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Permit (45) CITY OF TIGARD MASTER PERMIT Permit MST2016-00583 COMMUNITY DEVELOPMENT T I . A o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2017 Parcel: 2S 111 DA22200 Site address: 8720 SW SCHMIDT LP Jurisdiction: Tigard Subdivision: HERITAGE CROSSING Lot: 41 Project: Heritage Crossing, Lot 41 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 936 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1361 sf Garage: 385 sf Front 15 Dwelling Units: 1Smoke Third: 0 sf Right 4 Detectors: Yes Total: 2297 sf Value: $278,238.56 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y 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: 1Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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 addl 500 sf: 4 201-400 amp: 0 201-400 amp: 0 P 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 Other: N Other Description: All Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW TYPe of Constr: Occupancy Group: Square Feet: SF VB R-3 2297 Owner: Contractor: DR HORTON INC. DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $29,077.33 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 952-001-0010 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. rl Issued By: ��.iate/te, Permittee Signature: S r"Z" 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 r.�702 ,� 3 Residential RECEIVED i f)R Ot 1 ICI: 1 `i ()\1 V City of Tigard Received W - " 13125 SW Hall Blvd.,Tigard,OR 97223 NOVatc.B: _ /' � Pen"N ' a Phone; 503.718 2439 Fax. 503.598.19(>ID' U Q 6 Plan Ite�ieu (r 3 i i.l�' Inspection Line. 503.639.4175 Oaten': " ) • — ,) Other Perini. Internet: www.tigard-or.gov CITY O) alit}� � Date head)Rv �y G2'� Juris QJ �.Fit 2 ;� BUILDING �t� Notified�Medwd: nt for BUILDIN ni1�I,`o,#affi l ro:or "—Aug— ��IJ Supplemental Information TYPE; OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING (!New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement 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. lkil *1-and 2-family dwelling Valuation; ❑Commercial/industrial g .r ❑ Accessory building U - • D Multi-family Number ofbedrooms: /! ❑Master builder 0Other: Number of bathrooms: i� 1 JOB SITE INFORMATION AND LOCATION ^ Total number of floors; o[„ i„ Job site address: ,Erl- 4.51N c ►•iAIIIIMWIIIMIIIIIIIIIIIIIIIII New'dwelling arca: ,Agil 7 square feet C;ryrstate/z1P:Tigard, OR 97223 Garage carport area:LS s square feet Suite,'bldg./apt.no.: Project name �y- _ AO` h Covered porch area: , 4 square feet I Cross street/directions to job site: Deck area: square feet • ` Other structure area: square feet • Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST Lot no.: Permit fess* ed on etre valuethofnearthe work pertof ailormcd, Tax map/parcel no.: Indican the valuearebas(rounded to e est dollar) DESCRIPTION OF WORK equipment.materials,labor,overhead,and the profit for the work indicated on this ...lication, eW FR valuation: S Existing building area: square feet New building area: square feet it PROPERTY OWNER 0 TENANT Number of stories: Name: DR :orton Inc. Address: Type of construction: i ki , . a . la 1 1 Occupancy City/State/ZIP:Portland OR 97239 y groups: Phone:t 503) 222-4151 °�._ Q APPLICANT Neu'; CONTACT PERSON BUILDING PERMIT FEES* Business name: DR Horton Inc. Please re r so cc arhedule Contact Warne: Emerald Weeks Structural plan review fee(or deposit): _. FLS plan review fee(if applicable): IIIIIIIIII Address: 4380 SW Macadam Ave Suite 100 CitylStatetZlP: POrtland OR 87239 Total fees due upon application: �- Phone:(503 )222-4151 x1107 11011111 Amount received: PHOTOVOLrAic SOLAR PANEL S' STEM FEES* E-mail: esweeks 'Cirl10Tt01].COm CONTRACTORCommercial 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 Address:4380 SW Macadam Ave Suite 100 CitylStatelZlP: I Solar Installation dolts Cotte checklist. Portland, OR 97239 Permit Fee(includes plan review Phone:(503 )222-4151 and administrative fees: MN CCB lic.: 130859 State surcharge(12%of permit fee): $21.60 Authorized signature: Total fee due upon application: i $201.60 t t i' ° t ± { ;' g This permit application expires if a permit is not obtained Print name;;`+ within 180 days after it has been accepted as complete. k } t , Date:2016 "Fee methodology set by Tri-County Building Industry Service Board. I.Building,Pennits'.BUP-RESPcnnitApp.dtx: 02.24.2011 440-4613T(1 1 02 COM'WEB' Building Permit Application Checklist . • One- and Two-Family Dwelling Recen ed r 71 City of Tigard Dare By: Prrmlr Nn.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permils: B Phone: 503.718.2439 Fax: 503,598.1960 . 0 Fleeiri.al 0 Plumbing 0 Istceluniral 24-Hour Inspection Line: 503,639.4175 1 It,AP.D ❑ Other: lntemet: wwwaigard-or.gov -TML FOLLOWING ITEMS :a RE REQUIRED FOR PL.,1N REVIEW 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 2 Zoning. Flood plain,solar balance points.seismic soils designation,historic district,etc. a�i— 3 Verification of approved I lat/lot. 0❑ 0 4 Fire district approval required. Name of district: I'ua atin Va ev 0 5 Septic system permit or authorization for remodel. Fxistin_s stem ca'twit _ . .__ li- 6 Sewer permit. , a 0 7 Water district approval. -- �` i Dill 1 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. _ ill ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- --i❑ ❑� basin protection.etc. 10 ' 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state I 0 building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the.plans with cross references between plan location and details. Plan review cannot he completed if copyright violations`exist. - 11 . Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ 0 `there is more than a 4-ft.elevation differential.plan must show contour lines at 2-ft.intervals); location of casements and driveway;footprint of structure(including decks); location of wells septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage: impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions.anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 1 0 0 and location. 13 Floor plans. Show all dimensions.room identification,window size,location of smoke detectors,water heater, 1 0 ' 0 furnace,ventilation fans.plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- $ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height.siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. _ 0 15 Elevation views. Provide elevations for new construction:minimum of two elevations for additions and remodels. II Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building em elope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. III 0 0 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- prescriptive path analysis provide specifications and calculations to engineering standards. 0 0 17 Floor/roof framing. Provide plans for all floors roof assemblies,indicating member sizing,spacing,and hearing locations. Show attic ventilation. 18 Basement and retaining walls. Provide Cross sections and details showing placement ofrebar. For engineered J 0 0 systems,see item 22.'En ineer's calculations.' 0 0 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and`or any beam joist carrying a non-uniform load. `Li 0 �, 20 Manufactured floor/roof truss design details. �___ 21 Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping schematic is required I 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided.(i.e.,shear wall,roof truss)shall he stamped by an engineer or I 0 0 architect licensed in Ore.on and shall be shown to be a,.licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2-x I l"or 11"x 17-. '- l 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 • 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not he accepted. Ii ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 00 0 2 0 57 "Drawn to scale''indicates standard architect or en•ineer scale. 28 Site pian to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard Li ■ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, I I 0 ■ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 0 0 30 A Clean Water Services'Sensitive Arca Pro-Screening Site Assessment form is required for all building additions, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approvedprior to September 9, 1995. I l::Building,Pennits,BUP-RESPennitApp.doc 02/242011 440-4613T(11-02 COM/WEB) Mechanical l'el-rsiii ApplieaRPCEivEn .... . 1,1zsswil411/41'd, ;,t'.-043 "K 97.22' NOV 2 2016 PUsew, 401'V.''1.41.'0 I 4 N. 4,04 C44.44 444,4, 4 inprclum I 4.444` S4)3 04 19 41,,,, CITY OF f IGARD hiirrnrt k,..km ttellti 01'I:01 N''',t!%II If"' ,..appirkrkestiki haw al.ftao BUILDING DIVISION .. .. ,... .....__......__., 'rept or walla ' ----- ' '''''''COMMERCIAL flt SOMOVIX - ISE clitt Iasi 1 1, ,, „0.t...,..4(.0 0,,,,,hat•et th lt Nev.Ltistrw Itott 0 Adatthht allet,Itton qp14,c01,,,-nt , i ivt.tnrmoki WI.qv ii•rc%Ilta..itiAirKit,.1 in 0 DC10014011 0 A)thy, , hte.hantc.41 rot 1.,er4l, t24Litritoll.14N q' .,`c:Ilt 1 VAkti: 8 ClarkORV OF ArOrOntteilON RESIOOTIM.40;410$1104T/SYSITIO Pas. i ... illN 1,,0,43 2 Lrnily ckeiltrig 0 I(1%1-amt.:IA:La Ir44itis1li31 0 ..\,,,,,,,Ily hula/fig /,`,.',rk,id inikfk,kikk9 k 1c 4 het'Alit/. o Magltr•tarmi) 0 Nia‘tet bsiiide.1 0 t illi,...1 ' i I k,s,inthst, 1 4.th - , ±• 'kitting tooling: .,. X)*SATE INFORMATION AND IOCATIOS ' 1 , • --- x If,,•,Ititil.4444)1v1.2: _ , , .- 57),(7 614...., jvirt p,,,,,iee 4.„ /449 I,o'n.0.4.• 14%100,11i j I , „,t , 1. i 4 1, '.1.0... /1”- Ti ,at i OR 97111 f 1 oft,../., t Ito Ikki IS 31 4E1,“-- i skill,'HAL' .11.13, I 1*,,,,,4.,t„.01, V••• V‘itt.oteSe....C iirC) ,:).. i'l ' ' 111 -1 t to,,,,,,,d(C'ef 44-44,i 144,(t4 t,'.,‘I.*it,- + •,,.ito-4,1, .-._ . - I i 1,,i,,,m,i I I 2.•.;. 1 , 1.............* ......--........- , ........ — ---•- 1 .'• ... 4 , 1 1 111,Nti..di."'-4141.;l‘rlt. k.'"ek,,,',os, ' ,d,$k 4 ,,4 a.,,,,,,),t0.„,1 et, : t i ii.h:AMA!or.ti,irl ,,.4fror* ' 3). .. 1 ^: .• , __I 4,-- ''- -- i----,- -—_-_ _. ,4 t)ihtrfuri Alppi.trii. i 4,. map PR 4.1 II° ' V,...l'et he,itti I T'', 1 MAMMA Of WORE i . 4t1,liteplact Int —±— ----* 1 Itt!of 4,4 OA 4444 I- '..t , , , 1 al t , . . ,...,A 1...,iN , I New SFR , . ...,...A...- 1 '. 1 I I 1 I.1 he.t.--t --"` '----.--``---"""--m -i , ‘‘..0,011.1.ikt S:5.1%l` 1 A %0 1. — kkt...t— ... h4ln 4 41‘,4 k,et, 3 2. -. T f ' ' *1 4 OKI 411 raereart,0Wita 1 ' Li TENAN1 * i - - - -- • -- - --- ' -- -- - -- -± Jo.irottmcnta,extinuM*ad irettflatton; 'N'4ttle DR Horton Inc. . R 41,44,,,ikkki,wito kot,hell 1 21 ,, 1 I--1--- — - 1 :tl.i.2.112,1pcnt 4 _ ‘tttht.-:4380 SW Macadam Ave Suite 100 Ii th'‘.1.itv/IP Portland.OR 97239 s..,...c,........-.44,..K...b.-,„..„, ' - 111,00, 1503 1 112-4151 0 APPIACANT _ • , i 1,3k t t iv t-OxTAct Ple:A$ON 1 i 0 t''....- ,.; I.,hi t.Y.VP,44114411,1, us s4$ 400rt.4 I 1:,,,,,"4.lar, ., .... . 2 i ,2'' .• # .,. I)R florton Inc, fonic Emerald Weeks-- - --1 1..1.1'1E4'4%, .i '-. I.r,,,,,,,,, for(414 lout.*rs4,411 for eArta.1.1hfitiottait T . 4380 SW islacadani Ave Suite 10(1 , . 1'3'11'1'1 11,1lir.. I 1. . i . •iii‘43,pc-1.1.,,,,,..,,N.t t,,22.4 , . . ' ( th 'sl"''tlf! Pentland, OR 97139 i. ,,,i,.......]..,.....,,, i 4503 222- 4151 x1107 1 t i..., . 1 esweeksodrhortoit.com ................... etWritliCTOR -m ---I ' I t t tt lt4M.MMMIt *Itrn ' : ,,rkatItt./I.,.)'1 A 1 ti .;„1' a , i IP'.;•-• --- , -I . MECKANICAL rfithwr FEL xo.i...•.,‘ iLikiiii,y,;..1:-.,7-- JELJ,it.,;%.i - )7 { ..td ........ ,, ..,,,,,,L.,_ r 4 s...1.,,/ft'1 l'..4111 i 11:42,47,[4:4;111,.„,i 44_4 i li 11 e ,etes:i ii.; t.,,,,,1 , , ‘11,E1q1,2., 1,11 W 1,:v 15.9t1 OM ,,,,,,,,,,_ ..., P:.!..,, NI,rt., .iA. ' '' "".k!..1 -4-CK i, I .'" I''' .,4 ,,?4,,, f t4 t 1 1 4*. tt t III Mt tt. 1 , \I„,i,...•,.,f,„tl.4.11.,„I 1 7:',4,,1 p-,4r4-I! 11)1 %I Plit‘ilt f'Ft i,. _.______-.,...,iz-ile„.,-,....i• _ _ , _ , , • I ht.p4 f MI Si.trkk ation<*pttc",,II Apt,smit kt rks1 4.4400ktr4.tibla,14, a,' 4.,,,,414i t it WI k..k likti ptrai 1*.t kmpkb ‘kotioti,‘„-,1...14",ttif ' I .;:---' T1,01.4,•--.----e'-'t-- ---• ,. 1 , r Electrical Permit AnplicatioR EC Fl City of Tigard Date/By: permit iU-r•.ps-)j 13125 SW Hall Blvd.,Tigard OR 97223 m n v 2 2016 PunReview Other Permit Phone: 503.718.2439 Fax: 503.598.1960' Date/By: retia: 0 See page Z for !,1) Inspection Line: 503.639.4175 Y ��d'By Iro7.A ► ) Notified/Method: , Supplemental Information Internet: www.tigat'd-or.gov BU �'1 OI�,6 SIOK�— _ . TYPE OF.WQ ®New construction 0 Addition/alteration/replacement Please check all that apply(s :.•'t2 sets of planswlttems checked below): Q Service or feeder 400 ,s or more (3 Building over three stories. ❑Demolition []Other: ', where the available current 0 Mathias and boatyards. CATEGORY'OF' ICTION exceeds 10,000 . .:at 150 votes or ❑Floating buidiogs, less to ground,or coeds 14,000- Q Coaamerciai-use agricultural 1-and 2-family dwelling 0 Commercial/industrial- 0 Accessory building amps for all - installations, buildings. ❑Multi-family 0 Master btui 0 Other: Q Fire per. Q Installation of 75 KVA or Q Emergenc system. larger separately derived system. JOB SITE INFORMATION 1,1 LOCATION O Addi g.. •f new motor load of ©"A", se,"1-2","1-3", t 100 u• more. occupancy. Job no.: l Job site address: 7 0 � t 1:3 Six more residential units. fl Reereatioeal vehicle packs. 0 _, -owe facilities. 0 Supply voltage for more than City/State/Z1P: \ Q ,, s locationts. 600 votes nominal. I.Service or feeder 600 mops or more. Suite/bldg./apt no.: Project name: Y1" '', - 1 FEE SCHEDULE Cross street/directions to job site: narertsdea 1 ore. I lee. . I Total I • - New reudeatiaIsiagle=or multi-family dwelling unit. Includes attached garage. I.L A t no.: Li' 1,000 sq.ft.or less 1 168.54 4 Subdivision: Ea.add'!500 sq.ft.or portion 0.3 33.92 I Tax[nap/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK •. (with above sq.ft.) Limited energy,multi-family 75.00 1 2 residential(with above sq.ft.) — Services or feeders installstio• alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER i 0 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 . Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation Phone:( ) rF ax:( ) 200 amps or less 59.36 I : 125.08 2 201 amps to 400 amps Owner installation:This installation is being made cel prop= that I own which is not 61 amps m 459900 amps 168.54 2 intended for sale,lease,rent,or exchange,according to O' :447,449,670,and 701. B itch circuits-.new,alteration,or extension, r,panel Owner signature: Date: — A. for branch circuits with 0 APPLICANT I ! III CONTACT PERSON cache service oar feeder fee, 7.42 2 it Business name: DR Horton Inc B.Fee fo branch circuits without service• feed&fee,first 56.18 2 Contact name: Emerald Weeks branch e •• Each add'1. , •circuit 7.42 2 Address: 4380 SW macadam Ave Miscellaneous rvice or feeder not included Each manuf • -•or modular 67.84 2 City/State/ZIP: Portland OR 9723• dwelling,service: or feeder 50 222-4151 Fax::( ) Reconnect only 67.84 2 Phone:( ) Pump or irrigation curl 67.84 2 E-mail: , Sign or outline lighting 67.84 2 . t, . CFOR . i' • Signal circuk(s)or limited • A Business name: 4- C�{ j- ^' panel,alteration,or extension. Page 2 2 `C'(fit Vj i(0/y L.-( ri7"(/1� ».L lid C. itIlL Each additional inspection • er allowable la any of the above Address: Additional inspection 1 hr min) 6625/br 1 A , /� Investigatiem(1 hr min) 6625/hr City/Statee/Z/I,Ps: /V c��a(� 1/4., 1/.... j . V v7�.r>/,�/��/b/^/ Industrialplant(1 hr min) ?8.18/hr Phone:(JWP �1 "" J �J Fax: y�� GU �J t3 p —Ifor nspections h no fee u 90.00!hr ( hr CCB Lic.: t" ,2.671./.. Electrical Lic.:.c 3 p Suprv.Lic.: /7 93 $ ELECTRICAL PERI rr FEES Subtotal: Suprv. Suprv.Electrician si y attire,required: /V�/ Plan review(25%of permit fee): Print name:a d -4 O , Rg E-ff . Date: State surcharge(12%of permit feet — TOTAL PERMIT FEE Authorized signature: This permit application expires if a pennant is not obtained within 180 A, days after it has been accepted as complete. Print name: ,4-L/J Date: * Number of inspections allowed per permit. MuiidingWermits\ELC-PtrmitApy 440.4615T(11/O5/COM/WEB Electrical Permit A licatio E CEIV�� < (?Ri)hli( 1 I �f O\i1 City of Tigard nI Rescind E Phone 50313125 SW j 718 24 9•Tigard, 599722.3 81 3966' 2 �� 1d8 moi:s�/_ r Inspection Line: 5 .639.4175 OtherPermic Internet: Lrne gard-ar.gov C+�1 1 (��' �( n Dr+� DateB4 llY4* a ' (ARD Notisedadetboe: S See i *tel nor TYp ollr:W• ',. " : rpkr.ew r.�re.�ea ®New construction 0 Addition/alteration/replacement Please cheek all that*Ply PbAN sets ofp yV • ❑Dentition 0 Other: ❑service a feeder o0 mps Y(submit j sets of pleas wlrtems clacked below): where me available curreent 13 Building over three armies. CATEGORY;OF CONSTRucnioN exceeds 10,000DMariing am boatyards. s. ❑1-and 2-fano dwellingamps at lSO.oNa or p Bloating brit ly 0 CommerciaUindusttial 0 Accessory building leas to ground,or exceeds 14,000- ❑bier-um agricultural ❑Multi- : ❑Master builder ❑Other: for alt outer installations. buildings. °Fire Pump' ❑installation of 75 TCVA or JOB SITE INFORMATION AND LOCATION Emergency system. ❑Addition of new motor load oflarger ",••1 2",ely I-3", system. y. Job no.: Job site address 0"A" as••12^"l-3; 10011P ermore. ►•• I ❑six or more residential writs. ❑Healthcare facilities. OSuppiytional vehicle perks. Suite/bid ./ ❑Hazardous locations. °SaPNY voltage for more than g no.: Project name: , 600 volts nominal. _ $ ,• is [?service or feeder 600 amps or more. Cross street/directions to job site: I FEE. I SCHEDULE o rwr p New residegtal'single:or multKamfiy dwelling unit. Subdivision: Includes attached gate Lot no.: I 1,000 841-R.or leas ■Ir _H Tax map/parcel no.: Ea.addl S00 sq.R.or portion �m DESCRIPITON OF WORK ulanit Limited energy,residential _© . with above:.,R ■ 75.00 11111111 Limited energy,Multifamily 1111 residential with above .,ft , 75.00 —® Services or feeders irstallatlo, *Heretics and/or relocation Cl PROPERTY OWNER ` (] 17✓1VAly1 200 amps or less 100.70 in Name: 201 amps to 400 amps 133.56 _© Address: 401 to 200.34 a p 301 ro Ciry/state/zIP: Over 1,000 amps or volts _® Temporary services or feeders installation,alteration,and/or Phone:( ) relocation ) 200 amps or less 11111.2201 Owner installation:This installation is being made on property that I own which isnot 201 amps to 400 amps El intended for sale,lease,rentor exchange, )25,08 r© according to ORS 447,449,670,and 701, 401 amps to 599 amps NEM 168.54 OWner signature; • Branch circuits—new alteration or exte Date: A,Fee for r sad CI APPLICANT . branch circuits with ❑ CONTACT PERSON eachabovebranch a nch c rc feeder feq .®-� Business name: DR Horton Inc each br Wan circuit B.Fee for Wand circuits without Contact name: Emera • Wee s s blanch our fee firm Address: 4380 SW maca•am Ave Each add't blanch circuit 111111MEMME 113 city/state/z1P; Portland OR 97239 Miscellaneous serviceor feeder included Phone:( l 11! service and/or oduiar ■®� ) Fax::( ) ., �www!!�arui/o�ll� _ .. PumP or irrigation circle t l . n ro ( ightingCONTRACTOg i Signaltdrcuit(s)or limit ed-ener Business name: ,album,,, drexte»aixl, ■ 11111© •Address: / / �� / Each additional i , over allowable la an of the above City/State/ZIP: �-# Additional inspection(1 hr min) - 66-25/br MIR ii lot ( /'�/�4*r�/� • �j Investigation(1 bunk') Phone:(�� l _ .ZS`�j Fax 7, � SSC— J �/+ Industrial plant(I hr mil) - 78®=: .5 c' hupetions for which no fee is Electrical Lic.>CZ3 or Suprv.Lic.: 8• luted anrmin 90.00/hr -. Suprv.Electrician si atu 7 5, 3: PERMIT BEES get re,required: Apt Jo �i�_��,,,�' Subtotal: 111111.1. Print name L S Q • Plan review(25%of permit fee):Date: Authorized signature: ��� State a(12%of permit fee): /` TOTAL PERMIT FEE: Print Mame: This permit apysatti r expires a accepted not obtained within 180 - Date' days after it las been accepted as complete. 7:1Buitdi»atP«mi•-��v ;;;rPD * Number of inspections allowed per permit 440.4615T(1 I/OSFcOMJW S • Electrical Permit Application—City of Tiga • Page 2—Supplemental Information a Limited Energy Permit Fees: NOV 2 2016 Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: 1` � A L .(i !V(1 pj FEE SCHEDULE Fee for all residential systems combined: —*1 $75.00 !hurl [ion ON. �� Check Type of Work Involved: Renewable electrical energy systems: 5 kva or less 133 c6 1 ❑ Audio and Stereo Systems* 5 01`"15 kva 133.56 15.01 to 25 kva ❑ 21)0.341 Burglar Alarm !Find.encration systems in excess of 25 kva: _-_ 25.01 to 50 kva 11111=11 X Garage Door Opener* 50.01 to 10u kva �tOJ kva(fee in arcottlance 552.26 i , n Heating, Ventilation and Air Conditioning i_'_'�tiv''r e er9/n-309-004W_ ems va: , System* I Solar generation systems in excess of 25 kva; ❑ Each additional kva over 25 7.4 Vacuum Systems* �.a� T ; %100 koa-no additional'Maroc 1 I Each _ t Other: ch additional Ins•calor over allowable in any of the above: Each additional inspection is 111 char ed at an hourly(1 hr min) 66.252r t • Inspections lilt which no fee is COMMERCIAL WORK ONLY: s eirean listed c r hr Inim) ■iso hr Fee for each commercial system: ELECTRICAL PERMIT FEES tal (SEE OAR 918-309-0000) $75.00 Subto (Enter on Pagr l>: _ •• Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems O Boiler Controls ❑ Clock Systems O Data Telecommunication Installation O Fire Alarm Installation 1 1 HVAC I .1 Instrumentation ❑ Intercom and Paging Systems 0 Landscape Irrigation Control* C Medical r7 Nurse Calls 0 Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: - Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Building Pami:,I'LC Pr.:nirApp LLR ERLdo. R .UG 1"':015 Plumbing Permit Application - City of Tigard Page 2 - Supplemental information Fee Schedule: _ Residential Fire Suppression Systems: Site Utilities Qt)'- Fee(ea) Total Square Footage: Permit Fee: 0 to z,000 'I.90 50.03 1 Footing drain $I2 1" 100' 2,001 to 3.600 $169.69 3,601 to 7 200 5233.20 — Footing drain-each additional 100' 37.52S327.54 � Sewer-1st I W 62.54 7201 and greater Sewer-each additional 100' 37.52 Water Service-1st 100' 622.54 Medical Gas Systems: _----- Water Service-each additional 100' 37.52 Valuation: Permit Fee: 00 Minimum fee$72.50 62.54 $1.00 to$5,000. Storm&Rain Drain-1st 100' 572,50 for the first 55,000.00 and 51.52 for Storm&Rain Drain-each additional 100' 37.52 55,0111.00 to 510,000.00 Other Inspections each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing Fees 0.b`. Fee(ea) Total or for $10,001.00 to b25,0110.00 514$.50 be the first 510,000.00 and$1.54 tix which no fee is specifically indicated 90.001tr each additional 51110.00 or fraction thereof,to and including 525,000.0(1. (minimum charge outside I"?ohma) 90 001tr $25,001.00 to 550.000.00 $379.50 for the first 525,000.00 and S I.45 for Inspections(minimum of e–normal business each additional S 100.00 or fraction thereof.to hours charge–2 hours) 90.00 hr and including$50.0110.00. Reinspection Fees 550,001.00 and up 5742.00 for the first$50,000.00 and$1.20 for 90.001n each additional$100.00 or fraction thereof. Additional plan review for revisions — (minimum charge–12 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantly by Fixture Type Plan Review for Plumbing Installations Replace! Plan revicv, is required for any of the following. Fixture Type for gypped Added Relocate _Work Performed: Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub'Shower greater.except systems designed and stamped by licensed -Jacuzzi,Whirlpool engineer. Car Wash -Each Stall ❑ Neu'exterior plumbing site utilities for any complex structure -Drive Thru as defined in OAR918-780-0040. CuspidorDishwasher -Commercial Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher -Comesticial 0 Any multipurpose tire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Floor Drain.�sink -2„ Submit 2 sets of plans with any of the above. 4.. Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic–non-food that meet the qualifications above. Disposal -Domestic–food related -Commercial–food related -Industrial-food related Ice Mach.'Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rix.Vehicle Dump Station Shower -Gang -Stall Sink:Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter • *'dote: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the Water Closet Toilet plumbing permit can be issued. Urinal , Other Fixtures: G:\Plans\Plats'Summit Ridge'\Permit Docs\PLMF_PermitApp.doc 2 • Plumbing Permit Application Building Fixtures City of Tigard Received 13125 one:SW 503HaII Blvd.2439 Fa.l'igard.OR 97223 DRatc?By: Perntit No.: Lt -� ■' NO Ph .7)8. y: 503.598.1960 Plan Rericyc `' ��1 l al In` j JUS 5 Inspection Linc: 503.639.4175 Date.By: Other Permit No.. 7 t C A R C) Date Ready/13y: Intigard nr.gov Anis 0 See Page 2 for ternet: wwn, Notified/Method: Supplemental Information TYPE OF WORK FEE' SCHEDULE For special information use checklist ❑New construction ❑Demolition Description l Qty. 1 En. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORI" OF CONSTRUCTION SFR(I)bath 313.70 ❑ I-and 2-family dwelling 0 Commercial/industrialSFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 ❑Master builder Each additional bath/kitchen 25.02 0 Other: JOB SITE INFORMATION AND LOCATION Fire sprinkler(_sq.ft.) Page 2 Site utilities: Job site address: -2 0vV Catch basin or area drain �C 1�C�1 c.� i( �l 18.76 City/State/ZIP: 1)rywell,leach line.or trench drain 18.76 5uiteJbldg./apt.no.: Footing drain(no.linear fl.:`) Page 2 Project name: l_A-t.1�i (,tui. cx1�5 S r 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 Subdivision: Water service(no.linear ft.: ) Page 2 blit no,: (--i, Fixture or item: Tax map/parcelF` Backflow preventer 31.27 no.: DESCRIPTION OF WORK 1 Backwater salve 12.5125.022502 Clothes washer 25 02 Dishwasher Cc VI'TY(.t(_-#7)Y c i C({\(_le f y i)i"YZ L.(l i-(i _Y1 Drinking fountain _a lijcctors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: t) i-to rto Fixture/sewer cap 25A2 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 ]'hone:( ) Hose bib 25.02 Fax:( ) Ice maker 112.51 0 APPLICANT 0 CONTACT PERSON interceptor/grease trap Business name: 25.02 "(jt/t on Medical gas(value:S ) Page 2 Contact name: p_told '1 e J°K S Primer 1/.51 Address: Roof drain(commercial) 12.51 CIN/ KA(:I(f ci((irh ihite Sink/basin/lavatory 25.02 City/State/ZiP: PD 2.2,cj Solar units(potable water) 62.54 Phone:( ) ZZ {I S I I I'ax::( ) Tub/shower/shower pan 12.51 E-mail: ,SwP.,e.LS (4d v t-al-On. C pl n Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Wolcott Plumbing Water heater 17 52 1 Address:1075 W.Historic Columbia River Hwy Water pipinglDWV 56.29 Other: 25.02 City/State/LIP:Troutdale Or.9060 Subtotal Minimum Phone:(503)667-1781 Fax:(503)667-9891 permit fee: S7_�__0 ' S72.3 ('CB Lie.: 112220 6,i Plumbing lac.no.:26-824PB Plan revie+s (25%ofpermit fie) Authorized signaturtS-- 11ft 4- State surcharge(12%of permit fee) Print name:Mark Baleme \\\ TOTAL.PERMIT FEE Date:2/17/17 This permit application expires if a permit is not obtained tIthin iSO days after it has been accepted as complete, *Fee methodology set by Tri-Cbunty Building Industry Service Board_ I'auikinteePermit .1.x41%_Pernul,ypp.dm 10.'0009 441-46 Mil lrkU?i('OM'+S'!ia j City of Tigard 1,11 i If COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: A cJ tfr—02 S I3 Site Address: 9 2O W `'� /7/JiS/ 1 , Project Name: `fin. 2 �fitS ;` Z Lot #: (New dwe ' =subdivision name;Ad1on .r Alteration=last name of owner) Planning Review Proposal: A,1 ?gr �/7 ,► Verify site address/suite#exists and actio in permit system. 11�r*ver Terrace Neighborhood: 0No 0 Yes,See River Terrace Review Addendum Attached Plan Elements: LZ oee(3)copies of site plan .�.• sting structures on site S' a plan must be on 8-1/2"x 11"or 11 x 17"paper rA Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations rth arrow 'ty locations(required for new,mayapply for W J address,project or subdivision name and lot number `'I .cation of wells/septic systems pp y additions)•plicant information(name and phone number) p sting trees to be retained with drip line,and tree M :t dimensions and building setback dimensions .rotection measures It of area,building coverage area,percentage of coverage and U reet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) roperty corner elevations(2 foot contour lines if more than Street names 4 foot differential) lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: El Yes,applicant was notified No Received: Public Facilitie Improvement ❑ Yes ❑ No p (PFI] Permit: equired: Yes,applicant was notified El No Applied For: Yes 0 No,stop intake Pri/Land Use Case#: ',Q CP,S (ZOO-. '' S= Zoning. _I •• Chi . i—al'etIV 'lam Pi/Required Setbacks: Front 1 Rear Side / Street Side E3 Garage RA Landscape Requirement: g Lot Coverage Maximum: VII 1;uilding Height: Maximum Heighti _ % Actual Height r� Visual Clearance g 1V Easements VAensitive Lands: ❑ YesNo Type 1Urban ForestryPlan 0 Conditions "Met"p/ or to issuancejo�building permit Notes: Onix•!/Coils �;,� / L 01,2 CJr` ) /m171- Approved By Planning: _� Date: // Revisions (after Building Submittal only) Reviewer / Revision 1: ❑ Approved ❑ Not Approved mate Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 0912I6.docx Building Permit Submittal ' 1 Original Submittal Date: l—! Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering 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. 7 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: - // By Permit Technician: Lam. , ta dAdA �T�. Date: / Engineering Review Slope at building pad: /1 Conditions"Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes No Assess Water Quantity Fee in-lieu: El Yes No LIDA Facility on lot: 0 Yes No Date: CINOT Approved by Engineering: Notes: l Ili 2-7 Date: ,4,0::-..4,09/t4 Approved by Engineering: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved El 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: 7 DC Fees Entered: Wash Co Trans Dev Tax: mor es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to ;:: ornatOr: pproved Date: I:\BuildineForms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8720 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00583 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: 8720 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00583 Inspection Type: Inspector: 699 Mechanical 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: 8720 SW SCHMIDT LOOP, TIGARD, OR, 97224 August 25, 2017 at 7:14:08 AM Record Type: Record ID: Residential - Master Permit MST2016-00583 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved plumbing final for landscape irrigation backflow devise. PLM-2016-00626 Provide approved mechanical final inspection for ac. MEC-2017-00634. Open permits to be closed prior to building final inspection, no inspection done at this time. Violation Summary: Inspector Contractor