Permit (37) CITY OF TIGARD MASTER PERMIT
1 31 COMMUNITY DEVELOPMENT ////�!' Permit#: MST2016 00556
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ��' Date Issued: 04/24/2017
Parcel: 25111 DA21700
Jurisdiction: Tigard
Site address: 8800 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot: 36
Project: Heritage Crossing, Lot 36
Project Description: New SF. 7/25/17: REPRINT to add NC unit. Placement of A/C unit must comply with
manufactures installation requirements.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 936 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1361 sf Garage: 385 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2297 sf Value: $278,461.76 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: 1 Backwater Value: 1
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'l 500 sf: 4 201-400 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 2297
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: $29,120.95
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 952-0 1-0090. You =y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: c A Permittee Signature: ija6V l/�
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.
�ieedajttca1.Perntjt App 8,...FIN/Pp at,i., ar t t, r r ,t ,,I
City of Tigard rt,e st.c)
r.1s '.5 SW 11411131A i'poi! CYR,,47 L 2 5 2017
r). `' /.moi ,,r. A 41 .- OASe-
Pit;+tu: 'xO4.718;409 I-as. (03 54f,1`th+i - PrsnRt4uv txtm,P"wtst
twit kir
instxx^tionrL.itx. 403 b.1i)4175 cl S t.,-`" i( qp !circ ttcadr;lta - hra to P>"..;.'
h+wrtaci- xs•ttw.tt rd-at..7n - k , attdaraatisas
#'±� � 0 9P't. t� K,xfird AlB.aY,
DUILDtl1i DIVISION �� .. _ .,__,.t
` shy d y a: t, f.-...:,r,,"i rah ico,1m.: ',100311.s.'.`t� 1 , 'h �,.
"7I lMlicwl peuntt tots'we head cvt tip tia3a.=at"t"Ar ecu!
1+ Nccs-cx+ttstruettun k_ 0 Additiorsitheratem.reptmzetmttt t pertiimard.!miscue the%Live tnxtrwirkt t(the etorr4t,tosiet*ui atr
Q Lknttolaton 0 Other, ,°.t rtwteriais,s tmtwta labor..a c.lressrl,atai pr t
Yalta S
,y
46 1.aril 2-riond,.cltvelrelr 0(,'ttmtrtsrtt•iat'trifustnat a Acerx,ctry building For, at t+.fensofXrw rrs e•Mrekti .
®Slut't,tatittly 0 VtasterIrteddex 0Other PANcoption i, ti:
r kk��
" d a" his,.,"' . . .' ,_ ",at ...:,.;' ''ih4� ''r''4. ».,p .tiit11415O4";
�,,,,;,, ., ;Sttttimdstvotr":l___.,„_,, Y 44'' ;
.,.....,, .. -., _,.fir} �+ y ��ryry
-hit suc adtbes+ .0()O 5 W 5 Ch M i,• i'-0 0}� iumacr Iidt,ttCttt f3't1l a n'.rx t -� 4t 75 ----4
i st.I'S14 /IIP`. T' VVV97223 1 umtact:t1IOMI$$+'ITU t a'r�aet,r 5 ,91 .yy
T*apd OR
"'-- j p -.._ Sheat pomp et.tM,
Suite+#+tctl;.'eet r,st4),• t'ttajxvt II/Inc 1 t er,, ,r
• �� L 1'�?tj'�1 LNC� owl atrtfe 3 32 ._
C re attettOitcctierto to job ata ;r tlysigm No water warta «}.3'
Resat-foie;both*trosttatx+r ti4 t
kydronict 21..32
PillUtrithe154vrftl+si r51V,m'*leant),.. Ok&arc• .:_ _
—.. - ----- .. '�".'�,
EriltIIIIIIIIIIIIIII
tiu1.4a rst,.+n:: .`.. tA4i . tJfc, Other.
l'u ttuprfMtvc1 na'; Wate htsitx'r. :)32
''a ax. "4 r.r t£I'll' ° r... r*"3 3 41^: Gies.h lvet tlaa.'r3. _ 33
y
't�,� SFR
�y
" floc Wet fietttuer heartr� {k
NSW Shit [ r .�._. t 1.3..3~
Ac) ps.
j� jt x a t ..., wur�,'nc�lkt.3oir ...w.,,„ 3r s+t
t G1i'.ad Preptta`V 41154:t1t 3:
Ctuo iewleteuthae.xxtiu *33_ i
Re►ireesterMst esIteh t reed tItnsa• e ..__
NJtni'- DR Horton Inc, Range ftxa'w►ttiritc eeti
A4ltirrrs.4;80 SSW.Micadkm Ave Suite I00 t iorbe dt5�roet�xua 31.x'4
t in"-*211:1/P-C�c>rt nd.OR�9 234 - S,ristr• t rxhiptta!mite! #
,__ ! ) rt ifir , ___1_23.32
!'hon (503 .I 222-4151 tax ,.»:.._r utsfecetaro +t3+
��4 nr >xt4$ - w a• w •(
!
her _._ -1:11'7**---
'
a33.'P.
lett p .iesi: _ T.-.._.. _..
titmit,ro'," row DR -kirton.Inc, sitisair nntt t4,4forrock
mdttiiiistal
Cufttst Wow". mcrald Weeks rttt».rtr ,
,ual,tm.4380 SW Macadam Ave Suite 1O0
-. waii^culkwukif'urathow( .,
{tip"itatrI1ti, Portland,(lit 47234 water tteatrr
* 1503 g?-4151 x110 Fas;'t 1 rE t r
It'-mrti ebweeks@drhortori.t:om _
„•„ tZartKCut
r ... ,�
",,.. - i:40:;114';,:77 t '. •„ism,M-'0,,4"e.x ti�a ira.,.�a""` (`.tt?ttuN r5Ki, s)
,)ry.�.'��; �t� J J °ere • �
i3u-mn""'I"'
:461 �"I` Ai ite-` " Other.... ,-,1_,w,...-,,
�
z, ;w =.tea b _
7.
1`ki`"sr ie +l1a ` °>ijf _ 5ahowtti
tityr5rac-ziP A. �+ Osie} `} ,t f M itaawupermkCret5 ttiii t
"" el/At/4
yy 's' Y� It � PIA It'ttewt Sls.orremotterl
Piktito:trt „y
X,�r1 "� �'� TUC: ,i i�j i`.'° r-. Stole%tuc.ts8tt i 544'1 iRCt%YeAit fee) �
CC'S itt.. .ice illy/ of TOTAL,PERMIT FEE
tskposh a **rierrtntlspriatt.Muw.St.ineviwi,Ata4**
''. iby.*MI It tt*bfttt*wool `
at Q 44044,
Atut>arrtpi Y *
J ' f".Y nxt(swHt"'YD.re hr"fee t`.w.P NuctdT Imtaatr} dhrsar paas+J
Prsnt rt,'_ + y �T tlste 5
, ' 4
.etS..tri„a, €K3 x,1,1,4!53+
CITY OF TIGARD MASTER PERMIT
" .'` COMMUNITY DEVELOPMENT Permit#: MST2016-00556
T'G .Eq 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017
,
Parcel: 2S 111 DA21700
Site address: 8800 SW SCHMIDT LOOP Jurisdiction: Tigard
Subdivision: HERITAGE CROSSING
Project: Heritage Crossing, Lot 36 Lot: 36
Project Description: New SF
BUILDING
Floor Areas Required Setbacks
Stories: 2 Bedrooms: 4 Required
First: 936 sf Basement: 0 sf
Height 24 Bathrooms: 3 Left 5 Parking Spaces:Smoke 0
Second: 1361 sf Garage: 385 sf
Dwelling Units: 1 Front: 15
Third: 0 sfYes
Right: 5 Detectors:
Total: 2297 sf Value: $278,461.76
Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1
Laundry Trays: 0 Rain Drain: 1
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Urinals: 10
Tubs/Showers: 3 Sewer Lines: 100 SF Rain
Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer: 100
FootingDrain: 0 Water Lines: 100 Drains:
Ice Maker: 1 Hose Bib: 1 Bckflw Prevntr: 0 Catch Basins: 0
Backwater Value: 1
Drywall-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
1000 sf or less: 1 Branch Circuits
0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 4 201-400 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
Other: N Other Description: All
Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use:
NEW
SF VB Type of Constr: Occupancy Group: Square Feet:
R-3 2297
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: $29,068.59
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �y/�
//``��II eerke Permittee Signature: Sj�> a�lr4r`�i
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. C '
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.
(.3701-14 ,qL
BuildingPermit Application { L S js" i
Residential TU I OTt 01 11C I 1 ,f 0,1 V
City of Tigard R«�+•e► Ic, j / _ �
' 12.1l l /� vomit N� SUJ[O U`� "
's City Hall Blvd..Tigatd,OR 97223 (� r O,:iBvl /..2).__
, j
Phone; 503.718 2439 Fax. 503.54(;.1960 ` U 1 5 ?016 Plan Re.ieu
Inspection Line. 503.639 4175 Date Rs.
Other Perm', _I /I�6
I . F.I, � AJ(1 �y� tYdteltrad)t#�• . loris g.
J q j �,// ri ; �i� RI See Pat 1 fur
Internet: www'.ligaidtrr.€ov /
Nnt"fiedMedrod ` Y/G Supplemeniallnrormatinn
BUILDING DIVISION' �/ar,r-t Cotov - <<u/V
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DN ELLING
J New construction 0 Demolition Permit fees*are based on the%aloe of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials. labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated o this application. _
e I_and 2-family dwelling 0 Commercialrindustrial Valuation: g �1-78 l,./ / I j
o Accessory building ❑Multi-family Number of b rooms: 1 I n 1 11
❑Master builder 0 Other: Number of bathrooms.'W 3
JOB SITE INFORMATION AND LOCATION Total number of floors:a a (,48
Job site address: moo cs(/ �f/ e,A., , 10p I New dwelling arca: 9,G7 square feet
City/State/ZIP:Tigard,OR 97223 Garagecarport area: 45square feet
Suite'bldg_/apt.no.: Project name kale, c -ob Coserect porch area: � (3 square feet 13 C i
Cross street/directions to job site: Deck area: square feet3
96
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: j Lot no.: 43(0 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:
Existing building area: square feet
New building area: square feet
!9 PROPERTY OWNER 0 TENANT Number of stories:
Name: DR Horton Inc. Type of construction:
Address: 4380 SW Macadam Ave Suite 100 Occupancy groups:
City/State/ZIP: Portland OR 97239 Existing:
Phone:( 503) 222-4151 Fax:( )
New:
0 APPLICANT a CONTACT PERSON
BUILDING PERMIT FEES*
Business name: DR Horton Inc. (Please,e�crwl.rschedule)
Structural plan review fee(or deposit):
Contact name:Emerald Weeks
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 Fax, :( ) Amount received:
E-mail: esweeks@drhorton.com PHOTOV'OL fAIC SOLAR PANEL Sl STEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of J
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 C 180 00
and administrative fees):
Phone:(503 )222-4151 Fax.( )
State surcharge t 12%of permit fee): 521.60
CCB lic.: 130859
Total fee due upon application: 5201.60
Authorized signature: ;° / ' This permit application expires if a permit is not obtained
, ' ,, ` „,--` s ithin 180 days after it has been accepted as complete.
Print name: -,......L . j I Date:2016 "Fee methodology set by Tri Cow-County Building Industry
12i -`� ` t r„ ` , Service Board.
I:'Buiiding,Pcnnits BLIP-RESPennitApp.doc 02 242(111 440-46131(11 02 C'OM'WEB t
�1,
Mechanical. Permit AKxplicakimAEUEJKVE /ox.//u / , ~/ .mN
^ ~ / ~^ ^
El
.`c^»�xoo�o ^�u .m "'��^ NOV . 6 /UiA
'�°" °^-/` .2.41, .°^ ~` ^* ^~°
�v-^°~/°. °»^^n'~
���'. "^"^p"«'`r^ v n�°�p�.
/'^ '
�- - , -ft... P....... ~
CITY0����cRm�' ~^`''" -__ `u--,
|-
c-
'~�---- '-
' ,--
`~.~... 3 -''~"''-
—_ `-�r "°**/+~^~'~^ .
- 1
---- _
FL.- �_' _ _ wvWORK ' — —'-
ffp.
�-�^ SCHEDULE USE CHECK '
_ �
-- - -- - . vmxu" u*""ow.`,"m~o.°.�`^/,,.°+u'Aolf
...,~ *~vv°/"* LJ \tm^"w°,c"''"`tvri^,m�" 1"�^�0! ifo"^~m,`m*."°"^` ^.m,~".".„h;^'
l ^ � ,, uu ��
,/ ]Upo^hp"x �, ,
_ , _______ --_—� | `'xir � --- {
CATEGORY -
____ __. . '_ mQm�wmrmr/mmxnmm��oEmS� |
'~
—
- --�^'_r-, , /���~����~, Il/Ati%euolips:
JOE SITE INFORMATION AND LOCATION
No,,..,,,,,,1 T.�
•
^ __ r'
^
0,......." :01. ~!. ` °
- /"."^ ^ "./ '4.`
'I' '1'11' In': gnit ki, (N�q7, '����' �__��-�__�_.. -.--__ ,
^ ~ ,.k _ - -
� . �
�
( ~~^'=/xva."+,w'+.* u � ' � ~ � � _
--~----'------'--- - v^^�v"/^.*.^u.^.°."
�# ��
� .
� ====� += = =__� ___._�
! ^* -L �_ .
___��'!_-_ ��� |
•
- -____
m` i���,!�u� - , :^' . •
- -�� ------- ---- ����I+���� | `, `. ^
'r=-" ^^-- ~^ - _____ _ __� *, ,o"������., -�
Ne1+;SYR ,
___ _ _ ____________________ i '.��z _ � �! `� �
( /:u/��s��� ` '
/ .
4 -- - '-------�---'---- -- --- - - ------ -` . �',u|��'�A� - , �` � �
__----_------------------~—�---------- - - - ,. w'^�^s'��'�`
, x���m"m°^°, / '. ^" /
' t • ! - I
!�� 1 , s `� ^ �
�w� --- ���� -outwa mod
` ^—43"", —���-- -------- - 1 -
° ""^^=ww" =^� ,�`= ." ` �x�'`��. ^ '^
'"���
�,a'.~T , „Tv- ^^� """"^ i
VI:, a'I,'ti,,,,.1,r' i . .
`~�.
( �=/o�� �
/ �^ '� l
.
' � �!*l�~m^�. "" �°°°�rw="�*
-
_ __ _ _ � � /yzu�"� - '
`"'".�r"pc
{ uu�` 4]80�V� &{acu�unu �,x�uia/ |00 ' - |. , .
> - - - -- ---- - --� --- , v.v���±u"'III!�^l | r ^
` «"^u^//, Portland,OR 97234 »..=."*,
' ^_ - � ^ ` , .
, | t �=y^ '
i ^~"^ '�/� ' ���'�\�lxiio� 1 '` ' ` ' � ' ' ' '
_ �^��
~'-------------- --
""' c~v/eck^@`dJ `rKon,c' n--- � '__ {!�nvmwm� m . ` �^�`�cr��^ i
^"."'-wn - -�� �
-- - - --C �PERMIT'--'
F ~ ����-�_-
- -
--- - '
_ ^ . _- -_ - _________�_____-- .
m^
[iii � ' ------ »*~~» ^» ��- ' - .
P:.. `~
T-^~ -^---^-�-----� --- '- ^ '="°�- ' ���"` /m
| | ° ;{ ; '� ^ - ,
�
. . mLo�nn�,I /m
� ' . ~ - - _ - _ _ ____
___ ___~-^~--~-^^- - - �� - - - /^~pr.noir~"w.^~°"«~°^"p'"*^~^.~~�o~..*,."~
` *°.*^'""°w.,~'"*^°^°~p+^
`.*^.'..x~+°»o“;Vt I4 �
�� 4 ---_ � /^^
_ -~f~*-
^ ` .
-
^
REcE1VEn
Electrical Permit Application •
iokOi11i1 t •i O\tl
City of Tigard 1\10V 5 2016 eked
11111,
�! 13125 SW Hail Bivd.,Tigard,OR 97223 DntdBy Permit N°%uiSTa.O'G 00-C S
��11 �r Phone: 503.718.2439 Fax: 503.598. OF
�° ,y j�)� Dae 0p'
hispection Line: 303.639.4175 :d >�ta/By' Other Pedmir.
�2 p g 3 �, Date Ready/By: hats
Inumet: wwwtgard-otgov S f1[�i l gTG I)Jy)fig(,` Method ] O See Page Z far
• I �+pplemeatat In[oriwtion
TYPE OF WORT PIAN REVIEW '
®New construction ❑Addition/alteration/replacement Please the;k sp that apply(submit g sets ofplans whtems checked below):
❑Demolitiem ❑Other: D Servloe or feeder 400 amps or mora Q Bwlding over three smites
whore�e available fa°h current ❑Marinas
TEGORY'OF CONgr yc IONcadets 10000 amps at 150 volts o D Floating bnnt7d�s�
❑ 1-and 2-family dwelli:soli.
❑Commerciai/indvstrial' ❑Accessory building less tO�01 �°f 14,000 ❑ agricedtlsal
❑Multi-family ❑Master builder > Por all oche inagpaoioos. btdleiinga.
[�Other: ❑Fire PnmP. ❑laagdls8os of 75 KVA er
JOB E INFORMATION AN4 LOCATION Q l3mageneY system. larger sepratdy derived system.
❑AddtionofnewmotorloadoP Q A 'T?","1-2�"1-3",
Job no.: I she address: 00H1'armore.
•
City/State/ZIP• �i ❑Health-Cate f CIhties- units. O Recreational vefir or th
( K� 3 ❑600vo voltage for mon tAan
Suite/bldg./apt.no.:v �Pro'ect name: ' Dg locations too voNs nom;oal.
J L\�t...
` D Service or feeder 600 amps or mom.
Doss street/directions to job site: OW w FEE SCHEDULE
a«risn.' I �. 1 >� . ► rw i .
New residential single=or multi-family dwelling unit
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.R.or less 168.54 4
Tax map/parcel no.: Ea add'l SOo sq.tt.or portion 3 33.92 1
DESCRIPTION OF WORK Cantu ' .ft.)sttisl 75.00
,p � p (with above aq.ft) 2
'"s^' C G/v Li d ems',ith above iq 75.00
Com/ residdttia[(with abov°sq.!i.) � 2
Services or feeders installation,alteration,and/or relocation
200 amps or less
❑ PROPERTY OWNER _ ❑ TENANT 201 100.70 2
amps to 400 amps 133.56 2
IVart2e: 401 amps to 600 amps 200.34 2
Address: 601 stops to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/Stat Tftp servies or feeders instillation,alteration,and/or
otion•
Phone:( ) 1 Fix:(: ) 200 amps or less 59.36
1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 aortia 168.54
2
Owner signature: Date: Branch circuits—new,alteration,or extension, r panel
v A.Fee for branch circuits with
0 APPLICANT + I 0 CONTACT PERSON aservice
orea feeder fee,
742
2Business name: DR Horton Inc
B.Fee for branch circuits without
Contact name: Emerald Weeks fee,fiatbranch circuit 56.18 2
Address: 4380 SW macadam Ave Each add'I branch circuit 7.42 1 2
city/State✓ZIP: Portland OR 97239 Miscellaneous(service or feeder not included)
ufacturod or m
(503) 222-4151 , Fax:: dweliung,serviceared/orfeeodularer 67.84 i 2
cl
Phone: ( ) Reconmxdonly
67.84 2
E-mail: •
Pump or irrigation circle 67.84 2
CO A Sign or outline lighting 67.84 2
Business name: �e J� �r Signal circuit(s)or limited-energy
SIA(/I l +.l - C�4> C> ;G f2'� panel,alteration,or extension. Page 2 1 2
Address: �(p LI/ ,1�� /��, t,, t f Each additional inspection over allowable in any of the*hove
/ �(/ +O ,� /-_'� Additional inspection(1 hr min) 6625/hr
City/State/ZIP: Ver..n c o%a'(i�t V ti'. �79, ,9,6'b /
Investigation p hrtain) 66 25/ltr
Phone:(3 5`�f` '�S6 J Fax: /r` Industrial plant(1 hr mut) 78.18/hr
bD) s9660 Inspections for which no ice is
CCB Lic.: Z JT"�9} Electrical Lic.:.CZ 30 Suprv.Lic.: specificallylisted(i4brmin)
90.00/hr
�`j_�, j� �?4� S ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:/M���"'\ •J Subtotal:
Print name:C�is S#ts`� G f��- l Date: Plan review(25%of permit fee):
//d% '/t Starts stucharge(12%of permit fee):
Authorized signature: ://J_. TOTAL PERMIT FEE
Print name: This permit application expires ifs permit is sot obtained within 180
I Date: * days after it has been accepted as complete.
fJ Number of inspections allowed per permit
rksul lasTerroliou r.C-PeosifApp
440-4615T(11/05/COM/WEB
VED
Electrical Permit Application—City of Tigard
•Page 2—Supplemental Information
NOV ASTA06-w
Limited Energy Permit Fees: CITY OF TIGMO Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: DISIO'N FEE SCHEDULE
Fee for all residential systems combined: $75.00 nee^prion ITITT Eteb noun,
Renewable electrical energy systems:
Check Type of Work Involved: 5 k a or k„ 1,,; ,, ,
5.01 to 15 kva
S
n Audio and Stereo Systems* 15.01 to 25 ktia a 200.3a
riWind generation systems in excess of 25 kva:
Burglar Alarm '_S.01 t„50 kva 30 1.04 I I ,
n Garage Door Opener* 5u.(11 In IOU kva 552.26
>100 k%a(fa in accordance
with(,AR v11i-?!)9-004u) 552.2t
(X Heating, Ventilation and Air Conditioning te -
System* Solar generation systems in excess of 25 kva:
I ach additional kva„ver=5 12 3
Vacuum Systems* ,lu0k%a-noadditional eharge (if 3
Each additional inspection over allowable in any of the above:
I Other: Each additional inspection is
charged at an howly(1 hr min) 6625 hr I i
Inspections I'or which no Ice is
specificall) listed(':hr milt) ?0,%r hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEE.--S —
Fee for each commercial system: $75,00 Subtotal f Enter on Page 1). I
(SEF..OAR 918-309-0000) " Number of-inspections allowed per permit,Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
• Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
C Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I.Buiiding Perni>I LC PamiiApp CLR ERf th,c Rc%u' 1":n15
Plumbing Permit Applicata
Building Fixtures
I OR Oil Jct. I Si O\1.1
City of Tigard N 0 V I r ?r�i F Received Permit Na
11 a 13125 SW Hall Blvd.,Tigard,OR 9 3 DaWBy: S l6"' '
I Phone: 503.718.2439 Fax 503.101M' F r way:
Other Permit No.:
r l c,�It a Inspection Line: 503.639.4175 y
Internet www.tigard-or.gov BUILDING DIVISIC pf, ifiedMlahcd: ti°h S Pateirer
TYPE OF WORK. i f 5 �Dp{erna)latertoatbr
I .: .FEE` SCfIEDIILI�}`. .',. ,
❑New construction 0 Demolition For:pedal fnfonnadon usecharkllau
Description ( Ea Total
❑Addition/alteration/replacemenl 0 Other. New I-2-Lmi1y dwellings(includes 100 R for each utility'connection)
CATEGORY Or CONsmucnoN J SFR(I)bath 312.70
❑1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath , 500.32
❑Master builder - Each additional bath/kitchen 25.02
(]Other: Fire sprinkler( sq.ft.) Paget
JOB'$td,l9FORMi.!. ON:AND LOCATION
�.��.,.� � � She utilities:
lob site address: 1-g-rx) Sw _c 4, f/op Catch basin or area drain 18.76
City/StateJZlP: i , 4f/
Drywcll,leach{ane,or wench drain 18.76
6 ( Footing drain(no.linear ft.: ) Page 2
Suite/bldgJapt.no.: Project name: ii ' 19, C '�� Jj 110 Manufactured home utilities 50.03
Cross streed/direetions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_ .) Page 2
Storm sewer(no.linear ft.:_J Page 2
(7
Water service(no.linear ft.:___,) Page 2
Subdivision: Lot no.:
(3(9 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
. .•. DOciu riON•Or:WORK - Backwater valve 12.51
. Clothes washer 25.02
I-
t� n Dishwasher 25.02
��� `_-- Drinking fountain 25.02
Ejectors/sump 25.02
0 PROEM. OWNER . . D TENANT • Expansion tank 12.51
Name: V y 6 \S/t..L. - Fixture/sewer cap 25.02
Y
Floor drain/floor sink/hub 25.02Address: ` D c() ��OP aLJ " Cv✓ Garbage disposal
25.02
City/State/ZIP: dj(Z_ De__ 0i L'2� I C�( Hose bib 25.02
Phone:Y )3 _ N 1, Fax:( `-) Ice maker 12.51 '
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: >e_ ,"\-z1At vl,0 1 Medical gas(value:S ) Page 2
Contact name: V,Aiv\k ,t 1 � ��� Primer 12.51
Roofdrain(commercial) 22.51
Address:
Sink/basin/lavatory 25.02
City/State/1P: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: e `J b'S/e/I(5(0, cAV V1 C f1-w) -CCA/1/1 Urinal 25.02
CONTRACTOR • ✓ •
t Water closet 25.02
Water heater 37.52
Business name:EDWARD MULLEN PLUMBING
Water piping/DWV 56.29
Address:1601 SE RIVER ROAD Other: v 25.02
City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal
Phone:(S03)640-0113 Fax:(503)640-4483 Minimum permit fee: 572.50
CCB Lie.:94689 Plumbing Lie.no.:34-260PB
Plan review (25%ofpermit fee)
0,41111, State surcharge(12%of permit fee)
Authorized signature: Ai ', _ _.-r TOTAL PERMIT FEE
Print name:RAY Mt1LLEN f Date: This permit application expires ifs permit b set obtained within 180 days
after it has beta accepted as complete.
'Fee methodology set by Tri-County Building industry Service Board.
I;aid e.UVLMU•MwltApp.dec IWOI/09 4e0d616T110V02/COMM'Ea)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
11111 ill \
T l c n k>, Building Permit Review — Residential
Building Permit #: _ --
Site Address: ,goo 047( c rnl i7L 4....60/D
Project Name: -er -€ (? &zs in Lot #: S(
(New dwellinysubdivision name;Additio eration=last name of owner)
Planning Review
Proposal: A 2FIe
Verify site address/suite# exists and actio in permit system.
P1iver Terrace Neighborhood: alNo ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
V(ree(3)copies of site plan 0 :A ting structures on site
e plan must be on 8-1/2"x 11"or 11 x 17"paper P Footprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale) 96or elevations
rth arrow 11dUtility locations(required for new,may apply for additions)
e address,project or subdivision name and lot number $ .i anon of wells/septic systems
:.licant information(name and phone number) 31 { r ting trees to be retained with drip line,and tree
FP .t dimensions and building setback dimensions otection measures
7 .t area,building coverage area,percentage of coverage and l reet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
Oli lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Pequired: 1:1 Yes,applicant was notified No Received: CI Yes ID No
ublic Facili . s Improvement(PFI) Permit:
equired: 1Z Yes,applicant was notified ❑ No Applied For: yes ❑ No,stop intake
Land Use Case#: TVv --
Zoning:
,Required Setbacks: Front /5— Rear /`c' Side ,S--- Street Side /o Garage Q0
�andscape Requirement:
of Coverage Maximum: 3) %
uilding Height: Maximum Height SS— Actual Height c !S
II; )/Visual Clearance
Ut Easements
0.ensitive Lands: ❑ Yes (o Type
RI Urban Forestry Plan
❑ Conditions "Met">prior to issuance of building permit
Notes: C- jt. t 1C)v � ,1/ ma prI c ii ii L >sS/a r['
Approved By Planning: �=T—' ' , ' Date: // /te
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\BldgPemutRvw RES 091216.docx
Building Permit Submittal
Original Submittal Date: i t lisiG
Site Plans: # 3
Building Plans: # 3
Building Permit#: Enter building permit# above.
Workflow Routing: Planning (ES—Engineering 'Permit Coordinator ('Building
Workflow Sign-off: RI- Sign-off for Planning(include notes from planning review)
Route Application Documents: /Irr Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Zr Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: „r;t4e4-6gZec Date: /�j 1//4,
Engineering Review
Slope at building pad: �1
Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: ' Date:
Notes:
Approved by Engineering: 8442,17 Date: 3
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
Xi' 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: a Yes ❑ N/A
Tigard Trans SDC: n"Yes ❑ N/A
Parks SDC: ®- Yes ❑ N/A
J YOK to Issue Permit Q
Approved by Permit Coordinator: e�we ,`�Y' �' '� Date: l a - a-" L
:\Building\Forms\B1dgPernutRvw_RES 091216.docx
r.„..,.....,.....„,....._...._,,....__,,...„
Pluinbine Permit ApolienticEcFivE• 1-,‘.. fi
,_
Building Fixtures
i ok 01 1 it I 1 st.1 om st
City Of Tigs4rd
Pt No..,:.„„tt,s 7-)..0 aci7.....126) 4_
4 UG 8 2°1? ,..Retad YN/r2
1 ,if l3123 SW Rani BlVd.,Tigard.OR.'gp.'14 ' i.-.., —' ' iMk
r p..4At.-- 4,, Plan Review
' le. PhOne: 503.718.22139 Fiat switi.ii. ,,.,, I „,t Datetfiv: Oho Pmait No.:
...._
Inspection Line: 501639.4175 '"" .111`.1. NU Eilviq,-)tv 13 It •
,,, it , ate eadyditY- Nfis III See Pitge•2 for
Internet: www.tigard-or.gov
4 Notined/Metttoa. , "(trupleaternat Intarmatien
71168 OF WORK FEE. scHEaux
._
9 New construction Cl Demolition For spit*,Wormolion rise checklist
naciiPtion I Qty. I Ea I Total
0 Additionfalteratinnimplabetneat Dottier;
New 2-tamily dnalliags(includes 100 ft;for each:utility connection)
.-. CA01(201011 OF coNsrturnoN ------ SFR 0 I bath 3I2.70
0 I-and 24amily dwellingSFR(2)bath
0 Commercial/industrial 437.78
SFR(3)bath 500,32
0 ACcessory building 0 Multi-family .
Each additional bath/kitchen 25.02
0 Master builder
0 Other:
Fire sprinkler( sq.A.) Page 2
JOB an INFORMATION AND !LOCATION Site utilities;
job sitc address' ,..„_,.... .....3h yvt'i el„‘.... Catch basin or arca drain 11.76
City/State/ZIP:
_s_
, e_Thz.3? Drywell,leach line,or trench drain 18.76
t _
• Footing drain(no.linear'ft.: ) Page 2
SUIteilgtigiapt.no.: Prniecl tuuTter: .I,'V'\ [IA: _ At/.. ' 1 , red hornetailities 50.03
Cross kmtaidirections to job site:
to'h°14 18.76
• a drain connector 1,8.76
Sanitary sewer(nolinear ft:. ) Page 2
Storm sewer(no,linear ft.: ) Page 2
Water service(no.linear It.;___) Page 2
, .-2
Subdivision:
1 A t.10.!e..'`)V Flittione or items
Tax map/parcel no.: Backflow preventer 31.27
1314Water valve 12.51
i pEscairrioN OF WOR1K •
VIV‘CICA/ //0ACAe ) DOollus washer
ishwash , 25.02
er 25.02
Drinking Renoir, 25.02
•
Netters/sump 25,02
, TJP PaOlutii"„..9rAR ' - 1" . '0 MANI' ExPatisi°"snk 12.51 ,
Name: uk v\--0.v.icivl
Fixture/sewer cup
25.02
Floordmin/ftoOr sink/hub
25,02
Address: k..\-bp_ ' ., 1.,../.1:acti.otc,.. .Lx-yt
Garb..disposal 25.02
City/State/Mt X CI 1. Hose bib 25.02
Pisonettijj>) a .._ LI I 9 I fax:( ) Ice maker 12.51
". Interceptor/grease trap 25,02
Btisine ft!lame , Medical gas(value:$ ,) Page.2
Primer 12.51
Contact name: k-.....,.Arta,74 toi ‘koiy/24.4 )
Rim(drain(conunercial)
211'0251 '
Address:
Sink/basin/lavatory
City/State/ZIP:
SOW units(potable water). 6Z54
Phone:( ) Fax::( ) Tub/shower/shower pan 12,51
Urinal 25.02
E-mail:
Water closet 25.02
tioNrEAmE. ,
_
. Water heater 31.52
__ _______
Busineis name;Wolcott Fluinbing
Water piping/DWV S6.29
Aftdress.:1075,M.Historic Columbia River ilwy
Other 25 02
City/State/ZIP:Troutdale Or.9060
Subtotal
Phone:(503)667-1701 Fax:(503)667-9091 Minimum permit fee:$72,50
Plan rmicw(25%of pennit fee)
CCB Lie.:112220 Plumbing Lie.no.:26-824P8
State surcharge(12%of permit fee)
Authorized signaturt 11.- '
TOTAL PERMIT FEC
This permit appika nen entices Ira permit is wit*hued tslibin 180 days Print name:Mark Belem Date:2/17/17
• — 1 atter it has beep accepted ak cesiplote.
*lee methodology so to Tri-County Building balustry Servicv Board.
I usuitditiloen4ket.iwv.ParnitApp
doe maim
soo.taitatte.nzoswEto
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8800 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 8, 2017 at 8:23:55
AM
Record Type: Record ID:
Residential - Master Permit MST2016-00556
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8800 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 8, 2017 at 1 :14:13
PM
Record Type: Record ID:
Residential - Master Permit MST2016-00556
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8800 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 11 , 2017 at
9:51 :50 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00556
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