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Permit (239) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00480 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2016 Ttc;A D 9 /7 All Parcel: 2S111DA19500 Jurisdiction: Tigard Site address: 8561 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 14 Project: Heritage Crossing, Lot 14 Project Description: New SF.4/25/17 REPRINTED: to add NC unit. Placement of NC unit must comply with manufactures installation requirements. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 701 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 991 sf Garage: 340 sf Front: 15 Smoke Dwelling Units: 1 Third: 327 sf Right: 4 Detectors: Yes Total: 2019 sf Value: $244,690.31 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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: 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 addI 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 2019 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 87239 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,451.49 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 reAh.quires 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 copy of the rules or direct questions to OUNC by calling 503.232 17 or 1.800.3322,233444. Issued By: ��Y� Permittee Signature: Sr?-J `l t/K c h P2-1 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. RECEIVE; . Niceliattical l'et rtlit Application t-1,Aittit t I ,I 4 4‘4 i *4 a ,. ( #1 N i)1: 1 ig.tirti APR 2 0 2017 . . , -, , q ,z5i7 /.... . --,, , 51-2-01(o- OOLI a.0 ,..,- , ...... , , „„,„. , , CITY Of TIGARIJ '. BUILDING PET'SIO (- -- - '"' '-'-- ---------. -'-- -`"''- - " --"- -'- -, tvpr, OE V.40,41.K 4fi-...„.„..,,,• .:4,,• • ,,,',.^ '4,1•-..• XP;',"iHx, ',',1‘;t , 1,4;`, ,*,).4.4 Atol4Sti..,,C ,,..j t 1-,%, , ''''''..!',74„1',4'4•2-..4..!'t^,'.„14,41,L.,^.('''_"'"' -,---'..'''' .- ,...,,,,. . , cAttomy OF COSISTAUCTION '''''''''- ' ' ii4 ' Vet . .....,,,, C.2),IktdP't ..)1P ti i. ..J . ' )PIp,IR)V.", n ,... ,, :,,,,St,•, ,, i TOO SITE 4741,0414,1AT407,4"OM 44tICATMA 1 • , • 4, ..o,. , -r . . * ., .. ..., ."' I i . . f t .14.4---/-1 t ,' "..'st.„_'.!.2' 4',‘," , . . , , • ' , •4 .•;•,..,t , 4, •.,',- 4" - , ., s•••• •,,, It-‘0.rirklijy,C if-^0' ''‘,",‘„)%0 , • , 4 • ,,- 4,,.....,. ...„.,', ' '^ 4 --' ,•',,••••,,,,..•4 4,4.,,,,,tt.•,t , t - ,• , 4 ...•.,;.44.,... - • . . 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' , ,t' CUIU ) •• ,... , I Oft pt 11.4011 0014,4,04.a4 v444,e '• 1er4I441 IK 10'A.A.,. 1444,,, . 1414, 1411,141' .q 4t.,4 Ivi)It,q,o4,4 CITY OF TIGARD MASTER PERMIT 141 -1 - COMMUNITY DEVELOPMENT Permit#: MST2016-00480 T I i;;'„.R.1---, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2016 Parcel: 2S111DA19500 Jurisdiction: Tigard Site address: 8561 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 14 Project: Heritage Crossing, Lot 14 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 701 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 991 sf Garage: 340 sf Front: 15 Smoke Dwelling Units: 1 Third: 327 sf Right: 4 Detectors: Yes Total: 2019 sf Value: $244,690.31 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea 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 2019 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: $28,399.13 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 obtain he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /� Permittee Signature: _.i ) 4.07,eie..2 ...e.;\ 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. funding Permit Application .t,.t.703,,1':.iie• Residential Jt ..: 1..•-'-..-.'3.,:,-.'s.at,ft. City of Tigard , Dal,B e) / AlMoll "tenon No 7-, /to_ Leo 13125 SW Halt Blvd..Tigard,OR 9724 Ns ) 111 1,,tt:tc, Plan kg\lei% Phone. 503 718 2439 Tax, 5035989 "•,. - ,.., /'\:‘),'' ow.ri.,.. .... , ..... C A 1 Otbe,Penult r..r Inspection Line. 5(3.1.639 41-75 - '' 15. - , 'i 3)'.i.e Ptiatis It, Sec Page 2 hat t - _,t. ti,. 1''t't't.' -1 Internet: ww.w c igard-or gos ' ,ixia..Metthld pptemtntalinforinita ._.., TYPE OF WORE t.,, ..,:t i-VA '. ..: s(1,...tt REQI1IRED DATA:1-AND 2-FAMILY DIA TEEING . . is New construction 0 Demi*is i:Ii„., Permit fees*are based on theN'TiT;,Trihe-70rf;Nrronned, Indicate the value(rounded to the nearest dollar)of all 1 0 Addition/alteration/replacement 0 Other - equipment.materials.labor,oserhead,and the profit for the 1 work indicated on this application_ _____1 CATEGORY OF CONSTRUCTION Valuation: ' wt I-and 2-family dwelling 0 Commercial/industrial * ..--t 0 Accessory building 0 Multi-famil Number of bedrooms: _***3y — -- -1 . 0 Master builder 0 Other. Number of bathrooms ry.lita. ; JOB SITE INFORM ATION AND LOCATION Total number of floors. rt... - • --: Job site address: S-(.1, ,SW Julry.twf _ . ,„ New ti"e1111114 area: r square feet ---1 City/State/ZIP:Tigard, OR 97223 Garagecapon area: ___________ N, ISuite bldg./apt.no,: Project name 1 -vl 1 i ,,, i k.A.t' C'osered porch area: 3 square feet • I" 1 Cross street/directions to job site: Deck area square feet 0 1 ,1 r Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHE(KLIS1 1 Subdivision: Lot no.:1 Permit fees*are based on the saltie of the work perfor __med I Tax map/parcel no.: Indicate the salue(rounded to the nearest dollar)of all equipment materials,labor,oserhcad.and the profit for the 1 DESCRIPTION OF WORN, work indicated on this a ttlication, 1 Valuation: S 1 New SFR Existing building area: square feet New building area square feet e PROPERTY OWNER 0 TENANT Number of stones' ----I I Name: DR Horton Inc. Type of construction: _...... --I Address: la is A • . ## Occupancy groups. _I 1 City/Stale/ZIP:Portland OR 97239 Fxisting: Phone:( 503) 222-4151 Fax:( ) Nen- ------- 0 APPLICANT .0 CONTACT PERSON BUILDING PERMIT FEES' ----' 1 Business name: DR Horton Inc. Please re er to ee schedule 1 _______4 Structural plan reviess fee for deposit): Contact name:Emerald Weeks ---- FI S plan resien fee(if applicable): , 1 i Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: ! CitY/StaeIZIP: Portland OR 97239 --, i Phone:(503 )222-4151 x1107 FAmount receised:ax,.( ) E-mail. esweeks ,drliorton.com Cb Inc....,_ CONTRACTORPHOTON'01.,cm( SOLAR PANELS\STEM TEES- _I mmercial and residential prescriptive installation of ' roof-top mounted PhotoVoltaic Solar Panel System Business name: DR Horton Submit two(2)sets of roof plan with connection details Addressi4380 SW Macadam Ave Suite 100 r..._ clt:,,statezIP: Portland, OR 97239 __________I and fire department access,along with the 2010 Orcgon 1 Solar Installalion C ecioity Cock checklist. Permit Fee(includes plan rex iev. \180 I lit and administrative fees): Phone:(503 1---- CCB )222-4151 fax , ( t State surcharge(1')%oft:mann fee f — ); lie.: 130859 S21.60 , ..__1 Total fee due upon application: .....____ Authorized signature: .. : " This permit application expires if a permit is not ohttained within 180 clays after it has been accepted as complete. Print name- ...7.--;.,7‘..---._ Date'2016 ' Fee methodology set byl ri-County Building Induxtry ,..r.,., ",.. Service Board. I Building.Pennits ERIP-RESPenrmApp.doc (1224201; 440-4b131(11 02 COM'WEB, r ec h:i t c ? . Permit A aat of 4'41 I( a c* . " C• ity ►r r ; - ; _ , 4 ` intern,1 t, :Th,A•41 lot xe,rf Sill a t} #t3 ist tatrtt.,t,rd, " 4i a,r ttr 4t i " r$4 ` -. ./ '4 T Fes' tr�x aF6�#s9iM za 44. � w � t i r a �.xa°�,dp=�-d& ff �.a .°t „1 ,334r._� l,xa.e�e�3e4.4.r4r+F:.•aart. 3,c.,.a�t, t9 .4 414 4; t.a «r rPf Nom.•.TM�.1 •,M'?�. 4 _� .., ... ., e i t4 3 e , S a r N 4 e ra ,rz .r ,� .o Oki ,_�� tr,: 1' gg '� x DR F oortu rt ►r ,v, I. 4�, a k e �,. 4 'ed.444 4'418()S‘teNt' Nlattadatil Ivc Stt tit lilt) sl OR 9 it d '+^ 9 -tct, 4)R ilttrton 4t g 1,s.._.... ge� .....,....d.,.:, ,.,..,,�.�_...�_....._,,,a.�,. ».. ._.......... d ..o ,.m iii 7 d at�9,t;rix il Pt°@.,a a:. = S i � `:(Y nter" {, nt c k oar a 4.180 sW N1acatiL. z A tot\tete 100 ") /P.' Portland,OR 97219 it 7i xs : ; "PP); 4.151 AI or E,tr t'i.na t $ ,,,m..__ .. � � .,,..,.;»-m a,�. ,..�. _ .>,....._...m...— �. .ter' �"�, ,�` r ..., a &• '" �, tOt%t,PF$fttUItr. `-m _ ..�. v. , p, ,_ ,.__ n,. �.�. _ .�..-... ._ - _s tc•x��,r,�na;t�'F"da4�_ e s�n�r d�ptx rn=t ra,teat,unt ra��.��b�at ,��. +'aA3 p44,, s ,y.9�.raa. ,,,51,gas Electrical Permit Application 1 ob:01.1•icy. [.til O\1.1 • City of Tigard i y ' f� .,vea 13125 SW Hall Blvd.,Tigard,OR 972238 3.. 7 ':teBy: Permit Na: 1�S ' vD��J k "' • Plaa Review V"L4 '•• Phone: 503.718.2439 Fax: 503:598.190 r �' „ ,i,ry Inspection Line: 503.639.4175 Date/By: Other Permit Internet: www.tigard-or.gov Date edO.40 0 Jodi: I B See Page 2 for U T 2016 NonSed hTdbod: Srrpplu.e.tat taforoatios TYPE OF WORK ' ®New construction 0 Addition/altet'ati /m. a ( ` rta , Please check all that PI AN RENTER t it, Aft!) (submit'sets of pians wAtems checked below): ❑Demolition "r 1 ; ©Service or feeder 400 ampsor moreBuilding ❑Other: ' t T:13 'f 1, .g �'sl,, �,• ❑ over threeystories. CATEGORY'OF �►r(t�{JjleR the available fault current Marinas and boatyards. CI70N exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ I"and2-family dwelling ❑Commercial/industrial Q Accessory building less to ground or exceeds 14,000- 0 Codimercial•use agricultural amps far all other installations,ID Multi-family 0 Master builder tions. buildings. ❑Other: ❑Fire pump' ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION Emergency system. larger separately derived ©Addition of new motor load of sysrem. Job no.: Job site address: __ �' l` / 10011P or more. p occ en "1.2' '1.3„ �S(o I ,S(�tr .4i &Ai, R creation City/State/ZIP' Six a more residential units. 0 Recreational vehicle parks. ❑Health-care facilities. ❑Supply voltage for more than Suite/bldg./apt.no.; �A ❑Hazardous locations, 600 volts nominal. Project name: � l v` �&5`)�`1 t 0 Service or feeder 600 amps or more. Cross street/directions to job site: FEE SC73EDiJLE Nun=doe IMMINIZMIN r a_ _ Ma —y New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: J,Lot no.: (Lr 1,000 sq.ftor less 1b8:54 —101 Tax map/parcel no.: Ea,addl 500 sq.ft,or portion 3392 �� DESCRIPTION OF WORK Limited energy,residential ted above s..R 75.00 Limited energy,multi-family ■ residential with above ..It 75-00 MID Services or feeders installation alteration,and/or relocation 200 mops 01 lass 1111 0 PROPERTY OWNER I . ❑ TENANT 201 amps to 400 amps 133,56 isi Name: 401 amps to 600 amps MI200.34 �© Address: 601 amps to 1,000 amps 301.04 ©' Over 1,000 amps or volts — City/State/ZIP: Temporary services or feeders installation,alteration, � relocation Phone:( ) J Fax:(` ) 200 amps or less II. 59 25 08 �� Owner installation:This installation is being[rade on property that I own which is not 201 amps to 40p amps 11111 125 08 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 40l amps tor 599 amps Owner signature: Branco circuits—new alteration or extension • r .anel Date: A. —. Fee for branch circuits with ❑APPLICAr'n 1 l 0 CONTACT PERSON above service or feeder fee, Business name: DR Horton Inc each branch circuit 7.42 2 B,Fee for branch circuits without Contact name: Emera Wee cS service or feeder fee,first e branch circuit 56.18 Address: 4380 SW macadam Ave Each add'?branch circuit 2 Miscellaneous service or feeder not included City/State/ZIP: Portland OR 97239 Each manufactured or modular 5()3 �ZZ-�]y1 dwells: service and/or feeder 67.84 Phone:( ) I Fax::( ) a Reconnect only - 67 84 El E-mail: 1111111131:3111111111111E1 Pump or irrigation circle CONTRACTOR . Sign or outline lighting r 67.84 Business name: /)� L gt. ,-.1-t,.; .1--/...- -,....c-- Sigel,all cuit(s)or limited-energy pale 2 © !n�t g ✓17 /_G r: el,alteration,or extension. III Address: Z,47. 41 �i/ ,f /^� '�L //o tl Each additional in crop over allowable la art'of the above �!/ tC7 ,� 4.p Additional inspection(1 hr min) City/State/ZIP: y / � �/ ^ ©f/ / / Investigation(1 lit min) V[�' h �i(j/-(�i 1/ . V vel. ‘9,16‘ © b b ( 66.25/1111 �11 Phone:(3t /,— - -,5--,p..,9 f Fax: ' 3 Industrialspectplant(1 min) 78.18/hr ■ f' 2.6.4%., ��✓� o � � Inspections for which no fee is 1111 CCB Lic.: ✓ Electrical Lic s. ifiicall listed Ya hr min 90:00/hir [Z3� I Suprv.Lia: /793 S IllimitanErt Suprv.Electrician signature,required: 2i4 Subtotal: Print name: ) L Plan review(25%of permit fee): C/(3....„1„,_,,,, 6 , ,_ a rrt ( Date: State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: This permit application expires if a permit is sot obtained within ISO �/ J Date: days after it has been accepted as complete, L1BuildinererraIWH7.0 Pam tApv ' Number of inspections allowed per permit, 440-4615T(1 V05/nom/yen Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: — - RESIDENTIAL WORK ONLY': 1 FEE SC HEDULE Fee for all residential systems combined: $750 0 Reneliable electrical energy systems: ; Check Type of Work Involved: I ka er k 5ftl Lu c I 13 5r- 2 Audio and Stereo Systems* Issu 14 — Wind generation s;$stems in excess of 25 I(‘a: I Burglar Alann - 3 5, '1 1,,1,./U kNa s I I XJ Garage Door Opener* ' 4 >1*)k (cc I,a,.:niddnce i - -- ‘s OAK 5/I N-1n9-004; —1111— xl Heating, Ventilation and Air Conditioning System* Solar generation systems in CACCSS(425 Icsa: 11 I ach addith — ma:kya'nal:5 ; ir 1 I I Vacuum Systems* !no Ion—co dckMional E Each additional ins.ection over allowatille in any of the above: I I Other: Each ddclinona!inspeuton ; charged al an hourly(1 hr nun) Inspecuon r whieh nr- -e III OHO ,i/ , , 111t, 11 fisted( 111 IOU) COMMERCIAL WORK ONLY: - ELECTRIC AL, PERMIT FEE,. Fee for each commercial system: $75.00 Subtotal(Enter on Pap: 1) Number ol inspeennn,all 41 per permil (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems I Boiler Controls I I Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC ri Instrumentation F1 Intercom and Paging Systems I J Landscape Irrigation Control* I Medical Nurse Calls 1— Outdoor Landscape Lighting* 1 Protective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Flui'chrh:Pc1,111 If( Puuc'up I IA Eki k E. aI' ',s1' , • 4 Plumbing Permit Application Building Fixtures .,,,, i , 1 , r -'''''' 4*e'' )'' FOR Of 1.1(F. I.SE ()N1.N. '‘ik'', 1 . `,.., City of Tigard 1 j,, .-v- ' Remitted , . i i." 1111 * 13123 SW Hall Blvd.,Tigard,OR 9'42 Date/By. pe AMt N 0..TylcATize,...titr.) 0, h t. Plan Review II Phone: 503.7)8.2439 Fax: 503.598.1960 Other Permit No., TIGARD Inspection Line: 503.639.4175 C:C I. ° heti 0 Set iTage 2 for Internet: uMene.tigatili-Otgov , i,.1301tirRliadyti/By., Supplemental Infonnsitioa ' *r. • TYPE OF WORK-tl'N', k.)- - '-. ,,c-. tt-1\''':, .. .FE * SCIIKOULK, '04' ,, rkl.\;'h.j.), ' 0 New constntetion 0 ' .t:tiovii.A.,13 v' - For special information use chedalat Description, f Qty: 1 Ea. r Total „, 0 Addition/alteration/replaterrtent 0 1 '.• New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONS1R1ErTION SFR(1)bath 312.70 0 1-and 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/lcitchen 25.02 0 Master builder 0 Other: Fire sprinkler( ,sq.ft.) ' Page 2 JOB BITE-INTORMATION:AND LOCATION ; Site utilities: Job site address: Catch basin or area drain 18.76 I r.()le i DIA., 3(114,41, (eLe, . . r Dr well,leach line,or trench drain 18.76 City/State/ZIP: ' Footing drain(no.linear ft.: ) Page 2 Suite/bIdgJapt.no.: [Project name: ...,c \/\k- 1 AA -,1 i'1 •11% ' Cross strManufactured home utilities 50.03eet/directions to job site: ..ii Manholes Plc2, 3 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.. ) Pagel Subdivision: Lot no.: iti Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve 12.51 DESCRIPTION Or WORK Clothes washer 25.02 Dishwasher 25.02 . l'iNIN.‘,1 9.....--• Drinking fountain 25.02 Ejectors/sump 25.02 ' TENkary 0 PROPERTY, OWNER 0 ' Expansion tank' -1 ' 12.51 C,, Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:. --k10st, .-,,,k3 y\a?„,..op i e ,‘ ct A-LA- ,9 Garbage disposal 25.02 City/State/ZIP: V 0,, c>,e..... oria... Hose bib 25.02 Phone: ) 3n3... . 4\Cti, Fax:( ) Ice maker 12.51 . 0 APPLIO1NT 0 corrrAcT PERSON Interceptor/grease trap 25.02 Medical gas(value:$_) Page 2 Business name: 3>z,. \ I vk,c....) Primer 12.51 Contact name: Vc.5. 11 1 01 ' ''... / „S 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: cs, , (6 ,,,,, (.:Ay IA . Cowl Urinal 25.02 Water closet copri-aAcroR . 25.02 . - Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address:1601 SE RIVER ROAD Other: Subtotal City/State/ZIP:HILLSBORO,OREGON 97123 Minimum permit fee $72.50 Phone:(503)640-0113 Fax:(S03)640-4483 Plan review (25%of permit fee) CCB Lic.:94689 Plumbing Lie.no.:34-260PB State surcharge(12%of permit fee) Authorized signature: 400,„ „:: Ill__ 1_ 1 , TOTAL PERMIT FEE Print name:RAY MULLEN / Date: This permit a pplitotioa expires it a permit is as Guldens within In days atter it has bees stormed as complete. 'Fee methodology set by Tri-County Building Industry Service Beard. I hauddippermitsPlAtti-PersolitApp.doc 10101/09 44046161(I0/021COMAVE11) 111 City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT T1cARo Building Permit Review — Residential Building Permit #: ,?d O6—0d 1e, Site Address: ?sl � } �� � Lorp Project Name.• , �� (3.- , Lot #: l - (New dw It=subdivision names 'on or Alteration=last name of owner) Planning Review Proposal: it t] ie Verify site address/suite#exists and active in permit system. NCi( ❑ River Terrace Neighborhood: ❑ No ❑ Yes,See River Terrace Review Addendum Attached Si Plan Elements: ree(3)copies of site plan I. . sting structures on site ig.to plan must be on 8-1/2"x 11"or 11 x 17"paper 'A Footprint of new structure(including decks)with finished 1111 rawn to scale(standard architect or engineer scale) oor elevations orth arrow Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot numberEVI cation of wells/septic systems [.plicant information(name and phone number) 24.r sting trees to be retained with drip line,and tree U •t dimensions and building setback dimensions r otection measures 1.Lot area,building coverage area,percentage of coverage and TA treet tree size,type and location pervious 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) Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Iiiequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Faciliti s Improvement(PFI) Permit: /Required: Yes,applicant was notified No Applied For: es ❑ No,stop intake Eland Use Case#: e� , A j'O 7S / C It Zoning: e equired Setbacks: Front /5"" Rear /S"' Side !i Street Side 419 Garage c2C, Landscape Requirement: 2O 0/0 of Coverage Maximum: rd Building Height: Maximum Height '3S Actual Height37 td isual Clearance M Easements ensitive Lands:ill ❑ Yes EKTo Type Urban Forestry Plan CIConditions "Met" rior to issua ce of building permit Notes: /' ,• w ` /1—' /" 'Cs i, .'ii . :2' i-,11AIMMIA, /IOW Approved By Planning: -" ''�� Date: fflio , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPermitRvw REs 091216.docx Building Permit Submittal Original Submittal Date: /1//3//fr Site Plans: # Building Plans: # Building Permit#: er building permit#above. Workflow Routing: arming D--Er-Peering Q—Permit Coordinator B—Smiling Workflow Sign-off: ig-off for Planning(include notes from planning review) Route Application Documents: 13--Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. t`ng: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ` _ _, Date: Engineering Review g, Er Slope at building pad: L/ Conditions "Met"prior to issuance of building permit ZEasements (encroachments)per engineering conditions of approval and plat C2'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ©'No Assess Water Quantity Fee in-lieu: ❑ Yes Er-No LIDA Facility on lot: ❑ Yes [ l No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: IA, f y E+e2 Date: I 1 �.B—117c, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: krc7Yes ❑ N/A Tigard Trans SDC: 'Yes ❑ N/A Parks SDC: Yes ❑ N/A ©'OK to Issue Permit Approved /147/tio' by Permit Coordinator: Date: �I I:\Building\Fonns\BldgPennitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8561 SW SCHMIDT LOOP, TIGARD, OR, 97224 July 5, 2017 at 9:32:11 AM Record Type: Record ID: Residential - Master Permit MST2016-00480 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Gfci in garage not resetting in garage. 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: 8561 SW SCHMIDT LOOP, TIGARD, OR, 97224 July 5, 2017 at 7:22:47 AM Record Type: Record ID: Residential - Master Permit MST2016-00480 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide all approved trade finals, final erosion control inspection prior to building final inspection. No 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: 8561 SW SCHMIDT LOOP, TIGARD, OR, 97224 July 5, 2017 at 9:36:13 AM Record Type: Record ID: Residential - Master Permit MST2016-00480 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Fix all cracked grout at master tub and Lay backsplash. 310.4 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: 8561 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00480 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8561 SW SCHMIDT LOOP, TIGARD, OR, 97224 July 5, 2017 at 9:31 :07 AM Record Type: Record ID: Residential - Master Permit MST2016-00480 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8561 SW SCHMIDT LOOP, TIGARD, OR, 97224 July 11 , 2017 at 1 :52:00 PM Record Type: Record ID: Residential - Master Permit MST2016-00480 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 received C of 0 left on counter. Violation Summary: Inspector Contractor