Loading...
Permit (46) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00557 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 2S 111 DA21900 Jurisdiction: Tigard Site address: 8791 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 38 Project: Heritage Crossing, Lot 38 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: 25 Bathrooms: 3 Second: 1321 sf Garage: 421 sf Front 15 Smoke Dwelling Units: 1 Third: 0 sf Detectors: Yes Right: 5 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 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 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 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 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: $29,740.57 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 9 2-001-0090. 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: f A(/IZ% . .7% \ Permittee Signature: 5CG.- rd Call 603.639.4175 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 c37RECEIVED , S► (.i Residential IOR OH ICC t ‘,F 0\I V City of Tigard r ,1f Received iiii . 13125 SW Hall Blvd.,Tigard,OR 97223 N I,J ` ?Q Q Wick fat///g& Permit N,(>7 . /6„,Doc--7 Phone; 503.718 2439 Fax: 503.5913.I Plan Rex tea _ / l t : . . t i, Inspection Line. 503.639 4175 / t Dare Br. 3 . :1,-3, Other Penui .���^yv�/� Internet: www.tigard-orgov BUILDING lJate Realty tt. 1�+�n R) See PaRr 2 �� Yl� IS }� Notified Method: 7biai / 7-77,— Supplemental Information dlr �!5' tltEW� TYPE OF WORK 'srt REQUIRED DATA:I-AND 2-FAMILY DWELLING 3 New construction 0 Demolition Permit fees*are based on the'alue 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. Valuation: WI-and 2-family dwelling 0 Commercial/industrial $3i 0) v` �# ❑ Accessory building ❑Multi-family Number of bedrooms: j. ❑Master builder 0 Other: Number of bathrooms:.3 JOB SITE INFORM&TION AND LOCATION Tota'number of floors: Job site address: fs7`et G�L•�,� c� t a9 Q 3 '- ""7T' _r�r,r� New duelling area:dcS n square feet city/State/Z1P:Tigard, OR 97223 Garagee carport arca: & i square feet Suitebldg.Japt.no.: • Project namt ' � C t () ( N I L/Y V I Coyerect porch area: t� square feet , Cross streetidirections to job site: 1301) Deck area: square feet las-)I Other structure area: square feet Subdivision: REQUIRED DATA:COMMERC IAL-USE CHECKLIST I Lot no.:(3 Permit fees*are based on the value of the work performed Tax map/parcel no.: Indicate the salue(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 t PROPERTY OWNER I ❑ TENANT Number of stories: Name' DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suitt 100 Occupancy groups: City/State/ZIP:Portland, OR 97239 • Existing: Phone:( 503) 222-4151 Fax:( ) Neu: 0 APPLICANT a CONTACT PERSON - BUILDING PERMIT FEES* Business name: DR Horton Inc. (Pleau,%r wire achedalej 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: E-mail: esweeks@drhorton.com PHOTO%'OL fAi( SOLAR PANEL S1 STEM FEES* 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 Aadress:4380 SW Macadam Ave Suite 100 and fire department access,along with the 2011)Oregon Solar Installation Specialty Code checklist. City/State/Z1P: Portland, OR 97239 Permit Fee(includes plan review Phone:(503 )222-4151 Fax { ) and administrative fees): S 8t1.0U CCB he.: 130859 State surcharge(12%of permit fee): 521.60 Total fee due upon application: 5201.600 I This Authorized signature: ,- i ± permit application expires if a permit is not obtained Print name; within 180 days after it has been accepted as complete. r i.,i = f i t v i'f i( I Date:2016 1 x Fee methodology set by Tri-County Building Industry Service Board. I:Building Permits B(JP-RESPennitApp.doc (i2 24-2011 440-0013T(11:tf2 COM'WEBI Mechanical Permit APPlit*ECEIVED ( it of Tigard _./Ii$7..02,0Lier.004 I. ....''......-,i____. ... ..,.............,______ NO V , 1- 4 2016 14,10,1114‘1 1 1.11V S(11(14,4 41'''. ' .7 u- *-- %,...,,e,,,v,Z 1,.# Inicruci A..“.* 1114430.1f 11., crirynu Fraft-, i Euar, ..,.,,,, .,, ,„, *,.,upplernrof..3 flo$for mei.. ur 1 yAt TYPE NGLIV -- ISION -,,, • • - , COMMERCIAL FEE* SCIWOULL tU t IlEck Lis T . , t — — ---- - — —— —— — ,14-,h.,,,),-11 rx:.1/40 1,k 1,. l'. t'Lls.A1.11.If., 1 1 AIR\4.4' 0“1`,!t1ir,SI,41 0 \d41(0)allo,i1 Ion ,LTI,,,,.4.11,'^;' r, ,e1T,e11 110-0-,.'n4,2,,113t,,,tft4;i1,,k,11,)1K-4,,,4,4,h,I•,,- 11 0 04:irk11M13I 0(Htircr . • „,d.14,1:1Thit! 131,,: ,:,..,,,I,i1401-4t I- -- CATEGORY OF CONSTRUCTION _ — •„ 4 otir 4 _ - , 4 RESIDENTIAL EQUIPMENT/SYSTEMS'fEts- _ ind:' Limas dA Of tne 0 it. 041111;‘,..4,,Lif industt Idi 0 A,4 4.,,,t,r !"qo UPI, I Or Sprr.141 ot icottruttwet Art,t het A hq. .., .. . 0 viult,.:aimi, 0',..1.1-0,:t bud‘jel C inho ,; 0.......tr.4,;,4, 1 0!. ! • i ' JOB SITE INFORMATION AND LOCATIO 1 7 4 - *----- --,,,. 1 t,,.. ,.., e- — - - — - \ 1, 1 - 'co.'31C.41R04.&I ' : ' • .. ; ;.;;';',.'1;;;; ,.. WI ..,,, -. t ; t 1., * t 1 3* '3'3* :II' 141,14141, OR 97113 .1 -''''' '' 1111 4-- , ) , . ... sl,tr, ..,..01`41..'“1 . .. 1 1I,T.,,..,q ..1,,,,, ; ; -- . . , , :, , - . - ,..0. ,No ve,......cs, . , i I.11,Map pArk.el ft, 3:5 54e...3335' . , —- DEACRIPTHEN OF WORE ' . . _ •----,4 IL,:*,on.I0.4 1,.31,,I-1 .1.4 11{.., . New SFR ',,,,rh‘c :; . „. Ar.....!1,1-v,”,,,,,. i . 1 5. 1 111:11‘., .11141 111.4.'1...14. 1 • ._ :' " ,,, •.' f• ..-• 1 * PROPE4 RTY OWHER I CI TENANT —— —-—1 i 1" , : : '.' - , i - - i --- — -- -- ---- ----- •---------- -- ..,It , En%trrtornental 011.auld sod i.entilairott. " tk. DR Horton Inc, K,,,w.c 1444441 tVIC,N tic 14,1. . ... i "al ''S-4 W.1A0 SMacadam Ave Suite lt.)0 , 1...,,,,,, ., 4 ( ,Is \t-,Ic in' Portland,OR 97239 %,,:i ,, t ',' ./..; ;'31; '...... I . ; rt...fl, I 503 , /11_4151 1.“. 1 1 , , , , 1„ 1 ::.5 ,4 . L - L _ 0 APPLICANT--- --- i 0 CONTACT PERSoN : , I rt'''' . 1 4 4. r to pipin.104;,14,44 6,431*** OR Hto orn Ine I, -- --- ------ -----L- %I4 1!‘6,4 first btu,.NA MI t,,,,,,,,),, 11M ; ( .11t.lt I 1V Emerald kVeeks , I ,,,,r,s., tl. Vial c,^ -1380 SW Niacadant Ave Suite 100 33 1; .. 4 III,,,.../N.470;:,t,ri,';WAR; Portland,OR 97/39 A os, . . - 'SO 1 ' 222- 4151 x 1107 ! t -, , 4 ''''T•'-' , .4 .. CsWeeksk.vdrhorton.com [, ,. _ ._ ___ CONTRACTOR _ ___ s „ - - I 1 IA..A..,,,xplIciit 1 :li 44 ,i. il r . .. , — MECHANICAL PERANT FEW t" I,• ._______—__,____, L. 0 44 1 V L4i - —j.i'2,----,i'''' ' " - a ill11441 :.1.1-riL ‘1!3,,,,,..,:pc1,,,. ,;;r5t4ti f) l'Ir. 44, ' "-...„.„.1 '4, "., .', I .0. t,..- ., , ,1....', >4 • 4,,, t .4 . i i It ,. . ..‘L • '""/,. "' 10 1 tt PI R MI I Itt _ . ,.._ . - ' • 1/101 f,,1111i1111,145 41144,t ApIrt 4 4 a parnio I.,.14,4,44.114 41**ithen t Si .,.... dig"Ant t 41 hi,N r 4 11#l 9194 d,R3{omplo, P .0 111.44,4c. '''' ' 0,,,I. . RECEIVED Electrical Permit vomit • + City of Tigard r>+�01 l is l- + ,i i>\+ �� 2,016 ;� 13125 SW Hall Blvd.,TiReceved _ ��11 Tigard,ORDAB. Permit xo. 6.--OoS -7 Phone: 503.718.2439 Fax 503.59121%n/ T1 " ' Inspection Line: 4 3.639.4175 Buil-Dm- A ►.: Internet Line:ge 3.39.41 r- n njr 0 in YMY: a See Page 2 for ark • TYPE OF. . Supplemental Information WORD ®New'c onstvction ❑Addition/alteration/replacement pj - PT.A1V> EW ' ❑Demc�iititai ❑Service or feeder 400 et"check all that Y(submit sets of plans wltetns chexdcod below): 0 Other: where the available faun moreamps or ❑Building over three stories. CATEGORY OF current Cl Marinas and ❑1-and 2-family dwelling -CTTON exceeds 10,000 amps at 150 volts or ❑Floating bon ioSs•boatyards. 0 Commercial/industrial- 0 Accessory buil ❑Mufti-family ry leas to ground,or exceeds 14,000' ❑Commercial cultural ❑Master builderfor all other installations. buildings ❑Other: ❑Fire ISP. ❑Installation of 75 KVA or JOB STI'E INFORMATION A* LOCATION �Emergency system. Job no.: O Addition of new motor load of larger separately derived system. Job site address: a 7Ct r ► �,: _ 1001 or more. ❑"A",'�';"l-2 l-3", City/State/ZIP: _ M n • . ❑sire or more residential units. ❑Recreational vehicle parks. Suite/bldg./apt 1 1� ❑Doh-cava facilities. ❑SupNY voltage for more than g.apt no.: Project name: N 01182a:dons locations. 600 volts nominal. / o,c • ❑Service a feeder 600 amps m more. Cross street/directions to job site: i. FEE SCHEDULE D i MI New residential single=or multi=family dwelling��� T� Subdivision: Includes attached gam_e. sulk Lot no.:j� 1,000 sq R.or less �fl Tax Ea.add'1 500 aq.R.or portion map/parcel no.: DESCRIPTION OF WORK Limited energy,residential c•® 0 • with above:..$ ■ 75.00 G✓ Limited energy,muni-family 11111111 111 residential with above .ft 75.00 _© Services or feeders iastallado; alteration and/or relocation 0 PROPERTY OWNER , 200 amps or less - 1t®_n Name: 0 TENANT 201 amps m 400 amps 11111111E3311111111.181_© Address. 401 amps to 600 amps - 200.34 �o 601 saps to 1,000 a - 301.04 _a City/State/ZIP: Over 1,000 amps or volts �nem © Temporary services or feeders installation,alteration,and/or Phone:( relocation 200 amps or loss EN 59.36 _0 Ownerinstallation:This installation is being made on property that I own which is not 201 amps to 400 amps intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 in 599 amps lIMMilniaika=© Owner sig 11 Q•� Date: ABrancha rcuits—new altered° resale branch circuits fee, r seed ❑ CONTACT PERSON above service rc feeder 11111118 Business name: DR Horton Inc ' each branch circuit B.Fee for branch circuits without Contact name: Ener.. . Wee S service or feeder fee,fust Address: 4380. SW macs a am Ave breachcircuit .�-8 Each adaU branch circuit � �© City/State/ZIP: Portland OR 97239 Miscellaneous service eerfeeder not included � Each manufactured or modular ■�� Phone:( ) -' Fax: dwell'._,servixx tmd/or feedox Phone: .( ) J Recorimgay -�"3�© • �NTRACTOR Pump or irrigation circle �© Sign or outline lighting -�� Business name: t / g/. 6, ` Signet s)or extend.en. _© Address: y;, y / 4/- ( , on erdensiar. 6` Each additional ins., ,'' over a Additional in allowable h an of the above City/State/ZIP: t /f/ie/� �' E inspection(1 hr min) 6625/hr- ^ , C ! £4 - (i- IA.4 7, Inveseiiatiat(l hrtnin) _� Phone (S Lie"_ . .-,..5--;:e...9 /� . . b =: Fax:cb� Industrial sfor 1 hr - Q/ /+ 78001 hr EZIMIEEM �� vf7 l'�+'� �P�ions for while no fee is Electrical Lia:• Z3/ Suprv.Liu.: j.T.1 $ 3.:ificall listed i4hrminIII 90.001hr -. Suprv.Electrician signature,required: ELECTRICAL PERmn FEES Subtotal: 1111111111111. S ts`/r; a x-71 Date: Plan review(25%of it fee): 11111111111111 Authorized signature: ��� Some Se(I2%of permit fox): 1=1 Print name: IIIIIIIIIIIIIIIIII TOTAL PERMIT FEB: This permit application empires Ifs permit is slot obtained within 180 -r Date:IIIIIIINMI jirs data after it has been smelled 1:1Bufldir�al>enattslBl C Parm;>App Number of inspeepona allowed per Perm . as complete. 440.4615T(1 irosrcrJt l wmB Electrical Permit Application —City of Tigard RECEIVED Page 2—Supplemental Information Limited Energy Permit Fees: NOV 1 �5 ?016 /LtST1,pJL-(,Y��S 7 Renewable Energy Permit Fees: 0-11(OF TIGARD RESIDENTIAL WORK ONLY: Fee for all residential systems combined: I 'ki G ' ,�IO�j FEE tiCsfems. . j Dcacri time Qty. Each 7bra1 71 Check Type of Work Involved: RencNable electrical energy systems: 5 lo a or Icss Audio and Stereo Systems* 5.01 `�I>k" — ❑ 133.56 , 21 19,111 to 39 lo 200.3.1 Lj Burglar Alarm Wind encration systemscess of 25 kva: l '_55.01 In 50 kva IIII 30Ln4 FX-1 Garage Door Opener* sum] In l uu kva l00 kNa act.in a.cordance I X Heating, Ventilation and Air Conditioning "i4't'Ak 91/1-109-00.402_1_ S5c�2r System* —�— . __Ili Solar generation systems in excess of 25 kva: ❑ Pach additional kva„ a 5 --- _._ Vacuum Systems* T -10110.-no additional rLVI 0.0 z Other: Each additional ins,ection over allowable in any of the shove: Each additional inspccuon is ■ 6h.=5 char cd al an finally(1 hr min) hr l Inspections for which nr,Ice is IIICOMMERCIAL WO s •citicall listed(_;hr min) III In RK ONLY: Fee for each commercial system: ELECTRICAL PERMIT FEE; (SEE OAR 918-309-0000) $75.00 SubtotalIEnteronPage 1): —`" — ' Number of inspections allowed per per -- Check Type of Work Involved: O Audio and Stereo Systems O Boiler Controls n Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n Medical n Nurse Calls F Outdoor Landscape Lighting* n Protective Signaling P Other: Total number of commercial systems: __________i *No licenses are required. Licenses are required for all other installations I..Build,, Paair.ILC Pe:nim pp UR ER/ch, EL, 0 I":015 Plumbing Permit Applicata ' JE Building Fixtures 1 OR 01 t a(t, t SI o\L) City of Tigard o z c 6 Rtea�d _ a 13123 SW Hall Blvd.,Tigard,OR 9 fhWBy PonniI No,/,S7010/�--.� II Phone: 303.7182439 Fax: 503 91,1191101 OF I I G A R D Pkn Review Inspection Line: 503.639.4173 Date/By: giber Permit No.: i I C:1 k l) Internet: www.tigard-OLgov BUILDING D, T S1OND ROS' e rte: J a"a"' • NtutifiedlMathod: &s pinneret IarerneMos 1: 4,. TYPE OF WORK . . ❑New construction ❑Demolition rot sped.JIIO ntad,'usecb_eck/hc ❑Addition/alteration/replacement 0 Other Deswiption j QtY. l Es I Total New I-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONsmorn m SFR(I)bath 312.70 ❑I-and 2-family dwellingSFR(2)bath ❑Commercial/industrial 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500 32 ❑Master builder ❑Other - Each additional bath/kitchen 25.02 Fire sprinkler( sq.ft.) Page 2 . JOB'SirE.lgFOR140701!(:LAND LOCATION Site utilities: Job site address: ,s57t ir Sic l. Q,1 G a Catch basin area drain 18.76 l City/State/ZIP: T.(?9 02 ?7,e>Y - Drywall,leach line,or trench drain 18.76 { ,^� Footing drain(no.linear R:-___) Page 2 Suite/bldg./apt.no.: 1 Project name: Y fib) 11 m'Manufactured home utilities 50.03 Cross street/directions to job site: 4j Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_ J Page 2 I Storm sewer(no.linear ft.:-___) Page 2 Water service(no.linear ft.:__) Page 2 Subdivision: Lot no.: 615- Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 . . DZSCRIP'ilON•OF:WORK Backwater valve 12.51 Clothes washer 25.02 *'Kj - Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPER'IX OWNER . • -I O TENANT Expansion tank 12.51 Name: �� \--1!Y M \VA.C., Fixture/sewer cap 25.02 V Floor drain/floor sink/hub 25.02A��: `"� cC \ I '.0� „` 1cW' Garbage disposal 25.02 City/State/ZIP: (DL. C rO.- Hose bib 25.02 ‘ Phone:' t) ) -(1,1_,, _4\t‘ 1 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT pERsoit Interceptor/grease trap 25.02 Business name: ›Z., \-\---tyl- ' Medical gas(value:S i) Page 2 Contact name: `��1 a , Primer 12.31 Roofdrain(commercial) 12,31 Address: Sink/basin/lavatory 25.02 City/Stale/LIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: e s\k lj5 (AV VI C/ Vy) C/1„^/1 Urinal 25.02 <CONTRACTOR v►' t Water closet 23.02 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 Phone:(503)630-0113 Fax:(503)640-4483 Minimum permit fee: $72.50 CCB Lic.:94689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) P� r State surcharge TO(1TAL f fee) EE Authorized signature: TOTAL PERMIT FEE Print name:RAY MULLEN / Date: This permit Applicata.expires ire permit Is mot obtained nits ISO days atter N has bete accepted u complete. *Fee methodology set by Tri-County Building industry Service Board. 1:eutidriffeeibVLMU•hrwitAyp.doc IOrotroe u0M16TtIOesJcoMAvtB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: ��/6 —pOS- Site Address: iii Al/ ko,r Project Name: -en`. c. P efltSc ii' Lot #: _s (New dwellin3 subdivision name;Additio eration=last name of owner) Planning Review Proposal: Qdi-elo 2Fie Verify site address/suite# exists and actio in permit system. PAiver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Si9e Plan Elements: Vyhree(3)copies of site plan ting structures on site llig e plan must be on 8-1/2"x 11"or 11 x 17"paper ',Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) �or elevations rth arrow IldUtility locations(required for new,may apply for additions) • e address,project or subdivision name and lot number ,N:j anon of wells/septic systems (7 • .licant information(name and phone number) in,is ting trees to be retained with drip line,and tree ![ it dimensions and building setback dimensions otection measures Y. et area,building coverage area,percentage of coverage and l eet tree size,type and location pervious area (applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) 0icklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): CI Yes,applicant was notified No Received: CI El No Public Facili s Improvement(PFI) Permit: equired: 0 Yes,applicant was notified ❑ No Applied For: V Yes ❑ No,stopintake _ VLand Use Case#: 6 1uJ(�ris_ �)O. 4 I ��-,u qoi C;�' /C Zoning: P//Required Setbacks: Front AS----Rear /T Side ` Street Side / ) Garage Pg/Eandscape Requirement: , 0 % l/ot Coverage Maximum: ) % Er Building Height: Maximum Height SS— Actual Height pisualg Clearanceasements / '' No Lands: ❑ Yes No Type lit Urban Forestry Plan El Conditions "Met"prior to issuance off building permit Notes: CDIJt. � tY1 S?A//c44e "Gr) j J2Lo p'It/»t-I-- /cSa?lYCC_ Approved By Planning: 11111111111111111WIr Date: AIM Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: l/ /ic/fr Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning engineeringermit 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. CBuilding: original permit application,site plans,building plans,engineer and I beam calculations and trust details,if applicable,etc. Notes: By Perm ,.1.it Technician: ,,, . , Date: /),k,// Engineering Review Slope at building pad: �Z 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: ❑ Yes I No Assess Water Quantity Fee in-lieu: El Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: ' Date: Notes: Approved by Engineering: Date: / _, 247_,... Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review NI 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: (-SDC Fees Entered: Wash Co Trans Dev Tax: [E Yes ❑ N/A Tigard Trans SDC: fp Yes ❑ N/A Parks SDC: i0 Yes El N/A ,V OK to Issue Permit Approved by Permit Coordinator: C a vr.c-o Date: 1 '3 3 —(So I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8791 SW SCHMIDT LOOP, TIGARD, OR, 97224 July 19, 2017 at 9:08:40 AM Record Type: Record ID: Residential - Master Permit MST2016-00557 Inspection Type: Inspector: 275 Framing David Young Result: FA I L Comments: Provide approved trade rough in inspections prior to framing inspection. R109.1 .2 Investigative fee applied for second failed gas line inspection without correction. R109.1 No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8791 SW SCHMIDT LOOP, TIGARD, OR, 97224 July 19, 2017 at 8:43:26 AM Record Type: Record ID: Residential - Master Permit MST2016-00557 Inspection Type: Inspector: 120 Electrical rough-in David Young Result: FA I L Comments: Electricians on site not done. Investigative fee applied for scheduling inspections prior to work being complete. R109.1 Violation Summary: Inspector Contractor