Permit (244) CITY OF TIGARD t MASTER PERMIT
al
111111 2
COMMUNITY DEVELOPMENT ,^ Permit#: MST2201 00409
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2016
Parcel: 25111 DA00400
Jurisdiction: Tigard
Site address: 15432 SW APPLEWOOD LN
Subdivision: HERITAGE CROSSING Lot:
Project: Heritage Crossing, Lot 55
Project Description: New SF. 3/23/17: REPRINTED permit to include A/C unit.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 709 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1034 sf Garage: 390 sf Front: 11.25 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 4 Detectors:
Total: 1743 sf Value: $216,075.93 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
Tubs/Showers: 2 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: 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'I 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 1743
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: $27,909.90
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 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: c +
I Permittee Signature: , /74fen 77e)/v
dJ.
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.
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t JOB SITE INFORMATION AND LOCATION
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Addr‘''''4.180 SW Ivlacadam Ave Suite 100 r(ledir.*tirviet ctitiA14-4
(111 4.1;21c/IP Portland,OR 97239 ,snwk.-4.3 cshaust throliroorro. -7-1--1 —14:11:14::
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11"1': (503 ' 222-4151 i,... . 3 Atto°t.riV.i.,11,tii.:C i an,
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0 AP?UCANT lli CONTACT PERSON 1 1 htx:r - ...—
:Fuel piping:
" 'th: 1)R Horton Inc.
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1.,,114o natrs: Emerald Weeka ; iturmice.ctc
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Adtkn's, 4380 SW Macadam Ave Suite 100
_______ _ ______ ....
til,Marc 111':Portland,OR 97239
14.'"''''. 1503 '222-4151 x1107 a x':1 p...Cidi fic.st puttir _
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CITY OF TIGARD MASTER PERMIT
N --i COMMUNITY DEVELOPMENT Permit#: MST2016-00409
T r G ARC-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2016
Parcel: 2S111 DA00400
Site address: 15432 SW APPLEWOOD LN Jurisdiction: Tigard
Subdivision: HERITAGE CROSSING Lot:
Project: Heritage Crossing, Lot 55
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 709 sf Basement: 0 sf Left 4
Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1034 sf Garage: 390 sf Front 11.25
Dwelling Units: 1 Smoke
Third: 0 sf Right 4 Detectors: Yes
Total: 1743 sf Value: $216,075.93 Rear: 16
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0
Y Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100
SF Rain Storm Sewer 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0
Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 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'I 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: OccupancyGroup:NEW Square Feet:
SF VB
R-3 1743
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: $27,812.54
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 . . e rules or direct questions to OUNC by calling 503 . •87 or 1.800.332.2344.
Issued By: -
.� Permittee Signature:
'/e.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Building Permit Application •
t , /1-ia _ , s 0 ' - ,. ....% -•,,,,,,,,::..,f,4,4...,
Residential ',....i,' 'ry,':(''''. '.-'1 ''' .:'''' -. ri'R twl "1- # I:4"4 V
City of Tigard R'c'ed / 1/// /lo lir=lb r Penn'.NiZr72-0>%-40 Ile?
lc Oak 14). - 6 ' -
4 13125 SW Halt Blvd,Tigard,OR 97223
71
LI c r 0 ,:i. 2.0 1 u Plan Re‘teu
* nom:- 503.718 2439 Fax. 503,598.1960 -- Date By. ) )- 3 -i C `ri othe,Pernjki4,2eV6-40347,
_
1 ,,, , 1_.1, Inspection Line, 503,639 4175 . .. c . •;.,,-,L , ,,'-.,',:"" Date Read)8)- _ S.et Page 2 for
Internet: www tigard-oro) Methml if ift,i/t„ Supplemental Information
,
-tA1f4i/7cer
TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING' I
Cal New construction 0 Demolition Permit fees*arc based on the x aloe of the work performed. i
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other
equipment,materials.labor,ON erhead.and the profit for the
CATEGORY OF CONSTRtiCTION
work indicated on this application,
,--
Valuation: $ a.I (,), ('I -75 !
a I-and 2-family dwelling 0 Commercialindustrial
Number of bedrooms: 3
0 Accessory building 0 Multi-family
0 Master builder ' 0 Other Number of batbror....
....,_
JOB SITE INFORMATION AND LOCATION Total number of floors. a a. ) 33
Job site address: (S113 . GSV" 4 pple4A,44,4, 144.4(\t---' New dwelling area: (7/3 square feet
...
ciryistaieziP:Tigard, OR 97223
Garage carport area: j?c7 square feet
,
Suitebldglapt,no,: FPrtis 1- tiaa,e. c„,tro:to,,,,,( Cokered porch area:j. 4'16, square feet, 0:44,
Cross street/directions to job site: -,-/ Deck area. j 0 1.4..1 square feet j--'0 ci
----)• _
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CITE('KLIS 1 1
Subdivision:
I Lot no.:(5,:r Permit fees*are based on the salue of the work performed
Tax map/parcel no.:
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,oserhcad,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
New SFR
—
Existing building area: square feet
New building area: square feet
El PROPERTY OWNER 0 TENANT Number of stone
Name: DR Horton Inc. Type of construction:
Address: 4380 SW Macadam Ave Suite 100 , Occupancy groups:
City/State/ZIP: Portland, OR 97239
Existing:
Phone. ( 503) 222-4151 Fax:( )
Ness:
0 APPLICANT e CONTACT' PERSON BUILDING PERMIT FEES
_
(Please refer to fee AChedut9
Business name: DR Horton Inc.
Structural plan review fee(or deposit):
Contact name: Emerald Weeks
-.. FI S plan resiess fee Of applicable):
Address: 4380 SW Macadam Ave Suite 100
Total fees due upon application:
City/State/ZIP: Portland, OR 97239
Phone:(503 )222-4151 x1107 I Fax ,( ) Amount received:
PHOTOVOL rAik SOLAR PANEL SA STEM FEES'
E-mail: esweeks@drhorton.com
Commercial and residential prescriptive installation of
CONTRACIOR
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4380 SW Macadam Ave Suite 100 1 Solar Installation Specialty Code checklist.
I Permit Fee(includes plan Fel ies\
City/State/ZIP. Portland, OR 97239
c iso.00
and administrative fees):
Phone:(503 )222-4151 I Fax ( i
State surcharge(12%of permit fee):
SL1.6±
CCB he.: 130859
Total fee due upon application: sit)1.60
4
...*,
$
Authorized signature- _- '' This permit application expires if a permit is not obtained
'
within 180 days after it has been accepted as complete.
' j' j ' ' j'. : Date.2016
Print name: ; i, 4 i if 4 ' (-...e -. * Fee methodology set by Tri-County Building Industry
Service Board.
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Electrical Permit Applicatioti ',''''. ,, , , ,,• .; - I OR()VI I(
..,
City of Tigard atamr
IN , Received
(*)r r ` ?_0 10 DPermit No./y....57.472cyC-•••00 dye?
.-4.' 13125 SW Hall Blvd.,Tigard,OR 97223 •'''-, 1 ''I '' Plan Review'Irr Phone: 503.718.2439 Fax: 503.598.1960 . , Date/By: Other Permit.
Inspection Line: 503.639.4175 ;l 1 , .':* ' - ,„ pate Readyay: Anis: 65 See Page 2 for
Internet: www.tigard-or.gov ,„ .,..:'2', 'Noti6ed/14dlethod: . Suppkmental haformation
TYPE OF WORK PLAN REVIEW
124 New construction 0 Addition/alteration/replacement Please check all that apply(submit I sets of plans w/items checked below).
0 Service or feeder 400 amps or more El Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY.OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
,...., less to ground,or exceeds 14,000' 0 Coriunercial-use agricultural
U I-and 2-family dwelling 0 Conunercial/industrial' 0 Accessory building amps for all other installations. buildings,
0 Multi-family 0 Master builder 0 Other: OFire pump. 0 Installation of 75 KVA or
i 0 Emergency system. larger separately derived system,
JOB SITE INFORMATION AND LOCATION
0 Addition of new motor load of
100HP or more. occupancy.
Job no,: Job site address: A5-1.I,31- cStA, 4piottA‘444L Ej Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: O Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name; Cvo c_ 5 v..1.0 0 Service or feeder 600 amps or more,
\ f0. 41
FEE SCHEDULE
Cross street/directions to job site:
....,....) Description I Qty. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
, Includes attached garage.
Subdivision: Lot no.:X:c 1,000 sq.ft.°r less 1 168.54 4
Ea.addl 500 sq.ft.or portion „ge 33.92 I
Tax map/parcel no.:
Limited energy,residential •
DESCRIPTION OF woRK . (with above sq.ft.) i 75.00
, 2
Limited energy,multi-family
75.00 12
residential(with above sq.ft)
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
0 PROPERTY OVVNER0 TENAT 201amps to 400 amps 133.56 2
N
Name:
401 amps to 600 amps 200.34 2
' .
601 amps to 1,000 amps 301.04 2
Address:
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
relocation
. ,
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 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Branch circuits-.new,alteration,or extension, r panel
Owner signature: Date: u, A.Fee for branch circuits with
0 APPLICANT 1 ! 0 CONTACT PERSON above service or feeder fee,
742 2
. each branch circuit
Business name: DR Horton Inc
B.Fee for branch circuits without
service or feeder fee,first
Contact name: Emerald Weeks
branch circuit 56.18 2
Address: 4380 SW macadam Ave Each add'i branch circuit 7.42 i 2
Miscellaneous(servke or feeder not included)
City/State/Z1P: Portland OR 97239 : Each manufactured or modular
I
dwelling,service and/or feeder 67.84 2
Phone:( 503) 222-4151
I Fax::( ) / Reconnect only . 67,84 2
.
E-mail: -. , Purnp or irrigation circle 67.84 2
Sign or outline lighting 67.84
2
comraacroa
Signal circuit(s)or limited-energy '
panel,alteration,or extension. Page 2 2
Business name: /414 g(4 (-L-4-1".. C- # fr Each additional inspection over allowable in any of the above
Address:
2 Roily /t/E- Cs---it ,Zi.t...,:e.... _it. /:) - Additional inspection(I hr min) 66.251 hr I
City/State/ZIP: Va-ocok vet.% 1/1/4• Investigation(1 hr min),9,PC C/ Industrial plant(1 hr min) ' 66.25/hr
78.18/hr
Phone:(3Ca 5/f_ . ..-,...5---,c).„9 i Fax:0c°) sSC- 96.60 Inspections for which no fee is
•
specifically listed CA hr min) 90.00/hr
CCB Lic.: 1- 26-V,5;I Electrical Lic.:.CZ 30 I Suprv.Lic.: /7 5,5 s ELECTRICAL PERMIT FEES
Subtotal:
Suprv.Electrician signature,retquired:idif * )...„4e____,,,te
Plan review(25%of permit fee):
Print name:Chcs-k-4 (..) Aar,-i . I Date: State surcharge(12%of permit fee): _
.. ,
Authorized signature: z(, ------ TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: ' Date: days after it has been accepted as complete,
• Number of inspections allowed per permit.
MuildingTemiitAELC-PermitApji
440-4615T(1 I/05/COM/WEB
• Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Docri.lion InEach 1 TZ11-1–•
Fee for all residential systems combined: $75.00
Rencvable electrical energy systems:
5
Check Type of Work volved: or
5.o1 (1,15 I.\1 11151'
-
Audio and Stereo Systems*
le-25 k 'lid 14
ind generation systems in excess of 25 loll:
I I Burglar Alann
n1 so I,\a I I
1(11 I 4 2
1'1 Itio kId
I 552 I
I X1 Garage Door Opener*
'
in a,thoionce
5,1 2f-
v,1111(JAR',1s-10)-0040) 1
x Heating, 'Ventilation and Air Conditioning
Solar generation systems in excess of 25 ksa:
System* T
I ch dJitiiiii5 kv0 cr -
nVacuum Systems* 1 ilk, -iio additional chai:Li- 1 (I
Each additional ins.ection over allowable in any of the above:
La
Other: ch inspethon
(4)2' hr I
charged at an how ly(1 hr min)
Inspection.(.1-which fl'ke III r0) ,1
,CC Iii.:411;. !Ned( hr nun)
COMMERCIAL WORK ONLY: ELEC'TRIU AL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1)
Numba mspection, pei permil
(SEE OAR 918-309-0000)
Check Type of Work Involved:
E Audio and Stereo Systems
I I Boiler Controls
Clock Systems
Data Telecommunication Installation
[1 Fire Alarm Installation
IIHVAC
1
Instrumentation
Intercom and Paging Systems
I Landscape Irrigation Control*
fl Medical
I —
Nurse Calls
Outdoor Landscape Lighting*
Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
FiLtedit4 -ru• FOX Pa-nit App iLt FRI dc, Rc
Plumbing,Permit Annliesttici#
Building Fixtures FOR OFFICE. I.SE ONLY
OCT 03 2016
City of Tigard Received
Date/By
U 13125 SW Hall Blvd,Tigard,OR 912241 ,. ,',,.,' ,' , - ....„ •
7,1 _,..,,i,Noiy,c7-,,„,6„.000,,
: IPhone: 503,718.2439 Fax: 503„.594050 4.-.-- ''''''' , - rtan ReVieW Other Permit No..
inspection Line: 503.639,4175 :'I, I-',!, .',,-I'. - ' '-.*4 ,''Detriar ,_
TIGARD ' ' Date Ready/By: rutis RI Set Page I,for
Internet: www.tigard-orgov Noted/Method: Suinskrnstital Informatio,
TYPE OF WORK . , .PEE* SCHZDUak
0 New construction 0 Demolition For spedal Inforstustion use checklist
Description I Qty t Ea. L. Total
0 Addition/alteration/replacement 0 Other. New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OP copurrattnoN SFR(1)bath 31Z70
0 1-and 2-family dwelling
0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath I 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 Bli'l NINFORS41791":AND LOCATION : Site utilities: _
Job site address: I st./34. .,31 ./ d4f)pliktt, __, brA.At.. Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: .,,
. .1 Footing drain(no,linear ft,:„ ) Page 2
Suite/bldg/apt,no.: Project name: ' At I 1 4
.
II 1 i Manufactured home utilities 50.03
,.
Cross street/directions to job site: 4j 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: Lot no.:TS- Fixture or item: _
Tax map/parcel no.: Backflow preventer 31.27
. - - '. , DESCRIPTION OF-WORK . Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
c2.--- Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY, OWNER . '-L 0 TENANT Expansion tank 12.51
Name: ,MV..._ fivle \ Fixtureiscvmt cap
- 25.02
Floor drain/floor sink/hub 25.02
Address: k....kb53-t, ((''SN,/, ) "%,./\,I;ALO 0 0 ow , -kikr Garbage disposal 25.02
City/Stattal P: K(lk).42.,_ Csg,_ c2411.a.11 Hose bib
25.02
Phone: )')) -.1 -\,,,,,V\ \ Fax:( ) Ice maker 12.51
0 APPLICANT 0 COPITACI" PERSON interceptor/grease trap 25.02
Medical gas(value:S ) Page 2
Business name: ),2 \ 1 0,C.,,,i
Primer 12.51
Contact name: li-..5,\iittot II''I / ,S. ,
Roof drain(commercial) 12,51
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: es,,,ottii6sea, ,2\:,,,V , .,, Cow. Ly.rinal 25.02
Water closet 25.02
CONTRACTOR
. - Water heater 37.52
Business name:EDWARD MULLEN PLUMBING Water piping/DWV 56.29
Address:1601 SE RIVER ROAD Other: 25.02
City/StatetZIP:HILLSBORO,OREGON 97123 Subtotal
Minimum permit fee- $72.50
Phone:(503)640-0113 Fax:(503)640-4483 -
Plan review (25%of permit fee)
CCB Lie.:94689 Plumbing Lie.no.:34-260P8 -
State surcharge(12%of permit fee)
Authorized signature: adir '---
Alle
400IP
, 0
TOTAL PERMIT FEE
Print name;RAY MULLENi
Date: This permit application eapirea if a permit is sot obtained within ISO days
after it has been accepted as complete.
*Tee methodology set by Tri-County Building industry Servite Board,
3 NewlaformitAPLW-PerstitAss.4oc 10/0it09 440.4616TO0/SVCCSAMES)
. ,
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Residential
Building Permit #: /"4J 77„.2_eo6 -- 00 -0- j
Site Address: /S2/30 l() /9,19Zeity .ik Laii.e
Project Name: tn
-iec - C �� �� Lot #: a-
ie/
(New dwe ' subdivision name;11�e1"d or Alteration=last name of owner)
Planning Review �v
Proposal: -e tj g ie
Verify site address/suite# exists and actio in permit system.
1\13Uver Terrace Neighborhood: IlNo ❑ Yes,See River Terrace Review Addendum Attached
VSi Plan Elements:
xee(3)copies of site plan Jir 'sting structures on site
ite plan must be on 8 1/2"x 11"or 11 x 17"paper P%Footprint of new structure(including decks)with finished
Vprawn to scale(standard architect or engineer scale) or elevations
orth arrow Utility locations (required for new,may apply for additions)
te address,project or subdivision name and lot number El/ cation of wells/septic systems
plicant information(name and phone number)itl fisting trees to be retained with drip line,and tree
dimensions and building setback dimensions tection measures
of area,building coverage area,percentage of coverage and yeet tree size,type and location
tpervious area(applicable if R-7,R-12,R-25&R-40) Vittreet names
roperty corner elevations (2 foot contour lines if more than
4 foot differential)
if cclean Water Services—Service Provider Leer(lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified VLJ No Received: ❑ Yes ❑ No
l!J Public FacilitiIS
Improvement (PFI) Permit:
equired: Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake
and Use Case#: ZC•1�QI/S=00C ) Qu, c�,
/7097S--'/7097S--' iehlI7;20fia--A� '
Eoning: P-1,2
Required Setbacks: Front I/ac Rear /� Side 11 Street Side CJ Garage /C
andscape Requirement: Qd %Viii,ot Coverage Maximum:
V uilding Height: Maximum Height :1„c./ Actual Height 1( h'isual Clearance
Easements
0 t:ensitive Lands: ❑ Yes ❑ No Type
I? Urban Forestry Plan
❑ Conditions "Met"lprior to issuance ofbuildingpe t
Notes: CQjY? 1;717G1'►c -TA//1 .9r,�e W iOl r'' ' !`,' 1 1coi'l
��23t'/7Y1
1
Approved By Planning: ■ �, / Date: l/
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\BldgPermitRvw_RES_091216.docx
Building Permit Submittal
Original Submittal Date: /VA//A:,
Site Plans: #
Building Plans: # _3
Building Permit#: E Enter building permit#above.
Workflow Routing: 5-Planning gineering 2---Permit Coordinator EtIcuilding
Workflow Sign-off: Eg—sign-off for Planning(include notes from planning review)
Route Application Documents: D-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
nal plan review routing form.
[ Bu lding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,I IP:,�� Jr- - Date: 1d)////,6
Engineering Review
„A Slope at building pad: SS
❑ Conditions "Met"prior to issuance of building permit
/Easements (encroachments) per engineering conditions of approval and plat
1'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes t No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved .y Engineering: Date:
Notes: . -1" .V___ ,. l/ I/.I, zc' ,J. �- l./ r - _
Approved by Engineering: 4/ d7 Date: lv l/�i
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
7.‘Approved,NOT Released: %/�%/J ate: 1C2i/iiirc.-
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:
76
SDC Fees Entered: Wash Co Trans Dev Tax:
es CI N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: ( Yes ED N/A
K to Issue Permit' 1‘03
/
Approved by Permit Coordinator: d#17Date: I 1 ('q J,,1 1`�'
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
Albert Shields
From: Albert Shields
Sent: Wednesday, October 12, 2016 6:12 PM
To: esweeks@drhorton.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
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15432 SW APPLEWOOD LN, TIGARD, OR, April 28, 2017 at 9:10:38 AM
97224
Record Type: Record ID:
Residential - Master Permit MST2016-00409
Inspection Type: Inspector:
199 Electrical 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:
15432 SW APPLEWOOD LN, TIGARD, OR, May 3, 2017 at 1 :25:53 PM
97224
Record Type: Record ID:
Residential - Master Permit MST2016-00409
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Correction for permanent hard capping at un used stand pipes not done.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15432 SW APPLEWOOD LN, TIGARD, OR, May 3, 2017 at 1 :26:56 PM
97224
Record Type: Record ID:
Residential - Master Permit MST2016-00409
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
AC installed.
Other corrections complete.
Violation Summary:
Inspector Contractor