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Permit (20) CITY OF TIGARD MASTER PERMIT i.. .- COMMUNITY DEVELOPMENT 11 Permit#: MST2016 00559 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2017 T tc�1�.tR'j] 9 Parcel: 2S111DA22800 k, , Arsrik Jurisdiction: Tigard Site address: 15535 SW APPLEWOOD LN1142' `/,i (' �# Subdivision: HERITAGE CROSSING `Lot' , ' Project: Heritage Crossing, Lot 47 Project Description: New SF. 6/26/17, REPRINTED to correct#of hose bibs to(2). 1/16/18 REPRINT to add NC unit. Placement of A/C unit must meet manufacturer's requirements. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 885 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 1356 sf Garage: 361 sf Front: 15 Smoke Dwelling Units: 1 Third: 439 sf Right: 4 Detectors: Yes Total: 2680 sf Value: $318,749.99 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 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: 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 2680 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: $30,119.96 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: Ore on 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 952-0 1-00/ . 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: ,I s Permittee Signature: �G A /jam Gfi Call 603.639.4176 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. C. (Mechanical Permit Aptalicailon "'� " `` 1 OR On l(e I SI OM.) u en.v' Citi of Tisa rd i� 2 01 1)513", ` ,' - /Y,. permu N Sato O/6a-605-5-t� ill _• I I'S ILII HI,J. Iward.OR 972:4A Mem fkr.cw • e Phone 50.3 ,I h 2434 1 t, 511?.q,441'1;1 1 ital.It, (Mrct NI MP 11GAFll Inspcchun I Ito: 503619-0175 4,y4 fT I'" �a1 K.:if-AIDareReads ltt 'me. 10 Ste rages roe !memos wwu-ligand-in got q l l�1 EnNir; rmli l(,. ' ` tso,Yad 4iciinl I Supplement Information TYPE OF WORK COMMERCIAL FEE•SCHEDULE-USECIRaC10JST Mechanical permit fees*arc based on the value of-the work IS New eonsrniction 0 Addition'alteratiomreplacetnent perlinned.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES" 1013 I-and 2-family dwelling 0 Commercial industrial 0 Accessory'building For Aurid isformadon lot cheeAlist ❑Multi-Iantily 0 Master budder 0 Other: Description j Qty I Ea. j Tann JOB SITE INFORMATION AND LOCATION Iodating/cooling: Air cunditioninn / 46.75 Job rite address. 1 5 5-35 3 c''-' wpG4 1_4V1,e Furnace 100.000 BTU touo,cru') 46 75 (ily'Stale Ill': Tigard,OR 97223 Furnace 11)0.0004 111U tduct,sems) 5491 Out pump 61.06 Suitt hldg.'apt n,.. Project nam }•j Y,-t e. L..,C.•`;t vLy Duct work 23 32 Cto-s Street directions mph site Hydronic hot water ss sierra 23.32 , Residential boiler(radiator or hvdronicI 23 32 Unit heaters i fuel-type,not electric). in•wall.in-duct,suspended.etc. 46.75 Fluc'setn for arty of above 23.72 i,.-'•I -' Other 23.32 tiuhdivtsion 11 no. '� ( ()ther fuel appliances: las map parcel no.: \Valve heater 23.32 DESCRIPTION OF WORK Gas fireplace 33.39 Flue sent for water heater or tins fireplace 23.32 lam Heiner(gas)-_-_ 23.32 35'ixcrpelk,stotr ._ 33.39 woad fireplace)risen23.32 - Chimuc4 liner flue sent.__._. 23.32 Other . 23,32 T_._ $ PROPERTY OWNER i 0 TENANT F:o4irnnurrntal exhaust and trnlilaflon: \arne: 1)R Florio') Inc. Ran1'c hood other kitchen t ati mens 33.39 Add"'4380 S1V Macadam Ave Suite 100 ..._.. � ._._ - .... .— __._.. __._.._..._.___. Cluttu•,dnerc4h.lu,t 33.39 ( ilt 'Nate/ll' t4intic•duc, ct lieust Ihathnsan,, Portland,OR 9.2 Jy I unlet romp.tritnents.unlin 04401 23.12 Thiele !59 j I /1)-4151 hal t I 1 \tet ‘,..,.:1.,,e f n, 24 32 0 .\PPLICIVT • CONTACT PERSON other 23 32 I u I piphat Ito tree, t -ii 1)k iIOrton Inc. _.. ._.— ._....— __ ..___-_....._. _ .._.__—.. .i I_m 514 151 r it 1 Nur:$4.13.36 t catch addiriuna (,.111.1,I n.intEmerald 11rills 11 rn 0, ),I IIt1 edit titiO SW Macadam Ave Suite IO0 i w 111 uspent lmurtetl r t Its'Iflic ill' lt(ir eland,()1: 97239 f 1 l3 rY 1n u., I'.t, t ) i i I ue e ph,n 1503 112' 4151 x1107 — ___- 1 , tin • I it. c•',4c1t ks `d l'l)Orlt)Il.i dr nl I Hufacrc C0111t t110R i :c 1 t1 !r..l I.,,i 4.4_ . liaam more �I --�/ fl - '<1'1_er - -- 11h— tL ti, _ -- - �-. - -- ( ul C11 4`41f.11 PFRv1tT FEES* I.Aldi, l � � '-- —' i ` t �( t. _ Sutatutat ( 11)SI"til' �� (7'.'34/ 'G. " 111nirnum I snot lttif(S"nail) n IL! { //' -i_� tit —.h_� . _ _ __ 1 ( i':,,h rev. ,.44 pcsIna 11:0 1'hi n, t ' ti C• .(i Pas ,n 1� r �� - �) �)2�L t-- / _ i til,Ie.0 tt twee 11�.� tlh permit leo .fr4l2-1 101 Al.I'FR\III FEE t .> -r 1),t.p.rum apph..um,(spin,it a prrnnt is not abbimvl within '1 -,+'r: da„altar it has tw-.a accepted a,it.mplcic. At1111011,...1 s,entdutC' ;/ i • In na.lt .,.1,._ „-1 b, i, iL.unr)ti atop iwto.t,'cats,,Noa,l Print rt ouu.....�----'i Milt r1. 1 ..� [ fir- _ _ -�'f� -_.J 1 nnil t ot.4X3 raM[M Wnliii- 44,1 4,17i, Ii.'i1141Niat 1 CITY OF TIGARD f r • MASTER PERMIT 2.:' COMMUNITY DEVELOPMENT Permit#: MST2016-00559 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2017 T[GA R` 9 Parcel: 2S111DA22800 Jurisdiction: Tigard Site address: 15535 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 47 Project: Heritage Crossing, Lot 47 Project Description: New SF. 6/26/17, REPRINTED to correct#of hose bibs to(2). BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 885 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 1356 sf Garage: 361 sf Front: 15 Smoke Dwelling Units: 1 Third: 439 sf Right: 4 Detectors: Yes Total: 2680 sf Value: $318,749.99 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 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 2680 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: $30,067.60 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 952-001-0 C—"rough••• 95 11-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 50� Issued y: , /_// �� _� 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. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00559 T 4a r1t#,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2017 Parcel: 2S 111 DA22800 Site address: 15535 SW APPLEWOOD LN Jurisdiction: Tigard Subdivision: HERITAGE CROSSING Lot: 47 Project: Heritage Crossing, Lot 47 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 885 sf Basement: 0 sf Left 4 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 1356 sf Garage: 361 sf Front 15 Dwelling Units: 1 Smoke Third: 439 sf Right: 4 Detectors: Yes Total: 2680 sf Value: $318,749.99 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: .Water Lines: 100 Drains0 Bckflw Prevntr: p Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 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: 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: NEW P y Square Feet: SF VB R-3 2680 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: $30,067.60 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 ay obtain a.copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ."104,4e -, permittee Signature: STrr 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. - �� 4�Building Permit Application 1-- JI 5 ,• T1-Residential . . I :ESV ' 1Olt e►( i it is I a o\t t' City of Tigard a`Yrive. L.? /5//lam S7 r' 1114 yOatc BY, Penn"No 13125 SW Hall Blvd.,Tigard,OR 9722 t 0 IQ o Y1(1S • Phone: 503.715 2439 Fax. 503.598.1 ` ? Plan Ke,ieN't i ,,, ..1,i,. Inspection Line. 503.639 41?5 Date Dp: ?' �sa�-� Other Pennitla�'Dt�/G rs a a` a Note ed By 1/ /7 1 91 Sei Pagr 11 fur on Internet: www.tigardimr.gov ' t `,�� /Dati ReadMethod.By ��, // v6q h- _ i 1/�thr "! �upplemeotallnrormatinn TYPE WORK REQUIRED DATA:1-AND 2-FAMILY DVS ELLING ai New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. la I-and 2-family dwellingValuation: �,y 0Commercial/industrialS.3) ir 7 19 ❑ Accessory building 0 Multi-family Number of bedrooms: C. II ❑Master builder 0 Other: - Number of bathrooms�Q i9.. JOB SITE INFORMATION AND LOCATION Tota!number of floors.3 3 0 I 1 Job site address: t S s 3f' 0,,,,... : /�„�_]_ >l / New dm ening area:a(W2 square feet City/State/ZIP:Tigard,OR 97223 '"��^ i1!'i L(�fl� Garage carport area: square feet 3 Suitebldg.tapt.no.: Project namelAcA .d- 49 { i p I Covered porch area: 33 square feet 13 i Cross streetidirections to job site: Deck area. square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: 1.17 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,o',encead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: S Existing building area: square feet New building area: square feet it PROPERTY OWNER ( 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy pa y groups: City/State/ZIP: Portlan&OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) Nem: ❑ APPLICANT $ CONTACT PERSON BUILDING PERMIT FEES* Business name: DR Horton Inc. (Please refer wits u4edak) 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 , Fax::( } Amount received: E-mail: esweeks@drhorton.com PHOTOYOLr.4i( SOLAR PANEL Sl STEM FEES CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 201 t)Oregon Address:4380 SW Macadam Ave Suite 100 Solar lnsrallarion Specialty Code checklist. CityiState'21P: Portland, OR 97239 Permit Fee(includes plan review and administrative fees): S 180.00 Phone:(503 )222-4151 I Fax ( ) State surcharge(12%of permit fee): $21 60 CCB lic.: 130859 1 Total fee due upon application: 52(11.60 Authorized signature i This permit application expires if a permit is not obtained Within 180 days after it has been accepted as complete. I Print name: - , , ' r 1 j .Fee methodology r . , 1 -: ( f i � r ,- Date 2016gy set by iii-County Building industry Service Board. 1:Building,Pennits BUP-RESPennitApp.doc 02 24-201i 440-4613T(11 02 COM WEa1 - Niechanical l'urxilit APP8' --- r /.xo/ /x / / u "v � 1 -. K�o wf�'g-'- LIVED � u^~ivt _././,~�/ /. .m '�:' _�_^ _--_ __ _ _ n"°, °'^'r:',4," /~` x `."' � V '0 , yO1C /,.., ' _ . �v~ ~=I"" an^ww-- ,^°p^. m .~ m`,`� °^° lig"`''"r'` �'*'en^°~ ;Ow motion cin OF TIC AR ij '''C4411 = yk,_ • «OwMnRO«Lpo� wm�� E��r�� » - _ �`n^.`^`"`. .`""...`^`.." �^,^ �.,/". �'me~'^ 441',,,'~"`,`n"mw' [] \d,m."^n^ ,'^`..',7/^^"»,'" i n/.""^/ u.,.^wm,.. w""^^",.°it,~^^'m,h^., | /y"^ / /�� / []ow/*N'� []m= ._�e . 1 . _- _ � \ ,i„* y ' CATEGORY. OF C�n�n�um�x�w - - -- -- ------� L___==,I"V ° Ec="P°°-"/SYSTEMS FESS* i '1118 / and z°n//` ^wa/"1$: []/."mw^."/Inxu vu/ [] >,."^°", t~/m.`+ /~ /d "^~~^*. h"^�^ _ _ j ' [] 0uu-/�oo, []n�wm"^u" [].mc ' /^`' jL /^ , '- - INFORMATION--- �NSILOCATION - _ JOB SITE _ !c- tiilo-..,1,, . ^Ap'° ' ^=""^ L.5w�(5,5 (5(A/ 100(11-,� �� ^ � l ..., ., lot ,... list ^'� `^ , � . ` / ` ^ -_ 4 ,. ^ = ,~'` ''' l!�xr��/��1 u^^ ,2 ______'_ . �� , .c��c _ � _ �| ^ � ~ —d '' L1 ' - - L.��_x��k� '°~�~^` , ' `� / -^ -- T- -` *___^ �..°^. ,� � � . '____-__ - _- _ � _^1K 0_ _ --'---- -- �-- -'- ---7 --- - ' / ___l �' `t �``" �r7 -' -- ---- �--^ _ - .__-__c1___ __ ___ ' /^`"^*,maw' `�� , ----- --- --- --DESCRIPTION ��' -------- ^��/"q��" __ ! _ ^ -----WORK --~ � /n�.""`° °+n*^w'. �^ Ne� S ! , »'y.�, �- � -- - i " . > � '��=�� . r | - -- - ------------ ---� ---� ---'---- - - - --- — ' ^'.,/c�t!~~, It ` : m __�___________�_._ -___'_______-__ _ «~��'� . �° -. �' `^ i . m=m. | ` r ` "^�' `"" | | | - --- rnomentai And �"m" DR Horb�nIncnc ��m. w~^t ^^1�� - -- - -- .,_ ��ul�� ' ' ~ � ~ T� ��.i^�' ^"�� --- /IP Portland, ` ° ' . } �^�,��c�.�` /:� "`r''/ , '� / . i «`� ^`°`r^'�"' � . �` ' ^ --- - - • '"^" � �`� 1 -I/NI ACT�� PERSON*, ____� 1~/e��g' ' "-- 144"it 1)14. Horton Inc. - - _ -- -_ „. | I,�l ,~o"^~ ~^` fr�� ""- tt . | --------------- -- --' `'``�"r""c ua=~, 4380 SW 0JocuJ^ou �voSui<u 100 - - / - - ------- - -- ! ""/^��a ", ,'w" iii I , ' ". am, /n f 'dand.QK972l9 ' ,"°o .^ ,/| ,°"^ � ��'�|� slu� /'` | ' | ��u . - h CONTRACTOR i 0, • ____ !~ `'~-'~''` --------- ------- L . ��,�w�� | �----- _ - . ^ , t. ii -�/. �,� . �w wr *°�^W+ _ . ` :,` *^`'^ •I�," �x /«, ` /" / ^/ I ' x` nv0 r1wnnvrw -------'-- -------^-�~`--^^ - - - - - /""r'�*°n* ^'~°",°'^r^"~"~°+`~^~"~.tat ~� *".At,."AA,IA x A="^ti°ion-wit^ w,..""xo^�o�wq� , , PI v. -- ' ^ !u^. �' , �, _~�i4, ` Electrical Permit Applicatio> CE, LL , ('I t,,., ,, , , ,, 0,, , City of Tigard Received ----- Date/By:: -6 ,5-5.--c7-- 13125 SW Hail Blvd.,Tigard OR 97223 k o�,j "d 7 p Plan Review Permit No G re)/6 III ' Phone: 503.718.2439 Fax: 503.598.1960 edgy: Other Permit Inspection Lite: 503.639.4175 t 1 �� 3<�i �t NatiSod+ eotiYBhYOd:: Judi: 0 See Page 2 forInternet: www.tigard-or.gov Supplemental Information TYPE 0iii11101 itG DI V,,:-51(y,,, - )FLAN.REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit2 sets of plans wiiitems checked below): 0 Service or feeder 400 apps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY'OF CONSTRICTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground'or exams 14,000- Ci Commercial-else agricultural amps ElMulti-family 0 Master builderInstallation for all other installations. sldmga. 0 Other: OFire pump. ❑ of 75 KVA or JOB S7rE INFORMATION AND LOCATION 0 Emergency new larger separately derived system. ❑Addition of sew motor load of p A",' ,"1-2","1-3", Job no.: Job site address: I t.cc3L G. fir 1_ 1 I LAP Six or or awe.round,or ex00 vehicle pwka. City/State/ZIP: 'fr � ci x i 7,ry 3 ❑Health-care facilities. 0 Supply voltage for more than J t �I ' v O 0 SeHrvice eerielocat600 amps 600 volts nominal, Suite/bldg./apt.Nin.: � project name: ❑service or feeder amore. y... • Cross street/directions to job site: FEE samoU.,E Daerioties I Qtr. 1 Fre. I Total I New residential single or multi=family dwelling unit. Includes attached garage. Subdivision: Lot no.: Z 7 1,000 sq.ft.or less 1 168.54 4 Ea.add',500 sq.it or portion q 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK • (with above sq.ft) 75.00 2 Limited energy,multifamily residential(with above sq.ft.) 75.00 2 Services or feeders installation[alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER 1 0 TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 • • 601 apps 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 less 59.36 1 Owner installation:This installation is being made on property that I own which isnot 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 • Branch circuits—new,alteration,or extensiontper panel Owner signature: Date: A.Fee for branch circuits with re 0 APPLICANT 1 0 CONTACT PERSON above service or feeder fee, 7.42 2 each DR Horton Inc Fee for Business name: B.Fee for blanch circuits without Emerald Weeks service or feeder fee,first Contact name: branch circuit 56.18 2 Address: 4380 SW macadam Ave • Each '1 blanch circuit 7.42 2 Miscellaneous(service or feeder not included) City/state/ZIP: Portland OR 97239dwe1i and/oring,service modular 6784 1 2 Phone:(503) 222-4151 (Fax::( ) .r Reconnect only 67.84 2. E-mail: .. Pump or irrigation circle 67.84 2 • CONTRACTOR i•• • Sign or outihre lighting 67.84 2 Signal circuit(s)or limited-energy Business name: )` / L 6z,,,,-/--1,..; panel,alienation,or extension. 2 S(i41i1 I I t�-1�1 T � (�, „�j�"C, Each additional inspectionPage2 Address. 2 20 Li/ (/ 'E 6`r-- 4 . )J .a/1ri` over allowable in2 any of the above 6'S.--ft (I !� Additional inspection(1 hr min) 66 25/!u City/State/ZIP: %.k7C 0 L(1/-e Ii". 1444. ,�fC C/ Investigationplant(1 brain) 66.25/hr Ca 3 f_ 9�� Industrial pian[(1 hr min) 78.18/hr Phone: < Fax:O'Cn SSC- 966 0 inspections for which no few is i-2 5'Z/�9specificallylisted('r1hrmin) 90.00/hr CCB Lic.:1 2 Electrical Lic.:-C230 Suprv.Lic.: /7473 s • ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ' b Subtotal: /1.9 +� Print name: '1 ' Plan review(25%of permit fee): Ch c s jh' k)t . ' a s- i . I Date: State She s harge(12%of permit fee): _ Authorized signature: TOTAL PERMrr FEN. This permit application expires if a permit is not obtained within 180 Print name: ~ Date: l days after it has been accepted as complete. J * Number of inspections allowed per permit. l:1Bdddin81RernitnELC-PermitApp 440-4615TO I/OS/COM/WEB •Electrical Permit Application-City of Tigard j` :31 Page Page 2-Supplemental Information �.L � 'J /-viii' aaCK-/ Limited Energy Permit Fees: NOV 1U. Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: ' "`'� ''i ,f ^Poon17t7.7- Each Totall �� 'Rene able electrical energy systems: Check Type of Work Involved: 5 k+a or less 106.70 5.01 to 15 kva 133.56 �1 ❑ Audio and Stereo Systems* 15.n1 1o25 k+a _uU.34 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 t,,so kra 301.04 Sii.Dj to tO0 kra MC Garage Door Opener* 55-.2 >10;)k+a(fix in accordance 552.2t with OAR 916-309-0040) Heating, Ventilation and Air Conditioning I Solar generation systems in excess of25 kva: T -i Each additional kva o xcr 25 42 ; ❑ Vacuum Systems* 'I00 k+a—no additional charge i ' 0.6 +3 Each additional inspection over allowable in any of the above: Other: Each additional inspection is ' charged at an houtly(I hr min) 66 25 hr Inspections for which no Ice is 1 `� specifically listed('--hr min)) 00,00hi COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES —� Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): I Number of inspections allowed per permit. (SEE. OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation H HVAC n Instrumentation ❑ Intercom and Paging Systems I— Landscape Irrigation Control* n Medical I— Nurse Calls ❑ Outdoor Landscape Lighting* 1 Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1..Builduyy Perms [?LC Pu:niiApp LLR ERL.dcc t'.c,i.': 1 T4 Plumbing Permit Apalica tiof rA � 4 Building Fixtures 1 OR 0111(1: t SE OM.) (d �/ g 7 ' 1 .. 1115 City of Tigard 4. Received y. Permit"pi S7-jkoiG 711�d.3 Il 13125 SW Hall Blvd.,Ti and,OR 9 plan/BY: 3. • 8 Phone: 503.718.2439 Fax: 503.591:MD 414" I tl " Plus Review Other Permit No.: Inspection Line: 503.639.4175 f i'a2 T x m Dem Re r'I G:+k u a I��5, �''Dm Ready/By: kerb: r 0 See Pate 1 for Intend: www.ttgard-orgov 1 -1.<.-,k-'1.'+t1 $s .d l.,iV 1 i NookiinAdhed, Supplemental Iaformatioa , w,• TYPE OF WORK . - FE1E;" SCHEDUL>Ifs`:'• ' ❑New construction 0 Demolition For:pedal Information use checklist. Description I Qty I Ea. I Total 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312,70 ❑I-and 2-family dwelling 0 CommercIal/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 • • ' FOB SITE.5FORMA110N:'AND LOCATION Site utilities: Job site address: 45:' (AA, A 14.4-14...- Catch basin or e duns 18.76 ° � - Drywc11,1each line,or trench drain 18.76 City/State/ZIP: Suite/b1dg.Jrpt.no.: . Project name: 3 Footing drain(no.linear ft.: ) Page 2 0-CV (1V6bj1►te Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain contactor 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft.:__ ) Page 2 Water service(no.linear ft.: ,) _ Page 2 r Subdivision: { Lot no.: ti 7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF:WORK Backwater valve 12 51 . Clothes washer 25.02 Dishwasher 25.02 '‘IV \ .-- Drinking fountain 25.02 Ejectors/sump 25.02 0 PggPERV. OWNER . . 1 0 TENANT Expansion tank 12.51 Name: V_ U y ti `V/-L.. Fixture/sewer cap 25.02 Floor daisosinklhub 25.02 Address= ��CD CQu) \��nD � *" Garbage drain/floor 25.02 City/State/ZIP: AD . De_. nxHose bib 25.02 Phone:013 C7. _ ` \ Fax:( ) Ice maker 12.51 • 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: ')..:)V...., `\"U 'r \ t A C.) Medial gas(value:S ) Page 2 Primer 12.51 Contact name: 'c"-\\ Q,t/h 1 a "1ijX Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( )) ,q �( Fax::( ) Tub/shower/shower pm 12.51 l", E-mail: iw-ei/`(/s . (_/1,V 1. C1ViW1 . COvi4 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 72.50 Phone:(503)640.0113 Fax:(503)640-4483 Minimum permit fee: fee) Plan review (25%of permit fee) CCB Lie.:94689 Plumbing tic.no.:34-260PB State surcharge(12%of permit fee) Air / /1�, Authorized signature: TOTAL PERMIT FEE Print name:RAY Mt1LLEN f Date: This permit application expires if a permit h sot obtained within ISO days after it has tees accepted as complete. 'Fa methodology Set by Tri-County Building Industry Service Board. 1:1Bua&erinibVLMU-Per nApp.doc 10/01,09 e40d616Ti10O971COMt*EB) City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT UPIg T 1 c A R o Building Permit Review — Residential Building Permit #: 4/05 /rry_IO S Site Address: I S S3 S SW Int pP l2,wp O d L Project Name: I4-e r-i t-t y e. cross i n cis Lot #: 17 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1\I e.w SF fZ f Verify site address/suite# exists and active in permit system. jii River Terrace Neighborhood: X No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan ung structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ,ZFootprint of new structure(including decks)with finished ,Drawn to scale(standard architect or engineer scale) floor elevations Z,.,{North arrow ,'Utility locations(required for new,may apply for additions) ,a'1Site address,project or subdivision name and lot number -dation of wells/septic systems .Applicant information(name and phone number) ❑Existing trees to be retained with drip line,and tree PLot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and /Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ltreet names ;ZiFroperty 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 gr Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake P' Land Use Case#: ZON20)S- 0000(0 , E.vQ20i5 - 000 1 S [7' Zoning: R 1 2_ Required Setbacks: Front ( .5 Rear I C Side 9 Street Side to Garage Landscape Requirement: 20 % 6 Lot Coverage Maximum: 0 0 % z Building Height: Maximum Height 3 s Actual Height 2-° Visual Clearance Easements 4 Sensitive Lands: ❑ Yes ❑ No Type 41 Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: Go oc i i'o h 1 -1-• io•t m€4 pill r 1v 'l s s v c i in(..t._ o G Njv i 1 ctL►ri e$rw,i1-S . Approved By Planning: /1/119,1.%:-. �„ Date: WI/I(, / ) 6 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\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: lit ((li/ti Site Plans: # Building Plans: # Building Permit#: nter building permit#above. lk Workflow Routing: iPlanning ,engineering _,...- Permit Coordinator ,uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ,�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 'Xile. Date: �Z1/ /// Engineering Review Slope at building pad: ..14:--, 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: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Wji 1) Date: 7:%___0:0-42) Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved . ,r 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: I'SDC Fees Entered: Wash Co Trans Dev Tax: EI Yes ❑ N/A Tigard Trans SDC: Q Yes ❑ N/A Parks SDC: ( ''Yes ❑ N/A l 'OK to Issue Permit Approved by Permit Coordinator: a -IL ('€;..-4,- Date: I) I:\Building\Fonns\BldgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15535 SW APPLEWOOD LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00559 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Water pressure = 60psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15535 SW APPLEWOOD LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00559 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: See January 3rd inspection for erosion control final sign off. Collected Street tree certification and verified tree location High efficiency lighting form Moisture content acknowledgement form ETO site inspection certification Will email C of 0 by end of day Violation Summary: Inspector Contractor