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Permit (50)
CITY OF TIGARDMASTER PERMIT . J: COMMUNITY DEVELOPMENT . .. . / Permit#: MST2016-00552 T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 W. , Al fl Date Issued: 05/16/2017 Parcel: 2S 111 DA21400 Jurisdiction: Tigard Site address: 8760 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 33 Project: Heritage Crossing, Lot 33 Project Description: New SF. 7/25/17: REPRINT to add A/C unit. Placement of NC unit must comply with manufactures installation requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1251 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1321 sf Garage: 621 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2572 sf Value: $319,683.03 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 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 2572 Owner: Contractor: DR HORTON INC-PORTLAND DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 PORTLAND,OR 97239 PORTLAND,OR 97239 PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $29,941.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r Issued By: /4l 4 / /7.4 Permittee Signature: "fS/71 CG`.71--? This Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEINIFII Nieehaniea1 Permit ARptication t ttt;t, t ei t t s City of Tigard JUL 2 5 2097 ...:o"d 7.4J7 -►i1 P.—N.. tcji 70Et —00 ,,, 1y!«_w itlafl HIviI.I iYird.(yR 97223 tlta iteetry t Mork- 5tt3 71X 2.539 f'at1 5414 5343+t` 1T O 1-1-CA T') ihk,,It- to"-P n t M. stttetinars BU€3_C�11`i I"JOSiJl�1 n.,tir ioN ► is rfmappirattuntIllahreasatie .._._. ittttnt it wwn n rd ite.y it tr1,.+ 0,,t ,14 ... .�a r ri i I e i 7l t �; b 4 t, 4 fi � A ' ',' '..�.„ . atilt =al potent Ito.*arc ar t oath*Wile orate vork 0 Nov construction 0 Additinntscketatron repirrecmettt perforated,h hr4tr the value pounded to the ocelot 1utku)t,10E1 ©Dcmuhlh n 0 Othct r I mtvi mtical m r sts,Wgiprrrcnt.tabor,qc erherot,oed prrtfic, ! Vatut$ IN 1 arsd?-larttrlyitw tting ,0,]>~'ananoriaihniu.5tiial a Atce.wry building Fos Hlaarkaf p.. ... toe otteaditt ©Mu ti•rtmrly []� o% Dor Mosta'builder ©Mhy "i�r .Fa. ta °dl Pa,w s fi v +yi4, . nt . _t... r „ dNs v, g.°',,. iv7-,4-,,,, Heathviteerit : l r :lirpondAgaint ah.rc '.tt sttr atttrr Tigard.07223 -t l ...... ('iry sw.'"7'1P. •,.lParma,, Imam,mu taotAttAtat,l 54.I1 7 heat pump 61.3* to{It bfc9ty.€{>I u‘)' 1h sycst ttarne / f� y �_.�. _____ i' r t�.� 4�^..-.3,�r- � } l Dart work '°'3.S' ......._.......� t 11«-0,2..irtMrithitrr'*,i*10 J011,Nitta _.... e tfyd me hilt r< VAMP } 24.,32 k14sidantarttiuiie5r(tatItstot:or h1040;60 23-32 _ _ (:tnit heat+trs(fuel»type,ek,t circuit). _ _ es-ltrtll,in-tut swv etolCcl:err. , - 46,7c Flth:Aast tlw .=4r+lx+it 2+3 2 :uiwiiotsrsm. lot pile 'i� •( ' Pay tl no. .!.._.. tither(fit sliaaeest nw 3*3tarY Watt Mame *.,1.31- "" ,,,,`0 i=iw'.t i t ' ' ie qj` it ry0 `�'°p*�"i a l7 Ga.fimptartio t * '11..39 s, Phtc cM(Gic a tux}raaicr lir gax t New Sl"lt, tireplaet �_e....._.,.- _ _«. :3.;1; _._ Lot IitAtet(tool 3.3 e . ......,.�._._.. — �1i'ik tiutiCt sow _.........-....-_ 12.39 t f i I ARE wow r.... l�tt 3,3' F C.".. ^1ti tenter vett .../.... 2Y,3 _ S 41, itil 24.31 ?tante DR Horton Inc. Row bomvoiav kitchen 12.0121 Attthe,s4380 5 W Macadam A:Ye Suite 100 Clothes dryerevhroot I3 39 (ity .)ttt '21d,OR9723+ sirgtc.fwexhaust thithettur _ toiltcum•wow*oriiitytutarcf_ 3 I' xtz t 4 222-4151 rt‘.( ) Ats+trowi cc fas _1932 2 _ . '' *tea. 1 ,- ter .2322 rtltr„c!,s 13R Hortonlne. -^^'' - _ _. .w �.. ,_,__ 31i,i T*Ttttut lwMr:5.4,it..-,ylh -- ,. .,_.. t'trnt.°ttl(wase:Emerald Weeks t'ws+act,ett Akires+ 4380 SW Macadam Ave Suite 100 GIs atm ...__ _ _ 1 aa4vientoruait boavi 1 __ (,lye: ate:rZ3p:Partlan C R 97239 _ Water heater _ Phone.'t5O3 7 222-4151 x1107 F"':::-.-- zk;<,( > o aar 4 ... ,n._..._.. . . f.rrwit esweekscodrhorktn.com t :.1 `'Ai`' Pa illy,„9x �_ ' smrt ebiodtyLT 414441 �� .+,_ - Rit nc'&•.rtitlK PA1244j ,` (R3c_— / iti, � (l - 7 sshtea2 ){) A ( 7 2 City,Shite p: $.., � Jfnttreurnpnminf04($4413441 ._..� Pr pts rct4o t.S/ulpnnut 3002 ftwe' i :— ; ed Stott teal home l.i,'4.Ofpetlt it fee 1 , (VR ire: .44p,.10,40 TJTAl.PERMIT FEE j - - - - ”'UK tw M* 044111ha+u*peatil.it roe ototatrvtl la :Suthtgirrtil s i Aayt Marty k*hots ac<.p ss t* tttk+ il �, • s- .mett.to4 y tet N. Tri-cov ey ttax'kiir II,rut**,.wM a 1Sc of itrint g [bk t✓71,219-.,6 .J t I.,satirooJ'.Ymatt-)1K : .i,v tAtKtttl J... 4411 Mixte 1112Itit441'ttr �!j INCITY OF TIGARD MASTER PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MST2016-00552 TT GAl.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2017 Parcel: 2S 111 DA21400 Site address: 8760 SW SCHMIDT LOOP Jurisdiction: Tigard Subdivision: HERITAGE CROSSING Lot: 33 Project: Heritage Crossing, Lot 33 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1251 sf Basement: 0 sf Left: 5 Height: 24 Bathrooms: 3 Second: Front 15 Parking Spaces:ke 0 1321 sf Garage: 621 sf Dwelling Units: 1Smoke Third: 0 sf Right 5 Detectors: Yes Total: 2572 sf Value: $319,683.03 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 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 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 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 P 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 Other: N Other Description: All Ecompasing: V • BUILDING INFO Class of Work: Type of Use: NEW TYRe of Constr: Occupancy Group: Square Feet: SF VB R-3 2572 Owner: Contractor: DR HORTON INC-PORTLAND DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 PORTLAND,OR 97239 PORTLAND,OR 97239 PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $29,888.80 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: A4 h / /7� ' (2 / / Permitteeeetvi Signature:le [' /� Call 603.639.4175 by 7:00 a.m.for the next available inspection date. I 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 37d5 /Z ( _-) residential 1 i ,t • 14 ( #4 WFD - City of Tigard Received etc pf >1 jI Gr f]— Nunn No."5")- 6(6 / si e (C6 `C S, w 13125 SW Hull Blvd.,Tigard,OR 97223 Plan Rri iew' sPhone: 503.718 2439 Fax. 503.598.196ti - 4 ;G1C )ae : * p i Uthc-Permit; ` - ' rt t-t7Inspection Line. 503.639 4175 YaiRead)x1ur, Internet: wxw.tigard a.gov 'r a D Np"nedMec'd: AJS0upplermParngetaInformation TYPElir". � . OFa; � a" , L .4 `4 . r� i REQUIRED DATA:I-AND 2-FAMILY DV1ELLING a New construction 0 Demolition Permit fees*are based on the value of the workerfornted Indicate the value(rounded to the nearest dollar) fall 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION lit I-and 2-family dwellingValuation: 0 Commercial/industrial $3 )C EI Accessory building • 0 Multi-family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms:. 3 i Total number of floors. JOB SITE INFORMATION AND LOCATION Job site address; Ilit1 New duelling area: - square feet City/State/ZIP:Tigard, OR 97223 Garage carport arca: 2, square feet Suite bldg./apt.no.: Project name ' Cross street/directions to job site: LLQ (p ' Covered porch area: � .•,--0 square feet) Deck area: square feet) s Other structure area: square feet Subdivision: � REQUIRED DATA:COl1ZMERCIAL-USE CHE{'KLISI t Lot no.:33Permit fees*are based on the value of the work performed. Tax ntap/parcel no,: Indicate the value(rounded to the nearest dollar)of all DESCRIPTION OF WORk equipment,materials ,labor,overhead.and the profit for the work indicated on this a lication, New SFR Valuation: ----- Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Address: Type of construction: 4380 SW Macadam Ave Suite 100 City/State/ZIP:portlandz OR 97239 Occupancy groups: Phone:t 503) 222-4151 Fax:( ) Existing: ❑ APPLICANT Net+ CONTACT PERSON BUILDING PERMIT FEES" Business name: DR Horton Inc. Please re et to re schedule Contact name:Emerald Weeks Structural plan review fee(or deposit): Address; 43$0 SW Macadam Ave Suite 100 `" FLS plan review fee(if applicable): ,r City/State2lP: Portland, OR 97239 Total fees due upon application: IIIIIIIIN Amount received: _. Phone:(503 )222-4151 x1107 Fax:.( ) E-mail: egyYeelCrllOrtOn.COin PHOTOV'OLFAIC SOLAR PANEL SI STEM FEES° CONTRACTOR Commercial and residential prescriptive installation of Business nam roof-top mounted Photovoltaic Solar Panel System. 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 City/State,'ZIP: Portland, OR 97239 - Solar InsruUalios c/a//v Code checklist. Petmit Fee(includes plan review Phone:(503 )222_4151 Fax:( and administrative fees : 111111:11 CCB lic.: 130$59 State surcharge(12%of permit fee): $21.60 Total fee due upon application: Authorized signature: ,, $201.60 { 1 ` _ t %, This permit application expires if a permit is not obtained Print name: r / j i within 180 days after it has been accepted as complete. 1' : , ' t`,'1,t . C' Date:2016 "Fee methodology set by Tri-County Building Industry Setviee Board.I.•Building,PemniLs'BUP-tESPennitAAP.dcx 02 24.2011 440 4a 13T(I 102'COM•WEB I Niechanical l'erntit Application . ,-n-1 tuu SO I it I I •%1 ( hid t 974121 -4 -4)'; IVIV)1i, I" ;)1 2.", SW liAll iitt.k.t I wad. tit ''' ' gl Mork" 31'1 IP.4.43 I 04 'H,544 H (' P;.,, i/ 44 4 14444 11,. Pcn•••11S,' „. 5 ls-19SJ la -C)j• , :),, 1 444/1 Poli-1, I .1 rOpt41110•11 I MCI 50,11519^11,/ nr r, 1.-A 9 G16 „,,.,4,,,,,„, - ,_, el•,....,r.tVV .z,,,,, ilartild ,);'WA !NWT t'3,of k.s1,3 1-)LI I, "11' '''' ....4.,,0 11/41,11.vt SeppipOirtvIsiiii4wcitaPP41 1 ; ' . ;;;- ... m.... , — ' " ., ....,....—,.......,.............— ''.".* n s . OF WO - .41-•-FEE' Sdit".p111,1 - (SUClitt,„latir _.` r _ ...„........ ......_. . ,...., _. miin 2,-1,11‘fc„101,s/i'.sisji-7--"PH toei i-„..a.m_it ly.omt,f(....,.at V.14113,11-1 00 111,N Opp t,'Ille VI Oil .NeU• 4:33n141144.-11011 Li Ad41,11,"1 41141;0101aPa114131, '- ' ''''' 1 f‘Pri;.rrIsAi itar‘ak:ifie%.311,4c.t T.,ia...k-tt hl tile t wriz p,'iii.41,,,J ' 11 It 0 1)4;nutii runt 0(.h.h.,,, 1 itIev.h3ma.:41 nuttnat, Nutivkl,t, Y OF CONSMICOON •' - — " ' --• - ' - - - — -10:$111;4141,-, '',1 1 ..'-Ths-vtricni*Its* i . IIIN I,and.2 ;amity,,Issellmg, 0(•otsssm.1..-1.11 iskitistrist 0 -‘,.c,-ess,,,,,s> 11,111,114)g i to-%pt..id ini4rmation attr vigevitht ' .._,,,,,„„.. .......... -. . 0 Nitilit•Ittailly 0 M..istci iitilidr.1 D 1)11,-, I t'A,,.. ,r,..., I 0.-, 1- , i. _........ . - ...i . 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ApP,. ,; `----"- -- ;„,. __• ‘,.„1„,,,s_ r, i kr,r.or,rA i rr rrr: ri, r --- t r • .„ ,,, I I. ..„,,se.... i , „„,... ,„,..,,,,,,,,„,,.,404 1,4„, , 11,,,14,,,,.„,1,,,,,,,,•,,,..,,t 4, I , :„, ,, , , I ' 1,0`,4111/1 ,,,II ,,,I, II • I I .I { •--44.-- — --,.. - - - - -- III-1 I'I 1I-111'11i44117‘41,1 NO/41.411„.4,3 ek....'.rIt ' 1 I....* —._ — L.": , N,Atxigs,,,Aora 1 i Ai no 3 ... . -._ __ ,....... ....._,_______ ..., tst!ter futi apeio,prv: _ I-IA 111,Ip p•„14C11 no ' ' A 41,1 txtalr' Melt:0110A OF WORE .1 I tut- •%-.01 11 "AAP"1,0,1101•11 1:144 I I • / ' • I New SYR 1 , 1, 1 i,ti fi,,tart ty.p.) 1- -1-1- — -V" -——----— - ""- .' 'i " ':', _ 44 .. "‘ I T ., ' - ' – 'ti Ir.' . —1 ' '-''''''' '. •"- fltitiftart'( • ..fit, ' •F___ ___,---_,,,,— - - , Est ireararntal rschatilit and ttlitiliktfirti: ‘;"13. DR Horton Inc. 1 14 Inge 41,..,+a,414.0, I .,.......i_l____ ....... , Atidlc-.):4380 SW Macadam Ave Suite 11)0 , . .. I ate ne Portland,OR 97139 1 - .);),10.;.s.),),:c;), ,it" ) -1 t ; - - — – ; - 1"',92,!..tnIT '•.L'Pli,:'"I'':7,,,. i Phork: 1503 ) 212-4151 51II.,,/13,14‘,1/4/;"1,01- .1 /I Ii I i -I-: CI APPLAN'T — ' - 110 CON7fACT----4.-7,-7-----•-1 , "44'. ' i ''' .1 r a - . furl n,: "A"'": DR Horton Inc 1 ' -- Ori- . NIA Pt Go-rirrkt toot,iretAtri tor tad)Additional Contat,1ll.fil43 Emerald Weeks ; ' (.,..,.he"F1141," Adtirct- 4380 SIV Macadam Ave Suite 100 1. ) ------ ; - c, - , „_ _ „, ___ „,„_ .. 4 L. 441 =414T44444im.1rw I '‘ "Y '`I" 'i'll' Portland,OR 97239 i N.%Jter 11,-,,s,...r 1 i ' . . ...... ..... , . . '30,1 ' 211- 4151 x.1107 ' 1/A f , > ; 3337,1>P",'-k. 1 > > 1 " 7 4 ' 1 i !“-•-""" esweekso'sdrhisrtssis_cotri -, et:WIRACTOR ' 1 " L:1_,*:.,.."!,,,,,--T"i-----'",_ , ! ' iturrrafr,,,,nrrtrtri AiY,-,1„4, .L.,..../:,,it yi .. '':1-' .._..,..±.........__,....... ......... ....,1 .., ., — .,— i : mEntAsicAL KR.Psin , I///kik'.,:--7- „;,-.,/ii-i. , - -7 7)";,' 1,,, 1.)ItI !I•I' II 4 41 •IIII .4 11 ”7*".1°.,.. ' 1.. ( "' ''t1'.1v ilr Vilt i 1,-i144-171-, .) 1,//i '/0.}(...-f. '--7 1 i.....- . I 7 1 I LIP rp,IiI•I4 1,5 .01 1,0/11111 1/,'I • ft,/ ii-.&, ' •"1 ,-"------,4`.i•- < 1 ' 1 5 14 i/4I• I. 4 /4, II?? .4 I. / i 41 I. 4--I.'• „ / „,,,'4L 4 I . //I. )/ i.,./ 4 4* ••• I I 14I0s"4•01, Ok'S I I 2.',04 4,4-Ly,,I ,-.4. ' 11)1 AL Puts%ill Iforr prrirtbit app4,Aliont.f41/1d 41 ptrimi P.la•ol o1411*119,11.4,1bm IP .441/ /.4,11),A011;1 11 tiro,Nero Arc:whit Jirir.ternpittt 1t1tho,r,4.d+,4,PtnIttif:',., / 10/ 1:/ I,", I, I 4 4 • 4 • ' ' Niril n:i „--, --'-;-— ! 1).o.,„,„_-ti.,„.'7,-, / 1 . '. ..,, Electrical Permit Application y w- FOlt mit( 1: t ,t ()NI0. City of Tigard tt 13125 SW Hail Blvd.,Tl '�IN ` � �� �► �� Permit No.: Phone: 503.718.2439 Fax: 503.598.1960 • 1,, i ,,_ \!,L) Inspection Line: 503.639.4175 t ► -_ Tu,.: ermit Internet: www.tigard-or.gov 1�-C - U • l F etc Ready/By: AWE 12I gee P 2 for Natifiied/Metbod TYPE OF WO' �-e �, a,f �pPkmentat fafarawtion ®New construction +11 '1 t" A k ,,{.8:'1, It j 0 Addition/alte ‘,5191c �'> 'REVIEW �- � ���. ❑Dew construction 0 Other: � m ) t� 1 1. Please ohecic all that apply(submit 2 sets of plmis wI tans checked below: ❑Sery ice a feeder 400 amps or mare ❑Marinag over three strnies.) CATEGORY.OF CONSTRUCTION • where the 10,000a00abte fou$current vlt ❑Pla ting and boatyards. _ exceeds amps at ISO volts or ❑Floating buildinga, ❑ I-and 2-family dwelling 0 Cornmercial/indusnialteas to ground,or exceeds ons. ❑Multi-family0 Accessory buildingfaCorianeraal-use agricultural 0 Master builder 0 Other: ami for ail other installations. buildings. JOB SITE INFORMATION Fire per' ❑Installation of 75 ICVA or AI'q) LOCATION 0 fimageaoY system. larger separately derived Job no.: Job site address: �, q ofnewmotor load of q occu ,"1-2""1-3^ system. or more. oocupagcy a k" .-• ID residential units. (]Recreational vehicle pales. ❑Health-care facilities. Cl Supply voltage for more than Suite/bldg./apt no.: Project name: ! ❑Hazardous locations. 600 volts nominal. Cross street/directions to job Site: �. 0,,,<,), ♦ [Device a feeds 600 amps or more. FEE SCHEDULE New residential single:or multi ramify dwelling nit. Subdivision: Includes attached Lot no.: 33 1,000 sq.ft.or less e Tax map/parcel no.: u �Q Ea.aad'1spa ergy, ft.or portion DESCRIPTION OF WORK Limited energy,residential • with above s•.ft r 75.00 Limited energy,multi-family residential with above ..R. ■ 75.00 mill Services or feeders instafado alteration,and/or relocation ❑ PROPERTY OWNER 2001 amps toless - 1 -© 0 TENANT 201 amps or 400es amps 00 70 401 amps to 600 amps Address: 601 amps to 1,000 amps = 30104 =[3 OverCity/State/ZIP: 1,000 amps or volts 1111111E33111111111111131Temporary services or feeders installation,alteration,and/or Phone:( ) relocation rex:( ) 200 amps or less - anignegg Owner installation:This installation is being made on property that I own which is not mmEll intended for sale,lease,ren or exchange, 201 amps to 400 amps 125 OS �3 g ,according to ORS 447,449,670,and 701. 401 amps to 599 amps - O�vtter signature: Branch circuits new alteration or ceder®r ,and Date: A.Fee For 0 APPLICANT branch circuits w Ilkfee, 1111.11111111 i ❑ CONTACT PERSON above anchx or feeder fee, Business name: DR Horton Inc ' each branch circuit B.Fee for branch circuits without Contact name: Emera • Wee s servicebranc r�feeder fee,first Each add'l branch circuit Address: 4380 S W maca•am Aver� city/State/Zip: Portland OR 97239 • Miscellaneous service or feeder not �© Each manufactured rvior modular �delliin_ service and/or feeder( I ) E-mail: Reconnect only 111167.84 MED Pump or irrigation circle �© CONTRACTOR i Signor outline lighting 11,11111111 Business name: / Signal ■ / , ` '- % ,. 1,circuit(s) or Address: extension. 2. -' �` / Each additional ins ,,over allowable in an of the above Ci / /f/� �- w /"jAdInver anal inspection(1 hr train) 6625/6r �■ City/State/ZIP:State/ZIP: I �' /� G( t/ V t/ m I s b / Inves6 gat pat I min) -■ Phone:(3 f f— 7--,57/0.9 Fax:�'�'4) vis 9/•/+ inspections plant{1 is min) l t�f?dlions for which no fa is Electrical Lie.:•C,Z J'd' , Suply.Lic.: /.T.1y 5, s..&mall listed '/4hrmin III 90.00/hr -� Supt-v.Electrician signature,required: - ' . ELECTRICAL P al: ' : ' _-=i- ,,,� SubtotalAIIIIII : Print name:C `S 2 r71 Pian review(12%ofpermit fee): 11.111111111111111 ' Date: Authorized signature: ///.�' State surcharge(12%ofpermh feE: ��'/� TOTAL PERMIT FEE '�� Print name: This permit application expires if a permit is not obtained within 180 - Date: y days after it has been accepted as complex Number of inspections allowed per permit. if 1:1$u}Wing\Permiq�7-C-PermitApp 44O-4615T(I 1/a5/COIN Electrical Permit Application-City of Tigard P ;e 2—Supplemental Information Limited EnergyPermit Fees: ���' r-----. ' 4 . 1 r 11 V #viewable Energy Permit Fees: RESIDENTIAL WORK ONLY: D FEE SCHEDULE Fee for all residential systems combined: $75.00 -EC i Ren P"°" oto. F=<n r°SAI •- enewable electrical energy systems: Check Type of Work Involved: �p'/ t`Gs '�tt 100. 0 e, nr fess , L IN £ mrsi't. ,,kva 133.56 -, n Audio and Stereo Systems* 15.111 to 25 lo °ut1.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 , XI Garage Door Opener* SU.01 to lou kva 552.2 51(10 kva(fcc in accordance t — with(tAR 41h-309-014U/ is?,?t X Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* I Fach additional kva ovcr'_5 ^ 12 ❑ Vacuum Systems* Jo)k\a–noadditional chdrgc 0,11 i Each additional inspection over allowable in any of the aboe:1 I I Other: Each additional inspection is I , charged at an howly(I hr min) 66 25 hr I I Inspections for which no fee is specificall) listed(>:.hr min) 00,00,hi COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): I (SEE OAR 918-309-0000) ' Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls T Clock Systems • Data Telecommunication Installation n Fire Alarm Installation H HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n Medical • Nurse Calls C Outdoor Landscape Lighting* • Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Buildirw Pam:.I'LC Po tnii pp LLR ERT Litx I rt u4 I-,'.I5 . Plumbine Permit Application Building Fixtures �i ' a -# , f.t' ) #( �. ...4, 1 O Oft I( 1til: 0N1.1 City of Tigan) Received Penult No.: . n 13t2S SW Nal!Blvd.,Tigard,OR 97223 (( nme/B / Z I Phone: 503.718.2439 Fax: 503.598.1960 1 -° It. u i u Pan Review Inspection Line: 503.639.4173 ` Ppy Other Permit No.: 1IGARl) , -- Internet: www.tigard-oegov r '1 : �1�te R6.6Y ady/8y: siva S See Paae 2 kr CITY ,� „ y.'l fledlMetlwd: 5a ►IemeagIIdormatioa •. ., TYPE OF WORK a y f l l` - PEB, SCABDULEi. , '....4. ❑New construction 0 ata z t 1) Fo>slyedal lnfonrwrlen use checklist Descriptionqtx. ..j Total 0 Addition/alteration/replacement 0 Other. New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION ION SFR(I)bath 312.70 ❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 CI Accessory building 0 Multi-family SFR(3)bath I 500.32 . Each additional bath/kitchen 25.02 O ❑Master builder 011ier - Fire sprinkler( sq.ft.) Page2 • . HITE JOBE IFORM11V0)V:A1YD LOCATION She utilities: lob site address: `17)..),, Catch basin or area drain 18.76 ., -.7(-A? ,r44,„ � ' City/Statt21P: Project name: ��t " 11 Drywall,leach line,or trench drain 18.76 (� '�� Footing drain(no.linear ft.: _ ) Page 2 Suite/bldgdapt.no.: Y �j 11 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:J Page 2 Storm sewer(no.linear ft.:___„) Page 2 Water service(no.linear ft.:___) Page 2 Subdivision: Lot no.: 3,3 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 4, :l 9 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER .-i 0 TENANT Expansion tank 12.51 Name: V ,1l1.C., Fixture/sewer cap , 25.02 Address: J6 '� � %,I 0_0 Floor gedrdisposarl sink/hub 25.02 City/State/ZIP: } r Garbage disposal 25,02 yy� L��-'` �� 1 - Hose bib 25.02 �}�'3 ��c► 7,`\- r Phone ( �� Fax:( ) Ice maker 12.51 1 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25,02 Business name: fi'j \A-040A ttkC.,,) Medical gas(value:S ) Page 2 mer 12.51 Contact name: \-AVQ�, 101 'Oj'Ca. ..{j.0 Roof drain(comtnercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solna units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pen 12.51 E-mail: e C \, ()( C)t.v V W) ,cowl Urinal 25.02 Water closet 25.02 '. <CONTRACTOR Water heater 3?.321 Business name:EDWARD MULLEN PLUMBING Water piping/DWv 56.29 Address:1601 SE RIVER ROAD Gillian. 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee: $72.50 CCB Lic.:94689 Plumbing Lic.no.:34-260PB Plan review (12%(25%of permit fee) .01.r.. State surcharge of permit fee) Authorized signature: ` �. ��� TOTAL PERMIT FEE Print name:RAY MULLEN This permit application expires if a permit Is not obtained within 150 days Date: after it has beta accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. I:18uddinat? t,%PLMU•PecmtApp.doe IN01/09 44e.e616T(10RVKOMAVEa) 11111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 111 T 1 c A D Building Permit Review — Residential .-4. ,..„,..l, ,;,.,&,,, te ,.. 5, ik,•a.A.. _im. t4, :w Building Permit #: /1-)57---?0/6—605-5a_ Site Address: 'E5 --(e67) --S?&) almleil Z o Project Name: i7',, - - C�TSS'A , Lot #: 35 (New dwiir,g=subdivision name;A.•tr.o •r Alteration=last name of owner) Planning Review i Proposal: A,1g t/ /Verify site address/suite#exists and activ m permit system. ' fiver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sits Plan Elements: rrid ree(3)copies of site plangrh �+ sting structures on site e plan must be on 8 1/2”x 11"or 11 x 17"paper L1 ootprint of new structure(including decks)with finished Vrawn to scale(standard architect or engineer scale) or elevations orth arrow tility locations(required for new,may apply for additions) a•teaddress,project or subdivision name and lot number • : anon of wells/septic systems pplicant information(name and phone number) J ting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions • otection measures t area,building coverage area,percentage of coverage and L►, eet tree size,type and location )tnpervious area(applicable if R-7,R-12,R-25&R-40) treet names Property corner elevations(2 foot contour lines if more than 4 foot differential) lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: El es,applicant was notified No Received:ed. ❑ Yes ❑ No Public Facili • s Improvement(PFI) Permit: /Required: Yes,applicant was notified ❑ No Applied For: 1 Yes ❑ No,stop intake giLand Use Case#: ') i_leoxe,„ , iii3Q6i.:(--.16ms--- Zoning. Required Setbacks: Front � Rear / — Side Street Side ) q /S-- Garage Pi/Landscape Requirement: fO)._of Coverage Maximum: P Building Height: Maximum Height Actual Height i 3 i , I1 isual Clearance in Easements 0ensitive Lands: ❑ Yes �No Type 1,rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: - /0/17(e— Revisions 7 /' /4 Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPennitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: /g21///(, Site Plans: # 3 Building Plans: # 3 Building Permit#: [ iter building permit#above. �� Workflow Routing: ning eering P-I ermit Coordinator ceding Workflow Sign-off: 1 -8i -off for Planning(include notes from planning review) Route Application Documents: 12....Rigineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. C-B iti.ding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 4,LA5jy, Engineering Review Slope at building pad: 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: 0 Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: 0 Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: iJY Date: c' / --L+"-� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved VESEVIESMEE 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: SDC Fees Entered: Wash Co Trans Dev Tax: E Yes ❑ N/A Tigard Trans SDC: D Yes ❑ N/A Parks SDC: I Yes ❑ N/A OK to Issue Permit n Approved by Permit Coordinator: l,tr, Date: 3a-19-.IL l tkA/v v 1:1BuildingForms\BldgPermitRvw_RES 091216.docx Plumbing Permit Antilicat ;"il immminammumminimmon Building Fixtures1"/71/6' ,.... irl City of TigitEd A II G 8 ite.),7,:i, /(2 0 2,1 permit 140,1,667- 0/6 -ci)5--- -. ) • 1 ,,,, 112$SW 11411 Blvd..,Ingnallt2z3 ?i f 2 Plan Review ' {17 Phone:'503.110.2439 F • .B 44 ri LL, , '-" Dam/6v Abet Permit No.: "-- Inspection Line: 503.639.4 ill Cbt71. i itf.I:,",., bate Ready/er un IV Set Pager2Th-m7.-"--- Internet; ortvw.titiard-orgOv .." livr -, Nottfied/Metitod: Supplemental latennotiop -____7 . , , TYPE OF WORK v( )TG FEES SCHROVLE 0 New construction 0 Demolition For sptirial htformation use thealft Description I Qty. I Ea. I Total 0 Addition/altcratiOntreplatement 0 Other: New 1-2-fainIty dwellings(includes 1000.for ri.i.........) , - CA'irt4ORY in,copstriecnoN SFR(1)hath 312.70 • ' -- 0 1-and 24amily dwelling 0 Commertial/industrial SFR(2)bath 437.7.8 SFR(3).hath 500,32 0 ACCessory building 0 Multi-family , •• Lech additional hath/kirchen 25.02 0 Master builder 0 Other: Fire Sprinkler( sq.IL) Page 2 JOII RITE INFO RMATION,AND LOCATOR Site utilities; ....... Job site address:<,:7,.. 7 Lee) ("-:‘ -‘,6 c.,:c.\\tAitu,ti- Lbt,--,_-_, Catch basin or area drain 18'36 1 Drywell.leach line,or oench drain 18.76. City/State/ZIP: , Footing drain(no.linear It: ) Page 2 Suiteibitlgiapt.no.: I ProiCe1 name: kOtti-Of_, 0,,,44) _)i 'nnufnctured home utilities 50.03 Cross sheatidirectiona to job site: holes 11176 'am drain connector 18.76 Sanitary ser(no.linear ft„:_____) Page 2 Storm sewer(no,linear it.: ) Page 2 Water service(no.linear ti.: ) Page 2 Subdivision: ' 1 In r a 1.:?-), .") Fixture or ilea: Tax Map/Pared M.; Backflow prevente 31:27 DEFORFII , \e ' Backwater valve 12.51 ' - :. • . ON OF,WORK ' Clothes washer - Dishwasher 25.02 25.02 Drinking fountain 25.02 • Fjeotorit/sulflP 25.02 '..13 PAOPEM ei*X1X11 '' 1 ' '- 0 TENANT -- ExParolon lank 12.51 ..... , . Name: ZAZ kl-lAr-ktrY1 Fixture/toyer tap 25.02 Address: k....‘q-jt .z5-- .) tv,t6, ch.c.A..0 Floor dmin/fl. °Or sink/htt. b , ,Lei-L,M . .1.k...,/ Garbage disPosal 25.02 25.02 City/State/VP: X Of ' f -z. Hose bft) 25.02 phoi74")) aa._q t 5 1, I fax:( ) le°maker r . 12,51 l:1-iiitiitit ---, ' ':-, ,,0 txRsott' Interceptor/wan Imp 25,02 Businename Medical gas(value:$ ) Paila 2 ss • Contact name: \AI\I-1'71 1()A \,Uel-e-r--6 Prima .Roof drain(cornmerelal) 12.51 l2.51 .__ Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(Potablewater) 62.54 Phone:( ) I Fax::( ) Ti pan 12.51 Urinal 25.02 E-mail: . • ---- Water closet 25.02 tONTRACroit . i_ , „. .. .. , .. Water beater 37:52 Busmets name;Wolcott rkinunng Water piping/fTWV 56.29 - Address:1015W.Historic Columbia River Hwy Other: 25.02 City/State/Z1P:Troutdale Or.90611 Subtotal Phone:(50.1)667-178.1 Fax:(S03)6074891 Minimum permit fee: $72.30 Plan review(25%of pennit fee) (CII Lie:11.2220 Plumbing Lic,no::26-824PB State surcharge(12%0f-Parnlh fee) Authorized signatiot 4_ Q), TOTAL-5..---.. PERMIT FEL _ Print name:Mark Raleme Date.•2/17/17 1 This permit application eipites its pet-tult is eel oistninad*11 bin MO dais after it has Ws accepted m elielPlite• *lee methodology set by Ili-County Building'Industry Service.Hoard. I littildillOermii41,MU-PariaitApp.doc I 0/01/0 +10.461000.42.trohrWER) i City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8760 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 25, 2017 at 1 :07:41 PM Record Type: Record ID: Residential - Master Permit MST2016-00552 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8760 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 25, 2017 at 1 :08:47 PM Record Type: Record ID: Residential - Master Permit MST2016-00552 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8760 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 26, 2017 at 2:40:04 PM Record Type: Record ID: Residential - Master Permit MST2016-00552 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8760 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 26, 2017 at 2:36:41 PM Record Type: Record ID: Residential - Master Permit MST2016-00552 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor