Permit (224) t ,; !, ., MASTER PERMIT
11111 CITY OF TIGARD e,�,� alt.. COMMUNITY DEVELOPMENT • Permit#: MST2016 00477
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2016
Lt �� � 9 Parcel: 25111 DA19200
Jurisdiction: Tigard
Site address: 8596 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot: 11
Project: Heritage Crossing, Lot 11
Project Description: New SF. 4/25/17 REPRINTED:to add NC unit. Placement of A/C unit must comply with
manufactures installation requirements.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First 885 sf Basement: 0 sf Left 0 Parking Spaces: 0
Height: 28 Bathrooms: 4 Second: 1356 sf Garage: 361 sf Front: 0 Smoke
Dwelling Units: 1 Third: 439 sf Right: 0
Detectors: Yes
Total: 2680 sf Value: $318,749.99 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: Y Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 4 201-400 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 2680
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: $30,109.96
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 52-001-0090. Y may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
C
Issued By: �_ Permittee Signature: .cC a 0�
Call 603.639.4175 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.
RECEIVE P
Mechanical Permit Application ((ft',ttht 1t 1 t�i WO N
iM of Tigard 1�t`'{ 2W? 1>�r4n i !� �/� 1't,w' v 'f S''''
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,� CITY OF TIGARD MASTER PERMIT
I COMMUNITY DEVELOPMENT Permit#: MST2016-00477
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2016
Parcel: 2S 111 DA19200
Jurisdiction: Tigard
Site address: 8596 SW SCHMIDT LP
Subdivision: HERITAGE CROSSING Lot: 11
Project: Heritage Crossing, Lot 11
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 885 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 28 Bathrooms: 4 Second: 1356 sf Garage: 361 sf Front: 0 Smoke
Dwelling Units: 1 Third: 439 sf Right: 0
Detectors: Yes
Total: 2680 sf Value: $318,749.99 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 4 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 4 201-400 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 2680
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: $30,057.60
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1,99887 or 1.800.332.2344.
Issued By: ,� trZC Permittee Signature: 1'W�'''✓ ht.Pi)C-✓e��C�,'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.
01(0£5-6
Building Permit Application , i....
Residential
TOR Of LIE Ill SE ONI is ,
City of Tigard `' 4 'it,
R F cy, , paw ill /7pernig No
13125 SW Hall Blvd.,Tigard,OR 97223 ''..'"-) -'
114
II Phone. 503.718 2439 Fax. 503.598,1960 Date 1.33., j) ) j 7,1 j C Oihe,-Pern111514/ ..,t...„ .:1q4.3
- Inspection Line 501.639 41/5
' Illl t5 Pi Stte Pagv 2 S ,
t i,•' NOV 1 5 7O16 Niloltle ffiReedaMd5etHlt-'04/ 7/7
Internet: wv,w tigard-or.gcn
/, -1---p Supplemental _
I--- TA'PL OF WOW'' REQUIRED DATA:I-AND 2-F AIMI EY D ELLING
1 PINC-,Pill il()t',.
New construction 0 algt1114fitArt ''''' ''' ' ' '') ''.-'. Permit fees*are based on the\aloe of the work pe:...,,i e.
Indicate the value(rounded to the nearest dol(ar).
0 Addition/alterationtreplacement 0 Other: equipment,materials labor,oserhead,and the pioitt;,;„-ittft--
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation:
and 2-family dwelling 0 Commerciallindustrial
0 Accessory building 0 Multi-family
Number of bedrooms:
0 Master builder 0 Other, Number of bathrooins.
JOB SITE INFORM ATION AND LOCATION Total number of floors. 3
3 0_4 J , 1
4...-;
Job site address: 625q( CAA/ A/)(16`;?//# &gip Neu duelling area; ,s2 .. .. square feet
Ctty'State/ZIP:Tigard, OR 97223
Garage carport area:j C ) square feetit
Suite'bidglapt.no.: Project name 1--keivl-1/4r,taz ,,, Di 0 0 Cu'.ered porch area3 :$ EN-square feet)3 -c.)
Cross street/directions to job site: Deck area square fesill I
Other structure area: square filar
REQUIRED DATA:COMMER(IAL-USE C' Z44i' "•.1,:
-- ....
Subdivision:
Lot no.: II Permit fees*are based on the value of the work''-:•;-irtn":.)'
Indicate the value(rounded to the nearest dol(ar .,,..t, ..t:
Tax map/parcel no.:
equipmentrnatetials,labor.oserlicad,and the omit(
DESCRIPTION OF VVORIs work indicated on this application,
Valuation:
10
) JE - --7 e, -_,.. . ...: ' tt,
Existing building area: square feet
Ci,fitt,1- 36...ehAt cs....41-3
0 New building area: square feet
t PROPERTY OWNER
1 0 TENANT Number of stories'
Name: DR Horton Inc. Type of construction:
s - - '..-.4. -,i•'
Address: 4380 SW.Macadam Ave Suite 100 Occupancy groups:
CitY/StaleIZIP: Portland, OR 97239
Existing:
Phone:( 503) 222-4151 Fax:( )
Ne'.'.
. .
0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES'
Pietz.4e
Business name: DR Horton Inc.
re er to ee Achedule , „,,
Structural plan revim fee tor deposit):
Contact name: Emerald Weeks
FL S plan resievi fee(if applicable):
Address: 4380 SW Macadam Ave Suite 100
- ,
Total fees due upon application:
"Y/State/ZIP: Portland, OR 97239
Amount receised:
Phone:(503 >222-4151 x1107 Fax ..( )
PHOTOVOL r AK SOLAR PA-NEL SN CTE04014P„
E-mail: esweeks@drhorton.corn
Commercial and residential prescriptive mstallat4
CONTRACTOR
roof-top mounted Photo‘'oltaic Solar Panel Systern,,,
Business name: DR Horton Inc. Submit two(2)sets of roof plan XN i t h connection detti*
and fire department access.along with the 2010 Oregrm
Address:4380 SW Macadam Ave Suite 100
Solo,-Instoll000n Specialty Code cikcklist_
Permit Fee(includes plan rex ieu
City/State/ZIP. Portland, OR 97239
St$0.4
and administrative fees):
. .,
Phone:(503 )222-4151 Fax ( 1
[ State surcharge(12%of permn fee):
......_
CCB lic.: 130859
i I Total fee due upon application: ,:,..ta`•,i,'(4-,'
1
, -.!---.
Authorized signature.
,
11th permit application expires if a permit is not')
. , ' .).
viithin 180 days after it has been accepted as contiII.04
Print name: ' ' ; - Date.2016 j Fee inethcKiology s.et by Iri-County Building Ind Li*
Service Board.
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-4151 , a r
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EIectrical Permit Application
City of Tigard _ '�k,l MIS
° /r Date/By; Prnult Not"I 1,2f(P-Od tf 77
13125 SW Hall Blvd.,Tigard OR 97223 P1 Review
Phone: 503.718.2439 Fax: 503.598.1960 Ii�
! !, Inspection Line: 503.639.4175 f /1 y` Ot1xr Permit
Internet www.tigard-or.gov t/'!r e` - N ReadyBy.• naris B See Page Z for
•
Supplemental
TYPE OF woi* "'x'1'1 -
�^ �p aunts anon
ELAN REVIEW
❑New construction 0 Addition/altenuionlrepia in i f
A i Please check an that apply(submit j sets of Wens wtitems checked below):
❑Demolition 0 Other: �' 0 Service or feeder 400 amps or more 1�Budding over three stories.
when:the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCT ON exceeds 10,000 amps at 150 volts or ❑Floating buildings,
❑ 1-and 2-family dwelling 0 Cottttnerciallindustrialless to ground,ore seeds 14,000- 0Commerciai-nae agricultural
0 Accessory building
IDMulti-family 0 Master builder for all other installations ntabuildings.
0 Other: �Faz pump. ❑installatioa of?S ICVA or
JOB ATE INFORMATION AND LOCATION
13Emergenoysystemlarger separately derived system.
c/
0 Addition of new motor load of Cl"A",'E","1-2","1-3",
Job no.: Job site address: G S% , G 1_ ',1 ittr t o011P or more.. ococcupancy.❑
0 Six or moree rresidential waits. Recreational vehicle parks.
City/State/ZIP: ❑Health-care facilities. 0 Supply voltage for more than
litat,
Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: �
N it c,,c, it ❑Service or f r 600 amps or more.
Cross street/directions to job site: -' � f FEE SC�IEI)IILE
beseriat4a 1 Qtr. I Fee. I T°est i
New residential single=or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1 I 1,000 sq.ft.or less / 168.54 4
Tax map/parcel no.: Fe.add'l 5tH1 aq.ft.or portion Y 33.92 1
DESCRIPTION OF WORK Limited(with mob , lt.) 75.00 2
with about sq.ft)
Limited energy,multi-family 75.0(1 1
residential(with above sq.ft.) Ilii 2
Services or feeders installation,alteration,and/or relocation
! 200 amps or less 100.70 2
0 PROPERTY OWNER
I l 0 TENANT 201 amps to 400 amps 1 133.56 1 2
Name: 401 amps to 600 amps 200.34 2
Address: 641 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Te� services or feeders installation,alteration,and/or
Phone:( ) Fax:(, ) 200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 1 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 40181" to 599 a 168 54 Z
Owner signature Branch circuits-.new,alteration,or extension,per panel
: Date: 4.0 A.Fee for branch circuits with
GI APPLICANT t 0 CONTACT PERSON above service or feeder fee, 7.42 2
DR Horton Inc each branch circuit
Business name: B.Fee for branch circuits without
Contact name: Emerald Weeks service or feeder fee,fist
branch circuit 56.18 2
Address: 4380 SW macadam Ave
Each a '1 branch circuit 7.42 2
Miscellaneous(service or feeder not included
City/State/ZIP: Portland OR 97239 Each manufactured ormodular 67.84 z
llL-4151 dwelling,service and/or feeder
Phone:(503) I Fax::( ) , Reconnect only 67.84 2
E-mail: Pump or irrigation circk 67.84 CONTRACTOR Sign or outline lighting 67.84122
Signal circuit(s)or limited-energy
Business name: ��, /414174- g/ c, , c panel,alteration,orextension. Page 2 1 2
Address: �(et, '7 /� /` t^-�f2 (�� ti, rt Each additional inspection over allowable is any of the above
tO c� �j i!iL.� f/'/ Additional inspection(1 i r min) 66.25/lir
City/State/ZIP: Va.V,cc u>r t/-. W4. ,�t7 (7 b r Inv��Ion(1 hr min) 66.25/hr
b,a --/f— .757.9 I Fax:OCin" SM- 96Co o In pec sal plant(l is min) 7s:18/hr
Phone: Inspections for which no fee is
90CCB Lie.:`Jz�I/l Electrical Lie. CZ 30 I Suprv.Lic.: /? I s sp•ecifically listed(hEL min)
PERMIT .OFEES
Suprv.Electrician signature,required: 9
V� D
Subtotal:
Plan review(25%of permit fee):
Print name:C46--,44-4,, i\ �. 1 are: State surcharge 12°A of
k✓ r � ( permit fee):
Authorized signature: . � �/i���" " TOTAL PERMIT FEE:
Tbis permit application expires ifs permit isnot obtained within 180
Print name: , ( Date: days after it bas been accepted as complete.
* Number of inspections allowed per permit.
MildinglPermitAELCAPermttApi 440.4615T(17/OS/cOM/YEB
Electrical Permit Application-City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: J FEE SCHEDULE
DescriptionQty. Each Tmal **
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 k.a or less 1 ta[!.?ii ,
5,01 to 15 kva 133.56 2
n Audio and Stereo Systems* ,-
15.111 to 25 kva ?ifJ.34
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 1 301.1W 2
_
50.01 to 100 kva 552.26
❑Q Garage Door Opener* >1011 tiva(fee.n accordance
with OAR 91h-309-004U) 55226
n H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: 11
System*
Each additional kva.vet 25 7.42 3
n Vacuum Systems* --100 kva-no additional charge on -3 i
Each additional inspection over allowable in any of the ahove:
n O• ther: Each additional inspection is 66 24 hr
charged at an hourly(1 hr min)
Inspections ffr which no the is °0,00 hr
specifically listed C hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system:. $75.00 Subtotal(Enteron Pagel):
Number of inspections allowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ A• udio and Stereo Systems
n Boiler Controls
C Clock Systems
C Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
C Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
E Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
L.Buifdint�Panni¢::PLC Pt-ni[,App LLR ERF.duk }r.Ws 1" '"
it -. _..._--------
Plumbing Permit Application
Building Fixtures IIIIIIIIIIMWMVZIIIIIIIIII
City of a
Ti nd i
0g1 j-olG-(A17
111114 i Tigard v., Pannit No.:
13125 SW yap Blvd.,Tigard,OR 97223
• Phone: 503,718.2439 Fax 503.598.1960 -- •:ilia • Other Peraut No.:
Inspection Lire: 503.639.4175 �y/gy, twit: B See pane 2 for
TIGAit1) / ateR
Internet: www.tl or oY . F
8� g _pow-. Snppkmeaal Infertoatioa
TYPE OF WORK . .• \ 1tv gat .FE16* SCRIM*: '
❑New construction ❑Demolition For speda/Jrrforrhmioa use checklist
et 1 "c'.:'n I qtyI. Ea ) Total
0 Addition/alteration/replacement 0 Other. c } , 4 -Islay dwellings(includes 100 R for each utility connection)
CATEGORY OF CONSIRL(noN ,- ( ' (1)bath 312.70
❑ i-and 2-family dwelling 0 Commercial/indus itT �` SFR(2)bath 437.78
0 Accessory building 0 Multi-family "' SFR(3)bath 500.32
Each additional bath/kitchen 1 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
• ' JOB SITE.INPORMA ION..•.AND LOCATION Site utilities
Catch Dain or erre drain 18.76
lob site address: OJ l(v 31,4.1iYb t J,"'p Drywcll,leach line,or trench drain ^ 18.76
City/State/ZIP: '�
Footing drain(no.linear ft.: Page 2
Suite/bldgJapt.no.: {Project name: A \117' Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no linear t.:_J Page 2
Storm sewer(no,linear ft.:__J Page 2
Water service(no.linear ft.:_,J Page 2
Subdivision: ( Lot no.: I' Fixture or item: ._
Tax map/parcel no.: Backflow preventer 31.27
• DESCRIPTION OP:WORK Backwater valve 12.51
. . Clothes washer 25.02
Dishwasher 25.02
1 ^Drinking fountain ` 25.02
Ejectors/sump 25.02
0 PROPEIn r OWNER • ..1 0 TENANT Expansion tank 12.51
Name: . tifv S'"(" `1/,•C,, Fixture/sewer cap 25.02
25.02 drain/floor sinkfiuh
Address: ,�`rJ ct \\-o'+ DlL +` 7�_L'am/J Garbage disposal 25.02
'
City/State/ZIP: 6,..)-Q... 01.- O1.'_2 Hose bib a t25.02 i
Phone:.,� _\J\t \ Fax:( ) Ice maker : 12.51
0 APPLICANT 0 CONTACT PERSON interceptor/grease trap 25.02
Business name: \A -Cf}r,_ t vx,C,„,) Medical gas(value:S ) Page 2
\..'tj \Q. sl.t &t 'J .X Primer 12 51
Contact name:
Roof drain(commercial) 12.31
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12,51
E-mail: e SSR (6 '. Qt,v V) C7/ .CCNV1 Urinal 25.02
•
Water closet 25.02
-CONTRACTOR
Water heater37.52
Business name:EDWARD MULLEN PLUMBING Water piping/DWV , 56,29
Address:1601 SE RIVER ROAD Ott; 25.02
City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal
Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee' S72.50
Plan review (25%of permit fee)
CCB Lie.: 9 .4t Plumbing Lic.no.:34 260PB - State surcharge(12%of permit fee)
Authorized signature: A `. _./ TOTAL PERMIT FEE
Print name:RAY MULLEN / Date: This permit application expires if a permit is sot obtained within leo days
after it has bees accepted as complete.
'Fey methodology set by Tri-County Building Industry Service Board.
I:usumi pcunitwrim1•tersutApp•doe tO/9U09 4W.o taitioPovcoMMEBI
City of Tigard
111 q COMMUNITY DEVELOPMENT DEPARTMENT
C
T 1 c A lz o Building Permit Review — Residential
Building Permit #: vlo;— f)U 4-7
Site Address: S1 ,9
Project Name: k`i `._e en. g in Lot #: //
(New dwelling subdivision name;Additio eration=last name of owner)
Planning Review
Proposal: AJe14) 2F1
Verify site address/suite#exists and actio in permit system.
liver Terrace Neighborhood: 02 No ❑ Yes,See River Terrace Review Addendum Attached
Sits Plan Elements:
Udyhree(3)copies of site plan 0 'A ting structures on site
e plan must be on 8-1/2"x 11"or 11 x 17"paper T.Footprint of new structure(including decks)with finished
II D awn to scale(standard architect or engineer scale) I.or elevations
rth arrow IG Utility locations(required for new,may apply for additions)
ifV ' e address,project or subdivision name and lot number •Nt i. ation of wells/septic systems
,licant information(name and phone number) sting trees to be retained with drip line,and tree
l it dimensions and building setback dimensions totection measures
v. .t area,building coverage area,percentage of coverage and reet tree size,type and location
)inpervious area(applicable if R-7,R-12,R-25&R-40) �'Street names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
td1klean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Pequired: ❑ Yes,applicant was notified y2J No Received: ❑ Yes ❑ No
ublic Facili ' s Improvement (PFI) Permit:
equired: V Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake
Land Use Case#: �Q a S= C1 ✓ 2Zi , e
Zoning: --
,Required Setbacks: Front / Rear /5" Side Street Side / .Garage Q(
VI landscape Requirement: _
,. of Coverage Maximum: 3) %
1a Building Height: Maximum Height Actual Height o;�j
isual Clearance
11 Easements
b.ensitive Lands: ❑ Yes No Type
IF Urban Forestry Plan
❑ Conditions "CZ/kJ/756'
Met"p�for to issuance of building permit /
Notes: CZ/kJ 7l6 {
)4,g 1/ My'.yl pit:' sr- 40
✓,�-Plm4-4 > a_afre
Approved By Planning: 1 ' Date:
Revisions (after B ding Submittal only) Reviewer D to .
Revision 1: rf Approved CI Not Approved C..=,..—p-.4. .....r.................. ```. / /l
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPernvtRvw RES 091216.docx
Building Permit Submittal
Original Submittal Date: /I//57'/
Site Plans: #
Building Plans: #
Building Permit#: • Enter building permit#above.
Workflow Routing: arming eering hermit Coordinator ing
Workflow Sign-off: ff for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori inal plan review routing form.
uilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .0._. �� Date: ////06,�
�.� _:�,� .,
Engineering Review
LTJ Slope at building pad: 35
2 Conditions"Met"prior to issuance of building permit
easements (encroachments) per engineering conditions of approval and plat
eater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2-No
Assess Water Quantity Fee in-lieu: ❑ Yes 1No
LIDA Facility on lot: ❑ Yes 2-No
;XC NOT Approved by Engineering: K,(,S)-1 sr4 " Date: I 1- -14,
Notes: Co T I I P1414 • 5 t .) 40 $ Ae - f4 5 ,4 S-ro►zw (ir4k., . tPiters
Approved by Engineering: a42•,...27 Date: /11iiittilr # (99-7.4
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
Approved,NOT Released: !/tiiw• Date: it 421/(e. 1
Notes: /�/ LZ- /J r-c- frtOwa /3•c-e_ a€4c:z✓1
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
IiVi K to Issue Permit
Approved by Permit Coordinator: i Date: /Ai-V7
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
Code Compliance
From: Code Compliance
Sent: Monday, November 28, 2016 5:44 PM
To: esweeks@drhorton.com
Subject: MST2016-00477, Heritage Crossing Lot#11.
Emerald, on MST20126-00477 Engineering has noted that the site plan shows the 4" Sewer Line as being labeled both
"Sewer" and "Storm." Please revise and send a revised site plan. Thanks, Albert Shields
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8596 SW SCHMIDT LOOP, TIGARD, OR, 97224 May 24, 2017 at 8:25:51 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00477
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
FP screen not installed.
AC whip not connected, work not complete.
Not ready for inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8596 SW SCHMIDT LOOP, TIGARD, OR, 97224 May 30, 2017 at 4:23:23 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00477
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
Street tree certificate received
Moisture content form received
High efficiency lighting form received
Insulation certification verified
Blower door and/or duct seal test certificate verified
C of 0 left on counter.
Note: plumbing final for irrigation backflow device scheduled for tomorrow. Test report
received
Violation Summary:
Inspector Contractor