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Permit (48) //. i i 7}X'a. a CITY OF TIGARD �G ��� MASTER PERMIT It COMMUNITY DEVELOPMENT1711 Permit#: MST2016 00574 T F GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 25111 DA22100 Jurisdiction: Tigard Site address: 8740 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 40 Project: Heritage Crossing, Lot 40 Project Description: New SF. 6/26/17. REPRINT:to add A/C unity. Placement of AC unity must comply with manufactures installation requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1311 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1639 sf Garage: 401 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2950 sf Value: $351,397.09 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 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 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 of or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 2950 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: $30,683.18 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 2-001-0090. Yo� ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1/ /1�-- 1N�6 Permittee Signature: r c C/ ///,n/��Y�G I� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. GY 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. ' 711?P^Fligir'. . ,, • - . ',.'.' MP/&MI5 CEIVED r - Mechanical Permit ADDigOo i,,:z..,i City of Tigard .1L11\1 2 6 2017 / ,49Z! (7 /4 1I ''' ST101(0-00514 . I 3 t25 SW Roll tilvd....)iganJ,OR v,:.. Platt R eNic+1 "nner Perm' it Mow: 30.3..71S.24.39 Fax: .50.).Po8.1400,„..... , ,,L,....., Downy. i k9\1 0. 4. toTection Line.503109.4175 CI i Y oh- ;I(.„....4,-„,•,. • t,, ,„,, , BUILDING Di N Noinamok,a i-i- et st.r•wirm, swpg.....mt(ammo. — ....___.............___27.L.... V •::....,-.- :., ,-,. ,,-..":,,.1.- - ,..._a,,,, Mechanical permit fah*arc hued on the value of the work s... 0 New construction 0 Adtlitiontalletationirenfitannent t Swanned.Indicate the value(rounded to the neatest dollar)elan 0 Demolition 0 Other: mechanical materials.equipment,tabor.overhead,end profit Vahrt:S 01) 2.11miiv'4.,‘,,t10:Ltt m'S n,tol. •Iand erl'etv,.tia*tinks*Vmvindua,•-•ria,...,t rr 0,...AnLif•id`:inVLL'''' • 0 Multi-family 0 Master builder 0 Other: I Q .,I, .:.,:r,...1: '',;'. 1,''-''''..--. ,,AS4,:.*: 4011tRbiEt..., f'..7,,..?,;.:,...'`•••.-•.--...'.‘„‘..-.,... Ittlilliten°4111e* 1 , ',... ;,, ' :IT Air conihnuniust. '• 46.7S • e•,,,:.I t.- 1.- I..lob site Waren! ii,7 ii 0 -,,,,,, ,pc,,,yv-titir L,00 p _............_ Furnace tcy.000 BTU 010itnti...21P. Tial - s. .d,OR I FilflOct IMANX{4 HIV laussNeant 54.91 , Han pomi p . A Sottcthtitpf.no•_ Project noon,: H e,r.ITO I _t 4 t Du,t, t 2122 t has idrectititroolioni to jOb ittr. .flyilronk hot water swan - 2132 ...--- ---- itaidrotte I baler iradtator ot -- Medronict. 23.32 „ Unit kolas(fuel-typo,not einctri0. IIMM in•wall.in-dao,SU"letkiCtt CSC- nuovent for an,of above 23.32 -- Other: 2332 hubdr...ision: I Lot no: z4c) .. .MOM lay:lilap'parVe no Watt heater 11111111Eall ..:::: ':, ,,..'..,. ,j.'..,"':4;2! . ,'•..'.'..•:i ..i i'‘.,.,4..„'i,Ir.-:',,A.,;,,,,i,:;;,,,.';`,,:k„:•. ......,t.k4:4:7;`.1., GAS rilt1115CCiin$01 , 13.39 Flue cant for %%whole,or gas New SFRfirenace ...1332 ---. A ddinOi At „...1 . ,,...., ! , 23.17 Woodincilet move 31.39 ----- Wood fiteplactlinsen '23.32 __ Chinuierinet diuchern - 2332 '1.,..'.. '.':''''4440i#7 t*.*:14*.***;','..'1:21;11 . 7;'-A'',;AV141t.4•4*:,R;7gs ;'2,' tr):I:17.tropmatia,tott—mil.7,d,entitadon: . -7*---- Name: DR Horton Inc. Range hoodatter kitchen . ----------— .--*---------- 6Pirmotl 13.39 Ad,freh4 4 180 SW Macadam Ave Suite 100 Clothes&Yet L'il'aml 33,39 - - ----- ---- "Y(StainfZIP'Portland,OR 97239 sisok-dtwi counio andttromm. Phntle'(503 / 222-4151 Far.( ) •Attictrawhitacc fans ..,!..:,'*: .f.'T';,.-'.....tl 40-4.**.C.,'' 'i-L.:'',7ii&:K.34.1",•1:7"..-..‘". ...„.:***V,,A51.1 flth"'' ----.. .. 7•5'N2 •-- Vat,SOW ilte,inco name, DR.Horton.Inc_ ----------- ,. ST4.15 fir And tam SIA1 far var It adenoma) - —.. Contact name'.Emerald Weeks Furnace,etc. _ _ _ Otts heat rump Adatcas74380 SW Macadam Ave Suite 100 _______..........._ __ .. "Y?StIlef2IP:Portland,OR 97239 Wntet heat& ---.... --- — , Mule:,A03 /222-41512;1107 i 1:4%:' , ,Rantw r-mail' esweeksOdrhortort.corn ,•.,.,.-.•,-,,', •„s‘.•',,, ,Z,,,-111•;,•,;;J:f:,-41401444:**4V, . 3t,21 Cl„,__ALtes th3er Bust'Fess name.Apoy Aii2 lt,d, Ocher: Addresif)tii PAM,'6r:r 61to--1.p7:?. .... ,7c)- SubtatAti I Minimum permit fa:00.00) City/State/ZIP: - X.? U,k/A,C) RA' ‘'iffli•:;04/ ..45.60 ?'c10q j Fits.: 1) .5?ti..//iv? Plan Mt CM'1.-5"4 of permit ran Phone SUM SUreflang(12%of ttennit feet MR k.: 2 Cji• Cf-.7) t TOTAL PERMIT FEE L ' Tito"midi andietlits corirto Of a pitasit it ant tbotiatoloott*is IO drys after It kin Ito*toot3ltto9 as***Oleic A othorind a'. .'s I -V / / . It snethadology wit+).1.-i-eounty Itvylcinig trwl•Jory`i.n.ier MOM: 1 Punt n• • . / / Sat II..- 41441,1'1 I*/0111.01.141, V • CITY OF TIGARD MASTER PERMIT '`7 '- COMMUNITY DEVELOPMENT Permit#: MST2016 00574 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 2S 111 DA22100 Site address: 8740 SW SCHMIDT LOOP Jurisdiction: Tigard Subdivision: HERITAGE CROSSING Lot: 40 Project: Heritage Crossing, Lot 40 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1311 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height. 24 Bathrooms: 3 Second: 1639 sf Garage: 401 sf Front 15 Dwelling Units: 1 Smoke Third: 0 sf Right 5 Detectors: Yes Total: 2950 sf Value: $351,397.09 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 5 201-400 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: Type of Constr: NEW Occupancy Group: Square Feet: SF VB R-3 2950 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: $30,630.82 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. httr Issued By: . ,t Permittee Signature: (j' fie°Ar' Call 603.639.4175 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. • Buikling Permit Application'i,) f t j 7 < �S 702f2 AZ, i Residential 1(112 t31t"I( t I sj i1v1 \ City of Tigard ,,,'6 Received / be-l21-!r a % Permit N / �-" y 13125 SW Hall Blvd.,Tigard,OR 97223 Date,p�' �.ZC�((o� ;� �� Phone; 503.718 2439 Fax: 503.598 Plan ttex leu Inspection Line. 50.3.639.4175 � � �" ' s 3 Dalee RBy:ea 3— Z,) p ill Other PermitC/.Se I�67��4 i-y3/7/ t t-rt Date Read)'S)' ore _+^'See Page v'� [ l Internet: www.ti and-or. ov 4-v F S See Paas 2l fur g g , ,.. r 7; 4 + NotifiedMedrod: �/r9(f /�� Supplemental information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING New construction 0 Demolition Permit fees*are based on the value of the work performed. - Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. e I-and 2-family dwellingValuation; 3S f 3 Ot 0 Commercial/industrial' S ❑Accessory building 0 Multi-family Number of bedrooms. ' ❑ Master builder 0 Other: Number of bathrooms: `j JOB SITE INFORMATION AND LOCATION Total number of floors; a_ 33 t Job site address: ey7 AA/ C ',ti New dwelling area:a.' ,s-0 square feet Ciry/State/ZIP:Tigard, OR 972230 Garage/carport arca: 40 ) square feet Suite/bldg./apt.no.: Project namt 1--kttl- Vt? 9 -03Si Catered porch area: s3 square feet lc 3 9 Cross street/directions to job site: t'` fy� J Deck area: square feet,3) ) Other structure area: square feet REQUIRED DATA:C'OMMERC IAL-USE CHECKLIST Subdivision: l Lot no.: tiO 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: $ 1 Existing building area: square feet - New building area: square feet ilirl 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 ❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES" Business name: DR Horton Inc. (Please refer rofee schedule) 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: PHOTON'OLTAiC SOLAR PANELS)STEM FEES' E-mail: esweelCSt�drl]Orton,com CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVottaic 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 C.-ode checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review Phone:(503 )222-4151 Fax:( ) and administrative fees): S 180.00 State surcharge(12%of permit fee): 521.60 CCB lie.: 130859 Total fee due upon application: $201.60 ., , ' ' , This permit application expires if a permit is not obtained Authorized signature: i J ( E t` ( r within ISO days after it has been accepted as complete. Print name; ; 1 £,} i t<i 1 re�( Date:2016 ,,Fee methodology set by Tri-County Building Industry l• Sen-ice Board. C,Building Permits"BUP-R ESPermit App.doe 02.24.2011 440.4613Tti 1 02 COM'WEB, i ,1 1 ' V Building Permit Application Cheep One- and Two-Family Dwelling .,.-F ,, i 1•OR OFFi( I I. SI; ONE\ City of Tigard Recchcd 13125 SW Hall Blvd.,Tigard.OR 97223F Vic- , Date:By: Permit No.: C Phone: 503.718.2439 Fax. 503.598.1960 Associated penults: .__ •g. 24'Hour Inspection Line: 503,039.4175 ".. :'''-' 7'); ":7 ,f '' - 0 Fk'aria1 0 Plumbing 0 Mtcclernical 11c,111•:D _ _➢ AY _ Internet: www.tigard-or.gov ❑ Other: THE FOLLO\VIN(; iTF.NIS ARE REQUIRED FOR PLAN REVIEW 'es No N. a I Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. / 0 0 3 Verification of approved plat/lot. , I D ❑ 4 Fire district approval required. Name of district: Tualatin Valley I ❑ i 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 6 , Sewer permit. a ❑,_ ❑--� 7 Water district approval. i ❑ « ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 9 Erosion control ❑plan ❑permit required. Include drainage-was protection.silt fence design and location of catch- • 0 ❑I basin protection.etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state m ❑ ❑ building codes. Lateral design details and connections must he 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%'.gist. I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property comer elevations(if I ❑ ❑ 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 indicator; lot area;building cm 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 sire [4] ❑ « ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, —II--D ❑ furnace,ventilation fans,_plumbingfixtures,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- [a ❑ ❑ 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. Q ❑ 1 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building cm elope. Ful]-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- III ' ❑ 0 prescriptive path analysis provide specifications and calculations to engineerin standards. 17 Floor/roof framing. Provide plans for all floors'roof assemblies,indicating member sizing,spacing,and bearing !i" ` ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered -11-0 ❑ systems,see item 22."Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design yalut for all beams and multiple joists III ❑ ❑ over 10 feet long and'or any beam joist carrying a non-uniform load. 20 Manufactured floor/roof truss desi.n details. [' 0 ❑ 2I Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping schematic is required e♦ ❑ ❑ 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 IC 0 ❑ architect licensed in Ore.on and shall be shown to be a.•licable to the roject 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 II"x 17". I.. r ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ 25 Buildingplans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. II ❑ ❑ _ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document, I 0 ❑ 27 "Drawn to scale"indicates standard architect or en•ineer scale. 0 0 { 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 1 I 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of a_pproal. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ll ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approvedprior to September 9, 1995. 1_ I I:\Building.Permits BDP-RESPennitApp.doc 02/24 2011 440-46131111.i12 COM/WEB) s ' iir +ie hanical 1'ernlit Application:, r _.. E attt(Jf 1 IE f 1 ,4 tl\l t v cif) of T igarrd ,r „., ,tr, 4 1412',Ste,8.41113144 .8144.7:•1 4 i 972:..4 i r-t I»r Iry _.. r' ww 1411"I4#=az+ las 4448 sOS 4414,, `. In peoetm t the 54440,1441 TS Ppmn-134 , {s, ._..- x _ .a. fttiernet to vaaa tt tr f-or c„4 , tntrHai ittheittet,as 4r , Fh` ELT— _.. -- .int *tat*itrsitet.el r fQ�f$ i f , UKCIf1Ri(kLfoT . z i kitatwesttAl 1,01211!laya”.;41.!f s*t:u eff 4444 %:;h1; 4 4 the fet 10 dee.estostriia Ut'n 0> dn d)tit ah :4t;ti4?{alt et:lltoit rr ) ' � ( f+c-rfiwl»pt# Irn!ac!te t{3e s alibi iux4thkxl 1,1 the 434 14a'*i 4k I1 e; ,,w 0 Dettfoittiftit 0 Ol#ter 4tu-efe'rila41PUrr4411, ei412 1n4'a4t,I.ate n4^ttx 44)"t 4 ,,tit _._ /�^,y��r/•�a� Vatter S ICA 00100*OF cot i°"`'vc ________I t 1 `$ fr.,4 t ll$464'1'# f S"E ' ts. .1 4. 1-mei 2 !amity d ttlbn 0 ortItuo-ciatintitt,ttlA 0 At, 4.4ttr} holafttt. I ietryar,ia►informahoo,t,r+ rsllisr, ` 1 0 muit,•%uIHh 0 Pfua4erhuildet 0(/lhe. t • Ik;,44rtv ta4 4 T i - F f "t'# ANO A ONt i)cee%coolie _ . . _ '414 ta',Oil rontitv , 4 )t 4,4,4 ,tcltlra,. }4t ti4vr 44 4,#a`4t lW 414\ bi`,/11" Irt},a.rrd ()/z 972,3 -a 972,3 lurc Iiat,ol,t, )811 !.1i 44 1, a f t ti 4 a tl let ft Vt east tt In lla t4.1 rst i_ ' I J ik • I was.444'0 41.4\tFF1t,4 ,+4,1,SOC )1..1tc=;rh 11434 st aaa +„!,•,, - 1 r*Mf.!t}.tt)"+•1 ttY 44 0,,I f.t$:M,4 j 4 • 1.vt7t.rust . f l nu h..ta.,44t,ie!1\,11 r,Fttta.tt:a; I ._.. �,_ __ .__ __,..z ..,_._..... t yt 1 +r f)s+ ea*1t itu 'k'' 1 els+\c ''444444.1 ,x it nt i I.44 11 i 4 t f4lnc r _.,_._.._...._.__ _,_.......... _,_....._.._....„_._t�. i_... _ t _— —f4Other Nei appltaurr%: les 4»,,la pan, no A e40 Rett!,, ,� 1 (ups lirt{tf. .a .nsctt _«..___ 1-----1---' ..} _._.._ .._ ? I 1 c scot t tr halloI,tivq t, FF, I New SFR 4 .. l )I,before tptA'.'•3 _._.... `• '' I_.._ _ _ _ .__m__ ®.__ _.- .. _.._.._,n 1b,,,t41 144 1. 4 1 s+J i AA ettXl 144 4 v.ilvv`: i ( 44% 44 4 IIIIVT 11,44'"4 OF titj7 a , __.- ._ _ 1 4 >/t4I ntul rxhxou t4nd.antililiott• I . rw tiatia ({ Horton Inc. I i #t 1144,,4 le 1%1 06443 tam her "--,`._..j__ ,. >;4ft)4c„ 8(t S\ hlacadarf Ave Suitt. 100 1_ w .. . _44.' 1 4 4te St.a,/iv Portland, t dts t 4tl t, t n44 .a,r t 1F2 z�� 3�l f _. .u. falat4t, 122-4151 t 4)tt 7P4'.% roto, #141(,k,1 ."1 , #�tt 1 3?3 - 1 1 Ia1 1 4 ltltt .44,441,.-'t fait. 2.4 i. El ArPIJt 7 $tO TAc1 Pi:AWN 0'41.4`'1 1 t i3u n ,.t trtx •••_»• 1 f urf i t r; DR Horton Inc. t rr! _ -._— .--; ! __$14154.0-firm f r,S$�.1 tar each�4t4t+banal •t 4tn4au 44,4n4. 1 mkc erald 1Vee t x tt re.41, .. _. , AJ4ftc,s: 4380SWMacadam Ave Suite 100 (,,.2,1,,,,,,p,:,..11 __..._.. _ _..1 i —, .. ___. _ .,_ , . 8 1(sit „ u;kki0li4 4 4+vs 1 I I I (i#s 4t1.4tc LIP Portland,OR 9 239 i 1' et,ttr 1,y. _. t r , t 11""“.- 4503 /222- 4151 A1107 1 fan t 4 "T.4'.,.' i 4 4 a. . I ,ta csweekat >(,Irhorton.corn . _. ._ __ - --- .._ _ ttt tit,,t , ti. f#:, 4 lflll;; ' ' g 1 1 fir, t .. ,. i . 1r . f f P J4, 37 } w. { 444 .'l''''IIfa t - '”" ' 9. A t �' fd _. .........-alt ifs,,Fit tr ft t:x• S4t44sdt j I. Fh=tt. F" 4 5 .t` ',r n t ,,,, tt , FFOlit My) t'(. ft 41 . ' t, Jiff PI 14011 t f Ft t _..-__..._ .__._...�__.ar,..,„w..,l •..t ...._. __. _..._ , ...._,.,...__.. ,. .._......__ _, .._ �_ .414,IF Vito(taFFittation 1t4err4 II s Ptrasait»1111#.•4.14tard„i4hin iary 4434 4,441 is prat 444ta aee,ptrt7 xt:ampirtt: %iil)t,44,44144141t1444, t s: 114,41114114441,—,-- f ylp,a.,. Electrical Permit Application 101;(7 t r t( i t ,,i ()NI ,. , Received III131 W Hall BI ;,,Tigard,OR 97223 l! Plan Review Otho' emit: ' 'ne: 503.718. 39 Fax: 503.598.1960 ` s.. i ,,, N!'f.1 Inspection L',. 503.639.4175 ; i ,€r¢ Date Ready/By: noir: ' la See Page 2 for Internet: • .tigard-or,gov c-,i f dhod: Supplemental information TYPE OF WORT{ New c onstructi, 0 Addition/alterationheplacemeaat Pl'`... a bait 2 sets of plans whtems cbedoed below): D ❑Service or feeder 400....s or more D Building over three stories. ❑Demolition 0 Other: where the available :, current ❑Matthias and boatyards. 5' r.; .5 CON ICTION exceeds 10,000 •_`at 150 volts or ❑Floating buildings, less to ground,m . 14.000" ❑Coarmercial-use agricldturai ❑ 1-and 2-family dwelling 0 Commercial/indu '• . ❑Accessory building amps tar all• . ,stanaeons. buildings. ❑Multi-family 0 Master builder 0 Other: D Fire per. D Installation of 75 KVA or ❑Emu . stem, larger separately derived system. JOB SITE INFORMATION AND I TION ❑ •, ..ofnew motor load of ❑"A","E","1-2","1-3", 100HP or more. occupancy. Job no.: Job site address: at Six or more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. 0 Suppiy voltage for more than City/State/ZIP: 0 Hazardous locations. 600 volts nominal, Suite/bldg./apt no.: Project name: 0-t-61.. 33v...t. • D Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: 1 Description I ori. I Frt. . I Total i " New residential•single:or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or Ivo 168.54 4 Ea.add']500 sq.ft.or portion 33.92 1 map/parcelTax . Limited energy,residential 75.00 2 DESCRIPTION OF , e • with above s•.R, Limited energy,multi-family akH-"IIIIIIIresidential(with above sq.ft.) 15.00 2 Services or feeders installation,alteration,and/or relocation 200 amps or tens 100.70 2 ■ PROPERTY OWNER ■ 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or I' relocation Phone:( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation:This installation being made on property • not 401 amps to 599 amps - 168.54 El intended for sale,lease,rent,or each= ge,according to ORS 447,449,6 ! and 701. Branch circuits—new,alteration,or extension, .ed_panel Owner signature: s A.Fee for branch circuits with 0 APFLICA.NT ■ CONTACT PERSONabove service or feeder fee, 7.42 2 each branch circuit Business name: DR Horton :.Fee for blanch circuits without service or feeder fee,first 56.18 2 Contact name: Emerald Wee branch circuit : h sdd'I branch circuit 7.42 2 Address 4380 SW mace a a .eeitaneous(service or feeder not included) g a O . d OR '7239h manufactured or modular 67.84 2 tang,service and/or feeder I . 1 '-••nnexxotilY 67.84 2 Phone: miliiiiiiii p or irrigation circle 67.84 2 .ign or=dine lighting 67.84 2 t ignal circuit(s)or limited-energy I,alteaad. or extension. ■ tee Address: -1S a y, i „6/E- tO '1/1/4 /Jr1� ....Q� it /1/�/ Add, 66.25/ V��l, ,9/6"67 �^b / � 66.251 hr �. City/StateelZIP: /V r k7 C 1,14 V-e f/' l' r�/,.9f©C /� min) 1111111713211111111111111 Phone:(36,a n<f- .7-,-,✓ Fax:c5C9) 3SU �'t�6 0 inspections • fee II 90,00/hr NNE listed min CCB Lic.: I5t2 , 4f9 Electrical Lic.:•CZ 30 Suprv.Lic.: /7?5 g 11111111111U r 11111111111111111 Subtotal: Suprv.Electric' signature,required: / .` e. -1.11110!review(25%of permit fee): Print name:C Sb7/1, r rt Date: State ,.. le(12%of permit fee): TOTALPERMIT FEE: Authorized signature:$n This permit application expires if a permit is sot obtained within 180 days after it has been accepted as complete. Print name: 9".704,- V4,„ • Date: * Number of inspections allowed per permit. 1:1BuiIdinalPermitslEl.GPermitApp 440-46l5T(11/05/COM/WEB 14 F CIVE Electrical Permit Application; �' ' I ( ()I I Ir 1_ I •I r>\I 1 City of I3 HaalTigard >3 xigara'5%1%998.19W. oR 9na� N'f'V 2 2 016 P PermitN .S p,l if ill Phone: 503.718.2439 Fax 503.59819¢6__. S7 Inspection Line: 503.639.4175 Ions:Othemit Internet: www.tigard-otgov ._,KJ Date e s�See Pana i for TYPE OF KJ!1..§1 l VI'V1 S!,' ' "od $°l fel IafernaKon WORT . - PEuIN REVIEW ... . .t ®New construction 0 Addition/altenstion%replacement Please check all that apply(submitl sets of plans whtems checked below): ❑Demolition ❑Other: OSe,vioeorfeeder 400am�amac whew the available fault entreat OB Marinas over three ds. .. CATEGORY:OF(30NZ3111C[IQ11T exceeds 10,000O Atariosa and boatyards. ❑I-and 2-family dwelling ..• leas m amps at 130 volts or 01�inn buildings. ly 0 Commercial/industrial 0 Accessory building amps all other installations.or exceeds 14,000- O C �1e agricultural ❑Multi-family 0 Master builder 0 Other: OFise pump. O Installation of 75 KVA or O&m JOB SITE INFORMtTION LOCATION Emergency system. CI Addition of new motor load of Q�"A separately derived system. Job no.: I Job site address: IMP"mom icy. City/S#ate/ZIP: O Six or more residential units. O Recreational vehicle parks. OHealth-care facilities. ❑Supply voltage for more than SuitePol+dg.lapt no.: Project name: -}j� /', c c O llamdous loca ions. 600 volts nominal. r"` C,1 33 V1 I ❑service or feeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE na�.q.. I Qtr. I F� . 1 Tow 1 . New residential single or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq•ft.or las 168.54 i 4 Tax map/parcel no.: Ea.add't 500 sq.It or portion 33.92 1 DESCRIPITON OF wpm Limited energyeve r.ft.) dal 75.00 (with above aq.R) 2 Limited energy,multi-family residential(with above sq.ft) 75.00 I 2 Services or feeders instafadon,alteration,and/or relocation 200 amps or len ❑ PROPERTY OWNER j _ .I t] TENANT 201 100.703352 I amps m 400 amps 133.56 2 ]vane: 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 Temporary services or feeders installation,alteration,and/or City/State/ZIP: Teog Phone:( ) I Fix: (; ) 200 amPa or tree 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 amps 1611.54 2 Owner signature: Date: • Branch circuits—newt,alteration,or extension, r panel A.Fee for brand circuits with 0 APPLICANT . + I 0 CONTACT PERSON above service err feeder fix. Business name: DR Horton Inc each branch circuit 7.42 2 B.Fee for branch circuits without Contact name: Emerald Weeks brunch c�uit fee,east 56.18 2 Address: 4380 SW macadam Ave Each a�ta'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular 5U3 ll1-4151 &vain&service and/or feeder 67.84 12 Phone:( ) I Fax::( ) r Reconnect only 67.84 2 E-mail: ... • • Pump or irrigation circle 67.84 ©iii CONrRAcr.OR i' 3ign or outt®e lighting Business name: ��(� f1 i 4- 1✓ G, ` Signa! oudir(s)or lighting 11111111= )_ alp- :,. oreactension. Address: 2 Re y/ �1 �^ 41.....12, r2 Q. rr Each additional inspection over allowable in any of the above % e0 S • cP Additional inspection(I hr min) 6625/hr City/State/ZIP: I/G I-Yry!co j t/ (i. �. , , / investigation(1 iambi) _ : ■ Industrial plant(1 hr min)Phone:(3� 3-7,— .752,9 j Fax:SSa) SSC— 9‘C /'0 lmspoaions for which no fee is 78.18/hr CCB Lic.:/72,5" , Electrical Lic.;• v v Specifically listed(16 hr min) 90.00/hr `I'9 `CjZ 3O I Suprv.Lia: /7 9.� $ ELEC'IvicAL.PERMIT FEES Suprv.Electrician signature,required:/)/),Z Subtotal: Print name:Ch L STh`� �'1 /►G"�Q 1 Plan review(25%of permit fee): tiJ���/ ,/� 71 State surcharge(1296 of Remit fEE Authorized signature: j�// TOTAL PERMIT FEE Print name: This permit appl 'aban expires if a permit is not obtained within 180 �'<_r Date: dais after it has beim accepted 1 • Number of inspersions allowed per permit as complete. im pantinUEt.C,PermieApp 490.4613T(I I/05/COIWWEB • d Electrical Permit Application–City of Tigard Page 2--Supplemental Information -in I, A1ST-zar6--oos7 y Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75,00 °""'pion Qt,. F.ch io.at Renewable electrical energy systems: Check Type of Work Involved: 5 k.a or 1.55 100r7() 5.01 to 15 kva 133.56 0 Audio and Stereo Systems* 15.01 to 25 ksa 2uU.34 n Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301n4 n G• arage Door Opener* 50 01 to 1 uu kva 552.26 >10i/kva(fee in accordance riwith OAR41h-309-0040) 1 552.26 H• eating, Ventilation and Air Conditioning System* Solar generation systems in excess of 25 Its �'"'� Each additional kva twcr 25 4' T ; ( Vacuum Systems* � 1U0Its a—no additional charge 0rt 3.j Each additional inspection over allowable in any of the above:l Other: Each additional inspection is charged at an hourly(1 hr rum) 66.25 hr t Inspections lin which no Ice is "I spccifcall? listed(';1hrmin) 90.00 hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I): (SEE OAR 918-309-0000) Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems [— Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation (— HVAC (r Instrumentation n Intercom and Paging Systems C Landscape Irrigation Control* n M• edical LI Nurse Calls n O• utdoor Landscape Lighting* E Protective Signaling O Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations Buildinr Permit=rLC Pre:nirAppLLRERF.dc+c Rei u':1`-;;i:1i Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing dram- I"100' 50.03 0 to 2,000 ____ $121.90 Footing drain-each additional 100' 37,52 2,001 to 3,600 5169.69 3,601 to 7?005233.20 1 Sewer- 1st 100' 62.54 7,201 and greater $327,.54 -1 Sewer-each additional 100 37.52 Water Service-1st 100. 62.54 Medical Gas Systems: Water Service-each additional 100 37.52 Valuation: Permit Fee: Storm&Rain Drain- 1st 100' 62.54 $1.00 to 55,000.00 Minimum fee 572.50 Storm&Rain Drain-each additional 100' 37.52 55,001.00 to$10.000.00 572.50 for the first 55,000.00 and 51.52 for Qt}', Fee(ea) Total each additional 5100.00 or fraction thereof,to Other Inspections or Fees and including 510,000.00. Inspection of existing plumbing or for 510.001.00 to 525.000.00 $148.50 for the first 510,000.00 and 51.54 for which no fee is specifically indicated 90.00 hr each additional 5100.00 or fraction thereof,to (minimum charge-1/2 hour) and including 525,000.00. inspections outside of normal business 90.00 hr 525,001.00 to 550,000.00 5379.50 for the first 525,000.00 and 51.45 for hours(minimum charge-2 hours) - each additional 5100.00 or fraction thereof.to Reinspection Fees 90.410:hr and including 550,000.00. Additional plan review for revisions 90.00(hr 550,001.00 and up 5742.00 for the first 550,000.00 and 51.20 fur each additional 5100.00 or fraction thereof (minimum charge-1:2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace! Capped Added Relocate Plan review is required for any of the following. Work Performed: - Please check all that apply. Baptistqy'Font Bath -Tub Shower 0 Any new commercial building with water service 2"and greater.except systems designed and stamped by licensed -Jacuzzi,Whirlpool Car Wash -Each Stall engineer. Drive Thty 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. 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. -3- Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related ice Mach..'Relrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Duillp Station Shower -Gang -Stall Sink Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: G:\Plans\Plats'Summit Ridge\Permit Docs\PLMF_PermitApp.dor 2 Plumbine Permit Application _ i. -- Building Fixtures City of Tigard Received Panait N II • 13125 SW Hall Blvd.,Tigard,OR 9 21 . , ;':n Nate/By: �i7r,z e'(ti'oo s-7 y I Phone: 503.718.2439 Fax: 503.5911 960.` ,.,ii' Review Inspection Line: 503.639.4175 ' 1 ; i r h Pudgy' ober Permit No.: i1GARD P !a u Internet: www.tigard-or.gov _ a x, "tarn*e/MabY: itch. See Page 2 far _ Notified Me hod! Supplemental laternatioa v• ' TYPE OF WORK .FER" SCHER ... •t . • 0 New construction 0 Demolition For special/nfonnation use checklist - Desction I Qty. I Ea. I Total 0 Addition/alteration/replacement I 0 Other: New 1-2-family dwellings(includes 10011 for each utility connection) CATEGORY OF CON&mUCTION SFR(I)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Ear*additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 . AVFORM40;I91y AND LOCATION She utilities: Job site address: Catch basin or area drain 18.76 City/SGterLIP: • Drywell,leach line,or trench drain 18.76 ��/� Footing drain(no.linear ft.: ) Page2 Suite/bldgJapt.no.: 1 project name: 1,�i (J'" _&i.3 11 i Manufactured home utilities 50.03 Cross street/directions to job site: /3 Manholes 18.76 v Rain drain connector 18.76 Sanitary sewer(nolinear ft.:___) Page 2 i Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:___) Page 2 Subdivision: 1 Lot no.: Fixture or item; " Tax map/parcel no.: Backflow preventer 31.27 i DESCRIPTION OF WORK Backwater vatic 12.51 . Clothes washer 25.02 V{� Dishwasher 25.02 . _ Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWER . • -I 0 TENANT Expansion tank 12.51 Name: -1v- -t('f\ Fixture/sewer cap 25.02 Floo( cn ,� ` r '&"\ lo\ I % Garbage gedrdisposalspoor sink/hub 25.02 Address: `->i Ci /State/Zl Pt ,-� �l /�,r� Garbage 25.02 tY Ute`-' l 1 - Hose bib 25.02 '�Y j � �7 .A4 -s Phoi2e: ,� 1 Fax:( ) Ice maker 12.51 0 APPLICANT ' CI CONTACT PERSON Interceptor/grease trap 25.02 r Business name: )Y '-k,7 1(1-i"y t ta C,..) Medical gas(value:S ) Page 2 Contact name: t-�\4 44y't 1 � "� Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/IP: Solar units(potable water) 62.54 Phone:( ) y Fax::( ) Tub/shower/shower pan 12.51 E-mail: �j`/l�n -e/t� � cAvvtov-tvy, ,Cowl Urinal 25.02 •CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:EDWARD MULLEN PLUMBING Water piping/DW V 56.29 Address:1601 SE RIVER ROAD other: 25.02 City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee: $72.50 , CCB Lic.:94689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) All‘' �� State surcharge(129'0 of permit fa) Authorized signature: ', _ TOTAL PERMIT FEE Print name:RAY MULLENThis permit appticatioa expires ha permit h ant obtained within 150 days Date: after it has bees accepted es complete. 'Fee methodology set by Tri-County Building Industry Service Board. 1:1BuddiattereitAMMU-PerwtApp.doe 18/01/09 440.4616T(10/021COMAVEB) City of Tigard 1„,1 . Ill COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review Residential 6.' vageolowermsmosimialimegowesommarigemamminummaima. Building Permit #: ,fv S 7-a aft, �.'O S 7'-/ Site Address: g-. 1-/0 a() S'ch c/7' Ley Project Name: � ,, T 1-ieni2 C s's; , Lot #: `7`o (New dwe • ubdivision name;Ad ton .r Alteration=last name of owner) Planning Review VVV Proposal: �� � '� ,i Verify site address/suite#exists and activ in permit system. 1! 1' 'ver Terrace Neighborhood: 1 No 0 Yes,See River Terrace Review Addendum Attached Si,e Plan Elements: /01 ee(3)copies of site plan Mit',vesting structures on site fir oaS. plan must be on 8-1/2"x 11"or 11 x 17"paper TA Footprint of new structure(including decks)with finished tr awn to scale(standard architect or engineer scale) or elevations rth arrow i •ty locations(required for new,may apply for additions .e address,project or subdivision name and lot number P 'cation of wells/septic systems ) plicant information(name and phone number) Mrasting trees to be retained with drip line,and tree IP• .t dimensions and building setback dimensions rotection measures It •t area,building coverage area,percentage of coverage and 1 eet tree size,type and location • pervious area(applicable if R-7,R-12,R-25&R-40) Street names roperty corner elevations(2 foot contour lines if more than 4 foot differential) D&lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): iRequired: 0 Yes,applicant was notified No eceived: 0 Yes 0 No bu l ublic Facilitie (I' Improvement ImP F Permit: , equired: Yes,applicant was notified 0 No Applied For: 1Yes 0 No,stop intake Pe/Land Use Case#: 7,,u,Q — ) 606/- --- -0./ Zoning: —/q Pg/Required Setbacks: / Front /6"-- Rear /S-- Side 5— Street Side /DM-Garage Landscape Requirement: 6 % Lot Coverage Maximum: 2) Vo /Building Height: Maximum Height 3 Actual Height isual Clearance vytT Easements Iensitive Lands: 0 Yes No Type Urban ForestryPlan 0 Conditions "Met"p�'or to issuance of building permit' // Notes: l )?t, I7�id:�, ''4,1// L am# dr- A Approved By Planning: �� —�� 44,`/ Date: J 7 cL--- Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingTorms\BldgPermitRvw RES 0912I6.docx Building Permit Submittal Original Submittal Date: 6 1(/ Site Plans: # Building Plans: # Building Permit#: Enter buildin, permit#above. Workflow Routing: Planning ngineering - Permit Coordinator 'wilding Workflow Sign-off: Sign-off for lanning(include notes from planning review) Route Application Documents: XT.Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ��`,,, #L A/,i,,i Date: p,/,.,?%� 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: 11 Assess Water Quality Fee in-lieu: 0 Yes Li No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: El Yes No 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: Wz_. 2 Date: ( 777 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review gConditions "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: DT SDC Fees Entered: Wash Co Trans Dev Tax: l 1 Yes ❑ N/A Tigard Trans SDC: 21 Yes ❑ N/A Parks SDC: 1 Yes El N/A OK to Issue Permit Approved by Permit Coordinator: £ �� Date: p, -017—i c I:\Building\Foams\BldgPermitRvw_RES_091216.docx