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Permit
CITY OF TIGARD MASTER PERMIT II • a COMMUNITY DEVELOPMENT Permit#: MST2016-00128 Date Issued: /2016 04/12 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 412/20/6 600 Jurisdiction: Tigard Site address: 13087 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: 154 Project: Summit Ridge No. 5, Lot 154 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 4 First: 1012 sf Basement: 136 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 957 sf Garage: 478 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2105 sf Value: $258,446.75 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 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 Twos 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: 3 201-400 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 2105 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 2 A geotechn ical report is required before the footing 3 Fire Sprinklers required PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $27,799.34 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. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987/ or 1.800.332.2344. / ':414. Issued By: Permittee Signature: ./tl 7'e-/C`�`9— e",,v Call 603.639.4175 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. , tk115\--1 kg- ' Building Permit Application LS 3_ ,C i Residential RECEIVED FOR(1I FII I. I SF t)NI 1 City of Tigard Received ' 13125 SW Hall Blvd..Tigard,OR 97223 DateiBy: ���� �� .„.,,,,,,b Pennit t j/ ��,/ VD/ace g 3 2016 Plan Reviu� IN Phone: 503.718.2439 Fax: 503.598.19 AR 2 Date.'By: 7 i 91 ,� Other Pern ��/6 DOlQi Inspection Line: 503.639.4175 Date Ready- y: )uric ® See Pae 2 for 1 i',^t t' OF TIGAAD / g Internet: www.tigard-or.gov CITY Notified%Method: 6/�� Suppkmental Information BUILDING DIVISION I Fi,�,L4 --' � TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING a New construction 0 Demolition Permit fees*are based on the value of the work performed. I Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. : / QValuation��v I-and 2-family dwelling 0 Commercial/industrial Of'4C? ❑ Accessory building 0 Multi-family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION n j Total number of floors: 3 ca 51170G1170G1".. j �L W^ Job site address: ' 1 t ` ' '�- New dwelling area:2 us square feet City/State/ZIP:Tigard, OR 97223 w Y �{�1.� Garage/carport area: 4-kra square feet Suite/bldg./apt.no.: Project name:Summit Ridge Covered porch area: square feet cis.7 Cross street/directions to job site: Deck area: square feet j 0 j a. Other structure area: square feet f 3, REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: ( Permit fees*are based on the value of the work performed. t Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet e PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW MacadamAve Suite 100 Occupancy groups: City/State/ZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT • CONTACT PERSON BUILDING PERMIT FEES* (Please refer to lee schedule) Business name: DR Horton Inc. Structural plan review fee(or deposit): Contact name: Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: City/State/ZIP: Portland, OR 97239 Phone:(503 )222-4151 x1107 Fax: :( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* esweeks@drhorton.com CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photovoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access.along with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review Portland, OR 97239 and administrative fees): $180.00 Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 130859 j Total fee due upon application: $201.60 Authorized signature: w' /1 9 , I/ " - G/ � This permit application expires if a permit is not obtained i {/ LfC 1 /L''>_ 6.`v within 180 days after it has been accepted as complete. Print name: (-1'�,l4 /r 1�i �/V �L Date:2016 *Fee methodology set by Tri-County Building Industry Service Board. : Building',,Pennits'vBUP-RESPemiitApp.doc 02/242011 440-4613T(I1/021COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE. l sf O\l.\ City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: IIG,Ah1) 24-Hour Inspection Line: 503.639.4175 0 Electrical El Plumbing 1:1 Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW v« No 'Vk I Land use actions completed. See jurisdiction criteria for concurrent reviews. ' ■ ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. i 0 0 3 Verification of approved plat/lot. I 0 0 4 Fire district approval required. Name of district: Tualatin Valley . Ill ❑ i 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ 6 Sewer permit. a El 0 7 Water district approval. gi ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. • ❑ 0 9 Erosion control 0 plan ['permit required. Include drainage-way protection,silt fence design and location of catch- ® ❑ El basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state m ❑ 0 1 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 1 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if E ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals); location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator; lot area;building coverage area;percentage of coverage; impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size it 0 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, • 0 ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- • ❑ El floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. IF ❑ El Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- • 0 El prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies, indicating member sizing,spacing,and bearing ® ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered • ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists I ❑ El over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. $ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required • El 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ® ❑ El architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x I I"or 11"x 17". ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. • 0 El 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. I 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. OF 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. I 0 ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard NI 0 ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, (u El El and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions. • ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB) Mechanical Permit Application RECEIVE FOR OM( Ir 1..',1: O\1.1. City of Tigard MAR 2 3 2016 Dacey Permit No/f$ 02o/(0 'pa/ !PI " 13125 SW Hall Blvd.,Tigard,OR 97223 R Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGAR 1'' '-- Other Permit: Ti t;A R D Inspection Line: 503.639.4175 BUILDING DIVISI S j . Ready/By (um ® See Page 2 for Internet: www.tigard-or.gov tied/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work •New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 410 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist ❑ Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 0,-3_,. t u, ►l J\�l(//�U► � Air con 1 conditioning 46.75 Job site address: 100,000 BTU(ducts/vents) / 46.75 City/State/ZIP: Tigard,OR 97223 Furnace 100,0001 BTU(ducts/vents) 54.91 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 Other: 23.32 Subdivision: Lot no.: l 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 Single-duct exhaust(bathrooms, OR 97239 City/State/ZIP:Portland, toilet compartments,utility rooms) 23.32 Phone:(5503 ) 222-4151 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT • 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 97239 Water heater Fireplace Phone:(503 ) 222- 4151 x1107 Fax::( ) Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: 6 1 'f S 62_ Subtotal City/State/ZIP: 3 Minimum permit fee($90.00) OD a M•-t i\ / C( 7 2 1 t Plan review(25%of permit fee) Phone:(5 9 i ) 4 Z,(v-- 1 3 -7 tf Fax:(9.1 ) t Z V 7 1 7 l'' State surcharge(12%of permit fee) CCB lie.: $-Y1 cTOTAL PERMIT FEE This permit application expires ifa permit is not obtained within ISO days after It has been accepted as complete. Authorized signature: aceffeig l • Fee methodology set by Tri-County Building Industry Service Board Print name: ,.f o.rd 5 13,','t`'v)�C 1'V Date: J i.'Btiding\Fcrmus,M EC_Pcrmn App_040 113.drn 440-46171(II/02/COM/WEB) . RECEIVED Electrical Permit Application MAR 2 3 '2016 FOR OFFICE l SF ON l.1 Cityo Tigard Received �0�6 / 1315 SW all Blvd.,Tigard,OR 9722;„,..CITY OF TIGAR:iv te/lt: Permit�: S INPhone: 503.718.2439 Fax: 503.598.I �LDING l�lvl41 i.:�= Related Permit ti: Inspection Line: 503.639.4175 •cady Date/By: ions: ® See Page 2 for I I t.‘1Z I> Internet: www.tigard-or.gov Notified/Method: Supplemental information TYPE OF:WORK , PLAN:REVIEW •New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other where the available fault current 0 Marinas and boatyards. CATEGORY,OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. 41-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 commercial-nose agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION ANDi iOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: �..osa. su,s 100HP or more. City/State/ZIP:Tigard, OR 97223 /� t 0 Six or more residential units occupancy. U., n� (' 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Summit Ridge 0 Hazardous locations. 0 Supply voltage for more than Q Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qts. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Lot#: 'Lk Includes attached garage. 1,000 sq.ft.or less t 168.54 4 Tax map/parcel#: Ea add'I 500 sq ft or portion > 33.92 1 DESCRIPTION OF WORK ` Limited energy,residential 1 75.00 2 New SFR (with above sq.ft.) Limited energy,multi-family 75.00 residential(with above sq.ft.) Renewable Energy 0 See Page 2 �,'PROPERTY OWNER I ©'TENANT Services or feeders installation,alteration,and/or relocation Name: DR Horton Inc. 200 amps or less 1 100.70 2 Address: 4380 SW Macadam Ave Suite 100 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Portland, OR 97239 601 amps to 1,000 amps 301.04 2 Phone:(503 )222-4151 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: esweeks@drhorton.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange.according to ORS 447,449.670,and 701. 201 amps to 400 amps 125.08 2 to amps amps599 Owner signature: Date: 168.54 2 Q APPLICANT CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: DR Horton Inc. above service or feeder fee, 7'4- 2 each branch circuit Contact name:Emerald Weeks B.Fee for branch circuits without • Address: 4380 SW Macadam Ave Suite 100 service or feeder fee,first branch 2 branch circuit City/State/ZIP:Portland, OR 97239 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503 )222- 4151 x1107 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:esweeks@drhorton.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Wright 1 Electric Sign or outline lighting 67.S4 2 Address: Signal circuit(s)or limited-energy 0 See Page 2 2 11490 SE Jennifer St. panel,alteration,or extension. Coy/state�z[P OR 97015 ClEach additional inspection over allowable in any of the above ackamas, Additional inspection(I hr min) 66.25/hr Phone:(503 ) 760-8522 Fax:( Z13) )-11D -- t(' iS Investigation(I hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: rlane@wrightlelectri.com g Inspections for which no fee is 90.001 hr CCB Lic.:162368 Electrical Lic.:3-332c Suprv.Lie.:3ci,g,S specifically listed('.'s hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Ln/ • eyead Z Subtotal: Print name vts U:)F1 t,u 7Datc: 2016 0 Man Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized sign ure: This permit application expires if a permit is not obtained within 180 Print name: 'r Date: 2016 days after it has been accepted as complete. • Number of inspections allowed per permit. I.Building Permus ELC_Pcrmit.App_EtR_ERE.doe Rev 06 17 2015 440-46157(11 05 COMM WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLYSCHEME Description Qty. I Each Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 H Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: H Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 H Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 E Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: H Other: Each additional inspection is 66.25/hr charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed(%x hr min) COMBER Nly* ELECTRUCAL(Enter FEES Subtotal(Enter on Page I): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n O• utdoor Landscape Lighting* ❑ Protective Signaling n O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.\Building\Permits\ELC_PermiiApp_ELR_ERE.doc Res 06/17/2015 Plumbing Permit An licatio y70 y Building Fixtures CEIVED City of Tigard N AR 2 9 2016 > My ra or(o-o�� Permit Ne.: � 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review Phone: 503.718.2439 Fax: 503 .5��, p O AD 17rtc y: Other Permit No.: Inspection Line: 503.639.4175 ��jj Y F�� '�' Internet: www.tigard-or.gov (���{C l n( Due Rtady/By: mom: 91 Ste Page 2 for I NG Notified/Mctlwd: svppkmeWllafurmatlsn • TYPE OF WORK FEE* ❑New construction 0 Demolition For special information use checklist. Description I Qty. I Es. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-11umlly dwellings(includes 100 ft.for each utility connection) • CATEGORY CW CONSTRUCTION SFR(1)bath 312.70 ❑1-and 2-family dwelling 1 0 Commercial/industrial SFR(2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(?le sq.ft.) / Page 2 JOB SITE DIFoRMATIDit►AND LOCATION Site utilities: Job site address: "OA' ii 0 Q 7 L W $/i t ki 5 ,i-- Catch basin or area drain 18.76 �'�, / --z..1 Drywell,leach line,or trench drain I 18.76 City/State/ZIP: 1° � CA 977 Z 1fff Footing drain(no.linear it.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: Summit Ridge Irl 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: I Lot no.: ' S--4 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/sump 25.02 Q PROPERTY OWNER . © SANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 D APf4CAN7' Q QONTACr PERROON Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:S ) Page 2 Contact name: Emerald Weeks Primer 12.51 Address: 4380 SW Macadam Ave Ste. 100 Roof drain(commercial) 12,51 Sink/basin/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 pan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 CONTRACTOR • Water closet 25.02 • Water beater 37.52 Business name: 6r0,.1/4/ kU Wt ( =V>L Waterpiping/DWV 56.29 Address: lLIg35 S. &ray%-f�/t�-.QR_ i),�- Other: 25.02 City/State/ZIP: OT eft cl-L ,D12- q1 ot{5 Subtotal Phone:(5 ,) 1..Sio_D-11031 Fax:(971 ) ZS()-3s 0 Minimum permit fee: $72.50 CCB Lic.: t 94505 Plumbing Lic.no.: Fg i D(05 Plan review (25%ofpermit fee) State surcharge(12e/.of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: To v . tit t�tl_t„P Date: This permit apptieadsn expires If a permit 4 not obtained within 180 days after It has bees accepted as complete. `Fee methodology odo o set byTri-County !D' ty Building Industry Service Board. I:\BuiMiagWumif6PLMU-PumirApp.Juc 10/UIN9 440-46161(10102/COMIWEB) --Suilding Permit Application LS i , k-o-t\---1 ive_ Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received syf2.,s�� y �24'/� -00/ Date By: Permit 13125 SW Hall Blvd..Tigard,OR 97223�,p Plan Review _. Phone: 503.718.2439 Fax: 503.598.196p1�+R k 2�1E Other Pern jo2�/6 z91:52/19;3Dater By: TIC ARD Inspection Line: 503.639.4175 x i� p�Y Date Ready By: !uric, 63 See Page 2 for Internet: www.tigard-or.gov CITY 1®,V Sf'IILON Jo Ntified:M17ethod Supplemental Information RU1LDING TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING (l New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑ Additionlalterationireplacement ❑Other: equipment,materials.labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION e I-and 2-family dwelling ❑Commercial industrial Valuation: 5 �� J ( �V 0 Accessory buildine 0 Multi-family Number of bedrooms: v ❑ Master builder 0 Other: Number of bathrooms: 1 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: LWalv‘ut New dwelling.area:2)05 square feet 1 City State/ZIP: Tigard, OR 9722344-- ' Garage/carport area: square feet Suitt b{dg. apt.no.: Project name:Summit Ridge Covered porch area: ,-2,52, square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Lcii Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map;parcel no.: equipment.materials,labor.overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: 5 New SFR .._ Existing buildine area: square feet New building area: square feet I PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy groups: City/State/ZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT $ CONTACT PERSON BUILDING PERMIT FEES* Business name: DR Horton Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: City/State/ZIP: Portland, OR 97239 Amount received: Phone:(503 )222-4151 x1107 Fax: :( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* esweeks@drhorton.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review S 18O 00 and administrative fees): Phone:(503 )222-4151 Fax:( ) State surcharge(12%of permit fee): S21.60 CCB lie.: 130859 Total fee due upon application: S201.60 Authorized signature: ,� 7/,% C // ^C 6,("t.Nr/ This permit application expires if a permit is not obtained (((��� i l C L` L` within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: l�.lt � t�� Date:2016 Service Board. I: Building.Permits.BUP-RESPermitApp.doc 02/24'2011 440-4613T(l 1/02 COM WEB) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT ilh ■ T 1 G A k o Building Permit Review — Residential Building Permit #: /IS7— c22-0/6 DO,.=2,0r-- Site Address: /3C)8 () 6 a/a6/ .9,7?-47€21- Project Name: ��-/,/l19/Z/.� PiAle. Lot #: 52/ (New dwelling= subdivision na d ition or;literation=last name of owner) Planning Review Proposal: Ala() '-"'Fie._ 1a qVerify site address/suite# exists and active n permit system. //Fver Terrace Neighborhood: VNo ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: Vpiree (3)copies of site plan ' •1 sting structures on site V to plan must be on 8-1/2"x 11"or 11 x 17"paper r ootprint of new structure(including decks)with finished Vlprawn to scale (standard architect or engineer scale) oor elevations 'rth arrow tilith locations (required for new,may apply for additions) ,�,�e address,project or subdivision name and lot number f• ation+ of wells/septic systems �1 plicant information(name and phone number) IP rosion control(including drainage-way protection,silt fence IV dimensions and building setback dimensions esign,location of catch basin,etc.) IQLot area,building coverage area,percentage of coverage and (�treet names pervious area (applicable if R-7,R-12,R-25&R-40) ' treet tree size,type and location Property corner elevations (2 foot contour lines if more than Pi fisting trees to be retained with drip line,and tree 4��f000t differential) protection measures 0)ilean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): equired: E Yes,applicant was notified No Received: ❑ Yes ❑ No Vhf Public Facih Improvement (PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: ikKes E No,stop intake �land Use Case #: S"4/6‘20/ CSD }} oning: /Q I etbacks: Front /S—Rear / Side ,5 Street Side /Q Garage iandscape Requirement: vc � 0/0 4Q0/0 of Coverage Maximum: de Building Height: Maximum Height Actual Height Visual Clearance Vasements ensitive Lands: I Yes E No Type Z.VO— 1�j Crban Forestry Plan onditions "Met"prior to issuance of building permit Notes: Approved By Planning: - � Date: —33 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\BldgPennitRvw_RES_0121 I 6.docx Building Permit Submittal Original Submittal Date: 3/..)-. -7//,6' Site Plans: # 3 Building Plans: # Building Permit#: u-Enter building permit#above. Workflow Routing: 1 - Planning E ngineering 114-Permit Coordinator 10—Building Workflow Sign-off: Er-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. uilding: original permit application,site plans, building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: l '5X/,-7?)-/- --- Date: _3/2.5-A6 Engineering Review ' ,,,e7-1-;22, Slope at building pad: .y� �- �e <,�jj�_ � 2,--n•-•t)2,--n•-•t)U 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: E Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by15 ngineering:: / Date: Notes: �i3 �/_ .C�/.P f - - .C.> --h. icitth, Approved by Engineering: ,lZ 27 Date: - Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved E Not Approved _ Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review Af Conditions "Met"prior to issuance of building permit E 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: SDC Fees Entered: \X'ash Co Trans Dev Tax: m Yes ❑ N/A Tigard Trans SDC: $ Yes ❑ N/A Parks SDC: IJ Yes ❑ N/A 'OK to Issue Permit Approved by Permit Coordinator: `B C 6 � Date: 3 "o7 y � co W I:\ Building\Forns\BldgPermitRvw_RES_012II6.docx _ Q RECEIVED Mechanical PermitAAnlicati - 21 2016 "IrillMirIIIIIIIIIIIIIIII;Z.7,"r.,7.; ( __ 471/24-- '"- SreYik_ -.- .0.___a/ae of l';' ' "'Hi" 'iv.' "" •��(�''tlY 1�FTI/ ,,i RD PIPV.. Phtn: 'N1i'lr+yiv la' "S''lS a i i. i,. r" -- -_ .,,I. II..I'' n n I nM "III' I ' BUILDING DIVISION'''. ' ih 4-t.raft 21r.r Initrur a a a i r.,d I swpplrmraul Informal YT17F OF WORK t (()MMERCIAL FEF` SCIIEDUU. - ME CRECltl isi --•----^-.-^•---- .. —.._._ ..._'- \14.41trial l•e •ii,It.,. • t 141••••AI on 1+ t Om.=•I Own r, 4\:a tl•nsirt lt,0.1 ❑ -\dditianal!ir.i n'i rtp1e.ttnr'•1 • ' I.7.. .wad hid..nr!h< ',.,ha r.:I.aK'h.,r..ill n;..,,-.r.1. t t .• 1 I)t•itx.171Nrn 3 t)rhet. ,rnr_heni.ai n...atri,,I, cya .aae 1.0“.,_,•.,...7,14...' �r.r' :.' _ _ CATE••GOR1' OF CONSTRUCTION O% 1 RESIDEKTIALEQUI MFfltI TE_MIFEFS• W� ri1•.40=•I'dtntll&LC m,: i-l.. (ortr11�vt1d)ishks:rtat U Al .rs•J'1 Ituiltltlt ---_-- `I"ry yep.Nal infornwtNm SAC,hr.Mitt. - i U Muhl-lai'Irl. 0%l.'Itt:fiulldr, ❑(Ifiiei 1h:ailpacl, t,nt _.I .. FORMATION Asn I tv°A?JON cawling__ Usatmb - -_ - � 1 nn(e� ^���� , err uxltl>torel. I. a•,,.It :,Mile,' `51/17.(thLLv_+``I .�S 1tAj✓ �1 ibn r '4.,fid,„hit t � 1 1 ,rt s.i.,k /II'. 9-1)3 3 F' 1.,a,,,,„ woofs" hit -.-.- - `,-,°+, . —'! He n '. - - 1 4 1_rI•i. .ca nt. �d I,,.•..t namc Summit Ridsc_._ I I...• .,1..I•Hteeh,.pe It.)••I',u;' It.,..•at,h,.;a.1'. -t, 'I --____ ___•._______ ___ — _.__.- -: . I ottic',i,ei halt-,t t,t.,,•,,•r• i .? it._dna :i : I , firer I.11 t " ri..cit..-„•, - —__.____—. _ J- ___. lit-p,41, 1 I jot I aytnxltsl tt _ ._j.. _ 4,”:r......._. 1 _^-- ry Hu: ,tot 1.11ut,•t .:M_tr - t Wu-, Other fuel applianera. I at neap Isanrl n„ 2L1a bc+tc'_- __.__ +_.__..____ --- . ` D SCRIP ION OF WORK -_ - + !t•.n tiraq.lm. ,r ut :r .—. —•u !- -1 t-- � . 1 i t t‘..41:lu; a.tle•ht.,!.•1 •v.. - , INew SFR ' fi aT atC _._ - _ - ' r ., _�_- N,nn1 t lir.xc xncn _ JJJiii I _. .__ t t irm-�nr,Arler tl.,c tcn� � PROP�71 O'4 1-0ironmrntal e►Aauft and snitila� i -- -— I © TYNMT •—- .... - '...Int 1)R Horton Inc. `.u„nl,haa.t,ah.ccli,i.e T- . - __--- . __._ _- _.-. -._._ --_ _ __ H cytnpntcnl \l If 4 380 SW Macadam Ave Suite 100 __— � • I.F tlx drlat c h,i,r I t nt Mak./11'. ♦1,:gst-du.l[Thal.,Portland,OR y,239 i __...f- l wild twap ralarnl..cutin tawnri,i Pia.titi 1503 1 22,2-41.51 Iti, , , 1 ,'L-._.i,ai•i''. t 2r �_ - ; .. ! __-'- -1 U:!nra f © APPLICANT •C-O\7A(T nacos .. :. r Iiuninc•s natik: 1)R Horton Inc. ,._ r_p .�.� ._ _. _ .. . ._._. —__.__.. ' S14.151a tint twat.s•I.a?for ea fia addrnonal tollInt,dant: Emerald Weeks ' tom..,t t•. ... T•. Y -. , 'd,h.-,- 4380 SW Macadam AV('Suite 100 .--w- -'�---._. ..__ _. ; - . t..•l .�a —t nP Portland.OR 9-239 • ..i ,,-i ; - ,t.t. t !• ; I ,lett 19'''a '503 _22__'_ 4151 x 1 107 . .. ._ I 1- ,, _- . 1 i I It:.11 es�.•eeks@'drhorton.u►m ), .',, .. CONTRACI OR /./1l. -rte_,- '- .� - VK1ik\i( 1! PtH'ttltrt1 • 1.1a11c,�.r�(/ 6t_'/t�4/1" _L....Z e-J_3__. - - .__. ,ubua�! _ . ,: A • \In_I rn i j flirt f cif , i t,A ,u (,,,--f a PI I t a )"w1�ti�Il �.f �i•,t c • ;?. 7 t / i-- . . __..._ ...-.1_;,__.•__,4_,_Oar-�__. i �...;a. .---.1._.4._,L. a .1_ - I.•„n 1' _ I t 1 15 1,a . r_IL,j _,. _ 101 U.1'110111 I F I - -- —.._- _ 1 hi.permit appfnaIwm tsps..d a pkrmn I.nal Adman"d..uh• II., d,1..alit,II ham tw.i,act pI,d a'I wn.plrl. A iIlli.•rI,,d,i(ltllutlic ,......--.....-..-.*•..k.. .............0. -. ...___.._ yr . • .