
...,i New daellin 3 ,Ij
City/Suite/bldg./apt. g area:,:�.
Project name ` _____ tiara U square feet
Cross streettdirections7o job site: A carport area: -6U1
41. *i h s Covered square feet
parch area:
square fart •
Deck area: 63
IIIIIIIIIMMIIIIIIIIIIIIIIIIIMmmmm
Subdivision:
Other structure area: square feet
REQUIRED square feet
Tax map/parcel no.: Lot no.: '� DATA:COMMERCIAL-USE
Permit fees*are based on the value of the workeCHECKLIST
DE.SCRIPTlpNIndicate the value(rounded to nearestthe performed.
OF WORK equipment,materials,labor, dthe p afatl
work indicatedotion ad,and the profit for the
on this a..lication.
Valuation: S
Existing building area:
PROPERTY OWNER square feet
New building area:
it
Name: 0 TENANT square feet
DR orto Inc Number of stories:
Address:
• I A
ti' ' `ar Type of construction:
'
City/State/ZIP:Portland OR 97239
Phone: Occupancy groups
503) 222-4151
0 APPLICANT
Business name: DR Horton Inc. CONTACT PERSON
Contact name:Emerald Weeks BUILDING PERMIT FEES*
Please re er to reachedale
Address: 4380 SWStructural plan review fee(or de
Macadam Ave Suite 100 posit):
CityJState+Z1P: FLS plan review fee i
P. tIand 0' 97239 {(applicable):
Phone: 11.111111111
(503 )222-4151 x 1107 111111111111
Total fees due upon application:
E-mail: esweekS
• drhorton.com 1 Amount received:
CONTRACTOR
PHOTOVOLTAIC SOLAR PAN
Business name: DR Commercial and residential PANEL SYSTEM FEES'
Horton Inc, roof top mounted s ofroVoltac Solar tPanel System.ve of
Address:4380 SW Macadam
Ave Suite 100 Submit two(2)sets roof plan with connection details
City/State/Z1P: Portland and fire department access,along with the 20
OR 97239
Solar Fee lt)Oregon
(503 )222-4151 ecigln'(.'ode checklist.
Permit Fee(includes plan review
CCH Phone:( 130859 and administrative fees:
5180:00
State surcharge(12"�,of
Authorized signature- ;,� � z rent
1 c1 ,
pe fee):
521.60
Total fee due upon application:
Print name, _ E t ,. , Th'=
l t, permit application expires if a permit is not obtained
I 0 w`hin 180 days after it has been accepted as complete.
1.Buildingfla ,P , ' Date:2016 Fee methodology set
cnnits".Bt,P RESPcnnitApl,,da, 02.24,2{111 gy set by Tri-County Building industry
44ti-gt,t3 r 11 02, Service Board.
( COM'WEB)
--:----
.
Buildin+
Permit A A. 'licatian Che
One- and Two-FamilyT, 1 4 04;4-
:.
Dwelling ._.K bE s. .., .. '
City of i f C)CZ OH kl{'l; t Si. (psi
.- 13125 S TigardHall [�! 1 �� J!�1 f�
a Phone: 503.718.2439 Tigard.
OR 97223 Received
503,59$.t 960 & ; a
Date By.
Perna:No..
11111
-
`
•
Associated pcnnis;24Hour Inspection Line: 503.639.4175 d, r 0 FYxtrical
0 Plumbing ] Mechanical11tt:,1,1) Internet: w ard-or
7�Ifl. 1�()I_I.C.?it"I1'( ETE 11S .�R� REQUIRED d Qilrer:
1 Land use actions cam,leted, I�C)R P
2 Land
u See'urisdiction criteria for concurrent reviews
A R t'I E�
Flood.lain,solar balance oinis,seismic soils desiana ' 1 e s No \ k
2 Zoni cal Fl of a roved .lar/lot. han,historic district.etc. ��_ !1 Cj�
4 Fire district a 'royal re,aired. Name of district: j��,[■�
S S i r tic s stem •rmit or authorization for remodel. xistatiiiitiPs Va e ❑
6 Sewer .omit. stern ca+acit �`AIII ❑ ■
7 water district a .royal. aba�, ❑ am
ILA
8 Soils re ort, Must ca : �.�
9 on mal a.'licable slam.and s •nature on file or with a.
Erosion control ❑pian
lication. wi ■
basin .rot 0 permit required. Include drainage-way protection,silt fence,design
ection.etc. ,�
10 Complete sets of legible plans. Must be drawn to scale, n and location of catch- ■
building cod , Literal details and be ashowing conformance toe • ■
sheet attached to the plans a ith cross references must be incorporated into the plans or onla separate ocal and
tsize
sheet i attached
iholrrtions exist.nbetween plan location and details. Plan revs ! 1 I 0
11 Site/plot plan drawn to scale, The plan must show lot and building setback dimensions; 1eµ,cannot he completed if
there is more than a 4 ft elevation differential,plan must show contour lines at 2-ft.intenx
and driveway; ons property coria elevations(i f` I i
y' footprint of structure(including decks),location of wellsi ■ ■
indicator; lot arca; cis); locationol'easements
building coverage area;percentage of coverage;impervious utility locations;direction
surfaceadrama•e,
12 Foundation plan. Show dimensions,anchor bolts,any ��existing structures on site;and
and location. hold-downs and reinforcing
13 Floor plans. Show all dimensions,room identification,window size,location of sirads,connection details,vent size
■ � I
furnace,ventilation fans, .lumbin: fixtures,balconies and decks 30 inches
14 Cross section(s)and details. Show all framing-member smoke detectors,water heater,
floor,wall constructiod,
above:rade,etc:
construction.or, l Show ofall wall and rstruction Moreoof than
one c os and tion may bell q floor to beams, porus
More than cross section required clearly �.joists,sub-
and foundation,stairs,detailsfire. a l constaction,thermal portray 0 ■
s ion, roof slope,ceiling height,siding material,footings
15 Elevation views. Provide elevations.for new construction:insulation,etc.
Exteriorelevationsviws. must reflect the rl grade if the change in gradeumf
Full-size sheet must showme factual
grad.efihn oftwo elevations for additions andnremodels. sj
16 Wall ize sin greaterare than four foot at building envelope. I 0
{prescriptive path)and/or lateral analysis lans, tindicate
references at details table.
.rescri tive .nth anal sis rovide s.- P Must indicate nand locations,for non-
17 Floor/roof framing. ifications and calculations to en•'
ti Provide plans for all floor+troofassemblies,indicating
standards. []
locate/rs. Showm atting,Providtion.
18 Basement and retaining walls. Provide cross sections and details showingg metnlx;r sizing,spacing,and bearing
systems.see item 22,`'En ineer's calculations." e 0
19 Beam calculations. Provide two sets of calculations using current code design
ot'rebar. For engineered
over 10 feet loti:and/or an 0 0 I
20beam/'dist ca in:anon-uniform load, g clues for all beams and
Manufactured floor/roof truss deli n details. multiple joists
Om
21 Energy Code compliance. dIdentify the .tailprescriptive
for fogy or more a .liances. path or provide calculations. �( 0
22 Engineer's calculations. When requiredrA gas-piping schematic is r
architect licensed in Ore,on and shall irehown to be a.i.e.,shear
a to the .ro'ect under required 0 0
( shear wall,roof truss)shall be stamped by an engineer or
.itRISI)IC'Tli;),NAL, SPEC"i FICreview. �l 0
23 Three(3)site *lens are re.aired for Item 11 above. Site 'lairs
24 Two(2)sets ea h are �aiuir for Items l6, l9, ve and a abo must be
25 8-1/2"x 11"or ll''x I7
Buildin tans shall not contain red lines or to a-cans. -Mirrored-'buildin awl' ii
26 Reversed nsbue• .lans must meet criteria outlined in the Permit u System � ■
27 -Drawn-Reversed"
to scale"indicates staand at criitectteria orensneer , lana will not be Fees:rod.
28 Siteplan include tree size, Development Fees document, 1 D ��
and locationper i
Street n to List. approved project street tree plan(if applicable), - • •
29 Site plan to include trees and tree protection m and City of Tigard
and .rotection measures must be drawn to scale and must include the +roject aro ■I •
30 A Clean Water Services'Sensitive Area p,. `measures as required by conditions of approval. Tree locations,driplines,
including decks, (over e-Se eeizittgSiteAssessitient form is required for all but dure of ing additions ' ■
on a lot of necksnatio cod rinmmbe1 non-impervious sur ce)and accessory structures to existing residential dwellings l , 0
t
_3 1:'Building.PennitsHCP-RESPernitApp.doe 02/24=2011
440-46131(11 02:"C0M/WFB)
Mechanical Permit App icati ,"2';.: xf f
o i .,. .
Pla#tltllttt ; ,} rPt,} ,
Citi of Tigard sit is t
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'salts'.etetem _ _ __
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ju.rnct heater - _ ....
f r 3tx 4 Bras ttr. ( t s t
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a
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DR Horton Inc, R t�* aaPt scatiia
...,,.. . . -__ � ) k�zrst;a +riscarkrOtFxstt ”' _'T_.. "'T_
AIirt 4380 SW Macadam Ave Suite 100 r
f ttro *ytrtr JIP ,,„—
..... t kat nai a rtt au t ----4----1-73-;,
Portland,OR 97239 .
_. i �,sarl;k°Jti4P e:l,ri Sae aisaPtrr,x,t,, M
l503t2224151 t*‘. a t .
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u
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Contact torttu Emerald Weeks p" _ st i.4S for fleet feet.*LC lt....1 .s.m"t
L mss' ' SW Macadam AveSuite1 -. ...^
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ate"statc:ZFF'
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rt#trni! t Sts Slate ZIP: 4� .. .# ',f . t 4 rnr ipermit lo #1tug) r0 . . ... .. !( '4 � " -77-1.---
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} Prim rt ...., 466” ......_ F ..,. .. �s-#Ixs4y;, 5r. r-4"�^urs,yxPtw°&-tx rr"s.,;r;
EIectrical permit A �, _,,t. t -
A
IiCatiOii
City ofTig d �i 1‘):
7��� 1 01: (,1 i 1, 1. I ,,i ()vI )
IN-' 13125 SW"
W Hall Blvd.,Tigard,OR 97223
' 1 4•� Phone: 503.718.2439 5 •.`- ; °
Fax: 503.598 4900 s " ' t ' Permit Permit,tf
Inspection Line: 503.639.4175 N!s Review y 1` 7;20 ' "�009a,
E k
Internet www.tigard.or.gov Data Osie,
ReadNotifiedocy/By;
TYPE OE:W KIMRI 2 for
(�New oor►stntetion - runt
❑Demolition ❑Addition/alteration/replacement
- ;>�Alat•=yaw me fororaratioa
0 Other: f'1•se check all that
❑Service e or afapply(submit2 sets of plans Wilms ch
CATEGORY OF CONSTRYJC"TION wherethravaile Altaircurrent400 maps or ore ❑BuiYdi�overthree sto below):
1-and 2-family dwelling ❑ComtneraiaUindustrjal exceeds 10,000 amps re ISO volts �Mathias and 'ids.
❑1-an 2-fa ❑Accessory building ass to rramd,or exceeds 14,000- .
0 Master builder .m °Commercisi-nom
0 Other: Ps V all otherinstallations agricultural
JOB SH FORMATION A LOCATION ❑Ffrepwnp buildings.
Job no.: Job site address: 4 svnan. 0 mon of xvA or
4 Eraer o m large
CitylSiate/ZZIP: / s w r l OOHp arm motor load of Q A,,, 2;derived system.
i �� ❑Six or more re occupancy.
Ci1yI
Suite/bldg./apt no.: ❑Ikahh o�facilities. o Recre�ionat vehicle parks.
Project name: aPPIY vane
Crises ~vl Ol douslocations �S Naga for more than
street/directions to job site; ♦ I► ❑sery;a or feasor goo am 600 volnominal.
Ps or more.
1 , FEE SCHEDULE
Subdivision: New resideaHa Ss;
Includes attached 4- mWtf-family dwelling unit.firraugirztsffinnanimQ
Tax num/parcel no. :Lot no.: 1,000 _
s4 ft.or less
DESCRIPTION OF WORK '1So0sq.ft.orportion
with `>.frdentisl
7soo
Limited energy,multi-thm9ty allia
residential with above ..ft. ■ 7300 III
200
Semi
0 PROPEi y OWNER 200 amps or less ers installation alteration and/orrelocation
TENANT
201 fps to 400 amps ®�®
Address:
401 amps#0600 amps IIII
1111
City/State/Zlp; 601 amps to 1,000 amps
Zf70.34 ��
Over 1,000 amps or volts 301.04 �®
Phone:( )
relTeocation
services or feeders installation,
Owner Fix ( ) tion ,alteration,aadJor
installation:This installation is being made on 200 amps or less
Emma
intended for sale,lease,rent,or property that I own which is not
exchange,according to ORS 447, 201 amps to 540099 amps 1111
Owner signature: 449,6?0,and 701. 401 amps t 599 amps - 125.08
❑ APP Date: ands circuits-.new alteration or �®
f ❑ CO1VPACT A•Foo for bran r circuits with
extension r rel
Business name: DR Horton Inc �? above service ar
mt
contact name: E111era • h lmnch circuit
Wee s B•l servl branch circue�wirho rt r�
.Address: 4380 SW mace.am Ave orfeeda
branch circuit
City/State/7�p; Portland OR �>�'t branch circuit
97239 Miscellaneous service or feeder
Phone;( 1 ) - Each rn feeder not included
dwell facuuedorarf lar
E-mail: ® service and/or feeder
�Onnectonly
CONTRACTOR i or irrigation circle �®
Business name: �r/ ' • Sign or oud6re lighting
Address: 2 !`, r/ g i• G., ' Signal chalaheks)or limited
-energy 1111111111111111
Adds
City/State/ZIP: ,
Each additional las r
'r e' ! ; al Additional ition over allowable in an of the above
/�, ,, - L.( �, Lo/t/4 ` G -inspection(1 hr min) 66.25(br
Phone:(�bUl 409— 7:5;4.19 Investigation- (1*turn)
■
�^
Fax:Ir bG') ,�^ Industrial plant(1 hr info) �_�
CCB Lic.:i17'�Z — & '^ /� mit,
Phone:
l v'r ,,� Electrical Lic.:� �b t� Inspxtions for���tte� 98.18/hr
Supe' Electrician signature,required • ��/ Suprv.Lic.: /"]'• s ill
tical listed '/,hrmoi 90.00/hr �.
Print name: � _ r w(25% fpe p pzEs
�" Date; Subtotal:
Authorized signature:6-4 jri� Plar►review(25%ofpermt fee): aIMIMIMII
gnatu e: State surcharge(12%PERMIT
ofPermit fee):
TOTAL
�_s Date: T1da p�n.,t appilp, expuxs HaFEE
LIBuFkG pe„a;u ! apps cater h has a permit is sot obtained within 180
* Number of inspections allowed per acapted as complete
440-oersrprms/COAvNEs
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees:
Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined; Fl~ sc" I�at1i E
$75.00 ,
Check Type of Work Involved:
aenewable electrical energy systems:
kva or less in
0 Audio and Stereo Systems*
I(IIs,?`'
ystems s.�l t�is kca
1111 133.5(i 2
0 Burglar Alarm al 2u0.34
Wind eneration systems in excess of 25 kva:
El Garage Door Opener* 25•o 1Y7 50 kva III
301.04 mg
50.0t to 100 kva
Heating, Ventilation and Air >100 kca(fee in accordance
Conditioning 1111111
wish(tAli�il8-309-p11gOj
System*
Solar generation systems in excess of 25 kva:
❑ Vacuum Systems* I:aehaddrhonal kva cncr?5 11111.113
,too kris no additional charge MI 0.0
Other: Each additional ins.ection over allowable in an•of the above:
Each additional inspection is
char ed at an hourly(1 hr min)
Inspections for which no Ice is
COMMERCIAL WORK ONLY• s r itis au listed I r hr min} 1111 0.0f1hr
11111
Fee for e=commercial system:.
(SEE OAR 918-309.0000) $75.00 Subtotal(Enteron Pagel):
' Number of inspections allowed per permit.
Check Type of Work Involved:
O Audio and Stereo Systems
❑ Boiler Controls
• Clock Systems
O Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
O Instrumentation
❑ Intercom and Paging Systems
0 Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
• Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I Building Perrrws f'LC Penni App LLRFRI.k.. Rcc u?r t.,..,oi;
---:--...I....I.1IIIIlIIlIIllllll.Illl.IIIIlIlIlIlllIllIIlIlllllIIIIlIIllllIllll.
Ptumbin2 Permit ADDliCsti EC; :.
Building Fixtures
City OilTigard 0 r T 5 %01
FQ[2 oF1lCE 1 tit. 0121
.111 II a 13125 SW Hall Blvd.,Tigard OR 91 q
Phone: 503.718.2439 Fax: 503.59 9.. Patmir N°141.-S
r i G n it a '—
Inspection Line: 503.639.4175 '� . . _. i..`. !'irn Raview Q/�y<<,r
Internet: www.ti Drte/8 : Odea Permit No,:
8ud�otsgov
Dae Ready/By. lial
'�"$ OF WORK. •
NotifiediMethod: St Soot e l laf
[]New construction �,,kr-, .' >'',.. ato•
0 Demolition BBL*marilSCH,pr + •
❑Addhion/alteration/rePliraxinent Fars. day I ororasien weche�WWI�rc
0 Other:
Deur'.tion 11111111n.
New 1-2-IimjJ dwell' Total
CATEGORY OF CONSTRUCTION
a(utcluties l00 ft For each otiii connection)
❑1-and 2-tinnily dwelling
0 Commercial/industrial 312.70 ME
0 1-and Accessory building
O Multi-family Each beth �- 50032
MON
❑Master ry rsnt
0 Other. Each additional bath/kitchen
" JOB SITE,I1F.ORMA Fire sprinkler25.02 1111111111
lob site addrst) i -LOCATION (i sq.ft) � r
v''
. .. Catch bash or area drmn ��®
Suite/bl ! Drywell leach line.or trench drain _��
'no.: Project name: if t Ify Footing drain(n0.linear ft:
. --,_j r
1122111111111
Cross streef/directions to job site: r Ma holesured htm>c utilities
III 1.11111111.1111.11.1.11 111111.01111.11.1.119. 1m11
Manholes aill °3 1111111
11111111111111111111
Rain drain connector
Storm sewer(no.linear ft.;: .111111116011111
Subdivision: Water service(no.linear tt,: _)Tax map/parcel no.: J
_ _.Lot
11111111111
- -..i. .......1111111111113111111111111111111
Clothes washer r
NEN
Dishwasher NMI 25.02
MIN
Disking fountain 25.02
MIN
Q PROIIIIIIIIIIII
PER>ay
Ejectors/sump ?5.02
cm iiimT 1. .+1.� � ❑ TENANTExpansion tank
Inn 25.02
Address: ,C am msa .A.a_ D i•\ 0 r� os,Garbbie disposal 11111 ose bib 2542
1111111 25.02 111111111111MINNIMINInimmammi tiFl
0 APPLICANT O CONTACT PmBusiness Warne: � 11111111111111
name: -- 0 ill Addras: [ of drain(commerchd) 1171111111111111111
_nksin/laatory25.02
larunits(p«abkwr) 111111b/slww r/showet pa s 111111°
<CONTR ;<1p25.02 —
Busie :EDWARD MULL£N PLUMBINGAdduces:fame SE RIVER ROAD ter piping/ryvss name City/State/ IP:HiLLSBORO,OREGON 97123 r
S 1111111111
Phone:(503)640-0113 ubtfFax (503)640-4483otif 1111111N
Minimumtomtit fee: S7Z.51)%of permit f ) NUM
mis
f ` TOTAL PEWIT FEE _
Date: This permit ipptieshqitcimbeta acpceerpmteitd aseo keh. wiiids 110 days
t:v9mldi 'Fee methodology set by Tri-County Building industry Service Board.
�aPmeibMLMU-RnnitAyp doc 10/01i09
440•4e lbTt t WMlCOM/wtiB)
Plum.bin Permit Ap Iication - City of Tigard
Page 2 -Supplemental information
Fee Schedule:
Site Utilities Residential Fire Su, +ression S stems:
Qty'' Total
Footing drain-1"100' —® Si ware Foot;d;e: Permit Fee:
IMIIIIIN
Footing drain-each additional 100' 0 to 2,000 $121.90
Sewer-1st 100' 1111111111121011111111112.001 to 3,600 $169.69 �-'---_
62.54 M 3,601 to 7.200
5233.20
Sewer- ice
additional 100' 7,201 and seater
Water Servce-.1st]Oa' $327,54 --—
Water Service-each additional 100' 11111111=11111111111 Medical Gas Systems:
storm&Rain Drain-1st 100' 111111 Valuation:
Storm&Rain Drain-each additional 100' 6 r.54 Permit Fee:
$1.00 t.00 too 50.00 $72.50 to fee$72.50
Other Ins,ections or Fees Q. $5.tx)1.aa to 5l a,aaa.{)0
Total 57.int for the first 35000.00 and$1.52 for
Inspection of existing plumbing or for each additional$100 00 or fraction thereof,to
which no is specifically indicated $10,001.00 to 525.000,00 andrncludm $10,000.01}•
(minimum fee a-1l2 hour 90.00ihr each 50 for the first 510.000.00 and S I.54 for
Inspections outside of normal business each additional$
ness ® or fraction thereof;to
hours{minitnumchar e-2htwrs} 40'UO,hr and includin,$25,000.00
lin
525,0(11.00 to 550,000.00 $379.50 for the lust S25,000.00 and 51.45 for
� `� ® 90.00'hi MIN each includin.
0,000U or fraction thereof:t�,
Additional plan review for revisionsMI 90.0041r 350.001.00 and upandncludin• ,�SO,OUO.(�U.
(minimum eh. •c-t,2 hourMill $742.00 for the first$50,000.00 and 51.20 for
Subtotal: 11111.1111.11111111
inch additional 5100.00 or fraction thereof
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Fixture Type •uahtltw`b'Fixture T ,e
for Plan Review for Plumhin: installations
Work Performed; Capped Te•
ixtre/Font Relocate
Plan review is required for any of the following.
®�
Bath Tub Shower Please cheek all that apply.
J uzziWhirl. of ��� 0 Any new commercial building with water service 2"and
Car Wash -Each Stall 11111111111.11111111111.11111111
gr
tall eater,except systems designed and stamped by licensed
Drive �� engineer:
Cu .idortWater As.irator —1 0 New exterior plumbing site utilities for any complex structure
Dishwasher -Commercial �� as defined in{)AR9l 13-740-pp¢0.
-Commercial
® 0 Medical gas and vacuum systems for health care facilities.
-DDrinkin Fountain �— 0 Any multipurpose fire sprinkler system.
11121=111111111......111111111111.11111111.1111111111 0 Any complex structure as defined in C>AR914-7R0-Q04{7.
Floor Draintsink 2" 11111111111®
-3` Submit 2 sets of plans with any of the above.
Car Wash Drain1.11011111111111111.111111
—_
Garbage Domestic-non-fond 1.11111111111111111111111111 Isometric or Riser Dia ram
Disposal -Domestic-food related ��� 0 Isometric or riser diagram is required for new buildings
-Commercial-food related ®=� that meet the •ualifications above.
Industrial-food related —®1111111111
Oil S .:rator(Gas Station' �_�
Rec.Vehicle Dum.Station —�1111.1111111111.1111.
Comments regarding fixture work:
Shower -Gang
-Stall =�=
Sink'Lay -Non-food related 11111111111.111111111
-Bradley —��
-Commercial-food related �_MNMIII
-Sers ice
Swimmm t Pool Filter 1111.111.01111111111111111111.
Washer-Clothes �_ *Note: If the fixture work under this permit
rr� p t results in d
Water Closet-Toilet increase of sewer EDUs,a sewer permit will be issued and
� _® fees assessed for the sewer increase must be paid before the
OChcK Fixtures: __ plumbing permit can be issued.
G:a,Planstplats`Summit RidgclPermit Does 1PL,MF PermitApp,doc
City of Tigard
IN
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit
T I G A R D Review — Residential
dential
Building
Permit #: ,7-17-",24-7/6 — ®0 #e)
Site Address:
Project Name: Irk1 i/ � �
(New dwe . Lot O
subdivision name; .. on or Alteration=last name of owner) #:
Planning Review
Proposal: ecc)1.5 ii erify site address/suite#exists and actio
Iver Terrace Neighborhood: m permit system.
Sit Plan Elements: �NO ❑ Yes,See River Terrace Review Addendum Attached
ree(3)copies of site plan
rk to plan most on 8-1 2"
/ x 11"or 11 x 17"paper �" sting structures on site
yawn to scale e on 8-1 architect or 11 a er
It ootprev of t onew structure(including decks)with finished
V II•rth arrow engineer scale) .or elevations
VPlicant
' a address,project or subdivision name and lot number In Utility locations(required for new,may apply for additions)
information(name andphone number) � �cation of wells/septic systems
EIRtyt dimensions and building 01 sting trees to be retained with drip
setback dimensions p line,and tree
of area,building �otection measures
coverage area,percentage of coverage and
pervious area(applicable if R-7,R-12,R-25&R-40)
tree size,
[�J type and location
Property corner elevations(2 foot contour lines if more than Street names
44{�foot differential
�fQaean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified No
o
Public FacilititImprovement(PFI) Received: ❑ es
/equired:
litsPelt: ❑ o,Yes,applicant was notified ❑ No
and Use Case#: Applied For:
-Q ii f� Yes ❑ No,stop intake
arzzoning: , >S'l r o2C:
Required Setbacks: f
Front / Rear
Side Street Side 4.._ / Garage
—0andscape Requirement: aQ %atot Coverage Maximum: %
l c',(obt din Height: Maximum Height Actual Height �yp/ isual Clearance
IF Easements
11/411°.ensitive Lands:
it Urban Fares 0
Yes 0 No
try Plan Type
0 Conditions "Met" •rior to issuance of building permitNotes. / l
1
4
—
Revisions (after Building Submittal only) -- Date: OM
Approved By Planning:
Revision 1: 0 ApprovedReviewer r
Revision 2: 0Not Approved Date
0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
1:\Building\Forms\BldgPermitRvw RES_091216.docx
Building Permit Submittal
�vs/��
Original Submittal Date: # 3
Site Plans: #
Building Plans: k-Enter building permit#above. �-$wilding
Building Permit#: -Engineering Er-Permit Coordinator
[Planning
Workflow Routing: (1)building plan and
Workflow Sign-off: [-�'Sign-off for Planning(include notesppfrom planning
site review)lan,
Wo Engineering• (1) copy of permit a lication, Op
Route Application Documents: iginal plan review routing form.
Bi g: original permit application,site plans,
building
plans,engineer and
beam calculations and trust details,if applicable,
c.
Notes: 4
7 Date: �� /7 �--
' Technician: ��� g.���=��
By Permit - �fi������4�#��sti
Air
Engineering Review
/Er Slope at building pad: _
❑ Conditions"Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
,4,
Water Quality/Quantity Facility: 0Yes ■ No
Assess Water Quality Fee in-lieu: • No
Assess Water Quantity Fee in-lieu: 0 Yes
0 Yes ■ No
LIDA Facility on lot: Date:
0 NOT Approv b Engineeri
Notes: % ii � �
u -
-
..
Approved by Engineering: ‘ � Date:y) Reviewer Date
Revisions (after Building Submittal 0 1Not Approved
Revision 1: 0 Approved
Revision 2: 0 Approved 0 Not Approved
Approved 3: ❑ Appd ❑ Not Approved
Permit Coordinator Review
0 Conditions"Met"prior to issuance of building permit ��� ate: Pi PI' `
Approved,NOT Released:
Notes:
Revisions (after Building Submittalonlyo Applicant:
Revision Notice 1:
Date Sent Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:yl 0 N/A
Yes
SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: es 0 N/A
Parks SDC:
Permit / tte: �� I4'
� D
trovedbylrnitC00h1t0t
:
I:\Building\Forms\B1dgPermitRvw_RES_091216.docx
Albert Shields
From:
FroAlbert Shields
Sent: Wednesday, October 12, 2016 6:12 PM
Subject: esweeks@drhorton.com
Attachments: heritage Crossing MST2016 00405,406,407,408, &409
Conditions - 10-12-2016.pdf
Emerald, because the conditions of approval that are highlighted on the attached list ha
release these applications for issuance. I am classifying them "Approved but Not Released"and they will remain on hold
until the conditions are met. Meanwhile, plan review will proceed. ve not yet been met we cannot
Albert Shields
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8615 SW SCHMIDT LOOP, TIGARD, OR, 97224 May 1 , 2017 at 4:04:19 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00406
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Provide impact protection for water heater in garage. Mechanical code chp. 13.
Ac not done, electrical not connected.
Not ready for inspection, work not complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8615 SW SCHMIDT LOOP, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2016-00406
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8615 SW SCHMIDT LOOP, TIGARD, OR, 97224 May 8, 2017 at 7:13:24 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00406
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved final erosion control prior to building final inspection.
No final inspection done at this time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8615 SW SCHMIDT LOOP, TIGARD, OR, 97224 May 8, 2017 at 9:44:07 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00406
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
House locked, no access for inspection.
Provide access for inspections. R109.1
Violation Summary:
Inspector Contractor