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Permit (47) IN CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00543 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 2S 111 DA22000 Jurisdiction: Tigard Site address: 8805 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 39 Project: Heritage Crossing, Lot 39 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 1116 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1545 sf Garage: 465 sf Front 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2661 sf Value: $323,728.68 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 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 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 add9 500 sf: 5 201-400 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 2661 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: $30,031.74 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: A4, 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 2-001-0090. ou 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: 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. Blaiidin Permit Application 3 710 4g RECEIVED Residential 1'O1Z Oil ICI. 1 41 0v1.V ,_ City of Tigard NO V8 " ae`"' // / 13125 SW Hall Blvd..Tigard,OR 97223 ?� Data la}: ��(�`l� Permit�'i'u�i�Ul�i•�( —‘7.3 Phone: 503.718 2439 Fax. 503.598.11flu Tif„ Plan Recica 7 t t Inspection Line. S(13.b39 41'S � Unlit B I Date Dy. 3�d.3��7 Other Permit5t�Se i(P-.Oa 7ci Internet: www.tigard-oe.gm j� Notified etj Method.ds do• ///7 /�--� ✓ twn S Ser Pane 2i Inr BUILDING" i� io Ne n ! _C l lit,- , Supplementallnrormatinrt -�/ C-44.#-/AM- TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DAN ELLING og New construction ❑Demolition Permit fees*are based on the value of the work performed. \-- Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q I-and 2-family dwelling /• Valuation; r ❑Commercial industrial $ 3.� 701 7 } ❑ Accessory building J II ❑Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: a JOB SITE INFORM ATION AND LOCATION focal number of floors. X 3 ) ^1 r 6 Job site address: r j d ♦ 4., 11 l�t�P 1 New dwelling area: 02( 1,9( square feet City/State/ZIP:Tigard,OR 97223 Garage carport arca; I((_`�� sq uare feet Suitebldg./apt.no.: [Project name ' je, VC7 Covered IJY Ui Y\t porch area: 1(1(4 square fect,s' Cross street/directions to job site: Deck area, square feet) 1, 6 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the talue(rounded to the nearest dollar)of all equipment,materials,labor.overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: — Existing building area: square feet New building area: square feet iti PROPERTY OWNER , 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 Existing: Phone:( 503) 222-4151 Fax:( ) Neu: 0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES' Business name: DR Horton Inc. (Please refer rola aclredut f Contact name:Emerald Weeks Structural plan review fee Or deposit): Address: 4380 SW Macadam Ave Suite 100 FL S 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: PHOTOVOL fAi( SOLAR PANEL Sl STEM FEES° E-mail: esweeks@drhorton.com CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details Aaaress:4380 SW Macadam Ave Suite 100 and fire department access,along with the 2010 Oregon Solar Inset/Iaiion Specialty Code checklist. CityiState'ZIP: Portland, OR 97239 Permit Fee(includes plan review and administrative fees): Phone:( 180.00 503 )222-4151 I Fax ( ) CCB lie.: 130859 State surcharge(12%of permit Cee): S21.60 Total fee due upon application: 52111.60 Authorized signature ,. This permit application expires if a permit is not obtained rwithin 180 days after it has been accepted as complete. Print name: , , r` i; y , t pt ��, I Date'2016 I 'Fee methodology set by Tri-County Building Industry Service.Board. I:Building,Permits BLIP-RI SPcnnitApp.doc 02 24.2(11 i 440-46131(11 02 COMWEB, j 15( 7 Mechanical. l'euntit Applic,attlif, CFIVI-ii4 : -L' 1,.m.11 II( V ,-4-A,,,-"' • ii,,, . I igard , 171,,,11!: ‘1110,11::-1_:,!i;t4;.4.. ,Ii:,,.:R1,,, i1 NI n v 8 ,f)n 1 6 „ ,.:.,,, . 8 r.,;1,--:.,: „:,:it7;:i.„„1,11I-•.“ • 1 r(OF 11,13.:‘,.R.'..) ., ......._. ...... . ... .,DiliNGifiViSitylc- - - - -, (1614M—E,RCIAI FEE' SCTIEVI1,1._USE CIIEUKIAST_ , ! '.,,,,,,,,,, ‘.4.441,911...r.4 01. L'I \tht.s sit': 01V,tilsiii t{titi-s.:-Itt, . 10.000,1-0.i i.i.i0, 0-•She,• Co... ....440-3,0i 4.4 0 4'to...L-0.h' 4 14...-- 0 thIllt'llifrot t--- ........ , CATEGOICV ('W't`ONSTIIVE1 ION — ,61: ,. RESIDESTIAL EQUIPMENT/SYSTEMS fl ' a\4,q1,414,. 714 40411r1,;',4,0 Inth',..,'Ir 0 0 Ns,4'.04.4..... $44,4010._ for vre.hof 041,0441rtatrorr o.,t,her A lig, - , 0 I 'Vtuittd,„wok 0\t..,t,to 1.8,,idci E i wL., R .,r,.. _____ ,, Matta.flAtiln JOB SITE ISFORMATIO% ASO LoittiloN _, ...._. ...... . , M3' c_SC.i. Jutr‘r.-1 f.JA' itiLP . , ... ... . . •4 4 . , , (..)1Z 0-223 ., . 4. 1-....-. fir,44 4.1 * —— • . .,.. .. . , on,: g.11•.':{, ,,NI),..2-,...L f 44, . ' ..,, 4 ' • - . -___ ... ... 1 , , _ . 4 , - . r4 . (. _ . .. • t - . - , _ _ hitcr furl appluntt,s. - -. I A,in. ,p„,IN, Vi 4., —_,-----___-- --____. _,._,..,..____.-_— ...._ _ ot.'scRirrim OE MORK: _ _ ..- , CNN S1A •,,i,:i.1,.. 4 • 1 I .. - . I . nor/7,Rn OWNER - — ..—....— , _ , a TIENAS1 ,k,,,, I „ I n+tr(nmt-ntal tAhanst anti%entilain,o, _ ,. i - . 1 .‘17114. 1)R 1-forton Inc R-,,,,,..... ,,h,t.0. lthrtr..,, ' .4,-,.r I.r 1 c„._ i.__ j‘vt, sulk, I 00 4.)m).!,,vs NI a amain . . . — , 4 fit iti,ti,'iiit J)( thin&(qt.9-239 , , , , i; l'i,,,n, t - ) I. 1114151 -,i I •,, , .. ' . „ , . -... I_ 0 APPLICANT j __ I. ttESTA('T PERSO\ uti v neg' 13,o,:o.,:.- ...1,11. i)1{ ti orlon tri,,,-,_... .... .,_.. I. for 6/044 jou, 4.4 iit for s rrt ht.oldatortAi I'micraid Weeks _ . . . i k.tior,, 4380 SW Macadam Avt..Stine Inn , 1 . . • , 4 0.., -,.,0, /w p„I tialikt OR 472.1*1 .•,,, ., 01 222- 4151 x1107 , t ., , . ... ,... . . . . ,' • , c.,..vveckso dr itortun.‘4 un _....._ ,-.... t. __ * covikAcros . , .. I, ,..,,,,, 11E(11AISU AI,PERMIT FELS* - r . ' \‘'-'-''''” -7/ ii /4/fiA ,''. / -I' , , , , 1 1...:`,.:.'....•, ... ..,' N111,1014( -.... . k1-, • ,..1 1, PI' .r, - - - . . ( II ... I 4 I kl PI It MI I III .,.„,. . i ti,1,4 r out irrsisit.,Aion“p*.,,4,p.trao.ep.I.4.4.004,1.,t1tatrt I. ,. J.,r 41447 0 hat i',,S,a,4 0141.4.041)0104 r•ol•.0••••' . , , . +on- . • ... . . .....••••• • •.... ... •• VI i'i••1$4.46•••• .... •,. ..• .• ' , .if, .,,• ,. , /..”. Electrical Permit Applicatio> ' ,CV ` IIIMIIIIIIIIIIIIIIIIIIIIIIMIIIIII ,� 134125 SW Hall of i Tigard Tigard,OR 97223 NI�n 1,1 8 2016 DatalBv. PermitNo.:, To?.-CX(v—(—i3 Phone: 503.718.2439 Fax: 503.598.1960 Plan °�` Inspection Line: 5 .639.4175CM(1 " a vasj Date/8y: Other Permit , R i r . Date I BY rods. B See Page 2 for Internet: vw w.tige!•d-or.gov -. Notified/Method: Supplemental Information TYPE OF t PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit j sets of plans wfitems checked below): ❑Demolition ❑Other: 1:3Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑Marinas and boatyards. CATEGORY.OF CONS?tIJCTION exceeds 10,000 amps at ISO volts or ❑Floating buildings. ❑ I-and 2-family dwelling 0 Cornmercial/industrial' 0 Accessory building - lase to groun or exceeds 14,000- r3 Commercial-use agricultural amps 0 Multi-family ❑Master builder u,r an° installations. Installation ❑Other: CI pump. ❑1>malJatioa of 75 KVA or JOB SITE INFORMATION ANO LOCATION Cl8 y system. larger y ❑Additionofnewmotorloadof p'A",'E^separatel,u1-2;•derived•l-g" system. Job no.: 1 Job site address: ,5,�,,�r 1 100HI'or more. �, ay. "`!"^D' �' ❑ err mato residential units. ❑Recreational vehicle pecks. City/State/ZIP: Tr 1 U 7 � ❑Health case facilities. Supply voltage for more than ❑Hazardous locations 600 volts nominal. Suite/bldg./apt no.. �oject name: Vt y/'1— c �{L ��3\„,,0 ❑Savin or feeder 600 amps or more. Cross street/directions to job site: a} FEE SCHEDULE D`saivon 1 Om I Fee ! Teal I New residential simgle=or multi=family dwelling unit. Includes attached garage. Subdivision: l Lot no.:JY 1,000 sq.ft.or less I 168.54 4 Tax map/parcel no.: 1 Ea.add'I 500 sq.R.or portion 1 33.92 1 energy, DESCRIPTION OF wpm . L (with abovesq.residential 75.00 I 2 ) Limited energy,mutt-family 75.00 2 residential(with above sq.ft.) Services or feeders Installation,alteration,and/or relocation 200 I ! ❑ TENANT 201 to amps less 100.70 2 0 PROPERTY OWNER i amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 20034 2 Address: 60I amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: _ Temporary services or feeders installation,alteration,and/or relocation Phone:( ) 1 Fax:(: ) 200 amps or less 59.36 I 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,444,670,and 701. 401 amps to 599 amps 168 ser 2 Branch circuits-new,alteration,or extension,per panel Owner signature: Dom: v A.Fee for branch circuits with 0 APPLICANT 1 I 0 CONTACT PERSON above service or feeder fee, DR Horton Inc each branch ci rit 7.42 2 Business name: B.Foe for branch circuits wit/unit Contact name: Emerald Weeks fee,first 2 branch circuit 56.18 Address: 4380 SW macadam Ave Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular (SU3) 2LZ-4151 Fax:: dwelling,service and/or feeder 67 1 2 Phone: ( ) ✓ Reconneatonly 67.84 E-ma iI: Pump or irrigation circle 67.84• I22 • COC , i. Sign or oudice lighting 67.84 2 L CG��/ ,c` Signal circuit(s)or limited-energy Business name: S(A(/t'`a t T (P.,�G' ..1-22:,... pal,alteration,or extension. Page 2 1 2 Address: 2 Roil (/A/E /^�, //. ti. Each additional inspection over allowable la any of the above t0 .74„..e., .- -�D Additional inspection(l hr min) 6625/hr City/State/ZIP: 1/a.i�C t�jit v (i". WA, ,9f/ b / Invea6gatmn(1 hr min) 6625/hr Phone:(3 J!-"`/f 757.9 Fax: S al plats(1 hr moi) 78.181 hr � �6�j� Inspections for which no fee is 90.00/CCB Lic.:/''L25I/9} Electrical Lic.:.CZ 30i 1 Suprv.Lic.: /T 93. S specifically (54$L CTRICAL PERMIT FEES �� Suprv.Electrician signature,required:�4� e,„, j� Subtotal: Print name:CA sk '1 2f 1, I Date Plan review(25%of permit fee): �! _ Sterne surcharge(12%of permit tee): Authorized signature: TOTAL PERMIT k1 L - - Pritlt name: — This permit application expires if a permit is not obtained within 180 I Date' days after it has been accepted as complete. ' Number of iuspections allowed per permit. 1:1BuddinglPerrai WELC-Permitppp` 4404615TO 1/05/COWSVEB . Electrical Permit Application –City of Tigard " .�, � _ -" Page 2—Supplemental Information 8 ';;-:-.06 M57:01-0/G -oe7s-i-/,j Limited Energy Permit Fees: pp ,.3 $�y� Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: Ci tT a C `S IO v � 1`; 7 r a SION FEESCHEDULE Fee for all residential systems combined: $75,00 °e"'P""" Qt Each out ReneNable electrical energy systems: Check Type of Work Involved: 5 k,a or 14.',s 100.70 5.0110 15{va 133.5E n Audio and Stereo Systems* I5.n 1 to 25 10 2v0•34 n Burglar Alarm )I Wind generation systems in excess of 25 kva: 1— 25.01 to 50 kYa 3(11.04 (� Garage Door Opener* s°.nl 10 lou lo 552.20 � >R/0 kta(fcc in a.cordance with()AR 913!)9-QU4U1 x! ;5?'t 5- Heating, Ventilation and Air Conditioning J System* Solar generation systems in excess of 25 kva: Full additional Era.,Vu '5 7.12 — 3 n Vacuum - - Systems* '100 � — -- - y lo a-ro additional chargc (1�� ? I IEach additional ins,ection over allowable in any of the above: Other: Each additionsl inspection is ■ char,cd at an hourly(1 hr min) 66.25 hr i t i Inspections for which no Ice is ■ rr(r)0.00IJ s,eciticalllisted(s hr min) hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): f (SEE OAR 918-309-0000) \unrbcr of inspcclions allowed per permit. Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems E Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC I Instrumentation II Intercom and Paging Systems n Landscape Irrigation Control* n Medical n Nurse Calls n O• utdoor Landscape Lighting* n P• rotective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Bui:dint•Par.ii:,P C Pr.:nil'pp LLR ERERc, Y:1"=rel Plumbing Permit Applicata - , i . � ' Building Fixtures 8 2016 C125 of Hall R6CpMe° Pertnit N,,!'15TA0/4„Y� �' 111 n 13123 SW Hall Blvd.,Tigard,OR ��1 ff ��n171--1 �) mtdBr• I Phone: 503.7182439 Fax: 503.�9Er6 ' e',-I T`1 gl.9 Plan Review px�y. Other Permit No,: r i c:\R u Inspection Line: 503.639.4175 BUILT), ;INCi 3'1 7 Q 1 I Dm�My: hid': g See Pa i for intemct: www.tigard-or.gov1"" 3irr 1 ��'t NaifiedlMaNmd: Supplemental tafere�a ..• w• • TYPE OF WORK. - O' SCHEDULk. • h. r....: , ❑New construction 0 Demolition For spedal Information use checklist ❑Addition/alteration/replacement ] ID Other: - Description ) Qtx I Ea. I Total New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONST RUC'UON SFR(1)bath 312.70 ❑I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)beth ( 500 32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: - Fire sprinkler( sq.ft.) Page 2 JOB'8t L 1lYFORM O111:'AND LOCATION Site utilities: Job site address: Eric-0(3i S - (;/ Catch basin or area drain 18.76 r Drywelk leach line,or trench drain 18.76 City/State/ZIP: ? 97d'ry - Footing drain(no,linear ft.:_� Page 2 Suite/bldgJapt.no� Project name: V\k j'1)1 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 -d/ Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft.:___,) Page 2 Lot no.: Water service(no.linear ft.:J Page 2 Subdivision: 31 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 • • - ••• DESCRIPTION OF:WORK Backwater valve 12 51 • Clothes washer 25.02 q�� Dishwasher 25.02 1 V D Drinking fountain 25.02 Ejectors/sump 25.02 •0 PlROPER'c. OWNER . • i ❑ TENANT ' Expansion tank 12.51 �;7 U.-,..-t /� `� Fixture/sewer cap 25.02 Name: C� U�11J v 4 a �, + Floor drain/floor sink/hub 25.02 Address: "J (-6s -) \ 1 -�0.0V12 Y ' Garbage disposal 25.02 City/State/l P: . O'. 1 Hose bib _ 25.02 Phone:013 a -`�.V\(Lj, I Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: �ca., `\-- - 'vt(J Medical gas(value:S ) Page 2 Contact name: LL�AQ,AA I CA "�- Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: eSv3W66m cAV VI CV VY1 - Ccv y l Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DW V 56.29 Address:1601 SE RIVER ROAD Other: 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee: $72.50 CCB Lie.:94689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) ' State surcharge(12%of permit fee) - Authorized signature: ...e. A., TOTAL PERMIT FEE Print name:RAY MULLEN / Date: This permit appliatioa expires ifa permit is not obtained widths 110 days after it has Dees accepted as complete. *Fee methodology set by Tri-Cowry Building Industry Service Bawd. I:1e414(Ma+Meitan.MU.Pens4App.doe 10101/04 440.4616T1101O2/COMAVEE) City of Tigard q■ COMMUNITY DEVELOPMENT DEPARTMENT 1111 T 1 c A R o Building Permit Review — Residential Building Permit #: 4457-2-0,1 Ce -006-r-f3 " Site Address: tag 0 S ' w Sch m i o[1-- Lo©0 Project Name: 1-1 Q r i ti e Ci Yl Lot #: 3 (New dwelling—, a)ss ubdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New gc. R. Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: No El Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan ❑rxisting 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)0° floor elevations North arrow Utility locations(required for new,may apply for additions) /Site address,project or subdivision name and lot number '❑LuLadon of wells/septic systems /Applicant information(name and phone number) trees to be retained with drip line,and tree /Lot dimensions and building setback dimensions erotection measures /Lot area,building coverage area rcentage of coverage and /Street tree size,type and location impervious area(applicable if(1 ,R-12,R-25&R-40) treet names /Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: '&011101S -- 10000 G sue 2,c' I S 6i OOO)s le Zoning: ..'"1 XRequired Setbacks: Front 1 , Rear 1.5- Side 5 Street Side 10 Garage -Z,0 Landscape Requirement: 2,0 % Lot Coverage Maximum: DO % Building Height: Maximum Height SS Actual Height 2_ S ZVisual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan 69 Conditions "Met"prior to issuance of building permit Notes: COfCUt OnS 12 Cn + pror .A-0 i S S u eiY)t.Q, Approved By Planning: P)0,0 /Z— qI )0 c AA--- Date: I1/V/ )16 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw—REs—091216.docx I Building Permit Submittal Original Submittal Date: i /V�� Site Plans: # 3 Building Plans: # 3 Building Permit#: C _ ter building permit#above. Workflow Routing: !—'lanning ngineering Permit Coordinator wilding Workflow Sign-off: -G ign-off for lanning(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. wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: AZ. By Permit Technician: ;11/ Date: / - Engineering Review Slope at building pad: X Conditions "Met" rior to issuance of building permit Easements (encroacphments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No 111 NOT Approved by Engineering: Date: Notes: Approved by Engineering: P Date: / _j — Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit El 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: Yes CI N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: [�► Yes ❑ N/A OK to Issue Permit Approved byPermit Coordinator: 47,r-Date: �� /�� PP I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8805 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00543 Inspection Type: Inspector: 120 Electrical rough-in David Young Result: FA I L Comments: Electricians on site not done with rough in. Investigative fee applied for scheduling inspection prior to work being complete. R109.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8805 SW SCHMIDT LOOP, TIGARD, OR, 97224 August 30, 2017 at 2:17:44 PM Record Type: Record ID: Residential - Master Permit MST2016-00543 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8805 SW SCHMIDT LOOP, TIGARD, OR, 97224 August 31 , 2017 at 10:02:53 AM Record Type: Record ID: Residential - Master Permit MST2016-00543 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8805 SW SCHMIDT LOOP, TIGARD, OR, 97224 August 31 , 2017 at 10:37:27 AM Record Type: Record ID: Residential - Master Permit MST2016-00543 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor