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Permit (235) CITY OF TIGARD MASTER PERMIT lill s COMMUNITY DEVELOPMENT Permit#: MST2016-00408 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2016 T f c.;k I 1-) 9 Parcel: 25111 DA00400 Jurisdiction: Tigard Site address: 15456 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: Project: Heritage Crossing, Lot 54 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 650 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1021 sf Garage: 390 sf Front: 11.25 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Total: 1671 sf Value: $209,058.81 Rear: 16 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 Bckfiw 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!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 1671 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: $27,662.47 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. • ••- ob="• - •.y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. lliwillft Issued By: ,c12.44-2e" ' Permittee Signature: ., ��n.,� X1603.639.4176 by 7:00 a.m.for the next available inspection date. /%/�� This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. (,e.75/ , . Buildii . ,,,, ,11, _,4,g,., 1,..,,1 /0 0 , Residential ll l--"(...,.,1— ',..( " FOR ... . City of Tigard —-; es (1 Reed A. 0 f,.. i u 0 2016 piDiaat:tttieN i,v, / l' ' 44 Iffitir l'em"11.4.d. 13125 SW Hall Blvd..Tigard,OR 97223 IN _ _ _ A Other PermSatir/eal/4elg97 * Phone: 503.718 2439 Fax. 503,598.1960 ,. Date 13c, . ' t. Inspection Line. 503 639 4175 L:2 i ',: , ..' r-- ‘;;I:'.l'.1 Date iteati Hy NM 9i s"l'a - Internet: wuw tigard-or7 gy 2 ft'r 1.gm --::,.i i•- ,.. -, ,-,'t, -,.-- ,—x notified,method. Supplemental Information ..., 'ft,e ty re, TYPE OF OF WORK REQUIRED DATA:1-.1ND 2-F AMILY DAN ELLIN(' . .71 as New construction 0 Demolition Permit fees*are based on the 1 aloe of the work performed. - Indicate the value(rounded to the neareg dollar)of ail 0 Addition/alteration/replacement 0 Other equipment,materials labor,ocerhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION ...t ...„,„ Valuatton: I-and 2-family dwelling 0 Commercial/industrial S _ 0 — . J.) Number of bedrooms: ,3 0 Accessory building El Multi-family ---1 0 Master builder 0 Other, Number of bathrooms, . ,,. JOB SITE INFORM ATION AND LOCATION fora)number of floors, G2 3,0 Nen&Netting area: 1(971 square feet Job site address: 1,3- 1 e. EA/ 4 4 4..,4 _ t. 1" i City'statezw:Tigard, OR 97223 Garage carport area: square feet , , i Suitebldglapt.no.: Project namt 1 tiv--1 if Ai _ i y\ - COS-ered porch area7itf44,P.:...scluare feet i 3 ).. ...................m Cross streetidirections to job site: ., Deck area square feet Other structure area: square feet REQUIRED DATA:CONIMERC IAL-USE CliEk'KLIS 1 Subdivision: Lot no.: cr 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 equipment,materials,labor,merhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New FR Valuation: $ Ilillir IMIN1 Existing building area: square feet New building area: —1 square feet ----- anj PROPERTY OWNER 0 TENANT Number of stories: — Name: DR Horton Inc. Type of construction: ..., Address: , :i A AA . ... . . 0 iti . . . i Occupancy groups: - City/State/ZIP:Portland OR 97239 Existing: Phone:( 503) 222-4151 IM11.1111111111111111111111111 Nett: A -,-- 0 APPLICANT CONTACT PERSON BUILDING PERMIT FEES'. Please re a ee schedule el Business name: DR Horton Inc. t- Structural plan reviect fee for deposit): Contact name: Emerald Weeks _ FL S plan recieu fee of applicable). .-- Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: I if--- City/State/ZIP: Portland OR 97239 Phone:(503 )222-4151 x1107 Fax ,( Amount receiced:) _____PHOTOVOL FAR SOLAR PANEL S)STEM FEES' E-mail: esweeks • drhorton.corn Commercial and residentialptive iThist2iirm101-101-7— .1 CONTRACTOR roof-top mounted Photovoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan ct ith connection details and fire department access,along with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar histalladon S eeddir Code checklist --- Permit Fee(includes plan re c ley, CityiState,'ZIP: Portland, OR 97239 and administrative fees): CIXO.O0 Phone:(503 )222-4151 Fax ( t State surcharge(12%of permit fee): S2i /Ai CCB ilc.: 130859 1 Total fee due upon application: ...201,,00 1 Authorized signature' This permit application expires if a permit is not antitia" „,- ' ' - ithin 180 days after it has been accepted as complete. Print name: - , i 4 i, Date:2016 J Fee methodology set by Tri-County Building Indmirc, Service Board. ..,.... I Building Perrnits BUP-RESPennitApprioc 02 24,2(0 i 440-46131(11 02 COM'WEB r Building Permit Application Checklist One- and Two-Family Dwelling 1-012 OFFICE ['SE ort,' . ,17 (. .,.t,.. .'" City of Tigard 1,-1,r:7 „..,._ , . ,„ , „ , Received ' Ptirmil No 1 _ il 13125 SW Hall Blvd.,Tigard,OR 97223 i A,._ss.sriciate,pQrtnit,' i I Phone: 503.718.2439 Fax. 503.598.1960 qt-r 0 3 2016 1,...,., l ' 1 u Fle,..trhal 0 Plumbing 0 stoditaiiii 24-Hour inspection Line: 503.639.4175 1 it,AltD , Internet: www.tigard-or.gov , ,, .. 0 Other: i ., TIIE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW N es No I Land use actions completed. See jurisdiction criteria for concurrent reviews. I- I I 2 Zoning. Flood plain,solar balance pouitsseismic soils designation,historic district,etc. t El 0 3 Verification of approved plat/lot. 113 [17 I 4 Fire district a P royal re 4 uired. Name of district; Tualatin Valle . ' 0 I -1 5 Septic system permit or authorization for remodel, Existing system capacity n CI i 6 Sewer permit. - . D i 7 Water district approval. — - - - CZ D 2--- . 8 Soils report. Must carry original applicable stamp and signature on file or with application. In. 0 ' El 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- V $ 0 basin protection.etc. .._ ......_ -- 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 13 f1T1 [11 building codes. Lateral design details and connections must be incorporated into the plans or on a separate.1.011- 1.4e sheet attached to the plans w ith cross references between plan location and details. Plan r,view cannot he completed if I 1 copyright violations evist. - 1 i Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if I 2 0 0 ' there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.inter\als); location of easements i and driveway;footprint of structure(including decks);location of wells7septic systems;utility locations,direction -------] indicator; lot area; building coy erage area;percentage of coverage;impervious area;existing structures on site,and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details, vent size. 47 0 0 and location. . 13 Floor plans. Show all dimensions,room identification,window size, location of smoke detectors,water heater, a [-3 Li ' furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers, joists,sub- • . 0 o I floor,wall construction.roof construction, More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material, footings and foundation,stairs,fireplace construction,thermal insulation,etc. ...._...... 15 Elevation views. Provide elevations for new construction:minimum of two eleyations for additions and remodels. S CI I El Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building ens elope. ; I Full-size sheet addendums showing foundation elevations with cross references arc acceptable. .-.....-... ..... .._ 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- I 0 E 1 , prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors roof assemblies,indicating member si7ing,spacing,and bearing PS- 0 E ...._ locations. Show attic ventilation. _ _.... ..,„. 18 Basement and retaining walls. Provide cross sections and details showing placement of rcbar. For engineered N- 0 0 systems,see item 22."Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design y alues far all beams and multiple joists S 0 0 1 over I 0 feet long and or any beam joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. L 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required a 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e,,shear wall,roof truss)shall be stamped by an engineer or mi 1 0 El architect licensed in Ore'on and shall be shown to be a••licable to the •ro'ect under review. ,It1RLSDiCTION,AL, SPECIFICS 23 Three(3)site plans are required for Item II above. Site plans must be 8-1/2-x 11"or II-x 17", l'..4 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. , 1 D EJ 25 Building plans shall not contain red lines or tape-ons. -Mirrored-building plans will not he accepted. t 0 E 26 "Reversed-building plans must meet criteria outlined in the Permit&System Development Fees document. NJ 0 E 27 "Drawn to scale"indicates standard architect or engineer scale, 0 El 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard al , 0 El Street Tree List, 29 Site plan to include trees and tree protection measures as required by conditions of approval. free locations,driplincs, I 0 0 , j and protection measures must be draw,n to scale and must include the project arborist s signature of approY al. Air 30 A Clean Water Services'St-nstrivPre-Screening e Area Site Assessment form is required for all building additions, in 0 1 0 including decks,patio covers(over non-impenious surface)and accessorystructures to existing residential dwellings 1 on a lot of record approved prior to September 9, 1995. :Building.Fermits,BCP-RESPennitApp.doe 02,24 2011 440-4613Tt 11 ii?('AM ,, t o fi : Iec ► i I Permit )ii.t ,. it ;_.. € �' ,_. 1,,11. 1r 1 1 t t .1 o1 i t iw shyi1nki# i „ � �` rrf 0 $ ZOi17 1 P":":„Ii,-I: I'4 ,.Eat" ^4 24 =r F',a n ..,, i� k 7,9, 5�€ � hx "iv n l', ,ti,araafi i,x4 i''',, hay #,a 4 � 1#}44144* =c fi9sa=d` ➢?�' '„,4i€ a _r r. 1 €4. a;a,naa,t t 4.1 t t.' 4 414 - 4 't itts t n Y IIKr ark , i 'sig.1t44 s€se. ii---i,14%;',...1,1,14'44k4%',a,a ii...: wr,v b=„,'.1.11/,_, - - f b.- 44 ea:a >r , ® *.1,, ��nri�1% 3'1,1,�'11^a.11,1°."15 d ta .: -,PL., 4 z4, ' '€.i 0.A �i1t#3 .t Ck k' 22" � BIS• VI��g 53 ®........> ., _ i €4 k m 0 3, k F t Q ;,00. \Y/y-\- y.,CV-09!==te!d':1 i.� . . . n..°am«®e�w..,... ..._.............. .« __.... ,. ar...,...°..._ ..�......,.......,.� m Y t .... .. .... ? t r �--.,, a » -- $7 u4 4 fuel,xpl)cock x ' 3 ,lkr ' Y,.t° a , las. -. "/ F- f ,: 444 4 4441 4 44+1 X41 aR* J Ilk*e44 € `'a=te DR 01<frionIII , �nG .� �>,,,...., ,- ,•k ' BB' 14:- :20' 'ort. 1tt 1,0 t(3 010 /E V .,.r t.-'1I'n/ § h43..1 ' 123-x4031 P ° w 11ACIr ' 1§ 13 it) tc - 1 f. r'-''''''' kik'sx rot fir jt,o€.5:3 aos b-ra=t taex,.sA9 €,n .'4,4411' Ia 4"raid Yet:If i €==b, , '` a£k :*Ia.33m N14�s., 4380' ;Macadam ,1 'c:sunk, Iffff 4 4j M'-.t,4., PP' poi-flank',(1k 239 tia ,.“T IYC' 'r4, ;01. 222, 41 31 x110 ' 1,ax ._... _ - ga. ..... ' ° ''' L4Wt."l,,§II)li11441*14)11a(1fru �` d r� � L� Its -„,—,-,-.- 4—_------,,,,,, v..a....°w`. :�ww.�,,..,, `mumu.-.nw nn-,kmarv..a.,...w n,u��,.w.�.-,-.a •,• .+r. .a - ° _ 1� € n / # 9 a ng 'EI IX €{' ,,+, §"i' i o- .a v' _1.1.1.1. .�` it gi7,7 4a•Ar _. .. n r- - t4`I€ w III ,^_ 'I Ira' ' r Ia �� ° 44111E MMR 011 114 '11',,14,,44 14 44' 44a-c,'>a.1a ,44 x,,=114141#4414 14.4144144 axxi k#af'11t44-b'- Electrical Permit Application . City of Tigard Received r; 9 nig Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 C., I C-U'u Plan Review Phone: 503.718.2439 Fax. 503.598.1960 Inspection Line: 503.639.4175 , P New eonstniIntectrnioent: www.tigard-or.gov 0 Demolition ate/By: - \ r 4 I OR ( l( I. I \I 1 Permit No.:/ttcr,2cy6 Other Permit: Jude: 01 See Page 2 for Suppkmental Information TYPE OF WORK PLAN REVIEW 0 Addition/alteration/replacement 0 Other: CATEGORY OF comsratTcrioN 1::1 1-and 2-family dwelling 0 Commercial/industrial 0 Acc,essory building 0 Multi-family Job no.: City/State/ZIP: 0 Master builder 0 Other: Job site address: Project name: ‘—le,0 Suite/bldg./apt.no.: JOB SITE INFORMATION AN!) LOCATION Cross street/directions to job site: Subdivision: Tax map/parcel no.: DESCRIPTION OF WORK Name: 0 PROPERTY OWNER Address: City/State./ZIP: Phone:( Please check all that apply(submit sets of plans w/iterns checked blow): \v„.‘ 00 ESmerviergceenorcyfestiyderstem400.. amps or more 0 Building over three stories. CVO • 0 Lot no.: TENANT Fax: ) Owner installation:This installation is being made on property that I own which is not intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Owner signature: Business name: Contact name: Address: 0 ArrucArrr DR Horton Inc Emerald Weeks 4380 SW macadam Ave City/State/ZIP: Portland OR 97239 503) 222-4b1 Phone:( E-mail: Date: CONTACT PERSON Fax::( ) CONTRACTOR Business name: Sgt- Address: City/State/ZIP: where the available fault current 0 Marinas and boatyards. exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000' E3 Cornmercial-use agricultural amps for all other installations. 0 Fire pump. 00 sAervidditiceon of new motor load of 10011P or more. o Six or more residential units. Health-care facilities. o Hazardous locations. nucriptio.,or feeder 600 amps or more. buildings. 0 Installation of 75 KVA or larger separately derived system. occupancy, 0 Recreational vehicle parks. 0 Supply voltage for more than 600 volts nominal. FEE SCHEDULE 1 Qty. I Fee. Total • New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less Ea.add'I 500 sq.ft.or portion Limited energy,residential (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 41 168.54 33.92 75.00 75.00 Services or feeders installation,alteration,and/or relocation 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1,000 amps Over 1,000 amps or volts 100.70 133.56 200.34 301.04 552.26 2 2 2 2 2 2 2 Temporary services or feeders installation,alteration,and/or 4 relocation 200 amps or less 201 amps to 400 amps 401 amps to 599 amps 59.36 125.08 168.54 Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with above service or feeder fee, each branch circuit B.Fee for branch circuits without service or feeder fee,first branch circuit Each add'i branch circuit 7.42 56.18 7.42 Miscellaneous(service or feeder not included) Each manufactured or modular dwelling,service arid/or feeder Recormect only Pump or irrigation circle Sign or outline lighting 67.84 67.84 67.84 Signal circuit(s)or limited-energy 67.84 panel,alteration,or extension. Page 2 2 2 2 2 2 1 2 2 2 2 2 - Each additional inspection over allowable in any of the above itry_ 2_g 0 1/ ,i/E 6 Additional inspection(I hr min) t/1/79 ,9,FC C/ Phone:(30 f- I Fax:06a) 32C-- 966 0 Investigation(1 hr rain) Industrial plant(1 lir min) Inspections for which no fee is 66.25/hr 66.25/hr 78.18/hr 90.00/hr specifically listed CCB Lic.: I- 26—//, Electrical Lie.:-CZ 3 Suprv.Lic.: -T s ELECTRICAL in ) PERMIT FEES Suprv.Electrician signature,required:‘7 Print name:Ch 66--rf Authorized signature: Print name: LIBuildiroPPertoitsUiLC-PermitApi , a Date: Date: 440-4615T(11/05/COM/WEB Subtotal: Plan review(25%of permit tee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: This permit application expires if a permit is sot obtained within 180 days after it bas been accepted as complete- * Number of inspections allowed per permit. , Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: 1 FFF_ sc nEntILE Doer.. ton '-----H—W. 1 Errn I mai , • Fee for all residential systems combined: $75.00 --1 Renewable electrical energy systems: Check Type of Work InloJorvolved: 5,01 kJ 151,.sa ----f— 111.56 i_____ ----I. - n Audio and Stereo Systems* .5(11 4,25 I,,,,.) 2,u34 I L. Vs ind generation systems in excess of 25 ksa: ' 1, I Burglar Alarm i :5.01 b SO kva i , 311144 -,-,- -1 , I , 2 JI Ii 5u.11 in IW i<\a "s52 X Garage Door Opener* i , .1),,1, ,(fr,..'in a,..:nidonce sc2t- , \N ith(JAR H h-. 1)9-01140) L, j 2 _ Ii , X Heating, Ventilation and Air Conditioning I Solar generation systems in excess of 25 ksa: System* -. , T , I ach additwiliC k ,',Li:5 - 1 i I Vacuum Systems* 100 lc.a-im additional char. t. li Each additional ins ection over allowable in any of the above: fl Other: hach additionli inspek.tioni, 11116,-,'5 hr 1 I I charv,ed at an houtiy(1 hr min) - I inspection,rk r which n, e is -if-- 'III 00 'II , %chicon),lihted( COMMERCIAL WORK ONLY: FLECfRIC NI, PERMIT FEEis — , Subtotal Enter on Pag,.- Fee f©r each commercial system: $75.00 ( I) • -Number()1-inspection,into ed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: 7 Audio and Stereo Systems I Boiler Controls I 1 Clock Systems L Data Telecommunication Installation Fire Alarm Installation I 1 HV AC I Instrumentation Intercom and Paging Systems I I Landscape Irrigation Control* F Medical 1 Nurse Calls — Outdoor Landscape Lighting* 1 F Protective Signaling Other: ---1 Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Bm:dtrIc P '11: ILL PL,:rmApp 1 L.R ERF cic. Pc.es Plumbing Permit Appliention-i t7,1,,t.:::y -',., - ! Building Fixtures . , FOR 011 ICE i SE ONLY i oc; 2016 City of Tigard Received Permit No/1.15,79,0 ill , 13125 SW Hall Blvd.,Tigard,OR 9712,1-I `), „:',- , , • ..',„,,:'.'I plittele- ew i I ' Phone: 503.718.2439 Fax: 504910960,:' ,- • , -:.•",,,,:-.,, Ntrigy, Other Permit No,, Inspection Line: 503.639,4175 '' ' - ' . ' '\.'pate Ready/By: See Page 2 or TIGARDReis gi f Internet: www.tigard-or.gov Notified/W & Supplehomental laforoserlos J • - " TYPE OF WORK .. pm* somata*. 1 0 New construction 0 Demolition For special informs:ion use checklist Description I Q . I Ea. I Total 0 Addition/alterationlreplacement 0 Other. New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTROGTION SFR(1)bath 312.70 • 0 1-a nd 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500,32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( _sq.ft.) Page 2 .'" JOB'SITE SFORIKATION'AND LOCATION , Site utilities: . . „. .„ Catch basin or area drain 18.76 Job site address: Drywell,leach line,or trench drain 18.76 City/State/Z1P: - . , Footing drain(no.linear ft.: ) Page 2 i Suite/bldgJapt.no.: Project name: \,,„ C,V1kPO,9I (},„.4- )1 t-I 4ill -\. I t t . + 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: 1 Lot no.: Fixture or item.: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 , DESCRIPTION . Clothes washer 25.02 Dishwasher 25.02 9.-- Drinking fountain 25.02 Ejectors/sump 25.02 ' a pitijilsm OWNER . "I 0 Ticiwn. Expansion tank 12.51 Name: \,,Th \ -lir-lc-1/VA ki.‘,_C*,,,,,. Fixture/sewer cap 4 , 25.02 , , ,,n„'„,f -ku i Floor drain/floor sink/hub 25 02 ., Address: \-k.., (St CCS\N,.....) ...ILO a OP ei ` Garbage disposal 25.02 , , City/State:al P: %k,...)1Q•,-, C,5\4.- (::_:Ill'a-/ -11 Hose bib 25.02 ?hone: )") N d Fax:( ) Ice maker 12.51 0 APPLICANT El CONTACT PERSON interceptor/grease trap 25.02 Business name: Medical gas(value:S ) Page 2 :5iL l 1 v,k, C.,,,), Primer 12.51 „ Contact mune: L11 "ri, 01 / Roof dram(commercial) 12,51 Address: Sink/basin/lavatory 25.02 ' City/State/Z1P: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 LUrinal 25.02 E-mail: e SAA ye „../46 (.2i7 VI ' , C 0%44 Water closet 25.02 * •CONTRACTOR . Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DW V 56.29 Address:1601 SE RIVER ROAD Other: , I 25.02 Subtotal City/State/ZIP:HILLSBORO,OREGON 97123 Minimum permit fee- S72.50 Phone:(503)640-0113 Fax:(503)640-4483 2 Plan review (25%of permit fee) CCB Lie.:9089 Plumbing Lie.no.:34-260P11 - State surcharge(12%of permit fee) 77. pe4047.013.74... -, .... .......,....,__ ( Authorized signature: Print name:RAY MULLEN , , TOTAL PERMIT FEE Date: _‘,........._7 1 Thu permit apphcatioa expires if a permit is not obtained within 180 days after it has bees accepted as complete. 'Etc methodology set by Tri-Coutity Building Industry Servist Board. I lawinegefwanisNriAtti-PereiliAooncie 10101/09 4404dievorazicamtsvca) I Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: , Site Utilities . Qty. Fee(ea) Total i Square Footage: Permit Fee: Footing drain- 1100' ' 50.03 0 to 2,000 S121.90 Footing drain-each additional 100' 37.52 1,001 to 3,600 S169.69 3,001 to 7.200 5233 20 Sewer- 1st 10' 1,2 54 i 7,201 and greater , S327,54 . Sewer-each additional 100' ' 37.5' Water Service- 1st lar 62.54 Medical Gas Systems: Water Service-each additional 100 37.52 Valuation: Permit Fee: Storm&Rain Drain- 1st low o2 54 $1.00 to 55,000,00 Minimum fee 572.50 _ . Storm&Rain Drain-each additional 100' 3 L52 $5.001.00 to SIO 000.00 S72.50 for the first 55,000.00 and 51 52 for Other Inspections or Fees Qty, Fee(ea) Total each additional s100.00 or fraction thercol,to and including S10,000.00 Inspection of existing plumbing or for 510,001.00 to S25.000 00 S 148.50 for the first s10,000.00 and SI 54 for which no fee is specifically indicated 90,00 hr each additional S100 00 or faction Om col.io (minimum charge— 1)2 hour) . and ins luding 525,000,00. inspections outside of nonna I business 90.00 In. S25,001.00 to S50,000.00 $370.50 for the fast 525,000.00 and 51 45 Int hours(minimum charge—2 hours) . each additional 5100.0);or fraction thereof.to Reinspection Fees 90.00 hr and including 550,000.00 S.50,001,00 and up 5742.0t1 for the first S50,000.00 and s I 20 for Additional plan review for resisions 90.0011r I each additional s100,00 is Ii00thercot (mini num charge— 1 2 hour) , Subtotal: .. ....... .„ ..--... 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace Plan review is required for any of the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry:Font , II Any new commercial building w ith water service 2"and Bath -Tub Shov.er -Jacuz.zi Whirlpool . greater,except systems designed and stamped by licensed Car Wash -Each Stall engineei, -Dri‘e Thru 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. Cuspidor Water Aspirator . Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. • -Domestic - . CI Any multipurpose fire sprinkler NYqiCM. Drinking Fountain 0 Any complex structure as defined in OAR(11 8-750-0040, Eye Wash . - Floor Drain,sink Submit 2 sets of plans with any of the above. Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic—non-food Disposal -Domestic—food related that meet the qualifications above. -Commercial—food related -Industrial-food related Ice Mach.'Refrig.Drains Oil Separator(Gas Station) . Comments regarding fixture work: ,..., Rcc.Vehicle Dump Station Shower -Gang -Stall ' . Sink Lay -Non-food related . . -Bradley . • -Commercial-food related -Service .. Swimming Pool Filter *Note: If the fixture work under this permit results in au Washer-Clothes increase of sewer EDI's,a sewer permit will be issued and Water Extractor Water Closet-Toilet . fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: G: Plans\Plats',Summit RidgoPermit Does\PLMF_PennitApp.doc 2 Albert Shields From: Sent: To: Albert Shields Wednesday, October 12, 2016 6:12 PM eswee Shield orton.com Subject: heritage Crossing MST2016-00405,406,407,408, &409 Attachments: Conditions - 10-12-2016.pdf Emerald, because the conditions of approval that are highlighted on the attached list have not yet been met we cannot 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. Albert Shields City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T l a lz D Building Permit Review — Residential Building Permit #: l'''7.5.77.2--0/C- -- nO 9,,,F. Site Address: /Sys(, `S) yl,/t. r L _. Project Name: /L,li CD.--C-Ci Lot #: `" / (New dwellin�ivision name;Additi r Alteration=last name of owner) Planning Review Proposal: ✓ A) FI Verify site address/suite# exists and active ' permit system. O.liver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: hree(3) copies of site plan 1 •''' sting structures on site dte plan must be on 8-1/2"x 11"or 11 x 17"paper r ootprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) i.or elevations rAi 1orth arrow 77 Utility locations (required for new,may apply for additions) ie o address,project or subdivision name and lot number J 's,cation of wells/septic systems plicant information(name and phone number) 7k sting trees to be retained with drip line,and tree t dimensions and building setback dimensions otection measures L11tot area,building coverage area,percentage of coverage and 1reet tree size,type and location [ rpervious area(applicable if R-7,R-12,R-25&R-40) Street names operty corner elevations(2 foot contour lines if more than 4 foot differential) ETV Clean Water Services—Service Provider Let r(lot platted prior to 9/10/1995): equired: E Yes,applicant was notified No Received: ❑ Yes E No Public Facilitilf Improvement(PFI) Permit: ' -quired: V Yes,applicant was notified ❑ No Applied For: 1] Yes ❑ No,stop intake [r J.and Use Case#: II Dell .dtI,i <-9.4,— 0 ; 0'2/S 1�' 070'/[(i'C 6VOcie W3 '.Zoning: I—ia equired Setbacks: Front g '>Q'cRear / Side L/ Street SideAM-Garage pr andscape Requirement: 00 V/Lot Coverage Maximum: T5J Building Height: Maximum Height OS— Actual Height cca Iie // t'isual Clearance 'Al! Easements i7 °.ensitive Lands: ❑ Yes ❑ No Type VA Urban Forestry Plan ❑ Conditions "Met" or to�i suance of building permit Notes: l?t`177Gk$ , /..k)1 /) A ‘thr -7i 1,-(203/ 1- > ,.W.L I Approved By Planning: ® .�,, A' Date: /I M , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: (e/10/(A) Site Plans: # 3 Building Plans: # Building Permit#: [ Enter building permit#above. Workflow Routing: -O'Planning PZ•;-Engineering Eh-Permit Coordinator E'guilding Workflow Sign-off: D---Sign-off for Planning(include notes from planning review) Route Application Documents: ❑'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. RI/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 110741 _ By Permit Technician: e'' Date: /'a////,6 x , Engineering Review Slope at building pad: /f ❑ 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: El Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approve b Engineering: Date: Notes: &, 4.r. -54 .9 las r7 P -0 tel/-fir.. � Approved by Engineering: /VZ 2' Date: "le-.)--/f—/Z Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit pproved,NOT Released: Date: ib/11.--pl.„., 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: yr2DC Fees Entered: Wash Co Trans Dev Tax: VIP es ❑ N/A Tigard Trans SDC: C: es El N/A Parks SDC: r-: Yes III N/A K to Issue Permit pproved by Permit Coordinator: Date: i1 /4/1 I:\Building\Forms\B1dgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15456 SW APPLEWOOD LN, TIGARD, OR, May 30, 2017 at 11 :12:31 AM 97224 Record Type: Record ID: Residential - Master Permit MST2016-00408 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: No AC installed at this time. Electric cook top range installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15456 SW APPLEWOOD LN, TIGARD, OR, June 5, 2017 at 2:18:13 PM 97224 Record Type: Record ID: Residential - Master Permit MST2016-00408 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 Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test verified C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15456 SW APPLEWOOD LN, TIGARD, OR, June 1 , 2017 at 10:09:27 AM 97224 Record Type: Record ID: Residential - Master Permit MST2016-00408 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Condensate line for HP water heater not connected. No water at left side Lay in master. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15456 SW APPLEWOOD LN, TIGARD, OR, June 1 , 2017 at 10:12:24 AM 97224 Record Type: Record ID: Residential - Master Permit MST2016-00408 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Breaker lock for dishwasher on wrong breaker( 18 is labeled disposal) or panel mis labeled. All else appears ok. Violation Summary: Inspector Contractor