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Permit (102) CITY OF TIGARD MASTER PERMIT f 11 11.. COMMUNITY DEVELOPMENT f l Permit#: MST2016 00506 9 �//lv'r7111 Date Issued: 02/01/2017 T tta�1 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /a Parcel: 2S111DA24000 Jurisdiction: Tigard Site address: 8505 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 59 Project: Heritage Crossing, Lot 59 Project Description: New SF. 4/25/17 REPRINTED:to add A/C unit. Placement of NC unit must comply with manufactures installation requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 709 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1034 sf Garage: 390 sf Front: 11.25 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Total: 1743 sf Value: $215,718.81 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 RainStorm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 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: $27,854.59 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 503.232.1987 or 1.800.332.2344. / Issued By: .lie p/1 rzerktei4 Permittee Signature: �CiCG71�N?-5y 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. . ECEIVED %lee han ;a1 P t'tnit %jWiicalin { _ j I: > ( ,t� >r ) APR 2 0 2017 i �-/7 i i 5TZOt(o- OJT 1t „ a � r `ttT , , T1G:AR ° ' ),,,t ,,r ,r c -,4i" BUILDING Y�JYI1� DIVISION 1., ,: i p../.gyyy .k Mtii I {.°.v'k eP*... .� ,...--„-....... ............... .. .m:-....,. �� CEOF WORK .x r. , \.ac. +a?a;GF,. .� : \•fuse a.:,,,I,.t,,,,,miss,,,, g„-,4r=-°e.0 OSA%x, '1 c,aa- - ...j,:4,;r.,,e`.-a.,,:,, }„.a LI S t.,,taatptta R ,a 4,4 ',....444..4.,La : 44,t a3a ,< ,•s .,5 1r a.a l 0°Sid'CORSIRIKIRIN._,� , * •-z.""� '=JigY3t; F ate,=n .<�; k2 ?Mtr,<�8fr.§j �.a�s'•.�a ',.::lY•,,,; /ur mr a.6 sur.. +'+aN,•he 411 i)£1si.7 I ,•01,,,,,,-. :I\{,, S I. i ,3,Vi..ot t roti LIA,' ...,•01,, j 04 MIK 1"aCORS4403i A.N.) 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I N „0,-;-,.z 7w —. ro, � R )8 '' j 'i s' t 7 F ''k, l44444i� �1 1 6 p N r P,, , ' 5 < 1'.. r "i rips e.'4" a � 1..b 1 ttv 1 { . i t .rt.JSVµdb`40e0 Vets,E it tatto144 Is b+ .44 ,<1«rtt:., 4415 marc,i is Sn Cie 10aaq,44 4,1151,. 1131, �, <. d -. e . NNW CITY OF TIGARD MASTER PERMIT a II. COMMUNITY DEVELOPMENT Permit#: MST2016-00506 Date Issued: 02/01/2017 TtGA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111DA24000 Jurisdiction: Tigard Site address: 8505 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 59 Project: Heritage Crossing, Lot 59 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: 24 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: $215,718.81 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 RainStorm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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: 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: $27,802.23 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 9 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 322.1987 or 1.800.332.2344. Issued By: pctaa: 23 Permittee Signature: ,X/ —h (111 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. t , Building Permit Application Alia 4f?_' Residential IORt11:11CI. 1sI 011 City of Tigard Received �(� //7 "1 i'" }- 11 ii. 13125 SW Hall Blvd.,Tigard,OR 97223�J(i\I l 9 2 016 Oau.ti�' Perr+'it �'G)/ �� � Plan lie%ieu ` Phone: 503.718 2439 Fax. 503 596 196 Datc tly: J ia . j Other Permit:�j, /✓/ --/y'),(14) t i,, t_ t Inspection Line. 503.639 4175 t i' t , p +� /��Gc2 `v (Yate Read>Hy rur" ® See Page 2 for Internet: www.tigard-or.goi :s it :TMl l , _, t + 1 Notified Method: j 5 Supplemental! ...R' ! Su lemental Information 40. ia . TYPE OF WORK ^REQUIRED DATA:1-AND 2-FAMILY DN ELLING iii New construction ❑Demolition Permit fees*are based on the'aiue of the work performed. — Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q 1-and 2-family dwellingValuation: j"' j ' 0 Commercial/industrial _ $ v Q ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder 0 Other. Number of bathrooms '3 JOB SITE INFORMATION AND LOCATION Total number of floors; a �f a ) 33 OV Job site address: Ul Sw Si,itelor� e_ , New duelling area: 171/3 square feet City/State/ZIP:Tigard,OR 97223 5� _� Garage'carport area: �y� square feet f L Suitelbldg./apt.no.: Project nam' 1� 1V- q CSU ji hCovered porch area: 8-6 square feet )Q 3 17 Cross street/directions to job site: 1 + J Deck area: square feet 709 Other structure area: square feet REQUIRED DATA:COMMERC IAL-USE CHECKLIST Subdivision: l Lot no.:Sq' 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,overhead.and the profit for the DESCRIPTION OF WORK work indicated on this application, New SFR Valuation: S Existing building area: square feet i, New building area: square feet I PROPERTY OWNER , 0 TENANT Number of stories: 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:( ) Neu: 0 APPLICANT S CONTACT PERSON BUILDING PERMIT FEES* Business name: DR Horton Inc. L (P(tasenJerroJreseAKdalo Contact name:Emerald Weeks Structural plan review fee(or deposit): Address: 4380 SW Macadam Ave Suite 100 FLS plan reviex fee(if applicable): City/State/ZIP:Portland, OR 97239 Total fees due upon application: Phone:(503 )222-4151 x1107 I Fax::( I P-.,' Amount received: Sg E-mail:ail: I�r PHOTOVOL r.AiC SOLAR PANELS)STEM FEES.' CONTRACTOR I Commercial and residential prescriptive installation of `j - •.. ~• --- roar=top mounted Photo Voltaic 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 Solar Installation Specialty Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review Phone:(503 )222-4151 I Fax:( ) and administrative fees): S 180.(10 State surcharge(12%of permit fee): 521.60 CCB lie.: 130859 Total fee due upon application: 5,201.60 Authorized signature: '., , ' '- This i I , ( t 3 t c s permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: \ ( "Fee methodology > � t -'� 1 1 1 v' �t � �,._ � Date:2001601 � set by Tri-County Building Industry Service Board. 1:Building,Pennits Bl!P-RESPcnni1App.dac: 02 24,2011 440-4ol3T(l 1:02 COM'WEBt , Mechanical Permit Cii% Of 1'iga rd ill C:le'''',.../ .:14 '•-,''''''''1 :i.t ' . r'''1,1/1/S7A0Kes...005:74...., ,, ''i''SO, ii-di HI,it 11.-,ni I tk, ‘t"2:, E , , 6 - Nurho*. '''ii,-V,‘.‘,',4;',, I i4 .,,;1,. 1,104,,,N i 1 9 2016 „,,, v.i. Inpo.i soft i tx.: C91 I,IA II',-. intc.,10 Si 55',Itr,=t41 .. „,.. ---5-- \I t ?,..f.. R,,1, fi ‘ I , i;Q.VMS1---— -- . -- r------- '--— --i-1-14V;ordi- - - COMMERCIAL FEE* SCIWOULE . tCILECKLIST ..---..- J.N.C"C,"1.414.,,U4d5 0 via,u00 ,w ,,r1,,,,,, - . p,l,ri,o: 11:.,!tL.a,'Ow\Iht,,'f r,tovJed t,, is r,, ,t Is I0 OCilloiitrolt 0 Ji no ' ,,-,\!:41.!1,,J-21...'L..':.'1.1Tn"ffi'IA'''. '": .'1".'''l 4,4'.1r CATEGORV OF COALSTRUCTION , ! --- — ustatsma eqvcruvir r sys-mms frEs• Luria.,., ,t,dim, 0 t OTIMII:ta„.541intlit‘fliaf 0 lt,,,;,.....,,,) t2I,11,,hii,„, I, ,pe,i41 ,,,, 0 Nittilt•I.aturk 0 m,,to 1,,,,100 0 I itrocr ' ih s=si;':,,, .— JOB SITE INFORMATION AND LOCATION -- — - ----• - Nvt,,,lititt.,,m,,, 1 4 4,, F "- 1//. /id//I 4,,, 45.-50 3.... of":,,.' jrAnrri.i - ; ( It, '4.0, Ilr: 'Heard,OR9,7113 ' L,,.„2,:-,..:3,t31txtit, ti 'Os i Pro,.1 tr • 1-1.0.9 C '--"-I -1-:......:—. '.'. ' .. _ - .. ,I. ......_ _.,...'.A.VL,Y.‘... _ ,,.. c....rica .)1/4 n ,,„, ,,,,, h:tt“,1!,t,-.+,1t,:- 11....i!......., ss.1......, ....k., ) si . ):.,h..1:i , — I ms hv.o.a.,(ro..:11,15.tth,t el‘ -ss.1 T , 1,.!..w. ,i, _ _,,,,, i .*:sahtii,-ioti 1 i.4 ti, ,--, — --.-- t - . - ...., , Otlicr furl vriatror.... LIN mi,tp pArt,...1 is,1 “'‘+'h'''51.!5-! J„... I * pr.saurriori' Of wou — ; t,-,,,fit,p1...0'ON.i..0.. , , #.,------ ' 51.11I New SFR ,,, - - - . , lL•..,1 r,<,'Ik;,,,,,,e t .; ,,,t • i55.1 trq.,,,„., t:t,,: 1 - !!!Ii!05it,ix,r ,; ;' • -1 I -----.ratortsry wck.- I 13- TENANT , , f.avitikamentftl r stimuli arm+ettlitatistit: .v4Int' DR Horton Inc. ,'"'wthg,h-td toter+,113h,t, - - :.:1.2.2rzyw •; - \d'nc's'4380 SW Macadam Ave Suite 100 „ - , -----+ -..------. f( it ,,t,ic„,tut Portland ()14, 97)39 ',...1 thh:,,,,,,,,J o, ,,,, 1 , , * '-- is,s lit ''S',I,i r",Ell 1 ' • l'1"1" 1 503 ' "2-4151 . L, .. , 13 APPLICANT — 17---a covrAcr PERSON ' I It , I-utl Non: I no,meTh'nimic DR Horton Inc. ' " ...„, . _ ...„..„, 1614 Pt for first Nor, 41,1 f:r.rack addtttonai. ! t'ontat.t IMEtt.: limerald Weeks 5_I I ‘ddit,t,- 4381)SW Macadam Ave Suite 100 ,. t `'''''''!"I'mr-- 3- i ' t,4.. .3„srenam um.,t, ,i,3 1 ( °I.Nt.tht Iii' Portland.OR 97)39 ‘k 0,334,,t,,, ; / f uAT1.k.,- ' )1 ' 1" 41;1 x110- 141 " 4 . --,-- .. , i - k o,ioy ,. esweekswdrhorton.com --11..--h% -.. CONTRACTOR i I,t.h.,-,arw.,,,. 1 14,,..m.,-,.fume "III . 71("' LI' 4IttWi 1_ L. ' MECHANICAL PERMIT PEES* ‘,1,4,...,, ?)14;.iiiiiilei jA, ,'...."--- ill- // i .1) 7 7.)... !subtotal '— , , ‘Otstinum pcftkV t$4t4140) i q.,.. SIAN:/tP 2.0tiln t-;•*' lilt.i ' A .-•-?,Y;&fl 4?-1 ' : — ----:.---------1-. - -- ----; — -T- --- -- - ----7,7-_------ 7- , --c- -- - i , ri., p,-,is++.t:'''-,S isvIPIWI,,,: Si I " t'' i '''', 0" ; I' t! : ,...:..), - 0 11‘1 PIRMIT FF't ' ,_-------;-4-.A4 -5- • - - • , f ith p. tit spitth.tton r trxr“II,;pr-t-tru-i rs It. tristaid smktir Its des,stir,II'het htv a accepted tta eamptett Nod ,,t,/,...1.,,,,atet;:tidte; ' • • <,, .. < • ,.,,<,, , , • 1 • ,. , , ,,, 1-). ,- ' •Th '-/- ' - "."'-s': - • - --' - ,--7.• '-..--"yl-ie-z' - ' Electrical Permit AmIlicati . i 1 ,>,;()l i ,( ,_ l •.1 0 v l , City of Tigard Revived 13125 SW Hall Blvd.,Tigard,OR 9722 1, 1 2 016 RDatalleview Permit No*J Tjt(�l�l S ' Ir Phone: 503.718.2439 Fax: 503.598.19bb gy. OtherPermit !, Inspection Line: 503.639.4175 ( t <u , .„ ne 0 Hats Ready/By: JuSee Page 2 for Internet www.tigard-or.gov _' a. , Notified/Method: Supplemental Information TYPE OF.WOR ° K' -' I - PUN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit2 sets of pians wfitems checked below): ❑Demolition ❑Other: 0 Service or feeder 400 amps or more CIBuilding over three stories. where the available fault cancel 0 Marinas and boatyards. CATEGORY OF CONS1'R]JCT1ON exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps less to ground,or exceeds 14,000' CI Coamere al.nse agricultural ❑Multi-family 0 Master builderum other instattations- lastal nga. 0 Other: 0 Fuc pump. ❑basbdlatioa of 75 KVA or JOB SITE INFORMATION ANS) LOCATION El Bmergency syr- larger separately derived system. ❑Addition ofnew motor load of 0"A",' ,"12,"1-3", Job no.: Job site address: gccas c�lN 1�lD�F' / boor more. occupancy. ❑Six oorr more residential units. 0 Recreational vehicle parks. City/State/ZIP: ''rA�ra Cls C 743 -NIL ❑Health-we facilities. ❑Supply voitege for more than y o 1 .C.c v.I. 0 Hevirdo rs locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: c D Service or feeder 600 or more. Cross street/directions to job site: 1 eCHEDi1LE ��../J pompon I Qa. I Fee. . I Tent I • New residential single;or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:r 5" 1,000 sq.ft or less I 168.54 4 Tax map/parcel no.: ( Ea add'I 500 sq.ft or portion 33.92 1 Limited energy,residential 75.00 2 DESCRIPTION OF WORK • (with above sq.IL) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Services or feeders installadontalteratioo,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER j ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 20034 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 l 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: t✓ A.Fee for branch circuits with 0 APPLICANT i ❑ CONTACT PERSON above service or feeder fee, 7.42 2 eacDR Horton Inc Fee branchcircirc Business name: B.Fee for baanch circuits without Contact name: Emerald Weekb s ranch orfeeder fee,stat branch circuit 56.182 Address: 4380 SW macadam Ave Each branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 h manufactured or modular 1 • dwelling,service and/or feeder 67.84 2 Phone:(503) 222-4151 Fax::( ) I Reconnect only 67.84 2 E-mail: * . Pump or irrigation ci• rcle 67.84 Sign or outline lighting 67.84122 CONTRACTOR i' Signal circuit(s)or limited-energy Business name: �,(4/4/4.ti 4- 5 l c.,, C "7`' panel,alteration,o•extensio n. P�2 J 2 �-�- rt at Each nidi inspection over allowable In any of the above Address: 2 R0 / WE 6'['"rf'�1 �J��j /�/'/ Additional i n 1 itr tetba 6625/hr City/State/ZIP: Til.Y)C 0 tit V/' v1,-. 1,�►�Tl. ,�A7(� b / fa 8 n(1 1 min) 66 95l hr Phone:c3 5�/f .. --,5-7,g,9 Fax:oSa, 326-.... 966 inspectionsfor. Industrial plantwhich no fee is hr min) 78.18!hr specifically listed(55 hr min) 90.00/hr CCB Lic.:1.7,,6"-- Electrical Lic//:•C2�3.,O Suprv.Lic.: /?c7�r s ELF.crRicAL PERMIT FEES Suprv.Electrician signature,required:/) r'� .b.....44._41 b ,a,[� Subtotal: j r '^---�'� Plan review(25%of permit gee): Print name:Ch(:576,'1• 6 2 6-if 1 Date: - State singe(12%of permit fee): ): Authorized signature: ��e,. TOTAL PERMIT FEB: Print name: "'-'467151P- w f4 V , This twit adays after bas bs if eena permit is sot obtained within 180 Date: days after it las been accepted as complete. * Number of inspection allowed per permit. 1:1BuildingTerwitura.c.permitApp 440-4615T(11/05/QoMryy® A ' Electrical Permit Application—City of Tigard 4 If._ e 71,— Page 2—Supplemental Information //4577-0/ -c0C-0. Nov 1 9 2016 Limited Energy Permit Fees: Renewable Energy Permit Fees: erry RESIDENTIAL WORK ONLY: FEE SCHEDULE Docription —i5W71—7:•- fcl , Told! I • Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 ks a or less ,m70 Check Type of Work Involved: 5.01 to 15 Ivo I33.5' 2 El Audio and Stereo Systems* 15.01 to 25 loa 2u0.34 Wind generation systems in excess of 25 kva: H Burglar Alarm 25.01 to 50 kva 301.1142 50.01 to 100 ks 552.26 1 2 TIC ' Garage Door Opener* 10 kva(fee in accordance 552.26 with OAR 918-309-0040) El Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Tach additional kva over 25 7 47. 3 I E Vacuum Systems* ,100 to a-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n O• ther: -Each additional inspection is 66 25 hr charged at an hourly(1 hr min) Inspections for which no lee is specifically listed('.:hr min) 90.00 hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): Number of inspectior*Dikmed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: A• udio and Stereo Systems E Boiler Controls Fl C• lock Systems Data Telecommunication Installation • Fire Alarm Installation H HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* El Medical E Nurse Calls Outdoor Landscape Lighting* E Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations IBujidine III!,rLC PomitApp ELR ERE do: Itc,Us 17:111' PlumbinkPermit Application Building Fixtures 1 City or Tigard n! Vi =� 2016 Da Permit 1�rW c7 o/ a II • 131i 25 SW Hail Blvd.,Tigard,OR 97223 Pa„Review I Phone: 503.718.2439 Fax: 503.5981960; ; ., . edgy. Other Permit No.: I'1 G,A R a Inspection Line: 503.639.4175 ;# Date y/By. runs: RI See Page 2 for Internet: www.tigb'd-or.gov i f es: Supplemental lafermadoa ,, ' v,. TYPE OF WORK. - FEh�• t3Cf)BIDTI<.1 ,`r'; �. ❑New construction 0 Demolition For spedal Informs:k a use checklist. Description r Qt3. 1 Ea. j Total ❑Addition/alteration/replacement 0 Other: _ New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRTJI nON SFR(I)bath 312.70 - 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family _ Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB.•$[FE, iP.R14 , :AND LOCATION Site utilities: Job site address: Ur �t/ rY�b r `mito Catch basin or area drain 18.76 � Drywall,leach line,or trental drain 18.76 City/State/ZIP:11464-A Cj q 7�'�,3 , ^� - Footing drain(no.linear ft.: ) Page 2 SuitelbldgJapt.no.. r Project name: �V &,31,114 Manufactured home utilities 50.03 Cross sheet/directions to job site: d3 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.:A Fixture or item: Tax map/parcel no.: Backflow preventer [ 31.27 OF .. DBSCRRTION• :WORK Backwater valve 12 51 • Clothes washer 25.02 Dishwasher 25.02 " SF 12--- Drinking fountain 25.02 - Ejectors/sump 25.02 0 POMP! OWNER . • 1 0 TENANT Expansion tank 12.51 Name: i i i `C_ r n> \VL Fixture/sewer cap 25.02 WYU+' / Floor drain/floor sink/hub 25.02 Address: j cj� e C3 \rpi?Dld .4c-IA- Garbage disposal , 25.02 City/State/ZIP: DL OilaCII Hose bib , 25.02 Phone:' ) C7, �_ J\Cj t Fax:( ) Ice maker 12.51 ❑ APPLICANT o CONTACT PERSON Interceptor/grease trap 25.02 Business name: 3>S `" r f7 f lA '1l CiMedical gas(value:S ) 2 Primer 12.51 Contact name �-��� ' 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 G� (Qt,V k1 rUl� n _ ,� Urinal 25.C2 E-mail: S�� �� 1 . ►i V►'V l 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/State/ZIP:HILLSBORO,OREGON 97123 - Subtotal Minimum permit fee: 572.50 Phone:(503)640-0113 Fax:(S03)640-4483 Plan review (2596 alum*fee) CCB Lie.:94689 tPlumbing Lie.no.:34-260PB State surcharge(1296 of permit fee) signatum. `r / ,'�, AuthorizedTOTAL PERMIT FEE Print name:RAY MULLEN l Date: This permit application expires if a permit Is not obtained within 180 days after it hes baa accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. l:1auaia Pero iti%PLMU-ters4App.doe 10/01/09 440.4616TI otoxicOMI WE9? City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T l c A R o Building Permit Review - Residential mmmmimmmmmmimmmmmimmw Building Permit #: 7WikO/6,0 p G Site Address: E 9)5 aa &hm jet.-' 1,04 Project Name: fteirlfAiy, Gr csiw Lot #: Sel (New dwelling bdivision name;Aiwtion or Alteration=last name of owner) Planning Review Proposal: ` CVq SF12,- Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: `, 1 No El Yes,See River Terrace Review Addendum Attached Site Plan Elements: > hree(3)copies of site planxisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper 3RFootprint of new structure(including decks)with finished ]Drawn to scale(standard architect or engineer scale) floor elevations North arrow (Jtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number f .cation of wells/septic systems Applicant information(name and phone number) '4. xisting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures XL-151 area,building coverage area,percentage of coverage and ISStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) kStreet names Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ),No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake v. Land Use Case#: nAeO(5. 000ts :A Zoning: K 12 A) =4 Required Setbacks: nt It 251Rear `O' Side IT Street Side 4A Garage tc, Il Landscape Requirement: so .�Lot Coverage Maximum: ) % Building Height: Maximum Height N1 P- Actual Height±214 isual Clearance44. `` �� Easements Sensitive Lands: ❑ Yes No Type Urban Forestry Plan ,�Conditions "Met"prior to issuance of building permit Notes: PrlOr To issu,aYILe 1 COY1al..11rr, u21 Sl'LA.Q.Q toe 1'lL Approved By Planning: ' �> d6 Date: 01 �'1 11 Le *Iti . 'f i r `"< ' ," only) ( Reviewer Date Revision 1: ►' Approved El Not Approved ,M o ev .. C ti 4 Ito ct_0_(w,/ V4 / 1 7 Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal `� , ��� Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: rEnter building permit#above. Workflow Routing: , Planning [ Engineering 'Permit Coordinator ®'Building Workflow Sign-off: 4 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. Er Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: �Aze, �� .i&e. ,,2 W7 °},A,,,7� f/4/i7 Oh � � By Pe t Technician: (��,r�� Date: fllG(� Engineering Review [Slope at building pad: . , ET-Conditions "Met"prior to issuance of building permit 21.--Easements (encroachments) per engineering conditions of approval and plat ['Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes lNo Assess Water Quantity Fee in-lieu: ❑ Yes g"-No LIDA Facility on lot: ❑ Yes ❑'No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 14 . 65)}tic,. Date: l (-a Q-lc Rev! Ons t . SUbflUtto ow** Reviewer Date Revision 1: ©'Approved ❑ Not Approved \,(Ct td t0.- 1-.5".../7 Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes El N/A Parks SDC: `Yes El N/A K to Issue Permit �/1 r ved by Permit Coordinator: Date: ///31/ I:\B ilding\Forms\BldgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8505 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 19, 2017 at 2:35:58 PM Record Type: Record ID: Residential - Master Permit MST2016-00506 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