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Permit Support Document (3) 10 " ofTigard • COMMUNITY DEVELOPMENT DEPARTMENT City g III II ///7// Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www: -a1t = i E TO: CITY OF TIGARDOCT_ Building Division 20th 13125 SW Hall Blvd.,Tigard, OR 97223 (ITY Y OF.I,I _ ARti Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPrts!1:: zov / FROM: ❑ OwnerApplicant ❑ Contractor ❑ City Staff Check(✓)one I "`` REFUND OR Name: INVOICE TO: (Business or Individual) -1:22)2_ (sr\ C I �`-' \r.LI//U Mailing Address: �,��' () � ��n/ �� t("Y1 oLL--eJ 44 � City/State/Zip: `\1 J- 1 Phone No.: (9 -`-4 I 1(O1 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCEL OID PERMIT APPLICATION. 1D PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: mS7-0W IIP—00 3Y 0039 /$Wirn& " d/.3a0 Site Address or Parcel#: b 51 I 3Lv SC\N/\t Q L6op Project Name: Subdivision Name: , Lot#: EXPLANATION: \jt (`,XC 1,' / • 0 _ z Ac J v`mss) �1 L\ — =� Signature: cA iC w .0,r3 Date: �� j2 /ILO Print Name: C \ �-04(5 Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date/C1, By Route to Records: Date By Refund Processed: Date /✓ By Invoice Processed: Date ///j//� By, Permit Canceled: Date ///7//(v By Parcel Tag Added: Date / By I:\Building\Forms\RegPermitAction_0 2314.doc City of Tigard • COMMUNITY DEVELOPMENT Building Division TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov INVOICE TO: DR Horton, Inc. Customer ID: 130859 Attn: Emerald Weeks Invoice No.: INV2016-00015 4380 SW Macadam Ave., #100 Invoice Date: 11/7/2016 Portland, OR 97239 Date Due: 12/7/2016 Case No. Site Address Subdivision-Lot#or Project Name Amount Due MST2016-00384 8511 SW Schmidt Lp Heritage Crossing,Lot 18 $255.24 Fees due for plan review completed prior to request to cancel permit. Invoice Total: $255.24 I Please see attached fee schedule for description of fees due. (Detach and return this portion with payment.) Case No.: MST2016-00384 Customer ID: 130859 Site Address: 8511 SW Schmidt Lp Invoice No.: INV2016-00015 Project: Heritage Crossing,Lot 18 Invoice Date: 11/7/2016 Date Due: 12/7/2016 Invoice Total: $255.24 Amount Paid: $ Office Note: Please mail payment to: City of Tigard,Building Division Atm: Dianna Howse 13125 SW Hall Blvd. Tigard, OR 97223 I:\Building\Accounting\Invoice.doc 01/14/2011 CITY OF TIGARD FEE AND PAYMENT HISTORY ,i 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIG ARD MST2016-00384 - 8511 SW SCHMIDT LP, TIGARD, OR 97224 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due Plan Review 230-0000-43106 $751.34 $751.34 $751.34 10/3/16 Credit Card 406526 $0.00 DC Provision Review, SF-Ping 100-0000-43112 $90.00 $90.00 $90.00 Plan Review 230-0000-43106 $165.24 $165.24 $165.24 Totals for Fees $1,006.58 $1,006.58 $751.34 $255.24 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 406526 Credit Card dr horton inc 10/03/2016 $751.34 Total Payments: $751.34 Balance Due: $255.24 . i � ., s'4.1 3 7/0 4L ` Building Permit Applica n : Residential Z-G� / a SFP 2 i 2016 l�llttallifI to «tit City of Tigard Rrceivrd 9 94 Ile ' /-/ 11 -- 3 81.{ IN . i 3125 SW Hall Blvd..Tigard Oft ` ,,V1': ,.- i Uate B} Permit N�.: * e Datelan Review /� A0 _ Phone; 503.718.2439 Fax: 5(4:59a�t9t� y � � Date D} r!��a.C ') r `� Other Perntit_� I ,, r t., Inspection Line. 503.639.417$ ',.:i k; ti , y ;•:. 1 Date Read lir rurtr Internet: www.ti ardor.rov ` }' o S See Page t2 Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ('j New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY O CONSTRUCTION indicated on this application. ra I-and 2-family dwelling 0 Commercial/industrial Valuation: ),,1 0, ,akS /C�, .y J ❑Accessory building ❑Multi-family Number of bedrooms: / ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 67, a lt c k Job site address: 8-4S1 I .SW M,r L /-, New dwelling area: 1 square feet City/State/ZIP:Tigard,OR 97223 v' (� Garage/carport area: Lya, square feet Suite/bldg./apt.no.: Project namt - UY VtVA, Covered porch area: Rcf square feet 14 d9 Cross street/directions to job site: j Deck area: square feet 7 ` 1) Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: ., Permit fees*are based on the value of the workP erformed. Indicate the value(rounded to the nearest I Tax map/parcel no.: 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 it PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW M;3cadaniAve Suite 100 Occupancy groups: City/State/ZIP:parliand&OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES" Business name: DR Horton Inc. (Please stJatwire schedule Structural plan review fee(or deposit): Contact name:Emerald Weeks • FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 City/State/ZIP: Total fees due upon application: Portland, OR 97239 Phone:003 )222-4151,x1107 Fax: ( ) Amount received: E-mail: esweeks@drhorton.com PHOTOVOLTAIC:SOLAR PANEL SYSTEM FEES* 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 Address:43$0 SW Macadam Ave Suite 100 and fire department access,along with the 2010 Oregon Solar Installation Speclain'Code checklist. City/state/ZIP: Portland, OR 97239 Permit Fee(includes plan review and administrative fees): S 180.00 Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): S21.60 CCB tic.: 130859 l Total fee due upon application: $201.60 Authorized signature* if 1 r y y.r ;' 4 „4 r " This permit application expires if a permit is not obtained nithin ISO days after it has been accepted as complete. Print name: ` "# i i l z kra Date:201 i5 'Fee methodology set by Tri-County Building industry Service Board. I:+Building Permits'.BUP-RESPcrmiiApp.doc 02.24-201 I 440-46137(11,02 COMIWEBJ .1,- 171 ... i, ' Mechanical Permit Application City of Tigard SI 13125 SW Ilan tiled, lognitl,OR 9721S,E.P 27 20 16 k ...,„..,..., , fu,„a..„.,,.„..... .. ... 501 503 598 1900, 3113 c 3,r-::,A., 4. 11141 i.Ait)C 303 639A1-28 t '3 l, 3, 13.;1 1 ,.a... 'La.; 1„0„,, R,,,,,,,,,.01,, 1 s+wu Ittgantm,pn . ,-.3 a 3 ,--„a• "";'1,..:1,1::IN .. NoWird,,,lisiss 1:;..t.0* Y 49//6 Oltl Pt'"1"1/4' ilL/ i—No/4,-6140,-3e A:WV, ---in Set Pftt i tor - ', : !... 1r...,-, ,....,'; ., •4-7-.)- ' .. , Sqtritsatatot liantsormsk */11 . 1 -- . - --- i -toacutocusT tsti ''''''''.°111"11K 1 /1 '1'a:a tat1L L" i1outnli perm It.x."..are hosed on the Lome of the wort 1 111141111.Ne%0011MM:bon ' 6Ndd......,„walteritionwpiw,m„., motormen Ira/mate the 3,elite iintavanni to the moan 110U:f 1.,"d rt i hattleal inner vitt,Norm.labor,ogrinaut and ptolt = 0 poriallitent 0 tither Valor.8 Illi I-and 2-family dwelling 0(23munermallindintiml 0 Amanatiry building far wateietiiiifierniation me tiovidirat _ o Multialaindy 0 Master builder 0 Other" i)atermiton - lift,.,..ctit4 1 3.11.'3, ' "1'it.....114POOS'1114a.c lateiti. 1343./1-:=';',1*, ' ; 1131"' ttorweidnionitiea -- . . , a . ... &5j I ii,/„......9c, ro .4 I,N ,a,. - icdtv f.Fume100000 13T l taa.la If 0:::1 ' 11- - ....1., 44:641 4: 1,..__. funtatat italtinno It I 1 t'1" '144111'/IP" Tigard,OR 97223 .-47-----, hid. opt.,OS Project nosh: -e....N1lini* ,if-0 ....._ p 4 _ . _.. t VtAs Arena ilimenong to nth or 1 listairome hoi ismer ____---- , kinnimital Nato tradtame to I 1 1 1 . a ' 1 indronim l 1 23 3:1 ,..,i .. . nn heaters I halt gpa,not&emu . . . — j t Iowan.,makto !amendedt etc , t 46"3,4„ =-= . Flaktent Mr am or /Mita: — L r!„.... hc, -' - SOIXIIVIN1141 .---''''.1 a (A 1'. ----- Other fort appliasecrs: _ — . las nummareal no: .=' 1 Vtato'WW1 "1 1 1.11, , New SFRIrl -- ' --Nit/j..ti. tirki-, s_ , . --........_............ . .„—.....-- * __I law lightet(gol —I ,1 t-, --1 I .. wood rowidwt.owort i tionneythottufhte31111t ' 21 12 t- 1 , c a aa. ' .POMMY '1'...7"=:**1..;"111“%" 11'. 1: "L1L1111,41.33,31;31:111 '11- ' - Eatitheernana — and genfilittiont 1 , N3III3c. DR Horton Inc. [ Atkitc,-s-4380 SW Macadam Ave Suite 100 P t iiy'Sta.' leIZIP' ortland,OR 97239 _ , ....,.... ., __ ... ......._. .. . . ,..,. i ,. Range hood, g k admit ' -1., j 3 totheg Maar egiutaa_ 1 33 313_ „„„,„___4 , Sande dint militia It/attn./Ma ''' i i 4 ---osi trtissfS, Latklj ONstrol 1 I i , . il 503 2224151 Fax.t t i 1 MUCCrosoisiss:0 les,‘nr141 1 ) - . ' il Fuoplitim. — . , . Ihnttlro.ran*: DR Horton Inc. s14 — 1 '''-' ,i5,Far fir0 Ifoor;$4,11.t!!!r coach =••rusterd ... Ctiretare reareV Emerald Weeks D hanwe me ./ .— ----- -- —1-- Lim neitalrutor_,_ Address 4380 SW Macadam Ave Suite 100 .........s.s _ , s ( Its Stale TIP: portiand,OR 97239 503 _........ ............ h----' -- 1 lc. c r. 1 Ptult't 1 '222-1151 x110r 7 d., ( , . _,,,... - . , , . .., .1 133ritagoe .=, ,1 num esuerekSOdfhOrIttfl.COM , , — a._ ---/ i - ' - a , -,, flumwat rigniC Aiir---y Aii,,, , A,kt......,,,l;iz.,) „. ._, .. ,..,, , . iv 44. $) 4:- ‹itiriti. 7,3 ...A .., I ( try Stair TIP 4 f ,, ,i--,i _ ,. `s , ' • ._ ..., it ' ''..:, 1,1/A ( %-e. 1 4,4_ Mmintion panne Me t8.90 00 t ;` ,,, ---a 11 Plot lb I -isll' ,. . I'll_ f __,Lit1Air.L.Iiird*1.7.,Arr 1;211,ot perttintrtiam , 0114 a PERM T L 1 t III in i= , 3.. ., ,... _ ,' La_ — . - ; I ItKporssit sprelostios tapirs*if s'pertts0 it sot MuMurd uettst*teM dri44*rum n legm hero Atoreprtud m tompire* ‘1.141,au 1 i et]smeretieutc,„ , ;-"-17:,,mt.'nasue.,_' ' ..,,,,,,,.._t•P''../171--... — — , iletcL, i ../.(41:„.,. I ,-- .744--•„- -,--.-- — ,... Electrical Permit Application ri>>: id i I c i- t ,i ,,\I v 1114 City of Tigard SEP 2 7 2016 waft Q A9 /!o (all,1, Permit l ro.: 57296/la-ex) 3P1 N' 13125 SW Hall Blvd,Tigard,OR 9722 d• , Pion Review �[` Phone: 503.718.2439 Fax: 503. 81tafi l I` q l K' :' ls Date/BY: Iurls omit 1 , Inspection Line: 303.639.4175 nate , Inspect: www,ti8 03 63 gov ! t i ,tF�`, ,IPS, ''`),.'.•P,. Notified/Method: ;win Su See Pent l InformationSupplemental OF:WORI�;. ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plasw/iterascheckedbelow): []Service or feeder 400 Napa or more 0 Building over three stories. ID Demolition ❑Other where the available fault current ❑Marinas and boatyards. CATEGORX:OB t 70dilSTI UCIION exceeds 10,000 amps at 150 volts or 0 Floating buildings. a 1-aria 2-familyless to ground,a exceeds 14,000- ©Commercial-use agricultural [[ dwelling 0 Commercial/industrial" QA ildin Q ' y-p g amps for all other installations. buildings. ❑Multi-family []Master builder ❑Other: OFire pump. 0 Installation of 75 KVA or JOB $11E INFORMATION AND LOCATION n BAY �. larger separately derived system, ❑Additica of now motor load of Q A", ,"1-2",•1-3n Job no.: Job site address: 8"5/1 Vis/ J, 1,�__ .f 9 L j_ s ormrmore. occupancy. /1 j�*`e('i[ IRRJ�� ❑Six or more residential twits. ❑Recreational vehicle parks. City/State/ZIP: 71 a, D2 q 3 0 Health-care facilities. CI Supply voltage for more than C� li, �A_�,,, pliazard a locations. 600 volts nominal. Suite/bldg./apt.Ile.. Project name: V r o >,1 D 0 Service or feeder 600 amps or more. Cross street/directions to job site: FEESCHEDilLE isess 1 Q4• 1 Fee. . 1 Total 1 ' New residential single=or multi-family dwelling unit: Includes attached garage. Subdivision: Lot no.: ) 1,000 sq.ft.or less I 168,54 4 Ea.add'l 500 sq.ft.or portion p2. 33.92 Tax map/parcel no.: 1 Limited energy,residential DESCRIPTION OF WORK (with above sq.R.) 75.00 2 �- ` Limited energy,multi-family 73:00 2 ( te,) L residential(with above sq.ft.) Services or feeders installation alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER -. j 0 TENANT 201 awn 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: Temporary services or feeders installation,alteration,and/or _ relocation Phone:( ) Fax ( ) 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 to ORS 447,449,670,and 701. 401 amps to 599 amps 16&54 2 Branch circuits-new,alteration,or extension,.er panel Owner signature: Date: A.Fee for branch circuits with v ❑ APPLICANT 1 i 0 CONTACT PERSON above service or feeder fee, 7.42 2 DR Horton Inc Fee for branch circ Business name: B.Fee for bleach Circuits without contact name: Emerald Weeks brawl service or feeder tee,first brandtcirgtit 56.18 2 Address: 4380 SW macadam Ave Each add'!branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 s Each manufactured or modular 69.84 2 dwelling,service and/or feeder Pbarle.(5O3) 222-4151 Fax::( ) J Reconnect only 6714 2 ,.. ._ or irr 67.84 2 E-mail: - Pump igation circle CONTRACTOR i' • Signor outline lighting 67,34 2 Signal circuit(s)or limited-energy Business name: s_,(A,Lt a. 10 4 l4¢c4--> 'c Di_,,, panel,alteration,or extension. Page 2 12 Address: .L.LL p, r( Each additional inspection over allowable in any of the above 2 g0 7 /f/E KJ cI e 1. ze, �y p . Additional inspection(1 hr min) 66.25!hr City/State/ZIP: VOG.0 CO k I/ 1,-". 1.4/74. �l f_ b �v ti8 (1 hr min) 66.25/hr Irmttstrisi plant(h hr min) 78.18/hr Phone: Fax:�yt 3� 9 C 0 Inspections for which no fee is specifically listed('h humin) 90.00/hr CCB Lic.:1, 2,6-41,7Electrical Lic.:.CZ 3}0 Suprv.Lic.: /775 $ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:f' .7 `f , ' Subtotal: 1 -r'L Plan review(25%of permit fee): Print name:C4 0--,s4-4, 6 2 r 7..i , I Date: State surcharge(12%of permit fee): Authorized signature: V(... TOTAL PERMIT FEE This permit application expires N a permit is not obtained within 180 ) Print name: '-'4 Date: days it been accepted as complete. IV • Number of inspectionstioosallowed per permit. 1:1$uiIdina1permiu .C-PermifApp' 440.4615T(11/05/COM/WEB Plumbing Permit Applicat iA=, ' ' {r Building Fixtures Ci afTi rd r.r0 9 i ���/ aeui«ea Ilh t . DaMlBy: 9a?9 r,o P snit Na.7l5r6r�00385' • 13125 SW Hall Blvd.,Tigard,OR 9122�3 i , t.. , a Wee Review 8 Phone: 503.718.2439 Fax 503.588,04 Other Permit No.: Inspection Line: 503.639.4175 0, ,, i'A_'T-r e },,"Dose Re: T lc,111 L) i 1 1 iv.�T - Dae RedylBy: huts: R See Page 1 for Internet: www.dgard-or.gov 'i '\; x e Notif,edJMahod: SrepIeremal tafertaNioa TYPE OF WORK INE*SCE DE1T,l ' h ❑New construction 0 DemolitionForspedalInformation use checklist 'Description I Qty. I Ea. 1 Total Q Addition/aiteration/reptacement ❑Other. New 1-2-fondly dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONS7RVCTION SFR(1)bath 312.70 ❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(„__sq.ft.) Page 2 JOB'SITE RVORSIA,T,IOih:AND LOCATION Site utilities: lob site address: 21511 c_3(A./ 411 IN41 .4. 1 Catch basin or area drain 18.76 .76 City/State/ZIP: fr s� (j� q 72 '> '�"� Doting reach nine,oetr ft.: sin Page12 I . Footing drain(no.linear ft.: ) 2 I Suite/bldgJapt.no.: Project name: , ,,1 f �/i Nll lip Manufactured home utilities 50.03 Cross street/directions to job site: 1, Manholes 18.76 •J Rain drain connector 18.76 Sanitary sewer(nolinear ft.: ) Page 2 Storm sewer(no.linear R.:,,,J Page 2 Water service(no.linear ft.:__J Page 2 Subdivision: I Lot no.: IR Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 , DacRIPT'ION•O rMORK Backwater valve 12.511 ' Clothes washer 25.02 erNUAIlit 1•\0(144 Dishwasher 25.02 i jbF 9 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPEgy 01q!NER .1 • 0 TENANT . Expansion tank 12.51 t t \ Fixture/sewer capFloor 25.02 Name: f} Vt c .P,OLc _ - Garbage drain/floor sink/hub I 25.02 Address: ' / Garbage disposal 25.02 City/State/ZIP: +F`. � Hosebib -4 25.02 Phone:l( , . •\..- l ,Fax:( ) Ice maker 12.51 0 APPLICANT • 0 CONTACT' PERSON Interceptor/grease trap _ 25.02 Business name: 1VIVIot.%_-,! _Medical gas(value;S ) _ Page 2 Prima 12.51 Contact name: -,liv Q, �I - "�tl, �.� , Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 - City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: 10. ..v V. 0171-01/1 ,CC Urinal Wates closet 25.02 25.02 • ' , •. -CONTRACTOR Water heats • 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address:1601 SE RIVER ROAD Other: 25.02 City/State/Z1P:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0I13 Fax(503)640.4483 Minimum permit fel: 572.50 Plan review (25%of permit fee) CCB Lie.:94689 Plumbing Lic.no.:34-26013 State surcharge(12%of permit fee) 'Authorized signature: OAP' - TOTAL PERMIT FEE Print name:RAY MULLEN l Date: This permit application expires ifa permit is act obtained within ISO days atter it has been acceperd as complete. 'Fee methodology set by Tui-County Building Industry Service Board. ('tauildigtPamitaINU-PerwitAopdec 10/0109 440.016T(10/OICOMA ZBt City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: HsT9-e i Co ,on 3 Site Address: g s 11 S'\/ Sc In midi- 0 p Project Name: Re,lt-ditc e croS S On cl Lot #: IY (New dwelling=subdivision name;AdditioYor Alteration=last name of owner) Planning Review Proposal: N QIW S F-iZ I Verify site address/suite#exists and active in permit system. 71 River Terrace Neighborhood: e No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan fisting 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 Drawn 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 motion of wells/septic systems /Applicant information(name and phone number) —misting trees to be retained with drip line,and tree ,Lot dimensions and building setback dimensions protection measures f21Lot area,building coverage area,percentage of coverage and 'Street tree size,type and location impervious area(applicable if R-7, ,R-25&R-40) 7.8treet names ?/Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No V Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Wr Land Use Case#: SUGWlSA QQQj$ / '2,0 IV 20Ic- 0000e, VI Zoning: R— I '2 121 Required Setbacks: Fronti S Rear / 5 Side 1 Street Side 6 Garage 2 12. Landscape Requirement: 6 0 cyo 0 Lot Coverage Maximum: 2,0 % ,Zr Building Height: Maximum Height 55 Actual Height Visual Clearance ❑ Easements p—Sensitive Lands: ❑ Yes ❑ No Type 121' Urban Forestry Plan j/Conditions "Met"prior to issuance of building permit Notes: C,0r j 1+. d n s be, rY)e f pill r hoi s,( uG4 r''1 c.,2 v G 19 c aL 1-,y p.e.v r v. Approved By Planning: /)/j - i- - f. 1 o€ Date: f/Z 7)1 A, 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\BidgPermitRvw RES_091216.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering El Permit Coordinator ❑ Building Workflow Sign-off: El Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑ Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review Slope at building pad: jg / CI Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved b Engineering: Date: Notes: .. mil ' .1.1 _.ter se i �+' �w �_��U Approved by Engineering: j`d. I) Date: .—g Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved El Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit Ppproved,NOT Released: e�w,,,,, ate: 17)4/14.• 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: IkBDC Fees Entered: Wash Co Trans Dev Tax: es El N/A Tigard Trans SDC: , Yes ❑ N/A Parks SDC: Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_RES_091216.docx Albert Shields From: Albert Shields Sent: Thursday, September 29, 2016 11:14 AM To: esweeks@drhorton.com Cc: Kim McMillan;Al Dickman; Gary Pagenstecher Subject: Heritage Crossing, MST2016-00383, -00384, & -00367 Attachments: Conditions - 09-29--2016.pdf Emerald, on review of the applications for these building permits we note that there are multiple Conditions of Approval for the underlying land use case, SUB2015-00015, that have not been met. Please see the attached list of conditions. Accordingly, I am putting these applications on Hold as Approved but Not Released. Plan Review will proceed but not issuance. Regarding MST2016-00367 for the model home, this can be released once Condition#34 is met—all public improvements are substantially complete. Please let me know if you have any questions. Albert Shields. 1