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Permit CITY OF TIGARD �antfe. MASTER PERMIT ' 2 : COMMUNITY DEVELOPMENT Permit#: MST2016-00507 T t RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2017 Parcel: 2S 111 DA23300 Jurisdiction: Tigard Site address: 15488 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 52 Project: Heritage Crossing, Lot 52 Project Description: New SF. 6/26/17: REPRINT to add NC unit. Placement of NC unit must comply with manufactures installation requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 650 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1021 sf Garage: 390 sf Front: 11.25 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Total: 1671 sf Value: $209,058.81 Rear: 16 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: 2 Garbage Disp: 1 Water Heaters: 1 Drains: 0 Water Lines: 100 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: 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: 2 201-400 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 1671 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: $27,714.83 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 952-001-0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232,1987 or 1.800.332.2344. �9 / Issued By: i�G���/fra I7� Permittee Signature: t Z / ` 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. spa . RECEIVED Mechanical Prmit Apnticad 2 6 2017 t in, i``11 l $ ....t f,‘l ; City of [ and :ie:: C t l7 iii w.:r 5T 2 a `0�t 8,7 11125:NW ill#Diva..Tilatd.(JR 6.fiTiY O F fIGARORliN r�lc it m.,,,,,.• 503.718-'-'43 faxod t: s # {fVG DIVISION t.,“1 . na«rtrcrau, f 175Inspection Lim: $ Dar Rmay.13r.: i,e.. 0 Sae Panel Far Miaow'.%mem sigard-or.eac Nauncri:itottaa. tiapptratrarat lararassuaa ! Mechanical pelma fees*are basest on Me salsa':al'thc asst. i•Nov corlstrut tion ©,ldditioniahrrationlreplacctoent performed! Indiana the value(mun(ta i la the rwarut dolor)of all 0 Demolition 0()they: mtxhanieaf'materials.equina 5.labor,uw;rhc.d.amipraft......../ Value$ .• 1-and 2-family datniting 0 Comrnereiat.industrial 0 Ar esstsry buiiiinu t Far onrWhtfmsaoriaa are ek ea/kt. } F t Q'ttttlti•farnify 0 Master builder [}Otherik�erriptitrn Qty. I Fa, I Total a .. ,.. .., '` f udll 1vv ` t : ir, : wAa�' tirntsng A5 75 lollsttC44k1'°44k1'°"; t (V W .i p(} tui 0 0[,� Lor Q. Furnace int), BTU atom aenul - 46.75 �^ t ' ': Tigard,OR r f admire(00,00(1:Olt:taossNeotsi 54 9t t. t Om Pump _ , 61:1}6 tiuitelddt.ialal_no.: Project'emir 1 � �p V 7t14t‘t ... ....*••• i Cross etteenelire ti<snc to joh site: I tildratic flat water-06ton 23.32 iteitdnuistt[kilo(radiaux or hydreniel 23.32 If g=all heaters tfuel-type,tux electric). in•wall.in-duet,sv ltrndco3,etc. 46.7$ Flue/vrn)far of above i. 23.32 Sut41ivision: Lot no.: 52. r (blea 23,32 _ t Ober Batt appliances:'Tax mateparcei no.: Water heater 7.3.3• a; SF ` ..*e: . 'N'A.-',',Y",7,.',4 '- ;t, '._ lois frraf+l4crtt5nae a 33.39 Ow veal for atter heater or gas New SFR � fitt>lalaor ---_____ --__ --z3is__. Log lighter(gm) __.._....,._ _ ._ _ . 1 y ��""��``Aft"---- At Waadipvlkt stun -- __ 33.39 !� y Wood fireplace/insert 23,3 _- ,�s t t mrtayslinerrituetvrnl 23.12 ** c —� .;A ., r a, *tux: ..`.._._ _ 23.32 .L, .a4�. • ,...4o-Apn y Ettvl an til eakatrat r�t'eltitta`t i ....... *°;tree: DR Horton Inc. 1 tome hoai ah When equipment 33,39 A(k1ret,s43H0SW Macadam Ave Suite 100 _ _ _� (lathrxdiver exhaua 33.39 Coq iSta(a'7..1P: Single dart e.hwat(bathrooms, ..,._ _ Portland,OR97239 __ Vita cumttantnantt,Wilk'rtrorns) ,,- 13.32 Pixlric:(503 ) 2224151 rat:( ) Anicrcravrlspace fans 2.3.32 .4t$:.:, 1 ` i. t-2 ; c M1=X"" '.. �:i . . v.i"s :i^- tb$ri: __ �3 32 - t- l__"`_"'Ninnx-sa rlanr7R�OTio7liC f11,lSYterAnt fear;Yd.AfTerra tdMAalnl contact pante:Emerald Weeks f Fvmare or. _:, 1 .'Address:4380 SW Macadam Ave Suite 100 (las heat Perp V,alIYuaisaldndrtrnit hoatet t ityStataiZIP;3Ff)[tland,OR 972_39 _ ,ir wild Matt( _._ .._ ; __ - Phone (503 i 222-4151 x1107 ^ Fax::(+~ ) jiieplace ..................*.................................a.., ... ._._.... ... Range r-mall esweeks@drhorton.com barbecue 7.:• 'j. ;j fi Rvliz �..,.,��i �� y ksa� kv',.fru ?a' i<.e� ` '= Clxh (5vl "----li - .— ._ flustness name: F�— )eW /' . oth� • �¢ 3`� YwIvs3w�,. � .`ilwte^ii" »t.zrx AddnrsY. 7—e97a,• T. Subtotal Ciiv!Stal :il. A� f ^y n ,r�(� h(inhrauupermilfa($9(1.00) 1fa 5 .-'r T`�1..-3 � f't' "4�7 hon .' - gj 41,0 .+` Fs : � '1-2(i:2 11. 1? I 5aPatnnucttwi larw(f 2r %onrrtemipermiiffa ) C(H tic: 02)0,39' TOTAL PERMIT FEE ! Ttib peewit itpalleatitia motets it 4a inn n has betaa p` ieptai s Muth.lila A Aug irrti,..;. at • Fel metitodaber at n}T,i.(`nuny Diistole hwitastj move Wont iPrint n.• / -- Date r ,,, '2 i 1,.,Arq.B.•tfet.,.'i.y ,tArt•_(L:1,IIax, All)..a,Mtt:Ita;.(4Itturat /_J IIIICITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016 00507 [CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2017 Parcel: 2S111DA23300 Jurisdiction: Tigard Site address: 15488 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 52 Project: Heritage Crossing, Lot 52 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 650 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height 24 Bathrooms: 3 Second: 1021 sf Garage: 390 sf Front 11.25 Smoke Dwelling Units: 1 Third: 0 sf Right 4 Detectors: Yes Total: 1671 sf Value: $209,058.81 Rear: 16 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: 2 Garbage Disp: 1 Water Heaters: I Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 2 201-400 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 1671 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: $27,662.47 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 503.232.1987.1or 1.800.332.2344. ‘rs494 Issued By: 6 Permittee Signature: SCC. .("a-7 ''Ll Call 603.639.4175 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 projec-. Approved plans are required on the job site at the time of each inspection. Building Permit Application Alio 6(2 ii- Residential ,d'.14,-,L,.;". . 1 ..: City of Tigard -yt r Received/��(�/lG IN 13125 SW Halt Blvd.,Tigard,OR 97223'CAT 1 # 1 Date.B (ArPermit N S72e,� e, 7 s Phone: 503.718 2439 Fax 503.5? } ( ; 4 Plan Rex icv1 v�� `�[_ F�/! CGt7r� 23 t ?,. .}.t, Inspection Line. 503.639 4I 5 ' '1 > > Date ReaBy. / Other Penuit �� �q,�� p c ,•;,-,:,,,,, Date Ready H)t J,... K� Internet: www.tigard-or.gov1-31..r!1,1,.!.: Notified Method. /Z / � 'Peut t for ���'` � ��@ tiapplemrnrallnformation TYPE OF WORK �i t kms@ - REQUIRED DATA:1-AND 2-FAMILY D% ELLING a New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q I-and 2-family dwelling Valuation: ❑Commercial/industrial $ a.09, O ❑ Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathroom 3 JOB SITE INFORMATION AND LOCATION Total number of floors; a. 61 Job site address: ,514%� New duelling area: (( 7 j �Q �� C�..�n1 _ square feet City/State/ZIP:Tigard,OR 97223 Garage=carport area: d?(', square feet Suitebldg./apt.no.: Project name ' w-IAlt c Ar-0, --;\h I Cohered porch area: /53 square feet foal Cross street/directions to job site: Deck area. square feet 6s'01 Other structure area: square feet i REQUIRED DATA:COMMER(IAL-USE CHECKLIST Subdivision: I Lot no.:c.5-c/. 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: S Existing building area: square feet New building area: square feet 1) PROPERTY OWNER I 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy groups: city/State/ZIP:Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) Nei: 0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES* Business name: DR Horton Inc. (Please seJertofu ukedalej Contact name:Emerald Weeks Structural plan review fee(or deposit): Address: 4380 SW Macadam Ave Suite 100 FLS plan review fee(if applicable): City/State/ZIP:Portland, OR 97239 Total fees due upon application: Phone:(503 )222-4151 x l 107 I Fax::( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SN STEM FEES° E-mail: esweeks@drhorton.com 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 Address:4380 SW Macadam Ave Suite 100 and fire department access,along with the 2010 Oregon Solar Installation Specialty Cade checklist. City/Stale/ZIP: Portland, OR 97239 Permit Fee(includes plan review - Phone:( and administrative fees): S 180.00 503 )222-4151 I Fax:( ) Ccs hc.: 130859 State surcharge(12%of permit fee): 521.60 Total fee due upon application: S201.6(t jThis permit application expires iia permit is not obtained Authorized signature: ,; t t t , t t f within 180 days after it has been accepted as complete. I Print name: }'? , i •i i i l'v If? /1` . - Date:2016 j "Fee methodology set by Tri-County Building Industry Service Board. 1:Building,Permits BUP-RESPennitApp.doc 02 24,2011 440.4613T(I I 02 COM'WEB; , Nieehanicai Permit A.ppii . tio. — ,,, ,,--. ..,,a1 1.... 't.„...r ,'•,.. ,# , ,,,,,„„„ ;,,,,--i„,, 1(Hat of I It' I t •iiit if\1 'it (iiii of Tigard ri r.,- .=,"--;;===' ''', --- ' - ,,, .,.._ _ ......._ . . . _. , , '''';Zkt,57212g-,A05-07 rc i,04.1 14 f.44 *A)2'A*0*. ion. 1 i 2 016 ,.„, i. plu\, _____._.__, ____„_ I,,,pc,,,,,,,,t Inc4.1". 2.4A 42,4.,.is 4-r4tur 2 I or 4444*1441 A A. 11r.0.!•'.'';;“Is '"-r'S., -q: ' ,'...'-0,,'..... ...itprir Myftt al Int r-------- i --- i:ritWrWeliC-; - ' COMMERCIAL FEE* SCHEDLII ____LSE CHECKLIST _ ___—__. --_— ---_--- ..._ _ 44 -- `41e, ,044 rk.'**.l',42-s ..42 ..*.4A.4...4i...,4 4 ii:oilstrtitiliiiii U viibi„,„41,,,,, ,r„,,,G.,....,,, i„,,,,,ncs, ho,%,thV\Ilti.:1,1.,“94:d to Ow f,..'it....,.+10. r . 0 1 41% It 0(itho , ts.,-,t,,mo,,„4 1,,,,,q,,,,11:Li,lritot.,..1.1.,.!,r ,_._ - „ - CATEGORV Of CONSTRVCTION . --- RESIDENTIAL EQUIPMENT i siva:4s f EES* hlind, 41,01,4.! 0 t ,,,,n,,,,,,,,o.4ndii,ititi 0 ‘iiiii4iii.,,,s f.,i ii&l, i 4,kpe,i.t#i to jornutin.n..4.,I iii.6 i C t..,1 • 0\i,,,h,.14,nth, 0.1..„0,,, b„,10,,,, ,....., ,,,. . 14; 2 ' A ' "-II' 'Pv. ' — • 241. JOB SETE INFORMATION AND LOCATION 1144044.16!4?1211 , .---- __------ --- .— , . - i c..,.., ____/5...„q _ i i It4 `41,04 /IP: Ti ,siti OR 9- 1 = t. , .;.=-..,11. _...„ ,. . _ 41.,.• r„,,,r , •„,„„,,, , ,,,,,„.., 1, i•,„,,,,, r,,,,,ttco,htet il75.h.;,•1-,It.,- i ,,:, hoi,t'Vf I " F.42.4.42k-*A*1.si P,A{.4.2 44 tshAs242,,* ! 1 ,..r.w.t - . I 4744 hs22142 ' *-4 12440 IN pi, 710-`'ei..\"r h.I i —. — -- f fitti Nail 441 4A4s.AI .11,42A82 :1 4: 4 2 .4.. * 4-- • *4,4Ni+4 IA*on lit E 01442,()ARO n.,4,_,.... — --A— Lfoz _ _4_, — 4 , ..!.k.'4t..:!!41 ... *-"-...".^.1 1 kW t,11t f t,f tt 34,-1 14.1:,fil.'( 4 t;.,..,.. , I New S1:11,, ___ _, plItt......:\v 1 - - - __ - _--_ ----.-___ - 90,0 6,-1,14,,- I 1.771.41W. !Mt,11,,C .'"V i .. ........... 411P*OPERTY OWNER NAttx' DR Horton Inc. r 1 0'TENANT I A . 2 - - I ---- *--------------------*---- ---1 nAironmental tAtsautt and*fatdalntn: ' '' ' • R-2,40*hock!Othel ilk.6:1, • \dd"*".4380 SW Macadam Avc Suitt= 100 t ..— ........., .. . ,... I ( lh ''fitC/IP Portland.OR 97139 ,n, 1 t'.1,,O)S. ,••,:tt+, (0.45 ,i 1 * - 503 1 222-4151 ; 144 4 1 ‘,,,4,44,,,r4.444, ' :T7. 0AiitucANT . ip CONTACT PERSON --,-.. 1 i. 8 1,64-t I 2 i • ' ' 1 . . I ut I OP% "‘'$44""4""C DR Horton Inc. ,,..._.....,....._ $14,15 for nrst tow,L4.0 tor torts a0idittoosi T * I ont,1A I 11.421Th- Emerald Weeks , 1 7.'ft ttit d.q. 1 .............-........—........,.... .......................... ........ ....... 4.($.t•tA`...41 pimp . i viatc,-; 4380 SW Macadam Ave Suite 100 f - • NA.411+ 1124 !..*.nti4A.i,14447 142\042 , /IP Portland,OR 97239 ,.,1,71 tte.ik't 1 1 - . . I , 14 , f ititi41.!tsi 1 i 4 i . + .4's' '503 ' 222- 4151 1ix 311107 .1 - i It tittio i •1 i,i, ' csweeksodrhorton.com Is,44,-,;,,, i -- ,-_ ,.. _ CCOFTRACTOR ' , 1,,t,tc...4%.,.-(1 ,,, ii A i 11,, 1,.....„, ----- __, — , MECHANICAL PERMIT FEES* 1(.3-1/tik. ' .7- <1/7/7-: i( 1 ) 7 .>-- subo,,,At , ----)4!--------- '..--- -------,— , ---,-= 7-'1 4 , i t ilt ‘t-iiti/IP il,j4.111,1i-iii-1,...t?Irk iii'iii i 1 A .r.zi,,57,,f.t..),-, -.— -2 -"*.--, -h------ -1--:.-- -,77--- -L. ; - ' rti,,rs.,,t,...o.t.:;,'•', ..1 4,.orp“; /i.V1 Vh,41,. “.., k , ,2,:„/ -24 '44 4.. ' '' 1 14% I24:4 ,,er rf i i/ it , tOiki MOOT FEU ' 1 t t Ft:.1,.. ..,,, .o.,.,.1,4? ';',21 ..„ - i ht..pttlytit irppist tOPt4pirei,a 4 priinti Pi flol 01741424481 4.411144.448v drag 411111 If ha*Iv**strepstd to toropldr Nothof,,,d zri.e«thrt5 -.. ,r, l'rrit 44,4k47__ -*°- t ' ' 1)44;- 0 ,, 0 , -. , 1,-s.7i4 ,,,' 1 Electrical Permit Appiicatio '. a i7"J""`( t HR t>i r it i t \I (> i > City of Tigard PermitNo.: 11111/ T 713125 SW Hall Blvd.,Tigard OR 97223�( w ?016 phei)atalBReyview Phone: 503.718.2439 Fax: 503.598J96 � ' Date/ByOther Permit L D Inspection Lire: 503.639.4175 t Date Ready/By: Muds: B See Page 2 for Internet www.tigard-or.gov (-' yE y - -.a ' Noh ed/Method • Supplemental Information TYPE OF.WORM ®New construction 0 Addition/alteration/replacement Please check all that apply(submit a nets of plans wlctems checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available faith current ❑marinas and boatyards. CATEGORY'OF CONSTRICTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial" 0 Accessory building amps rep to tom,°i exceeds ons. ' Cil co dings.al rhse agricultural family 0Master builder �an other insWlatinas. buildings. ❑Multi- 0 Other: ❑Fire ptmm. ❑Installation of 75 KVA or JOB SITE INFORMATION AN LOCATION ❑Emergency system. larger separately derived system. �,/A d _ ❑Addition of new motor load of CI"A","E","1-2","1-3", 10'5 1 v" 'y� or r Job no.: Job site address: TTTicy. 0 Six or more residential units. 0 Recteational vehicle parks. City/State/ZIP: f'1 d G CJ7,,2,:,)- �3�3 ❑Health-care facilities. ❑Supply voltage for more thea 6 v ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt no.. Project name: -X y... C Q ❑Service or feeder 600 amps err more. FEE SCHEDULE Cross street/directions to job site: Desertnu.a I Qty. I Fre, . I Mint I New residential-single:or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:54. 1,000 sq.ft or less 1 168.54 4 — Tax map/parcel no.: Ea.add'I 500 sq.ft or portion e2 33.92 1 ited DESCRIPTION OF WORK • L(wilt above sq.it residentis 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Services or feeders instafladon,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER (] TENANT 201 amps to 400 amps 133.56 2 • Name: 401 amps to 600 amps 200.34 2 60I amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.262 City/State/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) Fix:(: ) 200 amps or less 59.36 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 to 599 amps 168.54 2 • Branch circuits—new,alteratio or extension,per panel Owner signature: _ Date: v A.Fee for branch circuits with 0 APPLICANT ( 0 CONTACT PERSON above service or feeder fns, 7.42 2 each branch circuit Business name: DR Horton Inc B.Fee for Wench circuits without Emerald Weeks service or feeder fee,fist 56.18 2 Contact name: branch circuit Addr : 4380 SW macadam Ave • Each t '1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) city/State/ZIP: Portland OR 97239 Each manufactured or modular 67.84 12 dwelling,service and/or feeder Phone:(503) 222-4151 Fax::( ) a Reconnect only 67.84 2 E-mail: - Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 • CONTRACTOR , i Signal circuit(s)or limited-energy Business name: �(A 14/1 /1.4- 2( e 7.„.„;e x panel,alteration,orextension. Page 2 2 �� d, rr_ Each additional inspection over allowable in any of the above Address: 2 go LI /1/E 6-s-en, J� , ii . J7 Additional inspection(1 In min) 66.25/hr City/State/ZIP: U�h c e,lit V t'-. �4. ,9FC Cf/C Investigationila(I hr min) 66.18/hr . Industrial pleat(1 hr min) 78.18!br Phone:(3‘a .5-/g7_ .'5,Q 9 Fax:Q6' 7) 326-- s966 O Inspersions for which no fee is 90.00/hr specifically listed(i4 hr error) CCB Lic.:f',2 s-- 9 Electrical Lic.:.CZ 30 Suprv.Lic.: /791 j s �C,PERMIT FEES Suprv.Electrician signature,required:�.A/�7 'b4..____,41Subtotal: t �EPlan review(2596of permit fee): Print name.Ch 6.s k't ,l 2 r� Date: State surcharge(12%of e� _ Pesrmrt Seek _ Authorized signature: TOTAL PERMrF FEE This permit application expires if a permit is not obtained within 180 Print name: -542V " Date: t Number of inspections allowed per permit.days after it has been acceptedm�m plete Iinutlin. Pernitia.GPermitAnp 490-4ersr01/05/Cosvwt:S I Electrical Permit Application–Cityof Tigard Page 2—Supplemental Information Limited Energy Permit Fees: ` U 1 E 2016 Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: #g,< "a FEE SCHEDULE j Description , Qtv. F.ich ToiPt • Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or leis 133. 5.01 to 15 kva 133,5656 ❑ Audio and Stereo Systems* 15.01 to 25 kva 2U0.34 1 Wind generation systems in excess of 25 kva: Burglar Alarm 25.01 to 50 kva 301.04— 2 50.01 to l UU k‘a 552.26 I XI Garage Door Opener* >ulii kva(ke in accordance _ with OAR 91s-3x19-0040) f 552'4 n H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva; System* Bach additional kva over2542 3 E Vacuum Systems* too kva—no additional charge 0.0 Each additional inspection over allowable in any of the above: I IOther: Each additional inspection is charged at an hrutly(I hr min) 66.25 hr Inspections for which no Ice is iO,QUi hr specifically listed('i hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): ___ r— Fee for each commercial system: $75.00 Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems [7 Boiler Controls I7 Clock Systems ❑ D• ata Telecommunication Installation ❑ F• ire Alarm Installation n H• VAC I—I Instrumentation [ Intercom and Paging Systems I7 L• andscape Irrigation Control* El Medical El Nurse Calls Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.Huilduy.PerLLC Pe:niIApp LLRER/do: R.%u5 1'':Ill,' Plumbing Permit Application Building Fixtures IIIIIIIIIIIIIIEIIIIIIIIIIIIIIII City of V/ BITigard Daffy: Penni!N ,,L S-z2C� --czs-57 � 13125 SW Heft Blvd.,Tigard,OR 97223 N . Phone: 503.718.2439 Fax: 503.598.1960 Plan Other Permit No.: I t c A ii a Inspection Line: 503.639.4175 Date Ready/By: Surfs. S see Page 2 for Intend: www.tigard-or.gov Notified/Method: Supplemeaal Iafornedoa { • Y• TYPE OF WORK. . I 1 II* �d •` .;,,ti • ❑New construction ❑Demolition For:pedal injonnaden use checklist - Description I . I Ea. ( Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R for each utility connection) CATEGORY OF CONSTRUcnON SFR WWII 312.70 ❑i-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)beth i 50032 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB'RIFE NIFORMA T.I:AND LOCATION Site utilities: , lob site address: /S t f - cSL„/ Aj ,-, , Catch basin or area drein 18.76 , "y�'r Drywall,leach line,or trench drain 18.76 City/State/ZIP: T/',,�+ - . Footing drain(no.linear ft.: ) Page 2 Suite/bidgJapt.no.: 1 Project name: b�}1 Lel Manufactured home utilities 50.03 Cross street/directions to job site: d5 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: J Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:__,J Page 2 Subdivision: { Lot no.:(ca, Fixture or item: Tax map/parcel no.: _Backflow preventer 31.27 DESCRIPTION'OF:WORK Backwater valve 12 51 Clothes washer 25.02 Dishwasher 25.02 js' Drinking fountain 25.02 Ejectors/sump 25.02 ' 0 POMO, OWWER . • ..I -. p TENANT Expansion tank 12.51 • Name: V ` J V , ( v 6 `1/1,.C., Fixture/sewer cap 25.02 � Floor drain/floor sink/hub 25.02 Address: 1.k/bj C ) -�.O,r7� -7CI Garbage disposal 25.02 City/State/ZIP: Jfl_ 0\e_ 0iL� Hose bib 25.02 Phone: )) i") _�` \ Fax:( ) Ice maker 12.51 • ❑ APPLICANT • p CONTACT PERSON Interceptor/grease trap 25.02 Business name: >?. ` y\-' t vv Medical gas(value:S__) Page 2 ' t Primer 12.51 Contact name: l-'\W\I11.s'�/4 l � Roof drain(commercial) 12.51 , Address: Sink/basin/lavatory 25.02 City/State Z1P: Solar units(potable water) 62.54 Phone:( ) p Fax::( ) Tub/shower/shower pan 12.51 C� �Q� E-mail: G6 s. cAy Vt CV Y .Coo4 Urinal 25.02 `,,A "`" Watt closet 25.02 CON['RACTOR Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address:1601 SE RIVER ROAD Other: 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 _ Subtotal 72.50 Phone:(503)640-0113 Fax:(503)640-4483 n rev ew permit fee:permitfee) Plan review (25%of fee) CCB Lic.:94689 1 Plumbing Lic.no.:34-260PB -- State surcharge(12%of permit fee) AC rignatiu+e; , �'y_r TOTAL PERMIT FEE This permit applicatia expires ifs permit b ass ebtaloed within ISO days Print name:RAY MULLEN Date: after it has baa accepted as complete. 'Fee methodology set by Tri-Comity Building Industry Service Board. ist6uddineamiterxrcl eeneitnypeoc torohoo 440.4e1oTtlwovKOM/wEa? 1 City of Tigard 14 II COMMUNITY DEVELOPMENT DEPARTMENT T l c A R o Building Permit Review — Residential Building Permit #: ,4 S T).. )(('—a) ,_c---D-7 Site Address: 1.54M) S IA/ Apek w 0 J d Ln Project Name: 14 e r i -Vale C rvss'.,A ciLot #: 5 (New dwelling=subdivision name;Additidn or Alteration=last name of owner) Planning Review Proposal: )J1 e J cce-4--te keel S1-i2 - ,Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: .gii'No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: C 'hree(3)copies of site plan Existing structures on site EV-Site plan must be on 8-1/2"x 11"or 11 x 17"paper .'Footprint of new structure(including decks)with finished kbrawn to scale(standard architect or engineer scale) floor elevations krNorth arrow . Utility locations (required for new,may apply for additions) aitSite address,project or subdivision name and lot number Location of wells/septic systems ['Applicant information(name and phone number) ,,existing trees to be retained with drip line,and tree ,Q tot dimensions and building setback dimensions protection measures , Lot area,building coverage area,percentage of coverage and Wtreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) L 'S`treet names *roperty corner elevations (2 foot contour lines if more than 4 foot differential) j-Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No kr Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: X20 (S CO 0 (5" kr Zoning: - j D-- ,'Required Setbacks: Front eis Rear ita9 Side 0 4 Street Side --- Garage s k'Landscape Requirement: a J %114_5 I k'--reesi Sir Lot Coverage Maximum: 80 'Building Height: Maximum Height c....% Actual Height e Visual Clearance ti Easements Sensitive Lands: ❑ Yes No Type Urban Forestry Plan V" Conditions "Met"prior to issuance of building permit Notes: PI GvIri‘, Acl Cii Act'; i v,�.s rne+ Approved By Planning: efuju a . c Cw;,n Date: (a I - I to Revisions (after Building SubmittalAlly) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES 091216.docx I Building Permit Submittal Original Submittal Date: / [04 Site Plans: # 3 Building Plans: # .3 Building Permit#: Enter building ermit#above. Workflow Routing: Planning ngineering —'n-Permit Coordinator iilding Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Ar ,`�L�i.... Date: // :444-7// , Engineering Review --Er-Slope at building pad: '1" lb ❑ 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 E---No Assess Water Quantity Fee in-lieu: E Yes No LIDA Facility on lot: ❑ Yes -,2-- o ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: k&t K.Q.. l.c) • Date: /I Z at /c Revisions (after Building Submittal only) Reviewer ate Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved E 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: irc;SDC Fees Entered: Wash Co Trans Dev Tax: r*:; ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A '•K to Issue Permit Approved by Permit Coordinator: Date: // /3 /6 l I:\Building\Forms\B1dgPennitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15488 SW APPLEWOOD LN, TIGARD, OR, June 27, 2017 at 1 :35:02 PM 97224 Record Type: Record ID: Residential - Master Permit MST2016-00507 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