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Permit (32) • CITY OF TIGARD ► . MASTER PERMIT ''' COMMUNITY DEVELOPMENTIN Permit#: MST2016 00086 Date Issued: 06/13/2016 T[GA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DB07300 Jurisdiction: Tigard Site address: 13067 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: 141 Project: Summit Ridge No. 5, Lot 141 Project Description: New SF. 8/16/16,fire sprinklers added BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 919 sf Basement: 195 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 997 sf Garage: 450 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2111 sf Value: $258,386.15 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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 add9 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2111 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 3 Special welding inspection PHONE: 503-222-4151 PHONE: 503-222-4151 required before shear wall FAX: 503-222-1304 Total Fees: $28,266.78 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: ,i lam•-•1/1 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. 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 Transmittal Letter -r± ,rr R l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: C irh �'f 1 V\'‘ eke'1 DATE RECEIVED: DEPT: BUILING DIVISION '.;4'.1° `' • FROM: '- 7'li'v r,.A. AUG 0 2 ?H1,;; COMPANY: PHONE: �b — ��et (l/tel / BuriaDiNGDIvivr(,_„lb \� RE: 130(D7 5 1 5 G- 4,�' )•-12�aoi l0-oDO S< (Site Address) (Permit Number) ".5L74\ M,,,,,;1- --r"d� ,, /x/ -i / (Project name or subdivision itcdne and lot n.41 I 4 ATTACHED ARE THE FOLLO , NG ITE . �'Cda t , . ka 7 tl P( ,av ri r air x k ,o eps�"` ;:. & B ;,.1: ;ti r 7ti - IIP ,',, T3'U i.,.•i" F ^#�`;.1'-'.'r- 1,. ,� z,� _„ Additional set(s) of lan Revisions: Cross section(s) details. Wall bracing and/or lateral analysis. Floor/roof framin . Basement and retaining walls. Beam calculation . Engineer's calculations. v," Other(explain): r" ;_,, i,n k62_,(- REMARKS: xSi ar _e�r n ,fi 3r 14' .-., ,.,'" 'i4 n O' er �iinn i, k'r ' s: Routed to Pe ur•t Technician: Date: Initials: Fees Due: '4Yes ❑ No Fee Description: Amount Due: " i e $ /609, 60 41, e t 1 1 i' ; 411 Siii 6f 2k —::R , x::.. 't / q [ J$ ! T Special Instructions: Reprint Permit(per PE): ❑ Yes \lo Don Y�� Applicant Notified: Date: //,P1/(t& ( I itials. I:\Building\Forms\TransmittalLetter-Revisions_061316.doc III CITY OF TIGARD MASTER PERMIT °�! a. COMMUNITY DEVELOPMENT Permit#: MST2016 00086 1 A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2016 T[t' g Parcel: 2S 109DB07300 Jurisdiction: Tigard Site address: 13067 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: 141 Project: Summit Ridge No.5, Lot 141 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 919 sf Basement: 195 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 997 sf Garage: 450 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2111 sf Value: $258,386.15 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types 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!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 2111 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 3 Special welding inspection I PHONE: 503-222-4151 PHONE: 503-222-4151 required before shear wall I FAX: 503-222-1304 Total Fees: $28,076.83 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 oug *AR 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: k . L Permittee Signatur • t a4--...., Call 503.639.4175 by 7:00 a.m.for the next available inspection e. 1 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. `( o A-c Building Permit Application dg Residential RECEIVED '-OR 01.1-1( I. ISL O.1 , City of Tigard RDateeceiBy:ved # 0 Permit No.: / 13125 SW Hall Blvd..Tigard,OR 9722 rA5at- 42 '� Phone: 503.718.2439 Fax: 503.598.19.-u R 9 2016 Plan r11,14 other Permit6W�&a� QS/ By: Date;By: / t I;,Al:I, Inspection Line: 503.639.4175 Date Ready-By: d,ihats- ® See Page 2 for Internet: www.tigard-or.gov CITY OFTIGARD NotifiediMethod: /- I�u �� Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING II New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q I-and 2-familydwellingValuation: $ 0 Commercial/industrial ❑ Accessory building 0 Multi-family Number of bedr5oms: 0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION ANDLOCATIONTotal number of floors: 3 Job site address: 1�0(— �� J� os-A.� e New dwelling area:2 k 1 square feet C I City/State/ZIP:Tigard, OR 97223 1 `V� L Garage/carport area: 4 GO square feet �!J Suite/bldg./apt.no.: Project name:Summit Ridge Covered porch area: GD square feet 99-7 Cross street/directions to job site: Deck area: square feet 9)q Other structure area: square feet )94— REQUIRED 94— REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:1 LI I 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. New SFR Valuation: $ Existing building area: square feet New building area: square feet a 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* (Please refer to fee 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 p pp Phone:(503 )222-4151 x1107 Fax: :( ) Amount received: E-mail: esweeks@drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ubmit two(2)sets of roof plan with connection details DR Horton Inc.Iand 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 $180.00 and administrative fees): Phone:(503 )222-4151 • Fax:( ) State surcharge(12%of permit fee): 521.60 CCB lic.: 130859 Total fee due upon application: 5201.60 n Authorized signature: ') 9%' f, I� ( GI`� This permit application expires if a permit is not obtained i f t'r�( within 180 days after it has been accepted as complete. Print name: i, 14 /�� Date:2016 *Fee methodology set by Tri-County Building Industry Service Board. I:'Building`\.Pertnits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application Foiz 01:1:1c1: t Si.O'l.\ City f gandReceived o Ti RECEIVED : Permit a: rl igo«—ago g6 II 13125 SW Hall Blvd.,Tigard,OR 97223 �teN s Plan Review Phone: 503.718.2439 Fax: 503.598.19tW /i R 9 Date/Bv: Related Permit ii: Inspection Line: 503.639.4175 11VYIIHR 2016 ReadyDate/By: kris la SeePage2fort It,\1.I) Internet: www.tigard-or.gov Notified/Method: Supplemental Information .. QF TIGARD TITE O . ' . ,! .: c DIVISION : , PLAN REVIEW , al New construction 0 Addition/a teratto rep acement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY'"°NSTRU ON _4:40,V,..-:-.,-:,,',.-1-,,Vizexceeds 10,000 amps at 150 volts or 0 Floating buildings. 4 I_and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ants for all other installations. buildings. 0 Multi-family 0 Master builder ❑Other: Q Fire pump. 0 Installation of 150 KVA or JOB''SiTE INFORMATION AND LOCATION - -' O Eenc rgcncy system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:(W rn4 (J.W �p GO I00HP or more. ❑"A E i-2 'I-3 city/State/ZIP:Tigard, OR 97223 `� ,/� • ❑Six or more residential units. occupancy. Lort. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Summit Ridge 0 Ilazardous locations. 0 Supply voltage for more than b ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Descilpnoa I Qty. I Each I Total ) • New residential single-or multi-family dwelling unit. Subdivision: Lot#: 141 Includes attached garage. 1,000 sq.ft.or less 1 I 168.54 4 Tax map/parcel#: En add'I 500 sq.ft.or portion 3 33.92 1 DESCRIPTION OF WORK },i'- rner�ry,residential Limited ` New SFR (with above sq.fi.) 1 75.00 ? Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 R PROPER' -OWNER I, ❑ TENANT- ' Services or feeders installation,alteration,and/or relocation Name: DR Horton Inc. 200 amps or less 1 100.70 2 Address: 201 amps to 400 amps 133.56 2 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: 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 I intended for sale,lease,rent,or exchange,according to ORS 447,449.670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 C C 1 CON'ACT PERSO Branch circuits—new,alteration,or extension,per panel A.Fcc for branch circuits with Business name: DR Horton Inc. above service or feeder fes, 7.42 2 each branch circuit Contact name:Emerald Weeks B.Fee for branch circuits without Address: 4380 SW Macadam Ave Suite 100 ce or feeder fee,first 56 18 branch circuit 2 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 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Wright 1 Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy See Page 2 2 Address: 11490 SE Jennifer St. panel,alteration,or extension. City/State/ZIPEach additional inspection over allowable in any of the above Clackamas,OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:(503) 760-8522 Fax:(5o3) It i,, -) `IJ_, � ��S Investigation(1 hr min) 90.00/hr v� Industrial plant(1 hr min) 78.18/hr Email: rlane@wrightlelectri.com Inspections for which no fee is 90.00/hr CCB Lic.:162368 Electrical Lic.:3-3320Suprv.Lie.:3i ifs specifically listed('r hr min) / ELECTRICAL PERMIT FEES Supra.Electrician signature,required: g) .. Subtotal: - f Print name:""DnNtS tX AJ. � Date: 2016 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized sign ure: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: 2016 days after it has been accepted as complete. • Number of inspections allowed per permit. 1:Building Permits ELC PermeApp_ELR ERE.doe Res.06 17 2015 440-46151011 05 COM'WEB I — ✓ I Mechanical Permit ApplicatilECEIVE , FOlt 011.1( r t 'l O\l ' City of Tigard Received ��/ g Date/By: Permit No.: -9/ 9^ &—t • 14 • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 9 2016 Plan Review Date/By: roW Phone: 503.71 8.2439 Fax: 503.598.1960 Other Pert: T 1 U 1 R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/Fly- June ® See Page 2 for Internet: www.tigard-or.gov Notitied/Method: Supplemental Information BUILDING DIVISIO TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees°are based on the value of the work 101 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* illi 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: VIDCA12A Air conditioning 46.75 Job site address: `)O.* G 1�, ! Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(duclsvents) 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 Subdivision: 14 I Other: 23.32 Lot no.: 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 le PROPERTY OWNER 0 TENANT Other: 23.32 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 0 APPLICANT is 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:(503 ) 222- 4151 x1107 Fax::( ) FireplaceRange E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: a ,3o S 0 Z Subtotal City/State/ZIP: A /OA rt v i- GI 7 3 Z ) Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(54 i ) 4 Z 4,- 13 -7 kt Fax:(9.j) ) ' Z b-- 7 1"7 I' State surcharge(12%of permit fee) CCB lie.: �- O c STOTAL PERMIT FEE Thls permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 0,1/ /$ 'l ' Fee methodology set by Tri-County Building Industry Service Board Print name: ,,f a.to y 1?,',-(`'NF-1P. I V Date: j I.\Building\PermitsSM EC-Permit App_0401 I3.doc 440-46171(11/02/COM/WEB) 1 Plumbing Permit Annlic� V EI` 11 /En Y14 9L Building Fixtures t It1R III It I I vI (Al City of Tigardgi LIAR 2 9 2016 DateBy: 1'/y�o?�1l�-G�S� Date/By: Permit No..13125 SW Hall Blvd.,Tigard OR 223 Plan Review Phone: 503.71k Line: 5 3. Fax: j8dti68A F6(� O G },�D Date/By: Received Other Permit No: Inspection Line: 503.639.417 1 1��+,/r� t 1t/ , ( ihtcReadYBY: Juno la Seep 2 for Internet: www.tigerdor.go '��L��1��.� � ' NoUfiedlMethod: Supplemeentalhfurmadon 1Y!'F OF WORK _ • FW SCHEDULE ❑New construction 0 Demolition For special iaforrn ttion use check/in. Description I Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-fatally dweRings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other Fire sprinkler(Lill sq.ft.) 1 Page 2 J011 SITE INPORNIA rCI AND LOCATION ' Site utilities: Job site address: P2, f�Gf. /„J I, Catch basin or area drain 18.76 I / / S t✓ r^ TG> [�+� Drywell,leach line,or trench drain 18.76 City/State/ZIP: 11 04 9 7 Z ZY l Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt,no.: Project name: Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear tt.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 QFSCRtFl7ON OF WORK Backwater valve 12,51 Clothes washer 25.02 Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectors/sump 25.02 • 0 PAOPIERSY Mink I 0 Ia8Arrr 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:( ) ke maker - 12.51 0 IAMBI-tool ❑ CONTACT PERSON interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:S ) Page 2 Contact name: Emerald Weeks moi" 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 Solar units(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/sbower/showerpan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 CONTRACTOR Water closet 25.02 • t (, • Water heater 37.52 Business name,GraV1.k� 1t>.1Ac9tukl v\C Waterpiping/DWV 56.29 Address: NCI' 5-- S•r`-1/41 -Tv-i J)J.. Other: 25.02 City/State/ZIP: Orelan C4-1-� Da- (j1O4.S Subtotal Phone:(5 b1) liCi 0_Yt(o3 t Y J Fax:(971 ) ZSo-Zjs O fa Minimum permit fee: 572.50 Plan review (25%of pennit fee) CCB Lie., l9t.i50 ` , c Plumbing Lic.no.: pf5 i D105 arge .of permit fee) Authorized signature: ,....\.).._,..}....Q....,iTOT(IALALPERMIT FEE Print name: 3-0 y�� l � Date: Tho permit applicadoa expires if State surcharge permit Is sot obtained within l$I days ager h hzs been ateepted as complete. 'Fee methodology set by Tri-County Building industry Service Board. I:\Building\Puwin\PLMU-PsmitApp.duc 10/01I04 440-46161.(I0/U2/COM/WEB) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 G n 1Z n Building Permit Review — Residential Building Permit #: HGj j j/b-ct,D 0 Site Address: 131)&17 SO/ ICOS-1-e 1 (,(V Project Name: S U m rM I-I- 12 i d 9e - Lot #: 14/ / °`G. (New dwelling= subdivision name;.Addition or.Alteration=last name of owner) Planning Revi w Proposal: e W S c_12_ /Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ,,,ZNo ❑ Yes,See River Ten-ace Review Addendum Attached Site Plan Elements: Three (3)copies of site plan xrExisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations North arrow , Utility locations(required for new,may apply for additions) //Site address,project or subdivision name and lot number bocation of wells/septic systems CVApplicant information(name and phone number) Erosion control(including drainage-way protection, silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) ❑Lot area,building coverage area,percentage of coverage and %treet names impervious area (applicable if R-7,R-12,R-25&R-40) Jtreet tree size,type and location 'roperty corner elevations (2 foot contour lines if more than 'Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Pc- 2,01 s 99 �04 Required: ❑ Yes,applicant was notified ❑ No 1 -app e or: ❑ Yes ❑ No,stop intake Land Use Case#: SU B ZOfS —00007 i S'Liz Zo1 S-- Co 004 / VA& 201c-000u- Z7 /Zoning: Ra - Setbacks: Front 1 S Rear 1S Side ' Street Side C 0 Garage 2. 0 yLandscape Requirement: ,t/`� % Lot Coverage Maximum: Building Height: Maximum Height 3 S Actual Height 30 Visual Clearance Easements pif Sensitive Lands: ❑ Yes ❑ No Type toUrban Forestry Plan Conditions "Met"J prior to issuance of buildingpermit tes: Goo dA 0o 11 rejnC/l YlmC -t"0 he (rtA." prI(7r 1 issuofnce of OviIc�t P. 1 -1i +- Approved By Planning: e'1.�� Date: 3/07/ / (o Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPermit R vw_RES_012116.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: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑ Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: Engineering Review lope at building pad: ÷- 1, .....9......,: i _ i, Conditions "Met"prior to issuance of buildin• c•rmit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,4J _7 Date: 3—/e9-f4 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 ❑ 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: Wash Co Trans Dev Tax: I' es CI N/A Tigard Trans SDC: Yes Cl N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: / ' ° Date: S/ ///0 l:ABuilding\Foams\BldgPennitRvw_RES_012116.docx RECEIVED Mechanical Permit Application City of Tigard s.EF, 2 1 2016 ,,":;;:d9,pg '"--/7.57420/6 --egOeF0 • 1:12,Sq Hall Blvd 1 iyal,1 f/It 1,.. , P14.,1.4, . - .—-, • t)41,,1...41 • ii,sfv.l,.io 1 14.,• .11:4 l,Vat ()VT IG RD /.1 1 • I . 0.a. 1,:i..• 14 lntcroc: ..A A 11,7,ki.of e,,, BUILDING1uppIgloo m4414.44. 1 DIVISION ieroeutal s' "' "_'''' ....., ....._ r T1PE OF ORK , ,. : 1 COMMERCIAL FEE SCUFJPErli. - Mr CllEt-KI TS I ' — L------- — .-- ---1 sic,.hot..JI pvinli 1i.t.,•:or Ita,‘I on Its .dur..!the..,,t1 1.No%oistis:0,,,1 0 Adtisihm.11,4:4'.1.1i4ro/4111-L4:91...111 ' f..11141,1d 111.11.,114.Ihc%.„511k ./004;d 14 14k WI-.,e.I dloti J.•' ; f111:4,11a111,.41"/1.414"1.41. 0 Dett1011114/11 0 oti,..:. i _ '1 Auk"4 1 CATEGORY OF CONSTRUCTION , ....,_ -' RESIDENTIAL E.91,11PMENT i SYSTEMS'EFS* ,________________________ — - 1 — i.1-and:'-rdinii.),Litt ciltdp 0( 011141k,4.141 1/1d0.111,41 0 AL,L....4v), /v.:11,N1,., /01%pr.igl inli,rnwtaton vs,- ht.,Atiq '..-- 0 Mitatilll!. 0 m.,..iv:hillitict 1-7,(otio.1 „..„. t Ds,.tort..., ' I;• ; T . . • ..L... • I----- _ _. • 'Jesting coolla_k_ I JOB SITE INFORMATION AND ATION —7--- -7-- Noi, CriV*3 b .--.___ "----dsire-. 1 4 it% 241.Alt.I 1 1' Tiard‘on 0-123 ,_i i,,,,....,,:JO WO• it i I J.'..,..r. , — '1 , ' ::..f..''. L... ....- ! I l'i".'C'I n'n' Summit Ridge .- .. -.-"ft..",.11rc,ii,1 io.,..I.,,,I, 11?.I/.."1,, 1,,t ls.,lis!-,.... !. — --.. . k 077,14.1 h.,4... I , ,. •- _________ 11.4ift.fli:1 ' - '-t . 1 1111 lieJ44.1.1 14,44 1!,T4, ti..1 e4"4 I [ - _Hut.wril z.4 ails sq ..,!t!!!‘S.' -4 . ! - ,...._. .., t.S,i1xio.t•i.mt q________,—I ____...____ I (: him.furl appliitntws: ..,. _,_. i 1 at 111.14'4 p.dt t 1 ht. 731—IA TT NL 'A.,14:1 114.41cr —T " -• _- -. DESCRIPTION OF WORK ; I.,tirerd.".e:mot ---1. ;; .. 1 — —, -- — — 1 Itil Nt'W fa a a Ali-1,•;ter ; New SFR :.!.'n'14.,2_' __,, _ ..,__ . : •:.a;2 4 I_-—— ; 111:_llyik.T_Letzl. ...... _.__ - I . -•..: i. _., : tl,.0.1 pi•Ilet 7.10‘r_ . ....,_ _ 4. __ :I-q i 1 I , : ...•aa ' k a C Li _.... , ......,,,-„,_,,,....4„. .• 4, • . .•._.• _______... 4-hon..%„,...,111c •%CI,' ", 1• A . 1 ,_. fit pitorEmy own* .1 0 -rviArcr .. . .... _ ...... ' ...1 ,,i•ut ironmentad nits tr.'and 511141111111111: I .'1"1 DR Horton Inc. . k.qtyr Itiod MA,ko.1..» Add":"'4380 SW Macadam Ave Suite 100 ,(pit.,, ,,,,.., • ,, :, , 1 ( 1'4.'4411C 11 IPortland,OR 97239 • ...mei,.d.,1,-..L.,,,...,omtbr,.,11... .. .. 1 1 _ __ . . __ _ _ _ _i.2.,iv r.a.,.._q72011.,_,..,.. ..p......T.L_, - . '.' 'S03. i 222.-4151 i.:, , • .0„.,.,,,...2., I ,!, ...... . 0 APPLICANT •comAirt rERso, ——...–........ ----.^. -.---'----"--- ---1 ...!"1.PiP1/2F-- . fftsou-,,name DR Horton Inc. .. _. 4,14.15 for lint four:i4.41 for to.%orlditiuna) • I t outu,t rum, Efnerilld I1VeekS 1 i oi.t.• , I ‘,14,-- 4380 SW Nlac4dam Ave Suite 100 1 •. -----.1 f - I ( II Y ''I'it4 iiP Portland,OR 97239 N U3 222- 4151 x1107 ' t.!, • 1 . ...'...._ . . -- : I.411..', CSIA'Vekstpdrhorton.cont :, •,..,.•. _ . CONTRACT OR — 1.,,,I....- &s, i. ' ' I i Fi..:••th.:-rm.,:/i 'y / I ii , 4 II. P'',i r- t... • _— •* . . %It(tt 1,Ni(kl II Wk111 V f f s• .,.--;,f ii.Phi- .. '7 • o • . 7 . 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A Uti. . ttf 4,orstracoN„ •• I , , ' - ./- P! oo II 11434..., - -----"' ...- I 1).,,..-. • - ,'/ . _ . ...... ... ....___ , _. ._ ... 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13067 SW KOSTEL LN, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 22, 2017 at 10:17:54 AM Record ID: MST2016-00086 Inspector: David Young Provide approved final inspection and test report for lawn irrigation Backflow devise prior to final inspection. PLM 2016-00131 Uncover required entry light. Grading to slope away from house 6" in 10' or provide approved drainage swale. R401.3 Remove debris from both crawl areas, R408.4. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13067 SW KOSTEL LN, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 22, 2017 at 10:17:54 AM Record ID: MST2016-00086 Inspector: David Young Provide approved final inspection and test report for lawn irrigation Backflow devise prior to final inspection. PLM 2016-00131 Uncover required entry light. Grading to slope away from house 6" in 10' or provide approved drainage swale. R401.3 Remove debris from both crawl areas, R408.4. Violation Summary: Inspector Contractor