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Permit (245)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT IN ' Permit#: MST2016-00478 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/04/2017 tLak.L 9 Parcel: 25111 DA18900 Jurisdiction: Tigard Site address: 8705 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 8 Project: Heritage Crossing, Lot 8 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1251 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1321 sf Garage: 421 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2572 sf Value: $309,507.11 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: 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 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'I 500 sf: 4 201-400 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 2572 Owner: Contractor: DR HORTON INC APEX AIR LLC Required Items and Reports(Conditions) 4380 SW MACADAM AVE SUITE 2210 W MAIN ST STE 107-272 1 Ersn Cntrl 503-639-4175 100 BATTLEGROUND,WA 98604 PORTLAND,OR 97239 PHONE: 503-222-4151 PHONE: 360-342-8109 FAX: Total Fees: $29,762.37 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 co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. . 7Issued By: 41- Permittee Signature: C .639.4175 by 7:00 a.m.for the next available inspe ion dat . This permit card shall be kept in a conspicuous place on the job site until mpl n o he project. Approved plans are required on the job site at the time of each inspection. .. 37L . Buildin2 Permit Application Residential .ffeitio„ Ilf ' 44' 4-i. EaR°Flt4-1-1'S1 e-",i'v , ,..::::R:',.'„\::01,4,N :2,1 ,,,,'• ''b- . — City of Tigard Reetn%eci Date.N ijMYfilleZNII Per.'"No I , 13125 SW Halt BIN d..Tigard,OR 97223 Plan Re\um , r I. Phone: 503 718 2439 Fax. 503 598.1,K1 1 3 Lu lki Dalc 13's. i -•...' - ) c iii othe-Pen- e.,,,,Q,aok,,-003eizi , ,I Inspection Line. 501.639 4115Dale RR RJ\ N' i PI See Page 2 for Internet: www tigard-orTm ,e i=",ii I il:,.;,V'1 16 AA1 A/ N°"fied Method1 , 7 „,ti MI tioppitintanal Information _ cat i-44—ian, „ Ti:ypREQUIRED DA1 A:I-AND 2-F AMILY DIA ELLINC: -1, miNew construction 0 DemolitionPermit fees*are based on the 1 alue of the work performed - Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials labor,nt erhead,and the profit foi IN I work indicated on this application. CATEGORY OF coNsraticTiors j.......A., Valuation: $ 3 o ci C 101 I-and 2-family dwelling 0 Commercial'industrial , l Number of bedrooms: Lf 0 Accessory building 0 Multi-family -II . 3 0 Master builder 0 Other, Number of bathroomsa.99 3 1 JOB SITE INFORM ATION AND LOCATION lotal number of floors, , --1 Job site address: -7 (5- ot,../ AAN Ift,t. New duelling area; A5 7a_ square feet ._; City/State/ZIP:Tigard, OR 97223 Garage carport areg; - square feet . , Suitetridgiapt.no.: Project 'Anamt 1 ACAtei inp.,e, ( .,-0. ).-i r„ Covered porch area: titi square f$ct 13 i: a, Cross street/directions to Job site: Deck area square feet I ‘ I Other structure area: square feet REQUIRED DATA:COMMER(1AL-USE CHECKLIS 1 i ---, Subdivision: Lot no.: & Permit fees*are based on the t alue of the work performed Indicate the t alue(rounded to the nearest dollar-)of all I Tax map/parcel no.; equipment materials,labor,oterhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: S New SFR -----i Existing building area: square feet ! New building area: square feet I 1 PROPERTY OWNER 0 TENANT Number of stones- I —I. Name: DR Horton Inc. Type of construction: --4 Address: 4380 SW macadam Ave Suite 100 Occupancy groups; - .1 City/State/ZIP: Portland, OR 97239 Existing: Phone:I 503) 222-4151 Fax:( ) Neu• 0 APPLICANT * CONTACT PERSON BUILDING PERMIT FEES' (Pleame refer to fee s,eherittlei Business name: DR Horton Inc. ..... Structural plan review fee tor deposit): Contact name:Emerald Weeks EIS plan ret tett fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application. City/State/ZIP: Portland,OR 97239 .., .4 Amount receited: 4, Phone:(503 )222-4151 x1107 Fax .t ) PHOTON'OL EAR. SOLAR PANEL SA STEM FEES- E-mail: esweeks@drhorton.corn Commercial and residential prescriptfie installation of " CONTRACTOR roof-top mounted PhotoVottaic 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 i Solar Installation Specialt1 Code checklist. Pemit Fee(includes plan re\iew CIIY,Slale/ZIP: Portland, OR 97239 S 180 00 and administratitiF fees): Phone:(503 )222-4151 Fax ( r State surcharge(12%of permit fee): i ,S21.60 CCB lie.: 130859 1 Total fee due upon application: S201 bri I Authorized signature- . This permit application expires if a permit is not obtained within ISO days after it has been accepted as conipleic Print name' i , .n. . ' 2016 4 Fee methodology set by 1 ri-County Building industri., Service Board, 1.Building;Permits Fit P-RESPennitApp.doc 02 24 20)i 440-4613Tt II 02 COM WEB, A 37, &- ---- ,,,,, Building Permit Application i,S r Residential RECEIVED 1 r3lt of I Ic 1.f sl t)Nl ' City of Tigard Recimed {� 4 Permit Nei-/y�I /__u01/ Q si 13125 SW Hall B1sd.,Tigard,OR 97223 Plan xe+les+ ( f /"/ (� 7 Phone; 503.71 K 2439 Fax. 503 598.1 VC 13 2016 Date 13%. f)tbe,Pernur n /,_ �" L.� t, Inspection Line. 5t3=.639 41?$ TAG S�l�-Page 2 for V Y G>�KD oaie tieaJ5 Bs' tura: fa Ser Pa i 2 Internet; wv.w.tigard w.gos CITY Notified Method. nt Information LL` "Thyt, Supplemental tntormation TYPE MIMING DIVISION REQUIRED DATA:1-AND 2-FAMILY DW FLUNG •New construction ❑Demolition Permit fees"are based on the A alue of the work performed. -+ Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment.materials labor,oserhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application, Q l-and 2-family dwelling 0Commercial industrial Valuation: S ❑Accessory building 0 Multi-family Number of bedrooms: i ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION total number of floors,, lob site address: ( 7)(S OW 4 CC/is-pA1i New duelling area; 0,157 , square feet City/State/ZIP:Tigard,OR 97223 Garagecarport area; (02,f square feet Suite b)dg.lapt.no.: Project num r --a _ me 'i ri i )1,‘1 C"osered porch area: till ' square feet Cross streeudirections to job site: Deck area square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIti I Subdivision: Lot no.: 4 Permit fees*are based on the value of the work performed Tax map/parcel no.: Indicate the salue(rounded to the nearest dollar)of all equipment materials,labor,osencead,and the profit for the DESCRIPTION OF WORK work indicated on this application, New SFR Valuation: g Existing building area: square feet New building area: square feet e PROPERTY OWNER 0 TENANT Dumber of stories' Name: DR Horton Inc. Type of construction: Address: 4380 SW.Macadam Ave Suite 100 + Occupancy p y groups: City/State/ZIP:Portland, OR 97239 Phone:1 503) 222-4151 Fax:( ) New' APPLICANT is CONTACT PERSON BUILDING PERMIT FEES' Business name: DR Horton Inc. (Pteasereferrojtesehedulej Contact name:Emerald Weeks Structural plan review fee tor deposit): Address: 4380 SW Macadam Ave Suite 100 FI S plan restos fee(if applicable), City/State?ZIP: Portland, OR 97239 Total fees due upon application: Phone:(503 )222-4151 x1107 t Fax .( ) Amount recessed: E-mail: esweeks@drhr�rton.com PHOTUY()L 1 Atc SOLAR PANELS' STEM FEES' Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan ssith connection details Address:4380$ Macadam Ave Su;te 100 and fire department access,along with the 200)Oregon l Solar Installation Specialty{.`ode checklist. City;Stale.2IP: Portland, OR 97239 Permit Fee(includes plan resiew Phone:(503 )222-4151 Fax ( ) and administrative fees): I till 00 State surcharge(12%of permit fee): 521.60 CCB lic.: 130859 I l 1 Total fee due upon application: 5201,61, Authorized signature: r This permit application expires ifa permit is not obtained within ISO days after it has been accepted as complete. Print name: , Date'2016 ., Fee methodology set by T ri-County Building Industry Service Board. I.Buitding,Pennits Ett''P-RESPennitApp,doc 02 24 201 i 44u-06137t i i 02 COM WEB, , Ntee anis Pr" t t Akk Iuu 1wf 111111 1:L #.(1sto N f (°t) r 1l.; r � . ' j€llt, .�� a �,.v. ' 4, ' ,r1ST, '/ —Co 1/7 +€ .u-#€ °Fads-x : 43 " 'x„,,, E @R' P 44,414 K rv7 !arr,. 'u€ 2 a 11-'4, \C(') ..\-)‘� tr,. r4,; A.5,fir fi,° a "} a 1 y� IiiN4-14 CE !.1`11.,.4 € f,. 44~49.1'1 2� �� F'"„may :r4,ipti 9 rC'tf' l, 17 t 1a IF r 44, 4 ii ti . Fttrt,1 a,€ ✓� � ,: k 7 ," a , __. m, - _ . * INT,P SVS�ts/u Es :4 ate ` t,�r^a€p-tt ! 7„: 71 s ,.r€ns," ,,A', ,,E#1 s1 ,%.,Ac +c. ,e.,,-#1 1",,t 1 S,PP apbyF ,9.u'1 44,t 4 , C„,;'41,;?a-44440,, r-1'11,441/144 d^wet, , , to Sole)Y' ,, ,t, V1 c+a`"CI : k c1le a €F'&d i” - , _, r.. 9C >v•`dz A y 4 r ma i.t 1A X41 a, e 11, a4 €&4a „„_ ,_ , _, --,, ,-.,. ,..�.,, , ,m ,w rt_.,,... , m ,, ,a_,".", .,_ _„,.,.. :,. . 1 1,40,.1.r4-110114"111,11"k- 41344w.1114€x111,,.:1;~o r N',v, Dft #() tln 1 ‘;. N'I'I 18‘)SS%PvlaciA,Janl Ave w ttc It 1 ' 1.4ttft,,-11' Pi..) tImmas .C 4-2 34 'P.x`' 4113 1 j c .. yy..'2-41;1 rgg.gy.�pp µ. ff (. ��yy4Y� ,1 i5,%. - n Y ?S Qts2 €F�' fT€3' L 8 '*;€4€4,44441 ,,.1„tEe ##,.A# ,,r:.t#,eSt.r--,,r#,t , is , 4380 S M'1lc: ,9mmm Ave .Li,t 100 °1 v. ,;ax. /11' 1)(14 da !,t.)k 9'12.'0'1 4-... 3, 01 22 41;1.$ 1,..1i0— )w. i _. 1 c's aCei,„ di€hk.}$t F§...5) m ( 1L, s' a. -, ,r 1 i y /44 4€0-4 'fags ,P=om, =En 1'a„. ::, _.. va eaa 1 \\., EIectrical Permit Applications` Ol;f,hl 1i 1-: 1 s (>\I., City of Tigard to Received terve 111 Da Permit No.: t 6 13125 SW Hall Blvd.,Tigard,OR .. "., .' plan Review �4-coil 72? Phone: 503.718.2439 Fax: 503.598.1 ,l „1\c) DateB Other Permit; Inspection Line: 503.639.4175 ` e- t ‘tt:t P ,.� t Dere Anis: See Page 2 for Internet: www.tigard-or.gov t 'i etbodr \ .� Supplemental information tit "'s TYPE OF WORD ,-4; k, r�¢r�l\'t4?. PLAN REVIEW New constructionW L , ,T =!ti' Please check all that apply(submit j1 sets of plans wfiterns checked below): ® 0 Addition/elteratio �Cl'tIl c 0 Dem(`IltiOn r ` 0 Service or feeder 400 amps or more [) Building over three stoles. ❑©the/; ` „s where the available fault current 0 Marinas and boatyards. C CATEGORY'OF N exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial" less to ground,or exceeds/4.000 0 Commercial•use agricultural 0 Accessory building amps for all other installations. buildings. Q Multi-family 0 Master builder 0 Other: DFS pump- ©Installation of 75 KVA or 0 Emergency system. larger separate derived s JOB SITE INFORMATION AND LOCATION h ys<em. �. ❑Addition of sew motor load of Job no.: Job site address: 10011P or more. occupancy. I]Six or more residential units, 0 Recreational vehicle parks. City/State/ZIP: 6 7U <3t - (' h�1 j .. I_ ,-— ©Health care facilities. ©Supply voltage for more than �(/ [I ,VCIiC/IIf 7 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: �V1'1' e y+ C -6,3 j 1.,1 c ©service or feeder 600 amps or more. Cross street/directions to job site: LL (jam+ �/ P C FEE E Description I Qty. I Fee. I Total-,_1 • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: y .1,000 sq.ft.or less .„ 168,54 4 Tax map/parcel no.: .Ea.add'/500 sq:R.or porn 33.92 1 Limited energy,residential DESCRIPTION OF WORK • (with above sq.ft) 75.00 2 Fr n Limited energy,muki-family IL residential(with above sq.ft.) 75.00 2 Services or feeders installation alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER I r 0 TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) Fax:(; ) 200 amps or las 59.36 I 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps so 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per.panel Owner signature: Date: ___,,,,_______ A.Fee for branch circuits with ❑ APPLICArn- i 0 CONTACT PERSON above service or feeder fee, 7 42 2 DR Horton Inc each branch circuit B.Fee for blanch circuits without Emera Wee S service or feeder fee,first ~ Business name: Contact name: branch circuit 56.1 8 2 Foch add'1 branch circuit 7,42 2 Address: 4380 SW macadam Ave Miscellaneous(service or feeder not included) City/State./ZIP: Portland OR 97239 • Each manufactured or modular dwelling,service and/or feeder 67.84 Phone:( 503222-4151 f Fes:.( Reconnect only 67.84 1 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTORi Signor outline lighting 67.84 2 Signal circuit(s)or limited-energy Business name: StA. t7 el,alteration,or extension, Page 2 2 A, ` � /i rr Each additional inspection over allowable in any of the above _ Address: 2 R(Q y/ /v E- C["-- //_ � } Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Vac r7 co Gt v� c�� . //4"fi. 9 f 'C/C Investigation(I hr min} 66.25/hr V r' Industrial plant(1 hr min) 78.18/fir ' Phone:(36(,1J J!'/f_ 5Q, Fax:Ogsa .326---__. 966© inspections for which no fee is CCB Lie.: l- 2,6-41,9 Electrical Lie.: SO Suprv.Lic.: specifically listed(%r hr mut) 90.00/hr T 75 S ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: /. j1 ,l� Subtotal: ��L1 r/.°� --- Plan review(25%of pertnit fee): Print name:C L s .t A /�, A E i Date: State surcharge(12%of permit fee): Authorized signature: / TOTAL PERMIT FEE: Th is permit application expires if a permit is not obraised within 180 Print name: Date: days after is has been accepted as complete. "9TL' * Number of inspections allowed per permit. L'1BuilelinePemitelELC-PermitApi t/ 440-4615T(11/05/COM/W EB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE MHE9tILE Descri,tion Qt, F.ach INtal Fee for all residential systems combined: $75.00 Renexiable electrical energy sx stems: .‘; lo 3 O Check Type of Work Involved: r t,)5k., 113 Audio and Stereo Systems* 1-1.70! to2sik,a :44 Wind generation systems in excess of 25 lo a: I I Burglar Alann 5FHlthJka S52 2o [XI Garage Door Opener* 4,–..oid..ince iiIdi(JAR I/,'-'399-Citi4o) ri Heating, Ventilation and ,\ir Conditioning -- Solar generation systems in CACCSS Of 25 10 a; System* –r- I ich iiia k,a cr I Vacuum Systems* !u,,10,a additional c11,11,,, Each additional inspection over allowable in any of the above: Other: Loch inspeolon hr diarged at an hourly(I hr nun) Inspectionll a which no!tells 00 Ott lit listed hr min) -.1 COMMERCIAL WORK ONL1': FLEcinic 1L PERMIT FEU.. , Fee for each commercial system: $75.00 Subtotal(Ener on Fag, I) — • Nuinbi.ii(11MOCCOL)11.1 per Nrinit (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems I I Boiler Controls Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC I j Instrumentation Intercom and Paging Systems I I Landscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* Protective Signaling [I Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Fitti'din,P.ill,FLU Pa.-11I1\l/)I LA FRI Plumbing Permit Application -i , ,, ,`' A.;1 Building Fixtures 1 FOR OFERTL I SE: ONLY City of Tigard Pencil Na. Received ,,.�{�- }, �/ Fe 13125 SW Hall Blvd.,Tigard,OR 97223 UAV' Date/By. ! U' /(e) ~��"l o IIN Phone: 503.718,2439 Fax: 503.5981960 ,,,�( _ i Review �Other Permit No.; T I G A R D Inspection Line: 503.639.4175 1 v ;, Vti /By, ,,cis @t See page 2 for Internet: www.tigard-or,gov s 5appkmeanet IatarnaHoa twd TYPE OF WORK k...,!, Y, BEE* SCBffi3? New construction �� 0 D � h Fors eclat In ormation use checklist Description T Q . j Ea. 1 Total Q Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312,70 ❑ i-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 r - SFR(3)bath t 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ' SOB.'SITE,INIFORMA1I0N.AND LOCATION Site utilities: Jobc .'` 9 Catch basin or area drain 18.76 site address: �c7ei ' .6,...„/ �C1VLMif11' l "'( Drywall,teach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: \AC' c..)15) 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: Lot no.: Fixture or item; Tax map/parcel no.: Backflow preventer 31.27 ' - DL5tCRitmoN OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑0 PRbPERT,y OWNER U TENANT Expansion tank 12.51 \.> Name: \ l' \,V1,„( Fixture/sewer cap ? 25.02 1 Floor drain/floor sink/hub 25.02 Address: ". .a E✓ ¶ '",,Y\-A...0 e ± p�3,r� Garbage disposal 25.02 City/State/ZIP: C} " . f Hose bib 25.02 Phone:q ^'A 1 Fax:( ) Ice maker 12.51 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: >Z, \ - l / Medical gas(value:S�) Page 2 ;�, Primer 12.51 Contact name: ..c„.., 11 e Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Soler units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan12.51 1 E-mail: ' r^~ okyki , I ' Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water pipingfDWV 56.29 Address:1601 SE RIVER ROAD Other. 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)64043123 Fax:(503)640-4483 Minimum permit fat: $72.50 Pian review (25%of permit fee) ) CCB Lie.:94689 Plumbing Lie.no.:34-260PB State surcharge(12%of permit fee) Authorized signature: AO""_.......... � ! TOTAL PERMIT FEE Print name:RAY MULLEN i>ate: This permit application expires if a permit is not ebeniaed widths 180 days after it has bets accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:03m1d"ing4Pu nitAPItttl-PerKitApp.doc 10/41/09 440.4616701M2/COMA5'Wfal City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 c a R o Building Permit Review — Residential w. Building Permit #: /7 ,'4'c r y Z3 Site Address: _ca,) S'GAmid,L Loop Project Name: n 1, - ' Ca ev • Lot #: 0 (New dwe iti subdivision name;Aa .n or Alteration=last name of owner) Planning Review Proposal: /L'--eij S7 ie Verify site address/suite# exists and actio in permit system. Iver Terrace Neighborhood:4/ No ❑ Yes,See River Terrace Review Addendum Attached Si Plan Elements: PNIAI ree(3)copies of site plan C ! ;sting structures on site ite plan must be on 8 1/2"x 11"or 11 x 17"paper I, ootprint of new structure(including decks)with finished scale) or elevations Vfrawn to scale(standard architect or engineerorth arrow Utility locations (required for new,may apply for additions) Ote address,project or subdivision name and lot number 14i1 t ation of wells/septic systems pplicant information(name and phone number) le• sting trees to be retained with drip line,and tree V of dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage and 'treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) klean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No 7 Public Facili s Improvement(PFI) Permit: Required: l]Yes,applicant was notified ❑ No Applied For: es ❑ No,stop intake and Use Case#: SW ' OIC- .0001,5" 4Q Zoning: 0 Required Setbacks: Front /T Rear /S-- Side s Street Side in Garage Q0 andscape Requirement: (:::Q0 % ICJ Lot Coverage Maximum: 0(,) cyo Building Height: Maximum Height Actual Height 011 4eisual Clearance Easements nsitive Lands: CI Yes "No Type Urban Forestry Plan ❑ Conditionet"17rior to issuanc9 ofibuilyaing permit Notes: --617dik tS' .S" // y2 /7G i— A ifeirmti- 1-c 2,l e Approved By Planning: = Date: ,. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPennitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: /01/3//i Site Plans: # Building Plans: # 1 Building Permit#: nter building permit#above. Workflow Routing: arming [neering - Coordinator ing Workflow Sign-off: g--43‘-off for Planning(include notes from planning review) Route Application Documents: gineering: (1) copy of permit application, (1) site plan, (1) building plan and originali�gi- plan review routing form. I[ 1 I'g: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �D .,e0y. �~�-- Date: /1©7//p Engineering Review a–Slope at building pad: q% E—Conditions "Met"prior to issuance of building permit 0 T asements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes "ETNo Assess Water Quantity Fee in-lieu: ❑ Yes C2TNo LIDA Facility on lot: ❑ Yes B'No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 14 , (, Sl�4... Date: / -Z$–/S.. 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: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 'es ❑ N/A OK to Issue Permit j Approved by Permit Coordinator: 7/7/ %�Date: t i/ 1/4°' I:\Building\Forms\BldgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8705 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 7, 2017 at 2:04:47 PM Record Type: Record ID: Residential - Master Permit MST2016-00478 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 verified C of 0 left on counter. Note: final approach/sidewalk to be signed off 6/8/17 per email received Violation Summary: Inspector Contractor