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Permit (59) CITY OF TIGARD MASTER PERMIT I '• COMMUNITY DEVELOPMENT 'PPM" I APt Permit#: MST2016 00502 �' 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2017 TIGARD Parcel: 25111 DA20000 Jurisdiction: Tigard Site address: 8500 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 19 Project: Heritage Crossing, Lot 19 Project Description: New SF. 8/22/17, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 701 sf Basement: 0 sf Left 4 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 991 sf Garage: 340 sf Front: 15 Smoke Dwelling Units: 1 Third: 327 sf Right: 4 Detectors: Yes Total: 2019 sf Value: $244,690.31 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'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 2019 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: $28,451.49 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 . • • OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23.1987 or 1.800.332 2344. e- Issued By. • /♦ I' ` -/ / Permittee Signature: 07/� Call 503.639.4175 by 7:00 a.m.for the next available inspection da 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. • Mechanical l rtnit A4 t°t)K t%1:t 1q.f 1 '.t 4 li I \ 'IVE ' City of Tigard $,�.Ya �:1 ` ,' �P�7c In-ooX0 . 13125 SW hail Blvd.,Tigard,t,Nt '474'3 _ Phone 503 7 243 ax: I �. /01? ar : losses-non trate t its: 50309.4175 OF Mit Rodlei f/d see Make 2 tar bnfernwilnis: WA'N'ti rd 4)r'''''t I'y' TIG` a ,tidal#1et6t Supplemental f � : y , , r'" �°;Iesr ?? ° a '' n* 1:4 ate-`z i ,, e,,h„ 1,� 1 .: ' '' Mechanical itfrena*arr based on the value of the work •New com it:1 m 0 Additionialtemtiontre placement performed Indicate the value trounded to the remit dollar)of all 0 Demolition 0 Other mechatireal materials,sandfstula.labor,(I'vaitOtt said rant.. Value S e - 1 !. .' a ri 4i 1 w and 2-farm!•dowelling 0 Cortunercialltirdustreal 0 Accessory building For wad infrriurtiou meeker/NA 0!slain'-family0 Master builder Q Other: Description l qty. [ I:. ] final ' � � .'r -- ttan t ek d� », �,. hu " - 4t ., - -. Atr conditioning i ?S Joh site address: * 0__6s(� � a `NN , .LFurnace h00 BTU idae rnas 46.73 Cty'Stete zIP; Tigard,OR 6 ma 100,000-1 1311.1(dialiesseraj 54 Idea poop r Sttite.`bkI fapt.no.: , Project name: rI.-rte..", r4�, r [2ttct ort,, 772 Crt st street'dired ions o job site: vtEMIM.3n3rMalIllM* -- —METI Residential hinter(radiator to IIIIIIIIIII h i `ic? 111111111 MIA Unit htruers I lttsrl-type.tort cleaned in-oast!,innforgt.souteudel etc 46.75 neatest Remy or above 23.32 tiatMli<�ixian; _ . - ti 23.33 Lot no.: _ Other aAl►t aaer¢s: e Ta ? el no.: orate Imam- 2 a tri3 .32 .' r C t"tr + atone 33.39 r 1.1 _.t._ >ud. L7�,r �� m...., - �-`�=t . .' ' - Flue vent for water heater or siti New SFR t r.�. 2.3.32 A Wood firitplaCerliifien 1101.1111 C'hi .mhr 'flneisenl 11111111111111 t 5r3 aTti 9 �� 's ,mss. �^` n . oth.- 1111111111 N4 DR Horton.Inc. Range hoodlothte kitchen aaluiPmeat 33.39 kdahleas4380 SW Macadam Ave Suite 100 _.. Clothes dryer exhaust 33.39 City stat mile:Portland,OR 97239 smatei.tod exhaust t toad . ,.<., $ oar rooms. 2132 Phette:t 503 t 222-4151 fax.t J Attiec.rawl fans 23.32 a 5 f tiux; 23.32 �. . Fed w' ,a fixe stew nxnae: DR Horton Inc, S14.15 Wettest fear-54.03 far web Ntallneual Contact natter: Emerald Weeks __. t: m. .etc. NUM hem pump 111111111111111 Adan s:t;4330 SW Macadam Ave Suite 100 c Walta >,4�. _/mit he C it4{itatefZiit Portland,OR 97239 — Water heater Phc e,'503 1222-0€151 x1107 3 ax::t ) ._ r E-mail. esweeksigdrhorton.com Ftarbecoo 11111111111111 IIII INIIIIIIIIIIIIIIIII Flustn came: ki: �, "dam 1Q � 3 $ / j sabwat MM. Cit Awe/ZIP- 0 °1 ",,t, re ' d0, lsf inw emnt fee(S, .. Plan review 123%of permit reel Phone jt. iti -' a ' 1 Fax: � 4f' 1 '4 State sawhor (12%of permit feel CC-13 he.. ,r itlMG4it/3A ToTAI,?Ever FEErihi s penin • expires Re permit is net eM*te d rrttian 1 goys after k ba Mees ft Al . � ` * Ire k s3aa set try Twoitioy Fra t' t r Senior Board ,�> ,ills, . .: �- _ I Print �.....__ Matt s n,aa <:e~ s_ t .«,�.1.utte.,t,>o Mxteatzta sxrasrttwvwr,nt IIICImea TY OF TIGARD MASTER PERMIT I: ' COMMUNITY DEVELOPMENT Permit#: MST2016-00502 T R GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2017 Parcel: 25111 DA20000 Jurisdiction: Tigard Site address: 8500 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 19 Project: Heritage Crossing, Lot 19 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 701 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 991 sf Garage: 340 sf Front: 15 Smoke DwellingUnits: 1 Detectors: Yes Third: 327 sf Right: 4 Total: 2019 sf Value: $244,690.31 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: 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 2019 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: $28,399.13 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: ,cr/D �Lri3Oir/e/ ci, 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. Building Permit Application 7Ug 4 •ltc►sidential FI frn .a ..r104.L 1 O 01'1 ICI I til 0\1 V City of Tigard Dais e'�fj�/1//G /I' �.,// r 13125 SW Hail Blvd.,Tigard,OR 97223 1(�V Datc.B}. Pernm N Off Ovs.O ? • Phone; 503.715 2439 Fax: 503.598,196UN O 1 9 2016 Plan Rei a:u Y Inspection Line. 503.b39 4175 �,: Dat:By.—La , _ Uther Perini 1 ,,,<hi, C I iG ��/�x�r Internet: Line igard 639 4t $ s P ,'�S t L-at tate ttea i g�• v 1u !Opp' Pan, t Pur li�� v u 1 E q -. + t? fli,,, Notified Method. t $� NI /�/ � tiupplemental Information 45) `Kit lyv it TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DV1 ELLING 3 New construction 0 Demolition Permit fees*are based on the value of the work perforated. ❑Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. *I-and 2-family dwelling valuation: ,, "" ❑Commercial/industrial S a.4 u 7) 6q 0 ❑Accessory building ❑Multi-familyNumber of bedrooms: 3 30 Master builder ❑Other: Number of bathroom 3 JOB SITE INFORM4TION AND LOCATION Total number of floors; J? Job site address: dr�t>() AA/ sV F 3 D `' tr`t fs (IV New dwelling arca:do ICI square feet City/State/ZIP:Tigard,OR 97223 Garagercatport area: 3 yo square feet 3 Suite.bidg./apt.no.: Project name ' JY/r t,-„tJ51 t Covered porch area: q3 square feet tom q ' t Cross street/directions to job site: '7 Deck area: square feet 7 0 11 Other structure area: square feet ; Subdivision: / REQUIRED DATA:COMMERCIAL-USE CHECKLIST I Lot no.: (9 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 fir, New building area: square feet 1 PROPERTY OWNER 1 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 Phone:( 503) 222-4151 Fax:( ) Existing: New: 0 APPLICANT CONTACT PERSON BUILDING PERMIT FEES"' Business name: DR Horton Inc. (Please reJerIola uNedwlJ Contact name:Emerald Weeks Structural plan review fee or deposit): Address: 4380 SW Macadam Ave Suite 100 FLS plan review fee(if applicable): City/State/ZiP:Portland, OR 97239 Total fees due upon application: - Phone:(503 )222-4151 x1107 I Fax::( ) Amount received: PHOTOVOLTAIC SOLAR PANEL Si STEM FEES' E-mail: esweeks@drhorton.com CONTRACTOR Commercial and residential prescriptive installation of Business name: roof-top mounted Photovoltaic Solar Panel System. DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Aaaress:4380 SW Macadam Ave Suite 100 Solar Installation.Specially Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review Phone:(503 )222-4151 Fax:( and administrative fees): 5180.00 CCB lie.: 130859 State surcharge(12%of permit fee): 521.60 Total fee due upon application: 7 Authorized signature: „ S..Ol.bti i t { i ( �j This permit application expires if a permit is not obtained x within 180 days after it has been accepted as complete. Print name: Date:2016methodologyby i (f C Fee set Tri-County Building Industry Service Board. 1:Building,Permits BUP-RISPcnnitApp.doe 0224.---201 t 44011613T(I 1i►2 COM'WEB, I Mechanical l'erntit Application i(to 431114 i I 'NI too \ . ., ( its Of Tigard H (*14..'''','•: "5.MO/''DO CC12 - , —.•,-- -....... * . , ,,l''''SO.Rd 441.31 9 t;^,..,;1 I __ l {,.!•{.,l'i'k:':i. '-!* '' . i'' """”‘ 0 ip'- i 9 2016 1,.,.,,p,nto I.ioc '41,;r,1.i i t 4. ,J V !',..,„t•,1.......-- ftlienl..1 'A„s S. 14.,„.1.t,+.,,,. ...rappir Ffir}HA I raw ot.1 t.” CITY D'' ..... . ......... ......, _ ._ - T'7i;VW)--tirgir,,' --- . . COMMERCIAL FEE* SCUEDI1.1. USE CHECKLIST -------------- - - ---9' 9,t399.4 "..."I"li,,' Ir,t'1,,'d t.} ,, 1„,11•,.•,." AiN,,,999.3. .,,,1,ituo ,, ri viath04 41.,,,,,,,,,n R1,1,,,,n.„- i,f,,,,,,i 1..!,,,Al.,'Oh'‘,Ottk:'!t,tit.„„itAl hl 0","PA',.1`..0,}0' I0.th1114111401 0I tiNct ' , t1;,,...1.2, ,,al 711,2..: 99.93t,,,3 ,,z91,933.1t,,..1 .1:1,..!1,,,,,t, .. I- . , S,11,..ii! S ......... _ CATEGORE Of CONSTRUCTION . _. RESIDENTIAL EQUIPMENT i SYSTEMS FEES* , il9---..----I,.ind-..- wind, ss 0 I. Ofiltlis's 1.41 Ifkills11/,,f 0 '1,..,.;`,„.“:. t''',,,itli'l I v.'tp.,ii',Ito,mart.",.4.4.hea Al!t. . . .,. -.1 0 Mi.thin .-li:111', 0 M.,1,10 bki- 0 I,/OW! ..-- - ,---- – ikalli%t#4.01` JOB SITE INFORMATION AND LOCATION ---- — -- 9-4 •39,..'nth!,Hint.,! 1„-).'••s;, JO.i 1 k's., ifibt2 6.5t"...., A410,4,..el., tar i ' ,,,,,, '01!00,,,jti 11 ,,,,,,, 4' l'' 7'4°1' 111.: Tisard,(.)12.97223 t,,,,,„, OKI ---.. . . ,if,'r.r,,,mil , t ,,, i .....iii,„•hid,: ,i01„“s „_,,,,., 1 l'1::,.,.,_t E2 iiI,',..A. C.X1_ .,,,,,_•#.111..., C ji.,-'0_ ,' , ....)v,t-i ;,;.;;,,,,,,,,, , I t.,....-.1?01 4tttes.thm.1.,AI',lcth,',4,4., ,,. 11,0 ,, . , . ,___ --..—.----- , ,. ._ Fd ,'tit",jt-,11..ii3O,V n-r 1,dr;Wlik,A , 'i , , ' I ”It h.:.'•3h1,t NO I S)3. 150 CIO.'Th.i ! -- .„ , . - -. - ,/ :.,,.,1.0 /.1k.k.I_N.,: /.1/.1.'..l_t'S.,_._. L.,_,,.. .44919993,49.9,,,,,,I, 9 i 9,3 II., t ,_Iii 1211?-1,._, ____,, _, .1_,_ _.......! ... .... . (mbar NA applianars. 9 E.1‘.MA,part el n., --- . - nesaurnoN OF WORK , ',\k 43,7 haatt93 9 9,' '1 ueplat - e ..ot. --------"*""'"'s ' I LA:%VII!14 4 t8 415-1'3' Ps :q/.,i... 1", > i New SFR , ,_“ 1`,4,4F...L..... ! V,..,,,,i pd+ct‘:,,k,.. 1 . . NA”..0 ht:V,; •t,..,; I ' 3 IltilltiV:2 tlf1(1 Iltic.,,,,m I •• , • . . i tithct I. I • 1 ,. •rowan owpita 'TENANT ----1 ---- —.5-P ,-- ----- -- 4 ' t tut tronmentai 134hi and%rotilistion; __. DR Horton Inc. ! R'kflgt-hOlt.d t4h,k't kit.6,, 1 ---,I- 1 ; . . .- ;_AY_TI!!nl........____-, '01'1 "438.0 SW Macadam Ave Suite 100 3 Loh,-CIO.%f t.,,t.,t t -,„--,--- 1 ( "\ ‘'L'I':la' Portland,OR 9 ,,A,,, 7239 s, ‘1.,!,..0,,,,,,,,,-,,0,--,,,, , ,11551.,,t1,1".!, „v,V• ,3:1,1 ! ,1,,,,s i 1503 1 2/2-4151 I., , 1 • kil,5. kr..,, Li, i L. ........,-..... D "ICANT IS CONTACT PERSON 1 — - 3 - ' , , t nal ptiting; , l "4"'"''''t)aine I)R HortonInc, . ,...____,...._ _, . .._ , ._ 114 14 for first lour i.4,0%for 4..orb additional t rl.itt 04IIM Emerald Weeks I h i {Al 4380 SW Macadam Ave Suite 100 • .... ..... .. . 5 5, _5.5_5 .. Ni311—,irki,-„t wtlt I it..1.41, ' ( .it ..001's in' Portland.OR 97239 ' ,..3,,,,,,,b,,to I , IIu',. '",0 3 ' 121- 4151 x1107 1 esweeksoPdrhorton.com it”t,,,,,,.: - CONTRACTOR ' 3 ',qt.-,•93-4,3,-9.•I,,.., i . ,t Rho'. i 1 (C;‘,1;,.-s,ti.1 111, 1" tt. t , 33 IC --.y. ,....... .lie,:?.„.)1i.yitblifEAL: r ,,i-7- i, 1 '")7 i . --. 'MECHANICAL PERMIT FEES J " hutttotal 4 i . –_, — ---5– i ( "I s+1,af55/11' 6..,11-rritit.)tiv/1 -' 1 A , 7, 4. 1,:ii?„/ , i ,Innii,„..,,,i„,i,It-t,($4t)Oh . -_---. ' -, 11-..mc 4'..' :-°14,r,i .:r i. . } l't t,,`,, / ......, ..if / !,/, _-_-_ ,,..„.-_...?„.m.,_..,„...4.....*.-0.„.-,.... ..„__.._._.1.,__......40.........-...t....„„44'...,....i.../...‘e, .4, - . ,, , . ,,i,"1,-,,'.„2.“;', 1„( li 99. '.;)4":„I TOTl kPIRMIT_..,TIT -„ - I ht.pr mit ispiltst oftsmttpirri If s per tentI t4 sol niNtettyrti.,lb,,,flIke dill,Ott it hos hers ocorpted AA tomplcre N.t0Eor,/k.d.,.1.enWt.ac . , .--- —....... --..-. , -.• .' ,...- • I't,f14 ItiSiar.„,. -- ' 1 ' , . ... '' '''' t-''' ` • Electrical Permit Apnlicati . ` R a # r, I (R ro I I( 1 l til O\I 1 • City of Tigard Relived "457 2/( -t SQL Deceive Permit No. 1111 i 13125 SW Hall Blvd.,Tigard,OR 97223.;0 y' 1 9 2016 p Review Phone: 503.718.2439 Fax: 503398.1960 Date/By: Other Permit: ,,, „, ,, Inspection Lite: 503.639.4175 C i ry '1 u , ° Fy 'aa Date Rdy/ey; runic B See Page 2 for www.tigard-or.gov { 2 , � Notifed/Method 3uppleae<W 1Information�y. , , i TYPE OF.WORI j. - ?LAN-REVIEW • ®New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans w/terns checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault outran D Marinas and boatyards. CATEGORY OF CONST*CTION exceeds 10,000 amps at ISO volts or 0 Floating buildings. les❑ 1-and 2-family dwelling 0 Commercial/industiial' 0 Accessory building am to ground,a Ordinaexceedstions. t4,000 DCom buildings. l ase ural 0 Multi-family + a>��all other inataltatiom. buildings. ❑Master builder 0 Other: 0 Fire pump. 0 ls®taliation of 75 KVA or JOB SITE INFORMATION AN LOCATION 0 Emergency system. larger separately derived system. D Addition of new motor load of 0 A",`E","1-2","1.3", Job no.: Job site address: 8-(5-00 Anti �1-1Yvvic 4 100HP or more. occupancy. ❑Six a more residential units. D Recreational vehicle perks. City/State/ZIP: .r ",.2 q 7,733 D Health-care facilities. CI Supply voltage for more than �^� _ 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt no.: Project name: y, IJY ` vli0 service Of feeler 600 amps or more. FEE SCHEDULE Cross street/directions to job site: aererisdes 1 Qtr. I Fee I T4W I New residential'single;or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:1C/ 1,000 sq.ft.or less I 168.54 4 Tax map/parcel no.: ( Ea.add'l 500 sq.ft.or portion . 33.92 I Limited energy,residential 75.00 2 DESCRIPTION OF WORK • (with above sq.ft) L mited energy,muki-family 75.00 2 residential(with above sq.ft) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER i 0 TENANT 201 amps to 400 amps 133.56 2 I;Iame: 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:( ) Fix:(. ) 200 amps or leas 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 z intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 899 amps 16834 2 • Branch circuits-new,alteration or extension,Per panel Owner signature: Date: t , A.Fee for branch circuits with 0 APPIiCANT 1 0 CONTACT PERSON above service or fender fee, 7.42 2 Business name: DR Horton Inc �n�rct`�rtt B.Fee for branch circuits without Emerald Weeks service or feeder fee,first 56.18 2 Contact name: branch circuit Eachadd'1 branch circuit 7.42 2 Address: 4380 SW macadam Ave Miscellaneous(service or feeder not included) city/State/ZIP: Portland OR 97239 Each dwelmanufactureding,service and/or modular a s 67.84 1 2 Phi:(503) 222-4151 Fax::( ) , Recamaxonly 67.84 2 E-mail: k Pump or irrigation circle 67.84 2 • Sign or outline lighting 67.84 2 • CONTRACTOR ; • Signal circuit(s)or limited.cnergy Business name: Sc 14/,-.0.1,74- 2 l e ;G —_,,, panel,alteration,orextensio n. Page 2 2 /� �i 1 tZ Jl r- Each additional inspection over allowable is any of the above Address: 2 q0 y W�' r0�?t^ , ' t 1 .1 Additional inspection(I hr min) 66.25/br City/State/ZIP: Ver_n co(ii V (i". 14.49. ,916'6", Investigationuriaplant br rem) 78.25/hr /� �/� (�/�/� Industrial pleat(1 hr min) 78.18/hr Phone:(3C} .-/f- .. -..57,9.9 Fax:0 °) 32 - 9 E�0 bispections for which no fee is specifically ltsteddi'i4 hr min)._ 90.00/hr CCB Lic.:/ 2,6V,9 Electrical Lie.:•CZ$o Suprv.Lia: /T 73, s ELECTRICAL PERMIT FEES Suprv.Electrician signature,requir d:2M�/� 'I). '' Subtotal: j �E Plan review(25%of permit fee): Print name:Ch L sTb 4 �'`1 2 r ft : I Date: State surcharge(12%of permit fee): Authorized signature: �✓ ,/ ,--'- TOTAL PERMIT FEE: This permit application expires ifs permit is not obtained within 180 Print name: *-- U _ ' Date' _ * Number of dad akar it ha been paccepted permit. as complete. inspections allowed per permit. Mull ingWeraitlIWPerm;tAgi 4e0.4615rp1/05/ 014/W e Jlectrical Permit Application–City of Page 2–Supplemental Information -400• b t ,„m ' S T/ v i ce(J(/ L Limited Energy Permit Fees: NOV 1 2016 Renewable Energy Permit Fees: CITY RESIDENTIAL WORK ONLY: )3(JILD1 ._ ~ FEE SCHEDULE l Dcaeription Qtv. Each Taal I :�1 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5Ina orless (t56 Check Type of Work Involved: 5.01 to 15 kva 133.3.56 n Audio and Stereo Systems* 15.01 to 25 too — 200.34 Wind generation systems in excess of 25 kva: H Burglar Alarm 25.01 to 50 kva 301.04 2 SUM!to IUUk‘a 552.26 MI Garage Door Opener* lou kva(fc,in accordance with(tAR 91x-309-0040) 552.26 ® Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* __- l:ach additional kva Ower 25 7 42 3 E Vacuum Systems* .•11)0kta—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n Other: Each additional inspection is 66.25 hr 1 charged at an hourly(1 hr min) Inspections for which no Ice is 9000 hr specifically listed(�f:-.hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES �— Fee for each commercial system: $75,00 Subtotal(Enteron Page I): 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 ❑ Fire Alarm Installation ❑ HVAC U Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* • Medical Li Nurse Calls H Outdoor Landscape Lighting* H Protective Signaling • Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Buildine Peine 1!.0 PcrmilApp LLR ERE(R.: Rcc Ur,I '-r;li Plumbing Permit Applica ' Building Fixtures "' I OR Oi 1 1(I, i S1: U\LI City of Tigard N O'1192016 Received Permit No. S a - j SpZ III a 13125 SW Hall Blvd.,Tigard,OR.97 3 0 S Phone: 503.718.2439 Fax: 5031,5911i1966...''' Ao t i•.:, Doris; Other Permit No.: II c,n R o Inspection Line: 503.639.41755 � I ' F•` ,,,,--,:c., 1t Dae Reidy. 4,oris: 0 sae Pap2 kr Intend: www.tigard-ocgov Notified/Method: 4,,Soffieme■a)laformatioa • - • a,. • TYPE OF WORK. . .FES' $CHEDUL7 .;h r , 0 New construction 0 Demolition For special lajornra ion use checklist Description ( Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONST O rIoN . SFR(1)bath 312.70 0 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 50032 Each additional bathAdtchei 25.02 0 Master builder 0 Other: Fire sprinkler(_,sq.ft.) Page 2 JOB_SrTE i[13►ORti!(1►�d)!1:?AND LOCIATION Site utilities: • lob site address: ,-600 r�lA/ A + t / 4p C basin c area*sin tr 18.76 City/staterraP: 1`r' �, 2 �t 7a�3 ""�I`' �►Y"�1.�h tine,or trench drain 18.76 i Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no./ Project name: \-\e,v\-\- -0:A/i _2‘S1r 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 Stone sewer(no.linear ft.:_J Page 2 I Water service(no.linear ft.:_,-J Page 2 Subdivision: Lot no.: 4 Fixture or item: 1 Q S Tax ma reel no.: Backflow preventer 31.27 P/W 1 . DESCRWflON OF:WORK Backwater valve 12 5 Clothes washer 25.02 Dishwasher 25.02 .1 _,y Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY...OWNER . . "I 0 TENANT Expansion tank 12.51 Name: \T."). U y 1VA,C. Fixture/sewer_ cap 25.02 ,. Floor drain/floor sink/hub 25.02 Address: '-X b c 3 \1)\.�0Pl - 1/✓ Garbage disposal 25.02 City/State/ZIP: a' o1Q,. Hose bib - 25.02 013 t 7, Phone `5 Fax:( ) Ice maker 12.51 0.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 3:::R._, > \Al 1 h Medical gas(value:S ) Page 2 Primer 12.51 Contact name: �\V\QA/1/4 1 01 \ 3-e.Q � Roof drain(commercial) 12.51 Address: , Sink/basin/lavatory 25.02 City/Stat /ZIP: Solar units(potable water) 62.54 Phone:( ) nFax::( ) Tub/shower/shower pan 12.51 E-mail: e S�A_J 6 C�. (�.v Y t Cvt w' .C(i/V` Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address:1601 SE RIVER ROAD Other. 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 _ Subtotal Minimum permit fee: 572.50 Phone:(503)640.0113 Fax:(503)640-4483 Plan review (25%of permit fee) CCB Lic.:94689 t Plumbing Lic.no.:34-260PB - State surcharge(12%of permit fee) 4c -'1-�' Authorized signaturt: TOTAL PERMIT FEE This permitappaatlea expires ifs permit b as obralaed'Adds 1!0 days Print name:RAY MULLENDate: after it has bas accepted ascompkk. *Fee methodology set by Tri-County Building Industry Service Board. (:16udai,g5, witoramU-Peratansp.doc 10/01109 446•4061110/02/COMAYES) City of Tigard 1,1 lj COMMUNITY DEVELOPMENT DEPARTMENT 1IGA Ro Building Permit Review — Residential Building Permit #: /14.S 720 lG—Co (7 Site Address: 8Sov s W sciti ',c(+ t,CQ Project Name: -kr; C► s$o /Al Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1,1 e,) de 1-6 ch 118 SF S .8"`Verify site address/suite# exists and active in permit system. -'River Terrace Neighborhood: NI. No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: ) 'Three(3) copies of site plan "Listing structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ®'Footprint of new structure(including decks)with finished ['Drawn to scale(standard architect or engineer scale) floor elevations NI-North arrow rUtility locations (required for new,may apply for additions) r*ISite address,project or subdivision name and lot number )ocation of wells/septic systems ii:JApplicant information(name and phone number) 'Existing trees to be retained with drip line,and tree ®Lot dimensions and building setback dimensions protection measures Mot area,building coverage area,percentage of coverage and 1 Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) cRStreet names f, Property corner elevations (2 foot contour lines if more than 4 foot differential) kr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified IN"'No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ,'Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Land Use Case#: 5(A-t3 4)U tc (xx C Jam. ,V+ Zoning: (L_ 1 2- gg Required Setbacks: Front f 5 Rear I c Side y Street Side U Garage Z'0 R. Landscape Requirement: 20 % g Lot Coverage Maximum: S 0 % Z1 Building Height: Maximum Height 3s (—I- Actual Height 5 2' 121 Visual Clearance Z Easements Sensitive Lands: ❑ Yes ❑ No Type gi Urban Forestry Plan ® Conditions "Met"prior to issuance of building permit Notes: S.1!'G .66-hoC)S G1re Me f. pr ro iJlvct el Le. . Approved By Planning: 04y1 1'3 i (o Date: 10/1 ci / I b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw REs 091216.docx Building Permit Submittal Original Submittal Date: l0//7//� Site Plans: # -> Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering Permit Coordinator P=Building Workflow Sign-off: Xr 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. jEr'Building: original permit application, site plans,building plans,engineer and -beam calculations and trust details,if applicable,etc. Notes: By Permit TechniLiai>: �j�� G�y��'C� Date: / i/g/.4. Engineering Review Slope at building pad: 3 o ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat .B'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes .ET No LIDA Facility on lot: ❑ Yes ,ErNo Cl NOT Approved by Engineering: Date: Notes: Approved by Engineering: M j(/ Date: 1( /2-771(z Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved 0 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: DC Fees Entered: Wash Co Trans Dev Tax: 11,, es ❑ N/A Tigard Trans SDC: ►' es ❑ N/A Parks SDC: Yes ❑ N/A 1011K to Issue Permit Approved byPermit Coordinator: 74/C3ate: ii ��/i� PP I:\Building\Forms\BldgPennitRvw_RES 09 1216.docx . . .' ..•-,...- ,I, . .,,,.,, OPIe:e Plumbing Permit Application ;. Bantling Fixtures .... RECEIVE. City of Tigard 3125 SW Hap lvd.,Tigard,OR 97223 AHr Q2017 ntiik:me itiie,,,, itiCei-Viitv W 0 / 1 . Penalt.146.''H4rr90/te-oo 5-70p, ' Phone: 503.1182439 Fax: 503.598_1960u L5 '''' .0tho Permit No.: --... le Inspection Line: 503.639.4175 $ais. VI See Page 2 tor Internet: wwwtigard7or.gov CITY OF TIGARD .2:17,11,7Z. simpimeritidia....ti., - LDINU DIVISION' ' Fillsr SCII RHU , . . ...., U New Construction 0 Demolition Far spade!Wonolatio4-cheek, 114 Description Qty. .1 Ea. I Total 0 Additiowakeratiqpirephicement 0 Other: New 1-2-family dwellings(includes 100 11;for each utility cOnnection) Sgt*GiXtror CONOitiCnOr.4 SFR(1114th 31220 .01-and 2,famity dwelling, Q Comintweialtindustrial SFR(2)bath 437.78 SFR(3)bath S0032 0 AceetworY building 0 Mold-family , Each additional hathikitchen 25.02 0 Master builder 0 Other: Fite Sprinkler(____.Sq.11.) Prigs 2 • * Jon:tart'INPORMAT1014 AND LOCASlit utilki* lob site address" ':'c---ill- 51.;) 1\, _.)\ corAill oil/. ,nou Catch brain Of area drain 18,76 . - p ....,10)tDrywell,leach line,ornench drain 18.76 City/State/ZIP:' i Footing drain(no.litteart.: ) Page 2 Suite/bldg./apt 00:: 1 P1'010019=10: ‘3(0i\-0.11., Oxbbr.,-31 r *lured home utilities 50113 Cross street/directions to job site: 11010 11176 . .4min:connector 18.76 Sanitary sewer(no.lineer It.:,___) Page'2 Storm sewer(no,linear ft.: ') Page 2 Water service(nO,linear II.:, ) Page 2. Subdivision: I Lot no,: ‘‘ •Fistiort or hew MX areel no.: Backflow presenter 31.27 , . , , .• Backwater'valVe -Net.. 12,51 ' " 2--.' 4104-,of Y°4K Clothes washer. 25.02 N- 6katriSe.) Dishwasher 25,02 Drinking fountain 25.02 Ejectors/sun* 25.02 01/**-1401***11 . ' - ,' j - . ,'-0 11114Affr , -Expansion tank. 12.51 , . . . :Name: V_)k. SCAVY-*(rYl piaturviamver c , 25.02 Floor dminitloor sinkihub 2502 Aciditss: -.\/? 5N' .) ya/A,& 1:3C)4.. "k-14-...A-6atbasedispeoal ' 25.02 City/City/State/ZIP: 54, 1/4eSvi1 Best bib 25.02 Ice Meter 12:51 Apiticont,..‘k. , '' .'-'''0,'CONtiket PE1l110t4 ' 'Memel:Or/Few Aral) 25.02 Business name: Medical gas(value:$ . ) , Pagel , COntactname: Primer ."'N‘V‘k..eiit't VA Vj'{1,Eir-.. ) ' - - • Reef dram(commercial) 12.51 12.51 Address: Sink/basinllavabsrY - 25.02 City/State/ZIP: Solar units(PoteNeuteler) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12,51 Diktat E-mail: 25.02 Water closet 25.02 CONTRACTOR , . .:. • , . . . Water heater 37.52 . Business name:%keit Plumbing Water piping/DWV 56,29 Address t 1075 W.'lialtolie Columbia River Hwy Other. 25.02 City/State/ZIP:Tretildrik Or.9060 Subtotal Phone:(503)667-1701 Fax:(503)6614891 Minimum permit fee: 572.50 Plan review (25%or.pennit fee) C(-13 Lie.:11200 Plumbing Lie.no.:26-824P8 Sumo surcharge(12%ofpermit fee) Authorized signatu . , 4-- (11 rt•,-.04 TOTAL PEithIlT.FEE • Print name:Msdt Bikini Date:2/17/17 1 This permit a pptiztoar ultras ire perartiLisa:romearahisetcrd witain.110 deo *fee methodology set by Tri-Coumy Building Industry service Board • I nauildiskPerstits:PLMV-PemitApp.d00 10i01169 440,461vil icelt0354W1114)