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Permit (131) ! a CITY OF TIGARD " } MASTER PERMIT COMMUNITY DEVELOPMENTilif®� Permit#: MST2016-00501 T[fin;, R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718,2439 Date Issued: 02/06/2017 Parcel: 2S111DA18700 Jurisdiction: Tigard Site address: 8725 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 6 Project: Heritage Crossing, Lot 6 Project Description: New SF. 4/13/17: REPRINTED to add A/C unit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 936 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1361 sf Garage: 573 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2297 sf Value: $286,629.00 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 0 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'I 500 sf: 4 201-400 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 2297 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: $29,247.33 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 952-001-0011 roug'OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling503.232.1987 or 1,800.332.2344. Issued B' : . _ iill!_...eLu. Permittee Signature. r Call 503.639.4175 by 7:00 a.m.for the next available inspection te. 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. lit cE iv EP '' 'M. 01 aa OF T1G.AR BUILDING nivisIo I. OF 4ik4` r1 # #t43E 6t - t# 6tic ki[�4. m . i tT.. £ €D 14 .N. re „2/1a5 'vi ��wr� •• j tt, 1 1 1 t �x a1 ,,3,,, , , .. ,. -, k.'\*C AlAcy...0 k, :1----; tIc , (J//yj s. P iieoi (.1104‘44 4,4 1. 0 EITNA44i ,_....m, ., — t ar" ctt 'sou=Pc ;aT."T1;4'''"-c.'c'-cc 1)P 1f i`iH,n 1444.. 44_1,chtr c'.°4',, NI41.,14, , i44. ,44.44€` ''it, ',,.,s.':'{.I lea •:, .r ,,a .. r.,a".a:;3 $ } ,. . .. ' i'4 4 t!,ktld,4 rIT to 2 '.-, q- i "s_t " ' '$ k %t 1'�, 4444. 4444 ,{ as5"t`#.i5»tx,13 /a11r.t.,o, ) ,,��++�,s.*....p �gr gr yy,. .. . i4 VSit„ ia° Tc/-*Iio- .4.."c p F .. z' w Z . • b CITY OF TIGARD MASTER PERMIT .' COMMUNITY DEVELOPMENT Permit#: MST2016 00501 -t-[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2017 Parcel: 25111 DA18700 Jurisdiction: Tigard Site address: 8725 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 6 Project: Heritage Crossing, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 936 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1361 sf Garage: 573 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2297 sf Value: $286,629.00 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'I 500 sf: 4 201-400 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 2297 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: $29,149.97 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 ough 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 B : Permittee Signature: �/, �c-_ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. r 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 �7) 64,- , Residential , � �� 1`C)FtY)I�fiCllNl`tltil l' City of Tigard 10 ' �� P_-' it i. , Oatc.B D Pernut N tr.) 1,,, ... 13125 SW Hall Blvd..Tigard,OR 97223 y Plan Kr i/ /y � �� /� w'�/ Phone; 503.718 2439 Fax: 503.598.1960 Nov 1 9 2016 Datc By: j a_j lc `4) cm.,Pennic y 4,_4bcto , ,,, t. 1., Inspection Line. 503.639 03.639,4175 +` Date Ready R)• / L/ lure ia See Page 2 for �e� _7,� pP Internet: www.li ard{rr. rn CFI c)!- rr> �t Notified Method. 111 �_i /(,( itir Supplemental Information t 1 r.. a °Yi35 C � TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 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 ❑Other: equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q I-and 2-family dwelling 0 Commercial/industrial Valuation: sag Ci /Q .q El Accessory building ElMulti-familyNumber of bedrooms: "I j ❑Master builder 0 tither; Number of bathroomw JOB SITE INFORM 4TION AND LOCATION Total number of floors; a, ZS 7 R1 Job site address: 8145 �Iti ��„�, 1- Cup New dwelling area:a�Cf 7 square feet V City/State/ZIP:Tigard,OR 97223 C/� "'�vJ Garage.carport area: J73 square feet Suitebldg.lapt.no.: Project name it,.4p l*alt. C ) i;hCovered porch area. 1 O3 squareO feet J C)I Cross streetidirections to job site: ��JJJ Deck area: square feet Q 3 6 I Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: (0 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 ill PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4180 SW MacadantAve Suite 100 Occupancy groups: City/State/ZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 _ ❑ APPLICANT Fax:( ) New: at CONTACT PERSON BUILDING PERMIT FEES' Business name: DR Horton Inc. Meese refer eoJse seAiedalJ Structural plan review fee(or deposit): Contact name:Emerald Weeks Address: — FLS plan review fee(if applicable): 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 PHOTOVOLTAIC SOLAR PANEL Si 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 and administrative fees): S 180•(10 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: v ' ' This permitapplicationexpirespermit is not obtained i i i { if a '`w.•- within 180 days after it has been accepted as complete. I Print name: ` Date:2016 "Fee methodology set by Tri-County Building Industry i v [ ` Service Board. L Building,Pennits BIJP-RESPennitApp.doc 02 24.2011 440.46131(11:02 COM'WEB t Mechanical I l l nut Applieat 1 , M !()l-4(I!t!( I t i ti t It. of i igard SI n 1 9 2616 ___ tt r), 1 ?dz !A,. '1,', ;Qt,,' (1'11 �e ,.-a. in i�su,,al 1 u, 5tt + l i 41 U V ��_ ___ .�___ ._ pl 4a Px r:iw h 1nlsnti N',AA., ifi':n,i,.4��` Gil (. r Ii 7 ll I p(sIAiHAntaf{6tt han TYPE OF 0COMM RLIAL FEE* tSEMEDt t I: USE(MI Ki.lsT : 1 �1 r 1�►^�+r`'t7�ti ciAri.rr t3CSiAril 1...� 1v1tt1r1, t ai'rti atu .i l.i.� ,1,t. �,. t,r zli4 ! tt r1.'Int <41114;+ 1 4 t1tit i+„ . I 4,1 ; , 0 1)Cnu,tir,”1 0 41t ti't il.sia.44 r ,.'1_41,1,,,,:124,:11., ._' 1 .,..i,`0,,,,,,,,.1 iI1 XV,.!! :.. t r........::.___... CATEGORY OF CONSTRUCTION 1 _____ RESIDENTIAL EQUIPMENT/SYSTEMS FEk.+c ' 1 41 I anti -..' 4anui, %Indiuig_ 01. o1lt4;e't,tLei rnslu'.+.u,., 0 ‘,,,,,...%4-% bi.d.a I;_ 1w-, + /; 141en .rn /f[.rtOA,A Io.t tit a ' ]� ti'1San1~ 0 41 sr6 tnticain f 1lhc' {k °' �` i a_ JOB SITE IMOR41ATi0A AM) LOCATION INTI:::,,,,cuuba ,,i• 1 o.)11i V l.Q, -,-_vW,.._.`-'�4 .!t�l`tfL r�, ! e a .ns 1i 11 t a '' ,t .!I1 1 i raie c)R t1 113 " t __ t [I. 101111 1111 e .� j 1 `.000, ,1 a - t ll 1 el, 1v r r+, , tit'i`4 0,„..,It'Ii,I, .t,.41a it,„ ,, h. .6i If\ 2!Y4i.1 . '' i I not h.•-Awe.I'N.+,i 1•,1' n .Ism rt 3 _.. .. ....--- -__ t vi e14,III 410t ..el 1,I i OAP.1 1 rot t1 s o t S ..ht.1.,.. :i 1 ..... ___-..... ._,.. -...,.____ t)aftrt turf a r tlaacc+ I-11 ni.i,'park el n+r a Oct'4140(c, '2 ''' DESCR71VIION OF ^ 1 { i,liti'i's i1K71 ._T,.... .1 ".'4 .. i «._�.j- .,q._...,......v. .... ....,..._,_. ...�.... w : 11t1C 1x'IIt f..f 4\Al,r{_i.hi •3 1'.Y Nelri;SFR ...__. _._ '�i a.. - _ s e ' t µ t S 11 R1 fr i i i,} r t....-_.- _ ........._"_._. ,... ...._,-,.. m...-..... ....-... --....,. - .. ,...... -.-. A0%,.1 t3R'1itt 44' .I e,e I 4 ee..i 14...14 l 111,. .r, :, 1 t h.1)114.. liL1i1 Iiia'14.11'. _.. _.._._.., _.._.._ .....— .._�„__,._.,_. .. I at iraamcatai i- kaust Rad sraids,goo: 'ti3zi1c DR Horton Inc. ' h;414ge.ht*.ri rMRih 4.110,0; 1 r.___ N•tt,tit...•4 80 S\ Macadam Ave Suite 1011n40% _,. ., '} 't 'tit 3 ii".'. i 1 Y ii Ott "i+ 1._.-....»... } I Rlt, t.ite J it 1 2�. _ 3 y t1 u, n.tv 1,-...44',Portland C)4t 9' 503 2 4151 10.00. 1ti1i ,u 1.0„-, Q APPLICANT t a CONTACT' PERSON rot i P #""‘"1"--"‘041"": 4>t Horton Inc. Otut'Prpit+: . %14 tR for first tont:Sa pt for esrh addtawtsi t OnthtxLi mti Emerald Weeks i,'444,Y ilk ' �� --\anti., 4380 SW A4ac:adam Ave;date I00 2,1 he ti tt i -... _.,. _...._..._.. _....-. ..,... ...-. - .... i ti,,Ii,1z.'4ni!S..1 .914 t t'.f1c4 , 1 `tltllc/Il' . ,t..,,..,_ ... ..... t. . t. ± Ito Portland,ok 9; 39 a A1i•1 tl,.,a ! + ,i 1;U 2"'"' 4151 1Iti 101 1 ! tiplt, t .. .! },.resweek. 'drhorton,corn 11, ,t coN * Gt , ' t ,tId .__ 4. r/4.,....1.0.MIMI AJ iLi._ t" t ' r t M.., ._....NA( AL PERMIT FEES* _-. i 'J tt lit-, tt g --7.17:77; f 1 I , 'subtotal ,i t It) 'rt tti /ti j,} j 6& ./j f #I/, !_ ma,n ,`r rft to:iS10 toil- .......-4— l 1 - a t re', St } ,{Y11lkt • , 4 # -...... ..1..11r:;.i.i- ;,.!:1;,, r uz,c } ' t1f'44 1(UU PFIt111IIii • iMti prrnot sprobs tower rrforcs It a ptrmrt to OM tdHn,nrd.-Rhin tti:• dolt,411,1 Ii hat two accrptrd at(amplrtt. \itt1.4',Ell s4,01:itul z;' r . 0' ';,,f; r,'.4.` ,L .f: .e t. Electrical Permit Applicatio I (,R()III( 1 111 ()NI City of Tigard " ' ; ilh Date/By: PemtNo.: � y SO/---- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196 (}1i 1 9 2016 Other Permit t) Inspection Line: 503.639.4175 Date Ready/By: rads: 0 See Page for Internet www.tigar'd-or.gov ,,s 14"i, i_ a 9 t:;.r A , s 2. Notified"lhod: Supplemental Information TYPE OF:Wr K i°`' �l'i,14hrnNk PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit2 sets of plans wAtems checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or O Floating buildings. ❑ 1-and 2-farm ly dWelliA less to ground,or exceeds 14,000' ❑Codnaercial-ase agricultural g ❑Commercial/industrial- ❑Accessory building ainps r an°""r installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fin pump. 0 installation of 75 KVA or JOB STIE INFORMATION AM) LOCATION Cil Emergency system. larger separately derived system. ❑Addition of new motor load of CI"A",`r","1-2","1-3", Job no.: Job site address: 6 77� �w ,� 1„ivaa, � lr�' �• `�►�'s ❑Six or more tecidentia]whits. ❑Recreational vehicle parks. City/State/ZIP: 0 Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: xi- y, VrV cmc v10 ❑Service ofeeder 600anrpstarMOM. t FEE SCHEDULE f Cross street/directions t0 job site: �,, Demriottes I Qtr. I Fee. . I naw I • New residential single:or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: / 1,000 sq.ft.or less ( 168.54 4 Tax map/parcel no.: W Ea.add'1500 sq.ft or portion 3 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 instsllatio 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 aaghs to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary serviecs 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 tp ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 • Branch circuits—new,alteration,or extension,pe panel Owner signature: _ Date: so A.Fee for branch circuits with ❑ APPLICANT i 0 CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: DR Horton Inc B.Fee for branch circuits without Contact name: Emerald Weeks bene it feeder fee,first branch circuit 56.18 2 4380 SW macadam Ave Each 'I brunch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular 6784 l 2 dwelling,service and/or feeder phi:(503) 222-4151 Fax::( ) -, Recmnectonly 67.84 2 E-mail: r,.... Pump or irrigation circle 67.84 2 • Sign or outline lighting 67.84 2 CONTRACTOR ; j. Signal circuit(s)or limited-energy Business name: S�, /"n, 1,74- g l t✓./- G f_"� panel,alteration,or extension. Page 2 12 Address: 2 20 1/�(;/�'W�' 6`S �J_ �,G F r!_ �e Additional� inspectionnspection(1 hr )err allowable 6i 25/hr of the above City/State/ZIP: V�;el�'t'(41/.. Dr/ . ��, � �b / Investigation Q br stain) 66.25/hr �^ /� Industrial plant(1 hr mm) 78.18/hr Phone:(3�} 549_ .5F..9 Fax:g6'a) 3g6--- 9617 0Fections for which no fee is specifically liaterI(54 hr min) 90.00/hr CCB Lic.:I' 2,6-- ,9 Electrical Lic.:•CZ 30 Suprv.Lic.: 17 91 s ELEC'[RICAL PERMIT FEES Sunni.Electrician signature,required: „'_".4 Subtotal: I Plan review(25%of permit fee): Print name: Ch6-.54-4, 6 R aril j Date: State surcharge(12%ofpermit fee): -_.. Authorized signature: TOTAL PERMIT FEE This permit application expires Ifs permit is not obtained within 180 Print name: .9€CJ Date: days after it has been accepted as complete. * Number of inspections allowed per permit L'Bs ildinglP«witAELC PemitAap 440.4515rQ uros/cOM/wEa Electrical Permit Application—City of Tigard jt, D/G —00,SO l Page 2—Supplemental Information NOV 192016 Limited Energy Permit Fees: Renewable Energy Permit Fees: C! EYCA- RESIDENTIAL ra;RESIDENTIAL WORK ONLY: - ru ' FEE SCHEDULE Dcaeription Qty. Eaeh Tmal Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 k,a or less 11"•'' I , 5.01 to 151:sa 133.5E 1 1 ❑ Audio and Stereo Systems* Is.ni to25 to,' 200.34 12 11`ind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 1 2 50.01 to IOU kc s 552.26 n Garage Door Opener* >IUu kca(fee in accoietance 552.26 with OAR'415-309-0040) ® Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* i ach additional kva nvcr 25 2.12 3 ❑ Vacuum Systems* L00 kru no additional charge 0.03 Each additional inspection over allowable in any of the above: ❑ Other Each additional inspection is66 25 hr I I charged at an hourly(I hr min) JI Inspections for which no Ice is 9(1.00.hr specifically listed LECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): ' Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls • Clock Systems • Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* n Medical n Nurse Calls ❑ Outdoor Landscape Lighting* {- Protective Signaling n Other: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I:.Building Pc,ii icy I;.LC Primit App LLR ER1.dar 14,u5 I':r115 v • ' PlumbingPermit Application Building Fixturest- '- ""4 e ti it-- 11111 City of Tigard Raelved Permit No ,c-V0/6,--Cara 13123 SW Hall Blvd.,Tigard,OR 9722 , 2 O 16 Plan Review Phone: 503.718.2439 Fax: 503.598.19 d Other Permit No.: hISpeCtiOn Line: I G A k l) I www tigal d-or goY73 " ` �a f r ";" t � ' Naified/Melhod: turfs: R Set Page 2 fen ,. tat Ice tenuadea ❑New construction 0 Demolition For spedal Worm:ion use checklist - Description r Qtr. I Ea I Toted 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 R for each utility connection) CATEGORY OF CONSI'R[rTIoN SFR MINA 312.70 ❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB.•$trE$Ftlitt4 P.i:'OD LOCATION Site utilities: Job site address: b 75 CSS/ livr i tA,toCatch basin or area drain 18.76 Dryweil,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: I Project name: VC V (AM •�i 1tt71 Manufactured home utilities 50.03 Cross street/directions to job site: ++++ ` 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: ( Lot no.: & Fixture or item: Tax map/parcel no.: Backflow prevents 31.27 . ••• DESCRIPTION•OF:WORK Backwater valve 12 51 - Clothes washer 25.02 � Dishwasher 25.02 IV Drinking fountain 1 25.02 Ejectors/sump 25.02 •0 PROPERTY, OWNER . • ''I .. 0 TENANT . Expansion tank 12.51 Name: \.-72)V._ -a� kA �, Fixture/sewer cap 25.02 �� cC ` ' '0Dtk a t Floor drain/floor sink/hub 25.02 r .Address' c�"� v'/ Garbage disposal 25.02 City/State/ZIP: klla . Cra(b9 Hose bib 25.02 Phone: 131 � ,_ \l j\ Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 3 \' A \ i v1. �/ � Medical gas(value:S• ) Page 2 Contact name �� a "\J�} .S Primer 12 51 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: esus-e_o/se2. cAv 11-t cv1D •i .CCA/1/t Urinal closet 25.02 •CONTRACTOR Wates closet 25.02 Water hater 37.52 Business name:EDWARD MULLEN PLUMBING Water pipingtDW V 56.29 Address:1601 SE RIVER ROAD Other: 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)640-4483 Mxhwnum permit fa: S72.50 CCB Lic.:94689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) � State surcharge(12%of permit fee) Authorized signature: Adi.LlTOTAL PERMIT FEE Print name:RAY MIiLLEN / Date: The permit application expires if permit h ret otmined width'100 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. 1.teuda,eennitr%Pt.MU-PerwitApp.doe 10/0109 4404416T110/02/COMAVEE) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 11111 T 1 G A R D Building Permit Review — Residential Building Permit #: off c7;2_6(c., - DO Sal Site Address: 911s S v'/ SCh rn i Cl t Loop Project Name: 14t ri C et) s � Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1.1 ee,,,) ,Ae .404 ad SFtL "Verify site address/suite#exists and active in permit system. .{`River Terrace Neighborhood: N^ No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: rf (Three(3)copies of site plan �/Existing structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper l$Footprint of new structure(including decks)with finished {"Drawn to scale(standard architect or engineer scale) floor elevations [ North arrow rUtility locations (required for new,may apply for additions) 6{1 Site address,project or subdivision name and lot number grLocation of wells/septic systems klApplicant information(name and phone number) "Existing trees to be retained with drip line,and tree ®Lot dimensions and building setback dimensions protection measures Lot 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) c,RStreet names XrProperty 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 [N"No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: , Yes,applicant was notified ❑ No Applied For: Al Yes ❑ No,stop intake Land Use Case#: 5(4.6 t5 3e Zoning: f-- 1 Required Setbacks: Front I S Rear I S Side 5 Street Side 10 Garage 20 v" Landscape Requirement: to RI Lot Coverage Maximum: 16 Zi Building Height: Maximum Height 3 S (—t Actual Height Z 8 .0 Visual Clearance Easements Z Sensitive Lands: ❑ Yes ❑ No Type gl Urban Forestry Plan Cl Conditions "Met"prior to issuance of building permit Notes: (Nig ore AAA. CA)(1 d.: t1 l;}n t.,tr"L' rYt-e.--I erio" 1,0 i v(t+-)�sC . Approved By Planning: ''1 /I ice► t2 ,'(Q ,L# .___, Date: I o//1/ j, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: /(`) // 1//ç o Site Plans: # 3 Building Plans: # 3 Building Permit#: ,nter building permit#above. Workflow Routing: d5Rlanning 'ngineeringrmit Coordinator ding Workflow Sign-off: ign-off for Planning(include notes from planning review) Route Application Documents: 1ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit echnician: Date: f ,ggic Engineering Review Slope at building pad: �/(} ❑ Conditions "Met"prior to iss ance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat .- Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ffrNo Assess Water Quantity Fee in-lieu: ❑ Yes LIDA Facility on lot: ❑ Yes �'No ❑ NOT Approved by Engineering: Date: Notes:Approved by Engineering: K l I c., , Date: /( 72-Y16 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: 4DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A fialK to Issue Permit Approved by Permit Coordinator: Date: ///-3°7* I:\Building\Forms\BldgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8725 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00501 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: 8725 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 22, 2017 at 11 :29:04 AM Record Type: Record ID: Residential - Master Permit MST2016-00501 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. Note: backflow device for irrigation final inspection scheduled for tomorrow. Report received. Violation Summary: Inspector Contractor