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Permit (50) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENTiiii Permit#: MST2016-00582 TFGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 2S111 DA22400 Jurisdiction: Tigard Site address: 15445 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 43 Project: Heritage Crossing, Lot 43 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 885 sf Basement: 0 sf Left 4 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 1356 sf Garage: 361 sf Front: 15 Smoke Dwelling Units: 1 Third: 439 sf Right: 4 Detectors: Yes Total: 2680 sf Value: $318,749.99 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 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 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 F u rn>=100 K: 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: 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 2680 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: $30,051.10 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: AL. 4 .2 Permittee Signature: J-rj'� ���%/ hrd 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. BuildinE Permit Application / x , 4 �� it ,,i .., Residential 4� . , .„. 11fi _ - � .: I OH of l I( 1. t , oma City of Tigard o►c'pe`' 12 -1? /G Permit NX/c7- ac,-„�” .' -Z w 13125 SW Halt Blvd.,Tigard,OR 97223 I'tan Rei lea1 4 } l-) L1 iik other Peruitr2Q')�xG,yti• ic} •��77 Phone: 5[)3.718.2439 Fay: 503 596.19�� tlatc D�: O�LL``�r �--- r Inspection Line: 503.639,4115 ,;j ( il t; x a t'�'c late Ready Hy / turn RI See Past 2 for I r ! t Notified`Medmd: >/9/7 Internet: a•ww.ligard-rr.gov /J�///Y yJ,,�',, t/ �fr Supplemental Information ,xi TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING a 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 D Other: equipment,materials.labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. tti ,tea Valuation: s 3 t% 1L - i� Q I-and 2-family dwelling 0 Commercial/industrial ❑ Accessory building ElMulti-family _ Number of bedrooms; •❑Master builder O Other: Number of bathrooms: ..d,Yri r/. flf �— JOB SITE INFORMATION AND LOCATION Total number of floors. , 'S(/f# P' Job site address: f stiq s 31,a/ tr.-AR,' New duelling area: 04e50 square feet 1-11A City/State/ZIP:Tigard, OR 97223 Garagejcarport area:4(Q I square feet Suite'bldg.apt.no.: Project nantt ' � \tel CiD ; Covered porch area: "'I\3 square feet fir ! Cross street/directions to job site: Deck area: ✓ square feet Other structure area: square feet ' REQUIRED DATA:COMMERC IAL-USE CHECKLIST Subdivision: Lot no.: ((3 Permit fees*are based on the value of the work perforated. Indicate the value(rounded to the nearest dollar)of alt Tax map/parcel no.: equipment,materials,labor,overhead.and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New SFR Existing building area: square feet New building area: square feet El 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 X CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee achedui) Business name: DR Horton Inc. Structural plan review fee(or deposit): Contact name:Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: City/State/ZIP: Portland, OR 97239 Phone:(503 )222-4151 x1107 Fax; :( ) Amount received: PHOTOVOLTAIC SOLAR PANEL Sl STEM FEES' E-mail: esweeks@drhorton.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic 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 20111 Oregon LAddress:4380 SW Macadam Ave Suite 100 Solar lnstallaliorr Specialtycode checklist. CityiState/ZIP: Portland, OR 97239 Permit Fee(includes plan review S 180.00 and administrative fees): i Phone:(5O3)222-4151 Fax:( ) State surcharge(l2°ie of permit fee): $21.60 CCB tic.: 130859 Total fee due upon application: $201.611 Authorized signature: .., ` ' ,, ., i' This permit application expires if a permit is not obtained 1 i +.r c °_ f. t within 180 days after it has been accepted as complete. - i Date:2016 ”Fee methodology set by Tri-County Building Industry Print name: ` 1 r i; 4 `L 1 i 1 ti (i Service Beard. I.Building.Permits BL'.P-RESPsnnitApp.doc 0224.2011 440-46137(11 02 COM'WEB! Building Permit Application Checklist One- and Two-FamilyDwelling g f•r)ri OFFiC"I: till: ONLY City of Tigard Reccired u 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: Penna No.: I Phone: 503.718.2439 Fax. 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.b39.4175 0 Flcuriral ❑ Plumbing 0 Mcchanicat I I i,A I'1) Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ING ITEMS ARE. REQUIRED D FOR PLAN REVIEW les No . s, I Land use actions completed, See jurisdiction criteria for concurrent reviews. r N M 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 3 Verification of approved plat/lot. --- 4 Fire district approval required. Name of district: Tualatin Valley © 0 0 5 Septic system permit or authorization for remodel. Existing system capacity- 0 i 6 Sewer permit. -- 0 _ DI7 'Vater.district approval. ------- 8 Soils report. Must carry original applicable stamp and signature on file or with application. �� Tv • 0 9 Erosion controlplan --• f 0 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 1 0~ basin pebtcction.etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state -d- m 0�_0 ..i 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 exist. I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if there is more than a 4-ft. elevation differential,plan must show contour lines at 2-ft. intervals); location of easements 0 and driveway; footprint of structure(including decks);location of wells'septic systems:utility locations;direction indicator; lot area; building coverage area;percentage of coverage; impervious area;existing structures on site:and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads.connection details,vent size f] 0 ! 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, III furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 0 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- • 0 0 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 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building ens elope. Full-size sheet addendunts showing foundation elevations with cross references arc acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- . 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floorsiroof assemblies,indicating member sizing,spacing,and bearing 1111 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered E 0 0 systems,see item 22,"Engineer's calculations.- 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists II 0 0 over 10 feet long andlor any beamijoist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 41 0 0 21 Energy Code compliance. Identify the prescriptive path or pros ide calculations. A gas-piping schematic is required II 0 0 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 IF 0 0 architect licensed in Ore'on and shall be shown to be a.'livable to the roject under review. JURISDICTIONAL SPECIFi(a's 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11-x 17". ..' 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. l 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. II 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit& System Development Fees document. Ill 0 0 27 "Drawn to scale"indicates standard architect or engineer 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 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, i 0 0 � and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, r II 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1 I Building.Pennits,BUP-RESPennitApp.doc 02/24 2011 440-46131(11.02COM/WEB) ) -1-,:-.:,',-,•-:,-:-. 1,, , 14 Mechanical Permit A Lica 1 14', ,1.'.j ' Ch) oil igard Po,'•44,5 14,0t•liJ V-flro 6,44, - . i j 125'AV Kill 141%.,I I$pri.1,t•Ii( Ie:2; MK,te .,40-Is .0. 'C-fr 4 S.Sit, i-qtk,' V 4 :,'-; ,It‘ts.n, A h.bo JtOrJ1. titspeCtWel 9.81.1e; 51E4 4519.41 7 5, 74,.,‘R,iy, 14,— L. la Cra rut 2 to --- I foli"xiwt 1,-+Ass lipid-or Ft ts '',t2, 11:'' n'ft:!‘A:i.i.,!J ''''',''''''.....„ 44440irti)C DIV,oroly%. I— o.— . , .tiv. :..,.011.E. ... cooloisr _ ' i f \let:itatth,,,,ti rettittl.1‘1",*,%-h,iwtiotI 1/,,.'N AAor thr V. 11111 r.cv, ck,ustritythot 0 Akii.bln+44"alt4;111,,1 rtpia,•,;;wvit i1`,Iliwnro4 tiuh,At.the s Our I t our.kd loth,'ov.,R..,1 1 L1,014.0(41 mitenat IA,tmoo,oi-t,_ hroilP.,,,,_.,, 0 DrInohttiMI 01)1i14,...r .---------------,...--. I VAtie S • ,, ' • tATECORT Of rONSTRIXTION simpicsiim*E04,IRRITVOINTNIN 113 3-Jiid::iamoy,twohi-4, 0(„,,,, ,,a i,h,4,..1 0 Ac‘es,sor) htitidlnk: i I for per iiii info,million nit r ht.*list, t -„..- 0tilli•1411111) 0 Ntoct btatitict 0 i)111,1. 1 .,,,,,,/,/r11/11; — Ni ------ - I * licaiin tteuttion' TOR SITE INFORMATION,ANO TAXATION ' 1 — b' - ., t - • - ........- ,t,t.,t,,,ttit!IttiMtt ,,,,,__ Job NA, 44.1.144:, 121E1851' ,V*4 , .4,„,e.„. _ ._....,...._ ,, , 1 1/111./cr '0/(1'00,i/it ,-',./„/,, „-,.,, II .,. I / Ot1 ,11"/1/IP: Tivrd,OR 97223 1 , iiiio,,,J411 .1„,;:.,-. • , ; , . kjt • - 4 1 Stitic-ithli,,. _tin.m, I VroX4.I win*, vpr .0, ..)vo, , ,„ 9 toss st10.14111carons to II+sfic4, 4..,ss,4,s s,sic, -1/--- --/11/1 ----- -7 - , . F.4/1-lik.-/s//,‘;9w /t_.,./1,0,,C I I : „.1 i 1,I•dr,r4c 1 -1- , ri./Irirt KI-{1,,./11,71111tI 1/,1r,t.I.ri.,,1 eh:I 111. --- .-- , ,- — ---- -- ---.....- - , _ , .,I L, i',iNa'' in autA suspondot et, . ... i...., 1! !,,,41-14:0‘,7 it . or Att:01 ...1,-,,,L 1,, 4 n 4444 484 , . -+ . I ot no - I..0.tn.ip pari 951 i 14i- . 1 1 I Vett/Psi %.11,11 hi/Al4/1 or k,:,i, New SFR -I- - ---- - - - - - - - -- -- --- I 1 M,,X1Q11€41.0 t;i1AC t 1 ;I 14) ..; .1. ' 1 95S4 tiesrlA,;e,omrti ,. .I.,/,4111/1///). 4,4w'/,;/-\5.`41 I1 1 1- _ -1/1-//11 (the/ . -----.1 F *ire mil oi exhaug iittA A,coliixtiont ,.. DR Horton 1'nc: lir . 1 '1.'''Y —111 P IINANT- ' ,, '• ,: `11,R•.,,,,415.717.h,..., 1-- • 1— . ' 1 ., .., kddit",-4380 SW Macadam Ave Suite 100 , ,, i 1 lioih-,i,,,,,,,,,!!.,,. - I-1,1 . . , ........ ( l4s .."toic-/Iv Portland,OR 97239 • s„,4., tosl C1/.cr../i/.1:10,1-0,11., / 1.1' I I 1 _ - - - - -- - i /.,/1,C71,,./f/i/.////112,01/./ L503 222-41511 i',;: .i ! 1 A.,//,,,it11%,*11,4,1“kill ,, 1 1.,_ _- , ___-,- t 0 APPOrWil 1iritst„ThN-117-1-11 111'het . 1 1.1utl r.,21m, I1111'12113w "It 111°”" Inc. - --- --------- - - ------- --- -- 1....___. _„s1.1.-111Potirtlh,!. 4-0!"14,,,tYFb ar..411itiY!"/,i, i (entiti oAnkk •-Emerald Wees I. i. t.ru,4,xt et. i I , --. -- - -- -- ' —I I,1,/,/,,,11/C„rt ilt.,1/11/ 1 datItcs- 4380 SW Macadam Ave Suite MO . , . , i ( ity 'Oak.ZIP Portland,OR 97239 -;.4,,,4„.• ; , 1 '- 1 1 Chu" 1503 '.222- 4151 xl 107 ,, l•ix ' , I,, ,,.: t t., _. it,,tittt 1 I rt,t,'' et.sweckscwdrilmton.wm 13.;,!-;,t„....., •t,• RACTOR ' ;,-,;;=. 1- i 1 fiLoar,,o;narHe ilki)ty441t:L t.,L. .C,.. 1 .... I 1 , mtettAsicAt,tvoirt I EE.,0 ---- Akitisv, /I i ' 1 ; 4471 711/Lit iil) i -11 7..11)- stattoof , ____ _ ill ; ..- moirr.,,,p, 11),.'fts:!$...‘,to i,Lm i 1 1 t lt, 's1,111.• P 14 ,7 1 p ,/;.& tf,„,„,---, it iti , 7,,f,,,,4')4_j • , -- ' -1 1 't''.. -t r.-tmll ot_ -.4,1 .L„- ,: . , i f 4,, 1,,,-,7' A.- 9 ..,--.., --.1. -....,-..... ,_._ ..10. ,„;" _ 's!ot: ,,tt,s ,,,t4tt'f t..:'. ,, t‘t-trz-t ` '-----"'- .: -7, ; * ' L,4 4,;.„ ..._ ,„. :).... . ., 10T xi,PERMIT Ili ' t., ..fk _ . t I ittt.It.t nor stivitttaton tArnes A*prrillif r/$44 .44ø455 sI./,/Ow,1.141/ *lict 14 tort 4,.(a/145r4rir11 sr,4 oralolt tr. ‘ 1tI//./I ic...1?4,trIskaucc/„- ' ,. 7,c,:,-- 74;;;;„.----7, , i 0„,,..... „,.-T ,..._ . .44 ........../;,„„,„,.. , ! ___ . E i ,TF, , Ty , '...• ,..,/ Electrical Permit Application ' I 0); 01 1 v I l ••I ( \I N , Ci'ty of Tigard , Received 13125 SW HaDate/By: Permit NYttg-Aat;-09S-SZ. IN ll Blvd.,Tigard.OR 97223 Plan Review Phone: 503.7182439 Fax 5W9#4960ti:*;‘ r 1;',;at%4,'1:,',. Date/By: Other Pamir In.spection Line: 5(3.6394175 ,.., . ,.. .,. . Date Ready/By: lads: Iin See Pagej for den Internet: www.tigard-or.gov -,'„1 j i z., ?,"41•,• ..:,, 2,J i f, :4f) : 1., NotifiedtMethrid: • TYPE OF.WORK : PLAN REVIEW O New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans whtems checked below): OService or feeder 400 amps or more 0 Buildhag over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTIO tor1 Di- tlor all cir!I a'I4"°- ElbuiC idingsercial. -use agricultinal El Multi-family 0 Master builder 0 Other: 0 Fire prmw, 13 Installation of 75 KVA or °Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of [3"A", "1-2","1-3", Job no.: 1 Job site address: 1„5-1,p,/, ' ,51„ . A,,,,,,,L 1001IP or more. ocememcy. 0 Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: °Health-care facilities. 0 Supply voltage for more than °Hazardous locations 600 volts nominal. Suite/bldg./apt no.: j Project name: \AC..VI-K.14,„ cit,..63 ., • 0 Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: I Deserhulea I Qty. I Pee I Trust I New residential single:or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: q 1,000 sq.ft or less I 168.54 4 Tax map/parcel no.: EL addl 500 sq.it or portion &.f33.92 Limiasd energy,pssidential DESCRIPTION OF WORK • (with above sq.ft) 75.00 ; Limited energy,multi-family I • residential(with above sq.ft) 75.00 2 Services or feeders Installation,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER 1 0 TENANT 201 amps to 400 amps 133.56 2 • Name: 401 amps to 600 amps 200.34 2 ... 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State:/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) I Fix:( ) 200 amps or less 59.36 I 1 125.08 400 to amps Owner installation:This installation is being made on property that I own which is not 201 amps I i1 22 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: ._______ A.Fee for branch circuits with 0 APPLICANT I i 0 CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 Business name: DR Horton Inc ' B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: Emerald liVeeks branch circuit Address: 4380 SW macadam Ave Each add'i branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 , Each manufachurd or modular 67.84 r— dwelling,service and/or feeder 2 Phone:(5°3) 222-4151 I Fax::( ) / Reconnect only 67,84 22 E-mail: Pump or irrigation circle 67.84 comAcroa - Sign or outline lighting 67,84 • ;• Signal circuit(s)or limited-energy Business name: 54.4./4/i'g,I/4-. 24 c...4-14 c Ia_ panel,elicitation,or extension. Pap 2 I 2 ____ ti ft Each additional inspection over allowable in any of the above Address: 2 go ii v ,t,E.-. 6-'sat ,74„.., ---4*v Additional inspection(I hr min) 6625/hr Investigation(1 hr min) City/State/ZIP: Va,I/7 c 19£4 fr,..0. , 1414. ,,9,6'Cf Industrial plant(1 hr m 6625/lirin) 78.18/hr Phone:(3‘,a .57f— ' 5,..,9 I Fax: szc- 96W 0 Inspections for which no fee is , 90.00/hr specifically listed(A hum) CCB Lie.:/72,,c ,..2 I Electrical Lic.:.CZ 30 1 Suprv.Lic.: / ?I s ' ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: D....4‘..___e Subtotal: Plan review(25%of permit fee): Print name:Ch 6-s4-4 ../4),"a,rr - . f I Date: State surcharge(12%of permiAuthorized signature: t feeX .... TOTAL PERMIT FEE: This permit apsdicatien expires if a permit is not obtained within 180 Print name: ..Yeeroi....e- ' , l Date: days after it has been accepted as complete. * Number of inspections allowed per permit. Muildiceseentitemx-seseitApi 440.4615TO 1i05/COM/WEB RFP Electrical Permit Application–City of Tigard , 'Page 2—Supplemental Information .4 ,. ///57i(2/CP-60C/2-- Limited Energy Permit Fees: .,`` 'i (7,74Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Unewa Qt,. each 1 Total yReneNable electrical energy systems: T-1 Check Type of Work Involved: 5 k�a or les — 10).70 5.01 to 15 kva 133.56 2� O Audio and Stereo Systems* 15.01 to 25 koa 2ud.34 Wind generation systems in excess of 25 kva: ri B• urglar Alarm 25.01 t,50 kva 301.04 2 50.01 to IOU lo a 552.26 { 2 n Garage Door Opener* ›I UU kc a(fee in accord4nce 55„r with(JAR 418-109-O04)) (x Ig H• eating, Ventilation Air Conditioning excess andonSolar generation systems in of 25 kva System* _ Pack additional kva over 25 7.47 3 E ❑ Vacuum Systems* I03 ks4—no additional charge ort Each additional inspection over allowable in any of the above:1 Other: Each additional inspection is 2 charged at an hourly(1 hr min) ht. 5 hr I — Inspections for which no Ice is 00.lr0f hr speciiicall) listed('z hr min) } COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00Subtotal(Enter on Page 1): I * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: O Audio and Stereo Systems n B• oiler Controls n C• lock Systems ❑ D• ata Telecommunication Installation n F• ire Alarm Installation C HVAC n Instrumentation • Intercom and Paging Systems n Landscape Irrigation Control* n Medical C Nurse Calls ❑ Outdoor Landscape Lighting* n P• rotective Signaling n O• ther: _ - Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I Buildin Paoli:-LLC Po mit 4pp LLR ERF.dr: Rn w;I,2i115 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information ' Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain- I" 100' 50.03 0 to 2,000 — 5121.90 Footing drain-each additional 100' 37,52 2,001 to 3,6170 S 169.69 1 Sewer- 1st 100' 3,601 to 7.200 5233.20 ti_54 7,201 and greater 5377.54 -1 Sewer-each additional 100' 37.52 J Water Service- 1st 100' 62•54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain- 1st 100' 62.54 Valuation: Permit Fee: $1.00 to 55,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to S10.000.00 572.50 for the first 55,000.0(and 51.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional 5100.00 or fraction thereof,to i and including$10,000.00. Inspection of existing plumbing or for S 10,001.00 to$25,000.00 , 5148.50 for the first 510,000.00 and 51.54 for which no fee is specifically indicated 90.00 hr each additional S100.00 or fraction thereof to (minimum charge-1/2 hour) and including 525.000.00. inspections outside of nonnal business 90.00hr 525,001.00 to S50.000.00 5379.50 For the first 525,000.00 and SI.45 for hours(minimum charge-2 hours) each additional S 100.00 or fraction thereof.to Reinspection Fees 90.00 hr and including 550.000.00. Additional plan review for revisions 90.00'hr 550.001.00 and up 5742.00 For the first$50,000.00 and S1.20 for (minimum charge-1 2 hour) each additional 5100.00 or fraction thereof: Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace! Plan review is required uired for any of the following. Work Performed: Capped Added Reloeate Baptistgs'Font Please check all that apply. Bath fub`Shower 0 Any new commercial building with water service 2"and Jacuzzi Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thar ❑ New exterior plumbing site utilities for any complex structure Cuspidorr'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 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 3.. . 4Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach,'Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Roc.Vehicle Dump Station Shower -Gang -Stall Sink'Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: G^,Plans\Plats'Summit Ridge\Permit Does\PLMF_PermitApp.doc 2 : 117 1 Plumbing Permit Appli+ d 4 j r Building Fixtures I OR 01-( K F. I SE O\LI City of Tigard Received Pennil N�'�t T�D�G 1,4 u 13123 SW Hall Blvd.,TigarC( 7 ) i11,-; tq 7Z Date/plan Review Perini Permit No.: ! Phone: 503.718.2439 FAN r I G h a Inspection Lite: 503.63%917 i t ;'' i i 5 q l`4 Dare/By: 18y Iur1 See Page l for Internet: www.tigard-or.gov sonfied/memod: Suppkmesallaterioaiba ' • • TYPE OF WORK . PE$e St�iEDUt `; ❑New construction 0 Demolition For special lnfomtmlen use checklist Description r Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) , CATEGORY qF CONSTRUCTION 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 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB'8l'FE FORMA ON:'AND LOCATION Site utilities: Jab site address: I Di litc dam/_Ann _ Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: I Project name: `-, 1A,A!a 01 j,pY 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.:__,) Page 2 Water service(no.linear ft.:.__) Page 2 Subdivision: i Lot no.: l Fixture or item: , Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF�WORIc Backwater valve 12 51 Clothes washer 25.02 u V _Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 •0 PROPERTY. OWI+(ER . • 1 ' 0 TENANT Expansion tank 12.51 Name: U kir/^U ' U► Y- ^n >\V\ (_. "`Fixture/sewer cap 25.02 � ` � _Floor drain/floor sink/hub 25.02 'b Address: 'tet ..oi . k,ik., Garbage disposal 25.02 City/State/ZIP; I 'N. o/,_ 0 1 ll. Hose bib / 25.02 .A - l per; \,-‘,N, ‘ I ) Ice maker 12.51 ' 1:1'APPLICANT { 0 CONTACT PERSON Interceptor/grease trap 25,02 Business name: )> \A-00-CY\ 1 ta(-, _ Medical gas(value:S ) Page 2 } : � ,l Primer 12.51 \- Contact name: , Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Fax::( ) Tub/shower/shower pan 12.51 Phone:( ) Urinal 25.02 E-mail: ,� z 1�' �� "' ' Water closet 25.02 . •,CONTRACTOR Water heater 4 37.32. 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 Minimum permit fee: 572.50 Phone:(503)640-0113 Fax:(503)640-4483 Plan review (25%of permit fee) CCB Lie.:94689 Plumbing Lie.no.:34-260P0 -- State surcharge(12%of permit fee) Authorized signature'. r '. TOTAL PERMIT FEE Mb permit appllatiaa expires if a permit h met obtained widths 1110 days Print name;RAY MULLENDate: after it has bees accepted as complete. 'Fee methodology set by Tri-Courcy Building Industry Service Board. IaBwlarigTera*itAPI.IMtl-PerwiNAyp.doc 10/01/09 4404616TO0/02/COMM'CBl City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT 11 T 1 c A R o Building Permit Review — Residential Building Permit #: /1457?-0/(-, —/j �,5,z > Site Address: " � `Q (,) 42p/to' ix C 14-�1e Project Name: Ak n; 1 Lot #: Z-7/.(New dwe ;subdivision name; ' :i ;.q or Alteration=last name of owner) Planning Review Proposal: A ) RP/2. CliVerify site address/suite# exists and actio in permit system. Il! ' 'ver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: VI/Three(3)copies of site plan ra: sting structures on site Pifite plan must be on 8-1/2"x 11"or 11 x 17"paper %Footprint of new structure(including decks)with finished Vyawn to scale(standard architect or engineer scale) or elevations rth arrow VJ Utility locations(required for new,may apply for additions) Vdi to address,project or subdivision name and lot number 1 I"I.. anon of wells/septic systems . aplicant information(name and phone number) 11"'0 ting trees to be retained with drip line,and tree 1 t dimensions and building setback dimensionsrotection measures 7 et area,building coverage area,percentage of coverage and V reet 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) pl1lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified tNo Received: CI Yes ❑ No ublic Facili,;�ti Improvement (PFI) Permit: Required: IId Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake j and Use Case#: 2- 1(2OI/S= 4911 (`/ SU..,)Re/S t�t..C�/S— 1 Zoning: I `,C Required Setbacks: Front Jam- Rear J S Side Z f Street Side /,3 4 Garage cQ d Vi andscape Requirement: 00 of Coverage Maximum: A0/0 1C,/ .Building Height: Maximum Height `3,`j Actual Height 09 1 l isual Clearance 4Easements pii `-nsitive Lands: ❑ Yes No Type Z Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: COPti/hO ,c7A,2 J/ l ipn6-r A ,0-ei-ni// /`a C12...______4_,A(e_ Approved By Planning:` t Date: S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPenmitRvw_RES_091216.docx I Building Permit Submittal Original Submittal Date: /1/[5-4 Site Plans: # 3 Building Plans: # 3 Building Permit#: ,12'Enter building permit#above. Workflow Routing: ,f Planning , 'Engineering X Permit Coordinator /`J Building Workflow Sign-off: g' 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. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4:4 ,4/ u/.lifi...././IPP Date: /2,/,04 C, Engineering Review Slope at building pad: Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ 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: !J Date: / 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 7 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: It Yes ❑ N/A Tigard Trans SDC: C$ Yes ❑ N/A Parks SDC: l' Yes ❑ N/A kr OK to Issue Permit //�� Approved by Permit Coordinator: e o Date: I - -7" L I:\Building\Forms\BldgPernritRvw_RES_091216.docx L City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15445 SW APPLEWOOD LN, TIGARD, December 15, 2017 at OR, 97224 11 :33:29 AM Record Type: Record ID: Residential - Master Permit MST2016-00582 Inspection Type: Inspector: 199 Electrical 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: 15445 SW APPLEWOOD LN, TIGARD, January 17, 2018 at OR, 97224 10:55:43 AM Record Type: Record ID: Residential - Master Permit MST2016-00582 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15445 SW APPLEWOOD LN, TIGARD, January 17, 2018 at OR, 97224 10:55:43 AM Record Type: Record ID: Residential - Master Permit MST2016-00582 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15445 SW APPLEWOOD LN, TIGARD, January 17, 2018 at OR, 97224 10:54:32 AM Record Type: Record ID: Residential - Master Permit MST2016-00582 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Previous inspection corrections completed Violation Summary: Inspector Contractor