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Permit CITY OF TIGARD MASTER PERMIT *01 " COMMUNITY DEVELOPMENT j I 11 Permit#: MST2016-00010 243•718 13125 SW Hall Blvd.,Tigard OR 97223 503. . Date Issued: 02/22/2016 TEC ,h R,>i g �� Parcel: 2S109DB01800 Jurisdiction: TIGARD Site address: 13058 SW BLACK WALNUT ST Subdivision: WOODSIDE Lot: 10 Project: Summit Ridge No. 5, Lot 159 Project Description: New SF. Model home with sales office. 4/12/2016: REPRINT permit to add fire sprinkler system. 6/20/16, REPRINTED to add 50'of drainage trench to rear of lot. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 656 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 34.5 Bathrooms: 4 Second: 938 sf Garage: 390 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 1410 sf Right: 5 Detectors: Total: 3004 sf Value: $359,156.56 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 150 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: 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!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 3004 Owner: „, Contractor: VENTURE PROPERTIES INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 PORTLAND,OR 97239 2 A Geotechnical report is required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,543.48 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. • may ob• - ••'o e r - - direct questions to OUNC by calling 3. 32.1987 or 1.800.332.2344. Issued By a Permittee Signature: I,1 "��'�%�/' C 0.. 4175 by 7:00 a.m.for the next available inspection date. This permit card shall be ept 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. Plumbing Permit Application Site Utilities C I El) Eiew p /^ -cPermit No.: /.[(�`� � 13125 SW Hall Blvd.,Tigard,OR , t,tU2016P Phone: 503.718.2439 Fax: 503. •:.1966 Date/By: Other Permit No.: 1 t 1.1:1 Inspection Line: 503.639.4175 i, y j i Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov r1 4 �a `t Notified/Method: Supplemental Information ,` FP . ^ : 44 ` ..-,k- i .kI^rv` ; :,,, , . .l Tis , . - > F - . .,A, -te---v:�. uKs ._ ,,,...,-;(1, y + ❑New construction ❑Demolition For special information use checklist. Description Qty. I Ea. I Total ❑Addition/alteration/replacement 1 .ther:55\ S New 1-2-family dwellings(includes 100 ft.for each utility connection) 1q rt t by i (1) � � SFRbath r '111-and 2-family dwelling 0 Commercial/industrial ( ) SFR 2 bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(-sq.ft.) Page 2 - Ye. x«+ /r-+ � .. ta csr..;3 t,',u` ,t rt.': i t . " ° �� Site utilities:� � : x`. r�. ;2„2", . : � *w:� ! rw� `'. �: � ,.� Catch basin o r area drain 18.76 Job site address: 13DSDSL) 'Rack . (t1 stred.- Drywell,leach line,or trench drain Mill 18.76 City/State/ZIP: Tcg Footing drain(no.linear ft.:_) Suite/bldg./apt.no.: I Project name: summt 4. a *5 Manufactured home utilities •50.03 Cross street/directions 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 t Water service(no.linear ft.:_) Page 2 Subdivision: soften,1- 'et d Lot no.: I SGi Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 "x - -.e� t�.wf ,- -1.,-- --',4 ;:r.41'.,",,,' < 6ry ,^a Backwater valve 12.51 )-, ,4,_:q..- -1::,,,,..,,E: - 0 , t§YtP x:$ T4„ . .t §....< Clothes washer 25.02 Dishwasher 25.02 a�ddiiior l 31)(m dra,u\' Drinking fountain 25.02 Ejectors/sump 25.02 ".i.',"-', t E 'Ed -=. rxt - Expansion tank 12.51 . =:.t. ; ?_ :v.'. -i-x=x•. < -., ,• , lr ♦ pp : r,:t 4 k. a.«a i. .-).'e'"4 t.4:: Name: Q kiwi-1)n, �+l nC. .-chi\-kanci Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 14,36() Sto r iti . &,4;,k 106 Garbage disposal 25.02 City/State/ZIP: N` q7 231 Hose bib 25.02 Phone:(NZZ -y15( Fax ( ) Ice maker 12.51 J - C�:y. . : ,X. �r3, 4 Interceptor/grease trap 25.02 1 Medical gas(value:$Business name: ) Page 2 Primer 12.51 Contactddesname: ( as av l \J1 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: Urinal 25.02 Water closet 25.02 -CONTRACTOR . Water heater 37.52 Business name: V Cam L G Water piping/DWV 56.29 Address: cto 'C2)Y %44 Other: 25.02 City/State/ZIP: Cr.A CVS Cf lC)I' Subtotal Phone:(4) ,�g� op Fax:( Minimum permit fee: $72.50 CCB Lic.: _467 •♦ Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ' 1_ TOTAL PERMIT FEE haw Print name: (r, Scol•4- ' ` K Date: 6(7116 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PennitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) CITY OF TIGARD MASTER PERMIT illip Permit#: MST2016-00010 COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2016 Parcel: 2S109DB01800 Jurisdiction: TIGARD Site address: 13058 SW BLACK WALNUT ST Subdivision: WOODSIDE Lot: 10 Project: Summit Ridge No. 5, Lot 159 Project Description: New SF. Model home with sales office. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 656 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 34.5 Bathrooms: 4 Second: 938 sf Garage: 390 sf Front: 15 Smoke Detectors: Yes Dwelling Units: 1 Third: 1410 sf Right: 5I Total: 3004 sf Value: $359,156.56 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 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 Drains: 0 Tubs/Showers: 4 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: 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 SrvclFeeders 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 8 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 3004 Owner: Contractor: VENTURE PROPERTIES INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 PORTLAND,OR 97239 2 A Geotechnical report is required before the footing PHONE PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,266.51 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 Notific tion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.`You may obtain a co• of the rulesii 'irect questions to OUNC by calli 5 3.232.1987 or 1.800.332.2344.� / / yJ Issued By: `er -- ignature: -.!`1..r9.4175 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. Ebe trical Permit Application 1.oR()F1.1( F. l SL()11.1 ' 0 City ofTigard 24,victi'vt Received Permit ii: 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review 14 Phone: 503.718.2439 Fax: 503.598.1960r Date/By: Related Permit Pi - Inspection Line: 5034394175 0 S 1mb Ready DateiBy: kri, VI See Page 2 roe 1 1 Iti XI:I) Internet: www.tigard-or.goy AN M NotifiedNethod: Supplemental Information 1 -New construction 0 Addition/alteratiorkr*WaletWent i a L'Ill Please check all that apply(submit/acts of plans witems checked): 1N-C DIN 131" 0 Service or feeder 400 amps or more 0 Building over three stones. 0 Demolition 0 Other. where the available fault currcm 0 Marinas and boatyards. 1.,: l -7.,:: :;;',' :00,0N,M0crioN - ,,,,:::4,r-„ , , ,,, .. exceeds 10.000 amps at 150 volts or 0 Floating buildings. 4 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Contmercialmse agricultural amps for all other installations. buildings. El Multi-family 0 Master builder 0 Other: 0 Fire pump, 0 Installation of 150 KVA or JOB.SITBASIFORMari3ON Mitt,theA1101V ' . . •• .,.:4'11,-,e,,," 0 hmcrtIencY s)slcin larger separately derived Job#: I Job site address:126 gS cu„)Glack,Vieltha El il'ooddii:igroMf 7:motor toast of 0!y6:7''ii.-."1.2-,•rt.-, City/State/ZIP:Tigard, OR 97223 ,----1 0 Six or more residential units. OcNneY • V" • 0 Health-care facilities. 0 Recreational vehicle parks. IProject name: Summit Ridge Suite/bldg./apt.#: 0 itazanioin locations. 0 Supply voltage for more than 13 Service or feeder(400 amps or more. 600 volts nominal Cross street/directions to job site: _ -• Drstriptlem I Qty. I Each I Total 1 • New residential single-or multi-family dwelling unit. Subdivision: I Lot#: ),c—zi Includes attached garage, 1,000 sq.ft.or less j 16834 4 Tax map/parcel#: Ela midi 500 sq li or portion 33.92 I ...'V,. . - -. - : ...-, .,-,,,DrSconwrioN OF WORK '.. ::- ' :-;'r. '.-.,... . , Limited energy,residential 1 75.00 2 New SFR (with above sq.IL) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 I ' 0 TENANT 'l''' ',' ' '';''' Services or feeders installation,alteration.andfor rclocatMn Name: DR Horton Inc. 200 amps or less 1 100.70 2 201 amps to 400 amps 133.56 7 Address: 4380 SW Macadam Ave Suite 100 401 amps to 600 amps 200.34 2 City/State/ZIP: Portland,OR 97239 601 amps to 1,000 amps 30L04 2 _ Phone:(503 )222-4151 Fax:( 1 Over 1,000 amps or volts 552.26 2 - Temporary services or feeders installation,alteration,and/or Email: e-s-weeksPdrhorton.com , relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447.449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date. . 401 amps to 599 amps 168.54 2 0 Applic4NT ,, 1 „ii ansrrAci,PERSON , BAT:tfocrit7attiii.:-c-i new,mihtalteration,or extension,._er panel Business name: DR Horton Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Emerald Weeks B.Fee for branch circuits without service or feeder fee,first Address: 4380 SW Macadam Ave Suite 100 branch circuit 56.18 2 City/State/ZIP:Portland, OR 97239 Each addl branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503 )222-4151 x1107 j Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:esweeks@drhorton.com Reconnect only 67.84 2 4,CONTRA-CTOR Pump or irrigation circle 67.84 2 Business name: Wright 1 Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 2 Address: 11490 SE Jennifer St, pancLah.rati„,,or extension. 0 See Page 2 Each additional inspection over allowable in any of the above City/State/ZIP:Clackamas,OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:(503)760-8522 ( Fax:tie,) IVO _ ti., ..4S Investigation(I hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: riane@wrightlelectri.com 4111)/ Inspections for which no feels 90.00/hr CCBLic.:162368 Electrical Lic.:3-332C ,. Suprv. Lie.: specifically listed(V:hr min) 14 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Et).6,1-t-pt /AL" (011 Subtotal: Print namtrpm pots Lt.. E....t.,LStir iiDate: 2016 ,,,gJan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized si me: ,---- This permit application expires if a permit is not obtained within 180 Print name: _____-- Dare: 2016 days after it has been accepted as complete. • Number of inspections allowed per permit. 1.Buddzng Permiu ELC_FermlApp_ELR_FRE doe Re,06 17 7,015 4404615111 150 CONI•44,13 Mechanical Permit Application ed FOR t)Fl l( r t sl OM ' "piCity of Tigardi)V4i-'' Dates Permit No.: ct 13125 SW Hall Blvd.,Tigard,OR 96`Ci-It...i ` Plan Review C Phone: 501718.2439 Fax: 503.598. U Date/By: Other fcnnir. T i(;ARI) Inspection Linc: 503.639.4175 n (1: :\C3 � Date Ready/By; Juin 63 See Page 2 for Internet: www.tigard-or.gov ��_` Notified/Method- ‘4•\ oti ied/Method: Supplemental Information � w� �`� �� TYPE OF WON. C COMMERCIAL FEE* SCHEDULE— USE CHECKLIST {� � Mechanical permit fees*are based on the value of the work •New construction ❑Addition/alteration4 �� perfumed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: $ ''1l L mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* • I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 1.'Zf�^c6, C_w BAzt...cti l ,tYw1 &k-". Furnace 100,000 BTU(ductsivents) 46.75 City/State/ZIP: Tigard,ard,OR 97223 Furnace 100,0001 BTU(ducec'vents) 54.91 g Heat pump 61.06 Suite/bldg./apt.no.: Project name: Summit Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 /vii Other: 23.32 Subdivision: Lot no.: , 1 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: DR Horton Inc. Range hood/other kitchen equipment 33.39 Address:4380 SW Macadam Ave Suite 100 Clothes dryer exhaust 33.39 City/State/ZIP:Portland, OR 97239 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(5O3 ) 222-4151 Fax:( ) _Attic/crawlspace fans 23.32 0 APPLICANT it CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. $14.15 for first four;$4.03 for each additional Contact name: Emerald Weeks Furnace,etc. Address:4380 SW Macadam Ave Suite 100 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Portland,OR 97239Water heater Phone:(503 )222-4151 x1107 Fax::( ) Fireplace Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* 3o `F f'7 (�"a— Subtotal Address: (j � City/State/Z1P: A F k s.{ n.,--. C 7 3 Z ) Minimum permit fee($90.00) } l Plan review(25%of permit fee) Phone:(5 9 l ) q Z(p- 13 7 i.i. j Fax:(94) ) i 2,b— 7 1 7 i'' State surcharge(12%of permit fee) CCB lie.: 's- r.q S9 f "/ 7 TOTAL PERMIT FEE This permit application expires if a penal*is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: ,dace`i lI,'-t'- to i V I Date: j I:''Budding\Pernms,MEC_Perm4App_o401 I*aloe 440-46171(I 1N21COM.MEB) Plumbing Permit Application Building Fixtures + It)tt lit Ili 1 ( 4f t)vI5 City of Tigard %ON) Received `T b $ , .\i Pisa Rev**, (hticr Permit Too..D�i$Y: Permit he 13125 SW Hall Blvd.,Tigard,OR 97223 c Phone: 503.71$.2439 Fax: 503.59$,1960 � Dolly Inspection Line: 503 639 4175 QN w, � � > 2 For Internet: www,tigar+d-or.gov ' -.,; 7i enion tw« S tel Information la New construction 0 DemoIit1 ® _for Furspecial information use checklist Q �iit Doc ri lion Sal. Ea. Total Q Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) 7 a s a SFR(l)bath 112 70 I and 2-family it dwellingSFR(2)bath y 0 Commerclai industrial _ IIIIII=Iargil � 0 Accessory building 0 Multifamily SFR(3)bath 500 32 Each additional bath/kitchen IIII 25.02 0 Master builder 0 Other Firc sprinMei t sq.ft) Page 2 utilities Job site address [ R .� W-\ Sit Catch basin or area drain 18.76 Drywell teach line or trench drain all 18 76 IIIIIIIII City'State ZIP: Tigard,OR 97223 rooting drain(no.linear ft:,,,,_) all Page 2 MN Suitebkig.'apt.no.: Project name: Summit Ridge Manufactured home utilities Mill 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer init.linear ft.:i) , Page 2 Storm sewer ins' linear ft_: ) i Page 2 Water sets ice unser Il _) Page 2 Subdivision: Lot no.: 6 Om, or item: Tax map/parcel no.: Backflow preventer , 31.27 F ac water ve a B k al !'41 ,:, NClothes washer 25 02 ew SFR Dishwasher 25.02 Drinking,fountain 25.()2 Ejertura=sump 25.02 Expansion tank 12.51 Marne DR Horton Inc. Fixture/sewer cap 25.02 , Flour dram/floor sink-hub 23.02 Address:4380 SW Macadam Ave Suite 100 Garbage disposal 25 02 City/State:21P: Portland,OR 97239 dense bib 25,02 Phone:(,503) 222-4151 Fax:( ) Ice maker 1 12,51 +P Interceptor grease trap 11111111113211 Business name: DR Horton Inc. Medical gas(value:S_) Page 2 Primer 12.41 Contact name:Emerald WeeksIIII Roof drain(commercial) 12.5! Address:4380 SW Macadam Ave Suite 100 Sink/basin/lavatory 25.02 City3State'ZIP: Portland,OR 97239 Solar units(potable water) 62-54 Phone:(503 )222-4151 xl 107 i Fax::( ) Tub shower shower pan 12.51 Urinal 25 02 E-mail esweeks@drhorton.com Water vlaset 25.02 1 ;/,--.__ Water heater 37,52 Business name Edward Mullen Plumbing Water pipinly'DWU 56.9 Address: 1601 SE River Rd, City'StatcZIP:Hillsboro,OR 97124 Subtotal Phone:( 503) 640-0113 Fax:( ) Minimum permit Cee: 572.50 CCB Lie-96289 Plumbing Lic.no.:34- .1 PS Plan review (25 .of permit tee) 1 State surcharge(12 '%of permit fee) Authorized signature: 'r�- �" I4�`.L-% TOTAL PERMIT FFF , I Ilritk. f This permit applkation expires if a permit is not ablative'within ISO days Print name: /'r ,„�„� � te:2016 after It has beta accepted ai toapkre. 'Fee methodology set by Ti-k owsty Building Industry Strict Board I',Pe,i,luj PvirurePLMi.-Pu.,ma'Aty'.+k'S !OM I:i4 San-au INT(Iii 1) .1154 WPP1 City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT T c n It D Building Permit Review — Residential Building Permit #: 1rry.y akp-0(.,O)10 Site Address: /3c S ZO Al / / /1Grt - Project Name: �unjit/7- £/4e Ale), S Gk 2J Lot #: /c? (New dwelling= subdi si n name;Addition or Alteration=last name of owner) Planning Review Proposal: I?ocde/ Aôie /..c/ mp _gei G)Ac' /✓l 762.ea _ Verify site address/suite# exists and active in permit syste . 1AiF'er Terrace Neighborhood: ❑ Yes L►'J No Si Plan Elements: VIree (3)copies of site plan ,� sting structures on site e plan must be on 8-1/2"a 11"ox 11 x 17"paper ��Footprint of new structure(including decks)with finished ti raven to scale (standard architect ox engineer scale) ox elevations ,rth arrowlity locations(required for new,may apply for additions) II. to address,project or subdivision name and lot number ation of wells/septic systems i7_ plicant information(name and phone number) rosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions esign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and reet names iropervious area (applicable if R-7,R-12,R-25&R-40) l Street tree size,type and location perty corner elevations(2 foot contour lines if more than "''!4:sting trees to be retained with drip line,and tree 4 foot differential) protection measures tRlean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): Pequired: E Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Faciliti mprovement (PFI) Permit: �� R quired: Yes,applicant was notified E No Applied For: 1 1'es El No,stop intake Il,d and Use Case#: g3aois=(Ybey''?- ---7-u)aSc )4 - coOaQ Soning: P-÷ / etbacks: Front /5-Rear /S Side `T Street Side /0, Garage cQQ ' andscape Requirement: cQ Vof Coverage Maximum: 00 �o tiding Height: Maximum Height Actual Height 4/( sual Clearance Vasements 12/ nsitive Lands: Yes ❑ No Type •C''' L//>A? / AV: ,/#��J 'j 0 rt Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit /l Notes: /7//)f6nX !Y// S 7Z. 17S #(2 .)r-- A pecin/ /S. 142n Cel C e Approved By Planning: �,� ./ Date: a 4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B IdgPermit Rvw_RES_070915.docx Building Permit Submittal Original Submittal Date: /72g/4 Site Plans: # /3 Building Plans: # 3 Building Permit#: 2---rater building permit#�above. Workflow Routing: ing L F;ngtneering — eI'E tt Coordinator fl g Workflow Sign-off: [ Sig o f for Planning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and opal plan review routing form. i Building: original permit application, site plans,building plans, engineer and n beam calculations and trust details,if applicable, etc. Notes: /HCl 4 'p cm of/V/ ' u. / `i , i; 2 _ __ I By Permit Technician: _, Date: /o'�/(p Engineering Review it 14 -rel -.) Slope at building pad: Q f- _4.W_ �,�_ ❑ 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 OT Approv d y E gineering: ,LP Date: --- Notes: `� �� l>r - id, • ✓ �� ,7 gr Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved E Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Me " rior to issuance of building permit proved, NOT Released: Date: .2-16)/2, Notes: 46„..? 4,,,,, `6,,,:r n. q /G —`e- M W-- wIvia.... '4 P(7 c. -�,Leese x,41,�� Revis on (after Building Submittal only) Gz�rr'e-�., Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ??0 SDC Fees E'ntered: Wash Co Trans Dev Tax: 1040 es ❑ N/A Tigard Trans SDC: ►11 Yes E N/A Parks SDC: !..Yes E N/A yOK to Issue Permit Approved by Permit Coordinator: I Date: 2-/`r 4 l:\Building',Forms`.BldgPennitRvw_RES_070915.docx Plumbing Permit ApplicatioRECEIVED i 3 L5 Building Fixtures MAR 2 9 2016 L City of Tigard TV OF TIGARD wBy /-.3i �� / / PapntN ��OD��D R • 13125 SW Hall Blvd.,Tigard,OR Ian Revtew r , Phone: 503.718.2439 Fax: 503. x..'. DING D I VI S I O P�ala/By: Other Permit No.: Inspection Line: 503.639.4175 Dam Rcady/By: rums: ( ®See page 2 for Internet: www.tigard-or.gov Notified/Method: I SupplcmenW Iafurmtl•n TYPE OF • 9 New construction 0 Demolition r For specie,information use checklist ElAddition/alteratiot�/replacemcnt Description Qty. I Ea. 1 Total Other: New 1-2-family dwellings(includes 10011.for each utility connection) CATEGORY tel'CONSTRUCTION SFR(1)bath 312.70 p 1-and 2-family dwelling 0 Commercial/industrial s (2)back 437.78 ❑Accessory building 0 Multi-family SFR(3)bath j 50032 Each additional bath/kitchen f 25.02 ❑Master builder 0 Other Fire sprinkler(30eY sq.ft.) / Page 2 JOIE SITE INFORMATION AND LOCATION . Site utilities: Job site address: l;C 5-e 5 4 t j( 10,J fi , Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: T IL e7 '47 C k' 61 7 Z a Y Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: l Project name: Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R: ) Page 2 Storm sewer(no.linear ft.:_J Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: , Lot no.: j 5' Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DFCRIPTION OF WORK Backwater valve 12.51 e(//51/V6"� /"u//4/8//t// t'6617 �!� OA/ Clothes washer 25.02 Dishwasher 25.02 -k/g 77/VG / j>/eiSFR Drinking fountain 25.02 Ejectors/sutnp 25.02 0 PROPERTY OWNER I in mattier Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0'Arivcorr 0 CONTACT PERSON Inte*ceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:S ) Page 2 Contact name: Emerald Weeks Primer 12.61 Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sink/bssin/lavatory 25.02 City/State/ZIP: Portland,OR 97239 Solar units(potable water) 62.54 - Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pal 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 CONTRACTOR data closet 25.02 Water heater 37.52 Business name;�Grdv.4A. LL.4.c ll^.q ZVL(_ Waterpiping/DWV 56.29 Address: 449.TJ S (G. r2P� `rr-�Q7Jv - Other: 25.02 ' City/State/ZIP: Of.9Dr +�t DO- 104ES Subtotal Phone:(SbS) tieip_D-11,21 Fax:(cI7I ) 2S0-3s O(6 Minimum permit fee: $72.50 ►9�t Soy Plan review (25%of permit fee) CCB Lic.: c Plumbing Lie,no.: p6lb D b S _ 0),_ /`'V State surcharge(121.%of MIT fee) Authorized signature: TOTAL PERMIT FEE Print name: So �l v Date: Thu perdu appYcadoa expires If•permit V at obuhred widths IN days after h Me been accepted as complete. `Fee methodology set by Tri-County Building industry Service Board. I:1BuiuwgWrois\FLMU-PamitApp.duc 10/01/09 440-4616T(10/07/COM/WEB) Loi / c? TY FOR OFFICE USE ONLY–SITE ADDRESS: /0K)/ O / This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter e 71 i i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ( K_ )&–‘r — DATE RECEIVED: DEPT: BUILDING DIVISION s 'i E D ( I c�/n MAR 2 3 2016 FROM: �/V (S 1.0 O 4:' , :GARD COMPANY: �i PHONE: Spa,,9,g0,- Lit 5 1 X I !o 7 y: k li5--) RE: i 6 s1�� LaDA epTc5 o r Iv-000/o (Site Address) (Permit-Number) J)tX.,,(vki—1 17--- ..1,kmoo. 5 (-. - 15ci (Project name or subdivision nate and lot number)) x%5 a7�'..2-�j ATTACHED ARE THE FOLLOWING ITEMS: '. pit .,, , a,9 ! ' 1� ,-. L. - 2 <. . , ,q &., .-1!it!)!. ._.aF Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMAR34,,,, KS: ---1 — `� c c�-,A.,,a ��-r\, 1 6 L.to-c.�J ... ...... .• , ,„:„,„,,, „..„,„, .. ,,, ;,-,,-,:,-;,„,,,g, „ . ,„ ,-, ,,, , ,, . „ 7: e '''' 1;744-371,W Routed to Pe • t Technician: Date: Initials: Fees Due: N Yes ❑No Fee Description: Amount Due: V,1 $.sf '4 a'' ,,c§4• .t- fry ''>f41 Q F ='i RR47. # gip, $ Special Instructions: Reprint Permit (per PE): JIIIIII ❑No ❑ Done Applicant Notified: e: Initials: l:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 RECEIVEI) i t I 7'M 11 11 3 3 V5 /9-k Plumbing Permit Applicati Building Fixtures MAR 2 3 2016 g Reef fir % i/ /,G - ,y,CT�a'/6 -aeevo Cityof Tigard Recnve permit N w 13125 SW Hall Blvd.,Tigard,OR 2, , r x f plan Review I Phone: 503.718.2439 Fax: 503.%1 I)kit ikJi'�, u noway: Other PermitNu.: Inspection Lane: 503.639.4175 i T in t1 Te` t' p mac Rcady/By: font: 0 Sec Page 2 far Internet: www.tigard or.gov L.�1 t tv a.1 Q d� l� t Notificd/Mcthod: Supplemental lnformadon _ ' TYPE OF WORK T FEE* SCHEDULE . ❑New construction ❑Demolition For special information use checklist Description 1 Qty. 1 Ea. ( Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 AccessorybuildingSFR(3)bath ! 500.32 ❑ 0 Multi-family Each additional bath/kitchen i 25.02 ❑Master builder 0 Other: Fire sprinkler(3.,"1 sq.ft.) I Page 2 JO$STtE INFORMATION AND LOCATION Site utilities: Job site address: 1. 0 543 lnI Ri k6& (olkot�'fi2..te,}- Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 1 19 i '� _ r _ Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: 1 Lot no.: 15"c Fixture or item: Tax map/parcel no.: I Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ,9/V 6s OF e0 N ri .e_ n Clothes washer 25.02 Tl�f- /t--_. Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/sump 25.02 d PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 'A ❑ NT' ❑ coNmt r pulsot4 Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:s ) Page 2 Contact name: Emerald Weeks Primer 12.51 Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sinlubasin/lavatory 25.02 City/State/ZIP: Portland,OR 97239 Solar units(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/showerpan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Gc<t/L '. �t tt.�,�/ (t _Iv\c. Water piping/DWV 56.29 Address: 1, • " ` S, \r-. ,- -"(,r,e� t,r- Other: 25.02 City/State/ZIP: OCg,e,t'( -L ,DO- q1()1A.5 Subtotal Minimum permit fee: 572.50 Phone:($"DZj) ��O'cZlni Fax:(q'71 ) Z5c.7'j`�0 2) .^...__. _._ ---- Plan review (25%of permit fee) CCB Lic.: i ct4.505- c Plumbing Lie.no.: ?6 1 j)to S State surcharge(12%of permit fee} Authorized signature: } .),"�� TOTAL.PERMIT FEE _.,...\.)„_,_. This permit application expires if a permit is codays t obtained within 180 Print name: So, �� Date: after it has been accepted as complete. *Fee methodology set by Tn-County Building Industry Service Board. I:1Building\Pcrmits'J'LMt;•PrrmiNpp.doc 10/01/09 440-4616T(I0i02/COM/WElil Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13058 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00010 David Young Cabinet under range smells like gas, check for leaks. Dryer duct not capped and labeled for future use. M1502.4.6 Register cover in master and lower level bath not installed, work not complete. AC not installed at this time. Not ready for ﬁnal inspection. Inspection to be scheduled when work is complete. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13058 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00010 David Young Not ready for inspection. GFCI at back deck not installed. Range and dishwasher not installed with wiring not secured. Light box not wired in sales ofﬁce. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13058 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL June 3, 2016 at 10:22:26 AM MST2016-00010 David Young Provide permit and inspection for landscape irrigation Backﬂow devise. Downspouts not installed at this time. Not ready for ﬁnal inspection, work not complete. Re inspect fee to be applied at next inspection scheduled with work not complete prior to scheduling inspection. 103.5.6 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13058 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL June 10, 2016 at 8:14:37 AM MST2016-00010 David Young Not ready for ﬁnal inspection. Provide approved plumbing ﬁnal inspection. Provide approved ﬁnal inspection for sales ofﬁce. No inspection made. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13058 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00010 David Young Not ready for inspection, no gas to tankless gas water heater. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13058 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL June 10, 2016 at 8:35:31 AM MST2016-00010 David Young Provide approved thread sealant on clean out plugs. 316.1 Insulate water lines in unconditioned space. 313.6 Water heater not on. Not ready for inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13058 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00010 Chip Barnett Violation Summary: Inspector Contractor RECEIVED Mechanical Permit Annlicarlim ,,)1,.(,, Ili FL (1\11 City of Tigard .5 1 2016 I't:"4 MA ILII Bk../ I wird (A,9,;,-1,..'3,....,E,,,r1 r,A in 1-1 11: 14t,tIc 40 71'.24'3' I'‘ 5lAlirk.ir 1 FULANI) -- t4 }I in,.. •Cl'?On.;i-i• v.esc.,,ee Pilo R/. badi.1.l.i tt4lt,".` BUILDING DIVISION ,- ., .11,,,,,, . rut':Cst %apish Mt RIM 11.10116AM.. t. , - r.-.--_ , COMMER(141, ME*SCUED11.1. - 1.'Sf CillEcialS1 -raw OF WORK — ______________—— ----. \100:4nt,:dpe:int:fet.,4 MC b-Istrd WI Ilk l Ili.4.1 illi A`Ii, 0,111ln:011M l D Ndds,,,,,,4I •:4 ,,.'.,c0,,,,,,,,, I p--tlom.‘xl 10.,el.;thr s„do, o fo,,t•J,....1 1,,d's. th.,,,,, I, 0 Demolition 0 t Hite:. _11M...1411i,,i'Yll.ilel.,1,. 04,,TIA.,: ,, •p,,,,,: ,,„f.,. 1-1 CATEGORY Of CIXOTRIXTION --, 1:.------ L_RESIDEN11 AL MOW/4M i SYSTEM%Ft i s• , I Ap„i--14,mi)d,ming 0( onnnocw1 1thithiThil 0 -1....c,,,, builittiw 1-or pe.,nil itvlarmatiun msr cher Alot. 1 i 0 N14:11i-Liiiiii: 0\1a1e.t INuildei 0.4 Mu!, I Dc' I arm,4. ___; • --- JOB SITE. INFORMAT1 N AND 0 TiON Iii di To . vas I , ItClItIlig CtIttliqi, :.'entnipentig _ I Ms I o.sst. iiskilt• ' '-Z-I--- -1C4. ik lei 01, 911 ' 1LT: ' :. tu-rsis., 100+1,11 t I . 7,-1,7. ,-- , , ihm,,,,, IISt wtti•li II ,,,,, ,,,,,, ..,..I.4.,, • 14 "‘ In' Titard,()12 97223 , 1"" 1''''''''• SU111111ii Ridlt.' • • i,---- ----, I hb.1 Is,m, i i l i‘4. ,./...k.1 title...11OP,14 0 io.,44 o,kk I is dram,le o:u Ile ,.: o. i -- ----.-- i't.'44o,i1r4II.t1 I •ot.'-o fok',10.o-o I---— , h4o-thilto,I I , I MI healto 4 11c,4:,r,.ei,a ato,ns, t - ___ _ , l lite.etit I-41:el4,o'l at/4,4 t 4 4. ,..., .S.olkIlt,,,ti --...--.....4...4 .---4.--.....-..- l... ---...-..--- 7 .----' I 1....._'1 I" _tVA_.:, /Other fuel uppliunet.,: . . _ ! I a+.in.0 riat":1 no • 'A met heatrt I t :- DLCRIIPTIO_N OP WORN , .4.4.,lir4.14,e'awn .-- - I I....1 tent ten 11.411"li,.110 iet l i NeW SIT ' lilill:ll C . 4:' .• I 1 ..L.I.Z119.512„P_II ....„ I - . i „0,....u..1,Jelyt......!•:kt ,, . it t „ . ., I 4.- I ....AI _.) . ).,.2 t_t4._i I 1 ... _1 —. „__.— , - SIMI/TIC\!MI all`'4 • ik. it PRCWERTY OWNER I — ..--1 0 TENA, - -- -4 i Im.irginmenlad tatkitust and srn(lancon: —...,..— _ — I 'NAM, 1)R Horton Inc. ; . It.nrirc boost xher Imbett ;s 1 - Mt c"'4380W SMacadam Ave Suite 100 . i IC Pi' Portland,()R 97239 ilsoill,o,mi, - FOrt_t.,sinpartr?r114- )t,s., , ' P1// 1503 i 22,1-4151 1 f..i.. : ' .--.-:-l . '''1,..•.•_:!.. .1'-.. ...• ___, ___ . 4... ._ 4 : ' . 4 a—. -,— i 1:,t-,- 0 APPUCANI' • CONTACT PERSON . . _ _ — . 0 1111.02.1Q11:__ 1411,4000-,4ruinw: 1)R Horton In ` 1,14,IS Int first four:$4,11.1 lot trtIt m14106.1141, ! ( ill .1 natal Emerald IN'eeks tutu.< 1 -- — — _ __._ I ‘ki<14--, 4380 SW Macadam Ave Suite 100 _. _ _ _ V,"II•41.2tm..1.•J:.•::1 410 I • slot,ill' Portland.OR 97230 ' ‘1,,,,l,..--..,4, , . ' . I • 503 222- 4151 N1107 ', 1 i 1\ It .le'•'•:... ' i HI•ll' eweeks4.4drhorton.com . -- CONTRACTOR [ _ _ ________._____ _ - i • -, •,0,--" ,, . ; , „ , I 4_ I H.,,,iim, n4,.1,i f 1...1..,L41!......-.. i t ' I-- -----_ _,..f ..2`,.- Sill fikNIt 41 PERMEI FEES. .1,1•It.;.' .)i f it /JAM• ' r ,.- i- -? , , •) / 4., - g V _7 ' .r....„..., . . , , , ..1,101,1 , Vi•Tril, I t.11ftli 11-l' (' 1{.C2)&fro..-'1 ...-...- ' I%.' t•••;.i... '2. ..•.i.-:.-1.t•. . ii .(1 I i.,. 1.,:,4 ?1"- I fli.S.:).' I IJ - It --It ot ...•y 101 11.PURNIII 11-1 .7- ' . __,--- • t. — ...., 0 hi.prnsui spishrstion rspiti.411 permit 14 out lilltalllrd.1111111 ...„ d//l,•11,/it hoe:In1,1 144111114A F.111011111.14. I 1' ,I '..'ll S4tc154/11; ,4 /. ...... ..-...........- ...-- ---'''•• --- _ _ City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13058 SW BLACK WALNUT ST, TIGARD, OR, July 6, 2017 at 8:38:45 AM 97224 Record Type: Record ID: Residential - Master Permit MST2016-00010 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