Permit (68) +t CITY OF TIGARD ; MASTER PERMIT
111
COMMUNITY DEVELOPMENT Permit#: MST2016-00549
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2017
Parcel: 2S 111 DA21100
Jurisdiction: Tigard
Site address: 8710 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot: 30
Project: Heritage Crossing, Lot 30
Project Description: New SF. 8/24/17: REPRINTED to add A/C. Placement of A/C unit must meet manufacturer's
requirements. 12/6/2017: REPRINTED to correct#of bathrooms from 3 to 4 as shown on plans.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 885 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 35 Bathrooms: 4 Second: 1369 sf Garage: 361 sf Front: 15 Smoke
Dwelling Units: 1 Third: 439 sf Right: 5 Detectors: Yes
Total: 2693 sf Value: $320,482.28 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
Bckflw Prevntr: 0 Catch Basins: 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: 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 2693
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 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97239 PORTLAND,OR 97239
PHONE: PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $30,139.28
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(4-- 95 00.0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
t .
Issued By: � g'1P - /�
Permittee Signature: / �� e4--7-7o/1
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
114....- '
3 ' COMMUNITY DEVELOPMENT 4 "� Permit#: MST2016 00549
T[GAARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' �, Date Issued: 05/17/2017
0 Parcel: 25111 DA21100
��// Jurisdiction: Tigard
Site address: 8710 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot: 30
Project: Heritage Crossing, Lot 30
Project Description: New SF. 8/24/17: REPRINTED to add A/C. Placement of A/C unit must meet manufactures
requirements.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 885 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 1369 sf Garage: 361 sf Front: 15 Smoke
Dwelling Units: 1 Third: 439 sf Right: 5
Detectors: Yes
Total: 2693 sf Value: $320,482.28 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 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: 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]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 2693
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 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97239 PORTLAND,OR 97239
PHONE: PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $30,085.14
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. Yo,may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,w, y'. A. / // j ermittee Signature: 5e-r- a-r it pe-ii
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.
RECEIVEC)
Mechanical Permit Applicatinn� cy { 1,,R tlt 1 It 1 1,1 40,1 1
City of Tigard
DC
I �j 3 ZoI7 law10;a
111 111 K SW Halt Ills d,.7igard.n p� pten arvKir /
Mom utz 7Ix24.19 Fae: t. y 11J i 5 4Ahe<Prrmir
p� Dar,.B.
InpcnIon l.inc 503(t3`:�11 t ��) t � 5 1)arRcaa}'nr t:,rx, 0++trhxr2for
thins l i' ngaii air.gpi ����` '^.x N t heel Ai iii.i Suppkmeatml brormotiaa
TYPIC OF WORK a.h:. '�" WE'SCHEDULE-USE CHECKLIST
_
KLIST_.. .
._ k�(e. _A i •arc based on the aalut:of the wo
•?„ew construruon 0 Additionreplacementalteration= �, Si to the%sloe I rounded to the nearest d iihrl sa all
0 Demolnuus Q(Other; . I.��Q -y dials. us tent ham,t�tei s s4,and r�nitk.
C 1WORY OF CONSTRUCTION 117
Value S
— \I RE$1pEN7iAt tt tEtiSt Res"
IIN 1...and 2-larnifv dwelling 0 Cnmrnercia►industrial 0 Accessorybuilding. Fur spetial info,wrtios use dheckli+t
❑multi-tamri} 0 Master builder 0 Other: Description oh
__ y fu. I Tota; i
JOS SITE INiK3(IMATION AND LOCATION HeatittecxiIIiic:
_ ( r Air conditioning I i 46.75 1
Jo>h site address (. - ( I
C y 1VJ 1�'3 7 _ll Furnace lO l.otxt t}Tt.t t& n,rmr, ars. s ,
(-i1ytSl tc LiP. Ti_ard,()RFurnace I100,0004 i rt.?ti4ss is eisss 44.41 , -_
� ,
�- I l - ) c Ilea*pump 61.06
Suite bldg..apt.no. Psojcct name: f l�} Duet wur1. + ' 23.12
Cross streot dirc+ttums to job site: J ( /1 Hvilnmic hot sista sprint' 23 32 __
Residential boiler(radiator Of
hydronici 23.32
t:nil heaters ifurl-type.not electric).' 1
-
.__ _____, in-wall,indust,suspended,etc 46.75
Flues for any of above 23.32
Suhdivltion Lot no. 30
(Mee 23.32
(Other fuel appliances:
I as map parcel no W'atm heater C 23,3'_ t
DESCRIPlION OF WWI., leas fireplace:insert 1 33.39
Flue vent for water heater or gas
New SFR firepkree 23.33
Log Ihtct(Los) ?332
• Wuod'pciiet stove 31.39
Wood frcplxa"inxcrt - - 23.32 _
("hinmeytinetflue sc u 21.32
4/1 raorturry OW6ilFRl Environmental exhaust and ventilation
None 1)R Horton Inc. Ran ehooNcaher kitchen —
,_.____" _- T__-__-..-.._._. --_. _
_..__ -- equipment 33.14
Adskess.4380 SW Macadam Ave Suite 100
C'kldrcs dryer exhaust 33)9
!'i4 Statc'lIP:Portland,OR 97239 Single-duet exhaust(bathrooms,
..----_ __._ -________ toiletcompartments,utility rooms) 23.33
"one:(503 i 222-4151 Fa K.( ) Attic crawls/we fans _ 23.32
D APP AKT 0 CONTACT e,crtsax2 _
Ifusint�ssnrnx: j)R Horton Inc. ,Fuel piping: ____._______-- -_. �_.....
,_/�/� WM5 far first font:Se.d3 far each adtittianal.__._ __._
Contact name: /-I4 r c. (/i -pyiei Furnace.etc. _ —_.___
Addrexs: ___
(las_.____. ---- Wu!Fsuspendesi unit heater
(.ity'S,ai 71P Portland,OR 97239Water heater
Phone t 17 J Far::I 4 Fireplace
—,_503_ 222- 1151 x110 _. _ _._--
j j y.,�' e
F-mail, MAI r,5fl F �d, /I� r v" l3arh ue
V -_,s7KA •4'O$1 Clothes dryer feast
Business Warne Al !)tiler.
: ?lbl'>......
Address
„ ip . 4 i .T' # - 7 s —_. Subtmal
('ity:'St.ue`..11': /• /U0 it iA qp :Minimum permit let tS4(.00 -�
goct ��,{ �y Pian rctiiew125!:of tt fee)Phone:elio -' Fax. -'700 '5 17/ryf State surcharge 112%of permit feel
CCF3 tic.; tz 'sirs V lTOTAL PERMIT FEE
This prratt apptkatiae etpirn if•ptrmkt b net&Maimed v.ithiu 130
„,,..-"4 d.y*after it hos brew iccrptd as&ler.
Autbotiied 3gn tn1 . • l,-,cd
nnitaol,igy set bwn
y(r.k. ty ihmkttne Itatenin Ser Ive 10:.x41
nx'fw::_---
Date J± eJ
•11.,44•0„1=rn,yet ,ryfe,kr,.iMifii.t,s' 344.4.'1, 1 u osi nt.tir
/l
i,
CITY OF TIGARD MASTER PERMIT
v� 2 COMMUNITY DEVELOPMENT Permit#: MST2016 00549
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2017
TIGARD 9 Parcel: 2S 111 DA21100
Jurisdiction: Tigard
Site address: 8710 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot: 30
Project: Heritage Crossing, Lot 30
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 885 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 1369 sf Garage: 361 sf Front: 15 Smoke
Dwelling Units: 1 Third: 439 sf Right: 5
Detectors: Yes
Total: 2693 sf Value: $320,482.28 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 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: 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 2693
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 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97239 PORTLAND,OR 97239
PHONE: PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $30,032.78
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. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. CQ
Issued By: 1.1—,(.. .., �- Permittee Signature: J 87rC mit- //
✓4 C�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I/V
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 Applications �� { �
Residential of 1 u I. t tic 0\1 1
City of Tigard irvilit•,, «Y„ ,
I3I.S SW Hall Blvd.,Tigard,OR 97223 Permit No
~lik
oRrvea hip 5�ltrzt:AI +'(6,„(A,752/y'
Phone: 503.718 2439 Fax. 503.598"1900 ."� iR
t ,< t-l v Inspection Line. 503.639 4175 DDatee B / / Other Permit: Sj„/
nDate heady H,' Jury Y
Internet: www.tigard-or.gov '� 2,C.1\ ® Set Page i fur
( Notified Method:
��1. �� �� �/�9 �.(' ':upplemearnllnrormarian
Lam. : ./.�v...4a.c..J
TYPE OF WORK ' f
r REQUIRED DATA:I-AND 2-FAMILY DWELLING
New construction 0 Ix �, t61I1�ttt �uIISIO Permit fees*arc based on the value of the work perforated.
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.
Q I-and 2-family dwelling 0 Commercial/industrial Valuation; S ( l L/v
i*
❑ Accessory building 0 Multi-family Number of bedrooms: l V
❑ Master builder 0 Other: Number of bathrooms
J
JOB SITE INFORMATION AND LOCATION Total number of floors;3
Job site address: X571 U Arti New dwellin
1� / rt� N $arca:cAotr3 square feet 9 q
City/State/ZIP;Tigard, OR 97223 Garage/carport area: ( square feet l-
Suite'bldg.apt.no.: Project namt '-- eAri- CAT-0,5S ‘n I
r•-• �./Coverer g/porch area: (� square feet yd
Cross street/directions to job site: v I
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERC IAL-USE CHEC'KLlS I
Subdivision: 1 Lot no.: - . 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,overhead.and the profit for the
DESCRIPTION OF WORK work indicated on this application,
New SFR Valuation: S
Existing building area: square feet
New building area: square feet
Ilt PROPERTY OWNER 0 TENANT Number of stories:
Name: DR Horton Inc. Type of construction:
Address: 4380 SW Macadam Ave Suite 100 Occupancy groups:
City/stateiZIP:Portland&OR 97239
Existing:
Phone:t 503) 222-4151 Fax:( )
i New:
❑ APPLICANT
CONTACT PERSON BUILDING PERMIT FEES"
Business name: DR Horton Inc.
(Please refer wire srbeda/
Contact name:Emerald Weeks Structural plan review fee(or deposit):
Address: 4380 SW Macadam Ave Suite 100 Fl_S plan review fee(If applicable):
City/State/ZIP:Portland, OR 97239 Total fees due upon application:
Phone:(503 )222-4151 x1107 Fax; :( ) Amount recei;red:
PHOTOVOLTAIC SOLAR PANELSYSTEM FEES*
E-mail: esweeks@drhorton.com
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Aaaress:4380 SW Macadam Ave Suite 100
Solar Installation Specialty Code checklist.
City/State.'z1P: Portland, OR 97239 Permit Fee(includes plan review
Phone:(503 )222-4151 Fax:( )
and administrative fees): S 180.00 ,
State surcharge(12%of permit fee): S21.60 i
CCB lir": 130859
Total fee due upon application: S201.6(,1
Authorized signature t , ; This permit application expires if a permit is not obtained
t = i 9 \` vtithin 180 days after it has been accepted as complete.
1 Print name: ' , , if t Rv; t A _ k ' Date:2016 I .Fee methodology set by Tri-County Building Industry
Service Board.
I.Building.Permits Bt.'P-RESPennitApp.doc 02242011 440.46l3Tt 11 02 COM'WEB i
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,tVt
Electrical Permit Apalicatio .,,v-eik,,,
City of Tigard x 1Fa Received
13125 SW Hall Blvd.,Tigard ® Date/ey: Permit No.:/�7.57�?')!ti "fit ,
OR 97223
Phone: 503.7182439 Fax: 503.598.1960 \) -- t. -Review
Other Permit
!,�� Inspection Line: 503.639.4175 A ` .
Internet: www.tigard-or.gov Xi I'� ` is,?s shod: Anis: I s See Page 2 for
�.�S ,�, SupPlemeatel Ltornation
TYPE OF.WORig iL, PT,AN REVIEW ,
®New construction 0 Addition/alteration/t ement Please check all that �
apply(submit j sets of plans wRtems checked below):
IDsery Service or aoo amps or more ❑Building over throe stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY'OF CONSIV' CTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
Yindustrial" El building less to ground,or exceeds 14,000- 0 Commercial-use ag iculttual
❑ 1-and 2-family dwelling 0 Commereia
ElMulti-family 0 Master builderamps for all other installations. nnta;atio
0 Other: O b
Fire pump, ❑Installation of 75 KVA or
JOB SITE INFORMATION AND ❑Emergency system. larger separately derived system.
LOCATION
❑Addition anew motor load of ❑n","E","1-2","1-3",
Job no.: Job site address: 7r � ill ) 100HP or more. ococcupancy.
ae ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: I Project name: o-• l rA 0 3 4 ❑Service or feeder 600 amps or more,
Cross street/directions to job site: FEE SCHEDULE
Den:ritinor I otr. I Fee. i Tall
New residential-single:or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 3c) 1,000 sq.ft.or less ' 168.54 4
Tax map/parcel no.: - Ea.add'I 500 sq.ft.or portion 1 33.92 l
DESCRIPTION OF WORK Limited energy,residential 75,00
(with aboveaves sq,ft.) 2
• Limited energy,multi-family
residattial(with above sq.ft.) 75.00 I 2
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
0 PROPERTY OWNER- f 1 0 TENANT 201 amps to 400 amps I33.56 2
Name: 401 amps to 600 amps 200.34 2
•
Address: 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or faders installation,alteration,and/or
relocation
Phone:( ) Fix:( ) 200 amps or less 1 i 59.36 i
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 to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: • Branch circuits-.sew,alteration,or extensiont per panel
Date: v A.Fee for branch circuits with
0 APPLICANT f ( 0 CONTACT PERSON above service or feeder fee,
DR Horton Inc eschbranch circuit 7.42 2
H.Fee for branch circuits without -
Business name:Contact name: Emerald Weeks branchl rfeeder
fee'first 56.18 2
rcuit
Address: 4380 SW macadam Ave Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Portland OR 97239 , Each manufactured or modular
dwelling,service and/or feeds 67.84 l 2
Phone:(503) 222-4151 Fax::( ) Reconnect only
• 67,84
E-mail: Pump or irrigation circle 67.84
i22
• fC�ONNTRACCrOR i Sign or outline lighting 67.84 2
614 Li/1 iiii-- (,?,,,,4-1.,;,.,• Signalel.circuit(s)or nsoneryy
Business name: panel,alteration,or extension. Page 2 1 2
�C' Each additional ins
Address: .2_ (R'e!7/ WE Cc !t, tr (action over allowable in any of the above
C7 4,, I/. Additional inspection(1 hr min) 66.251 hr
City/State/ZIP: �viC WA
A /i, �16f Investigaion(1 br thin) 66,25/hr
Phone:(3 7� Fax:3'V�tf7 J b Industrial pleat(1 which min) 78.18/hr
.5-7/— �� ssc--— �6�� Inspections for no fee is
hr min)
CCB Lic.: Z2 �c specifically listed(%, 90.001 hr
Electrical Lic.:.�ZD l Suprv.Lic.: j?Q s ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ,4i j`� Subtotal:
G 1 f J Plan review(25%of permit fee):
Print name:Ch 6,--s4-4, 6 2 n i't + Date: State a 12%of
'/( ' surcharge( permit feel
Authorized signature: TOTAL PERMIT FEE:
This permit applkatien expires if a permit is not obtained within 180
Print name:
Date: days after it has been accepted as complete.
" Number of iaspectious allowed per permit.
1:tSuilding'PermiteWLC PesmitApp
4404615V 1/05/COM/WEB
Electrical Permit Application–City of Tigard
Page 2–Supplemental Information `
Limited Energy Permit Fees: �1r Renewable Energy Permit Fees:
Z
RESIDENTIAL WORK ONLY:, FEE SCHEDULE
" criptfoni517 6�ch TotAI
Fee for all residential systems combined: $7 ,""I, o ,}S It 4 newable electrical energy systems:
Check Type of Work Involved: '50"
5ksaorless I0U,70 2
,.�
5.01 to 15 kva 13;,5(;
n Audio and Stereo Systems* 15.01 to 25 ktia 21)0.34
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva I 301.04 i s
X 50,01 In 100 kva 55
h, �_ {
Garage Door Opener*
:,100 1,4(fcc in accordance l
with OARvl -3fl9-004u) 1 I 552.'-b
n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 _;
7 Vacuum Systems* Ii,Ok‘a—noadditionalcharge 0,6
Each additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(I hr min) 66.25 hr
Inspections for which no Ice is 00.00"hr 11
specifically listed hr min)
COMMERCIAL WORK ONLY'• ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal 1 Enter on Page 1): rp
Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
1— Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
• HVAC
[J Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
E Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I..Buildini Pr;miss CLC Poinn App ELK ERf.do: Re,U.'i I
A
Plumbing Permit Application
Building Fixtures `�`
t_ -°
City Or Tigard Received Penni'No.:
13125 SW Hall Blvd.,Tigard,OR 97223 ,�DeatnBR • '16Th/6...,"_Ua 11`y
I Phone: 503.718.2439 Fax: 503.598.1960 , i9 . I'hlt /". Other Permit No.:
r 1 G AR D inspection Line: 503.639.4175 v �i}-1.5‘"Due Re.dy/ey: tw+. to see Pap Z for
Wallet: www.tigd-or.gov S ' Y r+` f :
1V SaPpkrocaul Iaferasatba
. _• ME OF .-t ; .FEE* SCHEDUL I ', ,
❑New construction ■ Demolition For special lnfa ntatlon oar checklist,
Description qty. I Total
❑Addition/altceatiem/replacement 0 OtherNew 1-2-family dwellings(includes 100 each utility'connection)
CATEGORY OF coNrIRU ON SFR(Oath 312.70
❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath ' 50032
Eads additional bath/kitchen 25.02
❑Master builder ❑Other Fire sprinkler( sq.ft.) page 2
' JOB:SI!!;WOO/4119N:AMD LOCATION She utilities:
Job site address: ` Catch basin or area drain 18.76
City/State/ZIP:
J/ �1rti j�� Drywcll,leach line,or trench drain 18.76
AtFooting drain{no.linear ft.:•
Page 2
SuitebldgJapt,no.: Project name: „ ""�f, l �i 11 Manufactured home utilities 50.03
Cross streWdirections to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:___•) Page 2
Water service(no.linear R.:----) Page 2
Subdivision: Lot no.: 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
1V Drinking fountain 25.02
Ejectors/sump 25.02
0 FROPEIfIy OWNER . • .. 0 TENANT . Expansion tank 12.51
Name: Z V f\ t j, Fixture/sewer cap 25.02
r��` L J t�_nDll�1G v*� Floor gedroor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: ()J(. Q1--- 1 � Hose bib 25.02
Phone: ->Jll=j Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: )Y \*ij4 f [-‘,A C.,..,) Medical gas(value:S ) Page 2
CoPrintact name: l,L'VAILI� I C21 "fijC•e k' Roof drain(comrtsercial) 12.51
Address: Sink/basin/lavatory 25.02
City/StatetZlP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: e \A.Tt- /t(6 . d.V V cv1-01c) ,Cow Urinal 25.02
<CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:EDWARD MULLEN PLUMBING Water piping/DWV 56.29
Address:1601 SE RIVER ROAD
Other: 25.02
City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal
Phone:(503)640-0113 Fax:(503)640448.3 Mhlknum permit fee: $72.50
CCB Lic.:94689 Plumbing Lic.no.:34-260P0 Plan review (25%
of permit fee)
State surcharge(112%2%of permit fee)
Authorized signature: ` OOP
_�/ TOTAL PERMIT FEE
Print name:RAY MULLEN / Date: This permit application expires Is permit is sot obtained within 150 days
after it has bees accepted as complete.
'Fee methodology set by Tri-Cowry Building Industry Service Board.
itswiaineerinitot.mu.Pcrent4ppartc IW01e9 440.66167(IOx0VCOMAVEB)
1
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
PhQ
T l c A tt n Building Permit Review — Residential
Q7. 6ka na., ,,,.x�.,-v... ,sn,.: n.,-_,. ^-s < t§t.te+ft .A14-„o7,,, 'Gita iiaLiv a.,3'�:'-="3,v-4, .r_>,,r 'e-Y, ,., ? ii-. x .,4,,Y... ,g .,
Building Permit #: S j 6 _Q 1 ie2
Site Address: e 1O SZ &I'm 6 42 L;,
Project Name: Lot #: 30
(New dwL.g=subdivision name;A•.,.tr o •r Alteration=last name of owner)
Planning Review
Proposal: 4,0,02pe
/Verir site address/suite#exists and actio m permit system.
OPItiver Terrace Neighborhood: 1 No ❑ Yes,See River Terrace Review Addendum Attached
Sits Plan Elements:
(0 ree(3)copies of site plan ;sting structures on site
e plan must be on 8 1/2”x 11"or 11 x 17"paper IR ootprint of new structure(including decks)with finished
frawn to scale(standard architect or engineer scale) or elevations
orth arrow Cltility locations(required for new,may apply for additions)
•te address,project or subdivision name and lot number •
• aeon of wells/septics stems
P 1Y
I1pplicant information(name and phone number) • ting trees to be retained with drip line,and tree
t dimensions and building setback dimensions • otection measures
Lot area,building coverage area,percentage of coverage and it eet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) treet names
liFroperty corner elevations(2 foot contour lines if more than
4 foot differential)
Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ es,applicant was notified Received: ❑ Yes ❑ No
Public Facili • s Improvement(PFI) Permit:
/Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
0 I.i[1 Land Use Case#: 2C) '1 ;)W IO �� Qe)Lc l`c-
Zoning: IC-_
Required Setbacks: Front /5' Rear / Side Street SideGarage 00
VI/Landscape Requirement: a 0 0/0
Pr/Lot Coverage Maximum: SD %
vt
Building Height: Maximum Height SS— Actual Height c.,9e
.1 i isual Clearance
4 Easements
0ensitive Lands: 111 Yes /NoT e
YP
rban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: ` — - Date: _ Agri ,.
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
1
Building Permit Submittal
Original Submittal Date: 6y,//k
Site Plans: #
Building Plans: # 3
Building Permit#: mer building permit#above.
Workflow Routing: [ 1'nning ❑'Tngineering N--rel—Mit Coordinator C i—Bri ilding
Workflow Sign-off: U--Sign-off for Planning(include notes from planning review)
Route Application Documents: 13-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: are__
By Permit Technician: , -,r -r' _ --- _ - Date: 4,1A-0Q,
Engineering Review
Slope at building pad: , J
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: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: € Date: 10.vz..--(L
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 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:
kr SDC Fees Entered: Wash Co Trans Dev Tax: [$ Yes ❑ N/A
Tigard Trans SDC: C Yes El N/A
Parks SDC: [l-Yes El N/A
E 1 OK to Issue Permit
Approved by Permit Coordinator: N-ti ,1,(� (l'it, Date: )01-i' -I i'
I:\Building\Forms\BldgPemvtRvw_RES 091216.docx
r.‘7,77,7r, 74
[11M
Plumbin2 Permit ADDII -,Acvr.,r,,,
if
Building Fixtures I CU
city of Tigard AUG 8 2ni 7
Downy. j"?/ 0 fi Pen4114(1.44 S.72.01 -005V, 1
IN _, ijussw Hall Blvd.,TigtirdAlst3223 '''
Poo Review
• _ iv,: ' Phone:-563.7182439 Ftcd-s"4-1980,P)7/CARD DaimEly: Ofiss?omit No.:
IMPeCtiw ii"e:'°3'639800ILDINC ' ions. I 01 secrete:1 tor
Internet; wwwligarti7orgOv -DIVISION 111.17=1(7°..& thippieniemotninu
ioorma
• , ':- _ • ',
TYPE Or woaic
iiitio saltbox
0 New construction 0 Demolition For spediti wamiettion toe rhecic, 104
Nscription I Qty. I Ea l Total
0 Addition/elteratiOnfeePistement Cj Other:
New 1-2-family dWellitige(includes 100 ft.for each utility connection)
• : . . cATX00111''OP CON0111111ctiON SFR 1 I l$41b 312,70
0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)hath
500,32
El Accessory building 0 Multi-family •
. Each additional bath/kitehert 25.02
CI Master builder 0 Other:
Fite Sprinkler( se.11) Page 2
, Jot srrr wooRtioiONeogi LOCATIONI Site utilities: .......
4438jte ad**. 't1 i ( '5\&) 1/4.___Arlyvi-tr-At LC)(.5' Catch NOM OT area dram 18,76
Drywell,leach line,or trench drain .18,76
City/State/21P:
. • Footing drain(no.linear ft: ) Page 2
Suite/bldg./apt.no.:
I Project name: 1;c1v1 tiklt, 0/f/1) 51 f anuSictored home utilities 56.03
Cross jest/directions to job site:
kik Wi; 111.76
- .'n drain connector 18,76
Sanitary Sewer(no.linear II.:, ) Page 2
Storm sewer(no.linear It: ') .. Page 2
Water service(no.linear It: ) Page 2
Subilivition:
1 Lot no,: Flinn*or iteTh:
Backflow preventer 31.27
Tax map/parcel no.:
' . -'. . ' oiliklittrItt301 a wadi , - liat4("t67*dye 12,51
-"\fV
- , . ... . , . .._. , , .
Clothes washer 25.02
C-A -NA, -
i )
Dishwasher
25.02
Drinking fountain
25.02
Ejeoteint/sunip 25.02
'.-..0PS0: 110tTi91*IR ' ", -- --: ' '0.rotlikrIT ' ., • Expansion lank 12.51
Nitrite; z)i4. \--yult-A-CY Flamer/sewer top 25.02
. loor drain/floor sink/hub 251)2
Address: qb .5-Nk.,...) F....&,6/ ,attiggpW
23.02
City/State/ZIP: )4, 0( M1. Bose bib 25.02
'1411914513 ).-2'..- Li i 1. 'Fax:{ ) lee maker 12.51.
li: .401(40ANT:-:'.,: .';'; '''':.- :-;--:•:--'0,:coonAti restos •, hacrecPlor/Ercate'lraP
i
, Medicalgas(value:$ ) . 25.02
&silo:wet-epic;
Contact name:.
-'r\41\1-‘771 V
le)i UY-1- tr-h Prinyer
8.00f drain(conmi*IsflY 12.51
12.51
Address:
Sink/basin/lavatory 25.02
City/State/ZIP:
SOler Units(proMbic water) 62.54
Phone:( ) I Floc;( ) Tutishowertshower pan 12:51
...„. -
:UMW 25.02
E-Mail
. . - ---- Water closet 25.02
CONT11AC1011. .
Water heater 37:52
'Businessname:Walcott Pintail*
. Water piping/DWV 56.29
Address;1075W.Illitorie Colunible River Hwy
Other; 25.02
.
City/State/ZIP:Troutdale Or.9040
Subtotal
Phone:(503)66747111 Fax:(503)6674891 Minimum permit fee: $72.50
Plan review(2i16 Ofpermit fee)
rim Lie.:112220 Plumbing Lie.nor:26-824111
State surcharge(12%olpennit fee)
Authorized signattir -, (')
TOTAL PERMIT FEL
I Print name:Meditate** Date:2/17/17 -I na-pernmappomleinirrzisres ire Peranteletinasnotemeimmottate.180 dos
lee methodology so by TO-Comfy Bilifiljog whimsy soyKc Board,
I*OftEss\PermitOILMV-PermitApp.des 1010110
4144410110.1)2.11)111*Tin
I
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8710 SW SCHMIDT LOOP, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2016-00549
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8710 SW SCHMIDT LOOP, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2016-00549
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8710 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 7, 2017 at
7:11 :12 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00549
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 12/6/17.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8710 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 6, 2017 at
10:31 :52 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00549
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved plumbing final corrections.
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:
8710 SW SCHMIDT LOOP, TIGARD, OR, 97224 December 6, 2017 at
10:29:59 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00549
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Add 4th bathroom and 4th water closet to permit. Permit lists 3 baths with 3 WC.
All else appears ok.
Violation Summary:
Inspector Contractor