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Permit (42) �,� CITY OF TIGARD I MASTER PERMIT r �r it ` COMMUNITY DEVELOPMENT `� Permit#: MST2016-00590 T1GA,RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2017 Parcel: 2S111DA20700 Site address: 8620 SW SCHMIDT LOOP Jurisdiction: Tigard Subdivision: HERITAGE CROSSING Lot: 26 Project: Heritage Crossing, Lot 26 Project Description: New SF. 10/10/2017: REPRINT permit to add A/C. BUILDING Floor Areas . Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1098 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1408 sf Garage: 556 sf Front: 15 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 2506 sf Value: $308,588.30 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: i Bckflw Prevntr: 0 Catch Basins: 0 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 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 2506 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: $29,762.60 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 0 52-001-0090. 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: ri_77-e_ ___ Call 503.639.4175 by 7:00 a.m.for thre nextav Signature: 0,41/ ��C 7�� able 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. Mechanical Permit AnnlicategGEIVE r ,, •i IClq of Tigard OCT 9 2017 ,(''''''':F'..16 /e/'7 -.(7177' '''''''''/715.7:26/6--05YO, . IN s ,",,,i,,,,.t.•r4,. s'r I•'I.24 04 fat <1,1.541'4 1440 rti'.7.1 1114747,17,,71 7"h. C7,4',4''''1175 CITY OF TIGARD',14<arrA 41‘ r•,••• la St-rr Ptt4 I fo( ",%'P 14'.'"i't''''' BUILDING DIVISIOIV ,N teals.1 Supptroolitti Isionos4.014 — 1 ----.---. -----__ 1— — nrPE Or WORK COHNIESICIAL VW SCHEDULE-USE CDECELIST -----4 Mcclutnic,t1 permit Ion,"“rc 11 ,r1,,,ti tt,c sall.44,if thc work ".e,, 111.i„trsieli,41 0 Addition 81i...r4tion rvpnt laceent perimmihm.T.,,ilorki." ::Ittl .:41,00.c.11,iitinutLi1:11I , )i):„.el,11,c.halte;I tid,I,IJ.,Ilitt,,f 0l44.1,1 i -,--------, N.aluc S _____.CATEGORY OE CONSTROCITON LT3IIMENTIALtotnystort/SYSTEMS Er.F.S. liNi.,tn.1..' hillitIN..1,A,,11,,tit, 0 t pm etetet.tt IN-111:47W, 0 At•••("‘017.b1iiltitliv i - tio+ftel HO iSionhooilkft We•Arr4/4(14( i 0 Sititil-t.1,Int,. 0 kdisiet.builder 0(lifter. [..0e.cription -T2t7 . _ T 1 11 litioinw.......g: , , ION SITE INVORMAtItIV ANSI iirarierioes .... . i soc,..d,..,,m, T '1 L. "*..."4c-i""e'' S(,...9a)i tAt/•:.Ez --7V-441c.,,t- iticip I..t um4,:e 101000 tn.I 1,4,..t,,cr.!.0 ..1 ir• ,1_ -71_4 A___ i (tiN State I.,,i arid,t)R 97223 ;hIrTlil•Ar 4014.04114 Ill(•rio,r.•crt,r _ _. f•-4 44 ,__ r-C•itt,r4, ____ I r-i[ 1._t.......• I 1t.,„k t r.'s",'11,•‘:',111,-'01,41,1,11,th,,Ite i nu.. _ I ,ft:nitwit,-hot%AVM s>SICII1 ,.............. .... ,.....itr " ""*--— 1 ReMektally I broler t Nth:MN'or I _ •-•)_, i fittlroitt(1 _ _ 4.....;-:4 1,.! 1 L-011 healer.,ilitt•4•434-‹ not trItA tot) 1 miwall.tovhict NviizziANI.et, ,:ri 7!.'-. .4 I I t tur Nem liv IIIVN(.7 ah7A,7 1 .7,7 42 .."--- I1. .77......1 ...... ........... ...........—-- 1 I _.. ....,....._1 _ 2,1 i: —,..,,,..) 701 II.V 7XP I. . I ' ''r turt.ei NI %Axes-be.,:cr , :1 DESCitirrION OF WORK 6.1,fin,.laCk"41.77.7 Efite ,ttt for wAtor bevici 04 7M, s New SFR A 1 Ilterl'" .— —. ----- — A , -4•• i,......— ............. \ ...............—„.....7 .,,,...1 NS,,rol fiteploi.,:. _. 4...t littrows bner nue New ;.2 %-: — il PROPER-1Y OSWER i a TENANT ----- 1-1th---t-1------r 3--i - — — Etnirosinentat etkbau“ond ttrIta•ion: '''' r4 `" ' 1)R fit irton Inc, %wire horof robti kat hen i —— -- - — . - — — — - i c utprricnt L AI'ko'''4380 SW Macadam Ave Suite 100 .__.] e wok,&NIT cki,,ki.i a —— ,1 ;1.-0)„.. e,e., sime JoPentland,OR 97239 — — I i single-am(eNbausi(bathroom'. i ! --------—1 .12.1....kt-E.111414_1.221S91"-zatilIa.'11PT:11_-, _ _ Pihr41•• 4 503 1 22 i_4151 I al:( ) I,.Attic vt-AsIv..wc tatii___ _.._.4 ..N.,..„. __ ------ " - ----..--- 0 ATTIA(ANT 4111 CONTACT PERSON 4141"":71._—.. .... I 2 4 42_1 ..--.------- ,Eret pipysr_ Hu4.44:4•"me 1)R Horton Inc, _ _ _ _____ ___ S14.15 far'Int faun S4.43 for earls oddilianol t fo.o.1 oath.' Emerald Weeks - -- -- c. h t , n —- --- -. ----t-— — - - ' . L, e.Liu 4380 S‘V Nlacadam Ave Suite 100 _ _ . 1.1V At 7774A1Vrtdedunit heAct 4,11%St4tc ill'• Portland,01(9,239 I ssiewc besner. i_ — -- -{7-- ---- 4 ii,trepI.ke . Phone (,4,)-1 _ . _ _1t 222_4.151 x1107 i ivt:;4 4 ----- ; • - - - ^ -- —I 1 4: 1(.141 - 1,hr,_esweeks4Nirhorton.com j i week.,uc -- — — t I Other iit.,•iltL',021.In?..,!.. Yz.:..),A1.211,(le, 1 i --------------"-- ---- ' 1 4IMI1CHANICAL pawn-MS' ,W,dres.„.11..;) Ii ' i "A .---)" . .:.; --9 7,), s.hiond Lyc, 2s' t.it. 4,14te zir:441-777,b.,b1.2/a/k)1,) iiti4 q34 * 1 \lintrtiortt rtr(Intr let 1S÷(OW ?.._ ---, ,.._ 74 i A , , /' t , .„..„. d, -,---i 1...._ Rio into.,(2s%et tscrmir 1,•r:r 1 1444,-4re -;:iii/. .::./.74"-IL/4"1 I 4..11-•420•45,ft,'I'74,..../.... i , Stair'AIR hAlpf ol,perrrt,t!At} ; ..s;6.2_(I cell ik : 21 s),,-. .... l I foist.PFIENHT Ti r — --i ' Tith porno- oppikaitoo t ivirct itiparinti h POI 471g1110;4,71711747 117777- 14.i dark atter it boo Arca vigor.'**tor/104ft. 1 orlo o r,c,1 s•errrom. / . t•r,loriNfti70 oR, • 1..,)..1.7.7. 77, .r. .,.4....;pp'.4r,'C. 1 DAC('fit'L-3- P(6, ."7 7 ..41..,,,,f---,, )1,1,4,, .,11.t 1, .ii,',4,,'74`r .p.+0.154f fit IN.__ CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit#: MST2016-00590 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2017 Tt{ 7 9 Parcel: 2S 111 DA20700 Jurisdiction: Tigard Site address: 8620 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 26 Project: Heritage Crossing, Lot 26 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1098 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1408 sf Garage: 556 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2506 sf Value: $308,588.30 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: 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 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 2506 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: $29,710.24 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 OA' 952-001-0090. You may obtain a copy of e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / / . / . Issued By: A / Permittee Signature: cel ' -I• " L C6r�j 01-7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . -) Building Permit Application 37)-et t_sA 3�' Residential `` City of Tigard R"�"�' ?cam N date. !.Z 1,47/ 57`AU/�-G O 111 . 13125 SIA!Mall Blvd..Tigard,OR 97223 1';' 1 � >it 16 Plan Ree�i feu Phone: 503.71 S 2439 Fax. 503 598 1960 Dale B . .K---1 J') Other Permit 44,24ze`l.. Inspection Line. 503.639 4175 + Date Head B. Jur2ts t n ° n t t Internet: www.ti and-o. m' s-' Y ',71,--,- ¢,'' Notified Method: /� ' See Page i information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY 9% ELLING a New construction 0 Demolition Permit fees*are based on the\aloe of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. _ Valuation: s act g, ig 8 $ Q I-and 2-family dwelling 0 Commercial/industrial ElAccessory building ❑Multi-family Number of bedrooms: �' ❑Master builder ❑Other: Number of bathrooms. :.3 JOB SITE INFORM ATION AND LOCATION Total number of floors. .8-6-6,ck Job site address: 41-)4‘.4a4-1" teitp New dwelling arca: Asoto square feet City/State/ZIP:Tigard,`OR 97223 Garage carport area:5 c square feet Suitebldg.lapt.no.: Project nano ' 'V`O ( i h Coxered porch area: 1410 square feet I T 0 Cross streetidirections to job site: Deck area: square feet i O 9 Other structure area: square feet i REQUIRED DATA:COMMERC IAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Indicate the ralue(rounded to the nearest dollar)of all Tax map/parcel no.: equipment.materials,labor,oxerhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. - Valuation: s New SFR Existing building area: square feet New building area: square feet In PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380SW Macadam Ave_Suite 100 Occupancy groups: City/State/ZIP:Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT $ CONTACT PERSON BUILDING PERMIT FEES* (Please refer soles schedule) Business name: DR Horton Inc. Structural plan review fee(or deposit): Contact name:Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: City/StateZ1P: Portland, OR 97239 Phone:(503 )222-4151 x1107 Fax::( ) Amount received; PHOTOVOL fAIC SOLAR PANEL Sl STEM FEES° E-mail: esweeks@drhorton.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic 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 2010 Oregon Address:4380 SW Macadam Ave Suite 100 1 Solar Installation Specialty Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review 5180 00 and administrative fees): Phone:(503 )222-4151 Fax:( ) State surcharge(l2°"i,of permit fee): $21.60 J CCB lic.: 130859 Total fee due upon application: $201.60 Authorized signature :. j This permit application expires if a permit is not obtained + ' within ISO days after it has been accepted as complete. Print name: ; t r i 1,, t L ';„` _ ' Date:2016 "Fee methodology set by 1 ri-County Building Industry ' Service Board. I:Building Permits'BUP-RESPennitApp.doc 02 24-2011 440.4613Tt 11.02 COM'WEBp �� Mechanical l»erVnik ��pp�� 0i� �� 4�N � /'v<mIx / / ,/ ov1 ` K'io, wf Tigard °=, _______ /`c�,w/*oxa ^p�/ `� ^'2s - -- �--- * ,�~, ~ .-',��. / ~.^~� .��[ � 2r4 lb /`° » ' `' '^~' . ° '~ . � ^ ` ' � ___'—____ . �v�.°~(°" *o^vn ' '~^e~^� �` '- P ~°`�'^~ °�,*,~*"/,°"~m.~ /wr°° ^~" ''�''`/^`r'` �~�� p � ��,� `._ ~°``'^, _ � _ _ \ ___---_ / � COMMERCIAL � "�^~~^~~~~^ ---- -------- •/AIMB�m��l��. v��'�] __�______j _\��o,.`^,`,c.",,°`...,+^^=^`", ��___/ "� �,° °'u"^~/°� �u.'^w u"m*°,��'u`w�.. , ,"`.�" /~�^*,�`.xx."°"�o^.*,~^,.a^,,' I. ^~ i [ P,vw\nw^ 0'^`4. '' `^---------- -__---`- _-_-__-_� ___ °_�-__7_ �� 4 ,i- . ' . CATEGORYOpxONpvRxrvvN S _______._� | -- _ _ • / ^*- `mm° ^°o"'y 0^' '^'w^~^~^-- 0 '— _ y�^ '1 ]muv"^"'uu C`xo"/ ,!��r � 1L,, -- — ANDx��v�xm - --------- �!�e�u�u��u-___ _ _ � _ __ JOB SITE oNo�wnw�n»mN ` ce - L.-..--_—_____ ------ — _s�� /+,�^�o`�_ . � * n" .. ~. _ _ � / .i, - _� 4 ;. ' ��~.p=�� - -- _ -�� - -^ ^ �` | - � .^ .. "` / �. ` ^ . - , . . - _- �� __- , _ ` � o � + - �' I. � ` . }' / �- - - — --- — — — /'^~ne »°=:``°' -` r. --- � . - -- �" I � + | ' * ---' OWNER JmuNAwx !\ . | | _�- � --- -----'- — � - � I \'tint 1)R. Horton Inc. ' ' - � | ` '' . � . � 00`,^~SW Macadam ''.` __,_ �_ _ --- l '�'a.`,2j,:'/� Oil- ./� "`~^ ' �� ' i v.^,~*„ ,u" ` . . .,�" � �'' ` ! _�' ! - . /"*pinipg. . ~ � . . ^!wm^.�.�"'�"`^^^� �o�° -_ _- ^ /.u�1 '^ . , . --- --'----------------� -� � ~ ^^`/^"'1,...1{1, . / u*' 4380 SW 0iacadarxAve Stine \OU ' / °` ,_ -___-' -- --- - ' ��~°2��^,.` ^^,ll , ` ^°�//, �ri��AK972� �"�� |^ ..t.i , ,.i . "^"^ '�}] 2Z2- 4\5|z|�7 I', '� � . . � g `" '' _ ��. _ _ __ _ __ _ . . . CONTRACTOR - ! � `!��»`x*` , -- . �_-- -^ | » ^"" ' | MECHANICAL _ -> | | ___________________-_�°�0�!. . ^L. ~.'~_~_�^~ _ � '-_____---��,��'��' ` _ . iI ~/ ~^` ' ^ '^_— -- . r° ~ � w�, _ > /` ^ + � ' .` ` � --� �I �^—� ----- ---��-- �� '�� ^ ^ ' -----�- ----- - � --- -�- p+wwnrnr» \ .." , � � ~�]- '*^r.~.,�r°�~~°.*,.^"p=..."w."~~°~.m.m~ _~ �..^°''^~^~°"°opted°'^"p ^ V.0 uuw=� — -- - —' -- ' — 7 I ''— 't-4.R,'- — —^/^*� ' _ a ' w r A.` '� d1 ) '.,, . Electrical Permit Applicatjoi 1 ,,R (i i.i i 1 1 ,i /0.1 v City of Tigard ;' n Received 13125 SW Hall Blvd.,Tigard OR 97223 may' PerrnitNo.: Plan Review ,11 7-V>10—00 rctO Phone: 503.718.2439 Fax:'503.56%1960- ' Other Permit ' 3v 1, Date/By: _, ,' t? Inspection Line: 503.639.4175 Date Ready/By: Jmir. B Bee Page 2 for Internet www.tigard-otgovs ;° Nctife�Method � ' `;;� 'IV, 3''3 �� ' Supplemental Information TYPE OF.WO)* - PL4lt-REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit g sets of plans w/ttesas checked below): D Service er feeder 400 amps or more D Building over Pore stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY-OF CONSTRICTION exceeds 10,000 amps at ISO volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14'000 O Corbute cial-use agricultural ampfor an other installations. lnala lags. ❑Multi-family 0 Master builder 0 Other: ❑Fin puny. El Installation.of 75 KVA or JOB SITE INFORMATION AN LOCATION ° gency system. larger separately derived system. ❑Addition°fumy motor load of ❑"A",'S","I-2","1-3", Job no.: Job site address: 5' 10o11P or more. ooa>pancy. �U: r`St.., --SC rt e. I-fA•f ❑Six or more residential units. ❑Recreational vehicle perks. City/State/ZIP:int ,,., c/i Cj 7 ,7. ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.. Project name: Vlito-trt,"Fof D swice or feeder 600 amps or mora. Cross street/directions to job site: aeser�gFEE SOIEDULE e. I Qty. I eke. . I rani I New residential-single=or multi-family dwelling unit. Includes attached Subdivision: Lot no.:• 1,000 sq.ft.or less I 168.54 4 Tax map/parcel no. Es.add'i 500 sq.ft or portion i 33.92 l Limited energy,residential t 75.00 2 DESCRIPTION OF wpm . (with above sq.ft.) - Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 • 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State:/ZIP: Tempormy 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 is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according Oa ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension, r panel Owner signature: Date: s•• A.Fee for branch circuits with 0 APPLICANT i 0 CONTACT PERSON above service or feeler fee, 7.42 2 each branch circuit Business name: DR Horton Inc B.Fee for Wench circuits without Emerald Weeks serviceorfeederfee,first Contact name: branch circuit 56.18 2 Address: 4380 SW macadam Ave • Foch 'l Manch 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 dwelling,service feeder 67.84 12 phone:(503) 222-4151 Fax::( ) i Reconnect only 67.84 2 E-mail ' Pump or irrigation circle 67.84 2 CONTRACTOR i Sign or outline lighting 67.84 2 Signal circuits)or limited-energy Business name: StA h 1^�, L. - 26 ,(...i..-/-1.,;c_ " 7 panel,alteration,or extension. Page 2 1 2 n t(/�¢ .L�� ti pi)/l_ Each additional inspection over allowable in any of the above Address: 1S Q y/ „i/E. 6'�"-a'L � `1/ Additional inspection(1 hr min) 66.25/hr City/State/71P: \% it)c 0 Gt V 1,-. VV4 J. ,9f6'b f Investigationla t hr min) 6625/hr 5/f ��d Industrial plant(1 hr min) 78.18/hr Phone: ! Fax:QS�) �� 6'�'� Inspections for which no fee is specifically listed OS hr min) 90.00/1v CCB Lic.:I�2SV,9 Electrical Lie.:-CZ30 Suprv.Lic.: /T9I g ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:/ :4 Z ID.' --- Subtotal: Pil Plan review(25%of permit fee): Print name:Ch 6-sib-A, �l 2 r� : Date: Stateswvharge(12%of permit fee): Authorized signature: �v TOTAL PERMIT 1 hn This permit application expires if a permit is not obtained within 180 Print name: ."- 474 �� -- _ I Date: days after it has been accepted as complete. tom! G��' * Number of inspections allowed per permit. i luuHding%PenattsltILGPermitApp 440.4615r(11/05/COM,WEB ;11 Electrical Permit Application-City of Tigard --"— --- Page 2—Supplemental Information /14 Si—a`CICK Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: •11: FEE SCHEDULE Description r--(577 Each Tm-:W-T.- Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 la a or less III 100.7021 Check Type of Work Involved: t -1 5.01 to 15 kva 1-1 A• udio and Stereo Systems* 15.01 133,56 to 25 loci M 200.34 1 Z Wind generation systems in excess of 25 kva: Burglar Alarm 25.01 to 50 kva 301.04 2 50.0I to IOU kca 552.26 X Garage Door Opener* (fcc in accordance 11 with()AR 91b-309-0(i40) rx— H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Inch additional kva occr 25 7012 3 1 ri V• acuum Systems* liii iou-ho additional charge. Each additional inspection over allowable in any of the above:1 Other: Lad:additional inspection is 66.25 hr = charged al an bout ly(1 hr min) Inspections for which no lee is 90.00 hi speeificall}listed(' hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page I): Fee for each commercial system: $75.00 Numbei of inspections allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: O Audio and Stereo Systems rj Boiler Controls n Clock Systems O Data Telecommunication Installation D Fire Alarm Installation n H• VAC Instrumentation I I Intercom and Paging Systems n Landscape Irrigation Control* 1.1 Medical E Nurse Calls n O• utdoor Landscape Lighting* 17 P• rotective Signaling E Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations Bum:* Prtantkpp ILlS ERI"(its itts o's I",:015 PlumbinE Permit Analic t ',i : I aY. ,i Building Fixtures 1 OR of 1 1(1: i SE OM) City of Tigard h Raeiw4 Datc/sy. Portait NeMs >(G � n 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.718.2439 Fax: 503:598.1960..` Datergy: Other Permit No.: H G n R u Inspection Line: 503.639.4175 ) 1 , . Date Reedy/By. •, at see Page 1 for Internet: www.tigard-or.gov ! • . c NotifiedlMdhod: Supplemesesl ldereaaoa TYPE OF WORK. .FED;• salaam:Cy , 0 New construction 0 Demolition For special Infonnolion usecbcckllst Description I qtr. I Ea. I Total ❑Addition/alteratiotdreplecement 0 Other. New I-2-family dwellings(includes 100 ft.fm each utility connection) CATEGORY or COWSIRLJcn0N 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)bath 501332 • Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB•$1[E,�lUFORP4 N:'AN,D LOCATION Site utilities: Job she address: ,r 1 Catch basin or area drain 18.76 3 HCl C //tip JC%Ili i`� 1�. ) ❑rywetl,leach line,or trench drain 18.76 City/StateIZIP: rt'" -r� 7 7,'r�'� . ` - Footing drain(no,linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name: -\-' ,A b jt,1171 Manufactured home utilities 50.03 Cross street/directions to job site: +++ "--- Manholes - 18.76 • Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Stone sewer(no.linear ft.:^-) Page 2 Water service(no.linear ft.:__J Page 2 Subdivision: Lot no.: (V Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF:WORK • - Backwater valve 12 51 • Clothes washer 25.02 n - Dishwasher 25.02 q _ \jV ,C_.,. Drinking fountain 25.02 Ejectors/sump 25.02 Q PItOPER1Y OWM$ER I ❑ TENANT Expansion tank 12.51 Name: U y 4 v yFixttudsewer cap 25.02 + ],,�` / Floor drain/floor sink/hub 25.02 Address: �-ii� CC�\ \&-�,POILY �/�` -' Garbage disposal 25.02 City/State/ZIP: CYL CY-10_ Hose bib 23.02 Phone: -�,. `tb, Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON interceptor/grease trap 25.02 Business name: `j1 ` 1.v £ji Medical gas(value:S ) Page 2 \h Q / ^t U&)14 Roofd 12.51 Contact name: -� SJl drain(commercial) • 12.51 Address: Sink/basin/lavatory 25.02 City/State/LIP: Solar units(potable water) 62.54 Pte:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: l".SW-e /46M CI-V 11- C1W1 - C(M/i 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/StateIZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)6404483 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:94689 Plumbing Lic.no.:34-260P11 - State surcharge(12%of permit fee) Authorized signature: 2pj• "or _ TOTAL PERMIT FEE Print name:RAY MULLEN / Date: Mb permit appilatios expires if a permit is set obtal'ed width'ISO days after it has bees accepted as eorpkoe. *Fee methodology set by Tri-Canty Building industry Service Board. I:natud ,gYe itaMM.Pcre rapp.doc 10/01/09 44o.4,16TIIoercoMfwEa) City of Tigard qINCOMMUNITY DEVELOPMENT DEPARTMENT I T 1 G A RD Building Permit Review — Residential Nummilammumasimmeme Building Permit #: /h S 7",2.0/C- ' a2��U Site Address: g( 2-(-) Su\f hill l6(f-' 1-012 Project Name: -Hev rnG ( c vio Lot #: .0..e(New dwelling ubdivision name, d�ition or Alteration=last name of owner) Planning Review Proposal: W-cvj c -12 Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: X No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: .Three(3)copies of site plan Mil xisting 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 brawn to scale(standard architect or engineer scale) floor elevations North arrow *Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number 'J ,ocation of wells/septic systems ,Applicant information(name and phone number) N xisting trees to be retained with drip line,and tree Kat dimensions and building setback dimensions protection measures , Lot area,building coverage area,percentage of coverage and XS reet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names 'roperty 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 Ef.. No Received: ❑ Yes ❑ No 8--Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: cal( 1 cam-- CC-D Zoning: 12-1(pts Required Setbacks: Front I5 Rear I S Side .5 Street Side N/A Garage 20 rd Landscape Requirement: 2 0 0/0 Lot Coverage Maximum: 60 % Building Height: Maximum Height �c� Actual Height Visual Clearance Easements X Sensitive Lands: ❑ Yes X No Type Urban Forestry Plan ,.[S; Conditions "Met"prior to issuance of building permit Notes: pc\ con6t l-hiMI S 11U t( ' yyyei pow Iv i sS i4/it,fi/l Approved By Planning: - Date: '2.11 i 1(0 Revisions (after Building Submittal o ly) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw REs o91216.docx Building Permit Submittal Original Submittal Date: 12 //4 Site Plans: # Building Plans: # Building Permit#: Enter buildin permit#above. Workflow Routing: Tanning E7"Engineering 'Permit Coordinator Building Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: gr-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ''rBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: ,g17/4.'‘)/124"--- Date: /2., I.Z.-"2/�j Engineering Review Slope at building pad: .7/: Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: c Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: J Date: 12= Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: ‘4"Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A 407- to Issue Permit , Approved by Permit Coordinator: Date: /0G/7P I:\Building\Forms\BldgPermitRvw_RES_091216.docx tilt:4:14,LI_;,7 :a i , Plumbing Permit ApPlica,ti,on Building Fixtures HE( EIVED ,,,,,. ,), I 1( City of Tigard Received ir 6/.:--. /6 /7 i Peru°N°)'& 72-16Yee -0,05, 13125 SW Hall Blvd.,Tigard,()It- 9MIG 8 201/ Daavey., 'Man Review •_,.,. ier Phone: 303.718.2439 Fax: 50108.1960 fbnefOtho Nunn No.: InSPecti°71 II*: "3-639A175 CITY OF TIGARD dila Readyary: „„. • RUILDING DIVISION- Internet www.tigard,or.gda NoritiedNethod: hail 122 Set Page 2 for . Supplearentatterarmarlon TYPE or vatic Imp saltbox .. • , . For special Wonturtioa ride ebeeklite 0 New construction El Demolition Description I Qty. I Ea, I Total 0 Additionhilteratibnirepliternent 0 Other: New 1-2-family derrelnegs(includes 100 0;for each Wit)connection) CATEGOZY OF CONRITHICTION SCR(1)1)alh j 312.70 0 1-and 2-family dwelling 0 C.onunercialfindustrial SFR(2)bath 437.78 SFR(3)hath 500-32 El Accessory,building 0 Multi-family - Each additional badilkitchert 23.02 0 Master builder El Other: Fire-sprinkler(____sq.A.) Page 2 ' '' ' JOS SITE'INFORMATION AND WO ri ' Site utilities; jthsi ''.-"e) -1v1/4-/ 01.- II"1(-,4 UZCle Catch basiti or area drain Drywell,leach line,or trench drain I 8.76 18.74 City/StateriAP: , 4. Punting drain(rio.linear ttr____) Ptc2 Suitsitoldgiapt no.: Project name: at'0 ILA: AAti A , patriot;eedbomelaittles 56.03 Cress strectidirections to job site: liF kile$ 1816 'n drain eatriecict 18.76 Sanitary sewer(no.linear ft.:._J Page 2, Storm ser(no.linear It.:____) Page 2 Water senice(no.linear ft.: ) Page 2 Subdivision: I lAt litnr:9%.V....; Fixture or Dean Hs:know preventer 31.27 Tax map/parcel no.: or nem - .,- Ba**valsT v.siVe 12.51 v 'jtj Ir 25.02 ARckai avirise,) Dishwasher 25.02 Drinking fountain 25.02 Rieekirs/suMP 25.02 - _ 131,11tOPISIM OWIWXR - .' ,,:nr-,3 Maw .xpAinsionianic. 12.51 Name. • -1.--)k. \- S i.tutriseyocr op Floor ilittinaloor sink/bob 25.02 25:02 Address: LV-10 'Z5)01/4_,) I\Ad, „Ckic.,, elk..Xr-YA 'AIL, .carbage dispe!sai 25-02 City/State/ZIP: Y, 4012.7- -11. Hose bib 25.02 Ph9ne115-9 1. -- NM( ) lee maker . 1;0 ., 12.51 .. ... 13 ovvirucApty ...,.;: ..:. .•.0. , , 0....coartAtr'Obit& Intereemor/grease trap 25,02 Rusinessmanle! MeOleal go;(value:$, ) . Pagel Primer 12.51 Contactname: --i\tryVe.jr7;1. trA VjeLt„rt, Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 _ Qty/State/ZIP: Solar units 01C4abk*a" 62.54, Phone:( ) Fax::( ) Tabisitowerishower pan 1151 Urinal 25.02 E-mail: Water closet 25.02 CONTRACTOR Water heater 3 .52 Business name:Wolcott Plumbing Water piping/DWV 56.29 Address:'1075 W.Historic Celan**River Hwy Oilier 25.02 City/State/ZIP:Troutdale Or.too Subtotal Phone:(503)667-1781 Fax:(503)661-989t _ Minimum permit fee:$72.50 Plan review (25%of permit fee) CCE Lic.:112220 Plumbing Lie.no,:26-824P8 Stale surcharge(12%of wait fee) Authorized signaturtkr-4A 4- TOTAL PERMITFEE 1 This-permit application expires if i penult is inn obtainin**ed within 1110days Print name:Mark%dente Date:2/17/17 after lt kas been!twined as co . *fee methodology set by Tri-County Building*hurry Service Board. I 1.111.61ditigTer mittAM11-PormitApp.doc 10/0149 440.44161(1042/CtIMAM) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8620 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 11 , 2017 at 9:45:07 AM Record Type: Record ID: Residential - Master Permit MST2016-00590 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Dishwasher not installed. Finish caulking right Lay in master. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8620 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 11 , 2017 at 9:46:55 AM Record Type: Record ID: Residential - Master Permit MST2016-00590 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Garage lighting not installed. All else appears ok. Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8620 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 11 , 2017 at 9:48:03 AM Record Type: Record ID: Residential - Master Permit MST2016-00590 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: 8620 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 12, 2017 at 1 :00:42 PM Record Type: Record ID: Residential - Master Permit MST2016-00590 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8620 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 12, 2017 at 12:52:42 PM Record Type: Record ID: Residential - Master Permit MST2016-00590 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8620 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 12, 2017 at 12:49:28 PM Record Type: Record ID: Residential - Master Permit MST2016-00590 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete. Violation Summary: Inspector Contractor