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Permit (138)CITY OF TIGARD COMMUNITY DEVELOPMENT 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 al, t i ,/i MASTER PERMIT Permit#: MST2016-00545 Date Issued: 03/01/2017 Parcel: 2S 111 DA23200 Jurisdiction: Tigard Site address: 15500 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 51 Project: Heritage Crossing, Lot 51 Project Description: New SF: REPRINT: to add A/C unit. Placement of A/C unit must comply with manufactures installation requirements. BUILDING PLUMBING Sinks: 1 Water Closets 3 Washing Mach: Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 709 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1034 sf Garage: 390 sf Front: 11.25 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Footing Drain: Total: 1743 sf Value: $215,718.81 Rear: 16 1 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 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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'I 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 1743 Owner: Contractor: DR HORTON INC. DR HORTON INC PORTLAND 4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 PORTLAND, OR 97239 PORTLAND, OR 97239 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,156.99 Required Items and Reports (Conditions) 1 Ersn Cntrl 503-639-4175 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O R 952-00 0090. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature:?' Cid!/+ Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on thejob site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVED Mechanical Permit Application Cih of Tigard JUN 2 % 2017 �.` !G-ITY OF TIGARD BUILDING DIVISION 1ct�,flu! uws�tily,.t',t«t�ni °va:t�_.i C.��/'VL/� `+�rAkmecet�tiwtsit�a }PE—l3# WORK coNm'; AG FFE* fa HE31i� - CfF ICfdSf r,� . °'t u c h tF t tie t' irs t t is xt x4 ACU Ltt[t.!#a�.lrttl � :istalttt�at=:=3t.cr.t=;rn n.13_jc,tiTr�ti=' ;�rE,.nti�1 }ssh.,+ci.hr.,ttttc*r-,,�nctesl+,zt}sc,x..ti,ldcaisc}==r,rti © t]cr.ua3ilrata t 74 K t m z-ilww'sl ga.aar,i l' , mrtrz. 0" p, ohs k J%J r�.ri:• CA-MUORV Of Ctk I1Mkt3C'1"tUzi � ift3 �+isAE Ft {dt itpli"Ci!$V T +4+t R' 3 a�at"'-twr�utti�l.�ctis}ay �i sntntkrr�taf +tt.fu�ari.rl Q �ts�.izm� �StFitt,� trrn/trt=xrthr ,�rr/ttr�!&b �Sl.ltt i:xtliFE C. tJtlsr..1hg °.r _____A4 Ee 1 t+r! _ JOB SYiEF��I1�vEtJtdtMAfiU+i' AND 1AWNr,TION' µ � ?4svtt4 Et ifsrw�_t... eier�a,r t}9C}.taysA till 1 ih f 'S '� Falritw�4';t7Y r,tk'#i- 1S!!' has �,ta �" cX 41 ,e.,.,.»....... TJ Ord, OR 97�y 3 1y3c hi 17n. ,Ift 1reSutcltutr. t«r iah �iir �' A r' � � Fhdr nn )u. 6 ua x tS. a , Rcrts}l W x h t..>`t *tf7 h t hrin*ta,i { 1 r. ..,�._.--till _.,�...._.,.��„ I -ex-u vii u.,-Ltzn E �uxetc»xi E aa:�. � .Fn '� tiM'ER Y i3l PitikE -TYNAN s ._:...._:.____._.._.«:........_......:........m... �.,.._....,...,........._........_.._....._ � � �t glirrml�gMtn#�i rlrs#us# ctnd xeA 'Nat- DR Horton Inc. ...._...�..-.....-..v.........-,Y.. r.._.__._ .__.._�..-�__-._...., . _ ._.. .........__.....__.._.. __. ..._ __.,_. SW 4.7ft Macadam _..y7 � etut�trnrtit _ F:dt nl4p Ftirtr.:F nf,.: Portland OR 9-7239 Smy)-doo r3Fttisv a!a;'hrt� txu. 1'Ix,n': 'i` tAt, Piai'+ffi" FEE i _ _.. Hewitt N;,. _......T_ a E lu tirnc tas <� r � New 14R, 14 _ �.t 1't fir #3r„t fnnr,�t, e>•!rc e 1caltx.�+n 4380',W Mdara3t,larri Ave Suite 100 t , iu. IIP Portland, 97239 ��latss i�at¢z htnsl3c 150. 1222 41;J x]I(r T—�� tiM'ER Y i3l PitikE -TYNAN s ._:...._:.____._.._.«:........_......:........m... �.,.._....,...,........._........_.._....._ � � �t glirrml�gMtn#�i rlrs#us# ctnd xeA 'Nat- DR Horton Inc. ...._...�..-.....-..v.........-,Y.. r.._.__._ .__.._�..-�__-._...., . _ ._.. .........__.....__.._.. __. ..._ __.,_. SW 4.7ft Macadam _..y7 � etut�trnrtit _ �. kS� �I�'R"t 3}erwi CYFtA4.3E Portland OR 9-7239 Smy)-doo r3Fttisv a!a;'hrt� txu. 1'Ix,n': 'i` tAt, Piai'+ffi" FEE i 451)3 1221 4lai i3w' 1 } ' S Yd1t 3. L Fittl L _ Q asa�Ar*! c "Il err <� r � FI ;,n t }ttt DR. Horton inc ...,..___.,._............ ®..... .........- .._,.....,.., .._.,.,_ 14 _ �.t 1't fir #3r„t fnnr,�t, �/ �} t e 000 wme Fjj"�crald Weeks � F ttt tG, ctu. 1caltx.�+n 4380',W Mdara3t,larri Ave Suite 100 t , iu. IIP Portland, 97239 ��latss i�at¢z htnsl3c 150. 1222 41;J x]I(r T—�� 1:=z}ta�k': k5G:�t'C.'I�Si�C�k"tU11.t�FJtT1 � it,Iritcs�su: WNTMAcwk a. .._-.- -. ... N•.-�.int�,IGt#Tip �.�,}#y�`V iidti,.' i�.........+....•—..._..w..._.._..,..._...w.,. .,{ �i}i.h�t %43w ZIP n tFsasnc ltl g .�if ia* i+y„�4—.a » :q ��•'''� r Ht{s8n.tpr.., ”. i tlatiz_ � fpir to i....�...........,.�...n....:. �N46ii�.►Pr�47�s..�F E',61.C!' .. +� riztatmutsFtsrrt€tNrl�>tt.ttta, �.• tit is siRa=ha. i� t ., xA � ct CCC! ; ' 'i` tAt, Piai'+ffi" FEE i 1 Mt+yrt lrt£1 titppiicr[ba capias: zf a permit u n,�! atrleiw d w114s IKi3 d— ,rRar It WK b A 30,tcpatd s, 4.Mptctr, ..,,wxl5rrr.1� x ', +,, t., 7 t = u ", " "-..�" �41We,i CITY OF TIGARD a mi ',, COMMUNITY DEVELOPMENT MASTER PERMIT Permit#: MST2016 00545 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/01/2017 t "�` 9 Parcel: 2S 111 DA23200 Jurisdiction: Tigard Site address: 15500 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 51 Project: Heritage Crossing, Lot 51 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 709 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1034 sf Garage: 390 sf Front: 11.25 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Total: 1743 sf Value: $215,718.81 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 Water Lines: 100 Drains: 0 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 add9 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 1743 Owner: Contractor: DR HORTON INC. DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $27,847.23 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090./You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: All;f,.) /� Permittee Signature: ��'r alpC l C 47'2'UL-t Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applic 'otir I I d- ' L ResidentialffE1 1 o k ill f III { ,r c}' t Cityof Tigard tl Re�xied • 131SW Hall Blvd.,Tigard,OR 97229 f) �� oak B). 1e2//3//� �I Permit NfLIST)01r _00,96— Pk• Phone: 503.718 2439 Fax. 503.598.191,() DPlan Iter leu _ _ Date By: I r� /7 -if Other Perntii5� �-�K$S t j I It Inspection Line. 503.639 4175 Girl OF TIGARD Date Ready R.' r Ito* Internet: www.tigard-or.gnv t t Si See Page 2 for PLANNING/ENGINEERING id ERING NotifiedPletttod: /7 SupplememalInformation C I(iC 6-rv1Y -4 TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING a New construction 0 Demolition Permit fees*are based on the value of the work performed. — Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replaccment 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 0 Commercial/industrial Valuation: Si* 7 / ? - ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: _ JOB SITE INFORMATION AND LOCA ION Total number of floors: D. ) 33 Job site address: ' I�,11 Amu! , ifl' i I \...A.0.)i 0 i 1 New dwelling area: -A square feet City/State/ZIP:Tigard,OR 97 23 - Garage.carport area: 36-1 0 square feet Suite/bldg./apt.no.: Project name ,"tiV-1' t ,.. c.,,,-05 ,-,,,1 Covered porch area: �(' square feet}O 3 4 Cross street/directions to job site: Deck area: U I 1 square feet 7 Q 9 Other structure area: square feet . REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: 1 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 I PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam_Ave Suite 100 Occupancy groups: CitylState/ZIP:Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) O_APPLICANT New __ -CONTACT PERSON _ _ St?t�YERMI'!'FEF,S` —, Business name: DR Horton Inc. (Neese refer m lee srAedalJ Contact name:Emerald Weeks Structural plan review fee or deposit): Address: 4380 SW Macadam Ave Suite 100 FI.S plan review fee(if applicable): City/State.�ZIP: Portland, OR 97239 Total fees due upon application: Phone:(503 )222-4151 x1107 Fax::( ) Amount received; e-mail: esweeks@drhorton.com PHOTO�'oL r.AIC SOLAR PANEL Sl STEM FEES' CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business n3:8;:eks@drh°rt°n.com Horton Inc. Submit two(2)sets of roof plan with connection details Aadress:4380 SW Macadam Ave Suite 100 and fire department access,along with the 201)Oregon I Solar Installation Specialty Code checklist. City/State/ZIP: Portland,OR 97239 Permit Fee(includes plan review and administrative fees): S180.00 Phone:(503 )222-4151 Fax.( ) State surcharge(12%of permit fee): 521.60 li CCB tic.: 130859 Total fee due upon application: 521)1.6(1 Authorized signature: - ' /" • This permit application expires if a permit is not obtained within ISO dais after it has been accepted as complete. Print name: ;t F . i i 1 (; A., ,ut Date:2016 a Fee methodology set by 16-County Building industry Service Board. I:Building.Permits BUP-RESPennitApp,do 02,242011 440-46131(I 102 COM WEB' • ,. rt r.ix ., Niechanicui .Permit ApPlicRELir7 iL i 1.4 r,,,-. (iT, Di Tigard SI ;/11!,ON 11,,H./1Il kl 11F-1/11 1.4,11i11,:121' DCI 2(11 I OK i,,,,)I,)4 II'1. 1,11C,IICI ;.%.444 0;40144,,..,.;, 2 5 ,,,i 6 CITY OF TIGARD _____................_............ I,.. t,v, P.. 4, -- ..(145,7-.ALgc--pas-'7/c- ......_ I ' titt .....s.sr.s,,2 651 ...opp14,41;14I IOW MO t.m PLANNING/an/RE-ER.1i a_____ ,... ..........._ . , COMMERCIAL FET• SCHEIDT.1". USE CHECKLL•I , TYPE OF WORK _ — • iIlli N.A.-2c 22.k 024222,1,t, E.] \tta,t,:t,..14,1,,,, ,p1...., . . 1,,,t,,,,,,,,iti-... ,1,.ii,1 1,',1!=i 14,-, gt,,,ttiot,;(.2s,,,,,it:tattc!ott Itt,:,,, ,,,,•••,ti:It_t.,,Iittl.,,I1,,,',.0 1) 'uj(),,,c, .), ----,..--... CATEGORY OF C-_-_ONSTRUCTION . 2, - •, RESIDENTIAL,EQUIPMENT/SYFE STEMS ES' And 7: latmk ANtt*II,,,,t, 0 t ,,,tiont-tt LAI inth,,,t itI El \,..,,,,,,,, t,t.,t,t!,, 14,+4,,,,i.il in lormafft,r:1,,%ilea illig• . . -. . oNtulti.t.tillik 0 m...N..,1 ht.,ittct E t ttii, it:,i,,,,..,,, . ... - .. - - t tk.ittNitthttaitil JO SITE INFORMATION AND LOCATION 412., ,.., ,..,_L/ , ,,,k,(11, ._ I .,..,. ;,.„.„,... ,, ,,,,.. .,,,p. iiid,crp,sr-22;; ss, . ., VV,Vv\z".kaAi: .V-0 :-.A 4 . . .., . . . . A- t - , _, •„. it,-,-,t,tttt.tt t.-. ...t.t..ti.., . I ,. .' I.t.tt•tt„.1,--•t t:tt't tottt r,'Jr.+-,`. ' i•' , ... . _ , - ....... „ 11`,11 ; i I...., ; , • . .; - 1 ,.I tthrr NO AppitAncts ' , - , - / 1.r,114,,r,p.us,:l 1,,, +,,,, ,fet Lex,- , r _ ...-.....- DESCRIPTION OF WORK ., -, ---, • 4 222, ,,-222 t2,4 ;IS 0,41,-,I=1 / N CSC SFR " ... . . . ,,. s s si .. . ,‘.'SIP . . , . . •— •rstortfrrt owwer 0 TENAKI , , .., ronmIt ad 1 1/4.3zuc DR Horton Inc, k,,,4,s1.„...i kiI,II:11,114380 SW NlacAdam Il'.jir Portland,OR 97239 , , • .. :,,,, . •503 '' /"-4151 , i„, L_. ..._ ...._ , . 1- —- 0 APPLICANT --_-'-i ill CDVIACT PERSON • —----'—' , I tit 2 pipipg R''''"i':"'4'"44.' DR florton ins,. . ...... ...,,,,,,,...... . st4 It Int fir‘t tout.'1.1 Olt lot 4-44 h Ithhthtnal, _i_i_144-40 44144 Ernerald-XVCCILS, - .,..t. I.- ir ..... ,..r.,, i. 1 vid“--- -1380 SW Macadam Ave Suite 100 h.' . . '4,1,-,r,:o...,i,,,,_,,"'4;.,'-',4 4 " ''''.", LU1 Portland,OR 97239 , . , . 01 121- 4151.x11417 csweeksttudrhorton.com It.1,,,. i ,......, ...... . . CONIRACIOR 2 :.iv,- .„ • _ — - not%44 i Y# y_t6 /v,:. .... . , 1,1 k MECHANICAL PERMIT FEES' ‘,..i41 , -)1/IL;LI.,//1/, ' '-'7 - t.2'/ 2' 4, _ti.i. __„4--r-, ../ ' -' , subl,d.it ( I. ,0,1,-rri, ..,2_41r7'i 1 /---1._ .l. v,-f, { ‘11,,,,,,,pc!,,, h.-‘•i'0,4,',,h . . , I r,. t'''). , ) ....., ,/,' ,= r 1 ." a,... . . .... , - . . ....i t I 14:, , ,.. . -1";-A-.-. 11)1 %I FIRM,' Lit I 222..2222 ma 111.0,...1.,,,(4 pint.!A pl-I-Mit I,turf 44141,14/11 II I*Ilh.1,,IS. 4,4 Oil,t,1 44,1-N4 It rliat1114-11 41,,01104ta %SAM ..-,,,I.•t,,,,trt.itat,; , Pt 44'!I 3444:- '''''' 14A. 1 ?-r. S Electrical Permit Applica ' C EVE �,P Tigard I [)l:ui 1 1(l I. ,f cry1 l 31 eceived 13125 SW HaBlvd.,Tigard,OR 97223 C C T 5 % >�tdBr: emit No.: STx)1�' �Z��" Phone: 503.719.2439 Fax: 503.598.1960 �1°Review l Inspection Line: 503.639.4I75 Date Re Other Permit CITY OF TIGARD Date Ready/Br kris: a BeaPagezfer Internet: www.tigard-otgov PLANNING/ENGINEER, .7�ahod I Supplemental Information TYPE OF WORifj.V W, a New construction 0 Addition/alteration/replacement Please check all that apply(submit2 sets of plans wrdems checked below): Q Service as feedsmore 400 amps or Building over three stories ❑Demolition ❑Other: where the available talk cumin 0 Mattes and boatyards. CATEGORY'OF CONSTIIXIC2ION exceeds 10,000 amps at 150 volts or D Floating buildings. ❑1-and 2-family dwelling 0 Comma nciaUindusttial 0 Accessory building l to d,or exceeds 14,000- 0 Corinne cial-use agricidiura1 asps un an alta installations. stamga ❑Multi-family 0 Master builder 0 Other: ❑FiR DmDP• 0 Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger sepaiatey derived system. ❑Addition of new motor load of Q"A","E","1-2^,•1-3^, Job no.: I Job site address: 1 i5 o D 1 WHP or mom. occupancy. �' \���Y J� (�Six or mare residmdal writs ❑Reemational vehicle parks. City/State/Z1P: km . J ❑Health-care facilities. 0 Supply voltage for more than CI Suite/bldg./apt no.: I Project name: , 'v1 y, /'..a, c1v c, ❑ of feeder 600 600 volts nominal iJrU amps m mon. Cross street/directions to job site: FEE SCHF� 1) m I oh.. I 1 Roe. I Tenn I • New re Identialihigla•or multi-family dwelling unit. Subdivision: Includes attached garage. I Lot no.: 1,000 sq.ft.or less �` �_1// 168.54 4 Tax map/parcel no.: Ea.add'(500 sq.tt or portion' �i 33.92 1 DESCRIPTION OF WORK • Limited s sq.ft.) /^ 75.00 2 (with above an,,ft) Limited eoagy,muki-family / residantial(with above an,.ft) 75.00 12 Services or feeders installation,alteration,and/or relocation 2°0 amial or0 PROPERTY OWNER 1 1 0 TENANT 201 leas 100.7032 I amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 snips 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 tion Phone:( ) I Fix.( ) 200 amps or less 59.36 1 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps I 1 125.08 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,alteration,or extension,per panel Owner signature: Date: ,, A.Fee for branch circuits with 0 APPLICANT ( ; 0 CONTACT PERSON above service or feeder fee, Business name: DR Horton Inc each branch circuit 7.42 2 B.Fee for breach circuits without Contact name: Emerald Weeks service or feeder fee,that branch circuit 56.18 2 '�3$0W In3[f ITi AveLa"MI 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured ormodular 503 222-4151 dwelling,service and/or feeder 67. 4 1 2 Phone:( ) I Fax::( ) i Reconnect only 67.84 2 E-mail: .. — Pump or irrigation circle 67.84 CONTRACTORi Signa or outline lighting 61.84I22 Business name: �� 1 i �7 J 471---t, ` _ Signal circuit(s)or limited-energy J g 4c j_a, panel,alteration,or extension. P 2 1 2 Address: n Li/ ��� /'�- r? tl, r!_ Each additional inspection over allowable la any of the above CJ ,.,� p`_IL.o Additional inspection(1 hr min) 6625/hr City/State/ZIP: ��{') (ii V �/. ��. ,/�U (� Investigation(1 hr min) 66.25/lir Phone:(36,a 5-412_ Z5 J),9 Industrial plea(1 is no 78.18/hr Fax:���} �� �6'6`O Inspections for which no dee is CCBLic.:/ 26—//9 specificallylisted(34hrnun) 90.00/Ir Electrical Lic.-• /?9.S' $ ELECTRICAL PERMIT FEES �Z30 I Suprv.Lic.: Suprv.Electrician signature,required: }1 ,l� Subtotal: [... Pries name:�h 1 f 1�` -- Plan review(25%of permit feet S h/1, 71 I Date: State surcharge(12%of permit fee): Authorized signature: �� TOTAL PERMIT FEE: — _ This permit application expires ifs is not tewithin 180 Print name: I Date: days alter it has been acceptedas complete. * Number of inspections allowed per permit. In aced' 4404515411ro5/COMI vera IV Electrical Permit Application–City of Tigard EC l Page 2—Supplemental Information 44SToLU/S-----DUc-(1s-- Limited Energy Permit .Fees: Renewable Energy Permit Fees: CITY OF TIUARD RESIDENTIAL WORK ONLY: PUTINMTIENGINEERING FEE. SCHEDULE Fee for all residential systems combined: $75.00 °o`"p""° ot•'• Fay ," "l Renewable electrical energy systems: Check Type of Work Involved: `k':1 or los IL, .7U 5.01 to 15 k va 133.5h 2 n Audio and Stereo Systems* 15.01 to 25 k•a 2utl 34 11 ind generation systems in excess of 25 kva: —I Burglar Alarm _..01 1050 kva 301.04 2 IN Garage Door Opener* I 50.01 In too kva 552.2t, >IOii hia(fee in a.eordance with OARtiI✓;-?09-UtWU) ® Heating, Ventilation and Air Conditioning * Solar generation systems in excess of 25 kva: System tach additional kva All:5 I 2 .i Vacuum Systems* ilii'kva—no additional charge U n n a3 1- Each additional inspection over allowable iny of the above: I Other: Each additional inspection i' hh.^.c hr charged at an howdy(I hr min) Inspections for which nn tie is pecifically listed(`:hr min) 0.f0 hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Pagc 1): (SEE OAR 918-309-0000) Number of inspections allowed per permit. — Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls • Clock Systems • Data Telecommunication Installation ❑ Fire Alarm Installation HVAC I I Instrumentation H Intercom and Paging Systems H Landscape Irrigation Control* • Medical E Nurse Calls L Outdoor Landscape Lighting* F7 Protective Signaling E Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I..Bui;dir Pnmc,ff.0 PclolitAyp CIA Ekl.k kc:u.:, • Plumbing Permit Application Building Fixtures 111111111111=1:1=111111= City of Tigard Received II • 13125 SW Hall Blvd..Tigard:OR 97223 DaicB !'ennit No.: S Phone: 503.718.2439 Fay: 503.598.1960 Plan Review Aate/By: Other Permit No,:Insection Line: 503.639.4i75 i Iii/ ;p Dale Ready/By: saris RI See Pa 2 for Internet: www.tigard-or.gov fe Nualiied,'Mnhod: Suppkmeatal Information TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition Fur special it fornuilion use checklist Description I Qty. I La. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 fl for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath d37.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 ❑Other: Fire sprinkler I sq.ii.) Page 2 JOH SITE iNFORMATiON AND LOCATION Site utilities: Job site address: lc-Ce)( y Catch basin or area drain 18.76 Job "t (ale Vvry r:4 (C(.IAk. City/State/ZIP: Drywall,leach line.or trench drain 18.76 Footing drain(no.linear R.: ) Page 2 Suite/bldg./apt.no.: Project name: 'exi t.._a% C,-t)s c i Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R.:_) Page 2 Storm sewer(no.linear ft.: )_ Page 2 Water service(no_linear 0.:_) _ Page 2 Subdivision: 1,7,91-9P:: C;i Fixture or item: Tax map/parcel no.: Backflow preventer 31.21 DESCRIPTION OF WORK �� I Backwater valve 12.51 Clothes washer 25.02 Dishwasher 23.02 C )rl1- f),C:#-Z)*" L'.hc ri -C__ Y YUIYI k..{..((,.ifin-) Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02Name: ht . • UU Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) lee maker 12.51 D APPLICANT 0 CONTACT PERSON Interceptor/grease tram Business name: p R �I.)i(-t-ni ) Medical gas(value:; ) Page 2 Contact name: i�X�►e Ya �� w P f LS Primero12,51 Roof Brant(commercial) 12.51 Address: Ave_ 2 ) cw (�I of cid[ {}l Sink/basin/lavatory 25.02 City/State/ZIP: PD 47.2-39 Solar units(potable water) 62.54 Phone:( ) ZZ-Z L I S I j Fax::( ) Tub/shower/shower pan 12.51 E-mail: al S WO S Ti, Cl y it 0Y4-on• 1 Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:WW'okott Plumbing Water piping/DWV 56.29 Address:1075 W.Historic Columbia River Ilwy Other: 25.02 City/State/Z1P:Troutdale Or.9060 Subtotal Phone:(503)667-1781 Fax:(503)667-9891 _ Minimum permit fee: $72.50 CCB Lie.:112220 Plumbing Lie.no.:26-824PB Plan review (25%of permit fee) Slate surcharge 412%of permit fee) Authorized signature TOTAL.PERMIT FEE Print name:Mark Baleme Dale:2/17/17 I This permit application xhpires if a permit is set obtained%ilhin ISO days j alter it has been accepted as complete. "Fee tnethndologv set by Tri-County Building Indtrsirs Service Boar& t'$uiidirKltPcr ntiOPt.Mtt-Pcrmit..App due 10 9140 440.451t It utO2JCont;WF.u) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT III T 1 c n Building Permit Review — Residential Building Permit #: ,/i4 S 7),( //e-OD<'-/S- Site Address: /67S ''''3Z0‘ / /P/L 'W Project Name: /---ler' C'J j , Lot #: / (New dwellin name;Adil or Alteration=last name of owner) Planning Review Proposal: Met) Sf /Verify site address/suite#exists and actio in permit system. 0 ever Terrace Neighborhood: IJ No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ee(3)copies of site plan !I % sting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paperIhr lit,Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) orth arrow •or elevations • iTA i' 'ty locations (required for new,may apply for additions) ?4e address,project or subdivision name and lot number 0 i ation of wells/septic systems plicant information(name and phone number) 1t; # ting trees to be retained with drip line,and tree lLot dimensions and building setback dimensions otection measures pervious area(applicable if t area,building coverage area,percentage of coverage and t eet tree size,type and location R-7,R-12,R-25&R-40) beet names Property corner elevations(2 foot contour lines if more than 1 4 foot differential) )Glean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes CI No Public Facilt Improvement(PFI)Permit: : Lequired: Yes,applicant was notified ❑ No Applied For: 'Yes ❑ No,stop intake and Use Case#: 20 66= [r'0DC-7 js S ) )_-- ening- _1 T4 Required Setbacks: Front // -Rear /h Side 1/ Street Side A,11/:).Garage • IVA-andscape Requirement: ,Q V % Vof Coverage Maximum: �JG/ it uilding Height: Maximum Height Actual Height I 11 iii- isual Clearance Easements el .sensitive Lands: ❑ Yes liNo Type FA Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: / 031,S,• ,S42// pc-Mir- A Z1j32!, acts iiE"�_ Approved By Planning: �,, j� Date: 0 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\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: 0 l 3' l Site Plans: # Building Plans: # I Building Permit#: Enter building permit#above. Workflow Routing: lanning 'Engineering eat Permit Coordinator "Building 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. 7-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ..By Permit Technician: //�(/� Date: ,j/� � - Engineering Review Slope at building pad: Conditions"Met"prior to i uance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: /7,—(:,4-4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: C] (,IA1 r Lt J 0 uta.J 7 uk-o- 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: E' Yes ❑ N/A Tigard Trans SDC: 2 Yes El N/A Parks SDC: [ -Yes El N/A [f OK to Issue Permit Approved by Permit Coordinator: - a- t.._iv' Date: l "l `I — /(' I:\BuildineFonns\BldgPermitRvw_RES 091216.docx City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT N Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor EPCity Staff Check(1)one REFUND OR Name: INVOICE TO: (Business or Individual) A/Z /91-61/2_727 Ai r"../ Mailing Address: y3 FSI Sc-3 /14-C' r City/State/Zip: AO4T2-117VJ, �/2 92 .3. Phone No.: ,'`9-7/rN, E72-s - � t%✓ T%GS PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ❑ C VOID PERMIT APPLICATION. REFUND- RMIT FEES (attach copy of original receipt and provide explanation below). FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: JyS j c /6 — Site Address or Parcel#: l'S Sp o S41--) /94/9//r4c)e)e)-6 L AJ Subdivision Name: //9.2 6t e'/Z -r--(1A/& Lot#: EXPLANATION: 72 i4,ALL) "1ffCO '9--es M/A1 6-0t C'7&2) /4P L,©,& ,F 7/L. el:-/1/777–'?'e 774_ G am}-rV6G` A/2-1 7-4 /oZ,1 j 7--- Signature: . am 1 `u Date: £19//7 Print Name: —Der-JS bt4_ ,Q.. ,t,1 g(.SI Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date By Route to Records: Date 3/) //7 By Refund Processed: Date ..3//c2//7 By. Invoice Processed: Date By Permit Canceled: Date /V/9 By Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_092 14.doc March 15,2017 DR Horton Inc. Attn: Emerald Weeks 4380 SW Macadam Ave., #100 Portland, OR 97233 Re:Permit No. MST2016-00545 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 15500 SW Applewood Ln Project Name: Hertiage Crossing,Lot 51 Job No.: N/A Refund: ® Check#224087 in the amount of$45.00. Credit card"return" receipt in the amount of$ El Trust account"deposit"receipt in the amount of$ Notes: Refund$45.00 administrative fee collected in error for contractor change processed prior to permit issuance.. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I:\Building\Refunds\Administration\LtrRefund-Overpay.doc 01/16/07 Ilk S City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts,documentation and the Request for PermitAction form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: DR Horton Inc. DATE: 3/10/2017 Attn: Emerald Weeks 4380 SW Macadam Ave.,#100 REQUESTED BY: Dianna Howse Portland, OR 97233 DA TRANSACTION INFORMATION: Receipt#: 409167 Case#: MST2016-00545 Date: 3/1/2017 Address/Parcel: 15500 SW Applewood Ln Pay Method: CreditCard Project Name: Heritage Crossing,Lot 51 EXPLANATION: Refund$45.00 administration fee collected in error for contactor change processed ®p�, prior to permit issuance. -.Alt,® 6� � i'., "� °7 ,� # t yy. �-,;,11-.:--,,,--, ..,`��, ,t� .�'y, .;141%;j'- �` �«- '"S � '�,n'` d � .� 4.' � � to 0 0 .e". `, ,,.£ $ 1,p 3 ✓k teff g. '7 1 4 `tA - % le� _;11.44—‘1'.'er tr . .,:44 R ,A�19., a .� ,',6..� . �" 'w,°� ,�;: Misc.Administration Fee 230-0000-45319 $45.00 TOTAL REFUND: $45.00 APPROVALS: SIGNATU' DATE: If under$5,000 Professional Staff /C 'i i ' i If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board pOR' IDEMARIC;SYSIT AO ' TRATI4N uSE QNLY-- 4. '. Case Refund Processed: Date: .3 Z /7 --1 By: I:\Building\Refunds\RefundRequest.doc x 09/01/2010 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15500 SW APPLEWOOD LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00545 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15500 SW APPLEWOOD LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00545 Inspection Type: Inspector: 299 Final inspection Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report checked. Note: missing street tree to be installed 1st am next day. C of 0 left on site with contractor. Violation Summary: Inspector Contractor