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Permit (30) CITY OF TIGARD MASTER PERMIT Permit#: MST2016-00588 . ;�_ COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2017 T 4a1 �, Parcel: 2S111 DA23000 Jurisdiction: Tigard Site address: 15550 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 49 Project: Heritage Crossing, Lot 49 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 Yes Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Total: 1743 sf Value: $216,075.93 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 RainStorm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 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 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: $27,808.04 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 95 001-0090. You y obtain a copy of the r s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: .` -c Permittee Signature: cr,L Ail/aa'a/Le)i Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application '\Utl)- 6U Residential RECD , / City of Tigard Rei, O,- 13125 SW Hall Blvd.,Tigard,OR 411?3 016 Oatc.[t}: RfG Permit NS'1 ,/�-ova. • Phone; 5037182439 Fax, 50.31/y 96111 Plan Re+ien ` Inspection Line. 503.639 4175 i,-;1 y { x talc By.3`.a ` 7 Other Pernrit�CG I i ,_..} I Date Read)H.• //3Internet: www.tigard-or.goUILDI ir°/TS {c{ Notified Method. /, rW ' 7r- i S0upSplemPeaa2l turto rmatio>4/4.4 14 in-7 a Y es, 11-I E..Cr-1 e TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING a New construction 0 Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials. labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q 1-and 2-family dwelling Valuation: ❑Commercial/industrial Sal ! 0 7S3 ❑ Accessory building 11 Multi-familyNumber of bedrooms: ❑ ❑Master builder ❑Other: Number of bathrooms: t '� JOB SiTE INFORMATION AND LOCATION Total number of floors; a Job site address: 1fj6 c � New dw eUrng arca: '7 a ) 3 3 f City/State/ZIP:Tigard,OR 97223 f/ �3 square feet Garage carport area: J90 square feet Suite/bldg./apt.no.: Project name r { 1 � �h Cos erect porch area: ��(,, square fee11034, Cross streetidirections to job site: Deck area. square feer70 1 Other structure area: square feet 9 Subdivision: �� REQUIRED DATA:COMMERCIAL-USE CHECKLIST I Lot no.: 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 DESCRIPTION OF WORKequipment.materials,labor,overhead,and the profit for the work indicated on this application. New SFR Valuation: S Existing building area: square feet New building area: square feet t PROPERTY OWNER J ❑ TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy groups: ('itylState/ZIP:Portland, OR 97239 Existing: Phone:( 503) 222-4151 I Fax:( ) Ness! 0 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES' Business name: DR Horton Inc. (Please refer loin ubedrlJ Contact name:Emerald Weeks Structural plan review fee(or deposit): Address: 4380 SW Macadam Ave Suite 100 FLS plan review fee(if applicable): City/State'ZIP:Portland, OR 97239 Total fees due upon application: Phone:(503 )222-4151 x1107 I Fax. .( ) Amount received: PHOTOVOL TAIL SOLAR PANEL S1 STEM FEES' E-mail:- esweeks@drhorton.com CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: DR Horton Inc. Submit two (2)sets of roof plan with connection details and fire department access,along with the 2010Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Corte checklist. CityiStatetZIP: Portland, OR 97239 Permit Fee(includes plan review Phone:(503 )222-4151 1 Fax ( ) and administrative fees): 5180.00 CCB tic.: 130859 State surcharge(12%of permit fee): 521.60 Total fee due upon application: 5201.60 Authorized signature: • / ! This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: "Fee methodology+ 4 r i + r' t , Date 201 gy_et by Tri-County Building Industry Service Board. I:Building Permits Bl'P-RESPennitApp.doe 0224-2011440-4o131111 { U\ri i2 COM WEBr �I( Niethanical l'erniii Appl'00:„' .61: \117n (it‘ of Tigard , IC. .... 1'-:...ZATA Off,-C2c)Sfir ,,.... ,I.,•:,,‘.. ILii 1.41-,j i,,,,,,, ''ia. .1q0,v $ ?016 — - , 11'4'o:1.114:Pi et, ,,,, „..., „ 41 — - in-4.44 4 r-A4g4:IA-4 Imc4444-A '-,,, tivAAP,1 ''' -,'-' ‘,..,ITY OF 11(71ir1L) 81JILD!NG D',.VIS:rir\t - , ..', iiiikiyacim., Fir. sciwout.t. - USE t DE(kits I j41111\ v. ,:A4,74.414,,A AAAAA Ft 4, IAA,,A;A .11',"'.71007 ',.'rL..--i-i' 0 1)011.7*Iitt D( ‘..! .. „..,,,„,,,,,1„„, ,!.. 14:,,i ,,..,,, \ CATEGORY OF CONSIRLC1 ION — - -- , ' RESIDEN1rIAL EQVIPMENT/SASTE MA Flas. L., '110 I .0.141;' 4,41711k AtAt c-JHA,,A 0 4 0A,1444,... ..41.44411A,4 4, 7 sA,•,.....,,,, i ,.. 1 ew st1/4,WI;tnforn4ON,id,, ‘1,,,,,AitAtt, , o \i„;1,•.„.„„1, 0\i......,„, f,„dd,:, E 0..., . 11441i4%.4-oolin,.., JOB SITE INFORMATION AND LOCATION - u / 4p/A4,44).." /.4.,411,e," . ' : • . . 1„,, ,,e ,.,04. li i t .::' r- 1 ' '1' "'1. /11' Ii.gAii Ai, ()R 9-221 i t ,,, ",,,tit,,, Utt ,,,. , t---- . . . . . ,,.1,,, ,,..,.. ...F., . .... _ . .. . . .. 70" . .. . ..., . . .. 1(1, . , 1 titarfue1,42.014ni4% , „. , . ., la,q,p.krk.el a, , . ,t.„'''.' ... .•E' „. . . , ..„ , . ' ' . I DEACRIPTION OF WORK : 7 i.- 771 . 7,it t il-.7.77 NCNV SFR ',-,P1,,,- . , , . . - , . %%,...„,,,p,.7.-.,,,,.. ".+A.....1,A.TA A.4 :-A ,,. . _. . ... '.. T .. -- -- 1111 emorERTy °trick i 0 TFNAN I __-- — --—--- - . . 1 nrivonntents1 i- hut.411{1 r erliiibriirri \lt,k DR Horton Inc. , ..... oot7--43.80 SVS: Niacatiari) Arc Suitt; loo ...:- r .. . ;.. .-- ..,-,--. . , - • _ .... t — , • A ,A, sd-ifort ...-iii" Pland. ()R 9-239 .__ . . vh.n--- .;03 , 111-4151 • - --- i-- 0 APPLICANT - 1 Is c ON I ActPERSON . PP a ii,'"'',,-"".•""c 1)14 iii)rion Inc. , 9.4tt AI it A lot•.011 h Addrritif)Ai, ..i. i CIA 4,7,,,,,,. Emerald NN'crls r „........ ._... __. . .. . i ‘,1,1,,- 4380 SV1/4" Niacadarn Art: Stint: 100 . ,.... ,. . ..r..711,-;....-,,,,.... . .. , 7 .7, ",1.,,,-. /11' Portland,OR 9139 , , . '-'41; 222- 4151x110,- i i „ . , . _ .... _ . t.',081..1.:1,,stadrhorton.,..oro i ' _ ..._._ _.„........._ .. ........._ , CONTRAt.tOR . - . . , ,. 7 0', ' NIF.-CFRISI(AEFT.RSHE FELS* , iL /111,._ „'," Stil.i..t4I . t. is ',LA,'/it' '4.0iii'! 1 .--t 'E. 1, ii '''-ri r" ,',... ''.!;,,, , ,-. ! , ',,,,at, - 1 , i- • ., .,,, , , t .' ' .., : . . — ' . t A. ti ... A ,... , -....4,- 14)1 tili'l 10111 1 1 i ... .. _ . 4444,14.7mq leviiiit.1077 74+757N 1 A f.t nt4f IA solo,04 0,11.41 „., j,,„di,t:7 ha,7t.47 n ai+i pita.it i tirriiiitr i 7 i't it t t 047, '' "- -77 ..,... .. , . 11..............1.1MMEMME --____ , ' Electrical Permit Applicatio E 1 City of Tigard Received - 13125 SW Hall Blvd.,Tigard,OR 97223 �1(�V $ 2_016 Pe1O1t NO 1l�-ri�,0t te—0 Cg Phone: 503.718.2439 Fax: 503.598.1960 • Date/By:ph„ OtlmrPermie Inspection Line: 53.639.4175 CITY I- ternet: Y ArL.` Da, dY/BY: emirSee Page t for ga Bl y. , i 8 otfied/Method Supplemental Information t; . �} E #r,; TYPE OF WORiiy ®New construction 0 Addition/alteration/replacement Please check all that apply an sPP1Y(submit j sets of plans wltetns checked below): ❑Demolition ❑Other: ❑Service m feeder 400 amps a more ❑Buiiovboatyards.antics. CATEGORY'OF CON3TIt1tTON where the available fault amens ❑Marinas and boatyards. exceeds 10,000 amps at 150 volts Of ❑Floating buildings ❑ 1-and 2-family dwelling 0 Commerciai/industt ial" 0 Accessory building mesa to aro1,or exceeds 14,000- 0 Commercial-use avicuhnal amps for an other installations. ita ❑Multi-family 0 Master builderInstallation 0 Fire pump. 0 of 75 KVA or JOB SITE INFOR11fATIOTi AND LOCATION 0 Emergency system. larger separately derived system. CI Job no.: I Job site address: �J i� Addition of new motor load of Q"A","E","1-2;"1-3", (J v �,/ r IOUNm Pmme. City/State/ZIP' t ❑Six ar mare residential units. ❑Recreational vehicle mks ❑Hesido-care fealties. 0 Supply voltage for more than Suite/bldg./apt no.: Project j- 1L c t� or 0 Hazardous locations. 600 volts nominal. name: 1 1�--� ❑servicefeeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE Description 1 Qtr. 1 Pa i Teta) I . New residential single=or multi=family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 Q sq.ft.or less tt 168.54 4 Tax mapI arCel no.: Ea.add'l 500 sq.R.or portion .;.. 33.92 1 DESCRIPTION OF WORK • Limited energy,residential (With above sq.ft) 75.00 jj 2 Limited energy,multi-wily 75.00 I residential(with above sq.ft.) I1 2 Services or feeders installs,, , alteration,and/or relocation 0 PROPERTY OWNER 200 amps or less 100.70 2 Name: ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Address: 601 amps 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 • relocation Phone:( ) Fix: (. ) 200 amps or less 59.36 I 1 Owner installation:This installation is being made on property that I own which isnot 201 amps to 400 amps 125.08 intended for sale,lease,rent,or exchange,according 2 to ORS 447 449 670 and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: • Branch circuits-.new,alteration,or extension, . r panel ❑ APPLICANTin, A.Fee for branch circuits with 1 0 CONTACr PERSON above service or feeder fee, Business name: DR Horton Incl branch circuit 7.42 2 B.Fee for branch circuits without Contact name: Emerald Weeks mac,circfeeder uit fee,tiro 56.18 _________ I Address: 4380 SW macadam Ave Each add'i brand,circuit 7.42 2 City/State/ZIP: IVAisPortland OR 97239 �aneous service or feeder not locladed Each manufactured or modular _ Phone:( 1 ) dwell' service and/or feeder III 67.84 NM Fax::( ) i ltecorulegtonly MN 67.84 8 E-mail: • Pump or irrigation circle �© CONTRACTOR Sign or outline lighting 111811....111112111111111111111110 Business name: G J . Signal 1- ,'',. or extension. ■ _© • i/ � Vii[ ('� a1^:��� orextensioo. Address: 2 (�O y/ / �� Cc-it ,. Each additional i .- ., over fable in an of the above 7i.Q, I Additional inspection i hr min City/State/ZIP: Vet- /-�� ( ) � 66.25/hr _� lel c e'fit v- I.'. W4, �FC b / Investigation(1 hr min)Indust6615/hr �■ Phone:(3 /#'— . 5".6e., Fax:cC� _32.C---. [� splantfor(i hr min) 78.18/hr _■ c76�j L� Inspections for which no fee is ■ CCB Lic.: �Z s. iflca listed 'r4hrmin 90.00/hr —. V,9 Electrical Lic.:•CZ Suprv.Lie. 773 S ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:/1�j D L �ys"'v Subtotal: / 1 Plan review(25%of permit fee): Print name: Ch E.,_.,1 /t. 6 , a f:l'1 : + Date: _ State stege 02%of permit six Authorized signature: TOTAL PERMIT FEE Print name: This permit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete. * Number of motions allowed per permit. t:lBuildinePenaits1ELC-PermitApp' 440461570 1/05/CoM/wga Electrical Permit Application–City of Tigard A B fl Page 2–Supplemental Information y•• r -l NOV 6 2016 SAO `Ce-a)5-EF Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: -_ ,, �` :!: f```:IoN _ FEE SCHEDULE Fee for all residential systems combined: $75.00 Renewable tan. Earn- Tmal Renewable electrical energy systems: i Check Type of Work Involved: 5 k\a or less It,; ,o 2 1 5.0 1 to 15 kva 133.56 n Audio and Stereo Systems* 15.01 to 25 ktia 220.34 ` n Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 t,.50 k,a ( 3ol.tw I I 1 XI Garage Door Opener* 50.01 In I uu k‘a �_ 552.26 f 1 I(Isi INa(fee in a:cnrdanee with UAK tilt-?Qy-0U4u) >52'-h Heating, Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: (� rack additional kva ovi.3 s 12 Vacuum Systems 10[t kr u LO additional charge 1 um 3 , Each additional inspection over allowable in any of the above:1 I Other: Each additional inspection i. I charged at an hourly(1 hr ruin) Fh-5 hr I 1 Inspections for which no Ice is II —_ specifically listed(=hr min) r�(LOU-hi COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I): 1 (SEE OAR 918-309-0000) Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls • Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC I Instrumentation n Intercom and Paging Systems P Landscape Irrigation Control* n Medical I— Nurse Calls • Outdoor Landscape Lighting* n Protective Signaling • Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Bui7diny,Perin,I'LC Pe nitApp ELR ERE du, Itc.uS 1-:rel! Plumbing Permit Applica • ,. w4, Building Fixtures I OR Of F ICI, t St: ONLY City of Tigard !" N O V 8 2016 Received Fermi N, S ,(9/Ce -off f3 1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 R 8 " Phone: 503.718.2439 Fax; 50 96iT t ,a Other Permit No.. Inspeaetion Line: "3.639.417 ;,.,ii--.0 L DDate Ro gg i 1 G.1k D �/L E ,' ' er'' '- • Note rdimed : Curb: R Set Pa 2 for Internet: www.tigard-Or.gov Page NtxifiedlMedled: Sttrilemeatal lefarmatioa s TYPE OF WORK . .,h. FES"' BCf�DULiiy� ❑New construction 0 Demolition For special irrfomrtmioe use checklist Description Total ❑Addition/aiterationfreplacement 0 Other: New 1-2-family dwellings(includes 100 R for eachlity'connection) CATEGORY OF CONSI'ROCI ION SFR(1)bath 312.70 ❑I-and 2-family dwelling 0 Commercial/industrial - SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath ( 5C0.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 • JOB'SITE iI4FORMi1 0111:AND LOCATION : Site utilities: Job site address: 15:3 c5t t/ if „.4M ' /�___ Catch basin a area drain 18.76 r"'v Drywetl,leach line,or trench drain 18.76 City/State nP: , Footing drain(no.linear ft.: ) Page 2 Suitdbldglapt.no.: 1 Project name: 6 �11)UI Manufactured home utilities 50.03 Cross street/directions to job site: `✓ +�J Manholes 18.76 + Rain drain connector 18.76 Sanitary sewer(no.linear ft.:,_J Page 2 Storm sewer(no.linear ft.:_J Page 2 Water service(no.linear ft.: ___) Page 2 Subdivision: 1 Lot no.: 1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12 51 .. Clothes washer 25.02 q� Dishwasher 25.02 IA V Drinking fountain 25.02 Ejectors/sump 23.02 ❑ PROPERTY. OWNER . • ..I 0 TENANT Expansion tank 12.51 Name: �� c �(/1 \VA.C.. Fixture/sewer cap 25.02 i t,.C.6n <' � ' )Dl&.�. -7` �`✓' Floor gedrdislloor sinklhub 25.02 Address: ``� t-% Garbage disposal 25.02 City/State/ZIP: I)L 1x�a! Hose bib 25.02 i Phone: I Fax:( ) Ice maker 12.51 ❑ APPLICANT Q CONTACT PERSON Interceptor/grease trap 25.02 Business name: .›Y___, ,_\U V l 1 ' l 1 A ci Medical gas(value:S ) Page 2 Conteh name: ( ,, �/ Primer 12.51 `.5\�f �'t 01 Al%. (x.�C Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pm 12.51 E-mail: e sw- 6 j , (7 v VI OVtW - C(w44 Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address:1601 SE RIVER ROAD Other: 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)1:40-0113 Fax:(503)640-4483 Minktwm permit fee: $72.30 Plan review (25%of permit fee) CCB Lic.:94689- 52(. - Plumbing Lit.no.:34-260PB --- i�J_, - State surcharge of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:RAY MULLEN / Date: This permit application expires if a permit Is not obtained within no days atter it has been accepted as complete. •Fee methodology set by Tri-County Building Industry Service Board. I:1Buddiglraeit"MI-PaeilApp.doc 101OIO9 440 a616TtIWUVCOANWEBi 111 City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R D Building Permit Review — Residential Building Permit #: /44-57-00/69 —007 -- Site Address: I S S S 0 S Irv' Apple_ tAv000t Lel Project Name: }-}e rd--0l c e C r?c Lot #: (New dwelling=subdivision name;Addition onr Aftration=last name of owner) Planning Review Proposal: k)QM! S F r< Verify site address/suite#exists and active in permit system. A River Terrace Neighborhood: ,zf No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: ?three(3)copies of site plan Ding structures on site ;ZiSite plan must be on 8-1/2"x 11"or 11 x 17"paper1Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations //North arrow ieUtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number 'cation of wells/septic systems /Applicant information(name and phone number) fisting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and /Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) VlStreet names [ Property corner elevations(2 foot contour lines if more than / 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes E No,stop intake gr Land Use Case#: --Lon 2,o ) S - opooc:a. , SVC 20(.S 0001 s Zoning: _ ) .Z Required Setbacks: Front I ( t C Rear 1 S Side zi Street Side C3 Garage I to 7 Landscape Requirement: % Lot Coverage Maximum: —� 0 Building Height: Maximum Height 3s Actual Height 2 3 Visual Clearance izr Easements Z' Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: QIn +lnoa +Q ba tenet prior to ISS0(;TrlU2 Approved By Planning: A/1 0 v1,j?.t v` Date: l i/ SI I t, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: l i/171 Site Plans: # 3 Building Plans: # j Building Permit#: Enter building permit#above. Workflow Routing: Planning [ "Engineering �"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. 71 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / �,Ge��f Date: IA/) �� By Permit Technician: /4,44SNC Engineering Review Slope at building pad: ,<X 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: El Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No Cl NOT Approved by Engineering: Date: Notes: Approved by Engineering: j2: J7 Date: _ __JC__ C' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El 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: SDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A Tigard Trans SDC: es ❑ N/A Parks SDC: Yes ❑ N/A ?Fi' OK to Issue Permit �� Approved by Permit Coordinator: I ate: /- ?A/ I:\Building\Forms\B1dgPennitRvw_RES 091216.docx F r ,r� Plumbing Permit Appiicati Building Fixtures E 5034641_960 �i," g) t c/u t t It tis (/\ t o City of Tigard 1 10/17 / IntgyroC7- 0/6, 7 0%6 —z 9--iiN 4 SW 161)Blvd. Tigard.OR 972234Ur k= Phone 5037182439 Fax: 503 960 201DAItdBy. Plan 011c 'aint:to.: Inspection Line: 503.639,4175 I V OF r �. Cute Ready/13y. tans I Sec Pagel for It terrret: ►iww.bgard-or.gov ii ;g pl t!6 /4 .:i s NoIiC Mads Sultpleinental laterwrttot T> OR worts "c i�F'i iif;tli Fog* :Y+CHEOUI 11 D New construction 0 Demolition For special bgforrnafaa use rltecklisL Description I Qty. I ba, I Total O Arklihailalteratianfreplacement 0 Other: New 1-2-Family dwetlinga{includes 100 ft;fix each utility connection) CA Y'Of COMM noN SFR(1l'batb 312.70 O 1-and 24amily dwelling 0 Commercial/industrial SFR(2)bath 437.78 ory building SFR(3)bath 50032 0 Access [❑1410-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(__sq.tt.) Page 2 JOU s1TB 1NPORMATION AND;E OCATION • Site utilitle* Job site address; ' '� Catch baiin or arca drain 1876 �v J J l (6\k) �`��'�'/ [)ry�vcll.leaCtl title,ortnatch drain1106 City/SurtIP: 1..,1tM , Footing drain(l 0.4ocar ft _) Ptige'203 Suite/bldgJPmjectilamoi apt.no.: I 0tturalhomeufttt+es 3(1. Gross streeNdirec4ions to job site: r � ufahole; 1`$:76 ' drain Connector 18.76 Sanitary sewer(no.linear it.:..__? Page 2 Storm sewer(no..linear ft.: _) Page 2 Water service(no.Hiker ft.:„___) Page 2 Subdivision: I lot no.Ltel Fixture or itetht Tax map/parcel no.: Backflow presenter 31.27 � n opi OF _ Baokwveux valve 12'.51 ��/ z Clot(tes washer 25.02 V v ,s ... Dishwasher 25.02 DrinkingRemain25.02 Ejeotors/Su!rlp 25.02 0 11r OWNER , 1` €; TENANT f kxpansitantank. 12.51 Name: .,_. \'\-jfY—k� r 1 i'ixQue/sewer tap ` 35,02, i_ Address: kleordra poatsirAub) 14 / Garbage disposal 23:03 25.02 City/State/ZIP: lb! )& t( — i3tasebib 25.02 Piwne .Fax:.( ) Ice maker 12.51 0 APP0014 _; , 0 iACt PRK$UN Interceptor/grease trap 25:02 Btrsineas.nitme Medical gas(value:S_,__) Patti/ Outlet name: Etn. /V Pr 12.51 1Y ��1 � 1i otdrain(commercial) 12,51 Address: .Sinkdbasin/lavatory 25.02 _.. City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower'/shower pan 1151 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR , Water beater _ 37.52 Business name:Wolcott Plumbing Water pipilrg/I)WV 56.29 Address!1!115:W.historic Colutabla River limy Other. 25.02 City/Slate/ZIP:Troutdale Or.9460 Subtotal Phone 503);667-1781 Fax:(503)667-9091 Minimum permit fee: $72.50 CCB Li.e.:112220Plumbing Lie.no,:26-824Pid Plan revirav(25%01 pcntiit fee) State surcharge(12%of penult fee) Authorized signewr 4- (*s . Tt)T/ti.PERMIT FEE Print name:Mark Oaten* Date:1v17/l7TMI permltapplkatwn eapires ha permitIs not Obtdaed within 180 days after It lar been accepted an camping. *Fee methodology set by Tri-C'waay'Building industry S:rwc:Board, I:1Bui1ditettatatrsitme-PerestApp.dac IWKdlr39 Asu.loiu1lIoevrowl,tnw) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15550 SW APPLEWOOD LN, TIGARD, OR, August 31 , 2017 at 10:30:09 97224 AM Record Type: Record ID: Residential - Master Permit MST2016-00588 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