Permit (230) CITY OF TIGARD MASTER PERMIT
114•-■' COMMUNITY DEVELOPMENT Permit#: MST2016-00407
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 12/28/2016
rrc,; l=.[� 9
Parcel: 25111 DA00400
Jurisdiction: Tigard
Site address: 8549 SW SCHMIDT LP
Subdivision: HERITAGE CROSSING Lot:
Project: Heritage Crossing, Lot 15
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 701 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 991 sf Garage: 340 sf Front: 15 Smoke
Dwelling Units: 1 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 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
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 addl 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 2019
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
PORTLAND,OR 97239
PHONE: 503-222-4151 PHONE: 503-222-4151
FAX: 503-222-1304
Total Fees: $28,399.13
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtai the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2341.
Issued By: it`i .--- Permittee Signature: � yam.,
503.639.4175 by 7:00 a.m.for the next available inspection date. /
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
._ l3pildinQ Permit Application J7Uet 41--- ----6)."."7-1-5--.
Residential f( 't IY::0 lel
City of Tigard Received
I • 13125 S W Hall Blvd.,Tigard,OR 9722310( i 0 a 2 016 Date;8;�� // `' Perim N
• Photic; 5(T3.711i.2439 Fax 503,St}B.I;HtiU Plan R137"
n.1 1 j " '.f/ y —00vo
. E t ` Inspection Line: 4 3:639.41Ti 8,1 } I . S . t Date R . ii Othrr Perm •j,(J 114-P /6-0,34
Internet: wLine.iga 3.63 41 a$ a c k ; Date heady ItylV 02-1
Not fied.Me[1xid:�/ l e lilli #a setpie Pear 2 nr
' �1[L7L9 gaPPh+nralal Information
TYPE OF WORK
REQUIRED DATA:-I-.AND 2-FAMILY DWELLING
New construction 0 Demolition
Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION equipment,rk indicated'on this application.
overhead,and the profit for the
Q I-and 2-family dwelling 0 Commercial/industrial Valuation:
❑Accessory building S
❑Multi-family Number of bedrooms: 3 ,
Master builder n
Number of bathrooms:ice►
JOB SITE INFORMATION AND LOCATION `—
c Total number of floors:A ' -
Job site address: G✓ c� L t
Wr New dwelling area; - -I
City/State/ZIP:Tigard, OR 97223 r square feet
Suite/bldg./apt.ext.: 6aragerearpon area: j square feet
Project name >f
Cross street/directions to job site: Ad 4*i v.\ if Covered porch area: 3 square feet
Deck area: square feet
s
Other structure area:
square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE;CHECKLIST"
Lot no.: !� Permit fees*are based on the value of the work performed.
Tax map/parcel no.:
Indicate the value(rounded to the nearest dollar)of all
DESCRIPTION OF WORK
equipment.materials,labor, shoneoverhead,and the profit for the
work indicated on this a.dication.
N-w FR valuation: S
Existing building area: square feet
110 New building area: square feet
PROPERTY OWNER 0 TENANT
Name: Number of stories:
DR orton Inc.
Address: Type of construction:
.f i Li . . ei 4 . • . I I
City/State/ZIP:Portland OR 97239 Occupancy groups:
Phone:( 503) 222-4151 ■D APpLICANT
a CONTACT PERSON
Business name: DR Horton Inc. BUILDING PERMIT FEES
Please re et to re acaedule
Contact name:Emerald Weeks Structural plan review fee(or deposit):
111111111111111
FLS plan review fee(if applicable}; IIIIIIIIIII
Address: 4380 SW Macadam Ave Suite 100IIIIIIIIII
City/State/ZIP:p, [land OR 97239 Total fees due upon application:
Phone:(503 )222-4151 x1107
Amount received: ��
E-mail: esweeks drhorton.CO211 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
Business name: DR Horton Inc. roof-top mounted PhotoVoltaic Solar Panel System.
Address:4380 SW Macadam Ave Suite 100 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
City/State/ZIP Solar installation 'ccialty Code checklist.
Portland OR 97239 Permit Fee(includes plan review
Phone:(503 )222-4151
and administrative fees: sl 80.00
,
CCB lie.: 130859 State surcharge(1?Oo of permit fee):
S�1.60
Authorized signature . t Total fee due upon application:
t l i t t i. :. µ This permit application expires if a permit is not obtained
Print name: #a { within ISO days after it has been aeeepted as complete.
Dake:201 Fee methodology set by Tri-County Building industry
Service Board.
1.Building Permits BUp_RESPcnni1A doe 02
pp, 24:201 1 440.4613T(1 VO2 COM'WEBi
Building Permit Application Checklist
One- and Two-Family Dwelling i Olt 01 1-1( 1. L si. 0N1.1
City of Tigard Datelird 1=11111111111111111111__
III 13125 SW Hall Blvd.,Tigard,OR 97223 Datct;y_
1R Phone: 503.718.2439 Fax. 503.598.1960 Associated permits:
_ 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing
Tt�nRli s 1� 0 lticcl>anical
I
Internet: www.tigard-or.gov 0 Other:
TUE FOLLOW 1Nr; ITEMS ARE REQUIRED FOR PLAN REVIEW }ts Nti
I Land use actions completed. See jurisdiction criteria for concurrent reviews. , ■
111
2 Zoning. Floodplain,solar balance points,seismic soils designation,historic district.etc. 4 0
3 Verification of approved plat/lot. I 0 0
4 Fire district approval required. Name of district: Tualatin Valley, 0
5 Septic system Arndt or authorization for remodel. Existing system capacity
6 Sewer permit. ❑
7 Water district approval. 0 0
0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0
9 Erosion control 0 plan 0 permit required. include drainage-way protection,silt fence design and location of catch- [] 0 1
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 he completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if or E] 0
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 sire 44 0 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, e 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross sections)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- {i ❑ 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. Q 0 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0
preseritive ath analysis provide specifications fications and calculations to engineering standards.
17 Floor/roof framing.
Provide plans for all floors'roof assemblies,indicating member sizing,spacing,and bearing e ❑ C
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement ot'rebar. For engineered e 0
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 11 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations, A gas-piping schematic is required e ❑ 0
for four or more appliances.
22 Engineer's calculations. When required or pros ided.(i.e.,shear wall,roof truss)shall be stamped by an engineer or I 0
architect licensed in Ore.on and shall be shown to be a••licable to the •ro'ect under review.
Jt RISDft'TJONAL SPECIFIC'S
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2' x 11"or 11"x 17'`, r : ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored'buildingplans will not be accepted. ® 0
26 "Reversed building plans must meet criteria outlined in the Permit&System Development Fees document, 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval. 1
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, e ❑ 0
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.
1:1Building`,Pennits:BUP-RESPennitApp,doc 02/24,2011 440-4613T(I I;02rCOM/WEB)
'Mechanical Permit Aciplicati94,,, ,....., ,_.,, ,r,
at of Tigard
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11,01rwv"rtAM4'.: DR Horton Inc.
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coltact aaaw Emerald Weeks umitl, es,
-Nskircrxi" 4380 SW Macadam Ave Suite 11$1 ,. viall'mo. . - 4mt 14e-444,4 i„,,
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Electrical Permit Applicatid t , _ -
1 01,. OIII( i- t til ()\I-1
Receind
City of Tigard l(r u 1010 Polwit No-/t jST Dv6-'00Ve 7
13125 SW Ball Blvd,Tigard,OR 97223 Plan Review Other Permit
Phone:503.718.2439 Fax: 503.591Q. , Date/By:
Inspection Line: 503.639.4175 2 f` ' ` " , a r, Date Ready/By: rune ' E See Page 2 for
Internet www.tigard-or.gov 14, €y Notified/Method: Supplements!information
. . VIE
TYPE OF:WORK. PIAN W,
O New construction 0 Addition/alteration/replacement Please check all thin apply(submit j sets of plans Wow checked below):
El Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current ❑Marines and boatyards.
CATEGORYOF CONSTR.TCTION exceeds 10,000 amps at 150 volts cc ❑Floating buildings,
less to ground,or exceeds 14,000- O Commercial-use amiculunal
0 1-and 2-family dwelling 0 Commercial/industrial" 0 Accessory building amps for all ether installations. buildings.
0 Multi-family 0 Master builder 0 Other: O Piro pump• Cl Installation of 75 KVA or
JOB SFE INFORMATION LOCATION ❑Emergency sydem, larger separate",derived system,
AN)a ❑Addition ofnew motor load of a A';"E","1-2":"1-3",
Job no.: Job site address: 100oP ore . occupancy.
❑Six or more residential units. 0 Recreational vehicle parks.
Ci /State/ZIP: ❑Health-nate facilities. Cl Supply voltage for more than
ty _ 0 hazardous locations 600 volts nominal.
Suite/bldg./apt.no.: Project name: 1 � 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:cciL1t.1 45I,,� .5f/1.10.:4 " nssers.nw I Qtr. 1 Fee . i T.
I "
+ "`� New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.:/5-
1,000 sq.R or less ) 168.54 4
Ea.add'!500 sq.ft or portion 3 33.92 1
Tax map/parcel no.: LQnited energy,residential j
DESCRIPTION OF WORK • (with above sq.ft) J 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Services or feeders installation alteration,and/or relocation
200 amps or less 100.70 2
0 PROPERTY OWNER 1 0 TENANT 201 amps to 400 amps _ 133.56 2
401 amps to 600 amps 200.34 2
Name: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
City/State/ZIP: relocation
Phone:( )
Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that 1 own which is not ,
401 amps to 599 amps 125.04 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Branch circuits-new,alteration,or extension,per panel
Owner signature' _ Date: v A.Fee for branch circuits with
above service or feeder fee,0 APPLICANT 0 CONTACT PERSON each branch circuit 7.42 2
Business name: DR Horton Inc B.Fee for blanch circuits without
service feeder t
Contact name:
Emerald Weeks ° '' 56.18 2
4380 SW macadam Ave Each ad:'I branch circuit 7.42 2
Address: Miscellaneous(service or feeder not included)
City/State/ZIP: Portland OR 97239 3 Each manuor modular 67.84 2
dwelling,service and/or feeder
Phone:(503) 222-4151 Fax::( ) Reconnect only 67.84 2
-- ._ Pump or irrigation circle 67.84 2
E-mail: Sign or outline lighting 67.84 2
CONTRACTOR i - Signal cit uit(s)or limited-energy
Business name: C�J J_ peror
,alteration, extension. Page 2 2
��Ga I,, r4- tit Ci7�(� .7-1,2:e__ Each additional inspection over allowable is any of the above
�/,� It r�
Address: 2 go 1/ ,,t/E- 6-$" F� /�//�,,e., Q" /� -i /� Additional inspection(1 hr min) 66.25/br
City/State/ZIP: Vac.{rj C e,6,(V j/". W4. ,.I 1f7 b (
Investigation(1 hr nip) 66.251 hr
_ {-� . Industrial plant(1 hr min), 78.18/hr
Pyne:(361 .5-/s2_ '7-"57, Fax:OC42) 3 9(, Q Inspections for which no fee is 90.00/hr
specifically listed('h hr mut)
CCB Lie.:IW,6-1.4.2 Electrical Lie. CZ 3 o Suprv.Lic.: /7 5,5 S ELF.C'I'RICAL PERMIT ms
Suprv.Electrician signature,required: �� �'"`` Subtotal:
_ Plan review(25%ofpermit fee):
Print name:CAt..-5-1b-its 6 A 6- Date: _ State surcharge(12%ofpermitfee): T
TOTAL PERMIT FEE
Authorized signature:
This permit application expires if s permit is not obtaired within 180
Print name:
."--41,19-4"....-.
Yy _Date' * Number of days atter it ire been accepted set eoaupkte
inspections allowed per permit.
raulicEngTertaitAllt.C.PermitApit 440.46151(11/05/COM/YVEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description —I Qty. I Each Total [
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 ha or less 100.70
Check Type of Work Involved:
5.01 to 15 ha 133.56
El Audio and Stereo Systems* 15 01 to 25 k‘a 200.34
Wind generation systems in excess of 25 kva:
Burglar Alarm 25.01 to 50 kva 301.n4 2
50.01 to 100 kva 552.26 2
IX Garage Door Opener*
5100 ha(fee in accordance
552.26
with OAR 91h-309-0040) -
[id Heating, Ventilation and Air Conditioning Solar generation systems in excess 0125 kva:
System*
Each additional kva over 25 42 3
E Vacuum Systems* .100 Ina-no additional charge 0X 3
Each additional inspection over allowable in any of the above:
ri O• ther: Each additional inspection is
66.25 hr 1
charged at an hourly(1 hr min)
inspections for which no lee is 90.00/hr
specifically listed( hr mm )
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I).
Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
• Audio and Stereo Systems
El Boiler Controls
El Clock Systems
El Data Telecommunication Installation
El F• ire Alarm Installation
HVAC
E Instrumentation
E Intercom and Paging Systems
L• andscape Irrigation Control*
E] Medical
E Nurse Calls
E Outdoor Landscape Lighting*
El Protective Signaling
E Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I.Buildmp Pavan rt,c Pe=App LLR ERF dot Re,04 r:nii
•
Plumbing Permit Apalica ' t P k , ,--R
Building Fixtures
{ r 0 b 1016
C125 WTigard ] DakJBy: Permit NoS /(,., ?7177
ocavod
0 13125 SW Halt Blvd.,Tigard OR 'Q,72�� � �
. $ ' Phone: 503.718.2439 Fax 503 594.8 91,(t-' A ".i y t�t_t 4 Other Permit No.:
t I G=v R u hsps ion Line: 503.634.4175 i : 1 `_3'. _ ;!' r :!'s/ Date Ready/By: orb; R See Page 2 for
Internet: www.dgard-or.gov Notified/Method: Supplemental Inform/Mos
;. ME OF WORK FE>r" SCiEIFiDE1Lla`c h' a
❑New construction 0 Demolition For special lufonuadon use checklist
Descrystion I Qty. ( Ea. 1 Total
Addition/alteration/replacement 0 Other New 1-2-tandly dwellings(includes 100 R for each utility connection)
'CATEGORY OF CONStRU1CTlON SFR(1)bath 312.70
❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath / 50032
0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(_,_sq.ft.) Page 2
JOB'$ tNVOR(A AND LOCATION Site utilities:
Job site address: yorLf Cf AN �� to Catch basin or area drain 18.76
'' Drywetl,leach line,or trench drain 18.76
City/State/ZIP: � - Footing drain(no.linear ft.: Page 2
Suite/bldgJapt.no.: I Project name: (, ' b111 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.:„_,�) j Page 2
Subdivision: ` Lot no-: '" Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
Backwater valve. 12.51
•. DR C'IUFI'ION•OF;WORK
Clothes washer 25.02
Dishwasher 25.02
1 V Drinking fountain 25.02
Ejectors/sump 23.02
0 PR4PEM OWNER ` 0 TENANT
Expansion tank 12.51
Name: l U ►Mf1 t \ - Fixture/sewer cap 25.02
Fordrain/floor sink/hub 25.02
Address: J SSt c , \ \ .1 )D1 -),,X-1/ Garbage disposal 25.02
City/State/ZIP: dP.....
O\L 1 .- Hose bib 25.02 ,
Phonal ) ' t - \5 k Fax:( ) Ice maker 12.51
QAPPLICANT 0 CONTACT PERSON interceptor/grease trap 25.02
l--V Y�1 t/' t, !�', Medical gas(value:S ) Page 2
Business rurne. .� t/- Primer 12.51
Contact name: \- � � 1 cot Ak.& ,t;..,C ,S Roof drain( cial) 12.31
Address: Sink/basin/lavatory 215.02
City/StateJZIP: Solar units(potable water) 62.54
Phone:( ) J�ppJ 1 Fax: Tub/shower/shower pan 12.51
':( ) 25.02
E-mail: e s " 1 v� trr /� �1v V 1 Urinal 25.02
Wena closet
CONTRACLTOR Water heater 37.52
Business name:EDWARD MULLEN PLUMBING Water piping!DWV 56,29
Address:1601 SE RIVER ROAD Other: 25.02
Subtotal
City/State/ZIP:HiLLSBORO,OREGON 97123 - Minimum permit for 572.50
Phone:(503)640-0113 I Fax (503)640-4483Plan review (25%of permit fee)
CCB Lic:94689 Plumbing Lie.no.:34-260P0 - State surcharge(12%of permit fee)
Authorized signature:
�� �'l TOTAL PERMIT FEE
This permit applicant,.expires ifs permit is eat obtained within Iso days
Print name:RAY MULLENlate:W atter it hes bas accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
IOuitdit PemitsWLMl.PerwltAop.dae 10101109 am.sele iotovcommEal
' . Plumbing Permit Application City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-P'100' 50.03 Oto 2,000 $121.90
2,001 0)3,600 5169.69
Footing drain-each additional 100' 37.52 3,601 to 7,200 5233.20
Sewer-1st 100' 62.54 7,201 and greater $327..54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain 1st 100' 62,54 51,00 to$5,000.00 Minimum fee 572.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to 510.000.00 $72.50 for the first$5,000.00 and$1.52 for
• Qh. Fee Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25.000.00 $148.50 for the first$10,000.00 and S1.54 for
which no fee is specifically indicated 90.00tr each additional$100.00 or fraction thereof;to s
(minimum charge-1/2 hour) and including 525,000.00.
inspections outside ofnonnal business 90.00/hr S25,001.00 to$50.000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge—2 hours) each additional$100.00 or fraction thereof:to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.O0/hr $50,001.00 and up $742.011 for the first$50,000.00 and$1 20 for
each additional$100.00 or fraction thereof.
(minimum charge-12 hour r
Subtotal:
/
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for RepiacelPlan review is required for any of the following.
Work Performed: Capped Added Relocate
Please check all that apply.
Baptistry/Font 0 Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
Jacuzzi:Whirlpool
engineer.
Car Wash -Each Stall
-Drive Tim 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink 2" Submit 2 sets of plans with any of the above.
4 Isometric or Riser Diagram
Car Wash Drain , 0 Isometric or riser diagram is required for new buildings
Garbage -Domestic—non-food
Disposal -Domestic—food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach.!Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley ,
-Commercial-food related
-Service
Swimming Pool Filter , *Note: If the fixture work under this permit results in an
Washer-Clothes - increase of sewer EDIIs,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
G:\Plans\PlatsSummit Ridge\Permit Docs\PLMF PermitApp.doc 2
' City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
ill 111
TIGARD Building Permit Review — Residential
Building Permit #: l'S T /'G - Q c)VC 2
Site Address: 1 n
ehx/d4 Ler
Project Name: (j Cril_m ✓t , Lot #: /�
(New dwel ;subdivision name;Aro or Alteration=last name of owner)
Planning Review
Proposal: A)e,(4-) cr--R.-
Verify site address/suite# exists and activ in permit system.
OftRiver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Sitrt Plan Elements:
Whree(3)copies of site plan sting structures on site
Vte plan must be on 8-1/2"x 11"or 11 x 17"paper [oo rint of new structure(includingdecks)with finished
'rawn to scale(standard architect or engineer scale) fl•or elevations
orth arrow / tility locations(required for new,may apply for additions)
ite address,project or subdivision name and lot number �' o'cation of wells/septic systems
Vpplicant information(name and phone number) sting trees to be retained with drip line,and tree
Lot dimensions and building setback dimensions otection measures
Lot area,building coverage area,percentage of coverage and eet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) treet names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
tIlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Pequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
ublic Faciliti Improvement(PFI) Permit:
equired: t Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
VJand Use Case#: - i,1ct2(7)4 _ _
o g: _lg_�
Required Setbacks: Front "S Rear /�r Side 4/ Street Side-Garage �6
Landscape Requirement: % / ' j
M/Lof Coverage Maximum:
ICJ Building Height: Maximum Height Sc Actual Height 3/
0, isual Clearance
LV Easements
ensitive Lands: CI Yes ii/No Type
Urban Forestry Plan
❑ Conditions "My.5"pri r to issuance of buildding ermit J
Notes: �7d/73L�Y1 �S-9-10// L J� pil —" 71?) ° - JSS7 nee
Approved By Planning: �,,,,_�_ r Date: /)
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 091216.docx
Building Permit Submittal
Original Submittal Date: %C7-5``7(
Site Plans: # 3
Building Plans: # 3
Building Permit#: D-Enter building permit#above.
Workflow Routing: g--Planning engineering El—Permit Coordinator '5—Building
Workflow Sign-off: Ig- Sign-off for Planning(include notes from planning review)
Route Application Documents: Er 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: ...(2Date: //�//C„
Engineering Review
A Slope at building pad: �.,��
0 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 ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Appro -d b ,Engine 7 Date:
Notes: , .,„, ..."_ rII .01. .r. .1. =i_ .a. .,
I
Approved by Engineering: �,� Date: e/29—,(6--/fes
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit
Approved,NOT Released: 0 'Date: /bid Z/!4'
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: ��
Fees Entered: Wash Co Trans Dev Tax: ---f(Yes ❑ N/A
92ADC
Tigard Trans SDC: -- 1-""Yes ❑ N/A
Parks SDC: 2Yes ❑ N/A
P.,4.�K to Issue Permit
Approvedby Permit Coordinator: Date: ill4/1I
1:\Building\Forms\BldgPermitRvw_RES 091216.docx
Albert Shields
From: Albert Shields
Sent: Wednesday, October 12, 2016 6:12 PM
To: esweeks@drhorton.corn
Subject: heritage Crossing MST2016-00405,406,407,408, &409
Attachments: Conditions - 10-12-2016.pdf
Emerald, because the conditions of approval that are highlighted on the attached list have not yet been met we cannot
release these applications for issuance. I am classifying them "Approved but Not Released"and they will remain on hold
until the conditions are met. Meanwhile, plan review will proceed.
Albert Shields
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8549 SW SCHMIDT LOOP, TIGARD, OR, 97224 July 11 , 2017 at 2:04:52 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00407
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
Street tree certificate received
Moisture content form received
High efficiency lighting form received
Insulation certification verified
Blower door and/or duct seal test certificate received
C of 0 left on counter.
Violation Summary:
Inspector Contractor