Permit (55) CITY OF TIGARD MASTER PERMIT
1111 11.. COMMUNITY DEVELOPMENT `� Permit#: MST2016-00551
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 et Date Issued: 05/16/2017
f /,4/l Parcel: 2S111DA21300
�/� Jurisdiction: Tigard
Site address: 8750 SW SCHMIDT LOOP
Subdivision: HERITAGE CROSSING Lot: 32
Project: Heritage Crossing, Lot 32
Project Description: New SF. 8/22/17, REPRINTED to add a/c.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1098 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1408 sf Garage: 556 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2506 sf Value: $308,499.02 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:
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!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 2506
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: $29,762.49
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-001 roug i AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling .232.1987 or 1.800.332.2344.
Issued B Permittee Signature i P
Call 503.639.4175 by 7:00 a.m.for the next available inspec' n date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RECEIVED
Mehankal Permit Application l t tut c)m,.t it I.t *+t:4,0,1 ,,
City of Tigard AU G 2 1 2 017 tai= g' a, ,7 C� pu t oMs faoi�-
oe S`7
13325 SW hall Blvd. Tigard,OR 97223 _ Fust nrcw
Phone: 503.11$.2439 Fix_ stt c
tto istuati,
toe duos line, 503.639.4175 - '+ '' IA H 1J rtme Rt y,il 1'4'. Q!Seat Putt nor
uncut. www34114141144ts< BUILDING
DIVISION
i <l"ifitxt'!« ttttavt: .. nagittmothatlttfa*matton
ha. i i� k'.�,t r,z. s6. . -�tq . ,
{.$.".. tµ t�' t 4 tl-,-,14-,444420,:o ,�5 __ .. _.,, - `ru ,
• -.—:.,:13.A31:'''
' - -_ Meettatticat permit *OTC based anti*value ofd woe
41 New construction 0 Additiontaitemtkutireptscement per tensa$.Indicate the value immded to the ammo dollar/a all
0 Demolition 0 Other. mechanical ` ls; C labor,overhead,and prrtt"tt..
Wm:S •
,a '"_..... i biH t 44744 t '7 a.a4 ,y' R' p. y'1P y• I s:
•I-and 2-family dwelling 0 CommerelaVinduatrial 0 Accessory building For_spentailnformaden roe
cheritilsa
Mutti-famity 0 Master budder 0 Other f5ca31t „,,ChY• tom- fatal
, tactltR
ilt��ss$i � r
y <.x .. «. i _.....- , . ruses ltaantrt� � a${1.
ittb*ate°date”, ;y C ! i furnace 3003100 BTt.t tors woo 0.75
till"S�ttfrtt Z1P: Tigard OR 97223
Furnace 1UD BTU f gt lsrtrAxxt
54.91
Bon 01.06Sa,ire=t+lci ,opt.no.: Pr jet t ruttrac. t ,M/� / C" 1yr0j1(l(� Nei w 23,32
{,"rasa aur tidiretiic to job site: `"'V�" t lydrottec hat water sy r �, 23.32
Residential hada(radiator or
hydrattic) 23,32
Unit heaters thtet-t "tet to+th
.�. in-wal3 it,-duct,su ,etc. 46.75
rtuc,°tecttt for sax of above 23.32
thlwr 2332
Subdivision: Eat I thltertaut t*Ices:
Tax nutpiparcel no.. Water heater 23.32
Floe vent for water beater or gss
New SFR ft •,.,, 2332
Las lihttter(is). _ 2332
r A t _ woodip,ellm stove 33.39
_______
Wotxl Ct tac 'itsert 23.32
r Cit alt tltte:'seat 2332
2_...._......,..._.•..—
Cts3.32
l'431111=: .17R Horton Inc. RRange hotatb'ceter kitchen
s-_ :..�.. r' optiputera 33.39
Ad x4380 SW Macadam Ave Suite 100 Clothes dr rexh t 33.39
Single-duo minium s
City/State/ZIP:Portland,OR 97239
- .. _ � . toilet comportments,
utility mown) , 23.32
Phone.t503 1222-4151 Fax,( ) nt �;, < ,r 23.32
,�
i :. 23 . ,
,
ttiptiega___
fiubtneso num; DR Horton Inc. � � sitis
for first fad;U.43 for and addltional ,,
Contact name: Emerald Weeks Forum etc.
Addr 431I0 SW Macadam Ave Suite 100 etas ttrartnttttp
L__.„...___ ,�.._., - ,..,...._. ..- Wallistiamendetininit heater
C try/State/Z1P' Portland,OR 97239 ,water heater
r- - _ kireple
Matt;.:t503 t 222-4151 x1107 Fax::t
E-mail: esweeks@drhorton,com Barbecue
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itvat¢ S! Ck1t17 � �Cr
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wt mutat ratab tot($'1110)
Ity;StateZlP: t[ J . ` ✓ m'
1- ',� ,+ • _ mime S%ofd reel
Pttmt: +
Fax: * *) .- p State stothreir 112%o permit at) y
CCB he,: TOTAL PER IT FEE f`501.3 0
I r�ilt►�t� + tf -W---- Thu plow appeoman np4r tfa pawn w am abioned intim B
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CITY OF TIGARD MASTER PERMIT
ori 2 ' COMMUNITY DEVELOPMENT Permit#: MST2016-00551
Tt( .\P D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2017
Parcel: 2S 111 DA21300
Site address: 8750 SW SCHMIDT LOOP Jurisdiction: Tigard
Subdivision: HERITAGE CROSSING Lot: 32
Project: Heritage Crossing, Lot 32
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1098 sf Basement: 0 sf Left 5
Parking Spaces: 0
Height: 24 Bathrooms: 3
Second: 1408 sf Garage: 556 sf Front: 15
Dwelling Units: 1 Smoke
Third: 0 sf Right: 5 Detectors: Yes
Total: 2506 sf Value: $308,499.02 Rear 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 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: 10
Water Lines: 100 Drains: Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0
Backwater Value: 1
Drywell-Trench Drain: 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 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: Y
Ecompasing:
BUILDING INFO
Class of Work: Type of Use:
Type of Constr: Occupancy Group:
Square Feet:
NEW SF VB
R-3 2506
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: $29,710.13
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 ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332,2344.
Issued By: —,4 �'' �[
Permittee Signature: l��r Cie// e- -7l6I1
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.
• Mechanical Permit Application ,‘Viow`t1‘4 I•rn(if i I,
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/IP Portland,OR 97239 . ' N,agk..1,,I vN):xt.,,,1 k0,,,•04/, 17 I
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nu'r'c's"nc DR Horton Inc, 1 ' - - -
. ..„, I .,,, ,„ $14,i5 Goir ht.!four,i0-4$14 for t*tt,
' (-OntAlnAlm, Emerald Weeks
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, 1 A Is Mi,,K., ,i.:'4,ow 44,41
Portland OR 977119 * , .0, ,it-, ,,,,
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Electrical Permit Application ' ,,,,O.ki :/,•1/4')V• I ok ()I 1 1(
* -
r,, -;
City of Tigard k ,,
,,,A
A _, Received
Date/By: Permit No.:
' • !Ill--- plh30125ne:SW 11.78.11.1dE214v3d9.,TFigattlax: ,5?)3R.59819;50
Plan Review
, `v 7 Y\C' • Date/By: Other Permit
Inspection Line: 503.639.4175 W--k Date IteadyeThyo:d: Anis: 1 /a See Pagetal for do
Internet www.tigard-or.gov
. r'‘Nit.1 NsNon . 1 SupplemenInfpn
c-1( ' , -
TYPE OF Wont 1 — -INA"k - • - AIAN•REVIEW . .
8.11141$ ' 1
sse check all that apply(submit a sets of plans whams checked below):
13 New construction 0 Add ition/alterattoq 1.' ,f. P.e
°Service or feeder 400 amps or more 0 Buildin,g over duce stories.
1:3 Demolition 0 Other: 71)103,'-
where the available fault current (3 Marinas and boatyards.
cArEcoRy.01l coNsTR:verioN . exceeds 10,000 amps at 150 volts or Cl Floating buildings.
less to mound,or exceeds 14,000- 0 CoMmercial-use amicultund
0 1-and 2-family dwelling 0 Conunercial/industrial- 0 Accessory building
anMs for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: °Fire punm.
0 Installation of 75 KVA or
(3 Emergency system. larger separately derived system.
JOB SITE iNFORMATION ANO LOCATION 0 Addition ofnew motor load of 0"A", "I-2",
occupancy.
Job no.: I Job site address: c .7.,IL; _3(-).' =_Stilim-1,14 4
t,r.. os.or more residential units. 0 Recteational vehicle parks
City/State/ZIP: .
a HeaWt-eare facilities.
C)Supply voltage for more than
Cl Hazardous locations. 600 volts nominal.
Suite/bklgiapt.no.: I project name: lito-tetty. kn 0 CI Service or feeder 600 imps or more.
FEE SC/IEDULE
Cross street/directions to job site: I Is_. ,,
1107111.12/1.11 1r0.1 1111
New residentiallsingle:or multi-family dwelling unit.
Includes attached game.
Subdivision:
1 Lot no.:3,...3_ 1,000 sq.ft or less lallIEMI111111.113
Ea.addl SOO sq.ft.or portion ...E1211111.11m
Tax map/parcel no.:
Limited energy,residential 75.
Limited
111=1
DESCRIPTION OF WORK . with above s,.ft
Limited energy,multi-family III .
7500 MED
•
residential with above ..ft.
Services or feeders installadon alteration,and/or relocation
200 amps or less 111. O." MOB
0 PROPERTY OWNER I 1 0 TENANT 201 amps to 400 amps 111111111E01111111111111,1
Name: 401 amps to 600 amps all 20034 11111111.13
•
601 wrIPS to 1,000 amps all 301.04 111111111111E1
Address:
Over 1,000 amps or volts liallagnall11113
City/StTemporary services or feeders installation,alteration,and/or
ate/ZIP:
relocation
. ,
Phone:( ) I Fix:(. ) 200 amps or less 111111111EammIll
IIIII
Owner installation:This installation is being made on property that!own which is not 201 amps to 400 amps 25.°8 all1111E1
11.111=
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 1111111111111a
Branch circuits-,new alteratio, or exteasio, ,er •and
Owner signature:
Date: A.Fee for branch circuits with 11111111111111
0 APPLICANT 1 i 0 CONTACT PERSON above stroke or feeder the,
each branch circuit
Business name: DR Horton Inc
B.Fee for Manch circuits without Illieril
service or feeder fee,first
Contact name: Emerald Weeks
branch circuit
Each addl branch circuit 1111111111163111111111113
Address: 4380 SW macadam Ave
Miscellaneous service or feeder not included
City/State/Zip: Portland OR 97239 , Each manufactured or modular III
dwellin:. service and/or feeder 67.84 1111=1
Phone:(503) 222-4151
i Fax::( ) , Reconnect only Ill 67,84 El
Pwnp or irrigation circle
E-mail: 11111112311111111110E1
Sign or outline lighting 111.1112311111111Mn
CONTRACTOR , ; -
Signal circuit(s)or Iiintled-energy NEM III
Business name: C 'i ,. 1,alteormti. extension.
• Each additional ins,.• 4.• over allowable in an of the above
Address: 2, , 41r W- C It i
A. R.,... AGrill Additional inspection(1 hr min) 11.1 66.25/hr MM.
City/State/ZIP:
, C 0 14 ' l,*. 1449. la. . C/ j
Investigation(I hr min)
ndustrial plant(1 hr min) 11111111=111111.11111
MI 78.18/hr 111.1111111
Phone:(3‘3 /.0:— . ..;.5- f..9 Fax:cCa)
— 9. . C, Inspections for which no fee is
1111 90.00/hr Mill
I . listed %hr min fIENERINCI Electrical Lie....6-23 e Suprv.Lic.: /7.1 s &mil
s
' ELECTRICAL PERMiT FEES
i
1111.1111111111
Suprv.Electrician signature,required: ' Alt JO ._ 4. min
Subtotal:
_ .
Plan review(25%of permit fee): 1.1111111111111
Date: State surcharge(12%of permit fee):
.
TOTAL PERMTT FEE: IMII
Authorized signature:
,,(,42ghIIIIIIIIIIIIIIIIIIIIII This permit Implication expires Ira permit is not obtained within 180
Print name: Date:
days after it has been accepted as complete.
--14gNIIIIIIIIIIIIIIIII ' Number of inspections allowed per permit.
Ir
MiklildinePermits‘ae-PoluitApi
44046137(11615/CO5eJWEI3
Electrical Permit Application-City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: ' , Renewable Energy Permit Fees:
7Ka fir
RESIDENTIAL WORK ONLY: 7(3\ FEE SCHEDULE
FRE
for all residential systems combined: $75,4 Dcwriplion ow Each 1neat
) Renewable electrical energy systems:
Check Type of Work Involved: q ° a k,a or less It,; ,0
Fy �� .�
nS.UI to I>Iva 133,56 i
Audio and Stereo Systems* }`a1 _
15.01 to-51041 200.34
n Burglar Alarnn I N'ind generation systems in excess of 25 kva:
:5.01 to 50 kva 301.0.
(� Garage Door Opener* 50.1;1 In 100 kva 552.2h
>1011 kca(fcc in accordance J I
with OAR 91 h-3(19-0040) f 55�.'b
Heating, Ventilation and Air Conditioning j 1
System* Solar generation systems in excess of 25 kva:
- _1
Tach Additional kva 0%er_5 ., ,
Vacuum Systems* _ 1
%I Oil k�un no additional charts U — ;
Each additional inspection over allowable in any of the above:
I Other: Each additional inspection is { —
charged al an hourly(I hr min) (b 25 hr 1
Inspections Inciwhich nn Ice is
specifically listed(`-hr mir;) "U.OU hi
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enteron Page I):
(SEE OAR 918-309-0000) ' Number o(inspcclionS allowcJ per pennil
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
I— Clock Systems
❑ D• ata Telecommunication Installation
n F• ire Alarm Installation
I- HVAC
0 Instrumentation
❑ Intercom and Paging Systems
[ Landscape Irrigation Control*
I—I M• edical
n N• urse Calls
n O• utdoor Landscape Lighting*
n P• rotective Signaling
[ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I..Buildir*Partii;,I LC PrunilApp LLRERF.doc RL,ix,I":1119
• Plumbing Permit Application
Building Fixtures
• 1`3'125 SW Hall Blvd.,Tigard,OR 97223 1of Tigard - te a.s .. 9111111111011111221111.1111111
y permit No.: nAS)..)./.)/(0._f}U•)r,r-j'
0 Phone: 503.718.2439 Fax: 503.598.1960 "'"'IIIII
Na"R°"1C" 7
Inspection Lira; 503.b39.4175 Other Permit No.:
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• ,,, • �,• TYPE OF WORK ..fw.. .FEE* SCHEME* ;, •
New construction ❑Demolttt ) ) )„.17-W,Cy POI spedal Information use checklist
amaon
❑AdditirmAlteration/replacement 0 Other r �. .5 Q I Ea Total
��a� New 1-2-family dwellings(includes 100 tt for each utility connectatt)
CATEGORY OF CONSRI(irnoN SFR(I)bath 312.70
❑I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builder - Each additional bath/kitchen 25.02
❑Once Fire sprinkler( sq.ft.) Page 2
' JOB•$ff,eQYORMX]iON:AND LOCATION Site utilities:
Job site address: �15 ,��, < Catch basin or area drain 18.76
City/State/ZIP: I Drywclt,leach line,or trench drain 18.76
Suite/bldgJapt.no.: Project name: `,(
Footing drain(no.linear ft.: ) Page 2
Al!� l/Y '�s�11 S')� Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:+) Page 2
Water service(no.linear ft.:____) Page 2
Subdivision: Lot no.: 3.)... Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
r' DESCRIPTION•OF:WORK Backwater valve 12.51
•' Clothes washer 25.02
9� Dishwasher 25.02
V . Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPER r001.NER . • .,i ❑ TENANT Expansion tank 12.51
Name: k-) -V v Y V kA, Fixture/sewer cap 25.02
Floo,� \ A-0.0' &Q l ' J Garbage drdisposalspoor sink/hub 25.02
Address: J tJs." -"'
City/State/ZIP: 0 la bi 25.02
Hose bib 25,02
Phone: ) ) a - .11rj` I Fax:( ) Ice maker 12.51
❑ APPLICANT • Cl CONTACT PERSON Interceptor/grease trap 25.02
Business name: 3:::,L \-tZ - -1 U Medical gas(value:S ) Page 2
Contact name: t� +A.Q..►4Ll•t L Primer 12.51
Roof drain(commercial) 12.51
Address:
Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) J Fax::( ) Tub/shower/shower pan 12.51
E-mail: e s\. ea(3 . ( .V V CnirtvI i , Com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:EDWARD MULLEN PLUMBING
Water piping/D W 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 Minwnum permit fee: 572,50
Plan review (25%of permit fee)
CCB Lie.:94689 Plumbing Lic.no.:34-260PB
State surcharge(12%of permit fee)
Authorized signature: ` Ad' If'P II/ TOTAL PERMIT FEE
Print name:RAY MIILLEN l Date: This permit application expires if a permit Is cot atomised within 1100 days
rf er it has bees accepted as complete.
'Fee methodology set by Tri-County Building industry Service Board.
I:1$udaeaYere t.tPtMU•PenatApp.doe 10101.09 44044616TtlrevCOMAVEa)
City of Tigard
II I ® COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c D Building Permit Review — Residential
Building Permit #: ,57- f� 37
Site Address: e9-s-0 2k) 9c-Am,-44/ L'!
Project Name: ii"• ? Cfbi r • 7' Lot #:
(New dwi.g=subdivision name;A,o •r Alteration=last name of owner)
Planning Review
Proposal: /,J40
/Verify site address/suite#exists and activ in permit system.
JJiver Terrace Neighborhood: 1 No ❑ Yes,See River Terrace Review Addendum Attached
Sine Plan Elements:
ree(3)copies of site plan .�
.,,sting structures on siterrf to plan must be on 8-1/2"x 11"or 11 x 17"paper R ootprint of new structure(including decks)with finished
•prawn to scale(standard architect or engineer scale) or elevations
Viorth arrow tility locations(required for new,mayapply a 1 for additions)
te address,project or subdivision name and lot number ,• • anon of wells/septic systems
pplicant information(name and phone number) 61 1 p Y
ting trees to be retained with drip line,and tree
t dimensions and building setback dimensions , otection measures
Lot area,building coverage area,percentage of coverage and I
treeteet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40)
names
roperty corner elevations(2 foot contour lines if more than
4 foot differential)
Olean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ es,applicant was notified P No Received:
❑ Yes ❑ No
Public Facili • s Improvement(PFI) Permit:
: `'
equired: Yes,applicant was notified ❑ No A hed For:
PP Yes ❑ No,stop intake
and Use Case
L #: 9 1(�-OC '
l Zonin � L� Golf� �1�
g
Pr/Required Setbacks: Front /-- Rear if --- Side S Street Side A 1 . Garage ,, O
Landscape Requirement: *09_ %
Vil Lot Coverage Maximum:
VI Building Height: Maximum Height /'
g Actual Height
III isual Clearance
f'! Easements
Kil ensitive Lands: ❑ Yes /No Type
1:9;1
Crban Forestry" Plan
Conditions Met"prior to issuance of building permit
Notes:
Approved By Planning: -' _
Date: h2/-774-;
Revisions (after Building Submittal only) Reviewer
Revision 1: ❑ Approved ❑ Not Approved Date
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 091216.docx
Building Permit Submittal
Original Submittal Date: /i// /i
Site Plans: # 3
Building Plans: #
Building Permit#: t2.Les building permit#above. ,� ���
Workflow Routing: Tanning Le--��fr ineering [3 P it Coordinator lg
Workflow Sign-off: gn-off for Planning(include notes from planning review)
Route Application Documents: [ ineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ui ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: r 11111110 Date: Wis1;(7,
....
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: .,01AVAP Date: ` ,AM;
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:
OSDC Fees Entered: Wash Co Trans Dev Tax: ± Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: [i-Yes ❑ N/A
zrOK to Issue Permit
Approved by Permit Coordinator: CA,‘, i t k (a_6.,t.-,n. Date: I,) - I 9 ` ,
I:\Building\Forms\131dgPermitRvw_RES_091216.docx
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Plumbing Permit Analicat.inttEc,,,,,,
Building Fixtures
I,,N of I I( i ,..,i ()\I
City of:Tigard
__. 0. 125 SW'liall Blvd.,Tigard.OR.972
Phone' 503 110 39 Fax: 50i$ 8.960 1Fi . -
,s. •. . -4 234 UG 8 :' ReceivOd i?-7/a/(7
-- Datesr
20/7 pi..„,:riew
(Met Perierit No.:
invection I Atte: 503.639,4175 %.../
i OF 1-. - tale Reor/By: holt If Seentigel tor
Su,..lemeolit Irderteotion
Internet: Wwwtittard-orift* 81.4 11(.iii .:- - Notitied/Method
Fite scuirmiLe-
., TYPE OP WORK 1 14
_ .
0 New Construction 0 Dertiolition For speded istformation we amnia.
Descoption I Qty. I Et 1 Total
0 Addition/olteratitinfreplaimment 0 Other:
New 1-2-finiil dsrelli,, (incitides 100 11.for'.. unlit'colincetion)
. .. CATEGORY'OP CONfiitoctioim SFR i 1}imith 312,70
. . .
_
0 1-and 2-family dwelling 1:1 tonnitercialfindustrial SFR(2)bath 437.78
SFR(3)bath
(10.32
0 Acoessor). 'building
El Muld-fandly .
bitch additional bath/kitchen 25.02
0 Master builder 0 Other: • additional
-
FirSprinkler( sq.11.) Page 2
JOB mt.raicatmlik AND LocATioN site monde::
• TION
.... . .
address: c"" C7 ) -,-51,,L) -.
Job site Mittilialrifff
I Catch basin or aita drain 18,76
Drywell,leach line,or trench drain 18.76
City/State/Z1P:
Pooling drain(pn.line*ft.: ) Page 2
Suite/bldg./apt.nb::
Pivie("14"19: 11111( _AlruiliMM. MAI ril. Pitrectilred home utilities 50.03
Cross streetfidirecti to job site:
CMS-. ., ries huts
I876
drain connector 18,76
Sanitary sewer(no. ...
' linearB'_____) Page 2
Storm sewer(no.linear it.: j Page 2
Water'service(no linear 11• ) Page 2
Subdivision:
Lot no,:' 1.-- Fixture or Re*:
Tax map/parcel no.:
Backflow preventer 31.27
' - DE11611P101,0*ivoitsc, . , -: BeCkwater valVe 12,51
, ., ..... -
yr MCV- Clothes washer 25.02 MIN
(vy
Dishwasher 25.02
Drinking fountain 25.02
EjeetOrs/suMP 25.02
0 trsorr :Expansion tank 12.51
...
Name: Fixture(sewer cap
25.02
Main/floor sinkibub 25,02
Acichtss .
r. k-1-"bst. illat. \ AC ..a.C31111111111 AM GarbFICI"ogg dispoo.
2,5.02
City/Stine/Z1P: tali j10111W1 eal
P giewillP ..
rim bib.
25.02
., ."7-' a .
lee maker 12.51
. ....... •,. . .
_____. . . . .,
25,02
., ' ,,,,•. , a Air174rmq412....'''','. ';' `..... '''.,-." cCOPITAtt-PB101018 ' ialacePt0d8rease trap III
Businestuutic Medics;gas(value:$__ ) Page s
evionimipoww."4,Anommm Praiser . 12.51
Contact name:
11,_41P. .11 -464 M---.....dP .Roordrain toplumerOial). 11E11111
Address:
s:
2.5.o2
City/State/ZIP: Solar wilts(potable water): 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail:
Urinal
25.02
CONTRACPO,L: - , Water claset 25.02 MIEN
,.
a 37..52
Business name:Wolcott Phrintdfig
56.29
Address:1075W.Histerl'e Columbia River Hwy Other; 25.02 IIIIIIII
City/State/Z1P.:14rolddite Or.9060
Subtotal
Phone:(503)667-1701 PDX:(503)6614591 Minimum permit fee: $7230
Plan review (25iiniper;iit fee)
(LB Lie.:112220 . Plumbing Lie.no::26.824P8
'State surcharge(12%await fee)
Anthorind signatuit--.(Ak
11)Titl.PERMIT FEL
Print name:Mark Release
Date:2/17/17 Thai permit application evirts if 4 permit is not obtainedirlthia IN days
sMer it has beta*veered as comPlasa•
*Tee methodology se!hy Tri-Count Bitilding Industry Servux Board.
i utuacrumpermisoLatu.yeankAggdoe mom seo=eatyttionvcostAYE.M
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8750 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 27, 2017 at
3:18:47 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00551
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:
8750 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 27, 2017 at
3:15:16 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00551
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor