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Permit (25) CITY OF TIGARD ; MASTER PERMIT 111 . COMMUNITY DEVELOPMENT far ap / 7 Permit#: MST2016-00586 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti • Date Issued: 03/27/2017 T[Ctt.j3 9 Parcel: 2S111DA23100 Jurisdiction: Tigard Site address: 15530 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 50 Project: Heritage Crossing, Lot 50 Project Description: New SF. 6/20/17, REPRINT to add a/c. 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: $208,857.93 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 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: 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 1671 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: $27,706.69 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. • NTION: • -ton law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-04 -0010 through OAR:52-0' 0'.. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issue By: / Permittee Signature: 44- Call 503.639.4175 by 7:00 a.m.for the next available inspection dat . d 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. tififFiVE1) Meeh anic.1 Permit Application t(t1y 4 ft 1»14 t 1 ,0 W C 11 of 1'l�;at d JUN E. 4 ?Olt t~t s / aV /7 Mb 4`'f=...w., T 2 al " 0 €) c( t� l 1J .z i,ttxt4 t ti„.,0tint4 ' r ,s-.,�t.. ` ' ,'h: ' t r+ t 1 i, Al tlt , ;, f At, . 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I t tr,amt .t�,,. . a t,i,, 4t az £TC I 15tt,! dact ixi t h 1(4 t l� tlascl OR 9r 23ai f I.,,>i [5.0. a 211-41;1 ._.� !sfi t_,._._, � I Auk' YAM is t# ut 4 _. . t a 4 t lC Y •CONTACT PP.-' tr '.,_ L i.» 1 -.�,.�, -»- 1 turf k�5� 4,--- it,btaf t 4 If I{(1Ttt)I)It1G t 3140 xr#tit,#1to' 4Sfur rarhAc2etarkkal 4 ! .0-0(4te, i nteraltf Weeks, t t f,.rst�..ts,a.-rte r . . _ ...l,e,.».s...,_ .,... �..-_--....._..._. ....-.mow•» ..�..� w. .... 1 .1380 S11'Macadam im Ave Suite 100 a #� •,�.. .... w ..,.-_. . _. f — —. i w.o.i,arx rx4:A.tn t 3aC,l: t t,''efl /,1' .'t}rtldtltl,( 97239 camerk,r.,,„z ._ 1 th•'".- '51}4 '222 4111 xl1t); It i t t '' am_ ..»� t # ta1tCkO4lr}ktYrCttt Ct1ri1 ._- 1iq hcur a fri.1 T1 kt T'S& f I t Iftitht,4€A4ertr.art 1 !1. iitc tvn '1 i „ {,(.T k4tihr----- r . ..... a rm ___ }.ct 4iv,, ,d,.,,1 i. f,: t iAl . ..,,,r-t/ i/&?JAI 4 7 ,,t.7-,/,:„.), t.:. Boort##t 1...-....,.»..... c ti,k4...1” /tr 1` 'l{1 tt+.r ,1,i'f r'c,,.""'k =tr,A 't 1 3~g4«,'L•;t -.........,..».�..�- t 'tlrnnt�s,as~ern"t w ttchBftCt� ' .,. t.t_ ::' S/ 4 ( 1t a!t tc"a14St=:,-..,,,,yk i"'fi,#i,.y..., { pt...._ ' f, f 4t Yt t .s 8i t_,. i tat. j;J/si a''JV r.G .,_ Stu,VVdi o� t r,,,,,,,_.....,,,,,—.„.„4 <rm t. ti �a iif fi v, TkIN tst ttt�t .,y* *i..4fter it has a vstvphd a«ra .i.hik. tt=t US a r"fst R, <,.b,. Af ,1 v. sx CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00586 T vGA p D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2017 Parcel: 2S 111 DA23100 Site address: 15530 SW APPLEWOOD LN Jurisdiction: Tigard Subdivision: HERITAGE CROSSING Lot: 50 Project: Heritage Crossing, Lot 50 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 Dwelling Units: 1 Smoke Third: 0 sf Right 4 Detectors: Yes Total: 1671 sf Value: $208,857.93 Rear: 16 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y 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 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'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: OccupancyGroup: 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 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: $27,654.33 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a a�copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 4-r:��( y ��4� ., Permittee Signature: t Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ,, °"" Buildin Permit A -----Permit, ‘ • �� _ Lc I , liU City of Tigard �` J ,t + . F.. IftltclltlC7: 1 : 1312$S W Halt Blvd.,Ti Rcxbivrd t 0\1 �' 13125 503.7 ll lvd.439 Tigard,OR 97223 NDan:D.. + r 1,1 v Inspection Line. 503.639 ax. 503.598.19tr0�� V 0 �� .4175 Ptah Rerieu - _ Hermit N� Internet: 03.71 igard w.FAQ CITY Date Dv, G'�,O� 1�� tt Daze Rea OtherIII Permit: OF 1%,71'`51) Notified' x. G'CO/1W— IN lSS— [[ ., ` t EMethod: f'� '- : R! I,� Oil/E,S+'..1n�( 1� Ste Page 2 for TYPE OF _ .1; -, r �._ l� f Sapplemeutal Informattun 3 New construction WORK -. D Demolition REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑ New Addition/alteration/replacement Permit fees*arc based on the value of the work perforin ❑Other: Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTIONndi ed. equipment,materials.labor,overhead,and the profit for the I and 2-family dwelling work indicated on this D Commercial/industrial application. jit ❑Accessory building Valuation: ❑Master builder 0 Multi-family S 41, r Number of bedrooms: 3 D Other: a. JOB SITE INFORMATION Number of bathrooms" Job site address; ON AND LOCATION ' �r,�/ J Total number of floors: Job t adore:Tigard, OR 97223 ' �' 4 ,• . -..a' New duelling area: City/'bldg./apt. Ti 1� square feet Project:taint , �— Garage area; �� Cross street/direcnoons to job site: yi of L( square feet i h Covered porch area: square feet Deck area: a Other structure area: square feet 0 Subdivision: • REQUIRED square feet Tax map/parcel no.: Lot no.: DATA:COMMERCIAL-USE Permit fees*are based on the value of the work per CHECKLIST DESCRIPTION Indicate the value(rounded to the nearest dollar)of all ON OF WORK equipment,materials,labor,overhead, ' work Indicated on this a•bor,otion ad and the profit for the Valuation: Existing building area: PROPERTY OWNER New buildingsquare feet Name; D TENANT area: square feet ilt DR Horton Inc. Number of stories: Address: , ••1 laa , at Type of construction: tion:Portland OR 97239 Phone: Occupancy groups: ( 503) 222-4I51 0 APPLICANT $vs;ness name: DRii CONTACT PERSON Neu: Horton Inc, BUILDING PERMIT FEES* Contact name:Emerald Weeks Please re et m re seltedale Address: 4380 SW Structural plan review fee(or deposit): Macadam Ave Suite I00 City/State/ZlP:P a rtlanK� FI_S plan review fee(if 1.107239 Phone:(503 )222-4151 applicable): Total fees due upon application: E-mail: esweeks drhorton.com Amount received; CONTRACTOR PHOTOVOLTAIC SOLAR PANEL S)STE Business name: DR Commercial and residential prescriptive installation of FEES* Horton Inc, roof-top mounted Photovoltaic Solar Panel System. Address:4380 SW Macadam Submit two Ave Suite 100 (2)sets of roof plan with connection details City/State/ZIP: Portland and fire department access,alongwith the 2 OR 97239 SolarPermiionon r O1tlClreKan Phone:(503 )222-4151Permit Fee(includes plan re1e,ti Code list. CCB tic,:130859 and administrative fees State surcharge(I Z%ofS 180.00 Authorized signature: ;, . permitfee): S21.60 I t ° # C . c201.60 , Total I fee due upon application:pplication: Print name: ! , ; This permit application expires if a permit is not 5ained y / t , within 180 days atter it has been accepted as complete. / ,. Date:201obtained 1:.Building,Pennits'Bl1P-RESPennitA Fee methodology set by Tri-County Building lndustryp eta Pp.dtx 02 24<201 I Service Board. 440-4o 13Tt 11;02 ICOM'WEB) r• 1 x . , Buildin Permit A lication Checklist One- and Two-Family Dwelling volt al hurl, t sr. crti1.1 ltetei,ed permit N‘,.,.. Delo t�) -- IN City of Tigard Asso ialed powils: 0 ptctl++nical ■ 13125 SWHall Blvd.,Tigard,OR 97223 (] Plumbing 0 Flecu+cfll ti Phone: 5503.718.2439 las: 503.598.1960 0Otl+er: J 24-Hour Inspection Line; 503.639.4175 ,". \ I I C,A I'D lnte+ncK: www.tigard-or.gov l es THE i C)LL OWIti(: ITEMS ARE REQUIRED FOR PLAN REN'iEW 111111111011 i Land use ,la n, olar h lance uo ntti tseismic Soils desismat on,for thistoric cdistrict,etc. See - �� 0 ■ 23 ZonVerin:. Flood `' a o as 3 Verification of a roved uaelot. c of district: - 45 Sire district ++ermitlre 4 or authorriizationfor rem del. f istin:sritem ca acity —_-- _-- 5 Se i tic system •emit. 67 Sewer lication _r 0 7 Nater district a' ,royal. — _ required. Include drains a-wa) protection,silt fence design and location of catch- • 0 8 Soils report. Must ca ,ori;inal al lic:able stain• and si+natgure on f�e oT wit ap plan 0 permitm 9 Erosion control 0 P ,licable ocal and state— basin .rotcction.etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to apl connections must incorporated tion and details.nto thePlan s�>+viii cannot at cum-size if building codes. Lateral design details and co`c �+o"s be incorporated into plans or on a separate full-s�ie sheetattached to the plans with cross refers, ❑ ❑ copyright violations c'rist. er ]1 Site/plot plan drawn to scale. The plan must show lot and building setback di 2-ft.int n property location of easements s(if there isi more; on a 4-ft. felevation tu differential.ting planecmust show ~locations; rent and and driveway;footprint of structure(including decks);location a>verab�i npL•rvptic oussarea!existing,,"locations;direction indicator;lot area;building coy erage area;pe i 0 surface draina:c. � ads,connection details,vent size � ❑ 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing p' 1• ■ 0 and location. ■ 0 res,balconies and decks 30 inches above:rade,etc:ms,headers,joists,sub-13 Floor plans. Show all dimensions.room identification,window sire,location of smoke detectors,water heater, furnace,s section(s)ventilation fans.details.iSh:teat member sizes and spacing such as floor be 14 Coorswand Show alli framing clearly portray all wall and roof sheathing,roofing,roof slope,ceiling height"siding material,footings floor,wall construction.roof construction. More than one cross section may be required to construction. Show details of i] 0 0 and foundation,stairs,fires lace construction.thermal insulation,etc. •if the change in grade is greater than four foot at building em elope. Elevation views. Provide elevations for new construction:minimum of two elevations for additions and remodels.15 ■ 0 ❑ Exterior elevations must reflect the actual gra Full-size bracingnt(prescriptive oawin nd/or lateral analysis plans. Mustundation elevations with cross indicate ndicate details and locations:for non- 0 1 r, Wall oath anlpath) spacing,and bearing ' 0 .rescri live rat,anal sis dei plans fordc fall floors,roof ss mblies,indicating me member siding,sp' ' g• 17 Floor/roof framing. Prov' placement ofrebar. For engineered —' g locations.eShow atticaventilation. 0 0 18 Basement and mretaining 22ni Fnwalls. n let's calculations."ations.'e cross scctions and details ode d 5 n values for all beams and multiple-joists svtemc.see itaem 0 19 Beam calculations. Provide two sets of"calculations using current L,• a 0 over 10 feet Ion:andior an beam`••oist ca 'in: a non-uniform load. cchemanc is rcyuircd 20 Manufactured floor/roof truss des'In details. 0 0 lance. identify the prescriptive path or provide calculations. .�gas-piping' 21 Energy Code compliance. 111 for four or more a ,liances. Engineer's calculations. When required orpro idU a(••l.,shear to the,r o act under ill be e stamped by an engineer or JURarcISDICTIONAL elect licensed in Ore on and shall be showni 0 �' ❑ 22 JURISDICTIONAL SPECIFIC'S Three(3)site lans are re•mired for item 11 above. Site and 22ans above. be 8-1/2"x 11"or 11"x 17 ted. 011/ 0 23r1 0 0 24 Two(2)sets cash are not mired for Items 16, 1 , C4,tem Dei clo•meat Fees document. 1 0 ■ 256 Buildin laps shall ncontain red lines or ta e-ons, -Mirrored"s must meet criteria outlined in the Permit St Ss uildin 'lana will notm he acct 0 26 '`Reversed'"buildin• rlanai ■ project street tree plan(if applicable),and Cdy of Tigard 2 28 "Drawn to include indicates standard,typand location per approved scale. ■ Site plan to tree sees,type I 1 0 Street Tree List. protection measures as required by conditions of approval. Treelocations,driplinc , 29 Site plan toct include measuresees and tree f roN I 0 0 crecnin Site:Assessment form is required for all building additions, i and .rotection must be drawn tPr�Sc and must include the reject arborist's snature°e adential dwellings 30 A Clean Water Services'cSensitive Areastructures to existing including decks, n�'��°edr.rior to S- ember 9,1995, ver non-impervious ace)and accessory " on a lot of recd h'iBui]ding.Pennits 131'P-RESPennitApp• doe 02/24 2011 440-4613T(11.112rC'OMiWEB) Mechanical Perniii ApplicaLEIV E,,D. 1,..i „,,1 14,444,4e1 (it oil igard p;17?0, • i112.41SW!LB IINd. !wad ok 44"2:44 NOV , q)1-1, '24.14 ti,, ,01“I'S. ”'v 2 2016 1,,,,,11'. 4•1144 Put', 1. 1 e e/• 1 --- „,- ----4 4-4 111414-44114441 I 1111.1; .5443 fel')44'4 CITY t., F. I luAnD D..,. p:„..:, ,, ,,,, ild s,,,,,rip*:tor inierwo .9,5'4,40d 1404444/1:04 N'.4,,,...4"414.4t4, .1 Slippl.mrrit.1 hero,rt4:44,1o,,,,,, ,,, 3t)ILDIN1G DIVISION - . . ,.... _ 'I'M Of'WORK . '. I COMMEIRCIAL Ine` ,* .;-+0 IC - USE--C1W4:W„US1 1 . --- --- kic.it..4411,444 m.4.74477 to,.arc Ka4.4"r4044 ti 1, Y;,1u.4:14 ele/1144 1 IN No,*4:4,1) tri :110/1 0 Aildm,)11 4Iter:Illon rtyl.A.voi,sot , 1 rwt.1,•rmoi In:OK-Alt?thy A 44114414411114404 lel 11441 114%0011,41;14,44 e eN,,/i 0 Dom-Amon 0()thy, t 411/04340441144144141414IN Norttog,1.0.8,r,Ar;,,rthca4.1 an‘lxv,!0-, _ _.,i *--- _....- V,ikw,8 CATZCUK-OF'CONSTIOW11,0N .6•.. . A At,.,,t. 1 ,to ,SYSTV444 pos. .... ---1 :•1 •*II.aftti 2-4;inlity tikkCiiii44 0('44t1124h414,-1Ai 441441.10.14i,1) 0,.‘,44,.04414:4 hilildffli4 1 ',,.,.,. .,,,,.,.,____I or pr•idinforentmon 044.r 444,er'Aiin._ ,,,,,_ 1 , __ _O Nititi.1-4441i11), 0 M43444er biilitiCt 0(Niter 1 i I}r, „ _1_92.,1 .-. t Ilcafin tool's's. .106 sac isvotva. ANWTOCKTION --- -- , Ali 4094iilletee ,,1 1 4+,. 4 0.4i11.44:44,",/5:1-30, 45-W.-- A malty:44A., 1 , i K4 9/ i W. ' '' ''..// , I%AMA,:I 1*.i 440(0 Ili I ,,444,4.444 4 ,,,,; , e.,. . ir0 _ ' k,„rt, I k • ; (, 14"4,Af1.14.14 4.4144‘410114 4,1 Iiit' ‘1141 11,11eeeN, Nee 4,NC' .... ,,......• --**„„....., - ' 17 8 1 I , , 5 114:4111•1414,4 tilt 44,44a4,444 i tad?yr,,rt etc\ 41.4 t . on 44444.,twituit s,t,.i.x..egiAt.oc„ ' : uk-ortL,,I.,k0f1 i I eel i A 14 11141p;Mrs VI no I '4e4 4111 144444/1 1 .r;.'1 144' 11 .._ ,......„. , 4 fi 4' ,•lb '.., OIOCRWEION•OF WORK' ' 1', 2iI. ' 11L' •------1 ! 1ix%Lin 401 %5,11,4 4+4,Acr,,t F,,,, 1 1 ' ' i 1 '''; 4 New SFR , h,ter.1,-cc .5 ; I 4.41 IlehEct ig4i4e? .. 1 , - .i • ; ,• _.-,.. . • ..-- . — ----. — ... — •_„,,,_ ---- I '8',,t,d,ulict..4,,k,e ' ;'t W I ,,_ , . , — 1 48 7 = -, t 77 's- • 1 „‘,— . ,I. *2 1, - , -----1 i Ottivt , _ •111 461011-OWNER ' I - ' a TtNAKI • . 1 -7---•-; --- ...,..... - , -., ,- - „,. , • --- -- , --1 i,,Lavirenswittat tr‘lostssi and letuttotiiinv, S-'ffik' I)R Horton Inc, 1 ! it;,;,<.•7,0 ,..1,0,,i,5“,i,,,,,, , _ __ . ,;,;..E.2,,,-;“ ___ da"...'‘--4380 SS Macadam Ave Suite 100 I 5 4 ,e 111N“.. ...41.44•44,, , 14 1;,._ . _ . I 115 S1,1114/IP Portland,(IR 97239 1 , .w.•0., ''7. 1 l''.401',+,1,, — ,- , .., - •4 1. I;111,11 a MI.,'0-7',07i-.,W I,".84 14,44 503 ) '122-4151 IN4144 4 4i41,14441.4heee, ; I ---.._ — 4.---.- 1 , 4 . . , 0 APPLICANT ,ip co„vrAcr friso,9 1 L___ , , , I urt lupin": 1 Ho'nws's P;18'8 1)R. Horton Inc.. I ' $14.15 No 6441 1.1614.,.*4All 444r 494414 allOitittosit, ,, . _ .- C44,11.4h4 Mink' Emerald Weeks 1 ' iwnd,v, 0., i 11 8‘831c8^ 4380 SW Nlaeadam Ave Suite 100 _ .„,„._ , 1 ,''' - 1 74,d,.41,11/414114.1 UM'1144.1144 I. i ! 1 I 4 • i / 1 slalc/1" Portland,OR 97239 i 1 Ve•/SO 144,1e10; _ , 222- 4151 x 1107 , ,o‘ i , . _ . ^ . . 1 1 4.14.,"V-.-- - -- ---- ... -14 CISWeekS(44)drhOr101)„(.40M - ----------------- --------- -- --.1 ', .7"'N;44'' copirtmertot , ., ._. .._ ) : t 1.4.80,dry,,,ia,,,, , ) = ; , ' !V;1 ro-;WIN AiLl. 4; LH tri, c, 4 . MECHANICAL PtiOnT FM' j .- 7— AdJuz, lit,tiff, LA •.--) ‘--1,, /7 if 9 7. tt , ;......._ ......._,..,77,tz — , 47,i -- , '. 12.— ,..,..',,-- ..z. - 7 .._ 81tItimm;IVTII,k4 100 IS4,19,,1 ' -/ 1.!''',. , ii .. ?\4 t•z, c-,i i;!‘,e' ' i',,,,“," i - , I . - — h- t',' A 7-,411"..,'''. /' ' 1 1 -, ,,N,1C ,e..111 le . ., I 4 S1 414,11414-4'e—1:-4 e et)N-,•! e 1 14 4 444. /Ne T4E1cl.Pt NMI) ICI ,---: 444.41441 et 44.4 Nro 1457,4e4r4 e04.4onylo, Noll:or t,,A.•I.4,487147sI04444 / ,.. • Pr,rit 41,1%ilie,4,...-4/ /"-;;;44.';- ! 1).11,141. .4*4 '''''). /;7,44 / i 4.• Electrical Permit Anplica CEIVEDkig rou 01r1c is t <1 oNt City of Tigard IN 0 V 2 2016 may: Penult N y.2.6.iG—eros- lii 13125 SW Hall Blvd.,Tigard,OR 97223 �� Plan Review Other Permit ' Phone: 503.718.2439 Fax 503 F. T I G AR D Date/By: i Line503. 9.41 b 1 ' neon Date Ready/By: ;stir 0 Set Page i for Internet: www.tigard-or.gov r Infonnation • TYPE OF.,WOItK. .,' ®New construction 0 Addition/alteration/replacement Please check all I. ,apply(submit 2 sets of plats wfitems checked below): C]Service or . 400 amps or more ❑Building over three stories. ❑Demolition 0 Other: where the :*table fault current ❑Marinas and boatyards. CATEGORY•OF CCTIQN exceeds 1,000 amps at 150 volts or ❑Floating buildings. less to,., .• or exceeds 14,000' ❑Coriunercial-nae agricultural ❑ I-and 2-famikdwelling 0 Commercial/industrial" 0 Accessory building all other installations. buildings. ElMulti-family \ 0 Master builder i ❑Other: CIF* pump. ❑bstalarger latioa of 75 KVA or CI:•.-gimpy system. separately derived system. JOB PTE INFORMATION AND LOCATION r Addition of new motor load of ❑"A",`E","1-2","1-3", 10011P or more. occupancy. Job no.: I Job le address: $)& 0, iii CI Six or more residential units. ❑Recreational vehicle Parks. 0 Health-care facilities. C]Supply voltage for more than City/State/ZIP: Q Hazardous locations. 600 volts nominal. rSuite/bldg./apt.no.: Pro t name: '0 l�ai'_ ` 0 0 seisms or 600 amps as more. j'`" ) FEE SCHEDULE Cross street/directions to job site: it/LT-. Descriotion I oar. i Fee. . 1 Total I New residentialsingle=or multi-family dwelling unit. Includes attached garage. Lot no.: 1,000 aq.R.or less ' 168.54 4 Subdivision: Ea.add'1500 sq.ft.or portion i9' 33.92 I Tax map/parcel no.: Limited energy,f S5danial 75.00 2 DESCRIPTION OF WO.4 . (with above sq.R) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER f 0 ANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: • 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or City/Stat fZiP: relocation Fix: 200 amps or less 59.36 1 Phone:( ) ( 201 amps to 400 amps 125.08 2 Owner installation:This installation is being made on p arty that I own which• not 401 amps to 599 amps 168.54 2 intended for sale,lease,rent,or exchange,according to a' 447,449,670,and 70 • Branch circuits-new,alteration,or extension, er panel Owner.signature: Date: A.Fee for branch circuits with - ICONTACT PERSON above service or feeder fee' 7.42 2 0 APPLICANT 0 each branch circuit Business name: DR Horton Inc B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: Emerald Weeks branch circuit add'l blanch circuit 7.42 2 Address: 4380 SW macadam Ave Mks -1 neons service or feeder not included city/StateaIP: Portland OR 97239 , Each g ufacturedor feeder dwelling, and/orrfeeder 67.84 7 1 • IFax::( ) IReconnect.t' 2 Phone:( ) Pump or irrigati.,circle 2 E-mail: Sign or outline light g 67,84 2 . CO ' CTOR , i' • Signal circuit(s)or 1• energy Business name: C ■ / ' ''1``- t _panel,altemati. or ..ion. 2 i i ` ' C- J_ _(_ Each additional ins.- '•, over allowable In any of the above Address: 2.1514' ' /�/, �ce c^ r i•Q, I .Q Additional inspection(I hr 6625/hr Investigation(1 hr min) 1111111 66.25/hr City/State/ZIP: V • ,7 c r t4 V&I .. -, ,..216.b Industrial plant(l hr min) 78.18/hr Phone:(30(A .5-/f- .- ,',.9 Fax:OCO) 3 966 0 ply fisted(%s hr m')tions for which no fee u ' 90.001 hr specificaCCB Lic.: V, Electrical Lic.:•CZ 3 D Suprv.Lic.: /775 s _ ELECTRICAL PE 1'+ FEES Subto Suprv.Electrician signature,required:e/' _ '" Plan review(25%of permit fee): Print name:CC L 57b,, 6 2 6-f f Date: State surcharge(12%of permit feel — TOTAL PERMIT rki: Authorized signature: This permit application capita if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �' I Date: • Number of inspections allowed per permit. 1:B$ulldinadPermiUWELC-PermitAPP 440.4615T(11/05/COM/WEB ` Electrical Permit Permit alicah>,CEIVED r))itOIiit11 -.i r>,iz City of Tigard NOV 2 2016 itr�o b` 13125 SW Hall Blvd,Tigard,OR 7223Daus . k): Phone: 503.718.2439 Fax: 503 5 F (GA1�® �.,. y —r '7� • �, Inspection Line: 503.539,817111111111=1 OWarl+«mir. Internet: www.tigard-orgov uI�.Dl �� �p�,/I�,I(� �8 Seepase2tor TYPE OF.,WORiQ. - ,-.: Paget:16r mullion 0 New construction 0 Addition/alteraiionireplacement Prase check all thatan ❑Demolition ❑Other: GI Service or feeder1Y(submit 2 sets of plana wlltmis checked below): 400 amps or more 0Building over three stories. CA RY'OP CO CTIOM exceed 0where the cmvol boatyards, 0 1-and 2-family dwelling 0 Commercial/industrial iso volts as ❑Playas buildings. ❑mum-�:, 0Accessory building around,or exceeds 14,000' ❑Commersiatl-use amioulhual 0 Master builderfor all other itlstafla0ions. buildings. 0Other: ❑Fun pump. 0 Installation of 75 RYA or JOB SITE INFORMATION AND LOCATION D saaa3 system. larger'separately derived system. Job no.: Job site address ❑Addition ormornew motor load of 0"A", nvy."I-2","1-3'; I T:oParin": City/State/ZIP: +►•4� ` �' 0 Six or more m facilities.l units. ❑Reaayonal vehicle parks- ❑Health-care facilities. ❑Sagmply voltage for more than Suite/bldg./apt no.: Project name: - ❑llazardons locations. 600 volae nominal. / • I 0Service a feeder 600 amps or more. Cross street/directions to job site: i 1E SCHEDULE I New residential si ,� T'" 0 Includes attached or multi-famliy dwelling unit Subdivision: pre=e. Lot no.:er 1,000 sq ft.or leas tlulr Tax map/parcel no.: Fa add't 500q.ft. 1111=11—O s . mai or portion my • D> RIPTION OP Wpm with above ..Limited energy,residentialel 1111 MOD : 75.00 LimitedetragY,mold-family residential with above •.ft 2III 75.00 © Set vleen or intern installs ' • altertio• and/or relocation 111111111111111111111111......... ❑ PROPERTY OWNER ' • .C) TENANT 201 snaps or less 100.70 Name: 401 amps to 400 amps ��—© Address: amps to 600 200.34 13 601 0 m amps s,,,,,, —® City/Statei/ZIP: Over 1,000 amps or volts �,,,_��'`^ Phone� 3 13 Tempora�services feeders installation,attention,and/or ( ) Frax:( ) 200 amps or less - Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps intended for sale,lease,ren o r exchange, l2S.p8 �© according to ORS 447,449,690,and 701. 401 snips to 599 amps 1110M1—® Owner signature: Brach e1resits—new alteratio Date: A.Fee for • or exten r , eel 0 AI'PLICANI' . branch circuits wlrk ❑ CONTACT PERSON above advice or fetdsr fee' oatIME111111111 Business name: DR Horton Inc - each branch circuit B.Fee for branch circuits without Contact name: Emera • Wee S branc'aservice or feeder fee first . Address: 4380 SW mace a am Avencone Each add't branch circuit 7.42 �© City/State/2IP: Portland OR 97239 Deous service or feeder not included > l'servic red d/modular ■ Phone:( t ) -' duel•. _ saviaand/ortbeda FuReconnect only 1111111=1r ( ) ' 1rr1$atiotacircle —© CONTRACTOR - 3ignoroufl®elighting �© Business name: Signal circuiti(s)or limited A , , 1• 1 al`- e'g'' ■ �© /� arentensiat. 2. , L / Each additional ins over allowable in an of the above ty/Address:sBte/ZIP: 'It+ .m -Z !, �i Additional inspection 1 hr min - 1/*. - f//w/f/ a ( ) 6625/br ■ C �w V. l (/4, I . C'/ v�ttatmn• (l humin) -32 _■ Phone:c3� L!_ 7'Z5 ' [1 Fax:�b�/►1 Q v/+ alpla;rt(1 hr min) • 78.18/hr EZIEMENal J 326 v66 0 Inspections for which no fee is _� Electrical Lic.:•CZ3/ Suprv.Lic.: ` s S. iftauil listed humin III 90.00/hr . Suprv.Electrician signature, ? il • >'T ,PERMIT no required: •.. ' r:��_ Subtotal: monins Print came _Sarils 2 + Plan review(25%ofpermit fee): Tf Date: State st>�pa (�%of Authorized signature: � permit icer TOTAL PERMIT FEE Prins name: This permit application expires if a wraith not obtained within 180 Date- -_,.4911,M11111111111 days after it has been acomplete. L'1BuHdinalPamiWfil GpermitAPF 1 * Number of mmee ions allowed per pea, as 440.4613T(;1/05/COM/WEB Electrical Permit Application–City of TigardRECEIVED Page 2–Supplemental Information NO v 2 2016 CY . Limited Energy Permit Fees: iTt i`AS`Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Rene nonF-6771- rl • I F.ach Tnr Renewable electrical energy systems: 1 2 1 Check Type of Work Involved: 5 ksa or less 100.70 5.01 to 15 kva133,5E 27 n Audio and Stereo Systems* — I 15.01 to25 10 301).34 n Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.11.4(� Garage Door Opener* 51)01 In RIO lo I sr_.2L+ 44i (X ?IOU ks a Mc in accordance I — I with OAR 91R-309-0040) i 1570 Heating, Ventilation and Air Conditioning + I ` System* Solar generation systems in excess of 25 kva: 1'ach additional kva,aver'-5 17 I I C Vacuum Systems* , 100 to a-no additional charge 0.6 -'_ Each additional inspection over allowable in any of the shove:1 Other: Each additional inspection is charged at an hourly(1 hr min) 66.25 hr 1 1 Inspections for which no lie is ---1peciric�llp listed(`s:hr min) 9(1.110:hi 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 inspection;allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation ❑ Intercom and Paging Systems L Landscape Irrigation Control* ❑ Medical • Nurse Calls • Outdoor Landscape Lighting* F Protective Signaling • Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:,Buildtew Par mi:,PLC Pe:nit.4pp LLR ER7.Jct RE,kY3 I`deli Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: . Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain- I"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2.001 to 3,600 S169.69 3,601 to 7,200 S233.20 1 Sewer- 1st 100' 62.54 7,201 and greater 5327.54 - Sewer-each additional 100' 37.52 Water Service-1st 100' (22.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain- 1st 100' 62.54 $1.00 to 55,000.00 Minimum fee 572.50 • Storm&Rain Drain-each additional 100' 37,52 55,001.00 to 510,000.00 572.50 for the first 55,000,00 and St.52 for Qty. Fee(ea) Total each additional 5100.00 or fraction thereof.to Other Inspections or Fees and including 510,000.00. Inspection of existing plumbing or for S10.001.00 to 525.000.00 S148.50 for the first 510,000.00 and S 1.54 for which no fee is specifically indicated 90.00,hr each additional S100.00 or fraction thereof.to (minimum charge-1/2 hour) and including 525.000.00. inspections outside of nonnal business 90.00 hr 525,001.00 to 150,0110.00 $379.50 for the first 525,000.00 and S1.45 for hours(minimum charge-2 hours) each additional 5100.00 or fraction thereof,to Reinspection Fees 90.00 lir and including 550.000.00. Additional plan review for revisitxec 90.001tr $50,001.00 and up $742.00 for the first$50,000.00 and S120 for each additional S100.00 or fraction thereof. (minimum charge-1:2 hour) — - - Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantih'by Future Type Plan Review for Plumbing Installations Fixture Type for Replace! Capped Added Relocate Plan review is required for any of the following. Work Performed: Please check all that apply. Baptistry/Font Bath -Tub`Shower 0 Any new commercial building with water service 2"and greater.except systems designed and stamped by licensed -Jacuui;Whirlpool Car Wash -Each Stall engineer. Drive Thru ❑ Nen exterior plumbing site utilities for any complex structure Cuspidor'Water as defined in OAR9111-780-004(1. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" .. Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach.•'Ref'rig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Roc.Vehicle Dump Station Shower -Gang -Stall Sink:Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: if the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: G:'Plans\PlatsSummit Ridge‘Pcrtmit Docs\PLM F_PermitApp.doc 2 o Plumbing Permit Application Building Fixtures 1Olt 0FF1(F: US1: 0'x1.1 City of Tigard Received • 13125 SW Hall Blvd..Tigard,OR 97223 Date/t1y: Penni]No, S ��7_ p��� `I Phone_ 503.718.2439 Fax: 503.598 1960 flan Re+icu+' V [f� I z i n 11 t Date/By. 1 Inspection Line: 503.639.4175Other Permit No.: Date Read}/Ht; loris 0Ser Page 2 for Internet: www.tigard-or.gov Nnlifiuxl.Method: Supplemental Information TYPE OF WORK FEE° SCHEDULE ❑New construction 0 Demolition For special information use checklist I=1Addition/alteration/replacementDescription I Qty. I La. Total 0 Other: New 1-2-family dwellings(includes 100 ft far each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling SFR(2)bath ❑Commercial/industrial437.78 ❑Accessory building ❑Multi-family SFR(3)bath 50032 Each additional bath/kitchen 25.02 13 Master builder 0 Other: JOB SITE INFORMATION AND LOCATION Fire sprinkler( sq.ft.) Page 2 Site utilities: Jose aWtX i�� Catch basin or area drain f,,'b,.itddress:•m. i cC (7 St/v (r�i �� 18.76 City/State/71P: DryM•ell,leach line.or trench drain 18.76 Suile/bldgJapl.no.: I Project name: Footing drain(no.linear ft.: ) Page 2 �+eirac o CSS c et Manufactured home utilities Cross street/directions to job site: J 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 Lot no.: ,,- Fixture or item: fax map/parcel no.: Backflow presenter 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 to�t VA. Zi� A1Ct 1 Dishwasher 25.02 f-Tbr7� �"-1{�j I Le.4') Drinking fountain 25.02 lijcctors/sump 25.02 ❑ PROPERTY OWNER ! 0 TENANT Expansion tank 12.51 Name: -h •(-t[}(fi-n Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Cite/State/'LIP: Garbage disposal 25.02 Phone: Hose bib ) Fax:( ) Ice maker 1225.02 0 APPLICANT12.51 ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: p (}r ilf-t T�1 Medical gas(value:$_) 2 Page.. Contact name: rTh,t Ya 'd Vv e f LS Primer 12.51 Address: 2,Si)aRoof drain(commercial) 12 51 KA n(n nt am _ Sink/basin/lavatory= 25,02 City/State/ZIP: PDL 61-71.-2,9/ Solar units(potable water) 62.54 Phone:(c ) 2,2_Z Lf ISIFax:: I ) Tub/shower/shower part 12.51 E-mail: >P S WO P,r-S Ck d v jr ovl-on. Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Wolcott Plumbing Water heater 37.52 Address:1075 W.Historic Columbia River HwyWater piping/DWV 56.29 Other: 25.02 City/Stale/LIP:Troutdale Or.9060 Subtotal Phone:(503)667-1781 Fax:(503)667-9891 Minimum permit fee: $72.50 CCB Lie.: 112220 p i'lumhit Lie.no.:26-824PB Plan review 125%of permit fee) Authorized sigmalur`!-+f I►i1 8. Slate surcharge(12%of permit fee) Print name:Mark Baleme \ TOTAI.PERMIT FEE ))ate:2/17117 This permit application expires if a permit is not obtained o ithin 180 days after it has been accepted as complete. •Ice methodology so by Tri-County Building industry Service Hoard. I''druiMutyePermiit!PI.MV-PwmnApp.doc I0N1a09 44U-461611 I 0=024'ONVWEli) City of Tigard 411 COMMUNITY DEVELOPMENT DEPARTMENT TI IIIG A R D Building Permit Review — Residential Building Permit #: 5i-iv(cp- n, Site Address: /S3e) d �.�Ryka LIQ Project Name: ` 7/6/. �fLg , , Lot #: cD (New dwe ' =subdivision name;Ad :on •r Alteration=last name of owner) Planning Review Proposal: v je, ) Sr- ,V Verify site address/suite# exists and actiy in permit system. IP 1' ver Terrace Neighborhood: 04 No ❑ Yes,See River Terrace Review Addendum Attached Siy Plan Elements: 0 ree(3)copies of site plan P''.*'sting structures on site S' a plan must be on 8-1/2"x 11"or 11 x 17"paper ►I Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations T.Fil I. rth arrow 'ty locations(required for new,mayapply for additions) Site address,project or subdivision name and lot number p lrication of wells/septic systems pp y Vplicant information(name and phone number) ngees P y l& t dimensions and building setback dimensions rot hon measures to be retained with drip line,and tree It of area,building coverage area,percentage of coverage and ►A eet tree size,type and location ipervious area(applicable if R-7,R-12,R-25&R-40) rStreet names operty corner elevations(2 foot contour lines if more than 4 foot differential) piklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitie Improvement (PFI) Permit: equired: Yes,applicant was notified ❑ No A lied For: Pp Yes ❑ No,stop intake / Land Use Case#: / J O/ -Ca9a—`f`/ ��1/ _�lG9r=i� �C�I ~CSC Zoning: G—J , Required Setbacks: Front ear ) rim ��.2 / Side Street Side Garage J laid Landscape Requirement: g Lot Coverage Maximum: cyo 101 Building Height: Maximum Height i . cy. 3 Actual Height ' / bteil 'isual Clearance g 42 ri Easements tr i1"1 ensitive Lands: ❑ Yes No Type Urban Forestry Plan ❑ Conditions "Met"pp or to issuance of building permit Notes: )7766;75 on 1 (SI // , mo / L ' Approved By Planning: _/ - „„ Date: / 3 l Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingWorms\BldgPermitRvw_RES_091216.docx Building Permit Submittal / /fl' Original Submittal Date: 11!L Site Plans: # 3 Building Plans: # 3 Building Permit#: p.vEnter building permit#above. Workflow Routing: (2'PlanningL,ngineering "Zi' Permit Coordinator Building Workflow Sign-off: 7'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. 2' Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 1% ,4, ` , - Date: /.LA>14. Engineering Review Slope at building pad: 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: 0 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: ,r141.41, Date: /„..,:g:::"..7-/A Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ 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: DC Fees Entered: Wash Co Trans Dev Tax: (12P-Yes CI N/A Tigard Trans SDC: 1/il"Yes ❑ N/A Parks SDC: "Yes ❑ N/A Oic:16 K to Issue Permit %, - Approved by Permit Coordinator: / i Date: /i'2-5'/( 1:\BuildineForms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15530 SW APPLEWOOD LN, TIGARD, OR, July 24, 2017 at 9:49:01 AM 97224 Record Type: Record ID: Residential - Master Permit MST2016-00586 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Note: plumbing permit for lawn irrigation to be voided. Landscape irrigation not installed at time of final inspection. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report received. C of 0 left on site with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15530 SW APPLEWOOD LN, TIGARD, OR, July 24, 2017 at 9:35:56 AM 97224 Record Type: Record ID: Residential - Master Permit MST2016-00586 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor