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Permit (10) CITY OF TIGARD MASTER PERMIT 111 S. COMMUNITY DEVELOPMENT En Permit#: MST2016-00018 D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/12/2016 T t{' 9 Parcel: 2S109DB01702 Jurisdiction: Tigard Site address: 13128 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 162 Project Description: New SF. 4/20/16, added continuous loop fire sprinkler system for 3004 sf. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 938 sf Basement: 656 sf Left 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1410 sf Garage: 390 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3004 sf Value: $359,676.64 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 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 1 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 011 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All asin Y Other: N Other Description: Ecom p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3004 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE,SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 2 A geotechnical report is PORTLAND,OR 97239 required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,428.22 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 952-001-00 rough a•R ••.--'01 •090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B • / O1/ ' / '' Permittee Signature tel/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. i' 3 ie Plumbing Permit Aanli y5--- -F BuildingFixtures � ' �® City of Tigardgi MAR 2 9 2016 Y PermitNu:L' 13125 SW Hall Blvd.,Tigard,OR 97223 o n 'lel rt7��0" � Phone: 503.7182439 Fax; TIGARD U`AR L/ pm"R��C- D, y; �/ COt6er Permit Nur.: Inspection Line: 503.639.4(�5 Dam Ready v kris: B see Page 2 for Internet: www.tigard-or. IND DIVISION Notified/Method I Supplementallafwluation ' TYPE OF WORK . ' as. seem LZ' .. o New construction 0 Demolition For'pedal iajorissadoa use NYurtlist Description ❑Addition/alteration/replacement 0 Other: New 1-2-famY Il dweWn ' � lafonsteach connection) CATEGORY OF.CONSTRUCTION • SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 MWti•family SFR )bath I 500.32 Each additional bath/kitchen i 25.02 ❑Master builder ❑Other Fire sprinkler(70q sq.ft.) J Page 2 JOb STIR INFORMATh*A1'1D LOCATION ' Site utilities: Job site address: ),ti? t,f 8/I lL '�Fl k)- C,`-Y .- Catch basin or area drain 18.76 City/State/ZIP: I , 50 +� 7Z2t J Drywell,leach line,or trench drain 18.76 l Footing dein(no.linear R: ) - 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.: ) I Page 2 Subdivision: I Lot no.: 1 ke Fixture or item: Tax map/parcel no.: ` Backflow preventer 31.27 DE&CIIIPT/ON or WORK Backwater valve 12.51 - ' Clothes washer 25.02 Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/sump 25.02 d'1htororrX tyR'MEK CI MA* Expansion tank _ 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 ^Phone-.( ) Fax:( ) Ice maker 12.51 r) 4"1". D CONTACT/Wm 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/sbowe/showerpan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 • Water closet 25.02 Water beater 37.52 Business name:6ro..v1.4 -t 1( lit &t)(lam =Vl C S. ` J Waterpiping/DWV 56.29 Address: t • 3 t" ,J' Otter _ 25.02 City/State/ZIP: of rC4lCk- q/olds Subtotal Phone:( 1 5-co ) LH D"[�3 Fax:(9'71 ) ZSV- 42,Q 2, Minimum permit fee: 572.50 CCB Lic.: 1 9t't.S() , Plumbing Lic.no.: pg i D(05 Plan review (25•A of permit fee) State surcharge(12%of permit fee) Authorized signature: `, TOTAL PERMIT FEE IPrint name: .d 0 vim.�N fit_ Date: This pariah application expires if•permit 4 sot obtained widths Ip days atter It has trop accepted as complete. `Fee methodology set by Tri.Coanty Building Industry Service Board. 11:W)IdIuglRtmNs,Pt.Ml1-PaaitApp.doc 10/01/1/4 44.4616T(101o2/COMrwE8) CITY OF TIGARD MASTER PERMIT Iri I COMMUNITY DEVELOPMENT Permit#: MST2016-00018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2016 Parcel: 2S109DB01702 Jurisdiction: Tigard Site address: 13128 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 162 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 938 sf Basement: 656 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1410 sf Garage: 390 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3004 sf Value: $359,676.64 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 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvnes Air Conditioning: N 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 asin Other: N Other Description: Ecom p g: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3004 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE,SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 2 A geotechnical report is PORTLAND,OR 97239 required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,238.27 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.. Issued By: �� DAV2.. C-- Permittee Signature: ,G/��/ 0,i Call 803.639.4176 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. . 1 95 ' Building Permit Application 17 i—S . 3 Residential --, _i r: ,1 I OR 0141( I I SI:Ov1v City of Tigard Received A ,/� Permit No f�7/k_©/7n/" A r F Piate-Ety: v✓ /, 13125 SW Hall Blvd.,Tigard,OR 97223 I °c. R Plan Review 1i�7�/ O� Phone: 503 718.2439 Fax: 5C)3.598.19 5 r t : r,r,N. Data'By: 4l ILIII Other Peni /�aW eve/ai i 1�, P.1) Inspection Line: 503.639 4175 r ; t.1..',.,j„ ,.__,i,i', bate Read y: U / / ons la See Page 2 for Internet: www.tigard-or.gov NotifiedrMethod: I (0/6, dip- Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 2 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 0 Addition/alteration/replacement 0 Other: equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuativn: / $ .. lit 1-and 2-family dwelling D Commerciallindustrial � 67�jdor ❑Accessory building 0 Multi-family Number of brooms ❑Master builder Number of bathrooms: ❑Other: 4-... JOB�� SITE INFORMATiONN AND LOCATION` ` ' Total number of floors: Job site address: \2)k/A c , V {j ,i p/ t \111 I'n t ( �� i New dwelling area:330 44 square feet,3304 City/State/ZiP:Tigard,✓✓OR 97223 t/ -V wY' ��v��"'lllY�.v`x Oaragercarport area: Q square feet I Suite.'bldg.Japt.no.: Project name:Summit Ridge Covered porch area: '4_t2�` square feet J9.) O Cross street/directions to job site: Deck area: l square feet93 Other structure area: square feett b REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: ,(FF''jt Z 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: $ New SFR Existing building area: square feet New building area: square feet 11 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/Z.IP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT $ CONTACT PERSON BUILDING PERMIT FEES" (Please refer to fee seheduk) 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: Citylstate,ZIP: Portland,OR 97239 Phone:(503 )222-4151 X1107 Fax: :( ) Amount received: , ' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: esti eeks@drhorton.eom 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: Permit Fee(includes plan review r y Portland, OR 97239 ! and administrative fees): S I hO'10 11 Phone:( 222-4151 Fax:( ) State surcharge(12%of permit fee): 521.6(1 CCB lie.: 130859 Total fee due upon application: $201.60 Authorized signature: J L( r r,/ ( ! 1 '/, f This permit application expires if a permit is not obtained F ,C �C-'`- c �� ` within 180 days after it has been accepted as complete. t1 *Fee methodology set by Tri-County Building Industry Print name: y'`'�tG`i 'r�, I'll?? Date:2016 Service Board. I: Building,PennitslBUP-RESPcnnitApp.doc (1224`201 I 440-4613T(I I'02/COM-W'EB) Building Permit Application Checklist One- and Two-Family Dwelling FOR 0111( 1 1 SI 0\1.1 City of Tigard Received Permit No.: IN13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: I 1 G I2 I 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov 0 Other: TILE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1e.. yo y/.1 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 3 Verification of approved plat/lot. 1 0 0 4 Fire district approval required. Name of district: Tualatin Valley . • 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 6 Sewer permit. a 0 ❑ 7 Water district approval. a ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. • ❑ ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 1 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state m 0 0 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. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(it' m El ❑ 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 • ❑ El and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, II ❑ ❑ 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- • 0 ❑ 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- • ❑ ❑ i 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 II ❑ ❑ 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 II El El over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ El 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required U 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 ® ❑ ❑ 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 11"or 11"x 17". El ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. • ❑ ❑ 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. II El ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. III ❑ El 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard MI ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines. I 0 0 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, I ❑ ❑ 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. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Electrical Permit Application ,, FOR()Eli( i. (Si.Oyt.v Cityo{Ti and ` 20'o Received 25 J g Date/BY' Permit i?:./Ni)7 n/�_C pi p 1111 13125 SW Hall Blvd.,Tigard,OR 97223 >.,ir�(J�O�J �.J6.lJ(/ i �t Plan Review Related Permit 0: Phone: 503.718.2439 Fax: 503.5981900: DatdBy: Inspection Line: 503.639.4175 '1 i Ready Dateilly: hurls, Bl See Page 2 for 1 I t,_l It l a Internet: www.li and-or. ov r' , - " Notified/Method: I g 8 �; g Supplemental Information TYPE,"P WORK:'. PL; RR11E V ,.. in New construction 0 Addition/alteration/replacement Please check all dist apply(submit 2 sets ofplans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. C RY OF-'CONSTRUCTION. ;,3, exceeds 10.000 amps at 150 volts or 0 Floating buildings. ground,4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to or exceeds 14,000 ❑cotttmereial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or 'jo$'start INroRMA noN AFD:#4CATION 0 Emergency system. larger separately derived Job#: Job site address: ❑Addition of new motor load of system. 100HP or more. ❑"A""F:' "1 "I-1" City/State/ZIP:Tigard, OR 97223 J c,� `' �A a 0 Six or more residential units. occupancy. g ' �3' !� �W r l/l ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Summit Ride ,t• ❑Hazardous locations. 0 Supply voltage for more than g ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 1< SCHEDULE Morrgnto* I Ots. I Rech i Total I . New residential single-or multi-family dwelling unit. Subdivision: Lot#t: l I toe includes attached garage, (� 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Fa add'l 500 sq,ft.or portion 5 33.92 1 ,'„":„,!',;;,,,i,,,";','' Dl'SCRIP rItDI+B Qtr TIER Limited energy,residential -1 5. 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 *P R " ONE ma7 -1 0 NAPIT Services or feeders installation,alteration,and/or relocation Name: DR amps or less 1 100.70 2 DR Horton inc. 201 amps to 400 amps 133.56 2 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 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: esweeksPdrhorton.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 Ps to amps 401 am 599 Owner signature: Date: p• 168.54 2 Branch circuits—new,alteration,or extension,per panel A.Fox for branch circuits with Business name: DR Horton Inc. above service or reeler fro. 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 Each add'!branch circuit 7.42 2 City/State/ZIP:Portland, OR 97239 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: Sign or outline lighting 67.84 2 Wright 1 Electric Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 11490 SE Jennifer St, panel,alteration,or extension. g City.-State'ZIP Each additional inspection over allowable in any of the above Clackamas,OR 97015 Additional inspection(i hr min) 66.25/hr Phone:(503)760-8522 Fax:(15zed t lO aZ" 'i `�, Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr rlane@wright lelectri.com Inspections lhr which no fee is listed(';:hr min) 90.00/hr CCB Lic.:162368 Electrical Lic.:3-332C Suprv.Lic.:3 specifically ELECTRICAL PERMIT'FEES Suprv.Electrician signature,ropired: 11at is ,/,4).A.1-e.--Z Subtotal: Print name": rote WE.t_e_u- 1/Date: 2016 0 Plan Review Required 125%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized sign ore: "1— Thls permit application expires if a permit is not obtained within 180 IPrint naive: 1 Dtite: 2016 days after it has been accepted as complete. • Number of inspections allowed per permit. I.truildmgPemiu'ELC,PenrtApp EUt FRE.doc Rev 05.'17%2015 44-45I5T(I I 05 C055/WEB + , . Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: M � � t . .. Description Qty. Each 1 Total j • 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 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 0 Garage Door Opener* 100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 I-1 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >IOOkva-noadditionalcharge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66 25/hr I ----. charged at an hourly(I hr min) _ Inspections for which no fee is 90.00/hr �(� '" •@ g y specifically listed('/hr min) 445, Fee for each commercial system: $75.00 Subtotal(Enter on Page I) y { Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i,Budding\Permits`.ELC_PermiiApp ELR_ERE.doc Rev 06/17/2015 5-- Plumbing Permit Apuli1/C 7 3 ` .F4) Building Fixtures ��v C� I „i; (,I , I, I I ,I (,,, City of Tigard MAR 2 9 2016 Date/By: Permit No.:>hc/BY H4ra./ro-t: 1g 13125 SW Hall Blvd.,Tigard,OR 97223 Revi Phone: 503.718.2439 Fax: � ` 1 ,ItJF TIGARD mor eW Other Permit Nn.: Inspection Line: 503.639.4blU I LD I N G DIVISION male Reedy/By: ,Writ: la Ste Page 2 for Internet: www.tigard-or.go Notified/Method: Suppkmentaliafaaiatton - . TYPE OF WORK . FRIG• scillz jlla , o New construction 0 Demolition Far mid laforseadort use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-fatally dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath 312.70 1-and 2-famil dwellin SFR(2)bath 437.78 ❑ y g D Commercial/industrial ❑Accessory building 0 Multi-family SFR(3)bath ) 500.32 Each additional bath/kitchen I 25.02 ❑Master builder 0 Other: Fire sprinkler(31 1 sq.ft.) 1 Page 2 • JOB arra ITNPORMA3'IOZf AND LOCATION ' Site utilities: lob site address: )./I 7 (t,f 8/r/k 'v1 to 5..t y�e,f Catch basin or area drain I 18.76 JDrywell,leach line,or trench drain 18.76 City/State/ZIP: ITurk L Gf?/-1't � Footing drain(no.linter R: ) 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 it.: ) Page 2 Storm sewer(no.linear ft.:___) Page 2 Water service(no.linear ft.:_) f Page 2 Subdivision: l Lot no.: 1,k')` Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 .DFSCRIFITON OF WORK Backwater valve 12.51 ' Clothes washer 25.02 Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/rump 25.02 fl (PROPERTY OWNER [Irma 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 ' D APPLICANT 0 CONTACT PERSON 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 Sink/basin/lavatory 25.02 City/State/ZIP: Portland,OR 97239 Solarunits(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/showerpan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 water closet 25.02 CONTRACTOR /' r Water beater 37.52 Business name:6r-o_vi11,,( ktlUA.60.1 I ..y1C Waterpiping/DWV 56.29 Address: 64°135 S• cert,...-T(f-TvJUT!" Other. 25.02 City/State/ZIP: Of elot\u-1_ i ,Da- 910t{S Subtotal Phone:(spa) l.lCio-0~19' Fax:(' PI ) co/ -3$0 Minimum permit fee: $72.50 CCB Lic.: i 9450 c Plumbing Lic.no.: Fg i D(o S Plan review (25%of permit fee) State surcharge(12%of permit fee)~ Authorized signature: TOTAL PERMIT FEE Print name: Sp y�� 5l � Date: This permit spli adee expires if a permit 4 sot obtalaed within IN days after it has been aecepted as complete. *fee methodology set by Tri-County Building Industry Service Board. I:\Buildi°gPrmiu%PLMU-P,rmitApp.dtx 10/01/UV 440-4616T(10i02/COM/WF.B) v • Mechanical Permit Applicatik n' l'OR 1111:1( I 1.S1' OA1 1 City of Tigard Received : 11=10 Mr Willn � FEBdf ■ 13125 SW Hall lvd.,Tigard,OR 97223 CD (j �'J Date/Bv. g' Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit. TIG:\f D Inspection Line: 503.639.4175 ; ' trate Ready/By funs. ® See Page 2 for Internet: www.tigard-or.gov " - * Notified/Method: Supplemental Information I' • . TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work •New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* . 1-and 2-family dwelling 0 Commercial/industrial 0 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: � j j' a` F Air conditioning 46.75 � /� Job site address: ' GO �\t-J l ' Furnaceace100,000 BTU(duets/vents) 46.75 City/State/ZIP: Tigard,ard,OR 97223 Furnace 100,000+BTU(duets-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 2 Other: 23.32 Subdivision: Lot no.:t b Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas ftrcptacc/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:(503 ) 222-4151 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT $ CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. S14.15 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* Address: 'C'-5 1 S '2_ Subtotal City/State/ZiP: A lO e,r+. I (:),,-. 7 c( 3 4.l Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(5 41 ) Q Zip" )3 7 kis I Fax:(94) ) ' Z.b— 7 17 i" State surcharge(12%of permit fee) CCB lie.: 3- 5^Q S +ErTOTAL PERMIT FEE This permit application expires if a permit 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: ,j o.te 5 )3,','t'.ate 1t) Date: t\BuddingSPernuts‘ME_Pcrmn App 0401 tido.:doe 440-46I7T(I 1/02K:OM:WEB) City of Tigard 14r COMMUNITY DEVELOPMENT DEPARTMENT N T l G A RBuilding Permit Review — Residential D Building Permit #: /7S71.20/4, -eao/eP Site Address: /Stag ,RA ) 2 4- / lista - Project Name: —cZ{i7',o7i/- i 'e4 Q NO. S Lot #: / (New dwelling= subdivision> e;.Addition or.Alteration= last name of owner) Planning Review Proposal: k f 4) ` irR Verify site address/suite# exists and active in permit syste . WI''ver Terrace Neighborhood: ❑ Yes No Sit lan Elements: �,/ I► yhree (3) copies of site plan i a sting structures on site l,�/S e plan must be on 8-1/2"x 11"or 11 x 17"paper IF o tprint of new structure (including decks)with finished 'dawn to scale (standard architect or engineer scale) or elevations �sorth arrow V/lity locations (required for new,may apply for additions) e address,project or subdivision name and lot number iN . anon of wells/septic systems plicant information (name and phone number) %Erosion control (including drainage-way protection,silt fence dimensions and building setback dimensions sign,location of catch basin,etc.) Petil area,building coverage area,percentage of coverage and S eet names it ervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location N roperty corner elevations (2 foot contour lines if more thansting trees to be retained with drip line,and tree 4 foot differential) protection measures P1glean Water Services —Service Provider Let r(lot platted prior to 9/10/1995): equired: ❑ Yes,app applicant was notified Received: ❑ Yes El No Public Facilitimprovement (PFI) Permit: quired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake md Use Case #: ,2)/S'- ing: k-- l12' etbacks: Front ig" Rear /S.--- Side 5 Street Side /19 Garage eQ() ndscape Requirement: c;Q© 0/0 t Coverage Maximum: e(3 Building Height: Maximum IIeight / Actual Height 39 T 6, // Ii-isual Clearance I it asements Zes ensitive Lands: �/ ❑ No Type ,Si 1l ' s.i IJd Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: � h Yl 11Drt Q /'1?G(C/— he !h /�.�uc CY' .A 7 e LI Approved By Plat>tnin : — � ,,, .L. Date: /.3//n Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPeimit Rvw_R ES_070915.doc x J Building Permit Submittal Original Submittal Date: c2 ,7 /fo Site Plans: # Building Plans: # i Building Permit#: [Enter building permit#above. Workflow Routing: �"Planning Ermngineering i crmit Coordinator ie'tuilding Workflow Sign-off: D-Sign-off for Planning(include notes from planning review) Route Application Documents: p'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: v2///,6 Engineering Review /Slope at building pad: �litdOr .Ar _ c AM 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 t No Assess Water Quantity Fee in-lieu: E Yes No LIDA Facility on lot: ❑ Yes No tiNOT Approv•d .y Engineering: Date: ..h_xeatnti Notes: i _411, G7_ .0,41r L�f .0411.E Approved by Engineering: liz 27 Date: --,_ _ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved, NOT Released: ir7f Date: /! /� otes: /PC-6 C—€44_ cc—cX 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: >41DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: ,Yes ❑ N/A Parks SDC: /WYes ❑ N/A '_'�•K to Issue Permit pproved by Permit Coordinator: I ate: /� /� I:\Building\Fonns\B1dgPennitRvw_RES_0709I 5.docx Albert Shields • From: Albert Shields Sent: Thursday, February 11, 2016 1:26 PM To: esweeks©drhorton.com Subject: MST2016-00015, -00016, -00017, -00018-00019, & -00020, Emerald, we cannot issue any of these permits for Summit Ridge No. 5 until conditions 24—28 for SUB2015-00007 are Met. Until then we'll put these applications on Hold, marked "Approved but Not Released." Please let me know when the conditions have been met. Thanks, Albert Shields. 1 r FOR OFFICE USE ONLY-SITE ADDRESS: I '3 1 atg 4.J 6-e0-eA (,tja_po, „I- L344-/67.-- This aza-/ -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 'NI i I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov ETO: DATE RECEIVED: DEPT: BUILDING DIVISION U MAR 2 3 2016 FROM: o60 20 (2.3.,.iY kit- !:GARD COMPANY: 3UILE:.,it41-; tv!SI N . � PHONE: 5-03-oma- 15--4---X 1 f-@-7- y: k RE: l 3( aC) QL' LL -e� L°6-6 _ N e5c90/(p-0001: to Address) — — 'ermtt `um a er (Project name or subdivision nae and lot number) ATTACHED ARE THE FOLLOWING ITEMS: y 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): REMARKS: —7- j�.. `cam � a,�,t.a C 1 1: .),•\., 1 ✓1 Lt d,_\26.t9-,J y , 41 Y 4 ." �'o.a'��z` � .z SFr 1. � k µ„r^' 1 a n';�,y` .� r R 3.s kJ. . f . . , f"� r `s7 . _,TI t - �A` a, 9 .. -mak' !i n ;° � a R r k i �` ,� ,'-z,,, Routed to Pe ts it Technician: Date: Initials: Fees Due: e2 Yes ❑No Fee Descri tion: Amount Due: e $ g4 9')- Special Instructions: Re s rint Permit ger PE : ❑No ❑ Done A s •licant Notified: Date: IMPANIIIIIMIIIIIMICEI!!. I:\Building\Forms UransmivalLetter-Revisions.doc 05/25/2012 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 13128 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL October 4, 2016 at 2:35:12 PM MST2016-00018 David Young Clean outs need approved thread sealant. 316.1 Seal hole in kitchen counter or install ﬁxture. 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 13128 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O November 15, 2016 at 9:56:40 AM MST2016-00018 Jeff Grove Street tree, moisture content, lighting efﬁciency and insulation forms all received Violation Summary: Inspector Contractor S,A'....sitV172,41-e Mechanical Per aut Apj)liE E`OK{1F F I{ F t t 011 1 • i , c5l lirtr SC . lli t: ,..: ,. . _—�_, � : Y ' i Pr '��°4 I .1 .,. I "...pill,4.44 DUI Into:rnal,..,, ,( ! o a , 4. _.__-.___—Tl PF 44( '_(Y)MMER(!Al FEF S(HED►LI I il.CHF(1.!I.St _._ ,___...._, 'r1 ! :1; 11 t ! '1411 !1 •. \,.i1 ti,40).,t,.,-Oil,,• fl \t1t1 t,r).?'. ..' , .i'1. ,t:-i,..; 1 I, , iii- : 1 ' .. i d '. n 10 llel:i:):1'.3.0f1Irs,., .—._._._... ._.._._ 1. ` 1,111(i(!1t'a'()F (Y)551RtCT►(Y'tREISID1 11A1 E:QIAPMEAT(sysfVMS f'F_FS• 1• ! .'7:,1.. hili:11 ..;,,,11,,,,, L_.f( .....x_'x 1.;)t,,.. i.-,:i 0 .E. : 1',ali),t; f• yi.iol info rm:igen a ihi•_Ai t - .. T fjj NI.1.1..!:,t,ul, u%17 4...bolter; v!Y:{1,: _..__.- t _ � .t(>x_Si E f 'FOR'.+1AT ) �*p 1--)C-14 ISO. • .__ .„ , n —_ t_ 4-. . „ . . i• 11 •.__..-.f- -V r _ '%.. ` _-. 1 111 1 =.IY 1 11 i „ ,tri Ssii ., 1 , , „,,, ••,;1, _Tigard,O}t 9 22' — _— — i� I i I't..t i� ,-, sun111111 }tits it' I . I!It 7 I i. 1, _ �_.— �—h 1D f,r - 1 n •_______ _._._...___, .__ __.__..i ._� ()Act furl upittianne. i.7, 7al.p n.g1c N1 r,:, t -, /.f 71r'rl.# . K UESCRFPT'11EN OF WORK _ - _. •4 __ 1l_'!\ds,c\ 1 4\QA-' ,0,4,2,.....1 ii<yr:.:,, ,,,„•,-._ ...- r .. _ t 3 • PROPIRT1 OW'ISL fl TEAA4) -- __ ___ _._..___._._____._._._ ._. -1_ . __ .__._.._ . .. I nt,rnlnn.ntal t chsmt and sentil.tt,n '•, '7.- R,' I4,-1, r ;4n.}s... ! })}t Horton Inc. -4 : '.,1,1, ., 3hO S11' Macadam Avc Suite 100t; !., iui,.. 1; }. 1 .Portland,O>R 9i23� . i r ,n.t; !t *is(t `d t* ) t ' 1 h it: 1503 1 '.2I-41�} I � I © ,APPL1C A\1 E 0%1 A(1 PERSO's _.___..—.____..._�..___.. _,., __... ..._.�....._-.. _._..._._. .___. . __.. -- Iurl ! ut ' _.- - P.P ;r____ (iv,urti.+.ionto })}t HortI Inc. ♦44.15 to!lint 1..ur:5-t,nl for c.,It add I ft ( ,n.,c-11 Mt P ntcr'ald 11'cxks . l:fi'_ "1 ' 1-11T-• 4313()SW Macadam Avc Suitt! 100 ( 'I. '11-111' Portland,O12 97239 »., -.•,, 503 222W 3151 x)10. I - i•t,;-i es4seekso'drhorton.cont + CONTRACT(-- i ?' 'i t . __---'_..!._ ____-_ _ ME,(DAM( 4) P_tkMM11 Ft)S' I ' r .c, ,1 /it . ;:r i 3 '' - —. , . . Lt--IC.,.. �' r ... a�w--.r1 .3L.1 _-..—__ _,a.__ ___ ..._ .._.______. _._.._. { 1. ( I ; T{FI 41 TI.R%111 LEI ._..._. - _..::._: .:_�- -5_._. _ _-_.__._—...__.._.__-.....__._.__ -._. ____--__.- �, - - )hi.permd.Pph.xtwn vrpr,r,u.p.•rm I rs n..I OW rrn,d.,d ti,,lA, 4.+,mil,:it h>.,hon,a„pa d. iompi,r. •,f lit.':,.,.s:,;,+t!1ii I,I 44 r City of Tigard ■ N COMMUNITY DEVELOPMENT DEPARTMENT << R�, Building Permit Review — Residential Building Permit#: /`7.57',�0/& '- 00/6 (- Site Address: 3615 S W F72 2 n ct C&v-e, Project Name: "O1 0n - W v► s t- ��vw c e�� Lot #: 5.3 (New e1nr=subdivision name;Addition or Alteration=last name of owner) • Planning Review /L' , S./7'_ /)4_„/-/\, Proposal: 1,1Qme/ S.Fi2 / t t/CRS-S E /" 1 t7'/ e/1, z C'% Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No J Yes,See River Thrace Review Addendum Attached Site Plan Elements: , Three(3)copies of site plan 'sting structures on site /Site plan must he on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished `;-zrraven 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 —Binseation of wells/septic systems (,Applicant information(name and phone number) 'Erosion control(including drainage-way protection,silt fence / �t dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and Street names iimpervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations(2 foot contour lines if more than - FEeisting trees to be retained with drip line,and tree 4 foot differential) protection measures yr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified 0 No Received: 0 Yes 0 No /16 Public Facilities Improvement(PFI)Permit: ,/Required: ❑ Yes,applicant was notified ❑ No Applied For. Al Yes 0 No,stop intake .Z Land Use Case#: D R 2 0 IS —000041 4 Zoning. 1-1 SU Q 201 S UO DO b XJ Setbacks: Front 1 '7 Rear _ 0 Side ,ST� Street Side $ Garage 3 Er Landscape Requirement: 2o Zr�/Lot Coverage Maximum: t O 0/0 /Building Height: Maximum Height Actual Height _ J2"Visual Clearance 21 Easements )2'Sensitive Lands: 0 Yes /No Type gUrban Forestry Plan ja'Conditions"Met"prior to issuance of building permit Notes: 93)1(1i-hogs 'tv he_ I - p rib r ix, 6J•'I)C4+7C L (.) - Iv v.1 SO," VI en; in Approved By Planning: A/10 t1(14. 6 it 0 Date: 4/ 13/ )kC Revisions(after Byilding Submittal only) _Reviewer Date Revision 1: Approved 0 Not Approved , Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Fonns\BldgPermitRvw_RES_012116.docx r � t r Building Permit Submittal Original Submittal Date: V/2// Site Plans: # Building Plans: # Building Permit#: i2YEnter building permit#above. � / Workflow Routing: a-Planning Engineering Permit Coordinator t' ilding Workflow Sign-off: Q"Sign-off for Planning(include notes from planning review) Route Application Documents: El-Engineering: (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. UBuilding original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: le-- Date: 4/2-4V/6 Engineering Review Slope at building pad: $/ ❑ Conditions"Met"prior to issuance of building permit ❑ asements (encroachments)per engineering conditions of approval and plat ❑ ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 Yes 0 No ❑ NOT Approv b Engineering: Date: No ion / 124 �M ,� r-rtiot - e�r � �5 -fes � Approved by Engineering: /4 J) Date: ;,,7/G fc:A*Z7-g Revisions(after B 'ding Submittal only) Reviewer Date Revision 1: Approved 0 Not Approved 12 D' Revision 2: ///❑ Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit Approved,NOT Released: ,t,_0 , Date: S-4 -1(a Notes: EN Co co n d-.Ai ) n ulr rr•- • 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: fir SDC Fees Entered: Wash Co Trans Dev Tax: IR Yes 0 N/A Tigard Trans SDC: rg. Yes 0 N/A Parks SDC: [,ki. Yes 0 N/A to Issu rmit r ivedK by Permit Coordinator: 7///--A., Date: 9A;?/l� I:\Building\Fonns\BldgPermitRvw_RES_012116.docx frirCY /v/;.�'J/r A , 1 City of Tigard III DEVELOPMENT DEPARTMENT T l C, 11 River Terrace Building Permit Review Addendum Building Permit #: / J'T,2,p/6 ---DD/6 (a Site Address: 13015 S W i 1'2 het cope_ Project Name: PO l p n ea Wei i t- a.wer Tet f'ivi t12� Lot #: S 3 (New ng=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?,J Yes 0 No 1. ticulation:a minimum of 1 element per each street-facing façade that has 30-60 ft.of frontage.A9 additional ent required for lots with over 60 ft.of street frontage shall be provided every 30 ft. IV/A Porch min.5 ft.deepBalcony w/access 2 Window Projection Vertical Wall Offset a ' ft.deep min.2ft.,5 ft.wide min.2 ft.,6ft.wide Gabled dormer 0 0 0 0 0 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 I 3.Entrances:At least one entrance must meet both of the following standards: Max.8 ft.setback from longest street-facing wall arallel to street,angle no more than 45° from street, ,, or open onto porch Entrance opens to a porch:,.)Yes 0 No If es,all the following apply: 5 sq.ft.min. One street facing entry ,J 12 ft.max.roof above floor of porch 5 ft.depth min. ,30%min.porch roof coverage ' 4.Detailed Design:All buildings shall include a min.of five oft e following elements on all street-facing facades: (A overed porch min.5 ft.wide x 5 ft.deep �!of entry area min. 5 ft.wide x 2 ft. deep ❑Wall offset min. 16 inches Dormer min.4 ft.wide /Roof eave min. 12 inch projection 0 Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood )Z1 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. LI Horizontal lap siding min.3-7 ft.wide • 'Accent siding min.40%of street facade ,Window trim min.2 '/s"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 Bay window min.5 ft.wide by 2 ft.deep ❑ Balcony min.5 ft.wide x 3 ft.deep with inside access 0 Attached garage is 35%or less of street facade 5.Garages and Carports:May face the front or side lot line on a corner lot. cd. i Q uJILL, Sethcks: No oser to front or side lot line,than longest street-facing wall. 0 Yes 0 No. If No (Check one): ❑ ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min.area of 12 sq.ft. Wi :(Check one) 12-foot-wide garage door 0 400/0 max.of street facade 50%max.of street facade with 7 detailed design elements Notes: Approved By Planning: 4,101 i1-t& 6,)c)Sge- t"- Date: 4/ (5 / / I:tBuiding\Forms\BldgPermitRm RES RT rZeki iS%Un * 01214, 1# FOR OFFICE USE ONLY–SITE ADDRESS: 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 III Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski OCT 2 6 2016 CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVIS IOL PHONE: 971-212-2144 — B / RE: 13675 SW 172nd Ave MST2016-00166 (Site Address) (Permit Number) Polygon at West River Terrace Lots 53 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'C© ies A Descr tions " Cfl ies ,K Descri tion:` p' p e� P' .1.. �,. . 0 Additional set(s) of plans. 3 Revisions: flip plan on lot 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. _ 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. --, _,: --;',, lk FOR CEUSEO LY A4c -,44, 1 ' y.,,, Routed to Permit Technician: Date: j )- S - I ,( Initials: Fees Due: ' Yes ❑No Fee Description: Amount Due: ti ,.-. Ilk 1_11 r 1O)cv, $ 9( $ a 414 . :-,,v1-:,;, $ Special Instructions: Reprint Permit(per PE): ❑ Yeso [I] Done Applicant Notified:i i E Date: /7/9/,q, //// Initials: ,V)/ — I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 FOR OFFICE USE ONLY—SITE ADDRESS: 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 114 • Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski OCT 262016 CITY OF TIGARD COM1ANY: Polygon Northwest BUILDING DIVIS Of�1�,, PHONE: 971-212-2144 By RE: 113675 SW 172nd Ave MST2016-00166 (Site Address) (Permit Number) Polygon at West River Terrace Lots 53 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Descriplion: 0 Additional set(s)of plans. 3 Revisions: flip plan on lot 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. FOR OFFCE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes n No Fee Description: Amount Due: $ Special Instructions: Reprint Permit(per PE): ❑ Yes n No n Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 it City of Tigard s COMMUNITY DEVELOPMENT DEPARTMENTV 0 1 Request for Permit Action ///�/� ?' T l C,A R[7 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www TO: CITY OF TIGARD Building Division ( T 2016 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingP s1 swieog. FROM: �� U111 VI Check(,7)one ❑ Owner Applicant 0Contractor 0City Staff SiON REFUND OR Name: INVOICE TO: (Business or Individual) 2_ Hz'V , V\r\ tr Mailing Address: -4? %' () va.at-L Axy-t i2 € - -l(L\ City/State/Zip: c)16,-)52. 1i 9:59 Phone No.: -4Y3- as _q(s-I i t�� PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): i1 CANCEL OID PERMIT APPLICATION. ❑Z by 'S'ID PERMIT FEES (attach copy of original receipt and provide explanation below). INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). 0 REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: ( )57 O((I, 'OC.)3Ydy /5Wiôi& - Oovo Site Address or Parcel#: I I 51N SC k rj( Lot Project Name: Subdivision Name: kV',-0 .6 /�,V()3 \(A j Lot#: EXPLANATION: Vit Cil / , . �e,E S? , - © s S vb - Signature: c/U�Q�Gt,� ��t � Date: 16 `2 / LO Print Name: 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/B�jy FOR OFFICE USE ONLY Refund Processed: Date By � `� Route to Records: Date By Permit Canceled: N By >� - Invoice Processed: Date /'//2//� Bye ' Date //77/4", By -r Parcel Tag Added: Date / \Building\Forms\RegPermitAction_0 2314.doc By „ 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 ® 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 Attn: 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 it _ 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 ' Hu'Win Permit A licaigiEf/7_:,',V11:„il 03 no /IL R .ci • 1 1-(" / l.44" est en tta 1 oh 01 1 It I 1 st tAl 1 SFP 2 7 2016 City of Tigard ' - Received a jamms _mut . 4 13125 SW Hall Blvd,Tigard OR 97,41 , I) gal r 503.718 2439 Fax: 503'59e/966 '-' ''''' ''' I..).a'at:tr:lew,/0 ail Othtr Pernik,- ". - ,----'-'""' • Line, ..103.639 41 oale neady ity: ' 0 see-p_aied;tor 114 Internet: www.tigard-or.gov - . Notified Method. sunplementat information TYPL: OF WOR/c REQUIRED DATA:1-AND 2-FAMIL Y DI,YELLING a New construction 0 Demolition Permit feet*are based on the value or the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacernent 0 Other: equipment.materials./abor,overhead,and the profit for the CATEGORY OF coNstRucTiorsi work indicated on this applic,stion. lit l-and 2-family dwelling 0 Connnerciallindustrial Valuati"; i . :. - Number of bedrooms: 0 Accessory building 0 Multi-family 0 Master builder 0 other: Number of bathrooms: .416. 1‘4,0111111111111 N AND LocArioni Total number of floors: 0,Z, _.... , Job site address: J08 SITE INFORM.ATIO g-45-1 Nelt.dtt ect ening arca: 1 6 rt, square feet City/State/ZIP:Tigard, OR 97223 GarageIcarpon area: Ayg, square feet --- , Pro nanu I -Iri 4( ' ..41.,_46 I h 1 Cosered porch area: q? square feet i to CY Suite/bldg./apt.no.: Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: 1%L-UsE ciiEchusi subdivision: Lot rm.: . ( 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' Wo,E ik•corit indicated on this.#.Iication. Valuation. $ elir PR Existing budding area: square feet w ng area: square feet lb PROPERTY OWNER 0 TENANT Number of stories: Name: DR s orto Inc Nebuildiction: Address: .. so i . • . 0 0 City/State/ZIP:Portland OR 97239 live of constru Phone:( 503) 222-4151 ID APPLICANT Occupancy groups iii CONTACT PERSON BUILDING PERMIT FEES* Business natne:Drz HoInc. rton Pl".te re et t° 4theilifir Structural plan re ie fee(or deposit): Contact name:Emerald Weeks FLS plan reviess fee(I f applicable): 411111111. Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: CitY/State/ZIP:P. tland OR 97239 Phone:(503 )222-4151 x1107 Amount received: Waft PHOTOVOLTAIC SOLAR PANEL SY STEM FEES* E-man: esweeks • drhorton.com commercial aad residential prescriptive installation of COIVTRACTOR roof-top nvunted PhotoVoltaic Sotar Panel System, Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection detads and fire department access.along with the 7010 Oregon Address:4380 SW Macadam Ave Suite i00 Solar installation eciafiv Code checklist. CitY/Stale/ZIP: Portland, OR 97239 Permit Fee(includes plan review amonS2 0 SI810.6.00 and adrninistrative fees: Phone:(503 )222-41 51 State surcharge(12%of permit fee): CCB tic.:130859 Tota/fee due upon application: Authorized signature: t.„- , ' 1 -• „, ,-(,_ This permit appikatiott expires if a permit is not obtained # 1 ,,, ',.. , #. ,„ # i„, „ ,„ - ...• vs ithin 180 days after it has been areepted as complete. *Fee methodology set by Tri-County Building Industry Print name:1 I Date:2016 Senice Board. 1.,Building,Permits'BUP-RESPennitApp.doe 02 242011 440-4613T(1 1,02 COM'WEB i A *, ', .. 4 t --. '1: 2 t,."!, ',..,j, ', ,L1,-,- , _, ....,_. Mechanical Permit Application ,,,,.. ,n. it i i ,.., ,o.i •, City of Tigard ....,EP 27 2016 R.,,,,,,,,, .14,r.f,, 9 49 /6 OillM 445 _ E 11125SW Hatt Otwi.,Irma.OR g72.* trato rovrt, pultie- 50.1 71tt 2.119 t ax 503.,',R,R4i..9JR0 r -,t,r:-,,,-;r,,0,'") too tt-,, 4 . impectkwi Roc: 9,-0 109,411.4-k t "t '1 t t'' 4 ii- t 4 4,w'' 2 So,Ng*1.Ott i intorwo woo . 'i- t i. 0,' , • l''' 7,t',.'-7 1 - -------- - ' t--- . - - _. ,... - . . ..1 I mookankIll wank 120,,,,,,.. rc tms,,,,,,c1 on the vAlue of the wom ; ipi No*construction 0 Addition albtraticoureptacernont i 1. ix.rforined,[okay Ito lobo!flouodott to Ow TICARcli do-ottaO'''-''t1 1 I ' tnothartival twoortit,-Nutprrowl,kat-wt.wvolkao.and pt„la. .,, 0 Deinolition 0 Otht4r. ' %rater 8 1111 i and 2-lirruly&Arnow 0 0/import-at:industrial 0 Aeitsor:i budding I ,.' f or verial 44"ate crave:he ...1 i e---- 0 Multiditanly 0 Master huildet 0 Other- i i 144-44,4iFition 1 4,,iii. 1 14.1 i,go 1 " . . . ''' 1 ii allowituidiar e---"- .""''' 0.1...t 4`..1,' i iii::..,:'-'4, ,.4: - - .4th oic iidibei,4 b'l 1 ,,Sti./„SU kfOk(1,k /t/tir) - - 4t")S17.4:Z111 1 Tigard OR 97223 i 1 i iurotkc moot.frit wtootooww '----7 :i4 4! 1- t i ' ,,..-- , -77-', /.14eit fl Stott Nth: oR,ow _ . . Projtto'Nom. ,02,in ow,,,,ei, ‘Atlir/ttClee* t - 1,; Ti:- 1 - - - t t..nos vireo,ilirwitorn to Job tsar H. urn,'hot*tory tivslott t 2 t ;2 ; — ReOckattal NOV"trotiato or i i i i — ----- --I TrInit h7e.aaera tititi-typo,riot deolo, „„1 ' tworaii;irociewt„*. 4 -.04,el,: 1 tluovent rot any of 44ittec 2.,',...,!L 4 Sahib vision _ _ ___,1 Lot no lc/ ., • i moo ow'rt n Other tad ,..,sores: * J8 ro' I Woo'boort I '1 1' T- -1' 1 ( .fi Roc tower; - , '' .''''-',t",''t fit, ' t* '''w'''*"''•:'''''I'"'4,,,:.',",„ :,', ) t'. ''''''''',,,. ?4' '''1 I t hi't "P t.' 4 1 flat writ fat won Ittater or po New SFR NOM IrivrAIL, t L Logliti.54A1,r,*,,I,4__ 4 :4k. 1, A , . i Wood.pellet*Attu' , 41 Wm!titeptKetoutri i ',t!tiorritri tirorikisaL_ Labor srte DR Horton Inc. ønd 1 Rangy.hoot oho rotor" 1 1 1 4 . u ' 438OSW Macadam Ave Suite 100 - i/miles drvvt-vthttam ,',t3.ici ; __..j 1 , IS w0104,(KIM t%Iowa 1 *thr (LI)St414:41P Portland.OR 97239 ..-- .„...- --i - toikl cot •- ,,,,uttht)._ ,1,,,,i,„ _ , :1 ,,,,,.. , ta‘ t t Ph"PK: i 503 1 2224151 , , 1 law crawww" t low ' i, , , 11$415, e„11.011",.*4 ''''' x • FOril--e!PiM i 140''Ittc"88 witrw' 1)R Horton Inc„ .....___ — -7 , I 4intwier,MC. tfctra*V1 WOW' Emerald Weeks ! ---t . . . (CO too powr,_ AiRierso 4380 SW Macadam Ave Suite 100 i - ..,...._ t (oti-Ststc'7/P Portland.OR 97239 - ' ttk ow,sc.mil -- -- r_f t _....S.__O3 4222 4151 x1107 tei2 -.. ,, ,..,. 1 4n esweeks(44drhorton.ciini . .'7arstvor , . 77--:': '777.77-77-777:71 ftwor,48 woo: 4/ ,....), Al 42 a,„6, ....., -,.,.,..,,,,- „A. ... 1..,-Itstr .,_ - ... .-_---- , .--," Adam.. ......, . „. ii4. ._ .........._ , t .., swetr I,.), -1.,.. 64-,., . A . 8417 i.,,..... - -. .., Fa 77'jeie' ' '''''. - ' '' 1 izII„VI z z7III--:+t). :Iltk-I lie: I 1°--- Plan tr;ow 057.of pectin!Imt I ,,,,;,i -Stmt.htattuAtvc polo; ___ . - 110:Toti, PURA-ITT 11E 1. _ (1 81,4 .^`.° . : 'ciale ,. - ----,„ . --,.------------.------'------' hi*per*Mt VP011000 t 4 pitrs a*pr allit h rht 4,4*alwa.ttto*INA' 464.akthtt-u tht4 bow*ivarepohd ih.tompirk. Authot It oi 9mert2filf9ttit, t r . broil rIttititte....t----7 ..0 r,irr., tr.-,- ,rrrr Prr,tor'AIVrr.4''-'.'r'r ri • RJ ,.y. ..!_- y: EIectrical Permit Application 1 ,[,, um, [_ lS1 (,\i 1 City of Tigard 5 E P 2 7 ?016 Received 1312s SW Hail Blvd.,Tigard,OR 97223 » : 7 Rg /4 (Zak Pe it Ile.: 57296/6— 315/ Phone: 503.718.2439 Fax: 503.*41041 3., F' 1,!t Plea Review n Inspection Line: 503.639A175 Date Re Suffix eruriC .Internet: www.tl ov TA ,kr_\' ''1 { i ' !x' I • Ready/tho Date 8�'or•P> o�, _ �,xo-s �� ' �� NatiScd/AletLod: runs i B Sa Page 2 for Into sappkareWnl rmatioa TYPE OF WORK. • _ al New construction 0 Addition/alteration/eplaceme nt Please creek all that ❑New constr 0 Other: ❑Evia or feeder apply(submit j sets ofpiers Building over checked stories.below): amps or more 13Buiding three stories. CATEGORY'OF l:0 where mo available fault current 121? and boatyards. iCONSTRUCTION exceeds 10,000 Ards 1! 1-and 2-family dwelling 0 CornmerciaUindustrtal- t-� g lsOvol0 or ❑Floating buildings, Q ty i1 ing less so ground,or exceeds ons. ' l�Comings.i nx agricultural Q Multi-family []Master builder ""a loops for.all other installations. �. bail ❑fillet: OPire pump. Cl installation of 75 KVA or JOB SrrE INFORMATION XPi LOCATION �1Amergenoysy larger separately derived system. Job no.: Iab site address: 8�l' �� C '_ � ❑Addition of new motor load of `� 1 j_ _ IOOHI'osmore. Cl"A", EQ occupancy. ;"2.3; City/State/ZIP: 7-,^ 4 02 ❑Six or mora adties. units ❑Rtcre�ioaal vehicle parks. Si J + L�Health-care facilities. ❑Supply voltage for more than Suite/bldg./apt.no.. Project name: C7 Hazardous locations. 600 volts nominal. /r C% it [Service or foxier 600 amps or more. Cross street/directions to job site: tJY"' I FEE SCHEDULE ._,.muniummollEMIIIIIIIIEMIIIMinlintil New reskleatia tsiagle=or multi=family dwelling snit Includes attached gars_e. Subdivision: I.Lot no.: 1 1,000 sq.ft.or las 11111EZEIIIIIINEI 500 a Tax map/parcel no.: Fa add'i q.ft or portion Lonrtad �'� �® DESCRIp'TI01�1 OP WORK a Gal With a6ovc,..It MI 75.00 IIIM Limited energy,muki-family MO Li hf-liVN 4. residential with above ..ft. 111175:00 =® Services or feeders installation alteration and/or relocation 200 amps or less 0 PROPERTY OWNER 1 1 ❑ TENANT 201 Ell 100.71) ®® anma m 400amps 1111111M311111111111MB El Name: 401 amps to 600 amps ME Address: 601 amps m 1,000 amps 301 34 _- 301.04El Over 1,000 amps or volts City/State/Z1P: reII location Temporary e�vices or feeders installation, Phone:( j relocation ,alteration,and/or Fix.i {. ) 200 amps or less -IKE/11111111[3 Owner installation:This installation is being made on property that I own which is root 201 amps 400 ® 125.011 111111.111118 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps ® 111111111® Branch r blanc s—new alteration or extension r .anal Owner signature: Date: 0 APPLICANT ---i r A.Fee for Nand circuits with 0CONTACT PERSON above se/vice or feeder ice, Business name: DR Hoxton Inc each branch circuit �® B.Fee for bleach ciraritswithout Contact names: Emerald Weeks service or branch fee,fust 1111113111111branchcircuit Address: 4380 SW maca•am Ave Each add°l branch circuit ��® Miscellaneous service or feeder not indaded city/state/nil: Portland OR 97239 Foch manufactlaed or modular S03 Plume:( j 222-4151 dwell" service and/or feeder E-mail: Sign ( ) a Reconnect 0* '_ �® Pump or brtgation circle �® , Sign or oulo lighting - CONTRACTOR Sgl circuit(s)or smitesenergy ■Business name: ftiiiti G/ ( j`_r�t ? mnl Oeteni Address: 7 / IfiE Each additional ice.., anon over allowable is an of the above -t? a � Additional inspection(1 hr min) -1M111.11. City/State/ZIP: Va.-h C 0 k L fi. WA.. 51,506. / tie (1 hrmin) -CE — Phone: 11111111111 Industrial plant(1 hr min) 711.18/hr ®■ 6a 3.--/f._ 5sf9 Fax:ca, 32 �96C© Inspections for which no fee is r t CB Lic.:/72,640,, Electrical Lic.:• fiend listed 'hhrmvi I 111 90.00/hr 1Z © Suprv.Lic.: /?9i S �11 ELECTRICAL PERMIT Suprv.Electrician signature,required; rile �"r" }� t FEES L, /J,, subtotal: - Prins name:ClPlan review(25%ofpermit fee): 1011111111111.1 h 6-sib,-4, 6 rrf Date: State surcharge(12%of permit fee): Authorized signature: �/ s TOTAL PERMIT FEE: Mil Print name: Thin permit application expires if a permit is not obtained within 180 Date: * daya after it has been accepted as complete. 1:MuildineserrannetC-Pmnitgpp Number of inspections allowed per permit. 440•461ST(11/05/f)JM/WPB Plumermit Applicat i .f '{ 4:::,-,,,:,:::, Build:1;nignic1:0:g3dFili7nP.5:g xtures o[Tigi3rd p 7(' Re th ee ��/ �• SW Nail Blvd.,Tigard,oR 97223•. g 9a?9/ Pamir N°115 /l4 ao38 S Phone S03.T 18.2439 Fax; 503 59i$,>i9�0 } Plan Rev�elw Od1er Permit No.: T I G n ii ionLine: 503.639.4173 T r bra It: www.dgard-or gov F�ai +i.e i- r°-- D1scReedy/By: ruriaHSeePsse iforNonfey:.,:od: sSuteIafir:o.doa,, ; TYPE OF WORK. NEIL*SCAEDULik. : 4❑New constru ❑Demolition Forapedal inforrnarlern aseelreeidin Addition/altereplcement Description Total ❑Other. New 1.2-family dwellings(includes 100(t.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 • 0 1-and 2-familling 0 Commercial/industrial SFR(2)bath 437.78 ❑A ❑Multi-family - SFR(3)bath i 500.32 Q Master builder Each additional bath/kitchen 25.02 ❑Other: Fires inkla Pr sq.ft.} page2 JOE'8TFi/liPORMATvI9N AND LOCATION She utilities:. Job site address: l 1 ' �'C Al fir] L /ve Catch basin or area drain 18.76 CitylStata21P: G • [ r Drywell,leach line,or trench drain 18.76 • i , Footing drain(no.linear ft.__,_) Page 2 Suite/bldgJapt.no.: Project name: 1)1/At , ' Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear tt.: Storm sewer(no.linear ft.: .J Page 2 Water service(no.linear ft: Subdivision: Lot no. I �� Fisturearitcm: Tax map/parcel no.: Backflow preventer DRSCRIflION OP:WORK Backwater valve 12.51 Clothes washer 25.02 r Q t � r td' s Dishwasher 25,02 y, 1�- Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERV OWNER . I 0 TENANT Expansion tank 12.51 Name: l ( ljA1ljvl 1(A,C., Fixture/sewer cep 25.02 Address: Floor drain/floor sink/hub 25.02 CityiStakerZfP: IV j ��^.., Dlt Garbage disposal 25.02 `- L✓� �},1� el Hose bib 25.02 l Phone:l(4) a _J\t Fax:( ) Ice maker 12.51 0 APPLItwa 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: -,:;•a, V�k •c(}r` t vit.C.2 Medical gas(value:S ) Page 2 Conteetname: \*V .Q..vr1.1 CA ",AY'.-e.. Primer 12.51 Roofdrain(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: e S 661 i ckv VI C 7 • � Urinal 25 .02 .•CONTRACTOR L Water closet 25.02 Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address:1601 SE RIVER ROAD Other: 25.02 City/State/Z1P:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640.0113 Fax:(503)640-4483 Minimum permit fee: $72.50 CCB Lic.:94689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) �� State surcharge(12%of permit fee) Authorized signature: A TOTAL PERMIT FEE Print name:RAY MULLEN / Date: .�` This permit■pplicaties empires ira permit is pot obtained within ISO days after it has beep accepted as complete. *Fes methodology set by Tri-County Building industry Service Board 1.iBuildihYt n:aWLMU•PerufApp.doc 10/0 I/09 440.416T(10/02/COM1WE6) City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT IIIIC T1cARD Building Permit Review — Residential Building Permit #: H -r--9,f.-)r 6 ,DO 3 3 Site Address: g 51 I Svc SC k6,,,d1- boob Project Name: H-etitif49 e Gross ;rn ci Lot #: 167 (New dwelling=subdivision name;Additio?(or Alteration=last name of owner) Planning Review Proposal: N&Of S(--1 Z AVerify site address/suite# exists and active in permit system. )i River Terrace Neighborhood: zr No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: lThree(3)copies of site plan misting structures on site /ersite 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 7fUtility locations(required for new,may apply for additions) /Site address,project or subdivision name and lot number Cation of wells/septic systems ,Applicant information(name and phone number) fisting trees to be retained with drip line,and tree ,Lot dimensions and building setback dimensions protection measures JZILot area,building coverage area,percentage of coverage and 1treet tree size,type and location impervious area(applicable if R-7, -1�,R-25&R-40) 7§treet 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 2' Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: S U g 2,01 - 0 0Q j. i7,01V 2_1)1S— 0000e, 1' Zoning: re- 1 .Z l' Required Setbacks: Front S Rear /s Side 1 Street Side 8 Garage 2.V 0 Landscape Requirement: 6 0 Lot Coverage Maximum: 24 % 1%Building Height: Maximum Height 55 Actual Height -L--. ,VJ Visual Clearance 'El —Easements 4g—Sensitive Lands: ❑ Yes ❑ No Type Of Urban Forestry Plan j2'Conditions "Met"prior to issuance of building permit Notes: CO ral*0 n S t be Mel- pi-19 r ro (SS UGq k"1 fJ (-- h L/a k) p.er ant 1-3 Approved By Planning: /14 ` f J d.i( z c9vi Date: 0I/ Z 7)) 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\Fonns\B1dgPermitRvwREs 091216.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ 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. El 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 r❑ 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: El Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved b Engineering: Date: Notes: Mo I/ _.,:x J. i -+' ,- 'ill Approved by Engineering: 42. 1) Date: c?.....:29.....g ~g Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 9/�/�� Ppproved,NOT Released: C �` o� ;.."- ate: 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: BDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: ,Yes CI N/A Parks SDC: Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_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 i. CITY OF TIGARDMASTER PERMIT ref , # ` ' 2 COMMUNITY DEVELOPMENT �,/ 4 Permit#: MST2016-00018 T[f ART 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /7 t 7r Date Issued: 04/12/2016 Parcel: 2S109DB01702 Jurisdiction: Tigard Site address: 13128 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project: Summit Ridge No. 5, Lot 162 Project Description: New SF. 4/20/16, added continuous loop fire sprinkler system for 3004 sf. 10/17/2016: REPRINT to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 938 sf Basement: 656 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1410 sf Garage: 390 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3004 sf Value: $359,676.64 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 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3004 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE,SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 2 A geotechnical report is PORTLAND,OR 97239 required before the footing PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,570.58 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. dIssued By. A , L ©v//r"�'G/l4T/a.LI Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , ' Mechanical Permit ApplicatioJECE1VE fr FoR 01:Ficr csr ONLY City of Tigard Received Permit No.: MST2016-00018 ' ipq OCT 17 016 Date/By y, Plan Review ! I- .4 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598,1960 DOther Permit- aic/By: Inspection Line: 503.6394175 TIGARD CITY OF TIGARD Date RcadY/"Y Juro 55 See Page 2 for Internet: www.tigard-or.gov Notiticd/M ethod Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*arc based on the value of the work 4 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT i SYSTEMS FEES* 4 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 0 Multi-family 0 Master builder 0 Other: Description Qty. Es. Total Heating/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning 1 46,75 Job site address: 13128 SW Blackwalnut Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,0001 BTU(ducts/vow) 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.:162 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 Adding AC Wood/pellet stove 33,39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ig 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:(503 ) 222-4151 Fax:( ) Attie/erawlspace fans 23.32 E] APPLICANT 81 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 , Phone: DUO (r r‘-, ) 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* Address: ° N36 sf 0 2._ Subtotal City/State/ZIP: A )9,,,,-, 0.,-- ci 7 S z., ) Minimum permit fec($90.00) ) I Plan review(25%of permit fee) Phone:(511 ) i z 4,- 13 -7 0-1, Fax:(9'i) ) 1 Z(a- 7 Z. -7 i'-' State surcharge(12%of permit fee) CCB lie.: 'f.CI s TOTAL PERMIT FEE This permit application expires if a permit is nut obtained within 180 days after It has ban accepted as complete. Authorized signature: IT, /9/41( • Fee methodolog,y set by Tri-County Building Industry Service Board Print name: jo..i.e 5 11'-(‘"‘St- I I) Date: - I,\BuildIVI'crmWMLC_Permn App_040 I 1)do c 440-4617T k i 1/02/COM/WEBI