Permit ria..,;
Er
ipil .,
�° : =a - MASTER PERMIT
CITY OF TIGARD ,�,���,
Vie'''- COMMUNITY DEVELOPMENT �'' / Permit#: MST2016-00593
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2017
t'O Parcel: 25111 DA20900
Jurisdiction: Tigard
Site address: 8660 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot: 28
Project: Heritage Crossing, Lot 28
Project Description: New SF. 7/25/17: REPRINT to add NC unit. Placement of NC unit must comply with
manufactures installation requirements.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1116 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 1545 sf Garage: 465 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2661 sf Value: $323,594.76 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 2661
Owner: Contractor:
DR HORTON INC. DR HORTON INC PORTLAND Required Items and Reports(Conditions)
4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97239 PORTLAND,OR 97239
PHONE: 503-222-4151 PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $30,070.44
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952- 1-0090. You y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
r
Issued By: `, Permittee Signature: v C Ir/i ea 01)Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Drzt-N
yam• i Permit y� /R�{,� E ; .. EE
. lilt; T e mit ADf cats t 6'tn 1 et}{[ j§€ i k`s}t
L 2 5 2017
City of Tigard 7,�,!�.� r� ..r,. MGT } "0 5
• 1;:z$s1�f).tOfittd..Ie ud,FJk+) ?„,
)'tnw, 501.711 2414 Far, 51x.5 - L. b1.' =t'-'''1F t tan thanks r f.Ytsr hrrnar
trllaertkanline: <.r>.,f,?v.411.'3 �LANGG DIVIS@O 3 f�n,ttrait,l3y_ h sSeP*4122i
$nt.rn.'t: ww+..titarn$=crr gm �,..rie'+�ratMca!>.-.4, / r I vi ' lda�r�rattaar
'''"'''''L,;-': 71 a s `, a :i 71.;'76(y1.�6 .7; "..' '' # ,fig ra' xbs " ' ar's:"$(''"a,K'.
Mn. L C "
ork
Nev.cottstruchon J Addition ultctitiortertplacc ncnt. 5°b1 permit.Firs'anti b1. Ow vane w s1 tt
perfimnhd.&rdioale tttc vohle goonstoi to the r zot dolfs6 of a:1.€
Q Demolition 0 Othtlr. a scat rtmarinll — ,•arrant,labor,oyetharni;and man,
vxlac S
C11, .,7,,, P jaf ,vs ,a» AA, 't 4" . ''"- ' „ S ''' ', ''. - t - a t1. s .i" '
•' I•and $stat€y ifweilrng 0 Ctfmmeroatttndtstri i 0 Atocvcory build ttk twepttttdta *r.. 411°4-
Q Mttltt•Fraatrtly Q Mjsterr butidt!r 0 Other, iloorrision_. ._. .” t'a'd
r Job rite a.l trtvs. 1 Airc tionfol I- i 265
�o ' hrr,1 d. I i .2 vumoto 100400 roe 4.4"...,,,,,,,,4 . tri x5
i Ci7ro'btatCtjiP. Pq awoos,rttttd4,n+ara*+t ?441
71. ar it()R 97223 _ l bti 06_
%utter t,hlt# w`a{w.no.: Avjtci twmt: H eri�-Us�,I�. `...' ( g r�i" mo w 1�t8fi =° .. _.
l'n.K st cb.tirrxtutn to t=b mit- i ll idnntc hot woo+v%t flI a 2x'12„ ._.,
1100daniad boiler 04$arms or
nttic.t 23.1r
`' h I I Unit 1etstfoitt �. �,
lTrc,n.>trler sta,,
..__.,.....,�.,.,M. to-volt in-A4tta,4u trlw€,tic 4.kiS
�FtuF`vctn r.•any eh+oe 23.3. t
•
(Alta: tStith.tsiort tut uuL . « 1
Other trEetars
�
'ar smi1'€xkgta€no, Vista heatcxj____-_,L3,::1_,....___
= 1 i,_
• �w`'>� �-. ,. vma {:.,h ke t:;sw e 7t� '�� - is'� ,co furcrbtrc'trtnCrt ��- 1.x.3'3
_ New SF a frtt�l�ce. 3:32
( A , 10` 44' 11040v r1 39 _.1
iv -- -
F . ., ,_. A1 Y ood fweilac alert 11..1, _..,.....„,
_ _../ .. , - r �(7fttwie thncrlhEeit . .....,,,, 23 1�
_,...
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t
. °t.+... -�--�.�_.--..—.....� Et* ,e
tWu#t sod.eMtitn
tianDR HortotInt, �r��4i. 11111
M . .s•1.380 SYV Macadam Ave Suite t' dt
200 ev.hverextta it M 33:14 —_..,_...
t<A r tits zil'.Portland,OR 97239: S(must a ctbstra tbuhterrma.
r--.- -» _..._.. __ .ikt eMnpprttnawat uta$ roan.( j 24:12
P#anrr t 503 ' 222.4151 r R ( ) Anis . t Faux 1,31 ---
13R Horton Inc. '`"`.,
1:400,0'.033"'c' ....._..`..�nM_,,.._.....�.
oi.ig 44104 too"S4.03 ftw fork se4Witienot
GI ntact name,Emerald Weeks lit+ e.at«;_ ... ........,.,......... .., ..,-..._1
.U& 4380 SW Macadam Ave Stilte 100 w t _ -
c wr last z1P Portland OR 97239 wm*t€
�. � FiYtPGtv:+er _
PM .t ( t33,122'.4iS1xilg7
_ F..".;f ) __
�r. ;l: csweeksedrhorto*,com _' .� -- . :
`< 'A '"aft, ;a'n a .,.<. : rt :.7 i' e_tthe ..,._ ... .. •___
/�Ay€+un.�v MOW',key Other
.1 . rte..' . 1 Z �: ae l`
Address. '
F'itt°'St»ta'Z11` I''r `t .' r., 'may Nummuni et mr`ra 496e°) i
I11V ! `iG1F+ �
r l' ", ► i uPiero raticw t S.of Permit furl
• 1____________
tiff , ac , 'I „i '' State muhalei12%of almreo
cot tic, _/ 4 PERMITTOTAL. 4 • wrat + a�0 if s'woit r ii MM •trA4
4i **wdartikabw It/las-Wmat:tcg. as reostertete
iluiltert%cd tiparks/V' 1 •. 1-ye a rtnrcA.+k 0.44 rq Trnt,401.tr 444.410t4 tmiaecxg.S,+,.M°a fknn3
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Nott nit.--^•°• I 133€Cr
4 I‘...434V trIk.C., . ryy <Art'',avttr$+b444 ttitt& 1 'frit,.'at:
CITY OF TIGARD MASTER PERMIT
N COMMUNITY DEVELOPMENT Permit#: MST2016 00593
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2017
Parcel: 2S 111 DA20900
Jurisdiction: Tigard
Site address: 8660 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot: 28
Project: Heritage Crossing, Lot 28
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1116 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 1545 sf Garage: 465 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors:
Yes
Total: 2661 sf Value: $323,594.76 Rear: 15
PLUMBING
Sinks: 4 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
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 2661
Owner: Contractor:
DR HORTON INC. DR HORTON INC PORTLAND Required Items and Reports(Conditions)
4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97239 PORTLAND,OR 97239
PHONE: 503-222-4151 PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $30,018.08
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 i ccordan - 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. TENTION: Ore•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 1-0010 through 0A4 952-I. •690. You may obtain a copy of the rules or direct questions to OUNC by callir .232.1987 or 1.800.332.2344.
Iss ed By: �..�1 dAL�� Permittee Signatu ��/ _ ,,%-;// _.../6--��
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat'.
This permit card shall be kept in a conspicuous place on the job site until corn.etion of the project.
Approved plans are required on the job site at the time of each inspection.
BuildingPermitPermit Application ., i_c Q 1 1
,; t $.1 ;:$.-,.. '
I
' T el 4 -,1, I ,-,,, 1 ,
Residential , -r.,', ,- ' , -, A..., , FOR 01411'1 ( ‘..i- oro v -
City of Tigard Received ,i 1.6. Ir.( vennit
1)
,IIN 111 13125 SW Hall Blvd.,Tigard,OR 97223 bp<
Date 2
Phone: 503,718 2439 Fax. 503 598.1960 lot Rtley",k* Iil. 6- 0 1 7 othci-Permit."54,4434 ..,a;t!F).3
_ . , .. . _ ,,
Inspection Line, 503b394175 ' . p' 4. ,, ,,,i j,f, 4. .,,,*tt,,i, Date Ready 23). hats ii2 See Part 2 tor
' ' ' .-')'1 '''' Notified)Metlind.
Supplemental InfOntiminn
Internet: www.tigard-or.gor
All.
''i';
_ .
TYPE OF WORK
REQUIRED DATA:I-AND 2-FAMILY DVI ELJ.,,TNG
all New construction 0 Demolition ------*"-----------Pernut fees*are based on the s alue of the work perfora' lied,.
Indicate the value(rounded to the nearest dollar)org
0 Addition/alteration/replacement 0 Other:
equipment,materials,labor,oserhead,and the profiCttli- r the- -
work indicated on this application,
CATEGORY OF CON,CTRUCTION
oireitt of
Valuation: $
ja 1-and 2-family dwelling I 0 Commercial/industrial
Number of bedrooms:
0 Accessory building
0 Multi-family
0 Master builder
0 Other Number of bathrooms.
"...aglir
. —
JOB SITE INFORMATION AND LOCATION "fotal number of floors, TCe
Job site address: Scs../ ...'.. ../1('\lir-laj- 6_,i.p Ness/Netting area: (2- 6 square feet
City/State/ZIP:Tigard, OR 97223
-II —
Ciarage'carport area: o- square feet
Suitelbldg./apt.no.: Project'taint 1, - vi or , _itga 401 IrN Covered porch area: /3 x- square feet
. .
— . ., feet
Cross
Cross streetidirections to job site:
Deck area square fee; _
Other structure area: square feet
._
REQUIRED DATA:COMMERCIAL-USE CHEOWS f'
Subdivision:
Lot no.: 8- Permit fees*are based on the value of the work pert/Maned
.
Indicate the Nalue(rounded to the nearest dollar)of
Tax map/parcel no.:
equipment,materials,labor,oserhead,and the profit I&the.
DESCRIPTION or WORK
work indicated on this a .lication.
New FR
valuation: S
Existing building area: square feet
-----;:iv71m.-i-iicfiTigare.„Tre feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: DR Horton Inc.
Type of construction:
Address: 4380 SW Macadam Ave Suite 100 Occupancy groups:
City/Stale/ZIP:Portland OR 97239
Existing:
Phone:(, 503) 222-4151 Fax:( )
Ness:
0 APPLICANT CONTACT PERSON
BUILDING PERMIT FEES* ---- -
Pleobe et a
Business name: DR Horton Inc.
re to ee ehedule
Structural plan reviess fee tor deposit): 11.111111n
Contact name:Emerald Weeks
---- FLS plan review fee Of applicable): Mal
Address: 4380 SW Macadam Ave Suite 100
Total fees due upon application:
(.4/Slate/ZIP:Po tlancl OR 97 39
Phone:(503 )222-4151 x1107 Fax :t ) Amount teemed: MI=
PHOTO VOL rex SOLAR PANEL SA STEM Fa*
E-mail: esweeks , drhorton.com
Commercial and residential prescriptive installationOf
CONTRACTOR
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection deter
and fire department access,along with the 2010 040
Address:4380 SW Macadam Ave Suite 100
i Solar Instationon ecialtir('ode checklist.
----------*
City/State/ZIP: Portland, OR 97239
Permit Fee(includes plan res jets - .
two()
. and administrative fees): -
Phone:(503 )222-4151 lailliinil
State surcharge;12%of permit fee): $2".1.60„
CCB lic.: 130859
Total fee due upon application:
Authorized signature'
< ,, ,
This permit application expires if a permit is not obiiincd
'4 , ' ' ''' A
'411h10 180 days after it has been accepted as complet.
2016
Print nam ..„..„ . .-------___________,4 Fee methodology set by lri-County Building industry
Service Board.
I,Building Permits BUIP-RESPennitApp,doe 02 24-201 i 440.4013T(I I 02 COM'WEB i
it 3
Mechanical Pernik Applica i A j t coN 411 I it tit tt t
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it Y � f •_
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SIVIi Macadam Ave Suitt Inn
xt4. ,t1 p,rtrzc, 97239 ..
{t gg ^� p y
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nR i 041ra- Enterald t`eek
3 . ;38 s "t Stacailani Ave Suite 100 xt :. _.._
'IN IL /Y€' Portland,tIR 972at
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Electrical Permit Application
I OR 01•I If I. t s,I 0\I ) .
City of Tigard .-. - .
Received
Dateflily: Permit No..,#;41.c...7-42.0/6.-00 s"..
• .--, 13125 SW Hall Blvd.,
.
Tigard OR 97223
Plan Review
' k,r Phone: 503.718.2439Fax: 503.59R$450 ' • ' a t '.-- Datetily:
71
Other Permit
Inspection Line: 503.639.4175 -• ' ' ' -- Date Ready/By: Imu: I Si See Page 2 for ,,,
Internet: www.tigard-or.gov ,t'. ... ..:i-,.'' -'..;• ',,-4- t Notified/Method: . 1 Supplemental Lamin " .
•.',7`'..,''....-
TYPE OF WORK
PI-,4N•REVIEW
Please check all that apply(submit 2 sets of plans wide=checked 444
O New construction 0 Addition/alteration/replacement
0 Service or feeder 400 amps or more ['Building over three starlet-
El Demolition 0 Other:
where the available fault current CI Marinas and boatyards.
CATEGORY.OF CONSTRUCTION exceeds 10,800 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000" 0 Cornmercial-use agricultno
Di-and 2-family dwelling 0 Corrunercial/industrial- 0 Accessory building amps for all other installations. buildings.
o Multi-family 0 Master builder 0 Other: 0 Fire pump,
CI Irveatlation of 75 KVA ces
[i Emergency system. larger separately derivect,ptem,
JOB SITE INFORMATION AND LOCATION
0 Addition of new motor load of
1001W or more. occupancy,
Job no.: 1 Job site address: 8-6(H:3 31-,4",
/ce r) ___ or more residential units.
- -4:.11441-- 0 SixEl Recreational vehicle Pad*,
011ealth-care facilities. Cl Supply voltage for morednm
City/State/ZIP: /11., 4a C42, y -71„9..-‘7,
°Hazardous locations. 600 volts nominal.
..)
Suite/bldg./apt.no.:oC 1 Project name: - ViTiCtty.... ‘.., 4 to. 0 Service or feeder 600 amps or more,
FEE SCHEDULE
Cross street/directions to job site:
ntscription I Qty. I vet. i Total'
New residential single-or multi-family dwelling unit
Includes attached garage.
Subdivision: 1 Lot no.:?,K- 1,000 sq.ft.or less 1 168.5433.92
Ea.addi 500 sq.ft,orportion —'-
., 1
Tax map/parcel no,:
Limited energy,residential 4-- '
75.00 '2
DESCRIPTION OF Wpm - (with above sq.ft) , .
Limited energy,multi-family
75.00 i'z2
residential(with above sq.ft.)
Services or feeders installation alteration,and/or reloca,', ,
200 amps or less 100.70 '2
4
0 PROPERTY OWNER i i 0 TENANT 201 amps to 400 amps 133.56 _ ,V
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 alimimmisu
City/State/ZTP: Temporary services or feeders installation,alteration,and,
relocation ---
Phone:( ) 7 Fax ( ) 200 amps or less 59.36
ill mug
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125,08
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 4°1 amps to 599 amps IIIIII 168-54 mom
Branch circuits-.-new alteration or extension i er 'and
Owner signature:
Date:...._4.0.___ A.Fee for branch circuits with
0 APPLICtiNT 1 0 CONTACT PERSON above service or feeder fee,
7.42
each branch circuit
B.Fee for branch circuits without Illa
Business name: DR Horton Inc .
service or feeder fee,first
Contact name: Emerald Weeks
branch circuit
Address: 4380 SW macadam Ave Each addl branch circuit 11111111113mon
Miscellaneous service or feeder not included
City/State/ZIP: Portland OR 97239 , Each manufactured or modular
dwellin!,service and/or feeder =Ma
Phone:(503) 222-4151
I Fax::( ) .,. Reconnect only Ell 67.84 antiEj
E-mail: Pump or irrigation circle 111111112/11111111111113
Sign or outline lighting IIII 67,84 11111111ta
• CONTRACTOR . i -
Signal circuit(s)or limited-energy 111111111111111111111111/N
el,alteration,or extension. owniiiimi El
Business name: St/t it?14 174- 2.4 6-47,-;1/4 a ril:c. IL Each additional ins, ction over allowable in an of the
Address: 2_ 0 z.,/ u ///, C ,/-1. j , el. _ ii Additional inspection(1 hr min) MI 66.25/hr lima
City/State/ZIP: P1,"- 1,4/74 ,.9.7r 47
a.- C e'14 6,-. ,, ,, ,.., — , Investigation(1 hrmin) II.
Industrial plant(1 hr min) IIIZIEMIIIIIIIIIII
111111111M12111111Mall
Phone:(3‘a .5-/f..... 7--,5-fy Fax:oca) 32c- 96-6 0 Inspections for which no fee is 1111 IIIIIII
5. cificall listed 'is Irma' 90.00/hr
CCB Lic.:t .2.6-41,91 Electrical Lie...,CZ 30 1 Suprv,Lic.: /7(743. s ELECTRICAL PERMIT FEES
Subtotal: IIIIIIIIIIIII
Suprv.Electrician signature,required:/2/02 ID..0.0g........„ati
Plan review(25%of permit fee): IRIREWIMI
,...-
Print narne:Ch 6-sib...As ) , , a rrf . I Date: State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
''..f
Authorized signature:
This permit application expires if a permit is not obtained within 1; '
Print name: i Date: days after it has been accepted as complete
.-,.„. ,,I.,—. ,
'
..
* Number of inspections allowed per permit,
marniepermium.r..4.-mitApii
4404615Toi/05/comwEB
Electrical Permit Application–City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
--- --
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75,00
Renosable electrical energy systems:
....
— TT'
5 k.,a or lcii,
Check Type of Work Involved:
33 56
1 -
___. ..........,---___
5.01 tk,15 kca
____
Audio and Stereo Systems* !..5.01 to 25 I...a
L 7,0 34
,
Wind generation systems in excess of 25 ks a: '—
I 1 Burglar Alarm
2.f.(n li.so k‘,.i
4 1,
I ' 3ol c4 1 1
i —..._ , ..
.5ii, l to 111010 ' --
a , iii,-ii--io i 2!
XI Garage Door Opener*
1 1
. 01,is‘a(let;in ace‘oitictnce
cik int OAR 1,1 h-709-0040
X Heating, Ventilation and Air Conditioning
Solar generation systems in excess of 25 ks a:
System*
--- — , 1-
1:01 additiona`k -
,...
fl Vacuum Systems* .... ita1k,a— 0 additional char i,c 0 n i _ 1
Each additional inspection over allossahle inany of th/tthOvet
I Other: hr Lach additional 1 nspe,...nori i,,
6ii)2, 1 1 I
charged at an houi,y(I hr Ina))
f---*--*4—, —'
IncpectIons for which nn:cc is
(10 00 h i
speciiieally listed( hr mir)
ELECTRIC A.I. PERMIT FEE
COMMERCIAL WORK ONLY:
Fee for each commercial system: $75,00 ' Subtotal(Enter on Page I) i
. Number of inspections alien,ed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
1 Audio and Stereo Systems
r- B• oiler Controls
r- C• lock Systems
Data Telecommunication Installation
—
n Fire Alarm Installation
P HVAC
I I Instrumentation
I I Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
I J Nurse Calls
El Outdoor Landscape Lighting*
P Protective Signaling
7 Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I Riiildmv Pel OP,t LC Poliin App IL R FRF oc, Pc is 1":"Oli
, �•,
. PI'umbing Permit Applictjson i t i ° J
Building Fixtures
f OR ()I 1!CE l til. (ALI
IN m City of Tigard eea;ved
13125 SW Hall Blvd.,Tigard, Date/BBy. > .c7�f.G as'.
g Permit N
Phone: 503.718.2439 Fax 501.59t.1950 Plan Review Other Permit No.:
r t G�t R. Inspection Line: 543.639.4175 • _ Date/By
Dote R /8 sl,.
Internet: www.tigard-or.gov Notif a hod: Curb: Sf See Page 2 for
Suppkmeaa!Iafarasatloa
-:,. ., TYPE OF WORK. - .PEE' SCHEDULE ',
0 New construction 0 Demolition For special Infomuelon use checklist
Description
0 Addition/alteratiat/repiacemNewent 0 Other 1 I I Total
1-2-family dwellings(includes 104 A utility each utility conreai i ;
CATEGORY OF CONSIRtIrflON SFR(1)bath 312.70
❑I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
r]Accessory building SFR(3)bath l 500.32
Multi-family
Master builderEach additional bath/kitchen 25.02 _,
0 Other: Fire sprinkler( sq.ft.) Page2
JOB'$ifJFE
? R* OIV:AND LOCATION
,:. . . Site utilities:
Job site address: a (9 . (5.1,,,,.../ {t1 4 ci� 1� Catch basin or area drain 18.76
Job site
t address:
P: ►` Drywall,leach line,or trench drain 18.76
Footing drain(no,linear ft.:
SuitelbldgJapt.no.: Project name: 't' At A' ® Page
111; Manufactured home utilities 50,03
Cross street/directions to job site: 4 . 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 ft.: ) Page 2 ,
Subdivision: Lot no.: 02,'K Fixture or item:
Tax map/parcel no.: Backflow preventer 3 L27
Backwater valve 12.51
. : DF.SCRIP'IZON•OF:WORK j,'
Clothes washer 25.02
R� i
t'`� Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 FROPE1tTY O r4ER • , 0 TENANT Expansion tank 12.51 "`
Name: \L1, Fixture/sewer cap 25.02
Address Floor drain/floor sink/hub 25.02
a i 0' * Garbage disposal 25.02 •4
City/State2lP: � 'I. ( } ( 1 Hose bib25.02
�
Phone:y;)') -\.-I,1 ‘ Fax:( ) Ice maker
12.51 „
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:S ) Page 2 MO
Contact name: -.' t ot " Primer 12.51
Roof drain(commercial) 12.51 `_
Address:
Sink/basin/lavatory 25,42 `.
i
City/State/ZlP: Solar units(potable water) 62.54
Phone:( ) 1-Fax::( ) �- Tub/shower/shower pan 12.51
E-mail: e i .6(-i [ (', .l..cl Urinal 25.02
CONTRACTOf[ •
Water closet 25.02
Water heater 37.52
Business name:EDWARD MULLEN PLUMBING
Water piping/DW V 56.29
Address:"1601 SE RIVER ROAD
Other: 25.02
City/State1LWP:HILLSBORO,OREGON 97123 Subtotal
Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee $72.50
CCB Lie.:94689 Plumbing Lie.no..34-260P8 Plan review (25%of permit fee) Min
r State surcharge(12%of permit fee) Min
Authorized signature: Ail iirjr
_ TOTAL PERMIT FEEMN
Print name:RAY MULLEN l Date: This permit application espares Ira permit k sat*boasted within 180 da"
atter it has beta accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board,
I1804di40Mamityi?LMu-PenutApp.doe 40101/09 440..isisnlW7LCOMM'Q$i
City of Tigard
IN r COMMUNITY DEVELOPMENT DEPARTMENT
0
r l A R>J Building Permit Review — Residential
Building Permit #: AL.& t 5-
Site Address: 66 ') ,S'4' S-1-1"' 7i 2 erp
Project Name: ,7% ao
ILSr> • Lot #: ,1/49a
(New dwi,,g=subdivision name;Air o •r Alteration=last name of owner)
Planning Review
Proposal: A},,,,, /
Verify site address/suite#exists and actio permit system.
Klijkiver Terrace Neighborhood: 111 No ❑ Yes,See River Terrace Review Addendum Attached
Sits Plan Elements:
IAA ree(3)copies of site plan 0;tsting structures on site
to plan must be on 8-1/2"x 11"or 11 x 17"paper [► ootprint of new structure(including decks)with finished
go
to scale(standard architect or engineer scale) or elevations
Orth arrow [Jtility locations(required for new,mayapply for additions)
ce?ite address,project or subdivision name and lot number • • ation of wells/septic systems Pp y
pplicant information(name and phone number) N : ting trees to be retained with dripline,and tree
of dimensions and building setback dimensions . otection measures
Lot area,building coverage area,percentage of coverage and II, eet tree size,type and location
itnpervious 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):
dRequired: IDes,applicant was notified No Received: ❑ Yes ❑ No
Public Facili ' s Improvement(PFI)Permit:
/Required:e d
q Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
f51 Land Use Case#: ) .7 l
0
Zoning: V •
Required Setbacks: Front /S— Rear /- Side .7 Street SideGA. g Gara e a0
Landscape Requirement: • 0
PM/Lot Coverage Maximum:
pi Building Height: Maximum Height Actual /
Height ��
40 isual Clearance
XI Easements
Nii ensitive Lands: ❑ Yes VNo Type
vt/i
rban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: —"®
Date: /0/1-77-C,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\BuildingTonns\BldgPenmitRvw RES 091216.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning Eitgineering C ermit Coordinator luilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: G� ��
By Permit Technician: ', Date:
41,421i27c
Engineering Review
Slope at building pad: (Z...,
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
Facility on lot: ❑ Yes No
❑ NOTLIDA Approved by Engineering: Date:
Notes:
Approved by Engineering: JAW, Date: 1-2._7?f
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Cl 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: Yes ❑ N/A
Tigard Trans SDC: Yes CI N/A
Parks SDC: JYes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: /iiiDate: 1-17)A1// 9
I:\Building\Forms\BldgPemutRvw_RES_091216.docx
___.______.......m,mmmmmmim•.mmm.•..i•.••mm•.•PIu'mbin2 PermitAanlicati lidatr". -4 t
TIC : iimi!imullimmimini
Building Fixtures GEi VFn
city of Tigikrd AUG 8 ?.017
DauelBy;
It_....?- 11125 SW Hall Blvd, Tigard.OR 9A,2, , - Plan Reviein
Phone: 503.7182434 Fax:.503.5s8i1w or -r-IL:A
- -
.
- I fiD -- Other Pcrinit Nu.;
Inspection Line: 503.639.4175 8 UILDINr 1--1 11 rt.:,,,,..,„, Bale BeadyrBy 44---$7-1 0-1-i-et Page 2 64
Internet; kynYvtiSard'or.80v *\`-4 LI i v 1'7,f t ;",' Notifieditilishod: Supplesieriml lokunetloe
, - TYPE OF WORK lits. sanotit.E
. .
0 New construction 0 Demolition Fos special.Werniation use checklist.
130scription I Qty. I Ea. I Total
0 Addition/alteratiOntreplatement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
' . C;OZGORIt Of cOmersulcrgem SFR(1)bath 31220
SFR
0 1-and 2-family dwelling 0 Commercial/industrial (2)bath 437.78
SFR(3)bath 500,32
0 Accessory building 0 Multi-family •
Vach additional bathlkitchen 2102
0 Master builder 0 Other: Fire sprinkler(__sq.ft.) Page 2
JOB,SITE INFORMATION AND LOCAL me utilities;
i .„i r c r- in i A A 1 an 1.-
job site address: tu t...c4c) L..)-\ ,..„ ---,L,% I v., LIA t t j,,,,T.-cp Catch basin or area drain 11.76
-- Drywell.lead line,or lratch drain 18.76
City/State/ZIP:
• Footing drain(no.linear ft.: ) Page 2
Suite/bItig./apt.no.: Project name: kAikA111, 6A,-(Ydj.-)i ( .. .. red home utilities 50.03
Cross litterediredioriel to job Site: . .hides 18.76
train connector 18.76
Sanitary sewer(no.linear ft.:___) Page 2
Storm sewer(no.linear ft.:,,,,,_ ) Page 2
Water service MOlinear ft.:__J Page 2
Subdivision: I Lot no.: 1,-n filmy or Item
Tax map/parcel no.: Backfire*preventer 31.27
Dolaurnoctir.wess - ,- Bllok#Incr.valve 12.51
, ,. .. . , ,
Clothes washer 25.02
Tfir CV fl./35/0 Dishwasher 25.02
Drinking ftiuntain 25.02
_
Ejeators/sunip 25.02 _
NRI' '',0 'MAW Evrinsion tank 12.51
Narna: t)i'l- -N-ZA(.-k<r)i(1 11unit/sewer cap 25.02
.Alf‘.... Floordrain/floOr sinkAtub 25.02
Address: y15 , 75.&.) 1..A6„,s64.0
Carhop disposal 25.02
CitY1Stater411: 1.11111...0\A, 40 1.1 ,Hole bib 25.02
112:WAIINFIREIMII Fax:( ) Ice maker 1151
', ..-.'''. • .11 AlliiK,ThAllfr .f: ' . - .„., 0 coptaer lizittoN , hsteramtor/grease trap 2102
BusinesMedical pa(value:$_) , Page 2
smainc:
Primer 12.51
Contact native: V,-.-..,'WV.1'11 trA Vjeikth "It0of drain(commercial) 12.51
Address: Sink/b. asin/lavabNY _
25.02
City/State/ZIP: S'3101.Wilts(potable water) 62.54
Phone:( ) fax::( ) Tub/shower/shower pan 12.51
- -
E-mail:
Urinal 25.02
.
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name;Wolcott Plumbing Water piping/13WV 56.29
Address:1075 W.Historic Columbia River Hwy Other. 25.02
City/State/ZIP:Troutdale Or.9060 Subtotal
Phone:(5413)667-1781 Fax:(503)667-9891 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:112220 Plumbing Lie.no.:26-824PB
Q3 State surcharge(12%of.pmmit fee)
Authorized signature........•6k4...- TOTL
-
Print name:Mark Baleme Dale:2/17/17 APERMIT FEE
,k,................ ._
1 Thit permit application expires BO permit is not obtained within 130 days
riAer It hlti brill ateepted an complete.
'lee methodology nal by Tri-County Building litduttry Survux Board.
I‘SuildikOPermits0,14:-PermitApp dos 10/01/09 44446101:aorcosivE5o
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8660 SW SCHMIDT LOOP, TIGARD, OR, 97224 November 22, 2017 at
3:42:00 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00593
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Contractor on site to caulk and seal base of main bath tub and master shower prior to
final inspection.
Locate storm cleanout.
Cleanouts to be brought to grade.
All else appears ok.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8660 SW SCHMIDT LOOP, TIGARD, OR, 97224 November 22, 2017 at
3:22:36 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00593
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Correction from previous inspection complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8660 SW SCHMIDT LOOP, TIGARD, OR, 97224 November 22, 2017 at
3:17:54 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00593
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Corrections from previous inspection complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8660 SW SCHMIDT LOOP, TIGARD, OR, 97224 November 29, 2017 at
11 :52:25 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00593
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