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Permit n' CITY OF TIGARD MASTER PERMIT t ., a COMMUNITY DEVELOPMENT Permit #: MST2009 00174 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 639 4171 Date Issued: 09/22/2009 Parcel: 2S112BD10100 Jurisdiction: Tigard Site address: 7887 SW WEBBER LN LN Subdivision: Lot: 0 Project: Brittany Meadows Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 3 First 783 sf Basement, 0 sf Left 5 Parking Spaces 2 Height 24 Bathrooms 3 Second 1092 sf Garage 396 sf Front 15 Smoke Dwelling Units 1 Third 0 sf Right 5 Detectors Yes Total. sf Value $206,842 00 Rear 15 PLUMBING e Sinks 1 Water Closets 3 Washing Mach 1 Laundry Trays 0 Rain Drain: 0 Catch Basins 0 Lavatories 3 Dishwashers 1 Floor Drains 0 Sewer Lines 100 SF Rain Other Fixtures 0 Tubs /Showers 2 Garbage Disp 1 Water Heaters 1 Water Lines. 100 Drains 1 Bckflw Prevntr 0 MECHANICAL Fuel Types Air Conditioning N Vent Fans 3 Clothes Dryers 1 Natural Gas Heat Pump N Hoods 1 Other Units 0 Furn <100K 1 Vents' 1 Woodstoves 0 Gas Outlets 4 Fum > =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'I 500 sf 3 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 Ecompasmg Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: / /� / Req fired Items and Reports (Conditions) W € KEYSTONE- WEBBER EBBER JOINT KEYSTONE DEVELOPMENT INC 120 /OA) C 7 &, VENTURE PO BOX 476 PO BOX 476 LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97035 PHONE. PHONE 503- 635 -4736 FAX 503- 699 -7741 Total Fees: $15,753 50 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 - , dance 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 ' TENTION ' o egon la, requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules = e set •rth in OAR 952-'01-0010 through O • - 9 , -00 0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246 66 or 1 800 332 23- Issu •d By: / -a / / ..I Permittee Signature: '4a i - W rt Building Permit Application . Residential RECEVED FOR OFF ICE USE ONLY , i • O III City of Tigard Received Date/By a3 A' Permit No 1 a ! 7 ° 13125 SW Hall Blvd , Tigard, OR 9722�I G 2 C 2009 Plan Review �/�� ,p C _ Phone 503.639 4171 Fax 503.598.1 U !r iD DateBy / /c, . �g c Other Permit ��� -.e2:2980 TI G A R D Inspection Line 503 639 4175 Date Ready/By ��� ® See Page 2 for Internet. www.tigard - or.gov CITY OF TIGARD Notifi•• e t 9 9 '� Supplemental Information • -� BUILDING D I I ► i��,_ ,41 e / ; .)( TYPE OF WORK ' - / REQ LI ST D DATA• - • I 2-FAMILY DWELLING • in 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. Valuation: $�tt ‘ KI- and 2- family dwelling ❑ Commercial /industrial 1 ❑ Accessory building El Multi-family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 2 2 /3 JOB SITE INFORMATION AND LOCATION • . . Total number of floors: 2 Job site address: 1 Be ) ] 61,0 w F7e3. � LIB New dwelling area: I g i 5 square feet City /State /ZIP: - 1 -- )c,/ , A PP ` pF. , g 11-93 Garage /carport area: (( square feet Suite/bldg. /apt. no.: Project name: 5NC. HDOSP-- Covered porch area: 22 square feet Cross street/directions to job site: D3fJ rA v.,AD 1 'rUF..N 013 u) 'h -fl- Deck area: square feet I 15 ILOC\ 'TD rjj -f TA0 Y M '' 4 11 IOW 1 Co f24.1 Lijr Other structure area: square feet 5V) -1 T 1-14 S UJ vJ �i�jr E- I,0 • REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: be rrps0 <MF N45 Lot no.: 3i 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 � 1 ` v DESCRIPTION OF WORK work indicated on this application. N W �1 ` S�'� COOS G•)?1Ot�+ -- s10 &li FjgN11L "-5`J1()■(- Valuation: $ Existing building area: square feet 1/ New building area: square feet IS PROPERTY OWNER �L ` ❑ TENANT Number of stories: Name: K E��o 1, E - w r% e>e) �P- Jo i t j v 0 l- p . Type of construction: Address: 126 I)pX, l.I1(o Occupancy groups: City /State /ZIP: LAr /�t , V E( Op_ 91 D3 4-- Existing: Phone: ( 563) c,35 - ' -12 Fax: ( `.Ja3) 61q -114 I New: fg APPLICANT El CONTACT PERSON NOTICE Business name: �`{S1-o1-1 I) �v �, 1 INC , All contractors and subcontractors are required to be Contact name: ` M� S �� L pfd licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: Po I?o- ' 4- 1 ( e jurisdiction in which work is being performed. If the r City /State /ZIP: 1 3C�o w 0 1 O � q �O3 applicant is exem rom licensing, the following reasons 1 Fax: (93> q'7 7 �t, apply: Phone: ( ,9 3) �q' �3 � E -mail: j Pot ak •@ 60 wtc, - t . net CONTRACTOR Business name: SA /Ae. A )5 PIA c,A, 0T BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lie.: -1 1 1 5 Total fees due upon application: # 71)4'0 j Amount received: $ 7 T 'co Authorized signature: X /_ i ll 6 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JAM Date:' I � * Fee methodology set by Tn- County Building Industry 1 Service Board. 1.U3uilding\Permits\BUP -RES PermitApp doe 11/6/07 440- 4613T(I l /02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY . q 13125 SW Hall Blvd Tigard, OR 97223 City of Tigard Received Permit No DatcBy , , Associated permits 1111 2 Phone 503 639 4171 Fax 503 598 1960 24- Hour Inspection Line 503 639 4175 ❑ Electrical ❑ Plumbing ❑ Mechanical T 1 G A R D Internet. www tigard -or gov ❑ Other THE _EOLLOWING_ITEMS_ARE_REQUIRED F Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ El ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: • ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ i Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ CI CI )1 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details ' showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." I 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ 1 architect licensed in Oregon and shall be shown to be ap to the .ro'ect under review. . .'JURISDICTIONAL SPECIFICS ` 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x II" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. Cl ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ , 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. �Bwldmg�Permits�BUP- RES- PermnApp doe 03/21/06 ' 440- 4613T(I1/02 /COM/WEB) r i1 ,) Mechanical Permit Applicatin .. -,,1 , • L FOR OFF ICE. USE ONLY City of Tigard / An �� Date/By Received U it Q"' 1111G Permit No o A ' . 00 I q 13125 SW Hall Blvd , Tigard, OR 97223 209 y / vw � 111 11 gi P lan R eview Phone. 503 639 4171 Fax 503.598.1960 AU G y AV ► I G Other Permit & 0 / f Inspection Line 503.639 4175 , „ / :i DateB _ / i -/ ,y T I G A R D Internet www.tigard-or.gov C� u \.! ' . '."4 = �" Date Ready /By Suns Iii See Page 2 for Notified/Method Su lemental Information '0 ) to _,� +l 0-� v OW al t PP (C�T�. im . + TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work IgNew construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION Value $ 4174, op � 1 -a nd 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* . y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description Qty Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling . e $ , 7 s W 10 �( .( L i conditioning or heat pump (re Job site address: � t I`1 (requires site plan showing placement) 14 00 City /State /ZIP: 'r,c,A T1 22 '1 j Furnace 100,000 BTU (ducts /vents) I 14 00 Furnace 100,000+ BTU (ducts /vents) 17 90 Suite/bldg. /apt no.: P roject name. Spec, N©osE._ Gas heat pump 14 00 Cross street/directions to job site: e200 r f ,-c l - i2-N 0 0 6,,,,3 1 cr Duct work I 10 00 I �,�(�K) 1.01 IS e � H n oF SW 1 Residential n t hot water system 14 00 F CiF-- Residential boiler (radiator or S(A) IOU* I Ar hydronic) 14.00 I� ' Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: I `f1Ao'' Al pc t)J, Lot no.: 3'7 Flue /vent for any of above 6 80 Other 10.00 Tax map /parcel no.. Other fuel appliances DESCRIPTION OF WORK ' Water heater 1 10 00 rJ3 �,00s c io4 so-AG In Gas fireplace 1000 N '� S Y � ���,� Flue vent for water heater or gas I fireplace I 10.00 Log lighter (gas) 10 00 Wood /pellet stove 10.00 Wood fireplace /insert 10 00 VI PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 Other 10 00 Name: V � 5TD1 — if\ J 0 NT v N g. Environmental exhaust and ventilation I o �� 41G . equipment hood /other kitchen Address: egwment I 10.00 City /State /ZIP LAVL O V i p - q, Q Clothes dryer exhaust 10 00 N Single -duct exhaust (bathrooms, 3 Phone: (� (03 — q'13(o Fax: ( ) (091 - 114-1 toilet compartments, utility rooms) 3 6 80 cg APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 �,/ f Other 10 00 L Business name: - - 1 S`I 'h 0 P�J to N-1 I J4C Fuel piping Contact name: oe, M . fo1.A�. $5.40 for first four; $1.00 for each additional a , p,,�, ��� Furnace, etc Address: I WIA� Gas heat pump City /State /ZIP: L A . O 3 ) ( 1 D P- '91 03+ Wall /suspended/unit heater Phone: (rJ —p9)) (�j a 3—L� ' �� ` '' FN Fax ( ,6 j ) ( -17 41 Water heater Fireplace E -mail jfola0e, Covyi6As vie { Range CONTRACTOR Barbecue Clothes dryer (gas) Business name. ii1 - Coo rP Cb 1,, yr1Z01____ Other Address: IF', 15 , , GEC. Mi f' --I\► - --p. MECHANICAL PERMIT FEES* City/State /ZIP: ° �G 1 0� G CC) OP— 110.1 j Subtotal r � 1 Minimum permit fee ($72.50) Phone: ( 5o) 1 7j 51 , 222o Fax. (5o3) S j 7 — 09 rl Plan review (25% of permit fee) CCB tic.: '1 2, e23 State surcharge (12% of permit fee) TOTAL PERMIT FEE T his permit application expires if a permit is not obtained within 180 Authorized signature. X days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board IV3toldmg\Permus \MEC- PermitApp o /19/07 440- 4617T(11 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1 \Building\Permits MEC- PermitApp doc 01/19/07 2 Electrical Permit Applicati ; ! P � tf FO OFFICE USE ONLY El Received City of Tigard 2 009 DateBY d 2. 0�1 Permit No • / /� eo oq 08 (91j 13125 SW Hall Blvd., Tigard,OR 9723U G Plan Review Other Permit � e Phone: 503.639 4171 Fax. 503.598.1960 Datey C1, ® Inspection Line. 503.639.4175 CITY OF TIGARD Date Ready/By Suns 65 See Page 2 for Internet' www tigard -or gov EI II n( �`���'i(�pt Notified/Method Supplemental Information TYPE OF WORK PLAN REVIEW Da New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ig I- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building amps for all other installations buildings ❑ Multi- family ❑ Master builder ❑ Other: ['Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION El Emergency system larger separately denved system ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "1 - ", Job no.: f z ) M 31 Job site address: 1551 61A.) t 1 j uJ • 100HP or more occupancy ❑ Six or more residential units ❑ Recreational vehicle parks City /State /ZIP: • - t 0 fr f - p ■ CI 112%), ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt. no.: Project name: .5e C, N D a:7. r- ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: i} rfA ROAD VP-0 o.3 SW `tgTN Descripiion I Qty. I Fee. I Total I • 15 LOGY-- / New residential single- or multi - family dwelling unit. t7 oG _ 1 1J) S 0 ��� ,...10— a= SV1 51.E tOg , Includes attached garage. 1,000 sq. ft. or less 1 145.15 4 Subdivision: V' � ,a, 0 >39 Lot no.: Ea add'I 500 sq ft or portion 4' 33 40 1 Tax map /parcel no.: Limited energy, residential v DESCRIPTION OF WORK (with above sq ft.) I 75.00 2 N t, pp ,r� r,� n1 p y, Limited energy, multi - family w G dMS -rrUC 1 1 n `' rS(1- (Lr.i rfl ' uy F-. s Irr.LJr:-J" residential (with above sq ft ) 75 00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80 30 2 L. PROPERTY OWNER I ❑ TENANT ' 201 amps to 400 amps 106.85 2 Name: K - �'STC)N� JOB1�T�e.NTu D r- 401 amps to 600 amps 16060 2 601 amps to 1,000 amps 240.60 2 Address: PO e=bX• 41(, Over 1,000 amps or volts 454.65 2 City/State /ZIP: [-- ce7W 6,o o_, 9 7 o4 Temporary services or feeders installation, alteration, and/or 1 relocation Phone: ( ) (03S -4- Fax: ( ) (,9 9 - - 7 y -j 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps _ 133.75 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel A. Fee for branch circuits with B. APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6 65 2 each branch circuit Business name: r" Y SToNe- D v A I � iLO p i ne Y` . I� , B Fee for branch circuits M ©l f 1 without service or feeder fee, Contact name: v S P / 1 i" first branch circuit 46 85 2 Address: Po Fyp 416 Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular L�� 0 (5 6 1 ,0 10?- , ° 110 90.90 2 ( �) �35 ^A-15� ( j) (occ .-1,1 41 Reconnect dwelling, service ardor feeder Phone: 1� e. Pump Reconnect onl 66.85 2 E -mail: J f 12 (- be c .., N4 G , 4e ' Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: Lic,N-nioise -pzi C. LLCz, energy panel, alteration, or Address: 1 2:116b 603 10 A ge, so (Te IN extension Describe: Page 2 2 City/State /ZIP: W L jIS ,-.1 U ILi,,e 1 cp.. en 0' 0 1 Each additional inspection over allowable in any of the above Phone: (5p ) 515,2.— 9 ( p Fax ( ) �‘ Per inspection 62 3 Investigation per hour 0 hr min) 62.50 CCB Lie.: I Electrical Lic - Suprv. Lie.: 3 0 51 5 Industrial plant per hour 73.75 • ` ELECTRICAL PERMIT FEES ' Suprv. Electrician signature, requir-d: 4 ,.. � �� X) Subtotal: Print name: � L( 8 � Date: 8 Plan review (25 % of permit fee) � �Q p l ' State surcharge (12% of permit fee): Authorized signa re: ' �� TOTAL PERMIT FEE i 1 This permit application expires if a permit is not obtained within ISO Print name: �64,/Vts /4 ( Date: 8_11_ C\ days after it has been accepted as complete. • Number of inspections allowed per permit 1 \Budding\Permus\ELC- PermitApp doe 05/23/06 440- 4615T(11/05 /COM/WEB Electrical Permit Application - City of Tigard , Page 2- Supplemental Infcitmation .. . - .... / LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ;,. El Audio and Stereo Systems* , • 0 Burglar Alarm • . ., .. . , . El G arage Door Opener* . ,v . . El H eating, Ventilation and Air Conditioning System* . . . El Vacuum Systems* . • . . .. , . . t • : 0 Other: • ,. .., , reOMMERCIAL WORK ONLY: (1 Fee for each commercial $75.00 system ;,.. (SEE OAR 918-309-0000) • - . Check Type of Work Involved: : , . . , . , (5. El Audio and Stereo Systems . , . El Boiler Controls . . , . I 1 . . . 111 Clock Systems i . F 2 0 , Data Telecommunication Installation 1 El Fire Alarm Installation •, . i D HVAC • ' , . . . El Instrumentation . .. . . . , '1 El IntercOm and Paging Systems . • f. . , • , .. .. ..i .,, El L andscape Irrigation Control* . , El Medical .._ , . , . . . . El Nurse Calls - . -i i ;, 1 - • - - , . • ' El Outdoor f. Lighting*. t r: t , • 1 .' . . ' El Protective:Signaling • • . , - .• . . 't;• • , I 1 rk. _ 0 Other • . ' ,•,', ''''' :_-".: . ' .. • , , Total number of commercial systems: • ... _ . . . . *No licenses„aretiquired. 'Licenses are required ' for all other installations . • ' . . , . I \BuildingTermits\ELC-PermitApp doe 03/23/06 , . r . rj , , . . „ , .. 4 • 6 • Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard 3 ', - Received t /C Y pe N p� 1 r7 iii q 13125 SW Hall Blvd , Tigard, OR 97221 61 r ZO09 Plan CJ� o. �S I aO 0 I �� C : • Phone 503 639.4171 Fax 503 598 l WO Date By Review Other Permit No qe Inspection Line. 503.639.4175 � ` T 1 GA R D a �I L � °,°� r - Date Ready/By Jurls la See Page 2 for Internet www.tigard -or gov CITY L , ,G /\ i �� Notified/Method Supplemental Information o r TYPE OF W C ,n;i 1..0 t:' , i"• )Is° 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 (I) bath 249 20 g I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 I=I Accessory building ❑ Multi - family SFR (3) bath f 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 1561 SW W ebi ' _ Lt - Catch basin or area drain 16 60 City /State /ZIP• - T1&k'P44 1 D.. \122' Drywell, leach line, or trench drain 16 60 Suite/bldg. /apt no.: I Project name Fooling drain (no linear ft • ) Page 2 street/directions to job site: p r,1 Manufactured home utilities 110 00 Cross street/directions P 4 � � N �N SW iq -Mr Manholes 1660 PJ1 - ( 1, OT 15 @, GOA R. O SI, 1t 1H Rain drain connector 1660 t l SW w S f l IJ , Sanitary sewer (no linear ft • ) Page 2 Storm sewer (no linear ft • ) Page 2 Subdivision: L5"► TrANq H S I Lot no.: 3, 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 N co i s -J v l loi$ SVvG I I,f FtsimNe,, Backwater valve 16.60 Clothes washer 16 60 Dishwasher 16 60 Drinking fountain 16 60 l- PROPERTY OWNER ❑ TENANT Ejectors /sump 16 60 Name K-'1,51 - WEl3 L j0i v � 1 r- Expansion tank 1660 - Address: p)t • (0 Fixture /sewer cap 16 60 City /State /ZIP. LAW- CSV1/4.) 1 Floor drain /floor sink/hub 16.60 Phone: ( t ) - 4'1 v Fax: (5b%) (9ci q -11 Garbage disposal 16.60 HI APPLICANT ❑ CONTACT PERSON Hose bib ;" 16.60 Business name ,-(seropE, Dry DPo 1 NC. i Ice maker 16.60 ` //���, Interceptor /grease trap 16 60 Contact name. - -l' S r/1 . PoLN�F' Medical gas (value. $ ) Page 2 Address: RD W)C. I'119 Primer 16.60 City/State/ZIP L 4 . - c 4o I o- c Roof drain (commercial) 16 60 r � / Smk/basin/lavatory 16 60 Phone. ( 615) c,50- �3 [ Fax. • (J�j) VI q - 1 7 +1 Tub /shower /shower pan 16 60 E -mail J fl GO 111G j. 116-5, Urinal 16 60 CONTRACTOR Water closet 16 60 Business name: r 171. )1t v l 11.‘c, . Water heater 16 60 Address 11 JjtJ W DL( p Other. City/State/ZIP. Si OP- 1 11 140 Subtotal � Minimum permit fee $72 50 Phone: ( 509)) (02 - 1852- Fax: (sb3) 625 - 492/ Residential backflow minimum permit fee $36 25 CCB Lic.: C.4 6 62 Plumbing Lic. no.: z r Plan review (25% of permit fee) - w Authorized signature: 6." ' — State surcharge (12% of permit fee) TOTAL PERMIT FEE Print name: F„ Vi j FO 0 Date: ji l0 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board I \Buiding\Permits\PLM- PermiiApp doc 12/27/06 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total ' Square Footage: Permit Fee: Footing drain - I' 100' 55 00 0 to 2,000 $115 00 Footing drain - each additional 100' 46 40 2,001 to 3,600 $160 00 3,601 to 7,200 $220 00 Sewer - 1st 100' 55 00 7,201 and greater $309 00 Sewer - each additional 100' 46 40 Water Service - 1st 100' 55 00 Medical Gas Systems: Water Service - each additional 100' 46 40 Storm & Rain Drain - 1st lob' 55.00 Valuation: Permit Fee: $1 00 to $5,000 00 Minimum fee $72 50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72 50 for the first $5,000.00 and $1 52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000 00 Commercial Back Flow Prevention Device 46 40 $10,001 00 to $25,000 00 $148.50 for the first $10,000 00 and $1 54 for Residential Backflow Prevention Device each additional $100 00 or fraction thereof, to (minimum permit fee $36 25) 27 55 and including $25,000 00 Rain Drain, single family dwelling 65 25 $25,001 00 to $50,000 00 $379 50 for the first $25,000.00 and $1 45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000 00 specially requested inspections - per hour 72,50 Subtotal: $50 00 and up $742.00 for the first $50,000 00 and $1 20 for each additional $100 00 or fraction thereof. Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", - Plan Review for Plumbing Installations 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. Quantity_ by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918- 780 -0040. - Jacuzzi/Whirlpool Car Wash -Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive Stall ❑ Any multipurpose fire sprinkler system Cuspidor/Water Aspirator 1:1 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 Isometric or Riser Diagram Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings 3 that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures \Bu iding\Permns\PLM- PermitApp doc 12/27/06 J ' C Building Division One & Two - Family Dwelling T I G A R D Fees Checklist 'PERMIT INFORMATION: Permit #: S5Tac309_oo /7 / Plan #: Date: 9- (t) -0 f� Site Address: 7g1; 7 5 z,,, Lv4 gs £ ,t I---A) Parcel #: Subdivision: Qua rmv.< i„l ,A p ows Lot #: Zoning: k Jurisdiction: 1 -,2-c 1 Setbacks: Front: 0- /5 Rear: Left: S Right: s Class of Work: N,E Stories: First Floor:, 783 4 Type of Use: 5 i = Height: Second Floor: /Cpi 4 Construction: 6"N Floor Load: Third Floor: Occupancy Group: 1 2_3 Dwelling Units: Bonus Room: Valuation: Bedrooms: 9- � i iv__ Total Floors: lB '7S ' Icj l (S . as Bathrooms: Basement: Decks: Garage: 3% p - Porches: Other: FEES: Description: , 'Fee ' Amounts - Amount Paid: ", Balance Due: Plan Check: Building: 9S al . f S 7S 716 Extra Set: Permit: Building: ) j 3.3/ j D(, 3. 3/ r,/ Tax: / -/ . CO 1 -s I . 6 C.) 17 Metro CET: dt D-) School CET: 1 5 . 7 S - - 0 0 Mechanical Tax: g?. � &O Plumbing: eJ . 00 Tax: 1 17. ?S Electrical: a,i S -2 ) S L' S . 5 Tax: P1'.y a1.t/'? Low Voltage: -70c, Tax: - G Cdr/ CDC: CDC Ping. Rev.: I G, yl Or) CDC LRP Fee: e ('a 00 V SDC: Parks: 5 . 7 D 4 TIF s.: T t-r— U s q g MT: l Erosion Permit: fN' iR -r)() Erosion CWS: , a R. (,e) Erosion COT: , )--S 60 ,9 60 Water Quality: Water Quantity: .07) -- c SUB - TOTAL: Sewer: Permit: /37J7 Ak: It/ /GG ? 9 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 I Qty I Fee(ea.) I Total New 1- & 2- family dwellings Heating/Cooling (includes 100 ft. 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 I 399.00 I Gas heat pump 14.00 Each additional bath/kitchen 45.00 Duct work I 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 3,601 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 12.15 Drywell /leach line /trench drain 16.60 Other Fuel Appliances Footing drain - 1' 100' 55.00 Water heater I 10.00 Footing drain - each additional 100' ' 46.40 Gas fireplace / 10.00 Manufactured home utilities 110.00 Flue vent (water heater /gas fireplace) / 10.00 Manholes 16.60 Log lighter (gas) 10.00 Rain drain connector 16.60 Wood/Pellet stove 10.00 Sanitary sewer - 1 100' 1 55.00 Wood fireplace /insert 10.00 Sanitary sewer - each additional 100' 46.40 Chimney /liner /flue /vent 10.00 Storm sewer - 1 100' 1 55 00 Other: 10.00 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 I * *($5.40 for first 4, $1.00 each additional) Drinking fountain 16.60 Furnace, etc. ** Ejectors /sump 16.60 Gas heat pump I ** Expansion tank 16.60 Wall /suspended/unit heater ** Fixture /sewer cap 16.60 Water heater / ** Floor drain /floor sink/hub 16.60 Fireplace 1 ** Garbage disposal I 16.60 Range I ** Hose bib / 16.60 BBQ ** Ice maker 1 16.60 Clothes dryer (gas) ** Interceptor /grease trap 16.60 Other: ** _ Primer 16.60 Total: S yU Roof drain (commercial) 16.60 Mechanical Permit Fee Sink/basin/lavatory C 16.60 Subtotal: $ 95 C) Tub /shower /shower pan 9 16.60 Minimum Permit Fee $72.50 $ Urinal 16.60 Plan Review Fee (25% of Permit Fee) $ I 0 6 Water closet ., 16.60 , State Surcharge (12% of Permit Fee) $ Water heater 16.60 TOTAL PERMIT FEE $ Other: Other: Plumbing Permit Fees ELECTRICAL FEES (residential single- or multi - family) Subtotal $ 341 00 Description _ Qty. Fee Total Insp 1,000 sq. ft. or less I 145.15 / 9_5 5 4 Minimum Permit Fee $72.50 $ _ Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq. ft. or portion `c 33.40 1 State Surcharge (12% of Permit Fee) $ t17 i5a 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: $ a t-15 , 35 , Plan review (25% of permit fee) $ State surcharge (12% of permit fee) $ d i t1 L( TOTAL PERMIT FEE $ I I \ Building \Forms \ResPlanCheckFees doc 01/19/07 Page 2 Oregon Residential Specialty Code R318.2 ath -09/ "7c-t MOISTURE CONTENT ACKNOWLEDGEMENT FORM KEYSTONE DEVELOPMENT INC. P.O. Box 476 Lake Oswego, OR 97034 I, , am the general contractor or the owner- builder at the following address: Site Address: 1 W ���� LAN) City: Permit #: k\e-5T 24)09— cx>1 7�- Subdivision/Lot #: VA0A0rAm 5 I Lt)T .� and /or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: AiVN9 © t Pe I f-1•11" Date: l 1 L (b G ontractor or Owner - Builder 1c1I : 10/3 j SYUt75 = 12% To 00 Mots 6 t1- 1 T 4 T : ip % To I -4% 11 N A ii-k Ik46 : io% I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 05 `Cool -fJont Jurisdiction: TIC, D Site Address: Q Subdivision/Lot #: 8P-IT ANY M S 1.-01 3'1 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: � vrAY-�' (� Date: 1'6 ho Ow "er /Gene 1 Contractor /Authorized Agent Print Name: 3/sTMeS PI - tbl-P1 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 I * i ,,./- STREET TREE CERTIFICATION ' . KEYSTONE DEVELOPMENT INC. P.O. Box 476 Lake Oswego, OR 97034 I, .LAN's IA , ' k , Owner /Agent for (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation. ( ,A r et-A 1) ADDRESS: - 1 - 1 3 w w 5'E.?-- Li-I. /‘ ax?ct -CO / 74 SUBDIVISION: • P c■V "�,W S LOT: 3 SIGNATURE: �, i11'l- DATE: 11(0110 ( (O t - FINER /AGENT) RECEIVED BY: �/ DATE: (CITY OF TIGARD) I:\ Building \Forms \StreeffrecCertificate 01/19/07 • City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 Wednesday, December 16, 2009 " 1" GARD. Keystone Webber Joint Venture PO Box 476 Lake Oswego, OR 97035 RE Transportation Development Tax (TDT) Refund. Permit No. MST2009 -00174 for 7887 SW Webber Ln. Brittany Meadows • At the time the above building permit was issued you paid a Transportation Development Tax (TDT) fee of $4,599.00. Effective December 1, 2009, Washington County approved a Temporary Discount on TDT charges and has made that discount retroactive to July 1, 2009. The enclosed check represents a refund to you of the difference between your original TDT payment for your project and the new Temporary Discount charge. The amount of the credit refund is $920.00. Please call e at 503 - 718 -2426 if you have any questions. Albert Shields Permits /Projects Coordinator 503- 718 -2426 Phone: 503.639.4171 • Fax: 503.684.7297 ' • www.tigard - or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Accela System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Keystone Development DATE: 12/10/09 P.O. Box 476 Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse AMS TRANSACTION INFORMATION: Receipt #: 175289 Case #: MST2009 -00174 Date: 09/22/09 Address /Parcel: 7887 SW Webber Ln. Pay Method: Check Project Name: Brittany Meadows EXPLANATION: Refund amount discounted for TDT per Washington County. REFUND?INFORMATION:.. . , ;' .:Revenue "Account No. :Ref and `Fee escri `•tion, toa%:Itecei t•.: _ - •;�. =;., :;::.� : ;�.;. : i . „ D .F - :P. - .,. - - ;.� unt.. F,�ariiple''[J#UIID]::Peziiiit .. ' � ° ��;••... TDT - Transportation Development Tax 4050000 -43320 $920.00 TOTAL REFUND: $920.00 APPROVALS: � - If under $5p0;; Professional Staff r If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board °Y "' ',EOR ACCELA'SYS'T.EIyI ADMINISTRATION USE;ONLY.: .: ... . Refund Request Reviewed: Date: By: Case Refund Processed: Date: ,'f; r,,s By: ! '! 7 /0,4 /'r I:\ Building \Refunds \RefundRequest.doc 04/13/09 CITY OF TIGARD - RECEIPT 4 g 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD • Receipt Number: 176349 - 12/18/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2009-00174 $ - 920.00 Total: $- 920.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 102149 DHOWSE 12/18/2009 $- 920.00 Payor: Keystone Development Total Payments: $ - 920.00 Balance Due: $920.00 Page 1 of 1 rT " ; `' . CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 I 503.639.4171 11GARU. Receipt Number: 175289 - 09/22/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2009 -00174 Building Permit 2300000 -43104 $1,263.31 MST2009 -00174 12% State Surcharge - Electrical 1003100 -24001 $9.00 MST2009 -00174 Plan Review 2300000 -43106 $ -35.58 MST2009 -00174 12% State Surcharge - Building 1003100 -24001 $151.60 MST2009 -00174 Metro Const. Excise Tax - Residential 2300000 -24011 $248.21 Use MST2009 -00174 Tig -Tual School CET - Residential 2300000 -24102 $1,875.00 MST2009 -00174 TDT - Transportation Development Tax 4050000 -43320 $4,599.00 -";--- MST2009 -00174 . Erosion Control 1003100 -22002 $88.00 MST2009 -00174 Erosion Plan Review CWS 1003100 -22003 $28.60 MST2009 -00174 Erosion Plan Review COT 2300000 -43102 $28.60 MST2009 -00174 Water Quantity - Res 5200000 -43122 $275.00 MST2009 -00174 Park - Single Family Unit 4250000 -43300 $5,370.00 MST2009 -00174 CDC Plan Review, RES 1003100 -43112 $46.00 MST2009 -00174 CDC Plan Review, RES - LRP 1003100 -43117 $6.00 MST2009 -00174 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $245.35 MST2009 -00174 12% State Surcharge - Electrical 1003100 -24001 $29.44 MST2009 -00174 Furnaces < 100K BTU 2300000 -43102 $14.00 MST2009 -00174 Duct Work 2300000 -43102 $10.00 M5T2009 -00174 Water Heater 2300000 -43102 $10.00 MST2009 -00174 Gas Fireplace 2300000 -43102 $10.00 MST2009 -00174 Flue Vent for Water Heater or Gas • 2300000 -43102 $10.00 Fireplace MST2009 -00174 Range Hood /Other Kitchen 2300000 -43102 $10.00 MST2009 -00174 Clothes Dryer Exhaust 2300000 -43102 $10.00 MST2009 -00174 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $20.40 Utility Rooms) MST2009 -00174 Fuel Piping 2300000 -43102 $5.40 MST2009 -00174 12% State Surcharge - Mechanical 1003100 -24001 $11.98 MST2009 -00174 SFR - Baths 2300000 -43101 $399.00 MST2009 -00174 12% State Surcharge - Plumbing 1003100 -24001 • $47.88 MST2009 -00174 Restricted Energy Permit 2200000 -43103 $75.00 MST2009 -00174 Plan Review 2300000 -43106 $106.73 Total: $14,967.92 • PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 18357 DADAMSKI 09/22/2009 $14,967.92 Payor: Keystone Development Inc Total Payments: $14,967.92 Balance Due: $0.00 Page 1 of 1 ■ ■ POWER 1 � I i i CATV LOT #37 PEPS E ! S 8 °5s'oz "E _� 49"41- - BRITTANY MEADOWS MARK STEWART � ���" 44.ss � � di 7887 " ° II 7887 SW. WEBBER LN. HOME DESIGN ( WATER METE 1 \ �" . , TIGARD OREGON 1444-- LOT' 3 7 ei . ( CITY OF TIGARD - SITE PLAN REy EW MITIGATION TREES: .. 49 / / / I C i /��b DOUGLAS FIR 5' -6' y m I � ' BUILDING PERMIT NO.: N�1 � 74 S.— HIGH & 4" BASE 1 rill -- --.I 7 BUILD - I (3) TOTAL ' ., PLANNING DIVISION: I -� / �° AUG 2009 22582 S MAIN ST Not Approved I . I /— .1 Required Setba s: [�Appl•oved ❑ pP Sherwood, Oregon 97140 . — I / f to Side Street Side: _ — = CITY C,: _ ai;, Rear: 13 -67 I r� i O' I Ftp ., p 1.. (503) 885 8377 P Front. �� G age: .70 ► I I �' O:•�,= r�IL:. (503) 579 4132 F Not A roved I�i I; - M - 189 / ('�MD / CO Visual Clearance: [ZAppr9ved ❑ Pp 1.. I I I REVI to www morkstewort coin Maximum Building Height 'SS feet I ° I � i / ■I'" ' CWS Service Provider Letter Required: ❑ Yes 0-No RESIDENCE , / z STREET TREES / I I T.F.F 2 STOR* 171.00 RES' JA 8'04/01 Received I 15' SPACING Ic�Y 10' -I' / . ■ B1: Date: TRIDENT MAPLE ( ) TA I I ENGINEERING EPART ENT: r•-• 65 i __JIM-- sin . O I' � I= _, CO p is Actual Slope: % r. A roved ❑ Not Approved _ 18 ! � ., / C / h roved ❑ Not A rove c�i Site Plal: i 111: � / 'I . p C� • II IN 2 C�1R • GARAGE, I . B / . Date: ,.. r ../h► [ I . . a • 1 ■ T. 189.50' / i I. Notes:(. �J M � °I' i O �� 8 0' �� / �� . 1 lr 1 I • / __ , / J NI O ., I r, ° / � � rte/_ .. . I O I 5' CITY 10' -0•• ___ , , g , � I / SIDEWALK I -- — S ILT FENCE I , ° 0 SANPFARY/ 3" STORM �' LINE ° /, a o DRAIN Stock Home Plans / Custom Design e ll C.) 's ` A _ P1 OSEb ° d DtIVWAY STORM LAT. Builder Marketing \, � �,� J g pp Interior Design SANITARY r � p. Since 1982 P 4 s . 1111 ° n e These 5rlg d the desi herein by re eD e pyrghted under Federgns al t.ar Mark / I Y Stewat B Assotla t a l e Y006 a O a O O J- ° Important Disclosure Please Read: ... �' The plans you have purchased are Jam• O for the trucllan f ONE home only CITY OF TIGARD -SITE PLAN REVIEW I r I Under NO circumstances Is legal to build from e ' °° these plans more than w w BUILDING PERMIT NO: I the nsenl from NE designer without the ner Mark Stew ritten art ,frees plane 1 � I I L JL & E NOt A��V� -- . ttpxly prosecute al and A violation h of Its 31 � Tr, 1 � � NOS ��� COMPLETELY - - - - - - -- - cortrightee t he resp onsibility m una pl that It responsibility of the Is Q contractor to construct the home ` r , pPP described herein, on any particular site (,�( ' /ry�� Date: V/ /y 1 ; d e otio me to the a g o7Te e C71b rt e, NO n Nark Stw ewart l A a home Notes: takes NO responsibility tar the conformance {^ of this plan to My code or Any building site CURT KE YSTONE L 0 T 3 7 SITE PLAN DEVELOPMENT �+ BRITTANY MEADOWS BRI ANY MEADOWS WS 9 JULY 30, 2009 28 JULY 28, 2009 DRAWN BE J.G. SCALE: 1"=8'-0" PA`s SITE • °` ■