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Permit CITY OF TIGARD MASTER PERMIT ' i COMMUNITY DEVELOPMENT t =' ', Permit#: MST2016-00503 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ��`j Date Issued: 02/01/2017 TIGIi1 I",l Parcel: 25111 DA20100 Jurisdiction: Tigard Site address: 8510 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 20 Project: Heritage Crossing, Lot 20 Project Description: New SF. 8/22/17, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 711 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1109 sf Garage: 342 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Total: 1820 sf Value: $222,496.14 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 Tubs/Showers: 3 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 1820 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: $28,156.18 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 rough•'R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332R.344. Issued By. £ /'/A_. _ _i Permittee Signature: tie1' -/!,gd._IC_L�-,0 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. p This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. i IVFIri, Mechanical Perm.t.An City of Tigard /7 ( 0() 1,3125 SW'tall iftvd,,Tigard,ORACIr...i.3 9 1 20 I/ Phony, 503,71$.2439 Fax 503..59'~ — - tiapttaitmi Lim: 501639,41'A t,..a.,,,i)r2,,,i,1 is A „r PliA114:::Coti,v'W*Ry -her Pffail „ lowu ef Set Pittel kW Internee www,tigard•orgint,1 1 1 VII' .1 JANA“.if reutulestsdetiaa Stagginarand latormsotan , ... j . , - 1 --- mcchar.,i..,atpen. " "it itees—rilie taX,eel on the value aft islet. I*New construction 0 Atklitiontatteruttortireplacetnent pt./termed-ksdicate the value(rounded to the neared Ungar)of all 0 Demolition 0 Other: iturchanical tratecials„ ovelhead,and• ti Value,li ,..,' '''' '''''''' '''''''-fi'A''''''''''""''''*:;"'";"'''' 'C* '1"4:111111114114"1"411""m"1114A'''''"''''''''''''''' -''' * " * ,' *.,,,,.*** '1••1..1:.:°, :,',,f-,•;',,.i'11,14.,,,;.6144,:',ndikaiiiUctil,i,441{, , ' ,,,,,N''..:.,‘,,.< III I-and 2-family dwelling 0 Oarnmeretallintitztarial 0 Accessory building rvvridistitamotio*mucked/to. , 0 Multi-ramify 0 Master builder 0 Other: Desettiptitin I Oty, I to, I lent' ' . •10S Affig:000101141t4Or ",.;:t l'"-1-, ...s. 2',..f.,—..,,,,effe1.13.10,ittj, ....s, . „ . ‘ An ciattinterturd ., • ' " Seib site address, cf./() 451,/.../ Kyr/1.-wi.,,1?t,_,,A.,- , . 4 1,,,,,,,,,,,imam Bru iulaa..serest 46,75 eil.•'Sbovi71P; Tigard,OR 97223 Furnace 1003100+BTU tatrasseato ct, Heat purup 61,06 Suilebidg,iiipt.no.: Project name: .A e/ 4' , Cce.A6 Cross tareeadirections to job site.' In sic hot water sYsicin 23.32 — Residential hotter Irediatur or It. 'relict 2312 — Unit heaters truel•type.not electric I. IMIN "'towel" illAkiti,SU- .,« OW. Flue'vent for any or abk,vr 23.32 , Other 23.32 Subdtvision: L'113 no.: r Other filo oppnitneF _ la%marvpureel no,: Water heater 23.32 ','...-"',,,UIV'14-i.'...."--.4,0.,.,'lolo. ,)".;;1,;-•'4.,1'1*,''''..,;, t.j.,.W.;;SJIlji.i'l-11.,Ag,.51;'"? '31"ftrenlattrunitert 33,39 Floe 1tter heater or New SFR timilace 2332 , 21.32 * MIIIIIIIM X . Ilt.,a, l• wojaupenrr souse 3339 Wood titentaeotinatts 7 '• (hintne Ancelittetveta -33. r 23.32 , ,.•,.'e ' .'.Ww1'11.",V.0,.1r911'1:.agkeiejal.;ard. l,...IIM ki,„-,,...",,ili.;is'f,. Other:' ' . "----`' 1':lutle: 1)R Horton Inc, Range honcho/her kitchen .------. ,. -. . 3339 A4.141-044380 SW Macadam Ave Suite 100 Chillies+yet exhaust 3339 ("11''''S"3111.einr1:Portland,OR 9725923.32 toSingle-auct exhaust thatheourms ilet 4,..o...,,. lath toms...„, . „„_,_ PluKte:1503 ) 222-4151 Fax:I t AttiefeLazNatoe ruts 2332 23.32 _ 1 net PIPI1311 Rusine."°ante: DR Horton Inc. , Sid I$ter first town$4.03 for twit additirmal Contact name:Emerald Weeks funuwe.„etc. _ 11111 Gas heat Atkfila1„„ug, s.s:4380 SW Macadam Ave Suite 100 „, ...... Wallis .. ... . .June heater 111111111111111111 cily-suitcrziP:'Portland,OR 97239 Water heater allil * j P '(503 /222-4151 x1107 F11—/4*°( ___....... R Fi lace , E'99'lii, esweeks@drhorton.com tiarbevAte 1 mitc III gall. ' ' ' -' ''-'''*'''' ' :;:''''' Ilk 4'c*miarroligovNilivq11,aolomm;,,,,Nit, Clothm dryer Weal Ilia Biomes*name.A:ivy , tt,,, ,, ,,., -,,,,,.'„,,,,,,..=:,,t..,,....,: ctry.4,:::::..:7-71:.rzzlistai,,,e,,,,,, = . ., , , ......... . Addre4s99/0‘1.)itin1441.6. • 64/17t771/0 7 749"7•, '' Subtutsi. „ — ,,g, „,,„,„ ,.,_yi Cityt,StaterZ1P: y'4 ,,or Jr' ivi ) iithr+ '# - Minimum permit Teo(Sr90.00) Plan review(25%of permit fee ' t , • ' Phone, ,,li. ,ty. * '''''''`0 4 449' 191 "'t"'1$1 iO9- '62671m14;'tf:" F State surcharge(1.2%aperitif fee) CCB lie,', , "At ft itsr TOTAL PERIVITT FEL V __ 0.• Tpermit sppScolltes espit*'if ri wad*Is roe*tuatara stittets IVA days atter tt he*hiss scvepWd as nuoplete. Authorizes'ailed(..... f[ r. Fry sterissiolocy et ty Tri,Cassity tkarkting.tadtrotry Service ry.... boast :....nt • -- --- Date AID" I ',limy/if ikoMawis'efloolt.",. C .' ft6601t1d.c 440,4617r( tal:04,WtO ,11,..„,,. CITY OF TIGARD MASTER PERMIT Permit#: MST2016-00503 � COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2017 T tC�, - Parcel: 2S111 DA20100 Jurisdiction: Tigard Site address: 8510 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 20 Project: Heritage Crossing, Lot 20 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 711 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1109 sf Garage: 342 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Total: 1820 sf Value: $222,496.14 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 1820 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: $27,958.02 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: / Permittee Signature: al p/!r czi'aiJ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ‘,--I 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 3 7W ` 'Residential , t I Olt (ll i ICI1 r t 1\( \' - a E City of Tigard Recci.ea/0 /7 r/� c23 ' " 13125 SW Hall Blvd.,Tigard,OR 97223 Oatcli�. Prmm O/�—CO_� �1 V 2016 Plan Reti ie �,,t/� Phone: 503.718 2439 Fax. 503.598.19b(1 l�•QQ . C C)thcr Penui�f0 (.f�J Uatc I3y: 1 I t Inspection Line. 503.639 4175 Cr!. tate Ready tfi / i,—(7— ma S e'Pagr 2 fur Internet: www.tigard-or.gov 81 l 'I ' Notified Mellmd:��/� � � tiupplemenlal lntormation TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DNA ELLING a New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: - equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. _ la I-and 2-family dwelling 0 Commercial/industrial Valuation; $ Z"1 '1 1 t_Q6 ❑Accessory building ❑Multi-family Number of bedrooms: Q',r� �'! 1 ❑ Master builder _ 0 Other: Number of bathrooms: 3 JOB SITE INFORM ATION AND LOCATION Iota'number of floors; 3 al 6a Job site address: 86/0 451,04." cAM ,, I New dwelling arca: ( (iv square feet City/State/ZIP:Tigard,OR 97223 Garage.carport area: 3q4 square feet Suite=bidg.lapt.no.: Project name i CArD 351 Covered porch area: t7G11 square feet j'Q ci Cross street/directions to job site: Deck area: / square feet 711 Other structure area: square feet i REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:020 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: Existing building area: square feet New building area: square feet el 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:( ) New: 0 APPLICANT , CONTACT PERSON BUILDING PERMIT FEES"` Business name: DR Horton Inc. (Please refer to fee',chador/a) Structural plan review fee(or deposit): Contact name:Emerald Weeks FLS plan review, fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 City/State/ZIP: Total fees due upon application: Portland, OR 97239 Phone:(503 )222-4151 x1107 Fax::( ) Amount received: E-mail: esweeks@drhorton.com PHOTOV OL T.AlC SOLAR PANEL S'STEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details Address:4380 SW Macadam Ave Suite 100 and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review C 180.00 and administrative fees): Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 130859 Total fee due upon application: $201.60 Authorized signature „ r' } r t { This permit application expires if a permit is not obtained i. _.' within 180 days after it has been accepted as complete. Print name: i r. r; i { Dec16 "Fee methodology set by Tri-County Building Industry i i ,•'', f{ i ate: Service Board. I:,Building.Permits BLIP-RESPcnnitApp.doc (12 24-2011 440-0137(11 02 COM'WEB) , ~ �� °" "�~^~ _- _ __- ~~_~._" sv,ii, 11 TYPE OF WORK ' COMMERCIAL FEE* SCIIEHVLE - USE CHECKlis T . L 0\-.1.P,Io bulidez JOB SITE INFORMATION AND LOCATION [—* DESCRIPTION OF MORE — -, 1 New SIR [ 0 APPUCANT . CONTACT PERSON 1 , i/11:01 1 • . * set s 114 11 for fit.'tont 14 ii1 tor*quit additional' = 1 It,heIuSI pin I ‘Iid"" 4380 SW Macadam Ave Suite MO I , , _ — — PERMIT _ . _-____+ . / y"mm^ . 1 ��____-_- p" """ — ! id if r----- ~ _.- Vt. '' --- ' ~w^ '` ^ '«=' ``""« lJ� ,-_ L ~ ` = ` 101 ‘I PERMIT!ov_L_ _________--_—____ '_ ___— '---- ��ip.,~4irp,*^°�"r".n°r,mm°°w.*"�*^°^~»° � d~,tint"Inn bora=��°�ple^ 1:10: u _ __ 1Pt,nt -----��-- -- '' C ~ " ,~ n'`` -1 .11,~~v` ^/ ^ � � . • s. Electrical Permit AnnlicatiW '5 d { Y I c)1:t a 1 I( 1_ t 10\I 1 City of Tigard l may: Permit No.: 6Tha&0d 13125 SW Hall Blvd.,Tigard,OR 972240 IP V' 1 9 2016 P Review Phone: 503.718.2439 Fax 503.598.1may: Other Permit: Inspection Line: 503.639.4175 v�_� IiLi �..��•r y qua r /�� ; Dau Ready/By: kris: B See Pace 2 for Internet www.tigard-or gov ,-,, „, , =$'•F;, NatifiediMahod Supplemental Information TYPE OF WORD. PIAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wRtemrs checked below): ❑Service or feeder 400 amps or more ❑Building over duce stories, where the available fault current 0 Marinas and boatyards. ❑Demolition ❑Other CATEGORY OF CONSI'R''JCTION exceeds 10,000 amps at ISO volts or 0 Floating buildings. ❑1-and 2-family dwelling 0 Conunorcial/industrial' 0 Accessory building lea to gr0U°d,or exceeds 14,000• ❑Corhmerciat-use agricdnaal ❑Multi-family 0 Master builder for all other installations. nstdings. 0Other: ❑F�pump. CI Installation of 75 KVA or JOB SITE WFOR11lATION AND LOCATION D Emergency system. larger separately derived system. 0 Addition of new motor load of ❑"A","E","1-2","1-3", Job no.: Job site address: 43-657(-9 alt r 100HPormore. occupancy. ❑Slat a more residential units. 0 Recreational vehicle parks. City/State/ZIP: P _ c.a, U q?,,,,,,, /� CA,..0,f,:). OHealth-care facilities. ❑Supply voltage for more than 0 / N 1 CA,.0 `Y l ❑Hazardous s feedlocater 600 or more. 600 volts nominal. Suite/bldg./apt.no.. Project name: �{, c ❑Service or fader amps Cross street/directions to job site: U}�c MILE nesawass I ow. I Fee 1 TWA 1 New residentialsingle:or multi=family dwelling unit. Includes attached garage. Subdivision: Lot no.:col b 1,000 sq.ft.or less _ 1 168.54 4 Tax map/parcel no.: Ea add'1500 sq.ft or portion p'1 33.92 1 Limited energy,residential 75.00 2 DESCRIPTION OF WORK • (with above sq.ft) - Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Services or feeders installation&alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 2 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 ' 20I amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 ampsto 599 amps 168.54 2 • Branch circuits--new,alterations or extension,per panel Owner signature: Date: v A.Fee for branch circuits with 0 APPLICANT l 0 CONTACT PERSON above service or feeder fee, 7.42 2 DR Horton Inc each n circuit Business name: B.Fee for branch circuits without • Emerald Weeks service or feeder fee,Hist Contact name: branch circuit56.18 2 Address: 4380 SW macadam Ave Each add'I hurrah circuit 1 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 , Each manufactured ormodular dwelling,service and/or feeder 67.84 12 Phone:(503) 222-4151 Fax::( ) , Recamectonly 67.84 2 E-mail: - • - Pump or irrigation circle 67.84 2 CONTRACTOR Sign' Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Business name: 5 14/`� �4. 2/ef t,� ;c. ''7"`_ panel,alteration,orextensio. Paget 12 '(;/�' �.-1."'l }I inti Each additional inspection)over allowable in any of the above Address: 2 go ii IE' G pit ,/ 1. (� (I . Additional inspection 1 hr tin 66,251 hr City/St(.3‘,a ate/ZIP: oc nc c tit ve r!i. Wil . ✓Ib b ,' Investigatplant brnrin) 66.25/hr `. 5/ — .....5"1.9 Industriol plant(1 which min) 78.18/hr Phone: Fax:�� 6'� Inspections for no fee is specifically listed(54 hr mut) 90.00/hr CCB Lic.:1.25.1.9 Electrical Lie.:-CZ30 Suprv.Lic.: /793 g - • ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:/)/• ) Plan review(25%of Subtotal: Print name:l.h t=S .b... • 6 �(i rrf .sJ I Date: State surcharge �of permit fee): ( permit feed Authorized signature: TOTAL PERMIT FEE - This permit*Whoa=expires if a permit is not obtained within 180 Print name: ,5/ee yo e Date: - * days after it has been accepted as complete. Number of inspections allowed per permit. L19ui1disalrermiunfil Gram;tnpp 4404615T(t1ro5/COM/wEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information /4,67-A0/(t—COS-03 NOV 1 9 2016 Limited Energy Permit Fees: Renewable Energy Permit Fees: ell RESIDENTIAL WORK ONLY: FEE SCHEDULE Docription 1-7:34:71 E Totalc);r. 41j Fee for all residential systems combined: $75,00 Renewable electrical energy systems: 5 laa or less lott.7t.) Check Type of Work Involved: 5.01 to 15 Iva 133.56 2 I 0 Audio and Stereo Systems* 15.01 to 25 lo a 200.34 Wind generation systems in excess of 25 kva: Burglar Alarm 25.01 to 50 loa 301E14 50E11 to 100 ks a 552.26 0 Garage Door Opener* iou(rev in accordance 552.26 with((AR q 1 N-309-0040) n H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva tWer 25 742 3 O Vacuum Systems* dOO ks —no additional ehai ge 0.0 3 Each additional inspection over allowable in any of the above: O• ther: Each additional inspection is 6425 hr charged at an hourly(1 hr min) Inspections for which no ICC is 00.00/hr specifically listed(1;hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75,00 Subtotal(Enter on Page 1): 11 Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: 0 Audio and Stereo Systems L Boiler Controls n C• lock Systems 0 D• ata Telecommunication Installation O Fire Alarm Installation fl HVAC' n Instrumentation I I Intercom and Paging Systems D Landscape Irrigation Control* O Medical E Nurse Calls ✓ Outdoor Landscape Lighting* IT Protective Signaling E Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations nimmILC PomitApp LLR RC, 1 Plumbine Permit ADDlica k: ,,1.--.1V(-7n Building Fixtures NOV 1. 9 2016 I OR of 11( 1. t Sl: c�NL) INCity of Tigard Received Penni! t.,(5--Ab((-�j�Ij3 13125 SW Hall Blvd.,Tigard,Olt-Shit l L _ , i t-,/ p `,r Plan Review II Phone: 503.7182439 Fax t, "c-',3:7,:.f',.:' ober Permit No.: t t G:N tt u Inspection Line: 503.639.4175 Dm Ready/By: 13.1.: 8 see Page 2 for Internet: www.tigatd-or gov Notified/Method: , Supplemna)Information • TYPE OF WORK. - PE1l;• BCI�DUI y ❑New construction 0 Demolition For speda/Information use amass --- Description I qty. l Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OV CONsTRW TION SFR(I)bath 312.70 ❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fin sprinkler( sq.ft.) Page 2 JOB.'$ru ai+1FORIF(J► 017:AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 �iSIDwtil� Y6"`►' Drywetl,leach line,or trench drain 18.76 City/State/ZIP: io. 4' R��3 - Footing drain(no.linear ft.: ) Page 2 Suite/bldgJtlpt.no.:Li r f Project name: �111e\ Manufactured home utilities 50.03 Cross sheet/directions to job site: �1 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft.:,__J Page 2 Water service(no.linear ft.:__,_) Page 2 Subdivision: j Lot no.:A2 Fixture or item. Tax map/parcel no.: Backflow preventer 31.27 ••• DESCRIP.'I'ION•OF:WORK Backwater vane 12 51 .. Clothes washer 25.02 y \ Dishwasher 25.02 .1js ._ Drinking fountain 25.02 Ejectors/sump 25.02 •0 rgOrmily,.ggrilgR . • I [j Expansion tank 12.51 ;�>�\-- Name: '0/l, \kA, Fixture/sewer cap 25.02 Address: 2)< t j c .) \ p`n 0tI L/ cry' • u- Goer i posink/hub 25.02 Garbaggee disposal 25.02 _ City/State/ZIP: IV 0.. De_ O1t L Hose bib 25.02 Phone:185)) * -\--IX I Fax:( ) Ice maker 12.51 • ❑ APPLICANT • 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: .):)V___ ktDO- `V�C.) Medical gas(value:S ) Page 2 Contact name: L\1�l'S2.1��.I CA "La, , Primer 12 51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/StaterZIP: Solar units(potable water) 62.54 Pte:( ) t Fax::( ) Tub/shower/shower pan 12.51 -m Eail: eSru G - (7.V r n>_ CV1D l . cow Urinal 25.02 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: 25.02 City/StateJZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(S03)640-0113 Fax (503)640.4483 Minimum permit fee $72.50 CCB Lia,9 689---11 - _ Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) 3y�" State surcharge(12%of permit fee) Authorized signature: Ai /. .411-11!:111/ - TOTAL PERMIT FEE t Print name:RAY MULLEN / Date: A This permit applicatiea expires If a permit Is sot obtained wird 110 days after it has bees accepted as complete. *Fee methodology am by Tri-County Building Industry Service Board. I:tauddirie mitiPLMU-PerwNApp.doc 10/01399 440.4616T(I0r07/COM1WE6) City of Tigard 1114 " COMMUNITY DEVELOPMENT DEPARTMENT 111 T 1 G A R D Building Permit Review — Residential Building Permit #: A ST7/ OO 53 Site Address: 85(0 Svc &..h \4-t- Loop Project Name: {f( C-pSC Iy Lot #: 2.0 (New dwelling=subdivision naiddition or Alteration=last name of owner) Planning Review Proposal: New S '. Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: I' No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: NThree(3)copies of site plan xisting structures on site l Site plan must be on 8-1/2"x 11"or 11 x 17"paper gFootprint of new structure(including decks)with finished aDrawn to scale(standard architect or engineer scale) floor elevations NNorth arrow rigrUtility locations (required for new,may apply for additions) .®Site address,project or subdivision name and lot number ocation of wells/septic systems Applicant information(name and phone number) xisting trees to be retained with drip line,and tree Arot dimensions and building setback dimensions protection measures lief.ot area,building coverage area,percentage of coverage and '<Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) XStreet 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: E Yes,applicant was notified Ill No Received: ❑ Yes E No ® Public Facilities Improvement(PFI) Permit: Required: E Yes,applicant was notified Ig No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: a)B2O(5-ovals lZ Zoning: r.a—(2 (PD) .ier Required Setbacks: Front (S' Rears 16 Side 4 Street Side 14[A Garage 201 Landscape Requirement: *) % 10 Zdit of Coverage Maximum: % !.-t/ p 15(Building Height: Maximum Height Actual Height t 2..b ,4'Visual Clearance Az Easements At Sensitive Lands: E Yes IN No Type RUrban Forestry Plan Conditions "Met"prior to issuance of building permit/ otes: C rrt. 5((u✓t,s &V t( (x g CO201) prior ID Lava_Ku . Approved By Planning: iv • 4iDate: (k ' Revisions (after Building Submittal ons' Reviewer Date Revision 1: E Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPennitRvw REs 091216.docx A Building Permit Submittal /7---. Original Submittal Date: J Site Plans: # Building Plans: # Building Permit#: p Enter building permit#above. Workflow Routing: ,Planning > Engineering p—Permit Coordinator Building Workflow Sign-off: 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. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: /By Permit Technician: / Date: //,447/.( Engineering Review 2--Slope at building pad: ...2-N. Conditions "Met"prior to issuance of building permit 2—Easements (encroachments)per engineering conditions of approval and plat ❑'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes [ No LIDA Facility on lot: ❑ Yes E.-No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 14. ri.s rite Date: t 4- z,R - r C. 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: WSDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: 7.Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit hi�APP Y roved b Perm /rit Coordinator: Late: ///31)/r 6 I:\Building\Forms\B1dgPermitRvw_RES_091216.docx Plumbing Permit Application Building Fixtures RECEIVED city of TigOrcl Dare/By. p70 (-7 Pemlit N°': 116-rao//g-006-0,3 ' Iliki _... 4, )312$SW Hall Blvd Topa..r)it 972%G 8 201? Ran Review i. Phone: 503.718:2439 Fax: 501598. Otho Permit No.: ---... Moen): „ , , 1, Inspection Line: 503.639.4175 CITY OF TIGARD Ipti,,,-ReR41BY:. ho. If Smear 2 ow ' ' ' huernet: wwwligard.or.gov Suppkwental iatarwatiaw oilltiaDING1DIVISIU14 ' " ME* SCHEDULE 0 New construction 0 Demolition For spirdal Worourtioo We checklist nescriPticol I Qty. 1 Ea, i Total 0 Addition/alteradertireplsternent 0 Other: New 1-2-fentity dweRings(inchtdes 100 it.kir each utility connection)L - . CAl".EGOit'Y'OF ODNSTiliterioN '. SFR(I)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 43775 _ SFR(3)bath 500,32 0 Accessory building U Multi-family • , Each additional beth/kitehen 25.02 0 Master builder 0 Other: Fire Sprinkler( sq.IL) Page 2 JOB,RITE INIPORMATION AND LOCAT1 . .-' 1_ , - - Site uetlll.ites Job r anai dram. leach line,or tench drain 18.76 18.76 City/StatetZIP: • Footing drain(no.linear ft.: ) Page 2 Stlite./bidg.hmt.no:: PrgieCt Ilan* V\bil u_A: A AO A ( Pufoctured home utilities 50.03 - ems street/direct/tins tojoh site: to:toles 18.76 - •i shin connector 18.76 Sanitary sewer(no.timer ft.:_J Page 2 Stem sewer(no.linear tt.:_____) Page 2 Watery:nice(no.linear ft: ) Page 2 Subdivision: I Lot no.:fit) Fishire or Ran: Tex map/parcel no.: Batkflow preventer 3L27 ' OF WORK --- I/ad-meter valve 12 '. - •,..' - __Tiatirl' 14:414 . , , wasfier 51 25.02 -Nric--A-c-Acv-- oxxii,t( Lii.) Disinvasher , 25.02 (-1 Drinking Remain 25.02 Elitototsteterip - , 25.02 1114141EICIrti Pidi!'7111 1' .-: -0 TENA44T - - Evans ion tank 12.51 `Nast t).-k \- -zly....k.ccyl - 21mm/sewer cap 25.02 Floordrain/floor sirds/hub 25:02 Address: Lkrb ) ‘Z5- 30try•Jk agy.,..eitC),W 414.--1 • - Garbage disposal 21.02 City/State/ZIP: X '1 Hose bib 2102 PhotetriP) ,.'a — 5 t Fax ( ) I41 Ice maker .. . 12.51 . apyierAtT pissOft ' : Interceptor/grease trap 2102 &tablet:slime: Medical gas(value:$ ) Page'2 Contact name: V.- \ VU'',.'t tni \k)"(-MT- ) Primer •ItOordilde(etanniercial) 12.51 1/.51 Address: SittiObasin/lavatelY 2502 CI ty/State/ZIP: Solar units(potable water) 62.54 - Phone:( ) fax::( ) Tub/shower/shower pan 1151 E-mail: Urinal 25.02 .. , Water closet 25.02 - ' - C°N114ACI", : Water beater 31.52 ausineas name;Wolcott Phianbiag Water piping/DWV 56.29 - Address:107$W.Ilistaric Cohunbia River Hwy (Mar! 25.02 City/State/ZIP:Trouldak Or.90611 Subtotal Phone:"(503)667-1781 Fax:(503)6f1-9391 Minimum permit fee:$72,50 fee) CCB Lic.:1122Plan review(25%of permit20 Plumbing tic.no::7.6-824PB State surcharge(12%of permit ice) Authorized signatuk - TOTAL PEWIT FEL Print name:MarkDiderot Date:2/17/17 •I This permit stpgIttli:rni.spires if ip.rmIt i::::imobotieshiedte. within 180 days 'Fee methodology set by Isl.-Cowl,Eitlihilft indestsy service Board I VitaldittitPefinitsTIMU-PormitAppdec 140149 440.461oll10/02/COhtWER) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8510 SW SCHMIDT LOOP, TIGARD, OR, 97224 August 25, 2017 at 7:07:42 AM Record Type: Record ID: Residential - Master Permit MST2016-00503 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved mechanical final inspection prior to building final inspection. No inspection done at this time. Violation Summary: Inspector Contractor