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Permit
�� CITY OF TIGARD MASTER PERMIT t a COMMUNITY DEVELOPMENT Permit #: MST2010 -00058 T(GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/16/2010 Parcel: 2S109AB14400 Jurisdiction: Tigard Site address: 13354 SW OUZEL LN Subdivision: Alpine View Lot: 25 Project: Alpine View Project Description: New SFR. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 979 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1205 sf Garage: 514 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $236,068.34 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: 0 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 4 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) WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT 1 MST Ersn Cntrl 503 - 681 -4444 735 SW 158TH 735 SW 158TH AVE BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503- 641 -7342 PHONE: 503 - 641 -7342 FAX: 503- 641 -7661 Total Fees: $11,438.00 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 i - . «•r•an - ' h 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. • TENTION: Oregon -w •• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- through OAR 952-v01-014 O. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ,. �y Is ued By: /I i —%� i Permittee Signature: atO, eni"--) _ yip- CITV OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit #: SWR2010 -00049 13125 SW H all Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/16/2010 ell CARD 9 Parcel: 2S109AB14400 Jurisdiction: Tigard Site address: 13354 SW OUZEL LN Subdivision: Alpine View Lot: 25 Project: Alpine View Project Description: Connect new SFR to sewer. FEES Owner: WEST HILLS DEVELOPMENT Description Date Amount 735 SW 158TH Sewer Connection Fee 06/16/2010 $3,600.00 BEAVERTON, OR 97006 Sewer Inspection - Residential 06/16/2010 $35.00 PHONE: 503 - 641 -7342 Contractor: WEST HILLS DEVELOPMENT 735 SW 158TH AVE BEAVERTON, OR 97006 PHONE: 503 - 641 -7342 FAX: 503- 641 -7661 Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $3,635.00 Required Items and Reports (Conditions) 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, -is_suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili otification Center ose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or irect questions to OUNC i .: i g 50 .246.6699 or 1.800.332.2344. Issued By: . / � ! t / / Permittee Sig ature: , ' it h i, • ( / l69 0 J� Call 503.639.4175 by 7:00 a.m. for an inspection that busi- •ss day. 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. l3uildin Permit A licatio 1 amt ro6145Nr,� r r :'" r 'H, •:. F a {vro w .. r L i Residential E ) , ., t t )rW, i ' r 1 O R O 1•;1 I Cl U S f O v I 1 1 r f� ov , 5,,,A . m n rfL% ..,JM,nA: y . .• ' 5 . .._.w.. Y, . ,.44. d . -, ■∎' ,. ' x a iv!� fir. t1: Received �l " , � � City o f Tigard a N 7 $ tom : ,. q City g g 2 R D at eB : ...-• � Permit No.. l 131 SW Hay ., Tigard, OR 972 0 9 0i j , Hall Bld Ti O Plan Review ,,•,.���, �� g 3 Phone: 503.639.4171 Fax: 503$.656 DateB : .'i�l��J g Other Perm � A IF • • • •_ :.....i. • A I C, A'R'D 'nspection Line: 503.639.417b, IL Vr TI�`d p ^ Date Ready /By: Fit See Page for ;. ;w; ntemet: www.tigard or.gov fl ING D IVISI ,.: . � - thod: g � �' Supplemental Information OIL AMP fi r�"ray Tell; 'w •' or s.. a .#:-a F:.�yr- r�rar�m. „ Q "'7..., -; . x�++r,r,�,n 'x-3� .a..a'rt3� -c -v». taw .:: _ .. . ..t . _ , k - .4 Y719, , iR !ORK er t ^ '` """ : . r Q ii 1`6 TAv D" D iim ..*`. :t,xh.... _.. _.a.a.„ .w . ry . .a ws 3Sr 4&�. `n3..e ,,,.1. •: 'eJ�irfir A c:;lxc._._... er. , t r =.r <:1 u p..,'x w,"s L _st,..ws rt„m?_,. wwe_....- .., ---&< ® 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the q r M "� h n , de work indicated on this application. ® 1 -and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: f , .� fatta,.nxa- '"�# du.y{ax+ 7b A•y K"+S ware '+.+p a �. c. r 4 JOB STTF1 ORIV :�'t 01$ AND' ,c-4, 0: ,;, "" Total number of floors: Job site address: n W 11!) u— New dwelling area: 11 s'1 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: /4 3 if square feet Suite/bldg. /apt. no.: Project name: Covered porch area: 1 5 ,A_ square feet 2C ' Cross street/directions to job site: De 5 C o square feet ?5' Other structure area: . .? , square feet 2.7 � ' R*: - 4-. tED A'TA GO a E: CI I3T �{ �.� .u,� «s� .r 4 s amne, �sw- s.. w•.:e�th°�n��.c34.�r:<;: ror�.�r�..v: -.!w Subdivision: Alpine View Lot no.: A5 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor. overhead. and the profit for the o �� � F6�tA'v YF- ;� � �p��. J'� r^a+nw '�+ ±r u-� .kx,t�:tra»+r ��¢a,.,a �a 1 � g 71�'�.�� `' �x �+� iia . r W:,DESCRIPT[ON:OF,'VORK' ,1" I AEA xi3 work indicated on this application. n :� -& s.. rxs..: as�a, ��zrw= rna �.,E,:tl:�xw. .,, a�.e_.. .Y.. #„o.?>r�4xk�. _..[a ^. ...z_., -. n ..3•u.= New Construction Valuation: $ Existing building area: square feet New building area: square feet �n �.• »ms. �'^ - .�s'uu, �• .�� m dav o-� :Ya. -r- 4,-.r� �w�, s 1bY l J�'figfERT , IWNRttitl� 1 ®f TENANC- "` Number of stories: s�yuF, a.rs'aaxxw,- -.-san o-, n,. ..n �a r. s.- '3� 1 _ ,_. -.Y;. .�0.r.,�wu: = �«v.�..�..f_ _ .t h� Name: West Hills Development Type of construction: Address: 735 SW 158th Occupancy groups: City /State /ZIP: Beaverton OR 97006 Existing: Phone: (503)641 -7342 Fax: (503)641 -7661 New: ? r ,44.1, - li r , 1, a 6 14. ,ZrM l , ,W Fl ` l E eo�� r o '� ' ' Y � . • +,. e a . �': f '3'a,:.. rv- ii , ,,4a.. Bui s.. ;, . ' ,c i w' • P i 1 , 1. M.. ^s,+* a.' k °tw"ryt,..,A " .�'!?fi+w • '�.s f - k4'• c .y„,.w.. x'GG 'b,.. 'au arr,,,v,waNalrr.� .. . � .�av -� � k .. � ■ - raw. .. ��i�, _ u�1'�^'�:��v�f�� `sZtrs•J 4..� ro"�.seif<bL.t�..� ��ha Business name: West Hills Development All contractors and subcontractors are required to be Contact name: Angie Cook licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 735 SW 158 Ave jurisdiction in which work is being performed. If the City /State /ZIP: Beaverton, OR 97006 applicant is exempt from licensing, the following reasons apply: Phone: (503) 641 -7342 Fax: : (503) 641-7661 E -mail: acook @arborhomes.com ; i H5tam i rF._ "V' *` w TM ,rt y^ Y ,sac€ . *cra.r,w g. ' � T$ " ^ r w. r. j. �1fiIt�1GTUR � z � -4- 4 �;" � . e ✓... .,�� °�trir.a zt'..... e.., 3`..�" re �. _ io-u w'¢�_kk .,, 1�5.� w� - <,e..,.�,c...K_„h.�'4�,f`. Business name: West Hills Development ; . * �� , ,., , Address: 735 SW 158 Ave Structural plan review fee (or deposit): City /State /ZIP: Beaverton OR 97006 Phone: (503) 641 -7342 Fax: (503) 641 -7661 FLS plan review fee (if applicable): CCB lic.: 104847 Total fees due upon application: Amount received: Authorized signature: / 6121.--- T his permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Angie Cook Date: 4/7/10 * Fee methodology set by Tri -County Building Industry Service Board. 1: \Building\Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB) Efectr ical Permit Applicat1Q 'FOR OFFICE USE ONLY City of Tigard CEIVED Received Pcnmt No 1 �� V' (r )ore Plan R t J Jl /V 1 111 1 3125 SW Hall Blvd.. "Tigard, OR. 97223 Plan Review Other Permits. ,y Date/By: _ Phone: 503,639.4 I 71 Fax: A' 5t Y 010 Date Ready /By. © See Page 2 For TIGARD Inspection Line: 503.639 4175 Notihedrtvtethod. uris Supplemental Infommnon — - -' I nternet• wwxy tioarrl -nr efiry OF TIGARD TYIWYM DIVISION PLAN REVIEW Q New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked): ❑ Service or feeder 400 amps ❑ Hazardous locations Q Demolition ❑ Other: ❑ Service /feeder 600 amps more or more where the available or P• CATEGORY OF CONSTRUCTION fault current exceeds ❑ Building over three stories 10000 amps at 150 volts or ❑ Marinas and boatyards • 1- and 2-family dwelling Commercial /industrial Acces sory building ❑ Floating buildings y �. ❑ b less to ground, or exceeds ❑ Multi - family ❑ Master builder El Other: 14,000 amps for all other ❑ Commercial -use agricultural buildings installations. JOB SITE INFORMATION AND LOCATION ❑ Installation of 75 KVA or larger ❑ Fire pump separately derived system Job no.: I Job address: 13354 S.W. Quzel Lane ❑ Emergency system ❑ «A 2", °l -3^ occumancy City /State /ZIP: TIGARD, OR. 97224 ❑ Addition of new motor load of I OOHP or more ❑ Recreational vehicle parks S uite!bldg. /apt. no I Project name: ❑ Six or more residential units ❑ Supply voltage for more than ❑ Health -care facilities 600 volts nominal Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Fee Total I " Subdivision: ALPINE VIEW I..,ot ilo.: 25 New residential single- or multi - family dwelling unit. Includes attached garage. Tax map /parcel no.: 1,000 sq. It or less 1 ' 4 DESCRIPTION OF WORK Ea. add'l 500 sq. 0. or portion ' .ct2 . 1355 (cF3 enery NEW CONSTRUCTION ( witted with above sq.residential . il /,,r �.7OA- if) , Limited energy, multi- family 75.00 2 residential ( with above sq. ft.) RI PROPERTY OWNER 1 ❑ TENANT Services or feeders installation, alteration, and /or relocation Name: WEST HILLS DEVELOPMENT• 200 amps or less 80.30 2 Address: 735 SW 158th AVE 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 City /State /ZIP: BEAVERTON, OR. 97006 601 amps to 1,000 amps 240.60 2 Phone: ( 503 ) 641 -7342 I Fax: ( 503 ) 641 -7661 Over 1,000 arnps or volts 454.65 2 Owner installation: This installation is being made on residential or farm property owned by me or a member of Temporary services or feeders installation,alteration,and /or relocation my immediate family. This property is not intended for sale. exhange or rent. (ORS 479 540(11 and 479.56011). - - - 200 amps or less 66.85 2 Owner signature: Date: 201 amps to 400 amps 100.30 2 lZI APPLICANT 1 © CONTACT PERSON 401 amps to 599 amps 133.75 2 Business Name: WEST HILLS DEVELOPMENT Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits u•uh Contact Name: STEVE POLLARD above service or feeder fee, 6.65 2 each branch circuit Address: 735 SW 158th AVE 8 Fee for branch cucuns Wiliam, service or feeder 46.85 2 City /State /ZIP: BEAVERTON, OR. 97006 fee, first branch circuit Each add'i branch circuit 6.65 Phone: ( 503) 726 -7041 1 Fax: ( 503) 641 - 7661 Miscellaneous ( service or feeder not included ) E -mail: spollard Each rnanufactured or modular 90.90 2 CONTRACTOR dwelling. service, and / or feeder Reconnect only 66.85 1 Business Name: GARNER ELECTRIC Pump er irrigation circle 53.40 2 Address: 2920 S.E. BROOKWOOD AVE. Signs or outline lighting 53.40 City /Stale /Z IP: HILLSBORO, OR. 97123 Signal orgy p a )orh o n ,o energy panel, altenrtu +n, or Page 2 2 Phone: ( 503 ) 648 -4552 Fax: ( 503 ) 642 -7925 extension Describe • Each additional inspection over allowable in any of the above CCB Lic.: 121159 Electrical Lic.: 34-305C Suprv. Lic.: Per inspection 62.50 - Investigation per hour (1 hr min) 62.50 Suprv. Electrician / industrial plant per hour 73.75 signature. required: ELECTRICAL PERMIT FEES Print name: t HUC ' 'Al Date: 3/17/2010 Subtotal ' j'72. OE, Plan review (25% of permit tee) Authorized �i t / / ) , State surcharge (124% of permit fee) AA-. Signature: � q TOTAL PERMIT FEE 1 (t l Print name: STEVE PO : ,ARD Date: 3/17/2010 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I:'t. Building \Permits5E1..C- PennitApp.doc 05/23/06 440- 4615T(11 /05 /COMNVEB) + Number of inspections allowed per permit. 04/07/2010 WED 15:11 FAX 503 786 3432 PYRAMID HEATING lj 002/002 APR -07 -2010 WED 01:55 PM FAX Na 5036417661 P. 02 }ice c sr' t tl'f ' F�' S 71*� d mr T t Mechanical Permit Application 1 L � "" ' 'rq ' 'w " l ll1. t)1 l It t 1 1: u1l R s Recei..d P"m' Nof l `r�� 4�� City of Tigard APR 09 2010 Ducey: r, ' 13125 SW Hall Blvd., Tigard, OR 97223 Plea Review other Permit: ISA Phone: 503.639.4171 Fur - . ? «Gg q IGARD AotdBy: "'" 'h Inspection Line: 503.639 Dnte F iuly /ay; stoic es Su r 2 for cl 3 7it^h 1, 61t`1 Intel ict:. www.tlgard -or. �L DING DIVISION Notilied1Mothod: Supptcaneetnl lnformtttion • . . p:, y �. Y ;r'" t 'w c 4r I 1I y y i ' , ; i l � j h.. # . , I : 11 1 1� .1 f l ' r Ip J 1 y s , � � I e' yy � ula 4 LLl 'I Jnu ;: �_:!N. i.,r -j: l [�� d t,` - ,,, , I , 1 Itl r ll' r Vl t yt V, I::,u � 1 I.' r a'! , , ltd l: a'y'. ill 1 IItf1 Ili ;:!'i {i �t�Ql ' ' I' ' •11 1� 1 l 11 H I . . 1 i 'LI 'il'ill i i l l ' ' IL I 1 f l i ', �� fit ii1 4 . 1 ,,, ) g tEl 1 1 1t�,u r tJ' , ,, , ,, ,, , m lc n , l , L• 1 [ ,It�� t r_,I i I l._..al.. }tf.l.� CL,JlI ' Mechanical permit fees" are based on the value of the work N New construction ❑ Addition/alteration /replaccme t performed. Indicate the value (rounded to the nearest dollar) of nil ❑ Demolition Q Other: mechanical materials, equipment, labor, overhead, and profit. .fi l .et s iyt. ni i;.1 a i ,, .. . : l t r tl :'a a til{ f`. I I ' Value : 'a t g I i ` r I' I . I i ff MINI � . l • u'.il 1 1 �I 1 t i 'i1. ' ,„ , . swear ,,,, , ., ! .i i ,�Ri�CIl1:�illi,,. ,, .. 1.,,I. ;:> �� I n tIA∎. l.. .; llr f �1. 1:, � _ „ �1 1 1J : I: - ,: l tid�i L 1.' i f y U 4 'Lt I y, w �[ � � q y v f1 I:1.'� l a 'P"��, .t I�O C:iL ! gl! ' JiJt9 i. i u Llil irL.l ® 1- and 2- Family dwelling El Commercial /industrial C] ' ccessory building For spooled uljornlarron use Checklist. ❑ Multi-family ❑ Master builder ❑ ether: Description Qty. Ea. Total ._.. ......- ................ .... ...,...x,...... .. ...•. ..... v u, run. x � ' .�::.e:i.ni:i.r.t�i.�ri �vu.'�v..i,i. i�vl: 1: I. T' :J {II j1 1 111 I `li 11 1 ,) ' tij;i )y' i 4 L I• l h t V � I iR!(mlh:i'. • i � Fla a r � I r II ' i[1 i 1 ono to _ �.L�� 1�, ���L�CJ i. I�����1� � ��11:.. . �., r� �s:.} �, �, I���I .lul�� ��r�lli, , �,1, � � / 3 5 /4) Air conditioning Job site address' %" / rew ires atm .Inn showin .lecemant 46.75 City /State/21P: Tigard OR 97224 Furnace 100,000 BTU (ductelvents) 46.75 4 t , Furnace 100.000+ BTU (duets /vans) 54.91 Sdite/bIdg./apt. no.: Project name: Heat pump 61.06 Cross stntet/directions to job sire: Duct work 23.32 . Hvdronic hod water s stem 23.32 Residential boiler {radiator or . hvdronie 23.32 __ Unit heaters (het-type. not electric). in -wall in -duct, suspended. etc. 46.75 ; ? , 5 Plue/ventfor any of above 23.32 1 • Subdivision: Alpine View Lot no.: o Otter: 23.32 1 Tux map/parcel no Other fool appliances 1 r 9 . i ui / u y r r.l cnlgir ,iN q , I al �. IrYl�t 111 1 .l i It a) I .I Wntcrheater ) 23.32 - 'L3 i l ! 1 [ II ai ul' �11 1.i � 11 1 L 8 y � ! `:01. 1 1 : i t:.. JSIi�'� l 11 �.l.r {I I t� c ac��l�lll�r Ik r� I r 1 11 � � r� I 1 33,39 33.37 Gus fireplace New Construction Flue vent for water heater or gas fireplace _ 23.32 Log Tighter (gtts) 23.32 Wood /pellet stove 33.39 Woad fireplace /insert 23.32 +. +,p lri�rL o i !!!! q t m L I'� Ln1: c 1r { p Chimne /liner /flue/vent 23.32 q 7 1 l I 1 1 u+ff �' 1 I G :' t'�7 ii,l I I.� ii I�'I� ''I Il� 4II +; It l,, fa�t.Till I i Ii[M1 il131 iI� n _1.e1 I e'::.f,, i 1 { C�..�. /, ,<.s.,fl: �):- .l�l 1�ILV ..I�,.l�i � 1 � the: � 23_32 - Name: West }Tills Development Environmental eahauat and ventilation Range hood /other kitchen Address: 735 SW .158 Ave a ui meat 33,39 J - City/Stute/ZIP: Beaverton OR 97006 1 Clothes di or exhaust 33.39 dill Single -duct exhaust (bathrooms, 11 1. Phone: (503)641 -7342 I Fax: (503)641 -7.61 toilet compartments, utility rooms) 23.32 1 \ tt - . • .1� 1h 1'1 �Wtl ' 1. I� p 1I 1 h I) �pI 1 '+u� j I J u �i " �II� Attie /crnwl3pucefails 23.32 I�I,11L11t11�1)..11�.�..L1., I...1..�LLJa,.lJl,.dil�!1� ,.111�1h1?PL. n?,.l.l}r� ::1. I ILL ;:. I Other: 23.32 Business name: West Bills Development Fuel piping Contact name: Angie Cook $14.15 for first four; 54.03 for each additional Address: 735 SW 1W Ave Furnace, ere. t�� a � Gas heat pump Ciry /Stele/Z1.P: Beaverton OR 97006 Wall /suspended/unit heater Phone: (5U3) 726 -7042 Fax:: (503) 64117661 Water heater Fireplace E -mail: acnokl@nrberltnmes.eom Ramie 1 r i F'' J 11V ' � l � P' p l P�,trr q V' I ' ni '� I t �, ' ' Y 9 I'11�'I r ' ., l : Il 1 i s; 1 t I O rt 01 n I a , G 1 9ar becUe x111 �1i lla:�1 1f�,11 Ei,l. 4� ' rL , fti ��' a lll,fl; L �k«� i,_� Ii �1',.. Cloth: truer (gas) Business none: Pyramid Heating & Cooling Other: Address: PO Box 15112 1 p u 1 ic,L:7 1 hl p I.^ t• I �t�d +P�'I'1'�'[i�� u i, �1} F� �( L)` j5. �1 �ti�1�� °a'�;i�IfJ���U�llL���l��tiI City/Slide/ZIP: Sandy OR 97055 _ Subtotal 1` 0 Minimum permit fee ($90.00) Phone: (503) 786 -9522 Fax: (503) 786- 432 Plan review (25% of permit fee) CCB lie.: 59382 - Slide surcharge (12%of pemhitfee) ( • TOTAL PERMIT FEE - l . 2 � t �� - rhis pormir application expires if a permit is not obtained within t80 Authorized signatu -' • �r r , �Ir days after it hna been uccopted as complete. Print name: 7)16. r r / t 0 c e. " j a ate: 417/10 1 t. Fee methodology set by Tri- County Buitdina Won Service dealt 1:t Hu116inaNPerm ,ttNEC- PermitApp.dut In/01/us 44-4617T APR -07 -2010 WED 01:54 PM plumbi Per it 4ppliC f ' CEWE Building Fixtures APR 0 9 2010 City of Tigard F T!G 13125 SW Hall Blvd, TI rd 0 105� Phone: 503.639,4 d3 Fax: 3 * 1 D �u Inspection Line IVIsi N mmrnet: www.dQarti- or.gov Si New construction ❑ Addict on / al two tiardytIr 1- told 2- Leanly dwelling City /Sun:MP: Tigard 01107224 Suittibldniapt. no.: I Cruse street/alroetiotts to job site: Sub,livislon: Alpine VitW Tax map /Foal no.: New Construction Address; 736 SW 1138 Avo Project note: City /Suite/VP: Beaverton OR 97006 Plicate (503) 641434 E -mall: 'cook urborbotnaa.eont 9ritu not 14BellelnyWtteeinFlW� .romunpo•uce 10/01/09 Z0 /ZO 3SVd Q Accessory building Mentor builder Job site address: ❑ Commercial /inatmtrial p Matti - family br onnatlan use Anti bun Nuw 1- 2- faatilY dwellto . s (tndue.% 100 tt. 5FR(1) bath SGR (2) bath slrR (3) bath Eueh atldItional bath/klWhen 500.32 437.76 18.76 Total C3 Demolitoe 1, El Other: Business mine: West Milk Development Cornet tame: Angie Cook Address: 736 SW 158`M Av., Fax:: (503) 641.7661 9NIShltlJd 11001OM permit No en view O uu Permit No b Jolla; W Soo rep for Na ibed /Maned PatoItzahay Sv- mooed lnrormaaor atio u Rem FAX NO. 5036417681 Foodag draitl (no. linos �.: _,_) D,(3 MManufactured Noma utilhios I__ I Nson hdr iolca 1$.76 St � f Rain emblem • • 5 1&.76 so orm nimr sesewer wer ( pro, linear ft.: P atio . a Pa 2 near 1L: WWm: service MO lIn ear it:.__J 0 d 0 ---I NI re o cventer 9 1 I �f BackOOw M 12.51 134 joute:e valve 35.03 2 Nemo: Wost ifi11e Devdoluoaat City/Stoat?: Beaverton OR 97006 Owifets name: DovaroPCat Northwest (Weloolt Pluto 0 . Address: W }Maoris Columbia River Flury City /State/ZlP:'Cruutdale, OR 99060 Phone. (403) 667 -1781 GCB Lie.: 11220 Authorized signature: lie: t ett 25.02 inter Medical gas (value' S Primer Roof drain (cummerciai) StnWbasintlavetary 25.02 35.02 25.02 l2•S 1 12.51 25.02 25.02 3'7.52 56.29 26.02 Subtotal 4 'Mol I OV COOP Clotho' washer . Dishwasher prin king fountain 8joctors/surap Ex 1 • Fixture/sewer Cup Floor drainill 'sink/hub Garbage disposal Hose bib fee maker 1 Solar units (potahlc wea Tub/shower /shower pan Urinal Water closet Walter hotter Water pip inr�pWV I Odtar. Minimum permits fee S0 Plan review (25% of .omit fa) S surd. ,- (12%ofperma --- -' TOTAL PERMrr NEE Thal permit epp►ku4tw wiping H a vernal le not o within Ina deY' airs It lout boo 4ataptea aii aomttittC. -Fee mWltedolosy oat b 'lri -C aunty nntidinU t, Snrvicc Board, T686L99E0G ?. 02 r e ach unlit connection) 312.70 9T:60 Gi0Z/8000 c1TY OFTIGARD Si 2- a lb- 000SR' EUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171u�4m�u Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: V/S I / TIME: PAGE: SITE ADDRESS: / 3 35 `- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: .. OWNER: PHONE # 6 3 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 0/ 5 - Pour Time / ; v a Code # Inspection Description Con Contact # Message /1" Ye t' / /S-4 1-C Corrections/Comments/Instructions: • • • • • PASS I I PARTIAL APPROVAL ❑ CANCEL `': ❑ NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED • ector: Date: Phone #: (503) 718- I r RECEIVED _ A. I APR 0 9 2010 .' CITY OF TIGARD 582 _ cu ►ALK IF I T-. 1 . - BUILDIN DIVISION M! `APRON`. liccDEH 111111 <D, --- . 4: I _ _ L1- ---- bid Flit 044. m'v I - . C_ 5 -0 1 TQRM EWER . :.....-...v...-.......-.........7.-... :; I LAT. :::T.0.5.- 583' .. ... . . ...... . .. . Abs FLOOR : : 979 SQ. FT. SAN. EWER F.F.= 583.5 LAT. ' c I ▪ 215 I- : • "ALAM : DA" IEg AMERI AN . 5 :; :: :::• :::.. ........ JO' , to :� co . : 150SQFT PATIO I I T N� a-----i m I (E) 582.5 /0 -- ---, 9 ,� , 50.00' 579 h PM ' rib / 7 SITE PLAN DRAWN 03/18/10 WEJ ALPINE VIEW Contractor is responsible to check SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP site plans and notify designer of any 2- SOUTH, RANGE 1 -WEST OF THE WILLAMETTE MERIDIAN errors or omissions prior to start of CITY OF TIGARD, WASHINGTON COUNTY, OREGON construction. Also plans and specifications shall be approved by 13354 S.W. OUZEL LN. local building authorities prior or 5,017 SQ. FT. start of construction. LOT 25 WEST H I LL S SETBACK REQUIREMENTS: REAR YARD: 15' (FROM PL.) e DEVELOPMENT, INC. FRONT (40USE): 15' (FROM PL.) FRONT (PORCH): 15' (FROM PL.) FRONT (GARAGE): 20' (FROM PL.) SCALE 735 SW 158th Ave. STREET SIDE: 10' (FROM PL.) BEAVERTON, OR 97006 SIDE: 5' (FROM PL.) 1"=20' CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: , • • Q . €• • " PLANNING DIVISION: Required Setba •s: Side: Approved (] Not Approved Street Side: ry Front. I Ga ' age. Vil Clearance: Rear: sua Vi si l Cl fia aAppr ved ❑ Not Approved Building Height. feet ( 'WS Service Provider Letter Required: ❑ Yes ❑ No B t : 1 < ❑ Received ENGINEERING DEPA TMENTDate: 5/0 Actual ope :. . % Approved 0 A Site PI : pproved B ®- Approved ❑ of ' pproved Now Date: / 1° CITY O TIGARD - SiTE PLAN Ra BUILDING PERMIT NQ: Street Trees: Appror�d ❑ Na Approved A Not Approved Protected Tree: Date: 7_ .46 By: Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: �- Site Address: E Subdivision/Lot #: and /or Map and Tax Lot #: C S 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: 4agli■ (,�-. Date: ) 1 (S2.- I O e r eral Contractor /Authorize gent r Print Name: ex 1r Y0 Y K't rZ ' 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. 1: \Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 a ' Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, A Y4 try- 64::J, a 14oy , am the general contractor or the owner - builder at the following address: Site Address: Go LEA City: C r Q Permit #: \,� E—}- — Z6 [D ^ C.0c' Subdivision/Lot #: r v` 1 e1.4-2 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: �1 Orr t Date: i. ( / ci I ta Genera'':ntr..ctor or Owner - Builder l:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 • • PERMIT NO. CleanWater Services Our commilweid LOT EROSION CONTROL INSPECTION REPORT DATE 9/�/f�7, INSPECTOR /WY SUBDIVISION i1`.,� OWNER/PERMITEE /a s¢ � /,f v SITE ADDRESS APPROVED FINAL INSPECTION THIS SITE MEETS THE POST - CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST - CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER i THANK YOU FOR YOUR COOPERATION! INSPECTOR PHONE -5 S • STREET TREE CERTIFICATION ,.......,,„.. T Z tif t : - .. _. fi FP4'4 E1 -{ i � ' ' -�' `� ' v +' ' * -s 4 ti's y t is 4-0 ! 'IA C a D . - �a Owners / R ge f :07.1.....,„„,,v, 6 m� Kok,, o (PLEASE PRINT) (PERMIT HOLDER) :fir '. Do her �� �.� �� .., eb c e r tif y t the fo llowii g l ocat i on meets City of Ti gardalan.di%`se a lop standards no street tree tiinstall , ,, : , re 1 43 „,v, ,,,_„.„4,„. ,,.., ".ar. , , 44---,.7., kriy.,.. \o. j...4-4 ;, :' 1`4: ” ` . P O r? ' E s4 ADDRESS: I3 GO Octt .L L P■ iF SUBDIVISION: mf, � \( e� LOT: .S SIGNATURE: ,,�,� DATE: l I -+ 0 Z. -- t C7 (OiVNER /A NT) RECEIVED BY: DATE: pi Y OF TIGARD) I: \Building \Forms \StreetTreeCertificate 01/19 /07