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Permit (46) CITY OF TIGARD MASTER PERMIT 1: COMMUNITY DEVELOPMENT Permit#: MST2016-00561 T G GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2017 Parcel: 2S111 DA20500 Jurisdiction: Tigard Site address: 8570 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 24 Project: Heritage Crossing, Lot 24 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 711 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1109 sf Garage: 342 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Total: 1820 sf Value: $222,496.14 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 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 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 1820 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: $27,958.02 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 952-00 -0090. u may obtainLa copy of�the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: CA(4i�/GLA �'!��[ Permittee Signature: S� GLfi9 ir6 t---2 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. I Bu ding Permit Applicatio '' .4 :t l (37`(7 bL Residential 1 OR 01 I I( I, 1 sI 0\I.1 ,'. ` City of Tigard N( V '' ',111 I r Rerc ed ) G Date.B,: Ice-if //IG IYcmiit No ,y ��r 's 13125 SW Hall Blvd.,Tigard,OR 97223 ! �'�w tom/ Phone: 503.718 2439 Fax: 503.5 I E' Plan RrvicH s 1 Z 1114 Date B . I— 1 9'j Ulhcr Pennil. •� � i,,; I. t t Inspection Line. 503.A324175 s ' e�� , ���d w �1 r ,*< a Dale Ready Bs: earn PJ See Pape 2 fur Internet: www.tigard-oi goo ITl .f Notified Method. � „lull, �. � `��,��l�f 1����� ��/7 Supplemental Information 40t2'err1...rI44 fire A. TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING El New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑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; $ �9 [ ❑ Accessory building ❑ Multi-family Number of bedrooms: "/ p ❑ Master builder 0 Other: Number of bathrooms .3 - JOB SITE INFORMATION AND LOCATION Total number of floors, o2- J Job site address: � 6 " �i57c_ (Sw X4,0.1 Nell ch elling arca: /� square feet City/State/ZIP:Tigard, OR 97223 _____ .4) �_/ Garageicarport area: 5Y2_ square feet Suitebldg./apt.no.: Project name iitAn aJ, ce„triDI h I Covered Porch area: �� square feet )'Cross street/directions to job site: .,./ Deck area: square fee rliiiiik Other structure area: square feet 7) 11 REQUIRED DATA:COMMERCIAL-USE CHECKLIST" Subdivision: Lot no.:02 y 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 in PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy pa y groups: City/State/ZIP: Portland,_OR 97239 Existing: Phone:t 503) 222-4151 Fax:( New: 0 APPLICANT 4 CONTACT PERSON — BUILDING PERMIT FEES' Business name: DR Horton Inc. (Please refer ro�ee schedule) Structural plan review fee(or deposit): Contact name:Emerald Weeks Address: - FLS plan review fee(if applicable): 4380 SW Macadam Ave Suite 100 CitylState21P: Total fees due upon application: Portland, OR 97239 Phone;003 )222-4151 x1107 Fax: :( ) Amount received: PHOTOVOL fAIC SOLAR PANEL S1 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 Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review and administrative fees): S180.00 Phone:1503 )222-4151 Fax:( ) State surcharge(12%of permit fee): 521.60 CCB lie.: 130859 Total fee due upon application: $201.60 Authorized signature: This l' l i j permit application expires if a permit is not obtained "thin 180 days after it has been accepted as complete. Print name: i' ` , 1 1 1 ( Date 2016 " Fee methodology set by Tri-County Building Industry c 1 1 r r• C Service Board. 1.-Building.Perniti.BL'P-RESPcnniiApp.doc 02 24.2011 4411-4613TO I 02('OM'WEBt Building Permit Application ChecliF IV EI` One- and Two-Family Dwelling iolz OFFICE ( 51: crri.i V 2 ?. N ' City of Tigard h t �.l�16 Recei�ea `,r g Fermi'No.: 114 13125 SW Hall Blvd.,Tigard,OR 97223 Dare By: R Phonc: 503.718.2439 Fax: 503.598.1960 i"p% c` 1 )f" Associated pcneils: 24-Hour Inspection Line: 503,639.4175 3 `� 0 FIo irL i1 0 Plumbing 0 Mecbani.al I It;A1:t_) Internet: www.tigard-or.gov J i PI iG biInN 0 011ier: THE FOLLOWING iTEMS ARE REQUIRED FOR PLAN REVIEW ��� ��, \ I Land use actions completed. See jurisdiction criteria for concurrent reviews. '.,� ■ U 2 Zoning. Flood plain,solar balance points,seismic soils desi:nation,historic district,etc. SLR ❑ ❑ 3 Verification of approved lat/lot. L7 ❑ ■ 4 Fire district ap i royal re'wired. Name of district: Tua atin Va e ❑ I 5 Septic system permit or authorization for remodel. Existing system capacity ■ ❑ 6 Sewer permit. _ ❑ TO I 7 Water district approval. L7 I ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ■ ■ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- a ■ ❑~ basin protection.etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state OIE ❑ ❑ building codes, Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if copyright violations exist. I I , Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if [lp ❑ 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals);location of easements and driveway;footprint of structure(including decks); location of wells/septic systems;utility locations;direction 1( indicator;lot area;building coy erage area;percentage of coverage: impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads.connection details,vent size 7 ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, l ■ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- At in ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height.siding material,footings and foundation.stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. V ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. _ 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- • ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing • ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 systems.see item 22.``Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 11 ❑ 0 over 10 feet long and'or any beam==joist carrying a non-uniform load. 20 Manufactured floor/roof truss des',n details. I LI ❑ ❑ 21 Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping schematic is required • ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided.(i.e.,shear wall,roof truss)shall he stamped by an engineer or ❑ ❑ architect licensed in Ore.on and shall be shown to be a,'licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". !r ❑ ❑ ; 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. _ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not he accepted. • in ■ 26 "Reversed"building plans must meet criteria outlined in the Permit& System Development Fees document. • ❑ ❑ 27 "Drawn to scale"indicates standard architect or en Meer scale. 1 ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ' ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, I I ❑ ■ and protection measures must be drain to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'.Sensitise Area Pre-Screening Site Assessment form is required for all building additions, I ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:Building.Pernits•Bt'P-RESPennitApp.doc 021242011 440-4613T(11,02 COM.'WEB) ... : Niechanical Permit Application " Cit, of ligord NOV 2 2016 RSV; .i.," 19lio;;;., Pi-t1;,,T e,,e4f4— re), Pie Vt•,••^0 • etwt,•4 44,1 71S 24 W l'4'1,4 '‘.0.4 59S 19e4A A„-, y OFTits,,ty9 pm,.14., +41,-„,Pi4eNi. tre,pek me.)I me 503619 41.'1'4 ---_-- - Ir/VIrri r117 NT .111*1-'/1+40,,114, t4t* a ..,,,,,p.t.,2,tor I home .14 uu tte,mi ix me, t.,/ ti gill..7, ,,,i)., ,,,,,,*;1447-41i1)110ptHot".1.it,' Sq4pherntlif Ai larlotutst,,,,, i — ......, r****** COMMERCIAL FEL*SCREMILI - .. Elift-IMISY Tyr,. cw lowitg — te Au.. ' . J J. ” -- Joe h4emet let, tem e,'.rze is.veAtoo the,%-thee 44 Mc';;rilf . ..'"'" i I VI u'flSIrue:MD 0 AdditiOn.11111.T.1110n FCTO;i4V;11;,;11 IVO,;rintli klktItZOk..;OW%AP:i TH43141,‘„1 lel the 1.1.1t.,!,totego.t' „. 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' , CI TENANT . - 1 ---- - I '''"-" * * ' ireansental ethluist toad vratilatioss: \I•111k1 DR Horton Inc. : ,. ii.i,J ,-hood(Owl;i[It k-1T -11- _ __ - ' - ...4...-1441. ; -.1 A*014;44'4180 SW tvlacadam AN't.'Stlik 100 _ 1 ' "i '''L'IC-TIP Portland.OR 97239 1 1114m4 1503 , 212-4151 - I.34‘. i 1 10 -tn.! tItttill, tr tilt 144,414*, 1 : NII;; 1-4%4414„4.44;104,4 • •* 1, 1 :3 Arriticorr - 4 COT,ACT;PER -,SON ! ! !"A"! . ..... ..... ... . 1 1 1.; RI"IIIIII"fl.'11TW - DR Horton Inc ; 1 htri ripi%, . _......... ...... ; ; 1.1,4,15,rot t3 ,1 1,41#.a4 HI fin arrril;s4.111,614•14 1 Emerald Weeks ;, h -\‘1,44,., 4380 SW Macadam Ave Suite 100 . : (44.J L44‘.1.,-1.41,_ 1 __. . ._ v,..411";;;;I!CA.1741;HO;t;V:1;L'i 1 ' t 4; t I ;44'0;4,4/IP Portland,O . R 97139 ' T V 111,-,64,-.141 i PI"' '503222- 4151 x1107 1,, ( t , 4444,4i,o4. I - . ,, ..._ csweeksiitdrliorton.com ,,..._ r_ CONTRACTOR I “lh,.-#,i-lo 14.!..1,- - i . i ' i t,c-7 mime Al,>cy A142,.. tt (/,.. _I_ i t MuliANICAL,PERMIT ' 4-'7;4;4)1112 ifit tililiall "4-4' 4_12(//- sir Z !------ _L 1,141t;/111_,Wrr L., .1„1/ i ,,,, A , ,,,,,--.74„ ,f4,„i , f, stmp.,,,,,,,,,144 4 COH 440 4 l --, Pie n, e'2',..i,' ,14 -'ffk:,./ 4- v-44,, I14, 4,1 4 .-...?, :':;;-4 1 , , 4.T4 L „„.4.4. „._„.„ ,, J„,_ _ ii,„;,-,, / , , _ , 2,:.;ie,,,,, uev f 12 ,,,:it..-44,1*'44) t 4 H 14,, „,,4 i 44 3 - 24-- to r xi rutestu lit: t to,pm.or arpri,till,,,,,ttf,,,,A 4 ptt MO I,;WI;440;114",d;;.Itillty;;AI tio;';;Afirt it tax,to eft artepkti 20 4 omph It I,ti31..tt 4;4,1 44,seeMete - r II Ht tl•Ii”, - 41'.* - I ILI*,.4. '""-t* / ---4 , REE , Electrical Permit Application I Di I t c I t .l ()NI City of Tigard ' 201'6 may: Permit No.. do , 6..-r ,/ IN13125 SW Hall Blvd.,Tigard,OR 97223 y Plan Review Other Pecmir., Phone:Inspection Line:503.639.Fax:7503.51p8. d E /By: Allis: RI See lie 2 for -� Internet: www.iigard-or.gov 11 P i NG DI VISION Not Mdho& Supplemental information TYPE OF WORD REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply bmit 2 sets of pians wfitems checked below): ❑Service or feeder 400 .s or more 0 Building over three stories. ❑Demolition 0 Other: where the avaiabl- it current O Marinas and boatyards. CATEGORY:OF OVISTRUCTION exceeds 10,000-. at 150 volts or 0 Pleating buildings. less to,. , or exceeds 14,000' 0 Coduaercial-use agricultural ❑ I-and 2-family dwelling ❑Commercial/industiial" ❑Accessory building amps for other installations. lniitdings. ❑Multi-family 0 Master builder ❑Other: O F , ., O installation of 751KVA or d s : SITE INFORMATION AND LOCATION Q 13 'By system. larger -ey derived system. .. ,of new motor load of Q.•AA",•E"••,,"1-2","I-3,,, 11P or more. rampancy. Job no.: ob site address: S. 7L. 6.5(..4-, 7�J \f,,�•l k / "- ■ !'are residential units. O Recreational vehicle parks. ■Health-care facilities. 0 Sandy voltage for more than City/State/ZIP: 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt no.: Project name: �- S(1'147...- �yry/ 0 Service or feeder 600�,s or more. FEE SCHEDULE Cross street/directions to Job site: DererIWHq I on'. I Ree. 1 Total I New residential"single=or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:, 1,000 sq.ft.or less I 168.54 4 Ea.add'I 500 sq.ft or portion A 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 ' DESCRIPTION OF ' ORIC • (with above sq.ft.) Limited energy,muki-family 75.00 2 • residential(with above sq.ft.) Services or feeders installatio alteration,and/or relocation 200 amps or lees 100.70 2 ❑ PROPERTY OWNER I I ' 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/State/ZIP: relocation Phone:( ) Fax:(, ) 200 amps or less 59.36 1 201 amps to 400 amps 125,08 2 Owner installation:This installation is being made , property that I own which 401 anus to 599 amps 168.54 2 intended for sale,lease,rent,or exchange,accordi. :to ORS 447,449,670,and 701 Branch circuits new,alteration,or extenstostt per panel Owner signature: Date: , A.Fee for branch circuits with 0 APPLICANT 0 CONTACT PERSON above service or feeder fa, 7.42 2 each branch circuit , Business name: DR Horton Inc c Fee for branch circuits without ice or feeder fee,first 56,18 2 contact name: Emera a Wee S ' :.w circuit 4380 SW macadam Ve Each a ' branch circuit 7.42 2 Address: Miscella. . ,(service or feeder not included) . City/State/ZIP: Portland OR '•7239 y Each mann : • or modular 67.84 2 dwelling,service.,,•or feeder Phone:(503) 222-4151Fax::( ) Reconnect only 67.84 2 Pump or irrigation circle' 67.84 2 E-mail: Sign or outline lighting \ 67.84 2 CONTRACTOR i" ' Signal circuit(s)or lintitcd.ener&N Business name: . t i/)1_ 4- gy 1, - 4 c, / ' panel,alteration,or extension. t Page 2 2 (/jj BGG Each additional inspection over arable in any of the above 2Jar �l7f Gs- k-,�. •. ., lig (I ) `� Address: Additional inspection1u min 6625/hr f Investigation(1 hradn) .251 hr City/State/ZIP: et.../ C 0 Gt 1/....0 /t? .... . ' V �/ . .5 I Inattstrial pioleat(1 hr nun) 78.18/hr Phone:(36a .5—/o'— .7--,3—,..9 Fax:OC19) 3 96• 0 _ Inspections for which no fee is 90.001 hr specifically listed eh hr min) CCB Lic.: (' 2,7 9 Electrical Lic.: X"6230 Suprv.Lic.: /-7 93 s _ ELECTRICAL'PERMIT FEES Suprv.Electrician signature,required: y�Iq" i f_^ Subtotal:: Pisa review(25%of permit fee): Print name:Ch fr 57h'/j, 6 2 r rf . Date: State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires ifs permit is not obtained within 180 ,/ days after it has been accepted as complete. Print name: 'F� <. l"' Date: • Number of inspections allowed per permit. 1:1BuiidinalPerwita titc-PumitApI,�'Gf�/9 rte/ 440.4615T(1tro5/cOMMEB fir 02'A '11,,II /a-i aro Electrical Permit A li RECEIVED capon • Ink t)rlic 1 I f ,>\, City of Tigard NPV 2 2016 Received IN 13125 SW Hall Blvd.,Tigard,OR 97223 DutdB . Phone: 503.7182439 Fax: 503.5 8Permit No. •� L���r,.� /_Y, inspection Line: 503.639.4175 �,Imo'OF 1 j G.�R� ► � � � mer Permit See Page 2 for Internet: ww -tigankw-Sov BUILDING DIVISION' Date Itvadymy: RI �PPkateaw IafernaHon TYPE OF WORK ®Now construction 0 Additioa/alteration�re 1 REVIEW ❑Demolition P acetrtent Prase cheer all that apply(submit '. Q Other: ❑wbe Service m feeder 400sets ofplaaa canna checked below): amps or more Other: : ON where the available Ault muffin 0Matin s over nano ads. ❑1-and 2-family dwelling 0 exp 10,000 amps 150 votes or p and tnmerciaVindustrtal 13 Accessory building less to pound,or exceeds 14,000- p s b' ' ❑Multi- : ,' , 0 Master builder ❑Other amps for all other installations. Colbuildings. !-use apiculture! JOB 5117: ❑Fite pump. 0 lnatallation of 75 KVA or INFORMATION AO LOCATION Qi�BmoY$yatmr. •Job no.: Job site & ❑AdhNfion anew 1m8apvatdyderived system. address: Z 100HP ormom,motor load of p•A"<5;c"1-2","1.9^, City/State/ZIP: ` Q Six or more residential units. o°cepaaoy 0 Health-care facilities. Suite/bldg./apt Jg.lapt no.: Project name: ids locations. CI Recreational vehick parks. ❑Supplyvoltage for mom than °Service a feeder 600 600 volts nominal. Cross street/directions to job site: ' I �or mores JD i FEE SCHEDULE MINIVMMILII New re entialattached Slagle:or multi-family d1[711weg unit gala_ Subdivision: Lot no.:al4 1,000 sq.ft.or less Tax map/parcel no.: Ea.add'i 500 � _� Limited a9.ft.residential �' DESCRornON OF WORK energy,..1i, ► . whth above.�.$ 75.00 Limited energy,multi-family residential with above ..ft. ■ 75.00 -© ' Services or feeders installs , alteratio, and/or relocation 200 amP0limull 0 PROPERTY OWNER j] or less - 100.70 __ Name: 201 amps to 400 amps 111 200.34 Address: 401 amps to 600 amps ® 601 amps to 1,000 amps 1111301.04 _13 City/Ss/ZIP: Over 1,000 amps or volts 11111111M111111111® TePhone:{ ) wry services or feeders installation,alteration,and/or F'ac(: ) Owner13 installation:This installation 200 or!cgs - intended for sale,lease,rent,or exchange,being made on property that I own which is not 201 amps to 400 amps - anga,according to ORS 447,449,690,and 701. 401 to S99 amps 125.08 . Owner signature: Branch amp cio 59 a- —© Date: A.an for new alteration or estens, , ,er ,suet ❑APPLICANT' branch circuits with 1 ❑ eoMrAcr'PERSON above service rorc fouler , 1111111111 Business name: DR Horton Inc • Fee �h,�etcm Contact name. EM era a Wee S B.Fee for circuits without service or feeder fee,first inemilin Address: 4380 SW maca a am Ave breach circuit misceEach Ilanddl branch circuitservice fecdenoi� �® C'13'/State/ZIP: Portland OR 97239 s Each { l ) _, manufactured or ®� dwell' _-servicearM/orfeedex Phone: E-mail: R�nneat drily _® • CON1 Pump or irrigation circle � �� cTo>s . i' 11111111113 Sign or oudmhe lighting -� 111111 Business name: �" ,. J i 1 / tc G, ‘ t Std gr (s)ori derision. ■ Address: 2 / arexteneion. , s1 6 �_ C /1 / Each additional i::, ,, over allowable la an of the ab City/Stste✓ZIp: ' ,� ///) 2- fafila Additional inspection(1 hr min) - �c'�# i< - t.-,/'/144 , m, . Cf Investigation 0 Millin) 6625/hr �� Phone:�� l!- �..� ,�„7 Fax:7,Ca) /�+ Industrialplant°prim) EMI 7Lwhr 9(7 E7 o Invections for which as fee is / Suprv.Lia: a ' ifcall listed hrmin 90.00/hr -. Suprv.Electrician signature,required: . J 7 $ EC71tICAL PERMIT'Ws Print name:C ="ate: Subtotal: 111111111111. 111111 ; �' a i jf Date: Plan review(25%ofpermit fee): Authorized signature: ��� Print name: TOTAL PERMIT FEE: 1=11 This permit Application expires if a permit is mot obtained within 180 -, Date: days after it leas 116uf1dmhalYanh,�x� gDD Number of tespections allowed pa . as ®per, 441.46737 i 1/05/031419/138 , ...e• •4 I .1.11., Electrical Permit Application—City of Tigard Nov.---T-- m. ' l° ImIm.ImM.IM...l..l..l...l..I.lIllMMllIIlMI.Mx Page 2—Supplemental Information 2 ?��� CITY OFIIGAR>�JlCr-G��S-7�r Limited Energy Permit Fees: 3UILI)'NG DIVISION Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description 1 Qtr. t Each Total . Renewable electrical energy systems 5 kva or less 100.70 Check Type of Work Involved: 5,01 to I5 kva 133,56 2 0 Audio and Stereo Systems* 15.01 to 25 kva 100.34 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 Q Garage Door Opener* 50.01 to 100 kva 552.26 >I00 kva(fee in accordance X Heating, Ventilation and Air Conditioning with OAR 918-309-0040) 352.2b System* Solar generation systems in excess of 25 kva: ❑ Lath additional kva over 25 7.42 , Vacuum Systems* >100 kca—no additional charge 0.0 Eacb additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66.''5 hr 1 Inspections for which no fee is specifically listed(� hr min) `/0.0Ur"hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): I (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems O Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC O Instrumentation O Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling O Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I..Ruiidny'Permes ILC PatnitApp UR ERT.& Rc0 1".r;15 Plummit Application :, Buildingbing Fixtures City of Tigard Received el 13125 SW Hall Blvd..Tigard,OR 97223 Dale/BY: Penni!No.; � Z(j�� _ -�5(c)I 11 Phone: 503.718.2439 Fax: 503.598.1960 Man Review ... 1 t c; I:1) Inspection line: 503.639.4175 Date/By: Other Permit No Internet: www.tigard-or.gov Date Ready/fly: loris El See Page 2 for Notified'Metliod: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 II for each utility connection) CATEGORY OF CONSTRUCTION SFR(I I bath 312.70 ❑ I-and 2-family dwelling 0 Commercial/industrialSFR(2)bath 437.78 ❑Accessorybuilding 0 Multi-family SFR(3)bath 50032 ❑Master builder 0 Other: Each additional bath/kitchen 25.02 Fire sprinkler(_sq.fl.) Page 2 Site utilities: JOB SITE INFORMATION AND LOCATION Jo+b site addmss: ( t;--i C.7 1/1f s �l m i cl fi (co? 1 etch basin or area drain 18.76 City/State/ZIP: rywcll,leach line,or trench drain 18_76 Suite/bldg./apt.no.: ( Project name: f S Footing drain(no.linear fl.: ) Page 2 ra (C1Ct Manufactured home utilities 50.03 Cross street/directions to job site: U Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear 11.:_) Page 2 Water service(no.linear fl.: t I Page 2 Subdivision: Lotnu.: it-i Fixture or item: fax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater halve 12.51 Clothes washer 25.02 Dishwasher 25.02 (.Ul 11-1 r.A.C-=t i '1(El 4 . r Von) ,(.k,t•,j "y Drinking fountain 25.02 4 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: -I - o ar)r-1 Fixture/sewer cup 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker (5.01 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 . g Ft(-)t/ton Contact name: Primer 12.51 1rA-Y'1 P ra ICI w P f LA Roof drain(commercial) 12.51 Address: L y> 'a Vu, PSI to D Sink/basin/lavatory 25.02 City/State/ZIP: pDV cf-2.29 Solar units(potable water) 62.54 Phone:(CO3) LZ-Z y 1 SI , Fax::( ) Tub/shower/shower pan 12.51 E-mail: B, I,U S- C ei Y inn -on. 1 Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Wolcott Plumbing Water heater 37.52 Water piping/DW V 56.29 Address:1075 W.Historic Columbia River Ilwy Other: 25.02 City/State/ZIP:Troutdale Or.9060 Subtotal Phone:(503)667-1781 Fax:(503)667-9891 Minimum permit fee: $72.50 CCB Lie.: 112220 Plumbing l.ic.no.:26-824P6 Plan review 125%of Rennin fee) Authorized signature State surcharge(12%of pennit fix) TOTAL.PERMIT FEE Print name:Mark Baleme Dale'2/17117 This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. flee methodology set by'tri-Canopy flnildiug Indrutry Service hoard, i,,nuitingl:Permit>rimit-PermitnpoOe 1fs,LO9 440.461(4(1U'02/COM.' 'll3) :. • Plumbing Permit Application - City of Tigard NCV Page 2 - Supplemental Information2 1;i,. mS7-;,OlL —UUSio i Fee Schedule: ll O i� , B ,ril t''',,.,,;,,• : ,• re Su ression S stems: Site Utilities Qty. Fee(ea) Total `'' • -' l t? ' ,e: Permit Fee' Footing drain- I"100' 50.03 0 to 2,000 _ 5121.90 . - Footingdrain-each additional tOO' 37.5_ 001 to 3,6() S169.69 Sewer- 1st I(JU' 6�54 3,60I to 7,200 _ Y 5233.20 —_ 7,201 and greater 5327.54 Sewer-each additional 100' 37.52 J Water Service- 1st 100' 62.54 Water Service-each additional 10(1' 37.52 Medical Gas Systems: Storm&Rain Drain- 1st IOU' 62,54 Valuation: Permit Fee: -1 Storm&Rain Drain-each additional IUO' 51.00 to 55,000.00 Minimum fee 572.50 37•-2 55,001.00 to sio.000.00 572.50 for the first 55,000A0 and 51.52 for Other Inspections or Fees Qty, Fee(ea) Total each additional 5100.00 or fraction thereof,to Inspection of existing plumbing or for and including 510,000.00. S10.001.00 to 525.000.0(1 5148.50 trn the first 510.000 00 and S 1.54 tiff which no fee is specifically indicate 90.00 hr (minimum charge–1/2 hour) each additional 5100.00 or fraction thereof,to inspections outside of normal business 90.00'hr and including 525,000.00, hours(minimum charge–2 hours) 525,(lu 1.00 to 550.000.00 5379.50 iur the first 5250/0.00 and 51.45 for Reinspection Fees 90.110 hr each additional 5100.01)or fraction thereof.to and including 550.000.00. Additional plan review for revisions 90.00'hr 550.001.00 and up 5742.00 for the first$50,000.00 and 51.21)for (minimum charge–I:2 hour) each additional 5100.00 or faction thereof. 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*. Quantlt by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace! Work Performed: Capped Added Relocate Plan review is required for any of the following. BaptistryfFont Please check all that apply. Bath Tub'Shaaer ❑ Any new commercial building with water service 2"and Jacuzzi Whirlpool greater.except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor Water Aspirator as defined in OAR912l-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic - 0 Any multipurpose fire sprinkler system. Drinking Fountain ❑ 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. q Car Wash Drain Isometric or Riser Diagram Garbage Domestic–non-food 0 Isometric or riser diagram is required for new buildings 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: Rec.Vehicle Dump Station Shower -Gang -Stall Sink'Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter - Washer-Clothes *Note: if the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: G:\Plans\Plats'Summit Ridge\Permit Docs\PLM F_PermitApp.doc 2 ,.4 ,, • 4 Electrical Permit Application—City of Tigard tyL V 2 201Hj Page 2- Supplemen#al Information .,, /1/(47-k)/Ce_V(./c! - Limited Energy Permit Fees: r(IJh NI,,` p i i N, Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE � Description I Qty. I Eaeb Total Fee for all residential systems combined: $7$.00Renewable electrical energy systems: 5 kva or less 100.70 Check Type of Work Involved: - 5.01 to 15 kva 133.56 2 _m ❑ A• udio and Stereo Systems* 15.01 to 25 kva 2u0.34 Wind veneration systems in excess of 25 kva: (1 B• urglar Alarm 25.ot to so kva III 301.04 1 - 50 01 to IOU kva 552.2t XI Garage Door Opener* ›loo kva ac,in accordance '_b2 552. with OAR91h-109-0040) i [NZ Heating, Ventilation and Air Conditioning ,, Solar generation systems in excess of 25 kva: Syste' / 1'ach additional kva tovcr 25 I({I( 12 ' / D Vacuum S tems* k..4-no additional charge i G. 3 t�0 Each additional inspection over allowable in any of the above:1 Other: Each additional inspection is 66.25 hr 1 charged at an houtly(1 hr min) _ i Inspections lilt which no lee is 90.00;hr specifcall.>listed(=hr min) COMMERCIAL WORK 0 .Y: ELECTRICAL PERMIT FEES _Subtotal(Enter on Page I ~ _ Fee for each commercial system. 7$,00 + lumber of inspections allowed per permit. (SEF OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls — C• lock Systems ❑ Data Telecommunication Ins allation ❑ Fire Alarm Installation H• VAC' ❑ Instrumentation I I Intercom and Pagi Systems ❑ L• andscape Irrig. ion Control* ❑ Medical E Nurse Ca (— O• utdoor Landscape Lighting* Fl P• rotective Signaling [1 O• ther: _.! l Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I..Buildin.Prtmir,rLC Pr.mitApp LLR FRF Arc R .s' 1. :i1'.17, IN City of Tigard Y COMMUNITY DEVELOPMENT DEPARTMENT C T I G A R D Building Permit Review — Residential Building Permit #: .S Site Address: c a Project Name: A-iz.. _ mss` . (New dweiir =subdivision name;„eon .r Alteration=last name of owner) Lot #: _-- Planning Review Proposal: / S• L It Verify site address/suite#exists and actio in permit system. 1 i l' ver Terrace Neighborhood 0 Yes,See River Terrace Review Si PlanNow Elements:01 AddendumAttached ee(3)copies of site plan fir S e plan must � "�sting structures on site lie on 8-1/2"x 11"or 11 x 17"paper II Footprint awn to scale(standard architect or engineer scale) onew structure(including decks)with finished �rth arrow or elevations S e address,project or subdivision name and lot number ty locations(required for new,may apply for additions) .plicant information(name and phone number) �'�'nation of wells/septic systems 1G :t dimensions and building setback dimensions 01s�'g trees measures drip line,and tree It .t area,building coverage area,percentage of coverage and eet tree size pervious area(applicable if R-7,R-12,R-25&R-40) >type and location roperty corner elevations(2 foot contourStreet names 4 foot differential lines if more than to$ lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: 0 Yes,applicant was notified 6A Public Facilitie Im No Received: 0 Improvement(PFI) Permit: Yes 0 No equtredc Yes,applicant was notified 0 No Applied For: Land Use Case#: Yes 0 No,stop intake / Zoning: / rr�- Chi it 4' CrJ ♦00061Required Setbacks: Front S Rear Side i Pil Landscape Requirement: g Street Side A.,),/ Garage ,,� Lot Coverage Maximum: °/%0 jot Building Height: Maximum �' i Height iep It Sl isual Clearance Actual Height 7 Easements ►ensitive Lands: ❑ Yes KA Urban Fores Plan �No Type tri ❑ Conditions "Met"p 'or to issuance of building permit Notes: Approved By Planning: __� i� ,_'- ��''�" , Date: / Revisions (after Building Submittal only) Revision 1: 0 Approved 0 Not Approved Reviewer Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES_091216.docx Building Permit Submittal Original Submittal Date: # Site Plans: --- Building Plans: # Building Permit#: 0 Enter building permit#above. $m Workflow Routing: 0 Planning 0 Engineering 0 Permit Coordinator 0 Building Si off for Planning(include notes from planning review) Workflow Sign-off: 0 �- (1) siteplan, (1)building plan and (1) copyof permit application, Route Application Documents: ❑ Engineering: original plan review routing form. engineer and 0 Building: original permit application,site plans,building plans, �' beam calculations and trust details,if applicable,etc. Notes: Date: By Permit Technician: 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: No Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 YesDate: 0 NOT Approved by Engineering: Notes: �� Date: — --=.Approved by Engineering: Reviewer Date Revisions (after Building Submittal only) Revision 1: El Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit Date: 0 Approved,NOT Released: 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: Cgr SDC Fees Entered: Wash Co Trans Dev Tax: 8,1 Yes 0 N/AYes 0 N/A Tigard Trans SDC: Parks SDC: Ii"Yes 0 N/A Wi OK to Issue Permit Date: I a 'a 3 -L b Approved by Permit Coordinator: 1:\BuildingTormaildgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8570 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00561 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: No AC at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8570 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 20, 2017 at 10:07:25 AM Record Type: Record ID: Residential - Master Permit MST2016-00561 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