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Permit (4) u 11 CITY OF TIGARD �i 0A MASTER PERMIT to COMMUNITY DEVELOPMENT Permit#: MST2016-00010 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2016 Parcel: 2S109DB01800 Jurisdiction: TIGARD Site address: 13058 SW BLACK WALNUT ST Subdivision: WOODSIDE Lot: 10 Project: Summit Ridge No. 5, Lot 159 Project Description: New SF. Model home with sales office. 4/12/2016: REPRINT permit to add fire sprinkler system. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 656 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 34.5 Bathrooms: 4 Second: 938 sf Garage: 390 sf Front: 15 Smoke Dwelling Units: 1 Third: 1410 sf Right: 5 Detectors: Yes Total: 3004 sf Value: $359,156.56 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<10OK: 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'l 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 - -. ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: • Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3004 Owner: Contractor: VENTURE PROPERTIES INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 PORTLAND,OR 97239 2 A Geotechnical report is required before the footing PHONE. PHONE: 503-222-4151 FAX 503-222-1304 Total Fees: $30,456.46 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 throu• OAR 95Ow,1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / .fi /�Issued By: 4 ' ti , Permittee Signature: �N i// �G "T-7-7.9-t/ 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. E Plumbing Permit ApnlicatiRC �/1 ® ys Building Fixtures MAR 2 3 2016 City of Tigard 4111111111,111,1111111=11111111111111,DE54p /k T g � PernutN ,/6 'O��D • 13125 SW Hall Blvd.,Tigard,OR Q i y2 - !i - f'" V jil1 AKV Phone: 503.718.2439 Fax: 50338$1 4 a i�ri2 ��y OtherPwmitNu.: Inspection Line: 503.639.4175 �} T p j� T 1. Diu;Ink Date Ready/By: : Juni:: 0 See Page 2 for Internet: www.ligard or.gov I U [�If l F 1�1R �1��1 1 NMificd/Mcchod: SupplemenWloformadoa ' TYPE OF WORK FEE* SCREDULE ❑New construction 0 Demolition For special information use checklist Description 1 Qty. I Ea. 1 Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Cotnmercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additionA tchen / 25.02 ❑Master builder 0 Outer Fire spprink - ft.) ( Page 2 3O11 SITE INSORMA3TON AND LOCATION Site utiliti lob site address: 7 (7 C$ ' ( a t>l,itk ) ( { - - Catch basin . drain 18.76 ) t W,�I City/State/ZIP: -11 bZLt, C k.' 6j 7 ",1.7 1( Drywell,leach line,or trench drain 18.76 Footing drain(no.iineaz fl.:_) Page 2 Suite/bldg./apt.no.: Project name; Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 ' Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: ,5-1 Fixture or item: Tax map/parcel no.: I 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 0 PROPERTY OWNER f 1 El TIMM Expansion tank 12.51 Fixtute/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ©'Ap jcANt Q comma 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. 100Sink/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 heater 37.52 Business name:Gro-'Jt y (tt. &9 tul �vt L Water piping/DWV 56.29 Address: N135 s, &,f\ v-u_,e.e c)v-- Other: 25.02 City/State/ZIP: or cion C.t+Li t flo_ t1-/Ot{5 !1 Subtotal Phone:(S>, ,) ��0_D'l(0 3 Fax:(' 7I ) Zs()'2Js O v - Minimum permit fee: 372.50 Plan review (25%of pennit fee) CCB Lic.: t 9t Sc$ c Plumbing Lic.no.: ?�i l)(O S - State surcharge(12%of permit fee) Authorized signature: .11 - L\/-` TOTAL PERMIT FEE Print name: T �`^ � Date: Thu permit application expires if a permit is Dot obtained within 150 days J C l after it hat been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 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