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Permit
' r CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2009 -00219 T [ OARLy 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/11/2009 Parcel: 2S112BD08800 Jurisdiction: Tigard Site address: 7876 SW WEBBER LN LN Subdivision: BRITTANY MEADOWS Lot: 24 Project: Brittany Meadows Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1261 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22.9 Bathrooms: 3 Second: 1514 sf Garage: 408 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: sf Value: $302,241.73 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr 1 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 1 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 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 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: Owner: Contractor: Required Items and Reports (Conditions) MORRIS WESTLUND PACIFIC LIFESTYLE HOMES 16615 MAPLE CIRCLE 11815 NE 99TH ST #1200 LAKE OSWEGO, OR 97034 Brush Prairie, WA 96604 PHONE: 503 - 601 -5041 PHONE: 360 - 213 -0864 FAX: 360 - 574 -6401 Total Fees: $16,518.26 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Q.SACU, Issued By: Y lQ Jak Permittee Signature: Building Permit Applicatio ECEIIl Residential � ' FOR OFFICE USE ONLY of r d NOV 0 2009 Received �! _ / • �r P No Date/By: p, /a .�ls7aoO9 O O. � �9 q City 13125 S Hall Tiga Blvd., Tigard, OR 97223 Plan Rev' ev CRT ���aoo��0 /a� i� p ` /1} Other Permit Phone: 503.639.4171 Fax: 503.598. Date /By `-1� C f ' �Y OF TGARD J e r i TIGARD Inspection Line: 503.639.4175 Date Rea y: G, ®See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified /Method: q , .Ib • 1V Supplement.I Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement 1=1 Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: 3 O 2 2 � I 1 , 73 ® 1- and 2- family dwelling ❑ Commercial /industrial / .. ❑ Accessory building El Multi-family Number of bedrooms: 4 ❑ Master builder 0 Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION / Total number of floors: 2 Job site address. 'h -)a 2 ‘ S� I�E:eLiEK 1 I/ New dwelling area: xT 5 square feet City /State /ZIP: Tigard, OR 97223 _ Garage /carport area: .9 1 0e) square feet 1 Suite /bldg. /apt. no.: Project name: Brittany Meadows Covered porch area: 160 square feet Cross street /directions to job site: Bonita to SW 79th , left at Webber Lane Deck area: square feet Other structure area: square feet _ REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Brittany Meadows Lot no.: 24 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: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Morris Westlund Type of construction: Address: 16615 Maple Circle Occupancy groups: City/State /ZIP: Lake Oswego, OR 97034 Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: Pacific Lifestyle Homes All contractors and subcontractors are required to be Contact name: Russ Tiedeman licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 11815 NE 99 St, Suite 1200 jurisdiction in which work is being performed. If the City /State /ZIP: Vancouver, WA 98685 applicant is exempt from licensing, the following reasons apply: Phone: (360) 213 - 0864 Fax: : (360) 574-6401 E -mail: russt@pacificlifestylehomes.com CONTRACTOR Business name: Pacific Lifestyle Homes BUILDING PERMIT FEES* Address: 11815 NE 99 Street, suite 1200 (Please refer to fee schedu le) Structural plan review fee (or deposit): I �2 A 07) City/State /ZIP: vancouver, wa 98685 I — Phone: (360) 213 -0864 Fax: (360) 574 - 6401 FLS plan review fee (if applicable): CCB lie.: 173524 Total fees due upon application: Amount received: .... 5 -. 6,0 r Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Russ Tiedeman Date: 11/19/09 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T( /02 /COMIWEB) • Electrical Permit Application 45AU - si°ROF C ° Y ; 1 ,, /_ Cl of Tia�ird NOV 2 0 2009 Rcccivcd Permit No. El '. 13 1 2 _5 SW N all Blvd., Tigard, OR 97223 flan Review r i s ,: ° ('hone: 503.639.4171 Fix: 503.598.1960 Other Permit: ,,e CITY OF TIGAR 1 Dale /Bv: r Inspection Line: 503.639.4175 El , +i��T'� 0 I -- GA" RD7 P Date Read /By: lurk Sec Page 2 for B UILDING DIVISI I ' • Pl ew s ^.r.:� In(entcl: tvtt'tv.li +ard or.guv n tiGed /Medtd: Su alementalInformation • TYPE OF WORK PLAN REVIEW 121 New construction ❑ Addition/alteration/replacement Plgasc ghee(: all that apply (submit 2 seas of plans to /ilenu chc[Led below): ❑ Service or feeder -100 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps nt 150 volts or ❑ Floating buildings. less to around, or exceeds 11,000 ❑ Commercial-use agricultural © I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi family ❑ Master builder ❑ Other: ❑ Fin pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. INFORMATION ❑ Addition of new motor load of ❑ "A" "L•" "I -'" "I -i" Job no.: Job site address: 14740 SW 79 Ave 100111'ur more. occupancy. 0 Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97223 ❑ Fleul,b -can facilities. ❑ Supply voltage for more than ❑ 1•Iarardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Brittany Meadows ❑ Service or feeder 600 amps or more. - :, FEE SCIIEDULE - - - .--- Cross street /directions to job site: Bonita to SW 79 left at n'ebber Lane nrscriptinn i Qtr. I lei. 1 Total I• New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Brittany Meadows Lot no.: 24 1,000 sq. ft. or less I 168.54 14,8,59 4 Ea. add'I 500 sq. ft. or portion Cj 33.92 19(., ,ro 1 Tax map /parcel no.: Limited energy, residential 1 67.34 E--, d 4 2 WORK DESCRIPTION OF NEW SFR Limited energy, multi- family 67.81 residential (with above sq. ft.) Services or feeders instaliation, alteration, and /or relocation 200 amps or less 100.70 2 1 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 -- Name: Morris Westland 40) amps to 600 amps 300.34 2 GUI amps to 1.000 amps 301.04 2 Address: 16615 Maple Circle Ovcr 1,000 amps or votes 552.26 a City /Stale /ZIP: Lake Oswego, OR 97034 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)601 -5041 Fax: (503)60I -5042 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 20) amps to 400 amps 125.08 3 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 16854 2 Branch circuits— new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with © APPLICANT ❑ CONTACT PERSON above service or feeder lee, 7.42 , each branch circuit Business name: Pacific Lifestyle Homes B. Fee for branch circuits without service or feeder fee, Contact name: Russ Tiedernan first branch circuit 46.1$ - Address: 11815 NE 99"' St, Suite 1200 Each add'l branch circuit 7.42 Miscellaneous (service or feeder not included) _ City/State/ZIP: Vancouver, WA Each manufactured or modular 67.134 n dwelling, service and /or feeder - Phone: (360) 213 -0864 Fax: : (350) 574 -6401 Reconnect only 67.84 n • E-mail: russt@pacificlifestylehornes.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign ur outline lighting 67.84 2 Business name: Garner Electric Signal circuits) or limited - energy panel, alteration, or Address: d SE B Oo _ N00c( ke_ sfie N. extension. Describe: Page 2 2 City /State /ZIP: tit 1\sboro OR, "17I Z3 , Each additional inspection over allowable in any of the above C J/,, //,, Per inspection 66.25 Phone: (0 63 ) b`/ y55 :: •03) b�;'' 2 —7�� c c Investi per (tour (I lir min) 66.25 CCB Lic.: j? , / , c 9 Electrical Li :3 p 1 Lic.:37O7_$ Industrial plant per hour 1 78.18 '.� �`,/ 4 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: o e 1 " 0 ' ; Subtotal: 3� . ty i� Plan review (2540 of permit fee): Print name: e'7G(C'I� 60 pre �^ Date: --1 ri* State surcharge (12% of permit fee): I b . i a Authorized signature: TOTAL PERMIT FEE: ...7-,°- ( This permit rtpplicutinn expires if penult is not obtained within 150 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per penult. I: ■lui)dingq'cnniisIiLC- I'cnnitApp dnc uvuuo't 140 1013T)I b113FC•uxutv171 ECEIVF _ , 'Mechanical Permit Applicati FOR "OFFICE US1. ONL ns v'• c ity of Tigard - Received • `� 13125 SW Hall Blvd., Tigard, OR 97223 NOV 2.0 2009 Date /By: Permit No�sT�0O< 00 Plan Review '• 11 Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: 1'; Ins Line: 503.639.4175 CITY OF TIGARD D ate Read /B Ju ris: > - 1 .:1 -- T I A R D Ready /By: Pi See Page 2 for , Internet: www.ttgard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* -. ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 14740 SW 79 Ave Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 1 `.= t " •".1 Suite /bldg. /apt. no.: Project name: Brittany Meadows Gas heat pump 14.00 Cross street/directions to job site: Bonita to 79th Duct work . 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Brttany Meadows Lot no.: 24 Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater + a_- T1 D' -D Gas fireplace -- ,.. . " ?✓ 9 .•: J/ Single Family New Construction Flue vent for water heater or gas fireplace 1 0:00 Log lighter (gas) 1 00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ® PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: Morris Westlund Environmental exhaust and ventilation Range hood /other kitchen ." 2 Address: 16615 Maple Circle J,�.. equipment 3 " 9 City/State /ZIP: Lake Oswego, OR Clothes dryer exhaust - : -`=i . - 3 9 Si -duct exhaust (bathrooms, /, Q" Phone: (503 - )601 - 5041 Fax: (503)601 - 5042 toilet compartments, utility rooms) Z ; , 1 .. t.,! ❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00: Business name: Pacific Lifestyle Homes Fuel piping . Contact name: Russ Tiedeman '4. 15 istibie for first four; 51.00 for each additional •, Address: 11815 NE 99th St. Suite 1200 Furnace, etc. / �_; Gas heat pump City/State /ZIP: Vancouver, WA 98682 Wall/suspended/unit heater Phone: (360) 213 - 0864 Fax: : (360) 574 - 6401 Water heater / Fireplace / E - mail: russt @pacificlifestylehomes.com Range CONTRACTOR Barbecue Business name: The Heat Guy LLC Clothes dryer (gas) Other: Address: 22100 NE 237 Ave MECHANICAL PERMIT FEES *' City/State /ZIP: Brush Prairie, WA 98604 Subtotal V ,� y T - Minimum permit fee ($72.50) Phone: (360) 803 - 4876 Fax: (360) 883 - 2969 Plan review (25% of permit fee) CCB lic.: 173524 State surcharge (12% of permit fee) 3 .'60 TOTAL PERMIT FEE Sao. 13 Authorized Signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Russ Tiedeman Date: 11/19/09 * Fee methodology set by Tri- County Building Industry Service Board I: \Building\ Permits\ MEC- PermitApp,doc 01/19/07 440 -46171 (11 /02 /COM /WEB) • Mechani Per mit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuations ' Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. L \Building \Permits \MEC- PermitApp.doc 01/19/07 2 P.lumbin Permit A lica CEIVED Building Fixtures FOR OFFICE USE ONLY ill r City of Tigard NOV 2 0 2009 Date /By: Permit No./1JZ2Oo9- 04,2 - a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503. F TIGARD Date /By: Other Permit No.: Inspection Line: 503.639.4175 BUILDING DIVISION Date Read /B Ju ris: ® Se Page 2 for TIGARD Internet: www.ti and -or. ov Ready /By: g g g Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description 1 Qty. I Ea. 1 Total ❑ Addition /alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath _ 350.00 SFR (3) bath 3(> 5 �jQ, ❑ Accessory building l=1 Multi-family mil`" Each additional bath /kitchen 45.00 ❑ Master builder ['Other: Fire sprinkler ( sq. ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 14740 SW 79 AVE Catch basin or area drain 16.60 City/State /ZIP: Tigard, OR Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: Project name: Brittany Meadows Footing drain (no. linear ft.: _ ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: Bonita to 79th Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _ ) Page 2 Storm sewer (no. linear ft.: _ ) Page 2 Subdivision: Brittany Meadows I Lot no.: 24 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer g Page 2 Single Family New Construction Backwater valve 1 16.60 Clothes washer I 16.60 Dishwasher 1 16.60 ® PROPERTY OWNER f ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Morris Westlund Expansion tank 16.60 Address: 16615 Maple Circle Fixture /sewer cap 16.60 City/State /ZIP: Lake Oswego, OR Floor drain /floor sink/hub 16.60 Phone: (503)601 - 5041 Fax: (503)601 - 5042 Garbage disposal I 16.60 ® APPLICANT ® CONTACT PERSON Hose bib 2. 16.60 Ice maker 1 16.60 Business name: Pacific Lifestyle Homes Interceptor /grease trap 16.60 Contact name: Russ Tiedeman Medical gas (value: $ ) Page 2 Address: 11815 NE 99 St., Suite 1200 Primer 16.60 City/State /ZIP: Vancouver, WA 98682 Roof drain (commercial) 16.60 Phone: (360) 213 - 0864 Fax: : (360) 574 - 6401 Sink/basin/lavatory ,G 16.60 Tub /shower /shower pan 2 0 ( 3 16.60 E - mail: russt @pacificlifestylehomes.com Urinal 16.60 I CONTRACTOR Water closet 3 16.60 Business name: Malmedal Plumbing Water heater 1 16.60 Address: PO Box 207 Other: City/State /ZIP: Banks, OR 97106 Subtotal 3C0 ,5Z - Minimum permit fee: $72.50 Phone: (503) 324 - 0759 Fax: (503) 324 - 0580 Residential backflow minimum permit fee: $36.25 CCB Lic.: 102535 Plumbing Lic. no.: 4509 JP Plan review (25% of permit fee) State surcharge (12% of permit fee) 60 ,o Authorized signature: .. _ _ �� - a\ TOTAL PERMIT FEE `6i7v Print name: Russ Tiedeman Date: 11/19/09 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I: \13uilding \Permits \PLMF- PennitApp.doc 12/27/06 440- 4616T1 10 /02 /COM /WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1'' 100' 5 5.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' / 55.00 S'$-- 7,201 and greater $309.00 Sewer - each additional 100' 4 6.40 Water Service - 1st 100' / 55.00 Sc- Medical Gas Systems: Water Service - each additional 100' 4 6.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 ss $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or 0.00. specially requested inspections - per hour 72.50 and including • $50,001.00 and up $742.00 for the e first irst $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Commercial Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor /Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain /sink - 2" that meet the qualifications above. -3" -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory' - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\13uilding \Permits \PLM- PermitApp.doc 12/27/06 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. IN BUILDING DIVISION . TIGARD TRANSMITTAL LETTER a TO: n DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED X FROM: (.y�� �-� =��� u-s 7 DEC 0 3 2009 COMPANY: /cc- c` r z 41'1-0( l `� h C - -ems BUILDING CITY F D TIGARD IVIS K PHONE: 3 4 0 — 7 37- l l y" B y : RE: — 2 El cri We, to _e.y- Ln . S\ ZCXO 4001 (Site Address) (Permit /Case Number P r o}e . kame r subdivision L. and lot number) • ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. X Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. l ic Other (explain): REMARKS: FOR OFFICE USE ONLY Routed to Permit Technici Date: lZ /¢lCq Initiaj Fees Due: ❑ Yes ['No Fee Description: Amount Due: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\ Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07 CITY OF TIGARD SITE PLAN REVIEW BUILDING PERMIT NO.: 1-' 1 Qg - 00gl q PLANNING DIVISION: Required Setba ks: ❑ Approved! ❑ Not Approved Side: Street Side: (4 Front. / Garage: <'b Rear: I S Visual Clearance: ❑ -Apoved ❑ Not Approved Maximum Building Height CWS Service Provider Letter Required: ❑ Yes 0 No ❑, Received B1: , ,,PL,/.404 Jue Date: /2/3/07 ENGINEERING EPARTMENT: Actual Slope: % G Approved 0 Not Approved Site Plan. = pproved NotApproved By: /A. Date: / ; / j Notes: , A r.. d cam► i,e 4 ,4 CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: ' Street Trees: pproved ❑ Not Approved Protected Trees:, LJ Approved ❑Not Approved Date ) 3 o s„ ....,..,. Notes: Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1 , Scam W, Ra , N &Y , am the general contractor or the owner - builder at the following address: Site Address: 776 S1 ',Jaw. ,. City: 71(01121> o . Permit #: wts- 7_00°1 - WDZl q Subdivision/Lot #: SR„ r1„ ry M v t and /or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: J Date: - /Q -/Q G eral Contractor Owner - Builder • 1:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 4 .r • Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: Wtsr zobq- o02.1 ncouc. a>2 Site Address: • 7$76 Sf,J •)ERBE2 L4136. Subdivision/Lot #: BR rrrx t y ►vtEA DOWs Lar 21 anfl /or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: , Date: 3-/9-/O n er /Genera i t tractor /Authorized Agent Print Name: Scorn I.), Atr.1EY ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. C\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE CERTIFICATION I, Starr 2A iNEy , Owner /Agent for PA ii c L ic6srya /4 n4 s (PLEASE PRINT) (PERMIT HOLDER) Do hereby: certify that the following location meets City of Tigard land use and ,development standards _for - street tree installation. ADDRESS: 7876 WEiRCta 1.0- MST - Zccfi - W SUBDIVISION: B krri u y y s LOT: 24 SIGNATURE: DATE: 3 -19- to ' 11111). ( OU!NER /AGENT) RECEIVED BY: DATE: (C1 1 Y OF TIGARD) I: \Buil ding \Forms \Street1'recCertificatc 01/19/07 RECEIVED _ _ __ r-Th DEC 0 2009 liffiffnii 0 CITY OF . . . RS BUILDING DIVISION . o IA I : . 5' Planter Strip•� �® w ,..: ... : . : A ' II I • ., : : -4--- , , 11 0 '° V) P 8 .U.E. Q 2 0 <ic 2 0 °' • : 3 0 PORCH . h m ,J \ i V I i;n.` ' 1 1 I 1 I ll 1 GARAG� h., 41, I M V il ... 40' Z C~.„ ' i .� i' `1 I (..0 C' SCENDO a 2" Caliper ' 2 7s sQ. FT. 0►. Trident Maple rail&1 15-30' Spacing ,1•. DRA . L -- IN BY. ��, L _ 15 Setback J N R.YANCEY • 4 . I w . 5 2 8 SF X 3/07 ads Lot Coverage = 35% .`. a i 112 Lot SF= 5218 1 7 0 op � • .00 166 we Eta House SF= 1830 in Impervious Surface= 480 SF 1' 0 1 8 1 • En PACE ND: 1