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Permit TY ®F I ® _ MASTER PERMIT IlL. _ ' ° COMMUNITY DEVELOPMENT PERMIT #: M 10/8/2008 -00052 DATE ISSUED: 10/8/200 iGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 ,r,:, ` PARCEL: 2S110BC - 11200 SITE ADDRESS: 12018 SW STRINGER LN ZONING: R -4.5 SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT: 010 JURISDICTION: TIG PROJECT: BULL MOUNTAIN VIEW ESTATES Project Description: New SF BUILDING REISSUE: AH3309E STORIES: 2 FLOOR AREAS • REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 615 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1.787 sf GARAGE: 691 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sl RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: 6 BATH: 3 TOTAL: 2,402 sf 261,573.39 REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5, DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: . 0 - 200 amp: WISVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: ���� ////'''' 3.. EA ADD'L 500SF: 5 201 • 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: - MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000. amp /volt : • PLAN REVIEW SECTION (� Reconnect only: (` > =4 RES UNITS: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREA/PC OCC: ELECTRICAL - RESTRICTED ENERGY 1 A. SF RESIDENTIAL B. COMMERCIAL 0 AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: O BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: O GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: //(J' HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: t This permit is subject to the regulations contained in the Tigard 1/ Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT laws. All work will be done in accordance with approved plans. This 735 SW 158TH AVE 735 SW 158TH AVE permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97006 BEAVERTON, OR 97006 if the work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 641 - 7342 Contact #: ppj 503 - 641 - 7342 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 - 641 - 7661 Reg #: LIC 104847 TOTAL FEES: $ 14,982.55 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 - 4444 Issued By Permittee Sig ailLIWT, - , PpirMillf Call 503.639.4175 by 7:00 a.m. for an inspection that busines 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. ' MASTER PERMIT ip '" Y OF °TIG D PERMIT #: MST2008 -00052 COMMUNITY DEVELOPMENT DATE ISSUED: 10/8/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110BC -11200 SITE ADDRESS: 12018 SW STRINGER LN ZONING: R -4.5 SUBDIVISION: BULL MOUNTAIN VIEW ESTATES LOT: 010 JURISDICTION: TIG PROJECT: BULL MOUNTAIN VIEW ESTATES Project Description: New SF BUILDING REISSUE: AH3309E STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 615 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,787 sf GARAGE: 691 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: 2 61, 573.3 OCCUPANCY GRP: R3 BDRM: 6 BATH: 3 TOTAL: 2,402 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOILICMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/0 SVCIFDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVCIFDR: 601 - 1000 amp: 601 *amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVCIFDR> =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT laws. All work will be done in accordance with approved plans. This 735 SW 158TH AVE 735 SW 158TH AVE permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97006 BEAVERTON, OR 97006 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503 - 641 - 7342 Contact #: PRI 503 - 641 - 7342 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 641 -7661 Reg #: LIC 104847 TOTAL FEES: $ 14,982.55 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 tor Issued By - i ° '.. �l� _,AS _c Permittee Sig - _� !?I/ ,,_/ _ . r Call 503.639.4175 by 7:00 a.m. for an inspection that busines 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. I. Bu ; - erEnit Applica ii v . fr. F ON OL FICE USE ONLY ,� / li 3 . l City of Tigard ,,, , 14 . 13125 SW Hall Blvd.. Ti g er t '1 \ +i' n 1`, Plan Review r I Other Permits: }� ('•� Date I3y • F Phone: 503.639.4171 su #2=L81 l it�.��(iliJic.N Datefeady /nv A •t � l � c �© s l e2For AL. Line: 503.639.4175 NotiOedAlethod. - / v C... 111= Supplemental Infra nation I'1GARD' Internet: W\ \'YV.II gard-Or.y O \' I Lei TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING Q New construction ❑ Demolition Permit lees* are based on the value of the work performed. El 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. O 1- and 2 - family dwelling ❑ Commercial /industrial Valuation a6 ( L 5 - 7 ,r. - — ❑ Accessory building ❑ Multi- family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION "Total number of floors: 2 Job site address: 12018 SW STRINGER LANE New dwelling area: 3306 square feet City /State /ZIP: TIGARD, OR. 97224 Garage /carport arca: 678 square feet Suite /bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: Deck area: 244 square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Plan No.: 3309 MARYLHURST ENGLISH Permit fees` are based on the value of the work performed Subdivision: BULL MOUNTAIN VIEW ESTATES I Lot no.: 10 Indicate the value (rounded to the nearest dollar) ol'all equipment, materials, labor, overhead, and the profit for the Tax map /parcel no.: work indicated on this application. DESCRIPTION OF WORK Valuation NEW CONSTRUCTION Existing building area: square feet New dwelling area: square feet l. -_` Number of stories: 2 PROPERTY OWNER Q TENANT Type of construction: Nance: WEST HILLS DEVELOPMENT Occupancy groups: Address: 735 SW 158th AVE Existing: City /State /ZIP: BEAVERTON, OR. 974(106 New: Phone: ( 503 ) 641 -7342 Fax: ( 503 ) 641 -7661 NOTICE Q APPLICANT Q CONTACT PERSON All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Business name: WEST LIII.,1.,S DEVELOPMENT under ORS 701 and may he required to he licensed in the Contact name: RAY ORDONEZ ,lurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons Address: 735 SW 158th AVE app City /State /ZI BEAVERTON, OR. 974006 Phone: ( 503 ) 726 -7049 Fax: ( 503 ) 641 -7661 E -mail: rordonez @arborhomes.com CONTRACTOR BUILDING PERMIT FEES* Business name: WEST HILLS DEVELOPMENT Please refer toJee schedule Address: 735 SW 158th AVE Structural plan review fee (or deposit): City /State /'LIP: BEAVERTON, OR. 97\006 FLS plan review fee (if applicable): Phone: ( 503 ) 641 -7342 Fax: ( 503 ) 641 -7661 Total tees due upon application: CC B lic: 104847 Amount Received: Authorized e - 1 - his permit application expires if a permit is not obtained signature: within 180 days after it has been accepted as complete. Print name: Ray Ordonez I Date: 4/28 /2008 * Fee methodology set by 'Fri-County Building Industry Service Board. 15BuildingupermitsyBUP -RES PetmitApp.doc 11 /6'07 440- 4613T(1 D02 /COMA VEB) . 14.0... Plumbing Permit App icAti Er71vpD ---- ..,.-_,,_,---- 0O6 - z___ Rnn , , 2008 , A; USE ONLY 9 6 . . City of Tigar 1 ^ lime /By :1:1, n � I a 1D 1 1 D Pl a n Ret.iet, u 131SW Hat o . R , Phone: 503.639.4 i' Ti R Date /By. y ,. Date Ready /By. U See Page 2 For %- inspection Line: 503.639.4175 Notified /Method. Jwis: Supplemental Information Internet: www.tigard- or.gov . TYPE OF WORK FEE* SCHEDULE Q New construction ❑ Demolition For special information use checklist ❑ Addition /alteration /replacement ❑ Other: Description Qtr. Ea. Total New 1 - family dwellings (includes (006. for each utility connection) CATEGORY OF CONSTRUCTION ' SFR (I) bath 24920 El 1 and 2 family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- fancily SFR (3) bath 399.00 • Each additional bath /kitchen 45.00 ❑ M aster builder ❑ Other: Fire sprinkler (11 sq. fl.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 12018 SW STRINGER LANE Catch basin or area dram 16.60 City /State /ZIP: TIGARD, OR. 97224 Drywcll. leach line, or trench dram 16.60 Suite/bldg.iapt.no.: Project name: Footing drain (no. linear 11.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Ram drain connector 16.60 Sanitary sewer (no. linear fl.: ) Paee 2 Storm sewer (no. linear 0.: l Paee 2 Water service (no. linear ft.: ) Paee 2 Subdivision: BULL MOUNTAIN VIEW ESTATES I Lot no.: 10 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 NEW CONSTRUCTION Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking (buntain 16.60 • E✓1 PROPERTY -OWNER . I ❑ TENANT Ejectors /sump 16.60 Name: WEST HiLLS DEVELOPMENT Expansion tank (6.60 Fixture/sewer cap 16.60 Address: 735 SW 158th AVE Floor drain /floor sink /huh 16.60 City/State//..1P: BEAVERTON, OR. 97006 Garbage disposal 16.60 Phone: ( 503 ) 641 -7342 Fax: ( 503 ) 641 -7661 Hose bib 16.60 • IZI APPLICANT El .CONTACT PERSON Ice maker 16.60 Interceptor/grease trap 16.60 Business Name: WEST MILLS DEVELOPMENT - 1edical gas (value: $ 1 Page Contact Name: RAY ORDONEZ Primer 16.60 Address: 735 SW 158th AVE Roofdrain (commercial) 16.60 City /State /ZIP: BEAVERTON, OR. 97006 Sink /basinJlavatory (6.60 Tub /shower /shower pan 16.60 Phone: ( 503 ) 726 -7049 I Fax: ( 503 ) 641 -7661 Urinal 16.60 E -mail: rordonez 1 arborhomes.com water closet 16.60 CONTRACTOR Water heater 16.60 Business Name: DEVELOPMENT NORTHWEST (WOLCOTT PLUMBING) Other. Subtotal ,address: 1075 W. HISTORIC COLLiNIBIA RIVER LH(;11WA1' Minimum permit fee: $72 50 City /ZIP: TROUTDAI,F„ OR. 97060 Residential hack flow minimum permit fee: $36.25 • Phone: ( 503) 667 -1781 Fax: ( 503 ) 667-9891 Plan review (25% of permit fee) S CCB lie.: 112220 Plumbing Lie. no.: 26 -824 PS State surcharge (12 of permit fee) TOTAL PERMIT FEE $ Authorized 1 1a / / I I "Phis permit application expires if permit is not obtained within signature: 180 days after it has been accepted as complete. Print name: GARY LIPPOLD Date: 4/28/2008 Fee methodology set by Tri- County Building Industry Service Board 1.1 Buildin5U 'ermitssPLM- PermitApp.doe 12/27/06 •1- 10- 401t-r (I0'02.COM,WEB) 1.n[ • ■ i Electrical Pe> A i o r1 �v (' FOR OFFICE USE ONLY iptr ,, UJ City of Tigard i . ( , - ;' ' DAfe;ByY . Permit No q 13125 SW Hall B M� T our o1 .. 23 Plan Review Other Penniu y - Date fat: Y.. I P11 one: 5() 3.63 ` 9�� y �'t ] '7l { I ` 5 7 -5 a JF}� t1�)f f Date Ready/By See Page 2 For .J �, r.': ,c is ' ; 1inspection LInC`�'_�4J f3%.41 -'- • t' �:� �L \onfied ^.t'tethod. tuns. Supplemental Information i- ---- -- --- - - --- hits rnet• unvw tioarrl_nr 0 A TYPE OF WORK PLAN REVIEW 0 New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked): 0 Demolition ❑ Service or feeder 40(1 amps ❑ Hazardous locations ❑ Other: or more where the available ❑ Service/feeder 600 amps or more CATEGORY OF CONSTRUCTION fault current exceeds ❑ Building over three stories 10,000 amps at 150 volts or ❑ Marinas and boatyards 0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building less to ground, or exceeds ❑ Floating? buildings ❑ Multi-family ❑ Master builder ❑ Other: 14 am for all other ❑ Commercial -use agricultural installations. buildings JOB SITE INFORMATION AND LOCATION ❑ Installation of 75 KVA or larger ❑ Fire pump separately derived system Job no.: Job address: 12018 SW STRINGER LANE ❑ Emergency system ❑ ' ,v , F' "I -2" "I 3 occumancy ❑ Addition of new motor City /State /ZIP: TIGARD, OR. 97224 ❑ Recreational vehicle parks load of 100H1 or more Sultc/bldg. /apt.no.: Project name: ❑ Six or more residential units ❑ Supply voltage Mr more than ❑ Health -care facilities 600 volts nominal Cross street/directions to job site: FEE SCHEDULE Description I Qtv. I Fee 1 Total I " Subdivixiotl: Bt1..1.. MOUNTAIN VIEW ESTATES Lot no 10 New residential single- or multi - family dwelling unit. Includes attached garage. Tax map /parcel no.: 1,000 sq. n. or less 145.15 4 DESCRIPTION OF WORK Ea. add'l 500 sq. ft. or portion 33.40 NEW CONSTRUCTION Limited energy, residential ( with above sq. ft.) 75.00 2 Limited energy. multi- family 75.00 2 residential ( with above sq. ft.) RI PROPERTY OWNER I ❑ TENANT Services or feeders installation, alteration, and/or relocation Name: WEST HILLS DEVELOPIMEN'I• 200 amps nr less 80.30 2 Address: 735 SW 158th AVE 201 amps to `too amps 10e.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 Fax: ( 503 ) 641 -7661 Over 1,000 amps or colts 454.65 2 Owner installation: This nisi :llation is being made on residential or faun property owned by me or a member of Temporary services or feeders installation,alteration,and /or relocation rrw immediate family. This property is not intended for sale, eahange or tent (ORS 479 540(1) and 479 560 11) 200 amps or less 66.85 2 Owner signature: Date: O I amps to 400 amps 100.30 El APPLICANT I CONTACT PERSON 2 401 amps to 599 amps 1 ?3. "5 2 Business Name: WEST H I1.t:S DEVELOPliEN7• Branch circuits - new, alteration, or extension, per panel A bee for h;anch circuits with Contact Name: RAY ORDONEZ a.me service of feeder fee, 6.65 each branch circuit Address: 735 SW 158th AVE B Fee toe branch circuits without service or feeder 46.85 2 City/State/ZIP: BEAVERTON, OR. 97006 fee, first branch encnir Each add'l branch circuit (,.65 Phone: ( 503 ) 726 -7049 I Fax: ( 503 ) 641 -7661 Miscellaneous ( service' or feeder not included ) E -mail: rordonez@arborholnes.com Each manufactured or modular 90.90 2 CONTRACTOR dwelling, service. and / or feeder Reconnect only 66.85 I Business Name: GARNER ELECTRIC. Pump or irrigation circle 53.40 2 Address: 2920 S.E. BROOKWOOD AVE. Sign or outline lighting 53.40 2 Signal cocain( s) or Minted - City/State /ZIP: HILLSBORO, OR. 97123 energy panel, alteration, ,'r Page Phone: ( 503 ) 648 -4552 Fax: ( 503 ) 642 - 7925 extension Describe Each additional inspection over allowable in any of the above CCB Lic.: 121159 I Electrical Lic.: 34-305C I Suprv. Lic.: Per inspection 62.50 I n nvesngahon per hour (,1 hr nun) 62.50 Suprv. Electrician _- Idustrial plain per hour 73.75 signature, required: ELECTRICAL PERMIT FEES Print name: CHUCK GARNER Date: 4/28/2008 Subtotal Plan review (25°,o of permit fee) Authorized Signature: State surcharge (12% of permit feel TOTAL PERMIT FEE Print name: RAY ORDONEZ Date: 4/28/2008 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I: \Building \Permits \EEC- PennitApp.doc 05/23/06 440- 4615T(11 /05 /COMNVEB) - Number of inspections allowed per permit. R v EC 0 — 1,. 1 V i. *, j - IZ60 COC )e.■- Mechanical Permit Application FOR OFFICE USE ONLY Received City of Tig tre t i f �`v` I t 1 .I.) Date/By: Permit No 111 is 13125 SW Ha r y'd.l f ar4,9l x.323'4 Plan Review Q: Phone: 503.6 . I71 Fax: 503.598.1960 Date; Re ' Other Permits: ,.. Date Readying © See Page 2 For 503.639.4175 Notified/Method. Jnns. Su tlemental Information TIGARD Inspection Line: 03.639.41 i_ pp Internet: www.tigard- or.gov TYPE OF WORK COMMERCIAL FEE SCHEDULE - USE CHECKLIST Q New construction ❑ Addition /alteration /replace Mechanical pennit fees* are based on the value of the work performed, Indicate the value (rounded to the nearest dollar) of all mechanical ❑ Demolition ❑ Other: materials. equipment, labor. overhead. and profit. CATEGORY OF CONSTRUCTION Value: $ El 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. JOB SITE INFORMATION AND LOCATION Description 1 Qty. I Ea. I Total Job site address: 12018 SW STRINGER LANE Ideating /cooling Air conditioner or heat pump 14.00 City /State /ZIP: TIGARD, OR. 97224 (requires site plan showing placement) Suite /bldg. /apt.no.: Project name: Furnace 100,000 Bit) (ducts/vents) 14.00 Furnace 100,00') + 1.3 (ducts /vents) 17.90 Cross street/directions to job site: Gas heat pump 14.00 Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type. not electric). 14.00 Subdivision: BULL MOUNTAIN VIEW ESTATES Lot no.: 10 in - wall, in - duct, suspended, etc. 'I' ax Wrap /parcel no.: Flue /vent for any of above 6.80 Other: 10.00 DESCRIPTION OF WORK Other fuel appliances NEW CONSTRUCTION Water heater 10(10 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 D PROPERTY OWNER I ❑ TENANT Wood /fireplace /insert 10.00 Name: WEST HILLS DEVELOPMENT Chimney /liner /flue /vent 10.00 Address: 735 SW 158th AVE Other 111.011 Environmental exhaust and ventilation City /State /ZIP: BEAVERTON, OR. 97006 Range hood /other kitchen equipment I0.00 Phone: ( 503) 641 - 7342 Fax: ( 503) 641 - 7661 Clothes dryer exhaust 10.00 El APPLICANT 0 CONTACT PERSON Single -duct exhaust (bathrooms. toilet 6.80 compartments. utility rooms) Business Name: NEST HILLS DEVELOPMENT Attic /crawlspace tans 10.00 Contact Name: RAY ORDONEZ Other: 10.00 Address: 735 SW 158th AVE Fuel piping (85.40 for first four; $1.00 for each additional Furnace, etc. City /State /ZIP: BEAVERTON, OR. 97006 ' Gas heat pump Phone: ( 503 ) 726 -7049 Fax: ( 503) 641 -7661 Wall /suspended /unit heater E -mail: rordonez@arborhomes.com Water heater CONTRACTOR Fireplace Range Business Name: SKY HEATING ' Barbecue Address: 1637 SE NEIIALEM Clothes dryer (gas) City /State /ZIP: PORTLAND, OR. 97202 Other: Phone: ( 503 ) 235-9083 Fax: ( 503 ) 235 -0454 MECHANICAL PERMIT FEES Subtotal $ CC13 lie.: 50244 City or metro lie.: Minimum permit fee ($72.50) Authorized '' flan review (25% of permit fee) $ signature: State surcharge (12% of permit fee) $ Print name: BILL SMITH Date: 4/28/2008 TOTAL PERMIT FEE $ This permit application expires if ;t permit is not obtained within 180 1:`.Building.Perntits•.MEC- Permit .App.doc 01/19/07 440 -1017T ( I I /02 /COt - /WEB) days after it has been accepted as complete. Fee methodology set by Tri- County Building Industry Service Board E coo s trims, L f i �� 11 ' i7 y Ct® - t � � "" k Ekkctricat Permit A l ic a t i o'n r /° ' � ¢ � ..: � ., r Ro >;F $ s E ol \ L ` •; c „ _ A N \ Z r r' 1 R so , te r Permit No.'. City of Tigard Date B, )1La 44 1 3125 SW Hall �T aLd ji731 P lan Review Other Permits: DateB1: Phone: 503.6(�t41P7 a:c 3 t9)Jc u : �.. =11c)C>( F $i y . r�, �, t 1 v .r1 -. Date Rendy�I3y: u See Page 2 For Juris: Inspection Line: 503.639.4175 Notifiedi Method: I Supplemental Information Internet www tioarrl_nr o w TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans wiitems checked): ❑ Service or feeder 400 amps ❑ Hazardous locations 0 Demolition ❑ Other: or more where the available ❑ Service/ feeder 600 amps or more fault cur rent exceeds ❑ Building over three stories CATEGORY OF CONSTRUCTION ❑ Marinas and boatyards � 10,000 amps at 150 volts or ❑✓ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building less to ground, or exceeds ❑ Floating buildings 14.000 amps for all other ❑ Cornntercial -use agricultural ❑ Multi- family ID Master builder ❑ Other: building, installations. JOB SITE INFORMATION AND LOCATION. ❑ Installation of 75 KV:\ or larger • ❑ l=ire pump separately deitsed system Job no.: 1 Job address: 12018 SW STRINGER LANE ❑ Emergency system ❑ ,, .\ , ,••E»_^I -2'•," 1 -3" occumancy ❑ m Addition of new otor City /State /ZIP: TIGARD, OR. 97224 load of ❑ Recreational vehicle parks Suite /bldg. /apt.no.: Project name: ❑ Six or more residential units ❑ Supply voltage fhr more than ❑ Health -care facilities 600 volts nominal Cross street /directions to job site: FEE SCHEDULE Description _.. I Qty. I Fee I Total I *,..., Subdlvisi0n: BUL1. IYI()UNTAIN VIEW ESTATES 1..ot 100.: 10 New residential single- or multi- family dwelling unit. • Includes attached garage.... Tax map /parcel no.: 1,000 sq. fi. or less 145. 15 4 • DESCRIPTION OF WORK Ea. add'I 500 sq. ft. or portion 33.40 NEW (:ONSTRU'(:TIO\ Limited energy, resident / °I 75.00 2 ( with above sq. ft.) Limited energy. multi- fantily 75.00 2 residential ( with above sq. A.) • 0 PROPERTY OWNER I .. " ❑ TENANT 1 Services orrfeeders installation, alteration, and /or relocation Name: WEST HILLS DEVELOPMENT 200 amps or less 80.30 2 Address: 735 SW 158th AVE 20 ( 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 Fax: ( 503 ) 641 -7661 Over 1.000 amps or 10115 454.65 2 Owner installation: This installation is being made on residential or faro, 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(1) and 479560) 1) . 200 amps or less 66.85 2 Owner signature: Date: 201 amps to 400 amps 100.30 2 • 0 APPLICANT . I , '0 CONTACT PERSON • 401 amps to 599 amps 133.75 2 Business Name: WEST HI DEVEL,OPVIENT Branch circuits - new, alteration, or extension, per panel A. bee for branch C1r1,111.5 With Contact Name: RAN; ORDONEZ above service or feeder fee, 6.65 2 each branch circuit Address: 735 SW 158th AVE B tee for branch circuits without service or feeder 16.85 2 City /State /ZIP: BEAVERTON, OR. 97006 fee, first branch merit Each add'l branch circuit 6.65 Phone: ( 503 ) 726 -7049 I Fax: ( 503 ) 641 -7661 Miscellaneous (service or feeder not included) .. E -mail: rordonez @arborhomes.com Each manufactured or modular 90.90 2 • CONTRACTOR dwelling, service, and! or feeder .. - Reconnect only 66.85 1 Business Name: WEST HILLS DEVELOPMENT Pump or rogation circle 53.40 2 Address: 735 SW 158th AVE Sign or outline lighting 53.40 2 Signal ucuwt0) or linitel City / State /ZIP: BEAVERTON, OR. 97006 energy We), Iterates or () Page 2 2 extension Describe Phone: ( 503) 641 -7342 I Fax: ( 503) 641-7661 Each additional inspection over allowable in any of the above C C B Lic.: 104847 Electrical Lic.: Suprv. Lic.: Per inspection 62.50 Investigation per hour (1 ho min) 62.50 Suprv. Electrician 3�a/( ( Industrial plant per hour 73.75 signature. required: / [/ • - ELECTRICAL PERMIT FEES Print name: Date: Subtotal Plan review (25% of permit fee) Authorized S ignature: State surcharge (1 %of permit fee) TOTAL PERt41T FEE Print name: RAY ORDONEZ Date: 4/28/2008 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I:\ Building \Permits \El.C- PermiiApp.doc 05/23/06 440- 4615T(11/05/COM/WEB) * Number of inspections allowed per permit. • ikC 57t(Y=ono S Erosion Control 452 serFence 459 _.. J / i 0 0 0 0 o v C. ° i APR 2 02003 D 24' 0" y j �J .. 0 1 * I fi • DECK r • 1 • b � 20 . �„ I 3309 I ENGLISH of w MAIN FLOOR ::::: ::.. ...:::::::::::::::::::::....... :• GARAGE :•: ::;::::: I zo •-o° f 10 6 .. ........... ......... —�. } 20 T ... j ... I I _ I 1 O o . I N ti ` L ; o , I 10 ESMT 465 1 \ 461 Oregon WMte Oak j ■ 2 " Caliper SW STRINGER LANE 460 j at( MOUNTAIN VIEW ESTATES NW 1/4 SECTION 10 T. 2S., R.1W., W.M. WASHINGTON COUNTY, OREGON Contractor is responsible to check site plans and notify designer of any errors or omissions prior to start of LOT 10 construction. Also plans and specifications shall be approved by local building authorities prior or 12018 SW STRINGER LANE start of construction. 7878 SQ. FT. . WE S T HILLS SETBACK REQUIREMENTS: FRONT (HOUSE): 2' (FROM P.L.) DEVELOPMENT, INC. FRONT (PORCH): 20' (FROM PL.) FRONT (GARAGE): 20' (FROM SIDEWALK) 735 SW 158th Ave. STREET SIDE: 15' (FROM SIDEWALK) SCALE SIDE: 4' (FROM PL.) BEAVERTON, OR 97006 REAR YARD: 15' (FROM P.L.) 1"=20° CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: 1/ i'i I II I 17 PLANNING DIVISION: 7 Required Setly As: PE'' Approved _ 0 Not Approved Side: - _ Street Side: _./...L_ ,... Front. ....--.)._ Oar% : :.: . JO Rear: i ) r Ltt--) r vkilat (21,:p.n.:0 i 0 Not Approved 1 Maxiwilin iiuldip.f..! Hei4.10 CWS Service Pro‘irer Led Required: 0 Yes 0 No 0 R WIN : 2) I ' , kiktut Date: q-Ig/ I ENGINEERINg Actual Slo 0 /0 6 Approved 0 Not Approved Site Plan ..a0N.23rApproved • /Not ,- proved Bv: Date: ' ( -. 0 NI 0 c s: Wt1 CITY OF TIGARD _ SITE PLAN REVIEW BUILDING PERMIT No, 41-- 1 - ....,f1( Appro:ed Not A Sgeet Trees: tected Trees: — 7 7 (1/ PA:- tsi Approv ed Date • D • t Ap Notes: • - 0 ei STREET TREE CERTIFICATION \ I, _ , Owner /Agent for Yrbc- Cv6��►•� ��0►�� -5 (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: I Zo I �� � eY Lank._ MS ?6L.r- (,x,0.52 SUBDIVISION: Mooy V e E. . LOT: SIGNATURE: DATE: u 3 \ (OWNER/ G 1VT RECEIVED BY: DATE: (CITY OF TIGARD) i I:\ Building \Forms \StreetTreeCertificate 01/19/07