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Permit (34) irptCITY OF TIGARD t - ( MASTER PERMIT iti S. COMMUNITY DEVELOPMENT Permit#: MST2016-00500 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2017 T t �� Parcel: 2S111DA18800 Jurisdiction: Tigard Site address: 8717 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 7 Project: Heritage Crossing, Lot 7 Project Description: New SF. 6/14/17, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1098 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1408 sf Garage: 556 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2506 sf Value: $308,499.02 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 0 Tubs/Showers: 4 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: Y 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: 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: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2506 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 97039 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $29,865.29 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. AT -•• . •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 -0010 through 0 A- 9 -i i 0,:it. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issu-d By: 1. 1.111/— ‘11 / 4 I Permittee Signature: k Call 503.639.4175 by 7:00 a.m.for the next available inspection e. 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. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8717 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 13, 2017 at 10:28:19 AM Record Type: Record ID: Residential - Master Permit MST2016-00500 Inspection Type: Inspector: 699 Mechanical final David Young Result: FAIL Comments: Provide permit and approved inspection for AC installed without permit. Investigative fee applied for installing AC without permit. All else appears ok. Violation Summary: Inspector Contractor ' IwJ 4� blv-cli. -fre , _Ally(' (i.aiu' Its /`OCA T7J1 , ► ' 3� ig, ---------76 153' CITY OF TIGARD MASTER PERMIT 74COMMUNITY DEVELOPMENT Permit#: MST2016-00500 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 01/25/2017 TIGARD9 Parcel: 2S 111 DA18800 Jurisdiction: Tigard Site address: 8717 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 7 Project: Heritage Crossing, Lot 7 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1098 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1408 sf Garage: 556 sf Front: 15 Smoke DwellingUnits: 1 Yes Third: 0 sf Right: 5 Detectors: Total: 2506 sf Value: $308,499.02 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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: 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 2506 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 97039 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $29,712.13 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.01 Issued By: ,/if,/,44a Permittee Signature: Se Ze-- /kph L�U1-"\_ 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. Building Permit Application �` 6/v Residential , C yi1 I OR 01 I IC1 1 sl t�vI V City of Tigard R""igd /Pi 5??.'X -�3Z� DAIO By: ! / !�/ /P I Permit No III r 13125 SW Hall Blvd.,Tigard,OR 97223 Q C j 1. 9 2016 Plan Rea leo• ,,,�.�/ Phone; 503.718 2439 Fax. 503 598.1960 Date By, i a- /1- 1 ( fl Other Permit `�'C.v it i ;: t, Inspection Lite. 503.639 41'75 Date Ready tt. hr, Internet: www.tigarcioe.gov ' V-7- <''''} Notified McIhot�c�����. .� 7 i=�'y r RJ Sec Pagr i2 for a(l ( � ( ��' °� i',.;,. --��'"7-I6.. _ smpPkmeatat Information E. TYPE: OF WORK REQUIRED DATA:1-AND 2-FAMILY DW ELLING 111 New construction 0 Demolition Permit fees*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. it I_and 2-family dwellingValuation: $ .3 0 g I l) 9 0 Commercial/industrialT ❑Accessory building 0 Multi-family Number of bedrooms: cc ❑Master builder 0 Other: Number of bathrooms: .3 JOB SITE INFORMATION AND LOCATION Total number of floors; r_ 30 /l�tk Job site address:' 7I 7 SW Jult,M,(ail L.(Jt,p New dwelling area: �(� square feet City/State/ZIP:Tigard,OR 97223 /, Garagecarport area:c.S:5(, square feet Suite/bldg./apt.no.: Project namt t -tr,y. C4(0,9S1 i y\1 Covered porch area: (Goa, square feet Cross street/directions to job site: Deck area: square feet 10 9 S Other structure area: square feet REQUIRED DATA:COMMERC IAL-USE CHECKLIST Subdivision: Lot no.: 7 Permit fees*arc based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all 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 t PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy pa y groups: City/State/ZIP:Portland,OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: ❑ APPLICANT $ CONTACT PERSON BUILDING PERMIT FEES" Business name: DR Horton Inc. (Pleasereferre/ee,rbedr,fy Structural plan review fee(or deposit): Contact name:Emerald Weeks .,. FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 City/State/ZIP: Total fees due upon application: Portland, OR 97239 Phone:(503 )222-4151 x1107 Fax::( ) Amount received: E-mail: esweeks@drhorton.com PHOTOVOLTAIC SOLAR PANEL Si STEM FEES" CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic 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 2011)Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist. City/stale/ZIP: Portland, OR 97239 Permit Fee(includes plan review S 180.00 and administrative fees): Phone:(503 222-4151 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 130859 Total fee due upon application: 5201.60 1 Authorized signature: This permit application expires if a permit is not obtained ( t ` ,. I �` t �' ( [print name: within 180 days after it has been accepted as complete. ., `" 1. 1 •.l 1 1 L Y;tl( it._-`, Date:2016 "Fee methodology set by Tri-County Building Industry Service Board. I:Building Permits BLIP-RESPennitApp.doc 02 242011 440-4613T(I I;02 COM'WEB! 1 11exhanical Permit itpplicilitffeCttirzri .„... . . . - Cit, ert-ligard ,„, ..,• 4;,..11 1.tik..,itill 141N it I ira413 1/P. ,.2.'.'n r 1 1 9 2016 48,,„„ .-8,„,-48,88 :,..11, I,,,, ,i'4"3,, ‘'HOY'''* ' .,.. —,... — a In' 1k144 I t1)‹ CO:4{I Vi.11'4 ?,41.. }, AO.iv, Ifuttriter tr;sm. ttp .1 ho 1:,•,‘ GITY (..),I- 1 i'`,.-i'..Ai'lli) 4...„,64,.....4 I Orof fos(lon 911ft_DIK;fr--n, ri'flijr,‘,1„rF1.1 , --tr.- ---_---- ...- - — —--. TYPE OF WORKCt)MMERCIAL fEt,.. SCHEDVII. USE CIIECKLINI i _ _ — — - ‘4,-,L.011,..4 pct,,,88k,*,44 b3,,,`11 oti th,1,11..e 1 t the i...au '',:4481°.irtii.I84VS 0 Vdd,t i4'II tlite4.1140,!:rtp1.1,,-(11....'1' pet fons rt In Aro,the';ihtv trom4..11 hs th,.th-;1‘.. 1.,ii.If itt.i.tt Milk d4;1°L. Lii, L°A.11Z14.4}1 1.4,,r tt,,i:71,-..hi.atii.j.ph 04 t 0 Deatoltitott 0 4.itao lItel CATEGORY OF CONSTRVCT 10N - -- _.4 i tkor 1 RESIDENTIAL EQII IPMENT i SYSTEMS ETES:- — 1 'ma I Auf:: 141mk '148411"4$4 0 k t'Inilt'-'t 141 ttkitt‘Utt° 0 \'''.7"'''' '''''i'itl?-. I et vte,bit tflhermatrere,14,‘.ile,iii.4 1 ,..., U Niultr.tsultk 0\i,..,,I...,4 1-4,441.1t:: — JOB SITE INFORMATION ANL) LOCATION -- 7 - - j-.7 17 454A, „k11,;6.4. 1441,9 , , ,.,,,„.,,,„ „s„,,,,, , . ,,,,,,,J t4t1 OW fi I I_ ':•i-.< -,-,.,,,1 4 141 8L :IP: Tiedrd, ()R 97223 - ^4• t , 7 _ . -------•- -- '- -- . .., ......._ , „ ,„........„.„,0„,‘,..,„‘„,,,lot”..tlit 118.11.087, NO v•0081'1.4 - .,,,,,„„,,,,,,, ,.. -.... ..-,......... -..--. R i.,h,f1:111 Ili 1°,410 14 41:".1t,v•o t i Its;itt;nh.8 , ...„......„. _ 1. „ ....... .. ....... . 4no Or „ „ .._ _„ _ .„...„.. _ , 1 4,44 4,4.4.4,4444 4 hid •134., 4 f 1:NAIL in fflOrt f.tfif_11‘.12thfal 4.11, 1 _,___ f 4,, '•••, ;_ I Ow:l 011 L ,. 1,4 AO.01 ANAT.' __ .._ _ ,....m,18,..'111184 118.1r 21.18;021 rh;. rt. D esournom OF WORK 1 — •.„.121 ..!..._..... _ 1 no Other furl applianerw. d ter newer w - 1 Ws,taerdaw.c T...tit _ I - f7-- I —, I ice .;.,•nt tor 8,,,ilyr by ityr,..t.y.o. : ., New SFR 0 8..,..-rf.,,c__• . 1 -• - -1,8,1,-1 i.4 f 1fr r - — Ww.,w,wa pellet we . i , wf,,a1 tn.T1w., ne,w1- . - --- 1 1 hit/19(`;+ Imo-tlhe IC', - " ill FROMM OWNER [ _ ,,, 0 Tompa 8 (Othet 2 - — t Invirourricistal evitautt and wenfilatiew '1888187C I)R Elorton Inc. ' I48484181 ht.hi 1h4"km thlt r , • .,- •.• .. . . 1 \838114,'"4380 SW Macadam Ave Suite 100 8 loft,..,..8,,,,,f,,,,,,,,.. t -,- ..--„.-•‘..--------_....--.,,-. ....- ... ',:i:tit,i 1.;i ; 11 It.;IF,.•,18,-..* 41--....,.. • - 't .° 1 I 8t1 ',Luc/11' Portland,()R 97239 , . . t 7 i 4,110,..,4itT.4ttIr4184,. ‘tt,14::to,t,t.,I I -1 ' _117°7 I 503 ).10 122-4151 : I,.,4, 4 . ' ltitt, o.v.;is .h‘ 1.88; 1 , '•!:t ••.' le CO (of, NTACT PERSON t , _1 8 1 8 0 Atruckwr t url PiPnl, I 110,,14.:,s oti8n8: DR Horton Inc. : 8 - . , 1;14.15 for firkt fort,S4.01 for rot h Additions!, - --4 , r , f 4.814,4418,.808." Emerald Weeks •, I 1,'Il!!..S CU/ ,4 t.t.ttc.44„,i44414tz 1 ' ;, ' I 1 \atirCs, 4380 SW Macadam Are Suite 100 0 ., 1 i t i f f . , 08,"k ill,,,,r...ntior,f88.18.e.,,,, $ I i . ( 8I '11.414 11' Portland,OR 97239 kk•A...,r 1.-rtgo i ; 4't7 ''1' 1$03 " 222- 4151 x11417 I i IN 1 i : i i ittTi.1" i • ". i< 11,T ' } "'it esweeksodrhortori.cont ---8 •• - t „8 444,0 iirl,y1+11., m—.....----............--........,,,-. r--- fti1; fS4•,d:„d,r,,,,,,-,,,.'..,24C ' o,..)m f11. ".1)r. ...r1-_ (,i.- 8 tICI MC‘11rfillitUrn0NrI-11..1-11I-tte . EHANCLIEMIT N!SoFANEn,E0W4S , // /VtiAlitr11t; y ?( 4w/IP 1 ' 1i'/ , . A y7 _ ai*tt P it,to.rok otot.'.' , ._ 88;.• V. t•' "" ,11,-4"- '. ' I 1 f 1 N 4,1, ) ..•,. ,?" I ""„lit....trot ilvt:t I 4 4 1°1 4 1 ' P44)2)4r1 MI kl PIRMIT FIT ' , 4 in.44458484 Stritirt orlon etptrot ft$pferntil Is KOS.4414rtod o 1 ritio fl'Of +ft drIfot Oh;II his hies scrrpted to iompirti S.t titto tt, III',kilt:100c ff 0 tf717 I, Pt mt n.ot4a...- ,..".#"' -.0 0 - -, - f ., `.).`, V.,1.1,,',$ ,8 0 0 . ` Electrical Permit AppiicatiU '. trite i (t],t.Oil i I l_ t () 1 City Of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 O C E 1 9 2016 Review mit No.:A,��y-��G Z,� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit/t"` 7, << D Inspection Line: 503.639.4175 , i _ d Date�ylBy: Jwl, I 0 See2 for Internet www.tigard-or.gov - Notified/Method: Page '��g�P� �� ;� "fi 4SupplemeaW Information TYPE 01"WORiiCj, 0 New construction ❑Addition/alteration/replacement Please check all that apply(submit gsetsan ❑Demolition ❑Service or feeder 400 o.more plansneve three stdories.below): ❑Other: u ❑Marin overthreestoics where the available fault current ❑Marines and boatyards. CATEGORY.OF CONSTRUCTION exceeds 10,000 amps at ISO volts or Q Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building - las m gfOUnd,or a ems 14,000- ❑Commercial-use agricultural ❑Multi-family 0 Master builder �for all other installations. Inst flatlo Other: �Foe � ❑bratapuutioa of 75 KVA or JOB SITE INFORMATION AND LOCATION �°r$°46Y sS larger separately derived system. ❑Addition of new motor load of Q A",`E","1-2","1-3", Job no.: Job site address:k7(7 Ow � 100HPormore. occupancy. ❑Six or more residential units. ❑Recreational vehicle perks. City/State/ZIP: ❑Heshh-dere facilities. ❑Supply voltage for more than ('�� ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt no.: Project name: k�' V vV c),5 a ❑Service or fester 600 amps or more. Cross street/directions to job site: FEE SCHEDULE Dareiathia I qty. I Fee. I Taw I New residential-single:or multi-reality dwelling unit. Includes attached garage. Subdivision: Lot no.: 7 1,000 sq.ft.or las 168.54 4 Tax map/parcel no.: Fa a d't 500 aq.ftor portion lif 33.92 1 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft) - Limited energy,mild-tinnily residential(with above sq.ft,) 75.00 I 2 Services or feeders installed° alteration,and/or relocation 200 amps or less 100.70 2 . ❑ PROPERTY OWNER i 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 55226 2 City/State/ZIP: • Te Temporary services or feeders installation,alteration,and/or • Phone:( ) Fix:(: ) 200 amps or less 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 intended for sale,least,rent,or a xchange,according to ORS 447,449,670,and 701. 401 arito 599 amps 168.54 122 Owner signature: Branch circuits—new,alteration,or extension,per panel Date: A.Fee for branch circuits with 0 APPLICANT 1 0 CONTACT PERSON above service or feeder fee, 7.42 2 Business name: DR Horton Inc ell circuits Fee for branch circuits without Contact name: Emerald Weeks branch circuite or �".'�' 56.18 2 ,dam: 4380 SW macadam Ave F 'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular 6784 P 2 503 �l1-4151 • dwellM,service and/or feeder Phone:( ) J Fax::( ) . Reconnect only 67.84 a- E-mail: ... Pump or irrigation circle 67.84 2 • • CONTRACTOR . i Sign or outline lighting 67,84 2 f f- Sof circuit(s)t extension. Business name: ji/i, j. / L .t� „L attention,or extension. page 2 (2 Address: '(/� ! 6-S-4-1tii. ►/ Each additional inspection over allowable la any of the above. 1�o/ //E _14.0 Additional inspection(1 hr min) 6625/hr City/StaWZIP: Va,Y1'c 0 <1,:fli'. / 4.rte/,91C Cr/ Investigation(l hr min) 66.25/hr Phone:(3� ,J57/f_ Z-s—cp.!9 I Fax:obO) 32C�" c9 �j 0 Industrial Plant(1 ishmo) 7a.18/hr O Inspections for which no fa is 90.00/hr CCB Lic.:/' Z r-Y' J Electrical Lic.:-CZ3o J Suprv.Lic.: specificallyliated(SShrmul) ��, /79.f s $I.ECTRtCAL rERI►IT I+EFs Suprv.Electrician signature,required:,41/, '""' ,]1 Subtotal. G 1 l Plan review(25%of permit fee): Print name:C�t=d-b`/1, 6 2 r 7! : , Date: State a(I2%ofptrmit fee): Authorized signature: TOTAL PERMTr FEE: Print name: This permit ays after application expires it a permit is not obtainede. within ISO I--.41°..- Date: days it has been accepted as complete. * Number of inspection allowed per permit I1BaafWiadteroeiellfi[r: itApp 440.4615T(1i/05/COM,WEa Electrical Permit Application—City of Tigard Page 2—Supplemental Information t 1 �,F ` ` ,j4‘Th•uIG,--,,)ca) Limited EnergyPermit Fees: OCT 1 201E Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: , `1 err. ”r r" FEE SCHEDULE Fee for all residential systems combined: $75.00 Doc"Ption Qt>• E�th Tonal Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less IUt.'l 5.01 to 15 kva 133.55 ❑ Audio and Stereo Systems* 15:01 to 25 kva 200.34 Wind generation systems in excess of 25 kva: n B• urglar Alarm 25.01 to 50 kva 301)04 2 PTI Garage Door Opener* 50.01 to IOU kca 552.25 >100 kva(fee in accordance with OAR 918-3(19-0040) 552.2ti n H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Poch additional kva over 25 -42 3 E Vacuum Systems* >100 k% -no additional charge 0.0 z Each additional inspection over allowable in any of the above: Fl Other: Each additional inspection is charged at an hourly(1 hr min) 65 25 hr Inspections for which no fee is 90,00'hr specifically listed('•=hr min) COMMERCIAL.WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) Number of inspections allowed per permit. -- Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls n C• lock Systems ❑ Data Telecommunication Installation n F• ire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems Fl Landscape Irrigation Control* O Medical E Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:,Building Penni:;ILC Pc+:nit 4)/p LLR ERI.d.. Rn WI I' rtl Plumbine Permit Application Building Fixtures i....4....( 1�. ` I OR 01 1( 1, t it «.i.1 City of Tigard Received1114 Permit New• 13125 SW Hall Blvd.,Tigard,OR 911p11- Datr/By: /'u s/ v.�G' � x I ' Phone: 503.718.2439 Fax: 503.598.790 - 2 1 P Review Other Permit No.: i1GnRu Inspection Line: 503T.6Y3P9E.41O75 . - . Internet: www.tigard-aegov ( + � s r ,rii DaeRady/By: /r* { RSae tie2ar � _ vl 'IQ_4"‘� Notified/Method: Sa$plenm.ml lafe rmatba PEt6e $G[OIDU[ZI ❑New construction 0 Demolition For spedal lnjonnation use checklist - Description I QtX. I Es. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 R for each utility connection) CATEGORY or CONantu oNt SFR(1)bath 312.70 ❑I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 Accessorybuilding -1 SFR(3)bath � 500.32 ❑ 0 Multi-family Each additional bath/kitahen 25.02 ❑Master builder ❑Other. Fire sprinkler( sq.ft.) Page 2 • JOB'S tIE.IfPOR,t AJ R3)11:SAND LOCATION Site utilities: lob site address: `�f Catch basin or area drain 18.76 �1 �w s��� 1 , City/State/Z1P: - Drywall,leach line,or trench drain 18.76 Footing drain(no.linear ft.: Page 2 SuitelbldgJapt.no.: Project name: LA &L1111+/A Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft.:_J Page 2 Water service(no.linear ft.:_,_J _ Page 2 Subdivision: Lot no.: 7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 • ••• DESCRIPTION OE:WORK .• Backwater valve 12.51 . Clothes washer25.02 _ � Dishwasher 25.02 . Drinking fountain 25.02 Ejectors/sump 25.02 0 rgorintq..OWER . • ..I • ❑ TENANT 1 Expansion tank 12.51 Name: ��Vcii\TA-fivl `� Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 A � c, _ `o+ '7` �- arbage disposal 2City/State/ZIP: 0110... 9_ 5.02 i Phone:013 A, ,- `f=j I Fax:( ) Ice maker 12.51 • 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: ›Z,, \i J -(1n In CJ Medical gas(value:S_i) Page 2 Contact ��i`£ .i•1 01 '` J`�• X Primer 12.51 name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) ,q� c7 Fax::( ) Tub/shower/shower pan 12.51 1:.,�' w-wGs 1 E-mail: V� civroy . (�CUrinal 25.02 7 t/ CONTRACTORWnearebset 25.02 • Water heater 37.52 Business name:EDWARD MULLEN PLUMBING ' Wats piping/DWV 56.29 Address:1601 SE RIVER ROAD Other: 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)610-0113 Fax:(503)640-4483 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:94689 1 Plumbing Lic.no.:34-260PB _- ��J_' State surcharge(12%of permit fee) Authorized signature: '. TOTAL PERMIT FEE Print name:RAY MULLEN j Date: This permit application expires if a permit is sot obtained within 1110 days after it hu bas accepted as complete. 'fee methodology set by Tri-Cowry Building Industry Service Beard. t:laudangPnmtteWLMI•ra1el*App.doo 10/01/09 44o.4616Tt10102/COMWea) 11111 City of Tigard 4 COMMUNITY DEVELOPMENT DEPARTMENT II T 1 cA o Building Permit Review — Residential Building Permit #: 4 S 7Z O/ —0 2Z Site Address: S 7 17 S w SG 41 n-, i of+ L©1/40 9 Project Name: ACri i-0,q C ru,4', n) Lot #: 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1,1 e� de I-etch slc6 SFS. l Verify site address/suite# exists and active in permit system. • River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: XThree(3) copies of site plan Existing 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 LrUtility locations(required for new,may apply for additions) Sil Site address,project or subdivision name and lot number 21tocation of wells/septic systems kApplicant information(name and phone number) 'Existing trees to be retained with drip line,and tree ®Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and gOtreet tree size,type and location impervious 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) gr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified li'No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ,rYes,applicant was notified ❑ No Applied For: ,tki Yes ❑ No,stop intake i"Land Use Case#: 5(.44.3 a4.3 lc _ OW t5 Aa Zoning: ._ 1 ilZi Required Setbacks: Front 15. Rear I S Side S Street Side t 0 Garage 'ZO RLandscape Requirement: 2.0 g Lot Coverage Maximum: s 0 cyo ZI Building Height: Maximum Height 3 s (-t g Actual Height 2)8 }a Visual Clearance Zi Easements Z Sensitive Lands: Cl Yes ❑ No Type Urban Forestry Plan 172 Conditions "Met"prior to issuance of building permit Notes: er i v re. C.x?rl cl.i fil ti el .► G re, ( e+ p rsiz)r '1 S S..t cl n LA-- Approved _s -Approved By Planning: 4i rti-Z-c. IQi-e.---w•__ Date: 1 Vi ci / , 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\B1dgPermitRvw RES 091216.docx Building Permit Submittal / f Original Submittal Date: 1(�!f 7/l' Site Plans: # 3 Building Plans: # 3 Building Permit#: 32'Enter building permit#above. Workflow Routing: Pr'Planning Engineering P=Permit Coordinator WP.Building Workflow Sign-off: El 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. -j Notes: By Permit echnician: Date: // /(, Engineering Review 'Slope at building pad: i 76 ❑ 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 2 No LIDA Facility on lot: ❑ Yes 2-'No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: M ( 1/6— t}- e Date: ti/Z—q h Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 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: C Fees Entered: Wash Co Trans Dev Taxes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ii5PYes ❑ N/A SOK to Issue Permit byl�,� ApprovedPermit Coordinator: Date: / !/ I:\Building\Forms\BldgPemfitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8717 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 13, 2017 at 10:28:19 AM Record Type: Record ID: Residential - Master Permit MST2016-00500 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide permit and approved inspection for AC installed without permit. Investigative fee applied for installing AC without permit. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8717 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 13, 2017 at 10:25:57 AM Record Type: Record ID: Residential - Master Permit MST2016-00500 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide permit for AC installed without permit. All else appears ok at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8717 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 13, 2017 at 10:43:47 AM Record Type: Record ID: Residential - Master Permit MST2016-00500 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide permit for AC. All else appears ok at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8717 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 14, 2017 at 8:02:25 AM Record Type: Record ID: Residential - Master Permit MST2016-00500 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Correction from previous failed inspection not done. AC not on permit at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8717 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 14, 2017 at 8:04:54 AM Record Type: Record ID: Residential - Master Permit MST2016-00500 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Correction from previous inspection not complete. AC not added at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8717 SW SCHMIDT LOOP, TIGARD, OR, 97224 June 14, 2017 at 8:06:51 AM Record Type: Record ID: Residential - Master Permit MST2016-00500 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved mechanical and electrical finals prior to scheduling building final inspection. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8717 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00500 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor