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Permit (59) 10 ...„. CITY OF TIGARD MASTER PERMIT ..1 2:'-> COMMUNITY DEVELOPMENT Permit#: MST2016-00538 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2017 Parcel: 2S 111 DA 18300 [[/�AIMM Jurisdiction: Tigard Site address: 8775 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 2 Project: Heritage Crossing, Lot 2 Project Description: New SF. 6/28/17: REPRINTED permit to include NC unit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1251 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1321 sf Garage: 421 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2572 sf Value: $310,757.03 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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: 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 2572 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: $29,922.85 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 0 52-001-0090. You may ob-'i - .. . . . . direct questions to OUNC by calling 503.232,1987 or 1.800.332_.2344. Issued By:,moi _ Permittee Signature: +^�--eer....."- ° T—?-1,7--t...,,,,, Call 5: '75 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. CITY OF TIGARD MASTER PERMIT ee. a COMMUNITY DEVELOPMENT Permit#: MST2016-00538 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2017 T[ �2 .°°" g Parcel: 2S111DA18300 Jurisdiction: Tigard Site address: 8775 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 2 Project: Heritage Crossing, Lot 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1251 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1321 sf Garage: 421 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2572 sf Value: $310,757.03 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: 4 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 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: 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 2572 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: $29,769.69 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 95 -001-0090. Y u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ,e•C Permittee Signature: XL /i}�✓/LC26 . 7 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. , is.„_ „,,,T.,,rEB 3.--R P\ I- Building Permit Applicatic ±I .fi Residential . I OR 011 ICI 1 'I 0 N 1' City of Tigard '�'r‘ ! J J Received /2 17% 13125 SW Hall Blvd.,Tigard,OR 9727� Date By. �`4 Permit Nryf�5 hd f G Phone: 503.71 li 2439 Fax: 503., 8 t + ° 3 Plan Rei leu / "t �sY s t t� Inspection Line. 503.639.4175 g � Date t3y. ' — ) 0 — 1 7 Other Peru • �2vV! '06 G fy Internet: Line. 03.63.gn� ) g g"j`.' J ',l,:` t , late Read)tt): f :�, ; lure ® see Page 2 fur(® U,.L 11 Notified Method,/ ///'%/ /�' Supplemental information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DIN ELLING 11 New construction 0 Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other' equipment.materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. valuation: $ 3)Q7 S 7E 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORM ATION AND LOCATION Total number of floors; 3.— a Q 9 3 Job site address: t2j� t i New dwelling area: square feet City/State/ZIP;Tigard,OR 97 23 ` Garage' area; "1 1 square feet Suite/bldg./apt.no.: Pro eet name • ^ 3 �L�Y 1 rjr ` jj h(� Covered porch area: `NO square feet )3a Cross street/directions to job site: J Deck area: square feet) aG--) Other structure area: square feet r REQUIRED DATA:COMMERCIAL-USE CHEC'KLIS7 Subdivision: 1 Lot no.: pt. 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 New building area: square feet it PROPERTY OWNER 1 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW MacadamAve Suite 100 Occupancy groups: City/State/ZIP:Portland, OR 97239 Existing: Phone:( 503) 222-4151 F Fax:( ) New: 0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES" Business name: DR Horton Inc. (Ptea,e refer roJee irAedr!f Contact name:Emerald Weeks Structural plan review fee(or deposit): Address: 4380 SW Macadam Ave Suite 100 FI.S plan review fee(if applicable): City/State/ZIP: Portland, OR 97239 Total fees due upon application: Phone:(503 )222-4I51 x1107 I Fax::( ) Amount received: 1 PHOTOVOL FAIL SOLAR PANEL SY STEM FEES" E-mail: esweeks@drhorton.com CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details f and fire department access,along with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 _ J Solar Installation Specialty Code checklist. City/State/ZIP: Portland,OR 97239 Permit Fee(includes plan review Phone:( and administrative fees): S180.00 503 )222-4151 1 Fax;( ) CCB lie.: 130859 State surcharge(12%of permit fee): 521.60 i Total fee due upon application: 5201.60 1 Authorized signature: This 1 I i { I permit application expires if a permit is not obtained IPrint name: ` within 180 days after it has been accepted as complete. < i ., i t i t t i( 1 k Date:2016 ( Fee methodology set by 7 ti-County Building Industry Service Board. I:Building.Pcr mits BUP-RESPennitApp.doc 02 24.2011 440.46l3Tt I 1 02 COM'WEB 1 • ' _ 11, . .' 1. ' 11 Slechanical. ['el-mit Applicat - 1'-'' - 1(m+Ai II( 1 1 ••.1 41\11 1(:lit,14,.',..Y:.!Sli,,)‘..41: 1 14..1....;Itii.1,d., ,i,r.y,,,,..::1,.t,,t,.V.,,,,:::2;,,,,.,., ., 5.,1?,11 :1',,::.,TH:i1,-',,:: 4 8 4474,.,..„4:, i.....---.......... ...... ...... . nu, OF WORK - - COM1•ME7R;-,C-I,AL! FE,E..0...C.,Ht..E. 1,1E. USE CECKLEN — - -- ‘,,h, I,,, , 1 I - r l'W...,01: .1.461 N5S5.-0,,PArlikiit411 Ej ‘..7471,n0iI.110,11141:1 rt1,3.1.,,,..11.''. p...•r I, Z,,,1 I 1,1,.i4^,,OW,11%.,'$14't.,11,1 3.43..',...+17, J, 0 thlyi,.1.1.1,0 0()1 ttcr .,,,,,, La...0 f,-,,.‘,..i...„r A.,op21%...! 13.1.,,, .... 4.:1.....,.S.....u$4.,1 t.,.....1.. , cArmoay OF CONStfiLIC1ION - r..___________ ...... , ,-------- W , . 1 Mic. .S REStrATIAL UIPMET EQN /SYSTEMS FEES* ......., •i•11B 1 ...trul '....' htmlIN 4,,,,:ilm.i..,, r::t onttn....-.1.Lai inth.,,11.it o \...•-•-,,,, —ve...pe.WI tntatriatatoveyi,i 0 Miii.,h•:JIM!4 0 Ntai'41.:1 1,..iiii.b.'i [7,_1 Ph.' ‘..4. — J011 SITE INFORMATIOV AND LOCATION ' . fleatas,p2i2t!!il - . it -.C115 ....-_ --1 Okk ,.."C)-1) . . ---- . . r.'-:*t!'...'....!",".•...:: , .:, )."\11/4..)g . - i.,-.,..,,, ,x.:,. I, , „ . , , :. • , , up I' ' z ' ,., p-, .1 illaid ()iz t.)-,-). . . ' '' "'".' . , ',Oil,'',id• ..r.,:., , . ... . . , ,t ..,.(441'1.104711..“. 1,, .,F..0,- ,.. , - . - h,,,,t,',,IA.i,„,p., $il. .. ......... . ........--„ , . .... .. . ,., . ' p 2 ,.".,:t...'''11S.'..!..'''I'L'.'1',...1 1 1‘... v , s 4 i '''‘10,4„i ... I.hher furl apillpnit..." , - , , , , ... i I Is rum,ivt.,..,1 n, 7_42"'..'44•1- r......_...............______ „ . DESCRIPTION OP WORK1. .....,!q —'-I ,.....C..fist , . .—'-I ` -.'m "*".- ."---- --''''' b.“. .CC: t New SIR ,. . . . _ .... , .._ „ !,,,z1,•••hz•.,,.i.„, , ..• - • - %%.,•„.11,,;,,:..•,...- f 4,...,, • „- - ..„ ...,,, , 1 17„,......„ 7'40 l.,-4,, 1 - • - - ' ., .I,ftt'c, . . WIN OWNER I . . _ a TENAN-1 -....-_ ”i •• -• 1—• - 111 PR°PE_ . , .* .. . _I n*itonmenial r%bawd and wnidatron: ...,.. i \'Ink' 1)R HortonIric. , k•,.••••••h..„,t,8170.,744 ir,., .,, € , I - LT' „ ." ‘ -.43 gO SW ttlacittlani Ave Suite 100 I L1H.,dr.,'..,..1,.' 4 ... , t . 'l'*/IP Portland.()R 97239 • . . , . _ . ... ', m; ,503 i 21/-4151 ,_ t,,,,. , 1 . - LICANT •_I- CONI ACT PERSON , i• • .-- 0 APP — — I(7474 0,4..'s(4,'I"... )1z. 11ot-ton Int:. . . ,. .....__ ._ 33 firm linit,14 01 tor 4-4(h Add4)101 A( . _ t,I4t,j41 Mini,' LniCraid 1.%.Ca.!, 1• ,I• x' ''I4 .. , f .. „-.. .. 4 4...t t.'AI',.:7,, ‘,1‘1,,:— 4380 SW Mat...1(1;011 Ave Stine 100 , . ; .. _ . ,,,,r,ts.1....1 1,'4. 47._ , .. -, • . . Portland,OR 97239 , • • , 222- 4151 xl lir f I ,s. , r • i . . . 1 . "' CSWeekS0'4.1rhOrit)11..0.1111 I ---.... .....- .„....... ........-,,-----......,,.. .•,... CCWIRACTIgt ......... ............* , ii i i •• 1 ,,; ..*. I:.•., .,,,:`)1/•-L"ili.'AAi• •• ,...' -: :1,:i.. * 4,_.. ME_C....H.._A_NCALPER....I...M..,..."s!oFE..,..v.._LoSu* \IJ — 1 ..t = • . I ,i, `, 1,../if' 1.,-4"f-7,..1, .. , , i- ' / :(, i. , .„ . •'.. ,,!.1..7,.-110, ... ' - . ,r,..1 .. L. -, _ ; .. , 3" 54 ` ' 4:; _ . . 7143 ;. .." 4 14)I ti PIRMII I EI , .... t bt,Itca tifit tipita lotion s trite f.if*pi,A.rml 7%444,,.44.4.1.,4,I 4.4141471 f or 41441 41114"I 1.14i.4,411 ita."1.if14 it,ibtlyil Ps \i 01.441 ,‘....1 4.,".0:7147 ' .4.......- ' Electrical Permit Application ' ; (,]: t l , 1 1 .1 ()N I , Ci of Tigard , .1, ,`, Received 13125111 SW Hall Blvd Tigard,OR 97223 >ete/Bv: PenultNp 4-6,7 2c?(C '/S- d V Phone: 503.718.2439 Fax: 503.598.1960 ' r,< a Plan Re eW Inspection Line: 503.639.4175 i s s 1 . D to Rc Other Parole - Internet www.if',.'..4"- " t I �' 7wir. RI Sea Pap!l ler t�gard-or.gov 1. �o , , o,� tis � ....',4' hod: � 9uPP�afa1 Information TYPE OF WORK •.. . ®New construction 0 Additiwl/alteration/replacementapply(submit J,sets of Please check all Pont plans Weems checked below): 0 Service feeder 400 amps or more 0 Building over three stories ❑Demolition O Other: where the available fault current 0 Marinas and borayards CATEGORY'OF coNSTIOICTION • exceeds 10,000 amps at 150 volts or ❑Flowing buildings. ❑ 1-and 2-family dwelling 0 Conunercial/industnal" ❑Accessory building less to grind'or ex s 14,000• 0 Commercial-use agricultural ❑Multi-family 0 Master builderEight for all other installations. Installation 0 Other: ❑Fite pump, ❑hnslapation of 75 KVA or JOB SITE INFORMATION ANO LOCATION CI Emergency system' er8e+separately derived system. ❑Addition of new motor load of Cl"A","E","1-2","1-3", Job no.: Job site addres J1C Sw ` t'lvtictq 610 100H1PorMOM. occ„�0ey. ❑Site or more residential units. ❑Recreational vehicle parks. City/State/ZIP: 0 Health-care facilities. 0 Supply voltage for more than /�� _ 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: k-�',v'-- V►�C)L j 0 p service or fader 600 amps or more. y, Cross street/directions to job site: FEE SCHEDULE Daeriodp I Ob.. Jl AL 1 Teal I New residential sure=or multi-family dwelling unit. Includes attached garage. I Subdivision: Lot no.: 1,000 sq.ft.or less 4 Tax map/parcel no.: Ea.add',500 sq.ft.or portion "1-a 33.92 I 1 DESCRIPTION OF WORK Limited ft. tial 75.00 2 (with above s aq..ft) , Limited energy,multi-family 75.00 residential(with above sq.ft.) 2 Services or feeders installation_alteration,and/or relocation 200 amps or leas 100.70 2 0 PROPERTY OWNER f 0 TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) I Fix.( ) 200 amps or leas 59.36 I 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 10 599 a 168 sa 2 Owner signature: • Branch circuits-new,alteration,or extension,per panel Date: dr A.Fee for brunch circuits with 0 APPLICANT 1 0 CONTACT PERSON above service or feeder fee, 7.42 2 ` 'branch Circuit B.Fee for branch circuits without - Business name: DR Horton Inc Contact name: Emerald Weeks service orfeeder f a that branch circuit 56.18 2 ,dam: 4380 SW macadam Ave Each add't branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular dwelling,service and/or feeder 67.84 1 2 Phone:(503) 222-4151 Fax::( ) , Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 CONTRACTOR i Signor outline lighting 6?.84122 c Signal circuit(s)or limited-energy Business name: �.J tA 14I i OJ-j.4" g le GTJ t4 C, panel,alteration,orextensior. Page 2 2 Each additional ins Address: 2g0 Li/ �E /`S'f�, /J ff/"}rl_ (I hr min) allowable In any of the above + / t4 J , ,�?lTL•.Q _.�.�_/.�i� Additional inspection(I hr min) 66zs/hr City/State/ZIP: V�iV1 C t�(i(V--2(�'. W 9. �Fd'(� Investigation la(1 tar min) 6625/hr Phone:(� / 7:-..5-;12_,9 /` [� /+ Industrial plant(1 hr min) 78.18/hr `� s`e_ I Fax:Oba) S� 9 fjInspections for which no fee is CCB Lic.:'ZZJI` 9 2O t specificallylisted(IIhrm6Q 9o.0p/hr S Electrical Lia:•CZ I Suprv.Lia: /793 S ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 2I�':��`�%/'� }� Subtotal: L:.��""" rl -- Pian review(259'oofpermit fee) Print name:C4 6,.h`/L. 6 a rrf I Date: State age(12%of permit fee): Authorized signature: TOTAL PERMIT FEE y — This permit application tsblla permit b not obtained within 180Print name: + ZV +y , bate: days after it has been accepted as complete, * Number of inspections allowed per permit. I lauildmglrendtrl6r c re,m;rAyp 44046154i tb5/Cosilwya • aC I F Electrical Permit Application—City of Tigard Page 2—Supplemental Informationiii ��7-0,-6 �� Limited Energy Permit Fees: sa”r_' AR 9 Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE I Fee for all residential systems combined: $75.00 Descriptionot.. Eteh Total —I Reneoable electrical energy systems: Check Type of Work Involved: 5 k a or less I It.m,70 5.01 to 15 kva — I33•SE ___ � n A• udio and Stereo Systems* 15.01 to 2;k•.0 2,x)34 \find generation systems in excess of 25 kva: Burglar Alarm 25.01 to sri kva 301_114 Sb.til to 100kva 2 X G• arage Door Opener* ss_._c I III ',With%a(fec in accordance with OAK',In-101)-0(t4O) 5:2'26 I I ® Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* I additional kes MCI 25 T; V• acuum Systems* -liiitk\a no additional charge Oft tz Each additional ins.ection over allowable in any of the above: n Other Each additional inspection is ■ 66....5 hr I char ed at an hourly(I hr min) Inspections ti'tr which no lee is s ecifically listed(‘i hr min) 90.00 hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal I Enter on Pagel): (SEE OAR l8- 09-0000) • Number of inspections allowed per permit. Check Type of Work Involved: C Audio and Stereo Systems n Boiler Controls n Clock Systems C Data Telecommunication Installation ❑ Fire Alarm Installation Li HVAC I I Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* n Medical L Nurse Calls C Outdoor Landscape Lighting* n Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I..Buiidi,w Pi"ne•.ULC P-nit,App i LR FRF.dt< Rt. u.s Y:fqQ Plumbing Permit Application Building Fixtures 1 o 01 I1( 1. t SI. OM 1 City o[Tigard Date/By. ate By. Pemtit I�r► ic70iRUi --%U r N . • 13125 SW Hall Blvd.,Tigard,OR 9122; 1 + .'t , plan plan Re • Phone: 503.7182439 Fax 303.59 Other Permit No.: Inspection Line: 503.639.4175 >s! a , ri ;mac: i I G:1 RD ? < _ Oae Reedy/Bye lull: a See Pale I ter Internet: www.tigard•a gov Notified/Method! Supplemental lafermedoe T ,, '; y,. TYPE OF WORK. .FEEW 8CH DU[ S`: •_ti.. . ❑New construction 0 Demolition For special Information use checklist New I- -t Ne ❑Addition/alteration/replaccment 0 Other. I Qty. 1 E•. I Total 2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSPRUICITON SFR(I)bath 312.70 ❑I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 Accessory building -1 SFR(3)bath I 500.32 ❑A 0 Multi-family ❑Master builder - Each additional barhAdtchen 25.02 (]Other: Fire sprinkler( sq.ft.) Page 2 • . JOB"S1fERaNFORMj1T,10N:'AND LOCATION She utilities: ` °Nett buin a era drain 18.76 lob site address9S11 1. 6"" (D(�\'�+,!�n i c A�#- ` 6 t'Q -�+� �"1 """"'��kkk i1� Drywall,leach line,or trench drain 18.76 City/State/ZIP: - Footing drain(no.linear ft.:•,_) .. Page 2 Suite/bldg./apt.no.: J Project risme: 111 !V'r�1/ ..21d ,sir Manufactured home utilities 50.03 Cross street/directions to job site: 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.:_,_J Page 2 Subdivision: f Lot no.: Fixture or item: Tax map/parcel no.: Backflow prevents 31.27 a DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 (� Dishwasher 25.02 V ,G _ Drinking fountain 25.02 Ejectors/sump 25.02 0 1011OPElepf. OVNNER . • 'i 0 TENANT 1 Expansion tank 12.51 Name: �l ' ` `U�1"W\ `1/�- Fixture/sewer capFl25.02 Address: -Ll cCS'3 '1A.J2Ou .o-ln "1-Ili./ Garbageot drad✓po ar sinkAiub 25.02 � » --10, 9 disposal 25.02 City/State/ZIP: l Off. Hose bib 25.02 Phone:0-13 i1, "\�51 Fax:( ) Ice maker 12.51 ❑APPLICANT [] CONTACT PERSON Interceptor/grease trap 25.02 Business name: 1-tU}`1 rn C� -' Medical gas(value:S ) r Page 2 l Contact name: L',V'Q)/h i t1 "ark. Prima 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( nn c) Fax::( ) Tub/shower/shower pat 12.51 E-mail: e i,/ITW+66S C/ V VL C /11An •CCV t Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water pipinf/DWV 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 Minimum permit far. 572.50 CCB Lic.:94689 Plumbing Lie.no.:34-260PB Plan review (25%of permit fa) State surcharge(12%of permit fa) Authorized . ` Ad _ ,ter _ TOTAL PERMIT FEE Print name:RAY MULLEN / Date: This permit application expires ifa permit it not obtained within Ise days atter it has bees accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. Imuddiamoomitsummu-PaatApp.doc te/OU09 sco.µItT(torosicOMrwEB) City of Tigard Iii COMMUNITY DEVELOPMENT DEPARTMENT 11111 g 7 1 c D Building Permit Review — Residential 3&.�.a.i€g5 �.-..#6a�, Ya+.z.. .z:aa - ,‘,. , -w.4,: .fa: _.. .. —:. i-it::,.._. kms:;>= .. ...., Building Permit #: Art -, 5 J` / i/ - d -3 � . - Site Address: L Project Name: /---A, ' p ( j , Lot #: (New dwesubdivision name;Ad.' • or Alteration=last name of owner) Planning Review Proposal: /,1e.) &f, /Verify site address/suite#exists and actio in permit system. Oli lever Terrace Neighborhood: 1No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan �" sting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paperih ►Footprint of new structure(including decks)with finished irawn to scale(standard architect or engineer scale) i•or elevations orth arrow r U. -ty locations(required for new,may apply for additions) e address,project or subdivision name and lot number 0 ation of wells/septic systems irtikp plicant information(name and phone number) • it t.ting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions otection measures t area,building coverage area,percentage of coverage and ,,.,�reet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) !�J Street names Property corner elevations (2 foot contour lines if more than 4 foot differential) )lean Water Services-Service Provider Le,tte of platted prior to 9/10/1995): Iequired: ❑ Yes,applicant was notified qJ No Received: ❑ Yes ❑ No ublic Facili • s Improvement F Permit: /Required: Yes,applicant was notified ❑ No Applied For: t] Yes ❑ No,stop intake and Use Case#: 06II)0067000040, SLa&QOkg-SIS' Zoning: P_7-- Required Setbacks: Front /s" Rear /S- Side ,c--- Street Side "74 Garage cQ 044/Landscape Requirement: c 6 % to of Coverage Maximum: - % Iv Building Height: Maximum Height -55- Actual Height 3 it 12t,ik isual Clearance Easements •l kensitive Lands: ❑ Yes tiNo Type /4 Urban Forestry Plan ❑ Conditions "Met"prior to issuance of b ding permit_ Notes: Cold/ c.,;,,v ,s4`J )11 L/ nh>r- A _rj171;z- ,t ssr rc Approved By Planning: 4111111111► �� /fir Date: ASEir Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\FormskBldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: /Z 07/4, Site Plans: # ,j Building Plans: # ' Building Permit#: }i"Enter building permit#above. Workflow Routing: [Planning engineering .72'1 e'rmit Coordinator <&lilding 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: 72_/"2/A Engineering Review Slope at building pad: 670, Slope "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,42 j7 Date: eZ/2 A 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 Cl 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: DC Fees Entered: Wash Co Trans Dev Tax: ��es ❑ N/A Tigard Trans SDC: ( Yes ❑ N/A Parks SDC: Yes ❑ N/A L2OK to Issue Permit A roved b Permit Coordinator: Date: /�`/' ) y0/fr PP Y I:1Building\Fonns\BIdgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8775 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00538 Inspection Type: Inspector: 299 Final inspection Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report received. AC installed. C of 0 left on site with contractor. Note: lawn irrigation Backflow devise permit to be voided, not installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8775 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00538 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: 8775 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 29, 2017 at 4:12:44 PM Record Type: Record ID: Residential - Master Permit MST2016-00538 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report received. AC installed. C of 0 left on site with contractor. Note: lawn irrigation Backflow devise permit to be voided, not installed at this time. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report received. C of 0 left on site with contractor. Note: permit for landscape irrigation Backflow devise to be voided, no landscape irrigation installed at this time. Contractor raked grade for slope away on left side of house, city not responsible for change of grade after final inspection. Violation Summary: Inspector Contractor