Permit {'
. CITY OF TIGARD PERMIT
: 2'r COM MUNITY DEVELOPMENT Permit #: MST2009-00074
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/20/2009
Parcel: 2S112CC21300
Jurisdiction: TIG
Site address: 8183 SW LANGTREE ST
Subdivision: Lot:
Project: GAGE FOREST
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 861 sf Basement: sf Left: Parking Spaces:
Height; 23 Bathrooms: 3 Second: 12 sf Garage: 408 sf Front: Smoke
1 Detectors: Yes
Dwelling Units: Third: sf Right:
Total: sf Value: $0 00 Rear:
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 100 Catch Basins:
Lavatories 4 Dishwashers: 1 Floor Drains: Sewer Lines: 100 SF Rain Drains: Other Fixtures:
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters 1 Water Lines: 100
Bckflw Prevntr:
MECHANICAL
Fuel Types Air Conditioning: Vent Fans: 5 Clothes Dryers: 1
NAT Heat Pump: Hoods: 1 Other Units:
Fum <100K: 1 Vents: Woodstoves: 1 Gas Outlets: 4
Fum > =100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less 1 0 -200 amp: 0 -200 amp: W/ Svc or Fdr:
Ea add'I 500 sf 3 20 1 -400 amp: 201 -400 amp: 1st W/O Svc /Fdr:
Limited Energy' 401 -600 amp: 401 -600 amp: Ea add'I Br Cir:
601 -1000 amp: 601 +amp- 1000v.
1000 +amp /volt:
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All
Other: N Other Description' Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW Single Family VB R -3 2139
Owner: Contractor: Required Items and Reports (Conditions)
J TROTH J TROTH CONSTRUCTION 1 MST Ersn Cntrl 503 - 681 -4444
TIGARD 12600 SW 72ND AVE #200
TIGARD, OR 97223
PHONE: PHONE. 503 - 639 -2639
FAX: 503- 624 -0239
Total Fees: $14,486.51
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 -001+ thrugh 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.
Issued By: ` � t . ■ 4 _ - ,► - 1 1 i 11, Permittee Signature: '' ' ' ./
FILU
s
Oregon Residential Specialty Code N1107.2 660'7'4'
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ��� % 0007 I Jurisdiction: t �
Site Address: � / ��,���✓�
Subdivision/Lot #: /�
and/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: 41P
Owner /Genera Con or • uthorized Agent —
Print Name: al,"
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
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner- builder
at the following address:
Site Address: L vix/ . ,vrxzE ,
City: )7G�
Permit #: M3 ) Zorn
Subdivision/Lot #: / r IO r 2 62
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: �. Date: j
General Contractor or 0 -ner- Builder:
/2137)111.4. e,0 if 7sov ,y / /110 Sidi Obitholf.,
372-94y , /py,„
1:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
SY"'ET T C
Owner/Agent for 72
(PLEASE PRIl\rl) (PE1 J IIT HOLDER)
Do hereby certify that the following location meets
City of Tigard land use and development standards
for street tree installation.
ADDRESS: �� �/ � ST 29- ooO7-
SUBDIVISION: A7 LOT: „Za
SIGNATURE: DATE: V,2_./7
- (O 1 FATE R /A CEI\r7 )
RECEIVED BY: DATE:
(CITY OF TIGARD)
I: \Building \Fonns \Street 1'reeCertifirue ul / 19/D7
Ailding Permit Application RECEIVED Site Work RECEI ° ED FOR O1 FICE (JSE ONLY
Received
City of Tigard t j Date/B O „„ Permit No.: ,606 ' '
1 3125 SW HaII Blvd., Ti ard, OR 97223 F ��
b' Plan Revi 1 + Other Permi �y+�q ii
' ' : Phone: 503.639.4171 Fax: 503.598.1960
Inspection Line: 503.639.4175 Cl / OF TIGARD Date7 : or �f�
T 1 G A R D CITY 0 1 itlllli Date Ready': : ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISIO Notified/Method: I Supplemental Information
TYPE OF WORK. . - REQUIRED DATA: -.1 -SAND 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling Valuation: * 150 1 00 3 ) �, J
❑ Commercial /industrial
❑ 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: 2
Job site address: 8183 SW Langtree Street New dwelling area: 2139 square feet
City/State /ZIP: Tigard Ore. 97223 Garage /carport area: 408 square feet
Suite/bldg. /apt. no.: Project name: Gage Forest Covered porch area: 40 square feet
Cross street/directions to job site: Hall Blvd. and Langtree Deck area: 0 square feet
Other structure area: 0 square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Gage Forest Lot no.: 20 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.
Construction of New Single Family Resisdnce
Valuation: $
Existing building area: square feet
New building area: square feet
D PROPERTY OWNER ❑ TENANT Number of stories:
Name: J.T. Roth Const. Inc. Type of construction:
Address: 12600 SW 72 od. Occupancy groups:
City /State/ZIP: Tigard Ore. Existing:
Phone: (503)639 -2639 Fax: (503)624 -0239 New:
' ❑ APPLICANT 0 CONTACT PERSON . NOTICE
Business name: J.T. Roth Const Inc. All contractors and subcontractors are required to be
Contact name: David Jensen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12600 SW 72nd jurisdiction in which work is being performed. If the
City/State /ZIP: Tigard Ore. applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 806 -0602 Fax: : (503) 624 -0239 .
E -mail: davidj @jtrothinc.com
CONTRACTOR ,
Business name: J.T. Roth Coast. Inc. BUILDING PERMIT FEES*
Address: 12600 SW 72nd
(Please refer to fee. schedule)
Structural plan review fee (or deposit):
City/State /ZIP: Tigard Ore.
FLS plan review fee (if applicable):
Phone: (503) 639 -2639 Fax: (503) 624 -0239
CCB lic.: 31700
Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: David Jensen Date: 1/26/09 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits \SIT- PermitApp.doc 12 /27/06 440- 4613T(11 /02 /COM/WEB)
Mechanical Permit, Application FOR OFFICE USE ONLY
iliq City of Tigard Received Permit Nn.- • _ v-cra7
v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
- Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jurist PI See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
x ;v' °4 '` : cfrriPEOF' WORK ` ;>P,'" " ° R °';' -' u6644IrRCIAI FEE' 'SCIiEDiJLE UTSE CHECKLIST
® New construction ❑ Addition/alteration/replacement Mechanical permit fees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
. e ' ax , ` V $
- li4 � P CATEGOR +CONSTRUCTION "s. ��;: U t ',k; ;x ..,.
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ } Accessory )tESIDENTIALEQiTIPMEIVT /SYSTEMS FEES' ``
ccessory building � d m
For special information use checklist.
❑ Multi- family ❑Master builder ❑ Other:
Description 1 Qty. I Ea. Total
tt cn `: „, J
:, OB;' SITE . INFORMATION SAND ) L OCATION ' R:, , 1 ;
- � Heating/cooling
J � ( 7 ° Air conditioning or heat pump
Job site address:
{�/ �I 3 5k! /4A/6T (requires site plan showing placement) 14.00
City/State /ZIP: TIGARD, OREGON Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) ( 17.90
Suite/bldg. /apt. no.: Project name: GAGE FOREST Gas heat pump 14.00
Cross street/directions to job site: Hall Blvd & SW Langtree Street Duct work 14.00
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. 10.00
Flue /vent for any of above 10.00
Subdivision: GAGE FOREST Lot no,:
Other: 10,00
Tax map /parcel no.: Other fuel appliances
� s , A'2 16^ ; ,. , �n . " DESGR I P TIO N i OF WOR , fi , ' `" -; , Water heater ( 10.00
Gas fireplace
NEW SINGLE FAMILY DETACHED 10.00
Flue vent for r water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
*I1'71"- ® PROPERTY O NER r 4 ! a , `> ,. ' *' . ❑ sTENANTJ ; " " , ' - ";'' - Ot ey/liner /fluelvent 10.00
Other: 10.00
Name: J.T. ROTH CONSTRUCTION, INC. Environmental exhaust and ventilation
Address: 12600 SW 72ND AVENUE, SUITE 200 Range hood/other kitchen
equipment 10.00
City/State/ZIP: PORTLAND, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms, - r--
Phone: (503)639 - 2639 Fax: (503)624 - 0239 toilet compartments, utility rooms) 1. 6.80
°' „� "!'!'/:;1 Attic /crawlspace fans 10.00
' " ;z ,„` AP ''� :': ° :.;:14-;1111,1,:: I
CO „
..`��� �;�k� ?,..�- ,.� ®� . ... . s,�� � �� . � '`y - _ „ , - ,. _ `*;.',,, Oth 10.00
Business name: J.T. ROTH CONSTRUCTION, INC. Fuel piping
Contact name: DAVID JENSEN $5.40 for first four; $1.00 for each additional
Furnace, etc. I
Address: 12600 SW 72 AVENUE, SUITE 200 Gas heat pump
City/State/ZIP: PORTLAND, OR 97223 Wall/suspended/unit heater
Water heater I
Phone: (503) 639 -2639 Fax: : (503) 624 -0239 Fireplace
E -mail: DAVIDJ@JTROTHINC.COM Range
ti= Barbecue
: 9 .w� - . A ” „ CO1yr c..T,QR , r ° ,, ! r, ` p 4 ' ,.:' , ; ,,,.t; � W''' r .
Clothes dryer (gas)
Business name: THERMAL FLO, INC. Other:
Address: 7236 SW DURHAM ROAD #100 „ ` "° , '` °MEGHA,1vICAL, ;PERM_ ITFEES* , �;
x .� I ,.1 .fiA say n ::` :':
City/State/ZIP: TIGARD, OR 97224 Subtotal ' ,
Minimum permit fee ($72.50)
Phone: (503) 670 - 8343 _ . __Fax: (503)._671_09864 _ Plan .review_(25%.ofpem it fee)
CCB lie.: 151847 g State surcharge4212013fpermit fee) " 4r
TOTAL PERMIT FEE (C ,9
•
This permit application expires if a permit is not obtained within 180
Authorized signature: s days after it has been accepted as complete.
Print name: r 3/ Il, t a.J / < - e V C� ' Date: * Fee methodology set by Tri- County Building Industry Service Board
\ P \
I:Building \ermitsMEC- PcnnitApp.doc 04/06/06 440-4617T (11 /02/COM/WEB)
;Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City
Permit No/1,7 /
IN 131 of Tigard SW Hall Blvd., Tigard, OR 97223 Date/By: 7 � �a
Plan Review
Date/By: Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No.:
ateBy:
Inspection Line: 503.639.4175 Date Read B Ju ris: See Pa
TIG Ready /By: Page 2 for B
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK . FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I 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
❑ Accessory building ❑ Multi - family SFR (3) bath 1 399.00 399.00
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: 8183 SW Langtree Catch basin or area drain 16.60
City/State /ZIP: Tigard Ore. Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Hall Blvd. and Langtree St.
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Gage Forest I Lot no.: 20 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Plumbing for new single family residence Backwater valve 16.60
Clothes washer 16.60
-
• . Dishwasher 16.60
•
® PROPERTY OWNER
I 0 TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: J.T. Roth Const. Inc. Expansion tank 16.60
Address: 12600 SW 72nd Fixture /sewer cap 16.60
City/State/Z1P: Tigard Ore. 97223 Floor drain/floor sink/hub 16.60
Phone: (503)639 -2639 Fax: (503)624 -0239 Garbage disposal 16.60
® APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: J.T. Roth Coast. Inc.
Interceptor /grease trap 16.60
Contact name: David Jensen Medical gas (value: $ ) Page 2
Address: 12600 SW 72 nd Primer 16.60
City /State /ZIP: Tigard Ore. 97223 Roof drain (commercial) 16.60
Phone: (503) 806 -0602 Fax: : (503) 624 -0239 Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: davidj @jtrothinc.com Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: Malmedal Enterprises Inc. Water heater 16.60
Address: PO Box 207 Other:
Subtotal,
City/State /ZIP: Banks Ore. 97106 Minimum permit fee: $72.50
Phone: (503) 324- Fax: (503) 310 -9795 Residential backflow minimum permit fee: $36.25
n
CCB Lie.: 102535 Plumbing Lic. no.: 34 -276 -C Plan review (25% of permit fee)
Authorized signature: -
State surcharge (I2% of permit fee) /47
! TOTAL PERMIT FEE 4 .C„a6
Print name: /sA73s 41,.. oi ca�L Date: 72//0 y This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
C\ BuildingWerrnits \PLMF- PermitApp.doc 12/27/06 440- 4616T(10 /02 /COM/WEB) *Fee methodology set by Tri County Building Industry Service Board.
01/26/2009 03:18 5037628505 CASEY DAY PAGE 01/01
00 '
Q9 . c2, ___L orzcx7
- fr:,,,,,,,,. • 7.---_ -,74-7.0,7,-,:.L.t.-.e.y,44-Ackr4....•
•bstasittaapaPketrZ t.W..-paciASJOSISCSti . .
_
• vivito= so paplommo0224 0 1 4916,7 1 0 - . . __I____ *Xli* .:1 MMUS SIVIA I
ton envw Painatorvan" Waa 0 41$ 03 1,M1Paglalra L •
-
• . I -
* .. - 7, 4 Xs" easitrair.Z110Angmes gttas
-- 6: - I wag . • %..0% lyr.r.A. : yl, ‘' NA Q ;mint sikA
..t.micuid.wohit)Ai
•
I ,
7.7- - - 1... r
I . d' '
• . . ' .. -1-Y . fr
1 'I SEM 1 ' 411100 limcarmarta ,
•
/ Sta 4 - I . sun A...4ml fetrarrigi ..
111 776 .7 . 4 -. " - C SS • 1 --
. c
r . i Iwo I . 1 • 5 h
IP=
• • '. Om% Aid w*ktratsill ...5 C. - - L. C- -=. 4 1 • kS 1.- U . I, (25J1
- mmiT
}-",..1 -Isturgaism, lad • 1 •
-
IZ Q L .1, "vo -- )...-- LfarwiagiSt, •
I wig/ mikist 07 TNT- 1
t / .
1 t 1
1 - _1, / •_"7 •5 ( c.... I • zzottw
ir c
t ‘ ! I , z 1424 j - - ittltraPC vilftfgo= I ' i .
1 i I 7 : I -
ri:----- • : --z. '''-;'`* )••N; Q mta==1Qesaig / •
MOM CP : Ilingiflil *P 2"416 i VC:QMP=000 e7 1) • er? 4
., .r. - ovaPilik-71- ,„ L , pros -a,/ woj ei . r., x 1- :wis i •
E I grn MI Apics i 1 ( ::'ii - 7,930 -5)a, 1. re, =2...e.1
• • .,..,„... __>_ p.. 1
' 2. ( • ost16 • 1 IREVEMMISS:VSIBISMpta . 1 = 20 %000 , 3
• ....._,
.4:-ii-as--kr asier,.;,...4 sx, ,-- - 4 .1
1. ,..
ZSZ:p.V .1
LL1, I s9 I f F=Frflmfasiti, VIII I -
,
t Z i I ' Imulfs 43= i 1 7// :MOW 3=21120
- ST9'r t
1 1 _ i I ' Aqvli,4/ i ;
, . 4, 47ea= , 1-"eroc.iictl=i"V, , 3 - d-W,,,C
.
I-, I C5
- . -- 1----- t - -
I
r 9 i 1
IF qmoilrfF 1 i-
'
. U A w
• " i . i . MMM 'a:asetr..1.0 1 ..1./ocztartfserr n ,
• i
i i . •
v.... ..F...p.F.=,..t.,1--x t ..;, - .
- 1
.::.,..... _,,,..." •
t'.; _ :=Zri
i rialw ;_i_ islif_Si ..,: "qtY-Stir ftblEb." WriWPZ ! it
I f I% IFN Vali
'
'ali..1-ft'S110 (1 ) SuiPlumm iszal ' I
i-, • -:-.-.. i f
- 1 f - Alan; •9;;X 7 Ff:f12 ! ,
-1 r 0_!t) Yt wM4.1* ilosict -1" .;VV:i sita_ZT41.14 tip ; taf:iii gi Magrzsal .."70, fea•MfaMt=q t' f
I z i F ,. ..h, t. i ,. =7 ==,- -,==- ;4 ;.. 1 ._____. -
. . .
- iio
t _s • - ,s - ....._ - - , ....CT.F.S,1 - ,-•;i...SS ... .... - ";:,..=:". ,,,, ,S-7, rars,..17.-vAs..,- ,- -- , •.,, , ,..-,s, ; -,_
.F. CAS..iW - - - .11 ; S r•-.2" 7 t7 - Z 7 ' 1 5 oaR .......,,,„.., ,
,.- •
,....,....: .
; WTI= 42.iiirt. 2'..... Fi. E1'..;
7 2 - , 1 : - PRI p/ve /-(2V7
• . • _,. ,
7 i , 4r. ;''': : . :..w‘711,1et. t.....stre. tft ;
ret Lt•
:7 71' : !: ; :. _ ,--„:„.:.,:..,,,;•...... , ,• •,.
----/--------; .- .
•
- •---• . ---..,:-!--::-. ----- ::r .- r:ft; -------- -t" ''''!7- :___ . .. i
.; :.- .', ; :-.:i ....; ::•:Ltif::, ' : ; i 't "j , T 7//` -77/2w2jv .
•T i : ei_FC1- . 4 - „
s .S.Z.-"• r •- • -••• . 14 . "7 ;••••-.•• f...... S , 4 -, i
..-.......- - .--..-.... --- - . _.••_. --
."'s - • • - • ; W t t - k -r t. - :s . e• •• - • Ati htj'--. t
7 i .
! + '3,- . - - --------- • -7 ,
.3 ' • ' - i : i.,,',.,;33333 ••.= 3 3
; 3 ---•-- i--,--. t• : ,
t .
ItS ,,•-•- v, TS 41.7....SASI 7. SS., st • Z.- .- -.■.-...-•
.....•-• •
WS r • ;. ''''-..- - - - ' - - -------. '-'-' -';- --.;" Ye : ^, ' -6..----- --,..-
- 9'4 . '' •..1• F- 7 ) 1
sr .ii T.S ?•S r•-Tr , , i ;
--,-;. i------ ..
t ...asa_sl IM.M.174ctii. garta>;WT,...
: .-....., -,.................._ ........-„,........ 24 ._...... ././47 1 tia.!./ 1 ;
- 1 ' ....:1 I ; :
-.1.vr qv:: ....q ---•,,-=:-,.:-• --,..; &A i
.sos1e/S slam el =
sE aia ,...... E--- . •
• -..-....... ■•••st- T 1 '1,4, •1411(11;4 7
-
- ••= •••• ca.... • i
i .....,_,......_;.; .1 i.------ .,.--......„.._
.7. 0 ' ' '-
VO •• ..1 - '.
i ....i. .......- _,..;,,Z......1. Gs..Lik ir ........,...... sra•safFr..7., 1 -! •
7 1.1 7
77 5
i 2 ti 23?...5 ' ' • A • --
t es : i-----"--*" _ - - - - t•
•• •11. 7 ii- 1•Yr..;1A 1 27aIgi
r..,
)- ri t -7.7--:
. % .22.....e., .4, ! , • .. '. 1-'-'--
0 1 1 =7 2--- • , ' . .4-r, i *i 1.
.
i Ii4000.3 - sa..4 - ftlf.r.:9 1 FP/ izi 1.11. ; i irtIlMsEtti i_itti. ri tpti.tittfciitEkt--! i *;4TIZA'AP .4 04.= ■1 i I i
1w .. - - -- - - - r - i - . . M 'Arli.tg "'"'"rm At ".-- f•4 ''' ! --.! .._.
. • .........,.: -An... ,.--..-.,-., ov. if, mArte21•1522- Ik
f 2,12 .2rtrE21 4, 127 .2 XELE - 1 t 2 !... 2.2-- tW. 4 *RM.:Wit ttg4•7: ; 'f, .2 ..•,..-, •-...•••,..-....- • • -
.. r
--
1 . 777-:.7.,1 ' n7 - -17 7 I ; - T , .,,_., .F--- i --- ,;.- 4„.,..i,
i ......4p RINt•og 0, sur..c.limiittes 0,14..cosce zay, i
; +..
i 7,22....'7-- , .., 2,-, r-.....,- , .' ' M• A E0 4. 7 ff"i 1_ . t_....,..y ....__________ ;
I twarsAlesc gym I 1 Nista .5 r,.i. i
.
2 -.••••••••• --- ...it •■•••
6 ...,..ror7........ 3.4.0ra.r.-74 ffifiarlaCCSaa
f....7.S4042,9 1 f. ElgaErill,•?2ZU I
I oft.1 M t -_,...err. 1 • - ...tr asec: 1 c't Stii.W LT.: 5. .:-777,1kW drsTit
" .
i
Z V
4 'NO;b1- i • ..... 1 an? .7.7 2..ti's •-•• :..;..r. - 2 cri_ 4.... ••■••• v.,- ' ir -- 1 ,--- tt ;
i ; ' .C.
,.....
. rk.c2f2P-/, .,...,..:......
, 3 . _ _ .
---:- "-__,f.-_ -----_--- - ...,....- ,.:-..--
saiiiifeavg:.:44 v {Imo. 4,44 a=...t...,:..E........0,4e
, ' - .
•
. .
. .
•
-: ' ' -,: 'V '. ' `:- . ._.' .. '.: '''r-7- .2 ; •,•-'• • yl, ..,-...: :_. -,... -, • ., -: i - ..it..' , • t ..'.. •-', ...';-,-- e,t't-ft..0.-7'. • . .s. ... , .f ... ,,.. *, i... _.: ,:. `, -.-. ^ ,./„. -
.. '''-' ■';1 .".,', 1 . :. -' ;',9;--t...0 - 4.,-. -, , .A-.,.kzw.k
i 1 -?4 , -- , .3.P
,..,
Building Division
One & Two - Family Dwelling
T i c n x o 'Fees Checklist
PERMIT INFORMATION:.. .
Permit #: /(4 1 — COO, 7 Plan #: Date:
Site Address: Parcel #:
Subdivision: r- .-E_ � Lot #: 7) Zoning:
Jurisdiction: Setbacks: Front: Rear: Left: Right:
Class of Work: Stories: First Floor:, 23 f
Type of Use: Height: Second Floor: 12-76
Construction: Floor Load: Third Floor:
Occupancy Group: Dwelling Units: Bonus Room:
Valuation: Bedrooms: Total Floors:
Bathrooms: , Basement: .
Decks: Garage: 4C3
Porches: 40 t Other:
FE S: Description: FeeAmount;_ Amount • :Balance Due:
Plan Check: Building:
Extra Set:
Permit: Building:
Tax:
Metro CET:
School CET:
Mechanical
Tax:
Plumbing:
Tax:
Electrical:
Tax:
Low Voltage:
Tax:
CDC: CDC Ping. Rev.: •
CDC LRP Fee:
SDC: Parks:
TIF Res.:
TIF MT:
Erosion Permit:
•
Erosion CWS:
Erosion COT:
Water Quality:
Water Quantity:
•
SUB - TOTAL:
Sewer: Permit:
Inspection:
•
SUB - TOTAL:
TOTAL MST & SWR:
I:\ Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 1
PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment /systems)
Description I Qty. I Fee(ea.) I Total Description Qty Fee(ea.) Total
• New 1- & 2- family dwellings Heating /Cooling
' - . -... (includes 400 it for each utility connection) . Air conditioning or heat pump* 14.00
SFR (1) bath 249.20 Furnace 100,000 BTU (ducts /vents) 14.00
SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts /vents) 17.90
SFR (3) bath 399.00 Gas heat pump . 14.00
Each additional bath /kitchen 45.00 Duct work 10.00
Rain Drain, single family dwelling . 65.25 Hydronic hot water system 14.00
Fire sprinkler - sq. ft. 0 to 2,000 115.00 Residential boiler
Fire sprinkler - sq. ft. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00
Fire sprinkler - sq. ft. 3,6.01 to 7,200 220.00 Unit heaters (fuel, not electric)
Fire sprinkler - sq. ft. 7,200 and greater _ 309.00 (in wall, in -duct, suspended, etc.) 14.00
' . Site Utilities . . .. Flue /vent (for any of above) 6.80
Catch basin/area drain 16.60 Repair units 12.1
Drywell /leach line /trench drain 16.60 Other Fuel Appliances .
Footing drain - 1 100' 55.00 Water heater 10.00
Footing drain - each additional 100' 46.40 Gas fireplace 10.00
Manufactured home utilities 1 10.00 Flue vent (water heater /gas fireplace) 10.00 .
Manholes 16.60 Log lighter (gas) 10.00
Wood/Pellet stove 10.00
Rain drain connector 16.60 Wood fireplace /insert 10.00
Sanitary sewer 1 100' 55.00 Chimney /liner /flue /vent 10.00
Sanitary sewer - each additional 100' 46.40 Other: 10.00
Storm sewer - 1 100' 55.00 Environmental Exhaust & Ventilation
Storm sewer - each additional 100' 46.40 Range hood /other kitchen equipment 10.00
Water service - 1 100' 55.00 Clothes dryer exhaust 10.00
Water service - each additional 100' 46.40
Fixture.or Item . Single duct exhaust •
Absorption valve 16.60 (bathrooms, toilet compartments,
Backflow preventer 27.55 utility rooms) 6.80
Backwater valve 16.60 Attic/crawl space fans 10.00
Clothes washer 16.60 Other: 10.00
Dishwasher 16.60 Fuel Piping
* *($5.40 for first 4, $1.00 each additional)
Drinking fountain • 16.60 Furnace, etc. **
Ejectors /sump 16.60 Gas heat pump **
Expansion tank 16.60 Wall /suspended /unit heater **
Fixture /sewer cap 16.60 Water heater **
Floor drain /floor sink/hub 16.60 Fireplace **
Garbage disposal 16.60 Range **
Hose bib • 16.60 BBQ **
Ice maker 16.60 Clothes dryer (gas) **
Interceptor /grease trap 16.60 Other: **
Primer 16.60 Total:
Roof drain (commercial) 16.60 Mechanical Permit Fees
Sink/basin/lavatory 16.60 Subtotal: $
Tub /shower /shower pan 16.60 Minimum Permit Fee $72.50 $
Urinal 16.60 Plan Review Fee (25% of Permit Fee) $
Water closet 16.60 State Surcharge (12% of Permit Fee) $
Water heater 16.60 TOTAL PERMIT FEE $
Other: •
Other:
Plu Permit •Fees ELECTRICAL FEES (residential single- or multi - family)
Subtotal $ Description Qty. Fee Total lnsp
Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less 145.15 4
Plan Review (25% of Permit Fee) $ Ea. add'! 500 sq. ft. or portion 33.40 1
State Surcharge (12% of Permit Fee) $ Limited energy, residential 75.00 2
TOTAL PERMIT FEE $ Each manufactured or modular
dwelling, service and /or feeder 90.90 2
. . Electrical Permit Fees . ' ' ' '
Subtotal: $
Plan review (25% of permit fee) $
• . State surcharge (12% of permit fee) $
TOTAL PERMIT FEE $
I: \Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 2
•
, • • ',-
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. .
II q , BUILDING DIVISION
: 2
TIGARD — TRANSMITTAL LETTER
a
TO: .DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FEB 2 6 2009
FROM:
J M
.,.
4,,ev ES://
COMPANY: - ( 2,7' / T e
PHONE: -- P . j.. gof-- ac0 2-- ( -2
• CITY OF TIGARD
F
BUILDING DIVISION
. (-
\, 13)1.L_I9
RE: _S(S 1.53 - r i i_i,c,f/F ( 02_, . if 9 .
(wtyvaciress) (Permit/Case Number)
......)
° —/
, , JZ--'4 i . ) v%
(Project na f : or subcivision name/and lot umber)
ATTACHED ARE THE FOLLOWING ITEMS:
i'
Additional set(s) of plans. A Revisions: ft 4 /04,4 . Ap,,,).
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
0)k., !it*t,(ttf$E
Routed to Permit Techniciap.. Date: 3 1 /3 Initials '_ \
Fees Due: 0 Yes 1_ Fee Description: ' Amount ue:
,. ,.:14.:4-4W,:,,,-..4,*-,:, $
vi.
• ' - r- -,,,,,,, ,''' ' --‘,', ,,- ?:' , , , ,,:=:? ,--- 4 , ..,,,,: - ,s.,...:', - ,,, , ,
$
: =,
..;1 - ,:'-''' .. $
',' $
14 '0 $ . .
Special
Instructions:
Reprint Permit (per PE): 0 Yes - - El No • 11 Done
Applicant Notified: Date: • Initials:
I: \BuildingTorms\TransminalLetter-Revisions doc 4/4/07
1 1 1 111
•
40k
MARK STEWART
HOME DESIGN
. 8137 S.W. SENECA
Tualatin. Oregon 97082
I' I 0 M- I (503) 885.8377 P
I � i (503) 579.4132 F
_ i ' I jUl / in r - b _ r - i www.markatewart.com
1 -- 1 • - �•- - - - - -- fit— aris.a+d i ��
i. 1 25' --1' 4' - --_
NJ i o� 20 -4' -- f
� I
I
f
r BUY � D ) 1 I `
p m •:-. 11 1 �-
1 PIMP? GARAGE • 100.0' ' I
Z
J I ,1 I r. El I �� i t
1 ; \ • \ MAIN FLOOR • 1009' LOT 2m 10
� � v v\ \ — 3,401 SF
M 1 \ , \ \ \ 4
Cl I 20' --1' -*
Stock Home Plans
.. _ ,
� , \ \
I C ustom Design
-- I \\ --- -�_ - -- r Builder Marketing
\'' — "-- - - - - -- --- - - - - -- I In Design
Q // QQ p I- --
\` ; \ Siff . J tp 0 -- - - -• -- Since 1982
l ' RI
. � Zl all 1
777CCC I 11, -w'Md 1-YF
y Ask. i..- /ice Law
Important Oloohrouro
Plasm lbw*
*Air NO — Y- -1w
Y IN w.'... 1�. •
w: 11.1. Nowt. 1� Om
11 11.' '/'1 Y•- *�1lo1'.�
MY
w .rr.. .1.... MY
lr -Y.Yr .M e Y • O./'[EYY1 of ••
L OT � O � t I I.T. 110171 CONSTRUC770N
mocasroNa TOWNHOUSES
'u• I LOT #20 4B —GL
•
GAGE FOREST
• SCALE: 1" - 1e.' -0" - � - , . , 1 22 11
ma
SITE
ii
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A4W��u j
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_,.
INSPECTION WORKSHEET FOR DATE: 4 6—�6 , - - ? TIME: PAGE:
SITE ADDRESS: 81 iii is.41 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: 6--6°=? Pour Time: 7,10
Code # Inspection Description Confirm # Contact # Message
Zg? ysg 62 Z2 &2
Corrections /Comments/ Instructions:
1 A 4 / i . ..iii... '1
P '9) ! rE0)
ASS (l PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
- i
Inspector: di Date: 4 6.--/Z-9 Phone #: (503) 718 -
CITY OF TIGARD - SITE PLAN REVIEW CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO: 0 • -00. BUILDING PERMIT NO.: MST? 005 . 00074-
Street Trees: g Approved tip No/Aped lbi)0‘
rov PLANNING DIVISION:
Required Setbacks: 7 Approved 0 Not Approved
Protected Tree n Approved 0 No Approved Side.
By: Tr t'
• ibri- Date: , ...951 07
Front. iC,.._ .A0 Rear: 1 - .
Notes:
v nearanec: I/ .1., ry -_,,,, ve d 0 Not Approved
krei N fr Stipt— . r,...h Iiii s r . ilik it\ .... ,.. f !: .. • : ..., 3 F eet
- ..
, ..is ' Pro':, , . ,,,.:, Req!_tired: 0 Yes 0 No
4 ppa.J t ii)A,
0 Received
P •
, AA 101
'.:61 i\ii:.:6ING DEPA 41
Actual Slope: It % gi Approved 0 Not Approved
Site Pl z i, ( .... 21 Approved 0 No; Approved
By: Date:
Notes:
. .
, -