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Permit (52) CITY OF TIGARDi .14 MASTER PERMIT 11 ''- COMMUNITY DEVELOPMENT Permit#: MST2016 00570 T j#, A R o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2017 Parcel: 25111 DA21600 Site address: 8790 SW SCHMIDT LOOP Jurisdiction: Tigard Subdivision: HERITAGE CROSSING Lot: 35 Project: Heritage Crossing, Lot 35 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1311 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1639 sf Garage: 401 sf Front: 15 Dwelling Units: 1 Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 2950 sf Value: $352,022.05 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y 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: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 6 201-400 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: NEW TYPe of Constr: Occupancy Group: Square Feet: SF VB R-3 2950 Owner: Contractor: DR HORTON INC. DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $30,676.88 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 /maaa,obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Ah / . Permittee Signature: e r 1? 75kJ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. L%i f 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. e Bu2iding_Permit Application t fi u i'^ ,i" L37,2-760 Residential °.:, 1011011`I( II :MION1V 1. Citi of Tigard ( Rece e+tl � r " 13125t Hall Blvd.,Tigard,OR 97223 oatailv:. /�(.A.///(i / ' Permit No IN Phone. 503.71112439 Fax. 503.596 �1igUz Plan Rex len �'��`G`��s�a Inspection Line. 503.639.41 l5 Wi Dawn). �� ) Other Permit /�/�—����9 t t Date Read)}3�. lure Internet: wvvw.tigardtor.goti k a ® Sec Page 2 for r K i t Notified Method.Si Of(, T.6-* Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Es New construction ❑Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement ❑Other: - Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q I-and 2-family dwelling ❑Commercial/industrial Valuation: ` )7— S'1 O ❑Accessory building "S 0 Multi-family Number of bedrooms: Jr ❑ Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors, S'' --` Job site address: 8 7 c/t .t i r V liltW; 1New dwelling area: C r square feet city/state/ZIP:Tigard, OR 97223 Garage:tarpon area: Glut square feet Suite'bidg./apt.no.: Project namt t--kA- -Voltl t , 1 C�y V Covered porch area: $1 square feet, 6 3 9 Cross street/directions to job site: Deck area: square feetI3 3 J Other structure area: square feet Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST I Lot no.: 35- Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment.materials,labor,overhead.and the profit for the DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet lit PROPERTY OWNER l 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW madam Ave Suite 100 Occupancy groups: City/State/ZIP: Portland, OR 97239 Phone:( 503) 222-4151 Fax:( ) Existing: New: 0 APPLICANT CONTACT PERSON BUILDING PERMIT FEES __ Business name: DR Horton Inc. (Please refer roJre uluJa!f Contact name:Emerald Weeks Structural plan review fee(or deposit): Address: 4380 SW Macadam Ave Suite 100 FLS plan review fee(if applicable): City/State/ZIP:Portland, OR 97239 Total fees due upon application: Phone:(503 )222-4151 x1107 J Fax: :( ) Amount received: PHOTOVOLTAIC SOLAR PANEL Sl STEM FEES' E-mail: eSWt'.e]CS@dr]OrtOn.COm CONTRACTOR Commercial and residential prescriptive installation of Business name: roof-top mounted PhotoVoftaic Solar Panel System. DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010Oregon Address:4380 SW Macadam Ave Suite 100 Solar/nsrallaaon Specialty Code checklist. City/Stale/Z1P: Portland, OR 97239 Permit Fee(includes plan review Phone:(S03 )222-4151 I Fax:( ) and administrative fees); S 180.00 CCB lie.: 130859 State surcharge(12%of permit fee): 521.60 Total fee due upon application: 5201.60 Authorized signature: {, � t: i i c i t r , it This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete, I Print name: i•' i a i x [ s) I i i � f� /--;� I Date:2(�1 I "Fee methodology set by Tri-County Building industry ' Service Board. I.Building,Permits BUP-RESPcnnitApp.doc (12 24 201 i 440-4613T(II 02 COM'WEB) „,;••,,,,,„ ••.,1,...1,..1 . .0.1_,.;,:••.1. 1” Mechanical Permit Application j ji N Cit. of Tigard SI 1, ..4 - ':,l. su littll ii1td, 1 want 1 4( 4444„4424i-Ir 1 4' 4 ''‘4 PhOrk. 445."1'1*2414444' I 4% SO;C,M.11010 home. wu.itg.ltd of p;;;;; '1,P1;1""; 11.,'?'• ' 'I A III I'')I'‘,I' 'IO'I''',-; pm,14, IIIII,,I,II' ,,, . — 1', I'I,. 41iri ?IICIIY CII'Ii.I.-14:242$I-',9 h;.-;1.1t•;,;41, e 'we PAtti 2 1.4 Soppitmcat.1 itittormatf,.** j ...... — . ,... ' [ ,. . . rb ft, of wom . 4 COMMERCIAL FRE* fICI, ';''.U.)",IffR CRE_CHLIAL,_,,,i — ' ' ,.._,, ' ' ' — * — ",14-;441-11,01 pefrot Cut,'„tfc 144.3,41 fil On ittito-of iliv:soli liii Not cons/mown Lj Atitlition altotmon rt:plat L-Inc.tt , ttemoi litchi,O,s!thc'kilto;i ri..141‘,101 1,1 the nc,Atest,10;.,r,ol , I )it WTI i , ,,,, Km,,,41,,,,,,den.A., evpriwat.i.thor o;•;.%Ae ,i.4.1141To,L," 0 Dont 0 TnIto . t'tituct 8 ----, . 4 , OferWOIFF OF.:11/1 *) CCTIOR . I ,,, , ,,,.., r illAt.- vicormgsystvs fus. i 419 1-anti'2-611111'; thiCiling 0 CoMnb.10.111twilWo.ri,d. 0 ett.ct-st/t/,, hittty, For ion id in fo,malion Ars,.Otrolliq, 0 Niil:1•111iid. 0 Matto holtio 0 oak, t tkititv,, S o i r . JOS MT E INFOOAATIoN kfiv. IOC A,,,„ e. ,, .... ,, ,.A...., •..... , -E" Ail7sal 64,p. le ' Ik,,,,,,,,„. ti Health%tooli) - —1 ' Nsf.01thtuMWIL I QI:,, i - .,,,_. 4 I- ;ii.` `,Ial i " i t .11;„ . .. IP: -I tgard,OR 97223 t ,,,, ._ r---- "4 ' ti/to rtutttt, — 6, ,., .. T pow,: v,. ..,v‘ .), ,,,, .. '-• kt1 atrien itet,t....,4,ill.: J - nos- ' ' ' - ,. . . . J t — 44 oft; -•;;1.4;hos1,-11,,•1201..4 o• . .h 1 &m•4 1 - . — —-- * 1 1 ;;,1;;.c.ik••;••.11;1;1'h.lp, r;.••vie -;;„ • ; - I 1 .. . , „ , t-__ __- ____ _____ .__ ,-_ _ . .._,__ __----„__ — • r., s.;,.3.”.sh Oucl stokr:rair-d cl, ;..- ;.• • PI4.'""),03,'4 401,SA ,b,A,.- 1 ' ..... ,,.4 4 2; , ,.. _ — — ........ _... .—, .- ,7 1 .1 (Vita --II -...., - ...I;.. 1 3,....:c ...-- ,-,.... ..„.,,,„„,. „.„..._ -.1 ...... thher NO"pptIra,.nprs. T. -1 1 I. I,I W.tn.p pArt-04 oft A tfof iteatc• _ , .........., ; Of WORK ' ,i ....//tt fininfor noon OLSCROIRON . , 4 ' ............ , .............a....... .— ",..,.... . ... '. Ili,e tort to/ 4,044 t tv,k,"I [ _ New SFR • ti,-p.t., —— — kill?, — ——, t ta0,,,..1 I t •• •4 it — — 1 ,,,,a .4 ,,,,,,, : --, ••,;- 1 E. - • - • , - . • i hJ 1 4t-4. tfo--fit , 1 ,J4 T ,i, /4 t kilo- - 41114101TRTY * " :II , ' li.TtNAto .. i 1,.. , — . _ ___ ... -1 f ''' J 2; ...-...*-_--- ..„Itattnnunottal rtbautt anti trntlittot /. t . N/tInt' DR Horton Inc, ! ! Itrtg,b...4h,ther 5,111.0..., I ...i L1 -V.. , , —,nem i .-- ‘,..01‘., ' '438.0 SNA- Macadam Ave Suite. 100 , t,,,t,„„,,dzwr t),Pa.“,) , ) ( 11) S1,11' '''dir Portland,OR 97239 _ i 11;;;Igi', }III,:CAI'AI,'. .1,I.It4I II... `Itti I.,I.F.II241//',CM, tit Ill::I..,an•; 1 • LIP14'n1: t 503 1 222-4151 1, 1 a/ t //T, ‘T3,.IN2,,!.7!..p.,, it 11 'V ..-.-....,..—...* AnitICAN1 a CONTRACT PERSON (Ph'" '' V: . PV ?tt n/',,st trifik, I'Al54 ' DR Horton Inc. ., %14.15 tot rit.t low,4.4 tti for tort,ajdolt,,,,,ofi r(1,114,u10,itm• Emerald Weeks ____ _ ... I , I -Vidt,--" 4380 SW Macadam Ave Suite 100 4 4.... . a , 1 ././ it t Li ')C)k'd III'I ' I t . C w,, NI'''''''/IP Portland,OR 97239 v1/4.44,44,4,4444,44, 4 1 I III.4, 1c0 1 1/1- 4151 x110- I l , ; .1.1.,. •• ,„„ I "1••11" vek...scadrhortori.corn t- ......... -'V--. —,. ..,— ,i, , ,,,, OR CWIRACTOR ( ! 0 Aig.f .";:),Ant-fr.J to • — ----- iitl,:M.,.4 n.Iti WA/ ' 4.. .. . - ( il" ....,.. . .......„ 1 MECHANICAL PERMIT FEES* .L. . . -1 7 ), :)//-1 ,' (1411 it'-,'"' 4 /1:77:' ' 1 - ......_ __..._.......i. 1 ‘,10,..-. ...,::„.,..,+tit/ ._,,..L. , 1 i , VI44l444 I rip 1 . 1 L;. f t, r, t';?,1. t-',„-„i . - , t ,:1/2:11111/1".011,IIVII,I roe 4 SWI OW ' i I tILf i ,.. , , ,' ,-,..,....... . Nal, lb I.:" of 44,-roto,10,t t --1- 11).,m: fr. , . -.4,- - - IVV - - - , A I 'III. ..,,,,, __I,.4 a, i•r,I) ..,..% .i ,i. .. i L ,,“,„, ,4 4: ,444 or,44444 4,44.44_ 101 1.1 P#110111 f Lt. L I t_ff );); , ) -2.,;,.. ._ " - -- ---. (ht,pf);;,441,..,i,7;,;;;‘,pir 1,H a 07 ;I.n:.1 41.11 4%ti.11.6 I n INA . IIIPII 4,0*Hot I;ha;Inca ocnord**041Apirtx ‘oit.otl,4-d 4.igot:fOrntt,„j j, , — It to!nto•%,- 7.,."."1'1: Dtte, t!ti -7,—/ft., r. „ , i t , t . .1., , , .,..,t ' Electrical Permit Application • I O! t,1.11( 1 l ' t)\1 1 City of Tigard �, Received Date/B;�i 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R mew 1' ermitNo. c7-��`�-09 ��D Phone: 503.7182439 Fax 5113'5981960 . . - Date/By: Other Permit ,_, `!,`, Inspection Line: 503.639.4I7 Date Ready/By: rues: 1111 See Page 2 for Internet: www.tigard-or.g r f NotiSod/Me hod Supplemental Information TYPE OF W(3RIC PLAN REVIEW ' '. ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans willtems checked below): [3Service or feeder 400 amps or more CI over three stories. El Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRucflor exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling 0 Conunercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricuhulal to an other installations. Intalia ❑MuIti-family 0 Master builder ❑Other: ❑Fire puny. 0 Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger ratty derived system. S.-7K) y ❑Addition of new motor load of ©"Ate,•g^,"1-2*,•1-3", Job no.: Job site address: C 1 iY�l 1 ,/,,,e 100RPormore. occupancy. •t Y ❑Six or more residential units. ❑Recteational vehicle parks. City/State/ZIP: ❑Health-care facilities. 13 Supply voltage for more than � 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: o l ty,jt p c�c�0 0 0 Service or feeder 600 amps or more. Cross street/directions to job site: tJ}�-r FEE SCHEDULE Den I Qty. I Fee. . 1 Tam I New residential single or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: � 1,000 sq.ft.or less 4 168.54 4 Tax map/parcel no.: Ea.add't 500 sq.ft.or portion 33.92 1 Limited energy,residential - DESCRIPTION OF WORK • (with above sq.ft) 75.00 2 Limited energy,multi-family residential(with above sq.R.) 75.00 111 12 Services or feeders installadon,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER I 0 TENANT 201 amps to 400 APs 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 60I 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:( ) Fix:( ) 200 amps or less 59.36 1 l Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 1 I1125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps I6$.54 2 Owner signature: Branch circuits-new,alteration,or extension,per panel Date: ,,, A.Fee for branch circuits with 0 APPLICANT ( 0 CONTACT PERSON above service or feeder fee, each!mulch circuit 7.42 2 DR Horton Inc Business name: B.Fee for branch circuits without Emerald Weeks service or feeder fee,first Contact name: branch circuit 56.18 2 mera Address: 4380 SW macadam Ave Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular 2 503 212-4151 dwellfrlg,service and/or feoxlex 67.84 Phone:( ) , Fax::( ) i Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTIiAC'fOR i Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Business name: St,t/i7/,-a /1,1-- Sr/ t2i G. .2.--.4.a, panel,alteration,orextenaion. P�2 1 2 Address: 1/ / A, Ci/`� if. rt_ Each additional inspection over allowable in any of the above ,gt� /f/E tC7�-I't 1/ 0 Additional inspection(1 lir min) 6625/hr City/State/ZIP: t� �-4?i WA. t>,»�*/ hweshgatton(1 hr nun) 66.25/he 36a� 5/s,_ • -s—j,.,9 Fax:f5Ca) SQ96s6© Inspection splant for{1 which mo) 78.18/hr Phone:( . (��, inspections for no fee is specifically listed('li hr min) 90.00/hr CCB Lic.:/72 6.-�9 Electrical Lic.:.CZ 30 Suprv.Lic.: ]� T 93 S ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: //27 'rf Subtotal: (�. Plan review(25%of permit fee): Print name:Ch 6.-4.11,-/I. ,l a s- I Date: State I2%of v 7 I1surcharge( permit feet Authorized signature: ‘ TOTAL PERMIT FEE Print name: Thispermit application expires if a permit is not obtained within ISO .4,7j V • , Date: * Number of days after it has been accepted as complete. �j- inspections allowed per permit. to ildinePermitsIELC-PemitApp 490-06157(11/05/COM,WEs Eledtrical Permit Application—City of Tigard Page 2—Supplemental Information /LLS7ozoffo-ddS'70 Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE �— Fee for all residential systems combined: $75.00 Description of>'• Renmsable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.7o " sot to 15 kva 133,5E 2 ri Audio and Stereo Systems* 15,01 to_'5loa 200.34 Wind Wingeneration systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.(14 2 IN Garage Door Opener* 50.01 to IOU kva 552.21 ›1001,N3(fee in accordance with OAR 91h-3(19-0040) 552-26 X Heating, Ventilation and Air Conditioning 1 ` System* Solar generation systems in excess of 25 kva: Pack additional kca over 25 742 EVacuum Systems* �-100 kca—no additional charge 0,n z Each additional inspection over allowable in any of the above:1 I Other: Each additional inspection is charged al an hourly(I hr min) 66 25 hr 1 I Inspections for which no tee is specifically listed('<z hr min) 00 00 hi COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal f Enter on Page 1): (--�— (SEE OAR 918-309-0000) ' Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ✓ Clock Systems E Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC C Instrumentation n Intercom and Paging Systems 1 Landscape Irrigation Control* n Medical E Nurse Calls C Outdoor Landscape Lighting* C Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations t.Ruiidap.Perms,1 C PamiiApp LLR ERE.de; 1' 1':r+Iz ` '� ` N i 1, :fro ' Plumbing Permit Application .� `` �� Building Fixtures rif _ 1 r+ 1;1f City of Tigard • 13I23 SW Hall Blvd.,Tigard o, ti :,./k� p,,, Ponnia i 7 O/�-CX `� 11111 II Phone: 503.718.2439 Fax ¢p4$ .1464 - 6;;;;;;-71 Other Permit No.. 'GAR ) Inspection Line: 503.639.4178 :- '>, 'f1Due Ready/By: Jori: B See Page 2 for Internet: www.tigard-or.gov Notified/Method: SupplemsealInformatioa ,, • .,,• . TYPE OF WORK - .PEE" SCBEDUL>b,`i • •1, ❑New constmction 0 Demolition For:pedal lnjorm he ft use checklist - Description I ] Ea. I Total ❑Additiadalte rationhrepiacement 0 Other. New I-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION ` SFR(1)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 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 JOB'$TFit�IVF'4RTrlX ON:'Al4D LOCATION Site utilities: . ,LTA.,., Job site address: (S'7 _(_2�-' zSii./ SiAmL i�.t' );....f," - Catch basin or area drain 18.76 Dtywctl,leach Line,Or trench drain 18.76 City/State/ZIP: Footing drain(no,linear ft.: ) Page 2 Suite/bldg./mt.no.: [Project name: \,..\-C, `v C i I,)\11 s Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(nolinear ft.:_J Page 2 Storm sewer(no.linear ft.:_J Page 2 Water service(no.linear ft.:,_J Page 2 Subdivision: 1 Lot no.: j, Fixture or item: Tax map/parcel no.: Backflow preventcr 31.27 *minim OF WORK Backwater valve 12.51 ,. - • Clothes washer 25.02 Dishwasher 25.02 `V V Drinking fountain 25.02 Ejectors/sump 23.02 0 POPER-,La�1(.�O.Wr SNEER \ ' 0 TENANT ' Expansion tank 12.51 �� \v/ V 1 U►' 1r 1 FlxturdJsewer cap 25.02 Name: 1/\ Floor drain/floor sink/hub 25.02 Address: `- c %Alk. pv --k-Lk.") Garbage disposal �� 25.02 City/State/ZIP: all, 0\e_ 01.---all Hose bib 25.02 P) -)3 _` W- , Fax:•( ) Ice maker 12.51 r O APPLICANT CI CONTACT PERSON interceptor/grease trap 25.02 Business name: \ `AZJV ki1C,9Medical gas(value:S ) Page 2 Primer 12.51*!� Contactname: l-\v - \Slev .1 491 "LA .„ , Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pm 12.51 E- ail: c �� vr,, 01/1-wl "� � ' Urinal water closet 25.02 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! Minanum permit fee: 572,50 Phone:(503)640-0113 Fax:(503)640-4483 ' Plan review (25%of permit fee) CCB Lie.:94689 Plumbing Lic.no.:34-260PB State surcharge(12%of permit fee) r _ Id '�^� _ Authorized . 41107''' . TOTAL PERMIT FEE , Date: This permit application expires if a permit is sot obtalaed within ISO days Print name: MULLENafter k has bees excepted es complete. 'Fee methodology set by Tri-Cowry Building industry Service Board. I;Budd'iaewa iimmu•PerrsaApodoe 16101!09 to.mi6Ttionnicomnvai) City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT 1111i T 1 c RBuilding Permit Review — Residential a:4YSIa+a. 71 .441.u.fr ... ..�.,:At:a'u,4,a,-��� .Y..,:,,,r. .te:-A,. .,.. : Building Permit #: A4 s 7-aotc _ 00 s-70 Site Address: £')"740 c►,J Seim; i-- Le. Project Name: ,;1 , l f C - S', ,- Lot #: 35 (New dwelling=subdivision name;Additin or Alteration=last name of owner) Planning Review Proposal: N404,0 1 de-4-ad-lel SFi ,CVerify site address/suite#exists and active in permit system. 5,1-"River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: gl Three(3)copies of site plan Existing structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ,Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations lNorth arrow ,Utility locations (required for new,mayapply for additions) .Site address,project or subdivision name and lot number PP y �,ocation of wells/septic systems N"Applicant information(name and phone number) .Existing trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures gLot area,building coverage area,percentage of coverage and CStreet tree size,type and location impervious 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) 1 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified grNo Received: ❑ Yes ❑ No N'--Public Facilities Improvement(PFI) Permit: Required: ( —Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake 'Land Use Case#: Lt p(5 -- Ova( 5 Zoning. _ Required Setbacks: e Front 15 Rear f 5 Side 3' Street Side — Gara Landscape Requirement: oZ l7 % g a a " Lot Coverage Maximum: S o % Building Height: Maximum U Height g 3Actual Height Q 4. Visual Clearance Dr Easements VSensitive Lands: ❑ Yes e-No Type 0-11- Urban Forestry Plan IV- Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: �--` „_,.. z.� , ` i yt Date: `� r Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_o91216.docx 4 Building Permit Submittal Original Submittal Date: `a l/q& Site Plans: # 3 Building Plans: # 3 Building Permit#: L Enter buildin permit#above. Workflow Routing: '':" PlanningEngineering ) i'Permit Coordinator ..Building Workflow Sign-off: ffi. 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: ilf,4e: `—. Date: yz y, ,3 Engineering Review Slope at building pad: �a 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/_, D Date:a___.i.:_z: � Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review [VConditions "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: L'Yes 0 N/A Tigard Trans SDC: 13(Yes ❑ N/A Parks SDC: L Yes 0 N/A [ OK to Issue Permit L tii `�✓ (`G Date: / - -.a?7-1(%) Approved by Permit Coordinator: -�`j I:\Building\Forms\B1dgPermitRvw_RES_091216.docx tifili,42*/:-- P mill PermitjgmA iggisatEV;io i t- v r v. 61- '4, p Building Fixtures 1 H)N ()I ! I, I I City of TigArd A UG 8 0, _ %Wei* war . z:u 1/ Datem,,,, Apo "P ( / Permit No. r_ 0.....„,t, 1 „,_, 13125 SW HRH 131V(1.,Tigard.OR Si‘ltv, Plait Review- • ., i: Phone: 503.118.2439 Fax , ic.4.6 0 10,...., Daten3): Oho Permit bki.: Inspection Line: 503.639.4175 1..)tjkpitur.. .,.., -.1:1! Oate Ready)13Y: :hole 0 See Page'2 tar Internet www.ligird-orov "k". 1...)/Vi, 14 Notified/lob:Mod: li - ensal lefermatie ' - TYPE Or WORK Mit* SCHEDULE °New construction 0 Dentolition For spodal inforssat‘on use cheeldist Description I Qty. 1 ba, l Total 0 Addition/alteratam/replacement 0 Other: New 1-2-family deVellings(includes 100 ft.for each utility connec(ion) • CATEGORY or Mr4181101/CTION SFR(I)beth 312.70 . , 0 i-and Manny dwelling 0 Conunercial/industrial SFR(2)bath 437.78 SFB(3)bath $0032 0 Aceessoty building 0 Multi-family • Each additional bath/kitehen 25.02 0 Master builder 0 Other: Fire Sprinkler( sq.11.) Pep 2 JOS Silt INFORMATION ARR.LOCATION1 1 Site titilltket _ Job site address:C .-i Cl G 6(7)/L.3 C----/711\f1 k clt Catch basin or arca drain 18.76 City/State/ZIP: ---- ft,leach line,or trench drain -( C-.-C2)t DtYwe I 8.76 Footillg drain(RO.linear 11.: ) Page:2 Suite/1)14AM.no.: 1 Pruject juin*: VACOtilt /) : r amifictuteditomentilities 50.03 Omss street/directions tojob Site: 10/6 drain connector 1836 Sanitary SCWer(flo.fincar ft.:, ) Page 2 Stomt sewer(no.linear It: ) Page 2 . . , Water service(no,linear ft.: ) Page 2 Subdivision: I Lot no,: S- C- Fixture:or item: _ Tax map/parcelno.: Backflow preventer 31.27 DESQ , • Backwater vaiVe 12.51 \e/V\ACV 0/1//talill,L) Dishwasher 25.02 25.02 Drinking fountain 25.02 Ejectont/sump 25.02 ::illikc*Fat. iy oj J '-, - li iThAin , - - Expansion tank 12.51 Name .V 44 \AVYAVY1 Fixture/sewer cap 25.02 Address: Li,..i.31 ) ,z5...\,L) t.‘46 lo ,or ,Iki.c., Floor drain/floor sinkihub 2502 City/Smte/ZIP: X O(2-' c-rii. ;55::22 F-% Hoseadm:bdisP4* 7 Li i 5.1 •Fax:( ) leo maker ••-- . .:, ' ;lb.-LA0i'ICA':•14.1.•-.'-- , ".7'. '-'•.. '.•0, G0,perAtt PERSON • hierceptortgrease trap 25,02 Businms.name. Medical gas(yam S ) Pagel Contact name: c..-.-LWIti_x•--11. trA V1/4 )...,a1U Primer Roof drain(commercial) 12.51 KMII __ Address: Sink/basill/lavatory 25.02 City/Skte./ZIP: Solar wilts(potable water) 6234 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 , . - -- --- Water closet II 25.02 CON'FRACTOR . Water beater 37.52 usi Bnek Mane;Wokott Plumbing Water piping/OWV 5629 Address:1107S W.Historic Columbia River Hwy Other: 25.02 ...___ City/State/ZIP:Trouldale Or.9060 Subtotal Phone:(503)667-1701 hut:(503)667-9091 -Minimum permit fee: $7230 CCB Lic.:112220 r Plumbing Lie,no.:264124 Pfl Plan review(25%of nennit tee) State surcharge(12%of.permit fee) Authorized signatu . ,... WEAL PERMIT FEE . --. ..... Dale:2/17/17 1 This pennitripplicasZritztres WI peratetamnot entatattoltbie 180 days I Print name:Mark Bakal* *tee methodotoy set by Id-County Building Industry Survinc.B0art I UkiiklikohrotitaLMV-PerrokApp dec 10i0149 44040'bit I a.021C0KWER) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8790 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00570 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8790 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 22, 2017 at 9:33:58 AM Record Type: Record ID: Residential - Master Permit MST2016-00570 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. No A/C installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8790 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 22, 2017 at 9:39:43 AM Record Type: Record ID: Residential - Master Permit MST2016-00570 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8790 SW SCHMIDT LOOP, TIGARD, OR, 97224 September 25, 2017 at 12:44:26 PM Record Type: Record ID: Residential - Master Permit MST2016-00570 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of 0 left on site with contractor. Note: drainage swale being installed each side yard of house for slope away from structure. City of Tigard not responsible for altered landscape after building final inspection. Violation Summary: Inspector Contractor