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Permit CITY OF TIGARD MASTER PERMIT 14--- 1 .. .I7 2 COMMUNITY DEVELOPMENT Permit#: MST2017-00010 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243• i.,; /�;)/�+ Date Issued: 04/24/2017 TjCa"y ,L 9 �/ Parcel: 2S111DA22500 Jurisdiction: Tigard Site address: 15467 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 44 Project: Heritage Crossing, Lot 44 Project Description: New SF. 12/11/17: REPRINTED to add A/C. Placement of A/C must meet manufactures requirements. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 701 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 991 sf Garage: 340 sf Front: 15 Smoke Dwelling Units: 1 Third: 327 sf Right: 4 Detectors: Yes Total: 2019 sf Value: $244,690.31 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 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'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2019 Owner: Contractor: DR HORTON INC-PORTLAND 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: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,448.99 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 OA)952-001-0090. Y./may obtain a c.py of the es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ,�/� 4/��/j %, �� � � Permittee Signature: r� �rrG �a--1 / 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. Niechanlcat Permit , tlr)licat I C�j�"4 ` k FOU OFFICE,USE ONLY City of Tigard;ar d `t` /� I ('� 7 pj j) I _� i Au N.- iA►.. �� err .. .d� /r/'©©W�/✓ t ,,* ' chit Ihit liltd ig-,,,l tai( 4-223 ll k. �,.� li wk ctri'l","' f ;x �i .•,1, I`)htt1114 � E 11 2017 Ut list�alr" 1 carat .1ic,KI) Impeinou1ti Sia ‘,1,)-117 Bt., ISA,iE-xaiR:, 0 Set Par 2 to, Ir,terttcr sts+.t fVard,n)tut 1 Tit 1 Supplemental latirmatiun CITY T 1:EGA- TYPE O' --— ', ale f MMERCIAL FEE SCUEO1tLE �USE CRECKUST ' p � ,C �' , •," r',l i rural penull fees*are based cm the value or the nod, diji New construction Q Adria ion alter:ai m Ieptaccntcnl ', itoi�tied.Indicate the sa lue(unaided Iodic nearest dollar}of all Qt)ctuolition QOthcr: e-t r*leatmaterials.equipment.Libor.overhead_and profit Value;S CATEGORY OF CONSTRUCTION F Rf"iD►a'TIAL>1rQ)iit!'Me'N3ater;EMS FEES' 1113 I.anti 2-f:amiiy dwelling ❑Commercial industrial ❑Aceessor)building _ rue spvialinfurmrriun arse ehertlisa ❑Multi-family ❑Master builder ❑Other: Description I cry, I Eat I lit141 JOH SITE INFORMATION AND LOCATION Ncatiag'fvaoli : Air condition:he , 46 75 :Lib site address: 15(i,�.6 ---/ 914 App(e wzocl .1 r Eurn.tec'wow (.bars.arse.} dt 75 fits Staic'/IP, c Fumaee lfwt.t 0lr.137L"airs,,erm,i 44.41 ]1V�atLja OR)i2.3 _ '--", 1ie.t pump 61,06 Suua bldg'apt no.. Project name ��[ �� ns� 1 Met wart 3.;? — l i (a arccl t4il,XI,tm,,to ion'Nile I 1 It drtuuC tun water,,'stem 21.12 t2 — --- - '"'�'j 1 R45tJenti:,l boiler(radiator or J hydroniet 23 32 9 I'M'heaters(fuel-type-not eia'+iric). __ _-_,__._.__.._ � ._._,._ i in-wall.in-duct,austtetuled eye. 1h.75 _, I 1 Flue;rens for am of abos e 23.32 Sas&s isnot I I tit no Other. 23.32 ._.,-.___ ._._._.__._-___ _. _.._.____ .-----_.- .__ .. . Other furl appliances: l:t!MaltpaJCel no, Nater heater23.32 nesef IP7'ION OF WORK Dia,(irc7tfas r inert L. ' 33.9 -- Flue tent fur eater heater or gas { ! tircplr e ' 32 Al (} 3 F.I,x hehter was) 3 32 ---APD Wood pellet,ase 3 3y t (7aittin ,liner Flue tent ( 23,12 _... -._ .......,. ..._._. Othet • PROPERTY O%C':SLR ❑ rI\A`:r 1 a t:usirunrneuiulrshauo and sr\DaaeInc. kana-hsittherkitichcn 1_)R Horton ncj k -i ..equipment 33,34 :Atlahe, -}3ti0 SW Macadam AN•c Suite 100 _�._.. .. - _•----.._._ C kitties dryer eahausr i 3q fint 'ttie11P Portland,t)R9 23e3 r... 1Scalae tau esltau,t fbatbic.nm ` _.. _..._ _ ....„ _ .. _-. _._. _. . .. .._... ; !Liget c eup.rtrnCTt1 atlilrN rooms i i i_ 1 • 194'1%.* 1503 ) 222-4151 I 15, ( i ) ! A(Sla aria 15 3:1 t i ala` _., )3,32- __„..„, Q APPLICANT CU\CACI' PFaLSO1 1 (niter 23 , _ _ -- t Furtpipit Hit me„name; DR Horton inc. t - .._._...._,.-......._,_..._..-.._�....._..____.._...-i 1-- .$14.1 5 flu first friar S.4.03 fur each additional (anitati muni: Emerald Weeks him..,: .tie ___,_ - i I (-,,,,he ontret 1 1dale„ 4380 SW Alacadan) Ave Suite 100 i l _ • i Nall,uzj+erndcd unit heater t l ( rh '1--11'./i ) OR 2 i9 Portland,��).� ,li�. t �1s;gc"r he iWr !'h,nt '50 a ??/ 151 X11071av t t t f.irrginc ... _.._ __- -.... ........_ _. . . .. F Kan s I itn1 CS3seeksutdrho oncorn i i kir/wife 1 CONTRACTOR 1 ' e lith dt r1ea,) Itt:.,ir e o.tnte I� ''xr f I{ ` t her NIECiIAv1C sLPERMITFEES 1die 2rf 7}r {t p 7 } \uina l", ' Sr ,i f _- r r r - ANon Aim r net ten ISM!tali i ( i1 State/Ii .a/I - ( f_i - �/4 c";r '".."�"-"— i nl tr.Few(25' fihrrnia Ice) ....-.�. C l a. i I'le,nt i-,,,;-/,�9 ,.r i ! f,i+, a j , -.f ��' .air, il' or _.---- � ..,� ....__-_ c r _ j ....-. �t }vie t ,.r nit feet __._ I( !i lac .1 a,) ..- .-I t)I l PERMIT PF F .� -_ ..�.:-_L 4..,- ___.._..._ ..___._,.._....._...--_.._..__.__.... ._.__ ti fhi.permit application rapitm if a permit I.bot ofasiaed'within Iltn days*nor it hss awes occupied at(1mpNte, 1Ulla it cd J{ -lfit. l3 1 1 j !„ftirf�rei..Io ..<!h 7itd.,,int}{ i}.3in Irtttrc(rt SChria Mr ani im J !'ant n ittr� "' i i i;a r,,,.- y', P,:e=,,,, ',-:.1's- .,i ,,_.it.Sit i 44 CITY OF TIGARD MASTER PERMIT 14...- . COMMUNITY DEVELOPMENT Permit#: MST2017-00010 T[GAPD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 2S 111 DA22500 Jurisdiction: Tigard Site address: 15467 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 44 Project: Heritage Crossing, Lot 44 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 701 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 991 sf Garage: 340 sf Front: 15 Smoke Dwelling Units: 1 Third: 327 sf Right: 4 Detectors: Yes Total: 2019 sf Value: $244,690.31 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<1 OOK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2019 Owner: Contractor: DR HORTON INC-PORTLAND 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: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,396.63 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: ,�(,if /� ritt� ,� � Permittee Signature: 56C GL " c—i-A G 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. %Zech tical PermittAppliicatio SI sty €[t€ € ► t r City of Tigard rd �g-;211 414 � 3 p I4r;`IX414o 44 r 34ar r "" irt�t4.w t i s ,S4pr. 427'2p q 4 Inter4R; .44 224441d,wt 'r s .W. .��.., " 44;04 43sar �rea�' �ei Aa4 iip�prgpN�.4rUfl$4>€4f+4cx4,4iFmc s ‘14:4i4,44144-441p,,,;-24,24 "R 228 122,44241$44 th4, # ,4 , + '"a3;wA "rr=}*,It2VCt 4rf4 4441d/444444 441-4tration_repi44444,-4.414:4-r,t 3 z � 4t44444 * 't€44 040"44,.444444:41 Ori 4,444 v44444 4ae 9rr at ssitYM 4E 0 t 6zl�r; 224.11.114212"12,144 =p4 2"12, 4 7w ' 44446 ok- of - ra ' : x� 1t1 , • ,- 44-2,1 . ,i64131t itiA41141g 0 4-44444d 44444411 4‘4,4„4„44444r44 b4444414,14 ��-•a �r�, <�ws�.pt� s 'al4,°4a 1;3444r13 9*41;44.1cr hu4k*c 9 iitiwr 14,2-4.42,424,4, (2 _,.....,... ani 4 z aa't#f '1 rd)R' 223 t re. t*4UWO is'la 4 , Lig 444 4i=t, �ra:- fi���...,,,,,,,ppp ♦ gg °� +.�4 v =' 24,142,2424 .f 4 44 " 49 myl 43�4 e�t 4# parA,fi Ito a^4' #P � p 4aa�& y it 3 � = x4 t . irern p t c +r , 41- ("1-4444-4444:4 !Vol:lir, r ? ����_ '4�44t,' D }1,)rlon Irrc 11hotiit 14 4 a \''1‘4":44.' " V Macadam Aveuit> 100 .,.. . C41'44'4-441 44 t .r '44,4,4 .'Ir" Ip4>rtric,OR47239 �� =44ttr �,s.r.yr.�wr ;14 4;24 ...h. X4444 $503 222,4151 1,,at 4 b _ gp £ y e Ks' 4,.43122, .HR Horton 1n , „ /4-1"44ax"4f i1 4 a ,4r1 ai 1 r 4,1244,4 Lrner I Ir eeRs arE44rn 1.,K1'4"‘-`'. 4;80 SW M i r Ave Suite. 100 wow 444 pawl,.. d, 4, 444* ' Portland,OR i t a� L 222- 4151 81107 I '172'2 d , 1 c4 cekst4'drhort€rr o r £ 44. ..$ £ i� � 4: �fi 4444 , 44 4 4,4444r �� #,44 �4 e ,_, � t 4 Le," sobto.to /1P. ? * "4 43ar'4- t r l %`tom 244122 342 . . — ?:ra r 44-144 ftp na x p.44 4 #� F#a<parer r ;# ga ata sxr;ae41;;; ;of4444444,$4,4 # o 44144 4,44242142244„; -r a ** tx V,psatw3 ptrt g _. p . y, 44444 0'-4 IVO 6,r ,=F 4a sn_-, -i44 of _.a. tl Electrical Permit Application 1 ,N Oi l i( i t til {),,i } City of Tigard Received i 13125 SW Hail Blvd.,Tigard,OR 97223 s Dairgoe permitNo: �STo�P>��-c90/7 Phone: 503.7182439 Fax: 503.598.1960 v IN �,, ', Inspection Line: 503.639.4175 batersy Other Permit Internet: www.tigard-or.gov / N/ j ^ :f ` y ho 7ini£ J Sire Page 2 for J 'otiE-.�, hod; TYPE OF WORK — j`' Sri mental laforaoetion ®New construction �? PLAN REVIEW Addition/alteration/replete/tient Pietse check all that apply(submit1 sets of Plans wfitenrs checked below): Q Demolition 0 Other: ❑Service or feeder 400amps or snort 013arrn s andoveratya atones. CATEGORY OF t where the available fault current ©Marinas boatyards. comma**►N exceeds 10,000 amps at ISO volts or D Floating buildings. Q 1-and 2-family dwelling 0 Commerciat/industtxa] Q Accessory building less to ground,or exceeds 14,000. Q Corirmerciai-use agricultural amps for all other installations. Q Multi-family Q Master builder 0 Other: afire irk- 0 Installation of 7S KVA or JOB SI INFORMATION ION AND LOCATION ©Eme'g y system. larger separately derived system. 0Addition anew motor load of C3'A","E","1-2","1-3", Job no,: I Job site address: `,5-112 100HF or more. 1 °eeupa ey CitylSta#eIZIP: '1< � ©Six or more residential waits. 0 Recreational vehicle parks. itr( Health-care facilities- Supply voltage for more than Suite/bldg./apt.no.: , Project name: Qs El 600 volts nominal. Service or feeder 600 amps or more. Cross street/directions to job site: �J p t g FEE S �y ,P�-.iu•Gee r,, M Q NIncludesew residatentialh`singleed -or multi-faanity dwelling unit. tacgarage. Subdivision: I,Lot no.: % 1P0 sq.ft.or less •- u Tax map/parcel no.: Ea.add'i 504 sq.ft,or portion 33.42 ��Q DESCRIPTION OFWORK • Limited energy,residential . with above ,,ft III 75.0 Mil Limited energy,multi-family 111.11 II residential with above .,,ft 75,00 Services or feeders installation alteration,and/or relocation 200 amps or less IIII o a Q PROPERTY OWNER I # E 0 T 201 amps to 400 amps all133.56 111111 ® Name: 401 amps to 600 amps Mill 200.34 Address: 601 amps to1,004 amps 341.44 ; n IIIIMIIU Over 1,400 amps or volts annwail 13 City/State/ZIP: tion services or feeders installation,alteration,and/or reloca Phone:( ) Faax: ( ) 201 amps to less Owner installation:This installation is being made on property that I own which is not 201 amps ro 404 amps 125.4s Q intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 ampsINN168.54 IIIIIIIM® Owner signature: Date: Branch circuits-new alteration or ottensi, , eel 0 APPLICANT ____,#________ A.Fee e for branchicercircuits with 1 � ❑ CONTACT PERSON above srdviee or feeder fee, Fee F Business name: DR Horton Inc each Fee B. orallchc"rrcuit for branch circuits without Contact name: Emerald Weeks service or feeder fee,first branch circuit Address: 4380 SW masa•am Ave Each add'!branch circuit am ® City/State/ZIP: Portland C7 R 97239 Miscellaneous service or feeder not included Each manufactured or modular Phone:(503) 222-415 1 dwell'£- service and/or feeder 67:84 I Fax::( ) Reconnect only an67;84 E-mail 113 Pump or irrigation circle imiunevingta •e^^ ) CONTRA Cil OR i Sign or outlay lighting Business name: �t/t L7l r js - ,y` Signal circuits)or limited-energy II G '�L re..- °" i al , oillextension.. ) Address: 2g01/ /t/E- `r"t .1 A, it_ Each additional ins, hr m over allowable la as of the above c7 / ,. Additional inspection(1 hr min) 11111 66.25/hr MIN City/State/ZIP: ! ' Lt t. 1 A t� /^ClInvestigation(I hr min) !/t/ v'fb b ° Phone:( f / 7-5-7.......0 9,6•6Industrial plant(l hr min r �■ `�'ca.5 f"Gr 'Fax:oca) , S.(}' L lnspections for which no fee is 11=1�■ CCB Lie.: "'/�J f Electrical Lic.:- s• kali listed J in min ii FE Sr `7 1_ C�,'`�,j 0 I Supra.Lie.: /79..x` s laicmem, PERhar FEES' �• Supra.Electrician signature,required: 7-. } 11 .ter+ Subtotal; 11.11.111111 Print name: '' Plan review(25%of, „it fee): 11111111111111 a.r State (124bofpermitfee) Authorized signature: �,�' TOTAL PERMIT FEE: IMII Print name: This permit application expires ifs permit is not obtained within ISO 111 Date: days atter it has been accepted as complete tailildi�,gtrermirsiEEtCd ,mitnpp Number of inspections allowed per permit. 440;4615T(11/05/COM/WEg Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEL St REDI:LE newription Qt,.. Lao tout • Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 ‘ ‘, , Check Type of Work Involved: kaor1 501to 15 1.‘,1 133 5O I I Audio and Stereo Systems* I5011c25)04 200 34 Wind generation systems in excess of 25 kva: Burglar Alarm 23,01 to 50 kva 301.04 2 50.01 to IUUkNa 5522o XI Garage Door Opener* -,10n 10,s(let,in aoidance 552 2t- (tAR 41h-lq9-0040) X Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* T Each addiltonal kva,k‘vr 25 EVacuum Systems* io a—no additional char.ec 0 11 Each additional inspection over allowable in any of the above: Other: Lach additional inspet.tion ich 25 hr I 1 hard at an bout ly(1 hr min) Inspection,tor which no fee is specifically listed hr mir) 00 00 hi I _1 COMMERCIAL WORK ONLY: 1 ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): • Number of inspection allo,cd per permit (SEE OAR 918-309-0000) Check Type of Work Involved: ri Audio and Stereo Systems Boiler Controls I I Clock Systems Data Telecommunication Installation Fire Alarm Installation I HVAC Instrumentation I Intercom and Paging Systems I I Landscape Irrigation Control* Medical I I Nurse Calls I I Outdoor Landscape Lighting* Protective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.Bkuldtru Ps IN LC Pc-nit 4,1Ta i R ERI cit, R c,1".701' ,Plumbing,Permit Application Building Fixtures City of Tigard 4/_„s/ rtReceived / a 13125 SW Hall Blvd.,Tigard,OR 97223 .!'' -t� DIPen»it No.:l�S7aQ!7 p`0 Phone: 303.718.2439 Fax: 903.598.1%4 j�' Plan Review may, other Permit No.: FIG A tt l) Inspection Litre: 303.639.4175 Tote R y/By: nett 61 see 2 for Internet www,tigtud-or.gov t dma ; ry.e ,0 &rik�s peaahi tniarasta>. TYPE OF WORD&'. .FEE' SCHEDU LEI 0 New construction 0 Demolition For dal Information tat thrall* Description r I Ea I Total Q Addition/alteration/reptscement 0 Other. New I-2-homily dwellings(includes 100 R for each utility connection) CATEGORY OP CONS1R1JCnON SFR(I)bath 312.70 ❑1-and 2-family dwelling 0 Commercialrndustriai SFR(2)bath 437.78 0 Accessory building SFR(3)bath 50032 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler sq.tt.) Paget JOB'SITE 41IVOR6fA N:AND LOCATION Site utilities; Job site address: 1,91G.„--7 c 2j" 6„L/� Catch basin or area drain 18.76 City/State/ZlP: w Drywall,teach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no. I Project name: t 11nit /2,, 1, + Manufactured home utilities 50.03 Cross street/directions to job site: / Manholes 18.76 `t/ Rain drain connector 18.76 Sanitary sewer(no linear ft.;__'_,) Page 2 i Storm sewer(no.linear ft.:___„) Page 2 Water service(no.linear ft.; ) Page 2 ! Subdivision: 1 Lot no.: G Fixture or item. - Tax map/parcel no.: 1 Backflow preventer 31.27 DESCRIPTION OF:WORK Backwater valve12.51 Clothes washer 25.02 Dishwasher 25.02 [ Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY. OWNER 't_ 0 TENANT Expansion tank 12.51 Name: ) r/^ 0. Fixture/sewer cap 25.02 c .0 go e , Floor edrain/floor sinluttutt 25.02 Address: Garbage disposal 25.02 City/State/ZiP: �ry _ 1 _ � Hose 25:02 Pho -AL, `\4' n:1( • Fax:( ) Ice maker 12.51 0 APPLICANT ;] CONTACT PERSON Interceptor/grease trap 25.02 Business name: �p " 1 1 +„,} Medical gas(value:S__,,,_) Page 2 Contact name: � 1 C✓'t Primer 12.81 -- Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/lP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: (� V�' , ' Urinal 25.02 CONTRACTOR 1. Water closet 25.02 Water heater 37:32 Business name:EDWARD MULLEN PLUMBING WaterpipinWV 56.29 Address:1601 SE RIVER ROAD Other. 25.0• 2 ' City/State/ZIP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee $72.50 Plan review (25%of permit fee) l CCB Lie.:94689 �. Plumbing Lie.no.:34-260P8 State surcharge(12%of permit fes) Authorized signature: A ' _day TOTAL PERMIT FEE i Print name:RAY MULLEN / Date:` This permit application aspires if a permit is net obtained within 180 days atter it has been accepted as complete. `Fee methodology set by Tri-County Building industry Service Board. ttkeldineermOO?'UNt1-PermeApp.doe IWo l/09 440461eT(10/09/COM/wes) City of Tigard : qilh COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: /71,s7—,26/ 7—()dojo Site Address: /S-76 L'D 004 , /olitz c /4394-C___. Project Name: Perik�. p S.c in Lot #: ___ ____ (New dwelling subdivision name;Additio eration=last name of owner) Planning Review Proposal: 2Fie Verify site address/suite# exists and actio in permit system. Fiver Terrace Neighborhood: V No ❑ Yes,See River Terrace Review Addendum Attached Si9e Plan Elements: ree(3)copies of site plan 0 :I sting structures on site 1/S e plan must be on 8 1/2"x 11"or 11 x 17"paper 7 Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) i•or elevations rth arrow kT Utility locations(required for new,may apply for additions) . e address,project or subdivision name and lot number \ '_: anon of wells/septic systems •licant information(name and phone number) NI l!•sting trees to be retained with drip line,and tree Ft it dimensions and building setback dimensions ilotection measures L •t area,building coverage area,percentage of coverage and gl 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) i lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Pequired: EJ Yes,applicant was notified lIJ No Received: ❑ Yes CI No ublic Facili s Improvement (PFI) Permit: equired: ] Yes,applicant was notified ❑ No Applied For: yes ❑ No,stop intake Land Use Case#: Zoning: P-i ,Landequired Setbacks: Front /R— Rear / 5— Side '9 Street Side /l )44 Garage Qo scape Requirement: % r' Pr Coverage Maximum: ) Er Building Height: Maximum Height S1/4S— g Actual Height , 0 't,sual Clearance rg Easements Pal b.ensitive Lands: ❑ Yes /No Type !G Urban Forestry Plan ❑ Conditions "Met"11prior to issuancejjoff building permit Notes: CD4r.4974�11kg S'I?v 1/ II %/ p'1 -- 4 ✓p-P/711 z• >sSZkwt CC Approved By Planning: Aim- 1 Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPernvtRvw RES 091216.docx Building Permit Submittal Original Submittal Date: //3-h 7 Site Plans: # _ Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: arming C "ngineering ermit Coordinator iil ding Workflow Sign-off: P��gn-�off for Planning(include notes from planning review) Route Application Documents: [:-t✓ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. El Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ,01 l _ I rated,- , l-.r ewl cf4.t,tea ,yr/J/T-4:62.'4 ° By Permit Technician: f9-zDate: /5 7 Engineering Review Slope at building pad: 7/e. Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: 1,\\ Assess Water Quality Fee in-lieu: CI Yes No Assess Water Quantity Fee in lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: ' Date: Notes: Approvedby Engineering: tilZ Date: /--,4—/7 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 ❑ 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes CI N/A Tigard Trans SDC: Yes 1:1 CI Parks SDC: Yes ❑ N/A r:1' OK to Issue Permit Approvedby Permit Coordinator: k Date: r hi/ 4.-- I:\Building\Forms\BIdgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15467 SW APPLEWOOD LN, TIGARD, December 15, 2017 at OR, 97224 11 :48:38 AM Record Type: Record ID: Residential - Master Permit MST2017-00010 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: 15467 SW APPLEWOOD LN, TIGARD, December 19, 2017 at OR, 97224 10:33:30 AM Record Type: Record ID: Residential - Master Permit MST2017-00010 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: 15467 SW APPLEWOOD LN, TIGARD, December 19, 2017 at OR, 97224 10:32:32 AM Record Type: Record ID: Residential - Master Permit MST2017-00010 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor