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Permit (135) I. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00435 T[GAR; 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2016 Parcel: 2S111DA19900 Site address: 8511 SW SCHMIDT LP Jurisdiction: Tigard Subdivision: HERITAGE CROSSING Project: Heritage Crossing, Lot 18 Lot: 18 Project Description: New SF. BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 3 First: 701 sf Repaired Basement: 0 sf Left 4 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 991 sf Dwelling Units: 1 Garage: 340 sf Front: 15 Smoke Third: 327 sf Right 4 Detectors: Yes Total: 2019 sf Value: $244,690.31 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 Tubs/Showers: 3 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer: 000 Water Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 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 Natural Gas Clothes Dryers: 1 Heat Pump: N Hoods: 1 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: R-3 2019 Owner: Contractor: NORTHWEST VIEW PROPERTIES LLC 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 PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,392.13 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. Yo y agayb: -'n a copy of s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 11111110 Issued By: j - r Permittee Signature: Ca ntr 9.4175 by 7:00 a.m.for the next available inspection date. / M 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. TOR OT I-IC I. I sl'OM V - • - .-, City of Tigard t.uned i,), P k ' Co' RB:Si:dd einnti:lerrnit A liCati°n ‘3. 7C)Ci '1"...- 1,,, 4,-Er-irytit, 1.. 4. , . 13125 SW Hall Blvd_Tigard,OR 97223 Tk.g....A../Li 1- IF -424 ma ite‘j. i , 71.mini IN ------ ' 503.718 2439 Fax. 503 598.1960 Daaine Bs.t I 4- -T-JRN ()the' SupplemeInformation Pen" '1, '#' , 0 InspecC I tion Line. 503.639 4115 5 2016 Notified method Date Reads ny ' FM Pi sec Page 2(or Internet: i,.1,-%sk jigard_orgos 0 _ __. ntal _ 2 Typt, OF WORCI t ? I:P:4 ' ,/:::' I!:.,' . REQUIRED DATA:1-AND 2-FAMILY DNA ELTING 1 Mt New construction 00441-AN(, .1;il - ( i Permit fees*are based on the s aloe of the work performed Indicate the salue(rounded to the nearest dollar)of all 0 Addition/alterat)on/replacement 0 Other: equipment.materials, labor,ON erhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $ 41. L 1, f' la I-and 2-family dwelling 0 CommercialInclustrial Number of bedrooms: 3 0 Accessory building 0 Multi-family 0 Master budder 0 Other: Number of bathrooms•172.- - IN ),. i JOB SITE INFORMATION AND LOCATION Total number of floors 3 0 .3 .......,.... _____I Job site address: • New duelling area:2.,oief square feel 1 A.511 c_St,.., 6,5(i -i City,'State/ZIP:Tigard, OR 97223 Garage carport area:3 ito square feet Suitelt)dglapt.no.: Project name i tkri or .44 *Ark . (Otereci porch area: 3 square feet 8 * I Cross strettudirections to job site: Deck area, square feet 0 I Other structure area: square feet REQUIRED DAT CONIMERCIAL-USE CHECKLIS I Subdivision: Lot no.: Permit fees*are based on the value of the work performed I Tax map/parcel no.: Indicate the salue(rounded to the nearest dollar)of all equipment.materials,labor,oserhead,and the profit for the , DESCRIPTION OF WORK work indicated on this a i slicatiom newp,"11MIIIIIM Valuation: $ New FR , 44,04,4,_,LAy4 1 Existing building area: square feet fit I it. New building area: square feet 1 PROPERT1 ONINER 0 TENANT Number of stories. , Name: DR Horton Inc. "Type of construction: Address: , :• A 4.i . .. •..„ is - ' Occupancy groups: City/StateJZIP:Portland OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) Ness: 0 APPLICANT CONTACT PERSON ------"ThciT-PERA"---7—'—..-------IIT Pleaie re et no ee acheduk Business name: DR Horton Inc. ' u fee tor deposit): IIIIIIIIM Contact name:Emerald Weeks Structural plait revie ------ Address: 4380 SW Macadam Ave Suite 100 FL S plan review fee(if applicable): Total fees due upon application: City/State/ZIP: Portland OR 97239 Amount recetsed: NMI" Phone:(503 )222-4151 x1107 Fax .t ) E-mail: esweeks , clrhorton.com PHOTON/OL rAIC SOLAR PANEL Si STEM FEES' Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System, I Business name: DR Horton Inc. Submit two(2)sets of roof plan'‘N ith connection details Address:4380 SW Macadam Ave Suite 100 and fire(department access,along with the 2010 Oregon I. Solar Instollaaon S eciairi ('ode checklist CityiState/Z111: Portland, OR 97239 . _--_________ Perini/Fee(includes plan resiew ----1 C I Rd),00 and administrative fees): Phone:(503 )222-4151 State surcharge r 11%of permit fee): -----s3T;-}-1 CCB lie.: 130859 Total fee due upon application: S291 Of Authorized signature- -. This permit application expires if a permit is not obtained ithin 180 days after it has been accepted as complete, Print n. e: ' ' ' I ' . i ' Date:2016 - m Feemethodology set byl ri-County Building Industry Service Board. I Building:permits Bt1P-RESPerinitApp,doc 02242(111 440-4o131t 11 02 COM WEB1 Mechanical Permit App#i at it i,rid. i) 1 ic i i i e4't# f ity of-ligard .1 3 s----' icccat cc.-lc i1-t`t taa. '4ct 4444 t `Y a .�. 5+{s ., ,***r rr t t*s.. ,alert,t tun td€3 to '1 d3'; It r} it �}l� x'� eas i#g,, .w ^� 5f � g. ert%i i,tp.-nE=; :I „m '''''''''a' ' ! Fes" SOtlifaLI 1I.Itt4114afEs! � mai a _, at { Na.S ti,'t s��.{ LT:fi i ti ie s'.a' �_tr .';, = r, ,I , t ,i a { { } (IL i u�r�t€ � ra iia -a ,S1_ �_ atm= r � ..�° _ , CATE $ ' i li4i i t : tooth ,tttt'llt-tt t *Yfant„„i.1,1 tratttt.ttet€s , ftIEN- it,.z ,.t t,,.�4. *..».....,_, .,.��, w *as-„ *,**.5rxi*****,u.,'i*=F a i:,.,-**** � y i Li i := =7't.'-',s .t_.r;,!' € E - 1,, arJ 4)k 223 m *'4r. DuP z 4!,...«-.. .., X1t 1 C ^��.�N* ot, f tate 1 kNi - a ' ,.. ._... .- Nei- Si R aL'Sa4 ra N ml, F t C T, Inc,, _. jai -m a=,-,s.t. , '44'4'1'4' 114)SW Alacatiarn Ave Suite ifid t 0' NL.,te/ P litird.ib$iti ,OR to*"239 t'Itin # ,122-4151 1 E T Sc 4),"'-'“),''''' 1)R iltirton Inc, ,<,a€r,, s„e x t',tot:It t r,iinxLiiieraid Wegiks r i. ..,' y,,x ��a, r :SW Macadam Ave Suite t e,°--,t ,i=7 r , � .._. '- e soPdt ilOrton c m „ , i ix ,“`„),7,-. F 5”. �'� m_.._ reW �� � .... ^i � 'll'i�rT3F �.t �TiE g v .Yr .a. r— am.'.d ' `..:.. �—.A 4 �'i li!$ ':9 tM ? = ,."S',Fr a'IP I: ft i r { m 7= {t x P �� tit,etre ft ft,P td e,.t.1,.,t,tt 5 tls5;6,t,5- %m, ... i. ?'ria#$tui "' -s`_,""- t �" _ dsvt - �` w..ar mectriperinitA licatio EC El)/hi , i 01,: )1.1 1, I. t .1 ,).1 . City of Tigard Received Date/fl : Permit No.: • i`it,-Ti)4C 5.-- 13125 SW Hall Blvd.,Tigard,OR 97223 ill-T 25 -0 1 6 , - Phone: 503.718.2439 Fax: 503.598.196N / ' Other Permit Inspection Line: 503.639.4175 h 1-N 4 a i i Date Ready/By: SI See Page 2 for ' ') Internet; www.tigard-or.gov r rri./0 F +1.1 kil A,rii LI Notifitul/Method: , Ilian Supplemental Information TYPE OF ti.1;411101/11NMAII . 1111111 PLAN REVIEW 0 New construction 0 Addition/an/rep1acement Please check all that apply(submitl sets of plans whtents checked below): lteratio 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current E3 Marinas and boatyards. CATEGORY OF CONSI'RLICTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ' 0 Corinuereial-use agricultural 01-and 2-family dwelling 0 Commercial/industrial' 0 Accessory building amps far an other installations. buildings less to ground,or exceeds 14,000 . 0 Multi-family 0 Master builder 0 Other; DR.."Pump- El Installation of 75 KVA or . 13 Emergency system. larger separately derived system, JOB SITE INFORMATION AN!) LOCATION C]Addition of new motor load of E3"A""E""1-2","1-3", Job no.: Job site address: a6 / LI e MHP or more, occupancy. 1:3 Six or more residential units. 0 Recreational vehicle parks 0 Health-care facilities. 0 Supply voltage for more than • 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt no.: Project name: . 0 . 0‹... - 0 °service%feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: 1 ' iltscri,i'on arirall Etc Mal New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1 2c 11111.1111111111111111111111111111111. 1,000 sq.ft or less 1111 168.54 ammili Ea.add'!500 sq.R.or portion IlUlimEgummil Tax map/parcel no.: Limited energy,residential III 7 .00 KM DF.SCRIMON OF WORK • with above s..ft Limited iential with l'Itihillarbi-ofve il*Y R. III 75M° 1111.11111111111 Services or feeders installadon alteration and/or relocation 200 amps or less 1111 100.70 mon 0 PROPERTY OIVIVER 0 TENANT 201 amps to 400 amps Name: iimagname 401 amps to 600 amps 11111 200.34 mop 601 amps to 1,000 amps an 301.04 mina Address: Over 1,000 amps or volts City/State/Z1P: 111111Mal gi Temporary services or feeders installation,alteration,and/or relocation Phone:( ) 200 amps or less 11111 59.36 IIIIIIIIIII 201amps ro 400 amps agiangina Owner installation:This installation is being made on property that 1 own which is not 1 5.08 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401Branch ainpscitorcu99Isarnpsneaitenti 1.1111P1M1111111113 on or extension ,er .anel Owner signature: Date: A.Fee for circuits with ______ 0 AppLICANT f, 0 CONTACT PERSON above service or feeder fee, 7.42 each branch circuit Business name: DR Horton Inc B.Fee for branch circuits without service or feeder fee,tint Contact name: Emera . Wee S branch circuit Each add'I branch circuit 1111111/13.1111111111181 Address: 4380 SW maca 4 am Ave Miscellaneous service or feeder not included City/State/ZIP: Portland OR 97239 Each manufactured or modular 1: 11111= dwellin:,service arid/or feeder Phone:( ) - Reconnect only 11111111=31111111111111E1 . , . Pump or irrigation circle allinC11.1.1 mil snip E-mail: Sign or outline lighting ENO 67.84 unemigs CONTRACTOR 1 - Signal circuit(s)or limited-energy INIMIllin Business name: ctA., ',.. el,alteration,arextensiori. • Each additional ins. coon over allowable in an of the above hr Address: 2 0 il / 7vd,", 6.' lit. I , g Additional inspection(1 min) immomen ..., . --,...--, ;--- Investigation(I hr min) City/State/ZIP: c 0 k L'-e-1/.. 1.4/4, .,.9 0 . 60 i Industrial plant 0 hr min) aNilIllEezxitiallim...a.mIIIIIIIIa Phone:(3‘a /i— ^ ...5-'‘',9 Fax: CC42). ,32,4"--. .9.6C 67 ' ' for. . - Inspections which no fee is 111 III 90 ow a. ificall listed V.hr min ' lir ME ...- Suprv.Le /7. . e, EZEIIIEHEMI Electrical Lic. CZ 30 'i .,- . . - i g .2 Subtotal: IIIIIMIIIIIIIIIII Suprv.Electrician signature,required: .'_ Alk i 0 Plan review(25%of permit fee): 11111111111111111 Date: State surcharge(12%of permit fee): aleinlifff Authorized signature: Print name: . 4,0911111.14- This permit adara ppiitaftetieirsite:asexpires accepted if aperiattisasant obtained within 180 TOTAL PERMIT FEE: Date: -Ar 411M1111111111.11 ,...., * Number of inspecidons allowed per permit. MundinePermilskELC-PermitApit 440-4615TO'/O5/COM/W5 Electrical Permit Application—City of Tigard Page Energy —iSupplement al Permit Information LFees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: I FEE HEDULE _I Dt,c1-1 tion Qls. Each 1 loaf • Fee for all residential systems combined: $75.00 Renessable electrical energy sy stems: 5 to.' r ; Check Type of Work Involved: or I, 5 to 15 llt.‘o 3 2 ri Audio and Stereo Systems* .501 (02:, Wind generation systems in excess of 25 ksa: Burglar Alarm 2 .01 is,5( JO.1 301 1`4 5'11'1 It,1111.1 \a ss, I I X Garage Door Opener* -to4 (ft.e a.;:touLtnce N1 552 r- WI OAR -99-014414) 2 _ Ix) Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 ks a: System* tich 1;-,. t‘t.r:5 — j TI 7 Vacuum Systems* — taddltional ch,rtz, r- Each additional ins section overralloy;ahle in any of theaboNe: Other: Lich addittonal inspoolon is III 6,5 hr l I chtirged al an hourty(1 hr 1 -1 Inspectionsfiat which no tt..e is 'n iIJ listed hr min) COMMERCIAL WORK ONLY: ELE(TRIC Al PERMIT FEE', Subtotal(Enteron Pap.: 1) Fee for each commercial system: $75.00 _ Numb,:,of Inspection,alto,ed per permil (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems 17 Boiler Controls Clock Systems Data Telecommunication Installation I Fire Alarm Installation I HVAC Instrumentation Intercom and Paging Systems I J Landscape Irrigation Control* n Medical Nurse Calls I I Outdoor Landscape Lighting* Protective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 13d, Po-In f LC Po'nlikvp I LR [121 ck, Plumbing Permit Application IIuikling Fixtures 4-, , ,d �.1 ra FOR 0111(1: l tiF. ONLY 4i 41 - City o[Tigard -' _,�- � ,� R«:.ea 13115 SW Hall Blvd.,Tigard,OR 97223 Date/By.Plan Permit No.:� 1�CJS I Phone: 503.718.2439 Fax: 503.598.+ ay Review t7tller Perms No.. 1 I G A R a Inspection Line: 503.639.4175 U�°T 4 ?0,16 u g �' Internet: www.tigard-or.gov gg / Date Rady/BY lmb; fa See pale 2 for TYPE OF 1��' 'S.d ll. ,i1': Nonfied/Method. Supplemental Information ,l.������{� ( FEE"' SCHEDULE., >.'i. ❑New construction ii Itliiiiiiiiti ND fi V I SIO) Far spedal Injornarlon use checA!!st Description ❑Addition/alteration/replacement 0 Ot)Kr. 1 Qty. ) Ea ) Total New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSIRgIL910N SFR(I)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 1 500,32 ❑Master builds Each additional bath/kitchen 25.02 Q Other: Fire sprinkler(__sq.ft.) Paget .103'BM 4p1!FOR6G'JION:AND LOCATION : Site utilities: Job site address: G ` // Catch basin or area drain D 11 c5w �C.i\j f Maj Ul[.� 18.76 D well,leach line,or trench drain City/State/ZIP: Dry18.76 \_...\e„_ Ls, Footing drain(no.linear R.:__._) Page 2 Suite/bldg./ape,no.: l Project name: � I 0 AManufactured home utilities 50.03 Cross street/directions to job site: 0 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no linear ft.: ) Page 2 Storm sewer(no.linear ft.:• J Page 2 Water service(no.linear ft: ) Page 2 Subdivision: ! Lot no.: I cc Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIIrTION OF:WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 `s�\ Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY, OWNER • -1 TENAN- Expansion tank 12.51 Name: \::) V\--/A-- -/A7\ \v., Fixture/sewer cap 25.02 { Address: l"k.�J-- ,, n ,, n Floordrain/floor s nk/hub 25.02 � ` '� / 7C �/J Garbage disposal 25.02 City/State/ZIP: OYL 01/1a -11 Hose bib 25.02 Phone:l( ) _t \ \ Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 1 vk Medical gas(value:5_) Page 2 Contact name: ;v\iv\LVLE 1 a `�!" '-'S-�t" : Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZlP: Solar units(potable water) 62.54 Phone:( c) ` • � '/' InFax::( ) Tub/shower/shower pan 12.51 E-mail: e ,�1,.I�-e t( 6( OkV I'L C . Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water1 in WV 56.29 Address:1601 SE RIVER ROAD P P Other25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee: 572.50 CCB Lia:94689 Plumbing Lie.no.:34-260P9 Plan review ( of permit fee) State surcharge(12%of permit fee Authorized signature: _ TOTAL PERMIT FEE Pate: -This permiteppllcation aspires if a permit Is not obtained within days Print name:RAY MULLEN i [) after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Bored, t:YBuddineeeni4vLMV-PermsAgf:doe 10'01/09 446.4016T1IO QVCOM/WEB) City of Tigard e COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: ,S'7- bpi, —cot13 5- Site Address: gcJ/ 27,0 >c, Project Name: /72 ' Si • Lot #: J (New dwe • =subdivision name; ' .• to or Alteration=last name of owner) Planning Review Proposal: ‘4240 3 /e l/Verify site address/suite# exists and active in permit system. PlAtiver Terrace Neighborhood: ❑ No ❑ Yes,See River Terrace Review Addendum Attached SSW Plan Elements: ree(3)copies of site plan 1 sting structures on site lite plan must be on 8-1/2"x 11"or 11 x 17"paper IT ootprint of new structure(includingdecks)with finished !Wy raven to scale(standard architect or engineer scale) or elevations orth arrow LJ Utility locations(required for new,mayapply for orth address,project or subdivision name and lot numberutSt1'I�,cation of wells/septic systems PP y additions) plicant information(name and phone number) I ID1?sting trees to be retained with dripline,and tree .t dimensions and building setback dimensionsprotection measuresPrA Lot area,building coverage area,percentage of coverage and eet tree sizetype and location pervious area(applicable if R-7,R-12,R-25&R-40)itn Street names , Property corner elevations (2 foot contour lines if more than 4 foot differential) Olean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified 4/J No Received: ❑ Yes Cl No I Public Fac'tts Improvement (PFI) Permit: Required: ] Yes,applicant was notified ❑ No Applied For: V Yes ❑ No,stop intake �Land Use Case#: Z�2L') C�A�7� SuexQcks_ ws 'V Roi>;n . �g e aired Setbacks: Front Rear 8 q �� Side Street Side Garage \ Landscape Requirement: o?0 Lot Coverage Maximum: Building Height: Maximum Height 3 Actual Height 3/ ' l visual Clearance TA asements RI 'ensitive Lands: ❑ Yes /No Type Y' Urban Forestry Plan ❑ Conditions "Met"priorjto issuanc of building permit Notes: ez)Y/667.Y y �/ j,-ic�: ''-- s�i'iev- A7 �-e,-/m* lsEzio17C€ Approved By Planning: Date: -- Revisions (after Building Submittal only) Reviewer "---5'--II-1(e) Date Revision 1: ❑ Approved El Not Approved Revision 2: El Approved El Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPernutRvw RES 091216.docx Building Permit Submittal Original Submittal Date: 16/015-4 Site Plans: # 3 Building Plans: # .5 Building Permit#: iter building permit#above. Workflow Routing: l lanning Cingineering 8–i' ntt Coordinator lg L� Workflow Sign-off: i.-----off for Planning(include notes from planning review) Route Application Documents: —neering: (1) copy of permit application, (1) site plan, (1) building plan and oril plan review routing form. wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: _ S � By Permit Technician: Date: /� /' 6, Engineering Review /Slope at building pad: aConditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Appro dy Engineering: /� ate: Notes: G6.�C J4y�� �ri4 /Gdrd� /may."', t9� .1044!1'�90 Approved by Engineering: `. J7 Date: /d Z7 /b 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 buildingpermit �PProved,NOT Released: r!/vi lii►/r/7'✓' /(/ Date: 76:A loo 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: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A T K to Issue Permit A4 ' e /kpprovedbyPermitCoordinator: : /l /4/ I:\Building\Forms\BldgPernutRvw_RES_091216.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 8511 SW SCHMIDT LP, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: March 2, 2017 at 8:46:28 AM Record ID: MST2016-00435 Inspector: David Young Provide approved plumbing final inspection prior to building final inspection. Provide approved plumbing final inspection for lawn irrigation Backflow devise, PLM 2016-00500 prior to building final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8511 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 25, 2017 at 10:50:08 AM Record Type: Record ID: Residential - Master Permit MST2016-00435 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Corrections from previous inspection complete. Drainage swale and area drain added to left side of house. City of Tigard not responsible for change in landscaping after final inspection. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report received. C of 0 left on site with contractor. Violation Summary: Inspector Contractor