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Permit • 4 MASTER PERMIT CITY OF �IG'Q►FZD t t, CO DEVELOPMENT Permit #: MST204000089 Date Issued: 07/06/2010 71G - ARI? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104AD05800 Jurisdiction: Tigard Site address: 12896 SW SEVILLA AVE Subdivision: WALNUT CROSSING Lot: 5 Project: Walnut Crossing Project Description: New SF BUILDING Floor Areas Required Setbacks Required. Stories: 2 Bedrooms: 3 First: 2168 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 3 Second: 0 sf Garage: 512 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $236,656.26 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 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: 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 SrvclFeeders 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! 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) PAHLISCH HOMES PAHLISCH HOMES INC 1 MST Ersn Cntrl 503 - 681 - 4444 63088 NE 18TH STE 100 63088 NE 18TH ST #100 BEND, OR 97701 BEND, OR 97701 PHONE: 541- 385 -6762 PHONE: 541- 385 -6762 FAX: Total Fees: $15,064.31 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 ' ccordance ' 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 day ATTENTION: Oregon la re uires you to follow the rules adopted, by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - 001 -0010 through OAR 95 001- 0100(V u may'obtain a copy of the rules or direct questions to OUNC by calling 503 246.6699 or 1.800.332.2344. ./(/irl, • 14./../ Issued By; iL/1 ` Permittee Signature: y r �' '' SEWER CONNECTION PERMIT • rt CI OF T IC �'A R ' D q w COMMUNITY DEVELOPMENT Permit #: SWR2010 -00074 Date Issued: 07/06/2010 TIGARD; 13125 SW Hall Blvd., Tigard OR 97223 :503:639.4171 �� ,)' Parcel: 2S104AD05800 Jurisdiction: Tigard Site address: 12896 SW SEVILLA AVE Subdivision: WALNUT CROSSING Lot: 5 Project: Walnut Crossing Project Description: Sewer connection for new SF. FEES Owner: PAHLISCH HOMES Description Date Amount - 63088 NE 18TH STE 100 Sewer Connection Fee 07/06/2010 $3,600.00 BEND, OR 97701 Sewer Inspection - Residential 07/06/2010 $35.00 PHONE: 541 - 385 -6762 Contractor: PHONE: FAX: Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $3,635.00 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable All work'will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issunce, or if work is suspende,for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules,a e set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules o 1( direct questions to OUNC by call' • • 1 : 246.6699 or 1.800.332.2344. � ` Issued By: � `, I`14-k/ Permittee Signature. A Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. �f3:uilding Permit Application • • # 1$ $" ' . �§"��"k € ' 16 '8 � t t""�t Nt �Tx,: , `� �(t �� b . Residential Ej Ej `,�j *� q: 7 . T°FOR OFFICE:USEO L NY ' ez RECEIVED L� Received � � ..._._ • • r K x 6t 'w City of Tigard Date /By: 5 0* s iV Permit No.: t6r4A0 _ 9 e I; ri` t u 13125 SW Hall Blvd., Tigard, OR 9722 Internet: www ti g and -or, ov n Plan Review t Phone: 503.639.4171 Fax: 503.598.10W 2 5 2010 Date /By. b( ` 1e to Other Permit 6 Lb- eve -79 Inspection Line: 503.639.4175 Date Ready / y' hdis: ® See Page 2 for. T IG'ARD ; p g CITY OFTIGARD . Notified /Method: 6 g. i•d 6 T�76 Supplemental Information r, If G n� =: CITY �U1LD DIVISI r r't , �kln/ G 'J V 3.SI " e TYRE' OF W OR K REQUIR DAT 1 +2 FAMI DWELLING - 0 New construction ❑ Demolition Permit fees* are based on the value of the work performed. . , . Indicate the value (rouided to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the • r , work indicated on this application. • k , CA C Valuation: 25O,0O0 '23 0 2, ® l -.and 2- family dwelling ❑ Commercial /industrial El Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ['Other: Number of bathrooms: 2.5 � JOB SITE INFORMATION ,AND - LOCATION Total number of floors: 1 . ° " Job site address: 12896 SW Sevilla Ave New dwelling area: 2168 square - feet City /State /ZIP: Tigard, Oregon 97223 Garage /carport area: 512 square feet Suite /bldg. /apt. no.: Project name: Walnut Crossing Covered porch area - 1.18 -27 square feet 21 Cross street/direcxions to job site: Walnut &Sevilla Deck area: square feet • Other structure area :2p° square feet 17 REQUIRED DATA: COMMERCIAL USE THECKLIST ` Subdivision: Walnut Crossing Lot no.: 5 Permit fees* are based on the value of the work performed. Indicate the value (rotnded to the nearest dollar) of all Tax map /parcel.no.: 2S104A_D0,5800 equipment, materials, labor, overhead, and the profit for the D EC N work indicated on this lication. �� ' '�� " <. t _.,. -.. � , ,., DLSCRIPTION OF WORK app Construct new single family home on lot. • Valuation: $ F. Existing building area square feet New building area: square feet ,,,, la OWNER ®'TFNANT Number of stories: Name: P-ahlisch Homes Type of construction: Address: 63088, NE l8 "' ;,STE 100 Occupancy groups: City /State /ZIP: Bend, OR 97701 Existing: Phone: (541)385 -6762 Fax: (541)385 -6742 New: : [Z APPLICANT:. E CONTACT. PERSON NOT t'._ .. x+_`` 2 Business name: Pahlisch Homes All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact mine`. Jason Spence under ORS 701 and may be required to be Icensed in the Address: 63088 NE 18 "', STE 100 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: Bend, OR 97701 apply: . Phone: (541) 385-6762x101 Fax: : (541) 385-6742 E- mail : jasons@pahlischhomes.com- f 'l ' . °CONTRACTOR . Business name: Pahlisch Homes BU ILDING , PERMIT,TEES* W " Structural plan review fee (or $750.00 4 � Address: 63088 NE 18 "' STE 100 , City /State /ZIP: Bend, Oregon 97701 FLS plan review fee (if applicable): Rhone: (541) 385 -6762 Fax: (541)385 -6742 Total fees due upon application: $750.00 CCB lic.: 42067 /� Amount received: Authorized signature:x �'�/ This permit expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Jason Spence Date: 2.2.10 * fee methodology set by Tri- County Building Industry Service Board. +f: \Building \Permits \BUP -RES PermitAApp.doc 10/01/09 440- 4613T(1 I /02 /CO 4 /WEB) 'MAY -26- 2@10'89:24 From:M & W ELECTRIC 5417541872 To:5035981960 P.2'3 ' r '".," � i je V,' ;gin ! 1 Ma „4 .4 4t , A, 1 ' v+.4( r8a : r t?: (V ", ;;"M �" i 1 r '/ ; � 1 r i, A V h l a t� �� �V k �, �' ! 1 Electrical P 9'I11111) 1�lf1C 1r10Itl , , �i I rt 1 1( I I ,f I, „l , � � a ��,,t la,,�,a : iq; n I i . o1 Tigard :.... _- ” \I 1 v. f0 f ,, Y � 1•^ 1 � ,� 1 ��`�� ` r 14,0, • "P� 1� rol i,3�ll� R te .A6 �d;+h "T w��.�Hltia " lt ld ` ., f IP city a1 I GC.v ; 1 , t n '° 13,125,SW Hall Ivd TI ard,OR 9 1 m od `O�CP /� 5 <o?p • d _. :.d Vliul Itoview x ; t Phone: 503.639:'4171 Fax: 503 - 598:1960 Dme/R 00,0, perml e . 0.34,9/0 -066 7 2 2010 - . . ( t h ii i+ ' l 1 , e,1 Inspection Line' 503 MA `( 6 Dale 'Ready(tly• - - la Sae Page 2 ^far `.. $, w, internat www.ugar go Nat i fied/method , err I amantal In 1 . . � � 2 !glo�l ` I � lad ;¢,. G � •4 � l ' ,.!l y 1 ; ` � i iil?!1 "1'1� 1�N' "1'v�1�Xi rr � P'6 Ii . ' [ .t ATrl ' 'TZll New construction Addition /ullcrttti0 ) rt � se the k all app (so m or more to & I c • FA T1 - - � Please cheek litgn,p checked bolnwl: ng over three stones. 0 Demolition E] Other: where the available fauh gun nt 0 Mariana and boatyard,. 1 ` I - and 2 fntnfl dwelling r C ommercial /industrial ❑ Ac ccsyo bu rl to 10,000 o r imps at 150 V011201' 0 exceeds 14,001 ( atia 0 Commo bu l•a s e lase a ' ` � ' �A� �l � ' �� �IR� ��N�P)Z>� � �l 0 0tl pound, or mtca 14,0(!1 0 Coroinl•naa agricultural y g ❑ ry ding amps Tor all other inatallationa. buildinga. (] mall ( ] M aster builder ❑ Other ylmp. ❑ lmtallatian af 75 KVA or Multi •f 0 Phu p p{{ " Ql3MAmION r1I'J ON , © Rmaraenay Aymara larger separately, derived aytltam A 1 i , 1 'i i , Q'�; ITit it LA.$ . ( 1014. mAddliton °ram motor land of Job no Jab site address: 12896 SW! Sevilla Ave IOOHI' or mor naouptutay C Six or morn residential unite. CI Recreational vehicle parka,, City/State/ZIP: Tigard, OR 97223 D 1iaalfh.earo (hoil 0 Supply voltage for.mam'IIun 0 Hazerdone iodation' 600 volta'nominal Suite /bldg. /apt no,: Project name: Walnut Crossing 0 Service or feeder 6100 amps or more Cross street/directions to Walnut St & Sevilla Avc. 1ttt7llM•' 1111121M New residential single• or mulll•famlly dwelling unit. Includes attached garage. Subdivision: Walnut Crossing Lot no,: 5 1,000 s..,it. or loss ® 168.54 168.54 4 . Ea. add' 300 s . fl, or onion fit- 33.92 '(? ,-' Tax map /parcel no,: 2S104An05800 Limited cnergy, residcntinl of ! i , . i �r ;:,' 1 1$ r , 1 N ,. h . h 1 ; ,'' ., ,f ' u �r�1, r ICl ca `w�rx� with above a It, 1 67.84 67.84 2 install new service for single family residence Limited residential muiti•furnily -. residential with shave a fl Services or feeders Installation alteration and/or relocation tQ�'t� 200 am Ivor leas MI �� f Ii0.,.: : '' {: ltNNNT ' .: 201 fun •t to 400 am s 133.86 omits 'N emc: Pahllach Homes 401 dm a in 000 am s MEMO � KM 601 am a to 1.000 am . a 001 04 mom Address; 63088 NE 18th Over 1,000 am .o or volts 1111111E6110.1111111 City /Suite/ llr land, OK 91701 •1'emporary•acrvicca or feeders installation, alteration, and /or relocation IZIIEMIIZMIIIIOIIIMIIIII Fax: (54:1)385 - 6742 200 am s or less E. 59 59 36 UM Owner lnStallatian;'1'his installation is being mado'on property that 1 own which is not: 201 am stn 400; am.s M 125.08 •fl intended for. sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 tun s to 599`am . e 111111111EIEMIIIMMEI Branch circiilto -. new alteration or extension er anel 'gwner signature:, Date. A, Nan for branch otrcuits WWI above service or feeder tea, j CONTACT }nl�lZSQN each branch circuit 7.42 Business :`PahHach Homes 8. Agee Ibr branch circuits wlrhaul sordica arfecdcr fco Contact name: Jason Spence 56.18 fret branch circuit Address':63088 NE 18th Fnch ndd'I branch circuit IN 7.42 Mill � � Mlscellanruue service or feeder not Included • ' • , ty /Stat Band, OR 977011 C:uch mimut"ucturad or modular IIIIIIEIIIIIIICI Phone (54:1')'985.6762x10], Fax: ; (541) 885.674 dwellini service and /or fender Reconnect only 67.64 S4rinil; a9onE@ ahlischhom Pum or ini ution eirola inn mmulal iiA' ar: ,;N1; ,, , 1 1 , ?, i i. � i ' Qif�N.TfrA• Q f. 5ignor'nlAlino lighting 69.84 MIMI Signal airauit(9) or limited. +..w energy panel, alteration or Address: „ gl , K extension. Describe: • Pogo 2 III City /State /Zile: , 14- 473Z. Each additional Ins salon over allowable In an of the uhnve a aALA.., : Ph. c: (s'tI .) 75 -1t l', i Pax: ( n O 7 ttt� Investigation erhnilr(I hr min) No 66.25 imiimg to l'uprv, Lie.: if,y7q$ industrial lane crhour �� '' • EL16Cr' • A.t !M '''1Pllil' " - . - Suprv, Electrician signature, required: 1 72, Print, Hama: , Date; S"`:sS -yG Plan review (25%of ermil.fee) : • State surcharge (12% of permit foe); 4 . _ Authorizgd si nature: i ' ( 7 g I'Q'I'AL I1 1tM 1? hP t .„:7 I, hate. Thla;pormtt,app,lcatlop expires if a porton Is not obtained wlthla i110 clays attar It ham bean accepted n complete. • Number of Inspections allowed per perndl I Uldildirlylp ,rrnlit,10LC,PormiiApp,,to 10/01(09 440 4613T(I I /aS /COM/WWII McCllan'caI- Permit Application l- � FOR;OFFICE ONLY'1 t :1..;;;'• ; i A5 RECEIVED Rec eive d" 1312ySW H 6 1 Bt vd„ Ti ar d , OR 9 722 3 y : b G I of Tigard Per .WS / tnrt No:c�rAa / /yy� r' 41 N v Date /B S' /U / lic.i�i g Plan Review "� Phone: 503.6394171 ; Fax 503.59819 Date/By: . OtherPennit:( /�� j q y ;4 Inspection 503.639.4175 MHI �/' 2'0�� Date R'eady /By: Juris: ® SeePage2for su * ki Internet: www.t and -or: o v `" g g Noufied/Method: Supplementallnformation CITY OF TIGARD - �, { 1 k llI COMERCIAL,FEE SCHEDULE US �E�CHECKLIST:; VISION, ..n . � M �. a >Y. ,.. > New construction Mechanical permit fees* are based on the value of the; work: ' ❑`Additgn /alteratitin /replacement performed. Indicate the value (rounded to the'nearest dollar)of all Demolition '111 Other: mechanical materials, equipment, labor, overhead, and profit. A ' . `xa k '"" «C &TEGORY OF CONSTRUCTION Value $ 'RCS'DENT1AL EQUIPME / SYSTEMS FEES* . 1- and 2- family dwelling ®Commercial /industrial ❑ Accessory building "'" °' ,; For special information use checklist. ,0' Multi- familyi, p ❑ Master builder 0 Other: Description I Qty. I Ea, Total • 0 " 'T-' JOB SITE INFORMATidR AND LiOC ', - Heating /cooling .lob site address: 12896 SW'Sevilla Ave Air conditioning , (requires site plamshowing placement) 46.75 1 . City /State /ZIP: Tigard."OR 97223 , Furnace 100,000 BTU (ducts /veni "s) , 1 46.75 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite /bldg. /apt..no.: Project name: Walnut Crossing Heat 61:06 Cross street/directions to job site: Walnut St. & Sevilla Ave Duct .work 23.32 Hy_drbnic'hot water system 23.32 ' Residential.boiler (radiator or • hy,dronic) 23.32 Unit heaters (fuel -type, not electric), in in-duct, suspended, etc. 46.75 ' Flue /ventitorany of above 23.32 Subdivision: Walnut Crossing Lot no.: 5 - Other: 23.32 'Tax`,rhap /parcel'no.: 25104AD0580.0 Other fu cl'ap'pliances `` x a DESCRIPTION OF ;WORK' ' • . W,ater.heater 1 23:32 23.32 :Gas fireplace 3339 23.32 'Install new service for new residential single family home Flue vent for water heater or gas ' - fireplace 23.32 Log lighter (gas) 23.32 • ^Wood /pellet,stove 33.39 Wood'fireplace /insert 23.32 , , 'Chimne /liner /flue /vent 23,32 ® ROPE PRT Y OWNER , .< ®,TEN Other: , 23,32 Name: Pahlisch Homes' Environmental exhaust and ventilation • Ath • Range hood/other Address: 63088 NE 18 equipment 1 33.39 33.39 • City /State /ZIP: Bend,,OR 97701 • Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (541)3856762 .` Fax:: (541)3856742 toilet compartments, utility rooms) 23.32 f .( ' f ° r ' ®APPerai:iT '- : ®; CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 _ Business name: Pahlisch 'Homes 'Fuel :piping Contact. name: Jason :Spence 514.15 for first four; $4.03 for each additional Address: 63088 NE 18th Furnace, etc. 1 14.15 14.15 Gas heat pump City /State /ZIP: Bend, OR 97701 Wall /suspended/unit heater _ Phone: (541) 3856762x101 Fax: : (541) 3856742 Water heater 1 14.15 Fireplace 1 14.15 ., _ E- mail: jason8989 @gmail.com Range 1 14.15 i '�' � ;, r - CONTRACTOR „ " Barbecue 1 4:03 4:03 Business name:, Pahlisch Homes Clothesdryer (gas) Other: Address: 63088 NE 18 w MECHANICAL PERMIT FEES* 7 City /State /ZIP: Bend/ OR,/ 97701 Subtotal �3 j C� _ Minimum permit fee ($90.00) one:;(541) 3856762 Fax: (541) 3856742 P Plan review (25% of permit fee) ;! " 'CO lic :'42067 Statesur (12% ofpermit fee) g4 to - - i3 / TOTAL,PERMIT FEE 4 1 . , Z, This permit application expires if a permit is`not obtained within 180 Authorizedsignature: days after it has been. accepted as complete. * Fee methodology set by Tri- County Building Industry Service Boar P Print name: .Jason Spence Date: 12.15.09 , I'\ Building \Permits \MEC- PermitApp.duc 10/01/09 440 -4517T (1I /02 /COM /WEB) ' T Plumbing Permit Application Building Fixtures REC i) " ' l x , 1 , , ° W ` ! {I H0R O1 FIC USL ONL I '1'2: 1` Cl R eceived Permit No �/ v 13125 of Ti SW Hall and Blvd. Tigard, OR 97223 hi ;AY 5 n G Date /By: ,...5 / , C )r . - r /�'� /� 7 ® , ( ' Other Permit No Plan Review .: d Phone: 503.639.4171 Fax: ,503.598,I96 D ate/By: v,�lo - er� 7 r Inspection`Line: 503.639.4175 , �IG�1 Date Ready/By: luris: H See Pa e 2 for rl cinRD RD y y: t; -, Internet: www.tigard or gov CITY N Supplemental Information •- • I .J i - FEE* 'SCHEDULE' TYPE OF w0 iLU1NG DN ISI� ; yiNew construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ,❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY:aOF CONS IO TRUCTN SFR (1) bath 312.70 p i_ and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath ( 500.32 , ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑.Master builder ❑ Other: Fire sprinkler( sq. ft.) Page 2 JOB `SITE `INFORMATION AND LOCATION Site utilities: Job site address: Catch - basin or area drain 18.76 City /State /ZIP: Drywell, leach line, or trench drain 18.76 �,t 1 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: W ed14U1 C_ rocs - A-N, Manufactured home utilities 50.03 Cross street/directions site: / Manholes 18.76 21 51- 4 W MtNi ur) Ce-s i 1 ) ck Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 - Water service (no. linear ft.: ) Page 2 Subdivision: ,WQ,yt,U.i C(u SS rvN, Lot no.: C Fixture or item: Tax map /parcel no.:. / Backflow preventer _ 31.27 ;. .- .. - Backwater valve 12.51 ' D OF'•WORK't• Tk ° ),. t - : :' r . y- Clothes washer 25.02 �lca. -i wxs IM b`^ - -- °Dishwasher 25.02 ._ - -,__- _ - - -- '--- -- - - - - • � Drinkin g '.fountain• 25.02 Ejectors /sump 25.02 ' t • ' •0 PROPERTY' OWNER '. ` , ,4® 'TENANT:: 1, Expansion tank 12.51 Name: Fixture /sewer cap 25.02 ' Floor drain/floor sink/hub 25.02 Address: • Garbage disposal 25.02 City /State /ZIP: Hose bib 25.02 Phone: (, ) Fax: ( ) Ice maker 12.51 ;❑ APPLICANT ' - ❑ • CONTACT PERSON , . Interceptor /grease trap 25.02 Medical gas (value: $ ) Page 2 Business name: ?0.�Vt `�Y tf - iii ( , \1 \ e Primer 12.51 Contact name: t ` � Roof drain (commercial) 12.51 Address: 6 NE "6 Ste sv ,3r._ A,.7 . Sink/basin/lavatory 25.02 City /State /ZIP: Bel.tCP I. 0 R J / Solar units (potable water) 62.54 Phone: ( cif) ) (J `f •p y - 9 Fax: : ( 5.-qt ) 3 6q y7- Tub /shower /shower pan 12.51 E -mail: 'NI op P paAL (i i L c... kewlAiesS' . CO /1---t. Urinal 25.02 Water closet 25.02 i, a x •.•. ' ,'CONTRACTOR a er heater W e t he t 37.52 Business name: L_JPp 0 , 9L, (.Jjvf Bf jJ Water piping/DWV 56.29 Address:,2 y y3 p j rt 3 - 0 ^ / y ,4/,• . w (J AL Gc l e 6, Other: 25.02 City/State /ZIP: sPA/ 145' 05 O/ 'lo g / Subtotal ` 3 Phone: Fax: Minimum permit fee: $72.50 • if Q3) yj .y -a4.g 1/ ( ) • CCB Lic.: / ) ®t0 yp2 Plumbing Lic. no.: 97, c9 /i� Plan review (25% of permit fee) State surcharge (12% of permit fee) &21. Authorized signatn • TOTAL PERMIT FEE 660;'I 1/4. A. G L As L.re /oLJ S- a.5-id This permit applicato it expires ita permit is riot obfained,within'180 days Print name: Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(l 0 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: - Residential Fire Suppression Systems: - • • Qty:' •''Ree:(ea), :Total - - - ; Site Utilities �� = Square 'FOotages ,• „Perm><tFee• 4: Footing drain - Is' 100' 50.03 0 to 2,000 - $121.90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 5233.20 Sewer - 1st 100' 62.54 7,201 and greater • $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 :Valuation: Nil Fee•' ' Storm &Rain Drain - 1st 100' 62.54 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for Qty. ' ;Fee (ea) Total each additional $100.00 or fraction thereof, to Other Inspections or Fees - and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the. first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first 550,000.00 and $1.20 for (minimum charge 1/2 hour) each additional $100.00 or fraction thereof. Subtotal: Commercial Fixture Work: ' • • Are you capping, adding or replacing fixtures? If "yes ", • Plan R for Plumbing:,Installahons - please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees Please check all that apply. - - . ; - Quantit +tiy;(Fixture) Work'Performed .E_ Any new commercial building with' water service 2" and Fixture Typer'` - Repla . greater, except systems designed and stamped by licensed • • `4Previous •Capped Added` - Existing engineer. Baptistry/Font Tub /Sowr 1=1 New exterior plumbing site utilities for any complex structure Bath - hower Tub /S erlpool as defined in OAR918- 780 -0040. Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive tall ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash 5 ° Isoinefric or Riser'Diagrain Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. - 4" Car Wash Drain Garbage - Domestic Disposal - Commercial Industrial Comments regarding fixture work: Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees,assessed for the sewer increase must be paid before the Washer - Clothes Water Extractor plumbing permit can be issued. • Water Closet - Toilet Urinal - Other Fixtures: 1:\Building\Permits\PLMF- PermitApp.doc 2 1 , ���� \ 6 II II 'iv fi r': , 0� G;y W • It • V `° � • • F W O E_. Lii a o y —I N - ',11 ' ilk , ..---- r r f � N� N N N N 04 20 10 U N G Z CITY TI : ° r O B U Ti , . • LI 6 p a g5 / 1 O O o L J 00'n l 0 ° F5., 12.00 15.00 c� I o-) I a� O 0 I — N 0 \ oci \ \ 16.00 / - - -- — a. �\ / l I I \ 0 ` / o `ti0 I oo '5 \._n up '''')" ji ! \ \ / c\J Sil> . \ A 0 , -, i 7 , cO Q Nu ,z � \ 5 w .• r 0 0 A \ to 10 1 /1 h. , =F. ! \ 1 w N � / I P CP'P \ a / a "I \ \ \ O .,� PR�THI F , —, \ Lo / _ w . . r "A a I F / \ , ,� _Y \ \ / , \ o o c.i a W I p \I a� •• 0 0 21 .00 ` �' o • mill ® 0 0 00'6 4 4 , te a a a o C./ , SS 14 1 • o • c1 1 N 5 N O / L • O � � N d a� N � �, u � Q 1 0 , q q �, , r ilrg:Parlir,.-411 0 I higraleg n i , ..„„,„iu . a k ilL 1 illoi l I � �1 11111' � . I p a 1 . ''''' ".1_,L..,„,___ _._ � �� um - _ vii , I Air A Buyer Date Buyer Date Scale 1:10 Lot Sq. Ft. = 6,327 sq. ft. Walnut Crossing Foot Print Sq. Ft.= 2,680 sq. ft. ,�� 5 / % Lot Coverage = 42.36% Lot #: Total Impervious Surface= 3,212 sq. ft. PahlischHomes Address: 12896 SW Sevilla Ave, Tigard, OR Ilk mon PLANT SCHEDULE Pinehurst II • • 63088 NE 18Th STREET, SUITE 100 Plan Name: 0 • : I E BEND, OREGON 97701 Date: 5.26.10 II Scaled " =20' SIM �J RAXINUS PH: (541) 385 -6762 FAX (541) 385 -6742 . \ •XYCA RPA . , * DRIVEWAY, WALK, AND PATIO LAYOUTS ARE FOR REFERENCE ONLY AND NOT INTENDED TO BE THE EXACT DEPICTION OF THE FINAL PRODUCT O • EXACT UTILITY CONNECTIONS AT RESIDENCE MAY VARY PER BUILDERS DISCRETION L CRY OFTIGARD -SITE PLAN REVIEW P I ING P NO SION .: 4 1 3 7 Q ) ° " (7 - P�LA ING : Required Setacks: 12K Approved__ ❑ Not Approved Side: Street Side: Front. Garage: ) Rear: f� , Visual Clearance: rzs Approved ❑ Not Approved Maximum Building Heig'v feet CWS Servi • Provider Letter Required: ❑ Yes "3 No Lj Rec � i v�ed B : ���' �. Date: b i t j ENG NEERINceDEPARTMENT: Actual S pe: % g Approved 0 Not Approved Site Pla L Approved rot pproved B _ Date: • II TIGARD - SITE PLAN RtVIEW !►. RMl NO: 44Ap!/,LI — r .,. Iwo 1 r PProved ❑ Not Approved 1lo1eeMd , . Li APProved ❑ Not ... ved 6 / Date: aims: C I glikk Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 2-0 00b c Jurisdiction: — \C� Site Address: \� S �,V ` A -'---- Subdivision/Lot #: \ Cl _ _ i Lo and/or \ VrD 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: 1 2-/20//0 0 O er /General Contractor /Authorized Agent Print Name: 1 Ck 1� W ThC9. S � 1 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. I: \Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, ��s C �" am the general contractor or the owner- builder at the following address: Site Address: , 5 - City:� Permit #: 001(3•c Subdivision/Lot #: W 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]. 8318.2 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: Date: 7//07/4 `6 G eral Contractor or Owner- Builder ` I:1Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE CERTIFICATION I t = Owner /Agent for I -QX� S(-- _. \ Aakts:LS (PLE PRINT) (PERMIT HOLDER) Do hereby; certify that the following location meets City of Tigard and; Washington County land use and development - standards for street tree installation. ADDRESS: Sc.) L A - 20 1 - CO d j SUBDIVISION: \iLL) rr LOT: r SIGNATURE: • DATE: 17 /S of I p (WATER/AGENT) RECEIVED BY: DATE;, r (CITY OF TIGARD) 1: \ Building \ Forms \StreetTreeCeraficate 01 /19/07