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Permit (49) CITY OF TIGARD MASTER PERMIT III k - COMMUNITY DEVELOPMENT r � "� Permit#: MST2016-00569 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 r�, An Date Issued: 05/16/2017 TIGARD, Parcel: 25111 DA21500 Jurisdiction: Tigard Site address: 8780 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 34 Project: Heritage Crossing, Lot 34 Project Description: New SF. 8/22/17, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 720 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1028 sf Garage: 510 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1748 sf Value: $220,410.06 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 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: 4 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 1748 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: $27,879.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENT N. e egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 through OA' •5 si. - 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 .1987 or 1.800.332.2344. Issued B : A , ,.1i, /L. = 1& Permittee Signature: l/ pJ Call 503.639.4175 by 7:00 a.m.for the next available inspectio ate. This permit card shall be kept in a conspicuous place on the job site until completion of the projec. Approved plans are required on the job site at the time of each inspection. -11-Ell-1-1-ifV11.1 Mechanical Permit Stblataillat I' .11.111Y ilq,01A R k 1 ,.! 41\1 1 City of Tigard 13125 SW Dalt Bvd.,TwartkftE I 4,„2 0 1 7 Phone.. 503.711(2439 Fair,f-tua.s9 111sPection line, 503 619.4175 1"''''''' www''''''1,411/OF TIGARI) itttViViNt i Ihttl$Y q .14 lli Ptat lirww Date uy nate Ready th. witmertmenist (3)) P#m*N''''' )-/ 1(90/10--a)5(V 7 Othtt PerTVIR hit*, ill St*r***1 kr SAIPpkilleighli Ildentatiall ______ ,"4,11311 .1.'" .1 'Ot, =''' 4 , ' Mechanical permit fees*are based on the value of the work 4 New construction 0 Addittortiallerationimplamnent pertimedindicate the value(rounded to the nearest dolbri Moll 0 Demolition 0 Other mechanical materads„espiipmen labor.overhead,and profit •1-and 2-farnily dwelling 0 Commereinhindostrial 0 Accessory borkling Far*pedal infamoistiart trie eherdlist 0 Multi-family 0 Master buildcr 0 Other Description 1 OtY, I FL I Total Head many Hif.. .,v,i .„.,-- . ;- ,1„i, ;,....! wl,**77, .,, . . --, :;*ia,-,-„,- .1 i Air conditioning 46.75 „lidi site address: S-7 Fs-0 81.4-" c5c)rt1v‘ZaAle" 41P- I Furrow 100,000 HTU tstnetwvene4 46.75 (")'St2"111P: Ti ard OR 97223 Furnace 100,01X14-11111(duitieveras) , 5491 - lion 61.06 —:---"---------7C--"--- c 6----- Nail) suitellitigitipa no.; Preepo.3 name: 1 41,.emt, ft/6s,ilk tj,„,„work 23.32 Coos street/directions to Job site: ) its-Amine hat water system 23.32 Resaleanal hotter(radiator or hydronkl,. . 2312 Unit hostas Ditel-type,not electriet, in-wall„in t t,,s.t,w,„,ew. 46.75 Fluelvent for any of above 23.32 Sohii;iston, --1---tyi thhtE 2132 Lot a°*: Other fital ,,A, Tax inapiparcel no. Water heater 23.32 33.39 New SFR 11 23.32 13 leBletar1Pee) IIIIIII1MMI t I . - - vi.94/pae,.10..: 11111111171132111111111111 i Wood 11 thenere lila 23.12 1111 Chi,, lieeetelluemed 23.3 Mil ' ' ' , '; : T'aTro, ,-- -,.-.70:1V, Other. 1111311111111111111 Nlatae DR Horton Inc. Range hoodothet hatchets 3339 Adilmka4380 SW Macadam Ave Suite 100 mews dryer exams( IIII 33,39 1111 yiStater110:Portland,OR.97239Sinide-duct eshintat thethreoms, -. toilet ,,.. - tailitx room 2132 ilvirv:1503 2224151 Fa-v 1 ) Attic/caw , e fans MN 23.32 23.32 jit_tel elttit.. , 1111sinc".aatrte'' 1)R Horton Inc. $14.1$for One fuer til.03 for retch additional c ontact name,Emerald Weeksturml.r. mt_____ 11. Address:4380 SW Macadam Ave Suite 100 waif% ..,- ,-,unit heater CrtyStateZIP: Portland,OR 97239 Water heater 11111111= lace Ptaa))) (503 )222-4151 x1107 Fax' Fi 111111111M11 -- Range 11111111 T°mall- eSWeekSedrhOrt011.COM Itarbeene,, -!l'2:-17 Cbilws 4.3"V(g44) 11111 Business namc II/35y Ai tet, (Rh., li:-.,--: - rA1.. ,4 ., . ....„.,,,,......- it' A' 7,:- '' Subtotal IZZlin°141071"4311117 A 11,11,114k:01M:it:ipergA125,„rimpetinita90$2c,00: 9'i at e 0 It" , , ..," edir State surcharge 112%apeman feel FIZEISSWaii111111111 Fa ' *i ' InlifflWil ir adlik idedallTOTAL PERMIT ME ,•c(2. P - — - Th perms xpplUittion npirn Its parade at not sanitised widths ISO de days after it has lawn acsepted at enptrit. Authorized justa or i- , it ` toe celedeleeketY we ter TO-Cooloy Wading inawny teases floArd aril n,JL411.17jilir - - Dak.C.17:45/ en , - I thaktovs P.-reavh, ''.., , App 0424)111.40C 440 46171 021..0MAIR# INCIT} Y OF TIGARD MASTER PERMIT ! ' COMMUNITY DEVELOPMENT Permit#: MST2016 00569 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2017 Parcel: 2S 111 DA21500 Jurisdiction: Tigard Site address: 8780 SW SCHMIDT LOOP Subdivision: HERITAGE CROSSING Lot: 34 Project: Heritage Crossing, Lot 34 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 720 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1028 sf Garage: 510 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 1748 sf Value: $220,410.06 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 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: OccupancyG NEW rou p: Square Feet: SF VB R-3 1748 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: $27,826.70 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: , e,4.:. - A ' r�I t �- __east Permittee Signature: t rl CGLe/�.�r� 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. J '. ` Building P_rmitAn_ pilo a� . , �_ ;�. 71�' l'�� (3Cj Residential �� ; J )44/1(0 I0R f)ff lhl: I sl 01"1 1` .� City of Tigard I3i25 5W Hail BA=d.,Tigard,OR 97223 i in,.F Rrreived l7alc ti I/Z/ �`� Permit No Phone; 503.718 2439 Fax: 503.59,849K; Ptah Reti iew ' s Co�� t7 � ,i.,.t-t Inspection Line. 503.b39 A 175 , (Z w • a Date Rea tllhcr Penni Interact: w•ww.tigard-w-.goi ���a��:� mate xray R.� � ' .,. _ • 8' 1ii is ir;t(,, o-niii;si Notified.method. �/0 RIM BI plePge1fr s>tpplemcatallnformatinn TYPE: OF WORK New construction REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 Demolition Permit fees*are based on the ealoe of the work performed. 0 Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials.labor,m erhead,and the profit for the work indicated on this application. OF CONSTRUCTION Q I-and 2-family dwelling valuation: 0 Commercial/industrial S • ' ❑Accessory building _ 0 Multi-family Number ofb-.rooms; 7 ❑ Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors. arca: Job site address: ' r LaJONew dwelling City/State/ZiP:Tigard, OR 97223 (�KK square feet Suitebldg.tapt.no.: Garage=carport area; 1 square feet Project name ' Cross street/directions to job site: 40 wi h Covered porch area: square feet • - Deck arca: square feet Other structure area: w square feet -- ; Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST Lot no.: 7 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 DESCRIPTION OF WORK workequipment.materials,labor,overhead,and the profit for the work indicated on this a..lication, W FR Valuation: S • Existing building area: square feet linPROPERTY OWNER New building area: square feet 0 TENANT Number of stories: Name: DR Orton Inc. Address: Type of construction: ;I A u , . , . tt , . • . i1 City/State/ZIP:Portland OR 97239 Occupancy groups: Phone:t 503) 2224151 112211 -■ 1:1APPLICANT Ne., CONTACT PERSON Business name: DR Horton Inc. BUILDING PERMIT FEES*lease re er to re aehedrrte Contact name:Emerald Weeks Structural plan review fee(or deposit): MIIIIIIIIIIN Address: 43$0 SW Macadam Ave Suite IUO FLS plan review fee(if applicable): _. Total fees due upon application: IIIIIIIIIII City/State/ZIP:P•rtland OR 97239 Phone:(503 )222_4151 x1107 CEIIIIIIIIMIIIIIIIIIII Amount received: 11101111 E-mail: esweeks drhorton.com PHOTOVOLTAIC SOLAR PANEL S)STEM FEES° CONTRACTOR Commercial and residential prescriptive installation of Business name: DR Horton Inc, roof-top mounted Photo Voltaic Solar Panel System. Address:4380 SW Macadam Ave Suite 100 Submit two(2)sets of roof plan with connection details andfire department access,along with the 2010 Oregon I Solar/nstu ion cirr/n checklist. Permitit Fee(includes planlar r review City/State/ZIP: Portland, OR 97239 Phone:(503 )222-4151 Cilli CCB administrative fees : S CCB lie-: 130859 State surcharge(12 of permit fee): Authorized signature: Total fee due upon application: + ' L. { / This permit application expires if a permit i• Print name; ; within 180 days after it has been accepter' 1 Date 2016 'Fee mdhodology set by Tri-County Building 1:.Building Permits BL!P-RESPcnnitApp.doc 02 242011 Service Board. 44ti 40131t i I 02 COM wEB, „ ` Mechanical Permit Applie4 ` .,1-,:,-.,', F 11 City of Tigard i,„,.. ,u� 7'X7?5��}Rillr41x,#. i 1;ea,# (i$( +d '�1 f➢aa i,4 N.."2 � ��-�...3.,G , _..-`—0 ttt rK MO`6 2434 tax 'g)1 t t+ � N '” i) .It. x,rs.•, i, 1nrcatat I 11444” 504;504;4'43'i a t" .{, __ .4 _ ._.__ _ inrerttrt §t 444x,,114!.;3119 Of};,,t t sa R +.ti Orr tafir:fur ; • 5 } PtainrRral IOW rr.xt+ra, - K * Rte.• PP i -•-,-.m ......,...a.. ,. _..<_. ....._ _-_ f t " ` ckI i x r m. x b ;444 ft F, �- cumI•I►Id,l # aSir h ttit 1 ra N Ix,*• a k , 9,.a ibtu ,ttht., +110 Neu-ettstt3xalr <1fdtto4rteater;g # .estH t 1 r"ntim 4101,aa,014 x r#t4.'IT§,anwkxl to II 'tac.atesT 4.106r,4'.:x 0 L3t=fttttittttrt* 0 t1tt •r ' tax,h4trocal s3».'r 4+1*.r.7ur mc~rrt.tat+„!,vs-rtlxs7.arx413 #ir 1 ' S'gtliu S ctT Goa 0*''�tkt t 1 ; + p,i1 i Y. 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I• :,n!? i.tlyltiytits e111cT 0t tatrxrtt,:rrra#irultxstrrai 1:3 A,.,;4.„4-,u,*4, hi,ti.iani., ftr ..._ yir.itP.nfuranutr*tn w r, ;^� Ah r f D Nittitl-#atiu 0 1 mer btol Otheri _ i J * £ I.Mii IMEMKrtt 4 A4't1'i,IC'iq AIION Mating,ruatia 1 r} �ttr a,f tet*• , S,r s n1#itaaKtrnt 1. t-•. __.._._., --7...6,---0t.�1.✓ �; 4.:r _,. ..r 1 u:r§ t1xa t#xa Hi 1. + Ile: _ t i 11 trR. #1M>f, ilt:,,,a.tx r.,,. `s lr hid r.at ,ii (,�,p - 4t•,tt baa tai• _ }},, ( br..„„,x13"teh it t a, 114" ( i r tt,#§v,. k,t 44,444'4 s i 3 ....„4,44, , 4 , t T,Ia 1,a.«ties,44 I!--41)4: a,+ a a, 1 ..... . .-._ __. _..-... _...._..-_._ ! „41, n.,}3ut ,.,1,,,,,.1r1 ctc 4 ._. 1 JAW x c-r1 1a+r a t ,,h<,1 { 3 ,31 et tia§.an 1 e 1. , •_ .__' X t,ax rt:r'a _..;. — (Aber fuel a turner*' p,anrt no # 1 . __ i 3 I _ .Ott w i I t,,,,tta,t,..k..e.nst ( yt New SFII I 1t „4 r 1JS it{'t t i ! !alt L1, I X, A1 # L.14,aa1, "x` a ._.._.,_.....__ — _....._. ._.._... ..........:....»...,,.._.._...... f 144,trr1}tc t+tr 114a§.41 + x , -1 hl1tan,x ,§,-r 44471;41"5.014 )040 ---- �- ., i tat, ntnentai etbated and ventilation;k*Arn I)R Horton Inc. — LL .. ' ltdn a 1T K f 63 Y a , T-". 44 St#t9i,H 3 {� i��`Macadam Ave Suite 100 4+',111! l2r;u _ I { r41 �.s1r./11 Portland, OR97239 . Sani att,rta4a <r1#,3141,,,,,,,.,_._.. .,.....,-_,..,._. .._.II 10 i 1 fi rr t' 1222-4151 _ _# r §i t„aaa .,th?,,1r 'reit;r H In, 1 . y03 222-4t�.1 , 1:ix } W j ‘11„,,..4,,-”,01-,,,,,I,;--n, i ji t 1 litt,tn,,,.riank DR Horton Inc, 1 f'nrlpip4n .4......._ »�".,..�.__...._._,...._...,„_. .___..-._._...._...____..._.__.„_._..,,.,.._....._ �tfi t!t try tiro t„nr,S3 t+t hat 41"46.0,a.kJtti„nat 4;41400 rtar3l Emerald Weeks ._.. 1.#ak,a- 4380 SW Macadam Ave Suitt' 100 .w r. 1... !,c tXa',at i n ? , i i I ( fix knit'/IP .Portland,OR 97239344 ;_ ; It 44.1 I H'''` s § . eax`celc,�to,:lithorton.com .__., , ._,, j 1-----_ ...5-`1,:-,'”' __ ,44,4,!.,,,„! }{,,w,,tta c f $ Lt. 1I r. ii ' Ct ;14„e4 . ---444-4 tf t _ �t -m 4 _ _ MECHANICAL PERMIT EELS* tit .;x511, i' ! ° _ INal-nodaltat tl4 6b �' � ti/ { vt 94' „ ? { )1 I . _ .?$1nr:rt.ln „r —1 PI a,e• }`rri -..b:,1 :w ;-1 r .• rs .f i Pi,i t 1.1.A ,1 s + toS +, .'`. re q le- z.3ar . . i _ _. A' R” do fr1 ,,,,p„:„.,tt, It( 17 t__ i1 „ ,'.- .�. .- 101 Ye,l PERM,T In ,rmrs 1 _ F It'na1§ooreParrt,,aaW44144,1'41 a t,.g ain.11 44ub144 Fa<,s 10;h04444.4.1, .,4“4.4 r da,*n4nt if bas#,ern r.,fplyd >tnnt}�let,. i'rll r n 11ta..,.....• r ",p ;; . _ « .-._.._. a.` ...._,.._ ,_ ,... a. .._. _,,,.../,1;” s 6t 'dy ate, 'tl +' ` Electrical Permit Applicatiott . .. I o R Oil 10 n: l ‘,1 >y I , City of Tigard ,- , Received IN 13125 SW!nail Blvd.,Tigmd Date/By: Permit No ,S7 /6_ �q OR 97223 Plan Review ) // Phone: 501718.2439 Fax V3498.1900 1latelBy: Other Permit ate Ready/By: auk _ Inspection Line: 503.639.4175 I El See Internet: www.tigard-or.gov, Notrso fetho t Se for j i L, 4 'ii I. r pplweufal GaFor�nation TYPE OF WORK . ' ' PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 1 sets of plans wlntems checked below): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Bolding over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY'OF CONSTg°IJCTION exceeds 10,000 amps at 150 volts or 0 Floating bindings. 13I-and 2-family dwelling 0 Conurtercial indnstcial ❑Ae ory building - less to ground,or exceeds 14,000 (]Commercial-use agriculture! 13Multi-family 0 Master builder amps�'all other installations. l,i , ❑Other: �Fire Pip. ❑h>staUation of 75 KVA or D E JOB SITE INFORMATION Emergency system. ANS? LOCATION large separately derived system. ❑Addition ofnew motor load of 0"A",'V',"1.2","1.3", Job no.: ( Job site address: -t.„) Sar t_ ] / , Six oP or rest Rc oy, r►i~+(` 1 - - ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZTP: ❑Health-care facilities. ❑Supply voltage for more than locations. 600 Suite/bldg./apt no.: Project name: 'fr(}- y, c,5 0 S sf,�r 600 amps 01 more. volts nominal. ,-� J Cross street/directions to job site: '���✓✓✓ FEE SCHEDULE D° off 1 QtY. i Fee. 1 Total i New residential single:or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.:31-1 1,o0 sq.ft.or less 1 168.54 4 Tax reap/parcel no.: Ea.add'l 500 sq.ft.or portion !A 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 (with above sq.R) 2 Limited energy,muki-family • residential(with above sq.tt.) 7S.00 I 2 Services or feeders instaliatlo. alteration,and/or relocation I X OWNER 200 amps or less 100.70 2 0 PROPER 1 1 ❑ TENANT 201 amps to 400 amps I33.56 2 Name: 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 City/State/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) J Fax:( ) 200 amps or less 59.36 I 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps m 599 amps 168.54I22 Owner signature: ' Branch circuits—new,alteration,or extension,per panel Date: %, A.Fee for branch circuits with 0 APPLICANT 1 i 0 CONTACT PERSON above service or feeder fee, 7.42 each branch circuit 2 Business name: B.Fee for branch circuits without ' DR Horton Inc Contact name: Emerald Weeks service or feeder fee,First branch circuit 56.18 2 Address: 4380 SW macadam Ave Each EMI branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular 67.84 2 SU3 122-4151 ,se' and/or feeder Phone:( ) f Fax::( ) i Reconnect only 67.84 2 E-mail: — Pump or irrigation circle • 67.84 2 CONTRACTOR i Sign or outline lighting 67.84 2 Signal circuits)or limited-energy Business name: o. 4. i' g(,, a j_a. panel,alteration,or extension. Paget 12 Address: G- (o v /^[�- 'Z tr. It Each additional inspection over allowable in any of the above tO F7 ,A.,..„... 0 Additional inspection(I hr min) 66.25/hr City/State/ZIP: ct� 1./1/74 A /l � �C/ Investigation(1 hr min) 66.251 hr Phone:cat a 5/f 's'Y,� Fax:6C°) 3 Inspection plant(1 is min) 78.18/hr C7 � ��j�j � Inspections for which no fee is 90.001 hr CCB Lic.:f 7Z ter"// ( Electrical Lic.:•6'Z so I Suprv .Lic.: specifically listed(54 hr min) /7 91 S ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:G.� 'r' Subtotal: Print name:C Sb Date: Plan review(25%of permit fee): S sur ge(12%of permit foe) Authorized signature: �•�% 71,/ ---- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: �,- l Date: days after it has been accepted as complete. * Number of inspections allowed per permit. 1:1EuildingTertnitaiLC-FesmitApii 440.4615f(11/O5/cOM/wFB b • ° � 4.--,, Electrical Permit Application-City of Tigard': x , „ .. Page 2—Supplemental Information .ZUV-1,016 —DU,7 Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: ', As ncacription FEE SCHEDULE Fee for all residential systems combined: l5. J.00 Qtr. Each Tolal Renewable electrical energy systems: Check Type of Work Involved: 5 k, or lis 100,7U 5.01 to 15 kva -- n ❑ Audio and Stereo Systems* I 133.5 15.01 to 25 kra 100.34 h1Burglar Alarm Wind :eneration systems in excess of 25 kva: 25.01 to 50 kia ®® -' IN Garage Door Opener* 50.01 to 1 01.1k,a ,2 ---1-7--) — 55- b 'too kva(Cee in accordance - I xl Heating, Ventilation and Air Conditioning with OAR 91h-109-004u) 552.2G _�__.__ _ System* Solar generation systems in excess of 25 kva: Each additional k a t.vct 25 [1 Vacuum Systems* - + I oil ko a—no additional ehupc� 0.0 .1 Other: Each additional ins echon over allowable in any of the above: j Each additional inspection is III charved at an hourly(1 hr min) 66.'_c hr _ I Inspections for which no Ice is III cificall} listed{':hr min) __ {lo.(lI hr COMMERCIAL WORKONLY:Fee for each commercial system: ELECTRICAL PERMIT FEES�” (SEE OAR 918-309-0000) $ 5.00 * Subtotal(Enter on Page 1): Number of inspections allot per cdpermit. Check Type of Work Involved: ❑ Audio and Stereo Systems [-1 Boiler Controls ❑ Clock Systems E Data Telecommunication Installation ❑ Fire Alarm Installation ri HVAC ❑ Instrumentation 1--- Intercom and Paging Systems H Landscape Irrigation Control* ❑ Medical El Nurse Calls 11 Outdoor Landscape Lighting* r Protective Signaling ❑ Other: I Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1.,Building Permits PLC PaunitApp LLR ERF cit, itc,i&:r::4715 , Plumbine Permit Application -4 I ,� ti Building Fixtures k : City of Tigard Dewey: >i457`X)/(X07 �� 1 >^ „ Permit No.' ved 1,1 Plan � 13123 SW Hall Blvd.,Tigard,OR 97223 , % �r Date/BY. U Phone: 503.718.2439 Fax: 503.598,1960 R view Odra Permit No.: Inspection Line: 503.639.4175 Due Ready/By: rasa: B Sae Page 2 for I t G A l) Internet: www.tigard-or.gov .-j fiedlMaa d: { Supplement laferuadoa ,„, PE/•,,• . TYOF WORK. / .': 1 BEL" SCfii>aDUL h. ❑New construction 0 Demolition For special lnforsrtotlon use checklist ' - - Description I (�. I Ea Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) 'CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 O 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: Fires sprinkler p ( sq.ft.) Paget JOB'$1TI.► ()HM ON:AND LOCATION Site utilities: Job site address: ( 7 1 ,Sc, 4\„i' ,.) L 6Catch basin or area drain 18.76 City/State/ZIP: Drywall,leach line,or trench drain 18.76 t _ Footing drain(no.linear ft.: _ ) Page 2 Suite/bIdgJapt.no.: 1 Project name: �..}f; 1 y1 In Manufactured home utilities 50.03 Cross sheet/directions to job site: +} "__ (3 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(nolinear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: ( Lot no.: ;jf Fixture or item: Tax maplparcel no.: I Backflow preventer 31.27 -,-,-- DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 '' ,4' Drinking fountain 25.02 Ejectors/sump 25.02 ❑ P'QOPERZ( OWNER • i 0 TENANT Expansion tank _ 12.51 Name: t') - " 1. `%A Fixture/sewer capFl25.02 ? 1 \&1\ O.1� . C , Goadeadisposaor sink/hub 25.02 Address: C J'�,..� �'lf�,/ '+ Garbage disposal 25/02 City/State/ZIP: ( „1Q„ ore_ rlL' Hose bib 25,02 Phone:) ,).,),-1.51 i Fax:( ) Ice maker 12.51 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: �j \4Y\ V1Cl Medical gas(value:S ) Page 2 JJ�.r�S et kA.)-ca 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 Phone:( ) /p6 ,o( Fax::( ) Tub/shower/shower pan 12.51 E-mail; a s1a�Gvv i,. Ov1W l ,c04, Urinal 25.02 Water closet 25.02 -CONTRACTOR Water heater 37.52 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 Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:94689 Plumbing Lie.no.:34-260PB _ State surcharge(12%of permit fee) Authorizedsignature: `� /• -ARK _ TOTAL PERMIT FEE ' Print name:RAY MIILLEN Date: This permit application expires if a permit is sot obtained withla111-11i- days after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Bead. a:Swle. ?erwilr%PL.MU•hrmitApp.doc 10/01/09 44O.4616T110/07/COMMEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 111 ■ T 1 c It D Building Permit Review — Residential r +t.t...,..,v,,,, .—i: r;,:.x_,,.,.x... . �i. .,ra.t_1.,,,, .s a;rta,— Building Permit #: ,4,-4_57;20/6 ODS Site Address: e9BO SOCdM,_Z'?f A/ 1--J x J 3..y_ Project /171' , C' >n , Lot #: (New dwi-,g=subdivision name;A..0 o •r Alteration=last name of owner) Planning Review Proposal: AA) -e Verify site address/suite# exists and actio in permit system. Jtiver Terrace Neighborhood: VNo ❑ Yes,See River Terrace Review Addendum Attached Siy Plan Elements: free(3)copies of site 8-1/2"plan '�� sting structures on site to plan must be on x 11"or 11 x 17"paper e I► ootprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) or elevations VOrth arrow apply CJtility locations(required for new,mayp I for additions) te address,project or subdivision name and lot number , • : ation of welles/se tic s stems y f ting trees to be retained with drip line,and tree pplicant information(name and phone number) t dimensions and building setback dimensions , otection measures Lot area,building coverage area,percentage of coverage and n eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) treet names Property corner elevations(2 foot contour lines if more than 4 foot differential) lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ es,applicant was notified No Received: LI Yes ❑ No Public Facili ' s Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Pp Yes ❑ No,stop intake gi Land Use Case#: e) )f 4'dC / ���,���®fes�X2/� Zoning: Required Setbacks: Front /6— Rear /5 Side Street Side Garage age //Landscape Requirement: 0/0 KJ Lot Coverage Maximum: * % Building Height: Maximum Height Actual Height as Is.' isual Clearance irA Easements ill ensitive Lands: ❑ Yes �No Type rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: _ Date: Agriy Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal / Original Submittal Date: f,,/ 1/G Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Planning ?E'Engineering 'Permit Coordinator 'Building Workflow Sign-off: /Pr Sign-off for Planning(include notes from planning review) Route Application Documents: 7 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: ,1_,.. .. -40... .i. ��� Date: Ao. Engineering Review Slope at building pad: 2g 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: 0 Yes No LIDA Facility on lot: 0 Yes No 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4> J) Date: /1Z-_,7L;2 —/,j 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 Permit Coordinator Review Conditions"Met"prior to issuance of building permit 0 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: C Yes 0 N/A Tigard Trans SDC: Er Yes 0 N/A Parks SDC: C " Yes 0 N/A [ OK to Issue Permit o Approved by Permit Coordinator: C,V� CCt't."`"9-=7 Date: /a - 3—/ Ca 1:\BuildingTonns\BldgPermitRvw_RES_091216.docx Plumbing Permit Applica on Building Fixtures City or Tigard R`°"" t lv/F7 Ilit, 13125 SW HA Blvd.,T,gard.OR 97 / ?_017 �"'� it l�° S7i�14- G�Fo�T i. Phone: 503.7182439 Fax: 503-598.1%0 f ion Line: 303.639.4175 '1 PAWS); Otho Perndt.No.: , i, t TY�t Internet. www.trgard.orguv.. r,i `� 3 i„2c,�1irl j Notifies/method: RI jar.3 for Supplement!!jotartaptdon. TYPE OF W e i' 4 s ig. t AV 1 z.SCHEDULE ❑New construction 0 Demolition For special trrformamian use checkas4 ❑Addition/alteratibn/repiai atnenl r'Pton ) Qty. I Ea, 1 Thi ❑Other: New 1-2-amity dwellings(includes 100 ft.for each util } connection) CATEGORY COR C7t9! $FR il►bath 312.70]1-and 2.family dwelling 0 Commercial/industrial SFR(2) 437.78 ❑Accessory building SFR(3)bath ©Multi-family 50032 ❑Master builder ❑Other: Lech additional baih/kitaten 25.02 t. SPrInkltr sq.IL) Page 2 JOS, 1NFORMATK)4 AND LOCATIONSite utilities: Job site address / t.) l r- ' • ' ) Catch basin or area drain i 18:76 City/State/ZIP: - Drywall,leach line,nrtrench drain 18.76 Suite/bldg •hqz t.ntk 1 • Footing drain(no.linear fl.;_ T) FRP 2 Frilledname \- .. ' enufatxuned home utilities 18,76 E'no.4s;streot/direCttarts to job site: hocks 18:76 'n drain connector 18,76 Sanitary sewer(no:linear It.: ) page-2 • Storm sewer(no.linear,ft.: _1 Page 2 Subdivision: C� Water service(no.Linear fl.; ) Page 2 i.otito,t,",,,n.. I Mare or item: Tax map/parcel no.: ElackflowpreveMcr 31.27 MORMON OF WORK Raol ater valve 12.51 \e� CA( Clothes washer____ 25.02 Dishwasher , 25;02 Drinking tbunrain 25.02 F..jectors/sunlp 25.02 12.51Q !lit "► ( NCj BAlT lie rasion tank= ! Name. GkADY-k(flil tixturagewwercap 25.02 . trFiocrdrain/flo0t sink/hub 25,02Address: y � ACi - c disposal 2.03City/State/ZIP: pA X � Rose bib 25.02 Ice motor 12.51 - .i . .® . '- ="0 A1mt r interceptor/gra trap 25:03 Bustnt -name: Medicalgas'(vatue:S )' Page 3 Contact.name: �•-' D\/if ,11 tr `, i A e Y S Primer T .51 _ Address; Roof drain(commercial) 12-51 _Sink/basin/lavatoiy 25.02 _- City/State/ZIP: Soar units)potable water) 62.54 Phone ( ) Fax::( ) 1lrlifshosver/showerpen 12.51 E-mail: Urinal —_. _. ._� 23.02 _, Water closet 25.02 Business name:Wolcott"Fitimbing VI!at�)ieatar 37.52 Water piping/l)W V ��� 56.29 Addniss1075,W.Histerie Cohsrtibia River Hwy Other: 25.02 City/State//,IP:Tra)atdi le Or.9040 Sitbtotat Phone:(503)667-1781 Fax;(503)667:989.1 Minimum permit fee: $72.50. Cat Lie.:112220 Plumbing Lie.no::26 824Pt3 _ Plan review(25%ofpermit fee) Authorized signatory 4. Q) State.surcharge(12%of permit fee) _ Printname:MarkBulem4 __.._.__T.... __.__�.____- TOTAL PERMIT FEE Date:2/17/17 1 7bu permit Applicationezpdres Kat permit it net obtained Wain 180410 .after it him been accepted of complete. 'Fee methodology set by Tri-Canty Building Industry ServiceBoard. iiihnldiITertnited.LMU-P.cntrlpp.deo iuro1N9 400400(locom wit, , City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8780 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 24, 2017 at 8:53:16 AM Record Type: Record ID: Residential - Master Permit MST2016-00569 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: House locked. 8:49 am Provide access for inspections. R109.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8780 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 24, 2017 at 8:52:38 AM Record Type: Record ID: Residential - Master Permit MST2016-00569 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: House locked. 8:50 am Provide access for inspections. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8780 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 24, 2017 at 8:53:51 AM Record Type: Record ID: Residential - Master Permit MST2016-00569 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: House locked. 8:48 am. Provide access for inspections. R109.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8780 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 26, 2017 at 9:17:31 AM Record Type: Record ID: Residential - Master Permit MST2016-00569 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Note: protection Ballard for water heater in garage not installed at this time. Installation required by mechanical final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8780 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 26, 2017 at 9:18:46 AM Record Type: Record ID: Residential - Master Permit MST2016-00569 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections complete. Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8780 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 25, 2017 at 9:31 :38 AM Record Type: Record ID: Residential - Master Permit MST2016-00569 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Max fuse or breaker for ac 25 amp per listing on unit. Breaker in panel to match listing of unit. Tester shows hot and neutral reversed in upper level front master bath. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8780 SW SCHMIDT LOOP, TIGARD, OR, 97224 October 25, 2017 at 9:30:47 AM Record Type: Record ID: Residential - Master Permit MST2016-00569 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: No hot water to fixtures, water heater not on. No further inspection done. Violation Summary: Inspector Contractor