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Permit n CITY OF TIGARD MASTER PERMIT !I' r , . , I Permit #: MST2010 -00203 2 - - COMMUNITY DEVELOPMENT i TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2010 Parcel: 2S103CC15400 Jurisdiction: Tigard Site address: 12275 SW PLANTATION TER Subdivision: STEPPING STONE ESTATES Lot: 4 Project: Stepping Stone Estates lot 4 Project Description: New SF. 12/21/10, reprint to correct owner name. 1/5/11, reprint to add App Specific Info. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 4 Second: 0 sf Garage: 966 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Total: 3108 sf Value: $343,098.30 Rear: 0 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 7 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 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! 500 sf: 7 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF 3108 Owner: Contractor: ALDER HOMES LLC ALDER HOMES INC Required Items and Reports (Conditions) PO BOX 2189 PO BOX 2189 1 Ersn Cntrl 503 - 681 -4444 BEAVERTON, OR 97075 BEAVERTON, OR 97075 PHONE: PHONE: 503 - 705 -2454 FAX: 503 - 579 -4666 Total Fees: $15,720.76 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 a 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. ATT TION: Ore n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0 10 through OAR 52- 1 -0 90. ou may obtain a copy of the rules or direct questions to OUNC by callin 232.1984 or 1.806332.2344 Issued B Permittee Signatur . ltTe Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. CITY OF TIGARD MASTER PERMIT Is • COMMUNITY DEVELOPMENT Permit#: MST2010 -00203 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2010 Parcel: 2S103CC15400 Jurisdiction: Tigard Site address: 12275 SW PLANTATION TER Subdivision: STEPPING STONE ESTATES Lot: 4 Project: Stepping Stone Estates lot 4 Project Description: New SF. 12/21/10, reprint to correct owner name. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front 0 Smoke Dwelling Units: 0 Third: 0 sf Right 0 Detectors: Total: 0 sf Value: $343,098.30 Rear: 0 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 7 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 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' 500 sf: 7 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF 0 Owner: Contractor: ALDER HOMES LLC ALDER HOMES INC Required Items and Reports (Conditions) PO BOX 2189 PO BOX 2189 1 Ersn Cntrl 503 - 681 -4444 BEAVERTON, OR 97075 BEAVERTON, OR 97075 PHONE: PHONE: 503 - 705 -2454 FAX: 503 - 579 -4666 Total Fees: $15,720.76 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. ATT •N: • -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -$110 through OA' 95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by C. . U . 32.1987 or 1'800.332.2344. / / Issued By: — Permittee Signatu :• Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. 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. CITY OF TIGARD MASTER PERMIT g COMMUNITY DEVELOPMENT Permit #: MST2010 -00203 13 125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2010 TIGARD Parcel: 2S103CC15400 Jurisdiction: Tigard Site address: 12275 SW PLANTATION TER Subdivision: STEPPING STONE ESTATES Lot: 4 Project: Stepping Stone Estates lot 4 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $343,098.30 Rear: 0 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 7 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add! 500 sf: 7 201 -400 amp: 0 201 -400 amp: 0 W/0 Svc /Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: . ALT SF 0 Owner: Contractor: STEPPING STONE HOMES LLC ALDER HOMES INC Required Items and Reports (Conditions) 11735 SW KATHERINE ST PO BOX 2189 1 Ersn Cntrl 503 - 681 - 4444 TIGARD, OR 97223 BEAVERTON, OR 97075 PHONE: PHONE: 503- 705 -2454 FAX: 503 -579 -4666 Total Fees: $15,720.76 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 t : a•op -• .y the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 throu• • 5 . R 952- 001 -0090. Y•u ma o.... .. co. . • .ire. "questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / !' ! _4( -� � `j am~ Permittee Signature: , C�jr� - x.4175 by 7:00 a.m. for the next available inspection date. This permit ca ,..)�'Fi . ke • 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. Building ie rmit Application Residential FO OFFICE USE ONLY City of Tigard t� , Rece Date/B ive ; d , ,® / Permit No.: V NKr_ •6— 13125 SW Hall Blvd., Tigard, OR 9722 P lan Revi _.rra g�'v -00 iS i ° . ' Phone: 503.639.4171 Fax: 503.598.1 0 r Date/B y: ' + � 7 16 Other Permit: ✓ C/ -vr T LG A R D Inspection Line: 503.639 I O V 0 L Date Ready/By: iJ tuns: Supplemental See Page 2 for Internet: www.tigard - or.gov 1 -p�- Supplemental Information ((((((������,����,_ �F T1G0/ D Notified/Method: it /U 6 1 jr 0141- zAJi /7. / Y TYPE OF WO 11 D\V\S REQUIRED DATA: 1- AND 2- FAMILY DWELLING N D m ew construction ❑ olition 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: $ '64-3 Vl- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 5 ❑ Master builder ❑ Other: Number of bathrooms: L I JOB SITE INFORMATION AND LOCATION • Total number of floors: Z Job site address: 1 22,75 SA) 1 4,J77 /0 N 7 WC! e. New dwelling area: 3 1 C g square feet City /State /ZIP: Ti 4Gh ,/ej a � e? , 7 2Z_3 Garage /carport area: 946 square feet Suite/bldg. /apt. no.: U Project name: QL6. 1 ,,, OIm e s 1 N c . Covered porch area: square feet 161( Cross street/directions to job site: /2 1 5 t. Deck area: square feet 1412 Other structure area: ,40'74 square feet . 2-7 . REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: 5/PP K ‘� I ��- -1--�� Lot no.: di Permit fees* are based on the value of the work performed. 6 eC Indicate the value (rounded to the nearest dollar) of all S 1 Tax map /parcel no.: 2 1 9 ye 0 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Ale tt., Valuation: $ Existing building area: square feet W / New building area: square feet • PROPERTY OWNER ❑ TENANT Number of stories: Name: n2. D OZ. 14 e> 1 N C. Type of construction: Address:.. • . 3 d � 2 1 gq Occupancy groups: City /State /ZIP: 0 .eC. Q dz., 9 7 Cs 75 / Existing: Phone: (A503 705_ 27 *y Fax: (56) 579 - 6/>� C�6 New: • Q' APPLICANT ❑ CONTACT PERSON , NOTICE . Business name: A L De, (Z 1.10-0 6$ i C . All contractors and subcontractors are required to be Contact name: /` t licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: p. d • 6 O x 2 ( Q .9 jurisdiction in which work is being performed. If the City /State /ZIP: 0 Ver st/ & fZ .. 9' cp-7 5 applicant is exempt from licensing, the following reasons � apply: Phone: (5p3 7e 5- 2,lj y Fax: :�fj3) 6 7/ p 6..� E -mail: / - CONTRACTOR Business name: A LDC^i2 11 moot' S Pl. C BUILDING PERMIT FEES* (Please refer to fee schedule) Address: City /State /ZIP: 54 L/� Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: ( ) Fax:( ) CCB lic.: / 2 / � y F-9 / Total fees due upon application: - 79), Amount received: '' � Authorized signature: g. 2 �� This permit application expires if a permit is not obtained T���� within 180 days after it has been accepted as complete. Print name: • ✓ Date: * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB) 1. Building Permit Application Checklist One- and Two- Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: • v 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Phone: 503.639.4171 Fax: 503.598.1960 Associated pennrts: TIGARD 24- Hour Inspection Line: 503.639.4175 - ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard - or.gov '❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 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. ❑ ❑ ❑ 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 • ❑ ❑ ❑ 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." 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 , ❑ ❑ ❑ architect licensed in Ore•on and shall be shown to be a. Ilicable to the sro under review. JURISDICTIONAL SPECIFICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" 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. . ❑ ❑ ❑ 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 must include 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. I:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(l I /02/COM/WEB) NOV ,415 29'1 08: al Bear Electric (FAX)5036781108 P.001 /001 I t'1C9I Permit Applttt lhC+i1 re rte rlrrll't 1'�r'. t rNf.ti " '- City of Tigard • ck0.:0 Rued "'' 13125 SW Ball Blvd - Tigard, Olt • 'f../: O Damn) . 6i6 Nan ew : Pbocc 503.639.4171 Fay 503.59/W96% 1 4 ��� ll Cal= Pamir. `\1 Mare . i t i; i i Inypcctiion Line 503.639.4175 Q Q Dula Raadyray: hell B Sao Page 2 for ]fill met: wwwllgard or gov -N QF ` 1 � r � N ° NditiadrM.the� Sappinan►tal lorannadou TYPE OF WOR , ' ,�G C)VJ``' 1tmbri REwnEw ew construction ❑ Addidon/olterati ncement Please cbcck athar oppiritabmitasonsofplans udionns choked btm.r ❑ 1?ernbtiti0n ❑ Other: 10Savice ❑BuMin uvertcett dam where the available awn current D Marinas sod halyards, CATEGORY OF CONSTRUCTION moods t0000 amps at 150 mph: or In Claming bt41d1sg& kas la grasad, *ramrods 14.000 D Commercial -use agricuhutal G 1- and 2- thmity dwelling ❑ Commercial/industrial ❑ Accessory building amps for all adze iwultadaas. buildings. ❑ Mull- family ❑ Master builder ❑ Other: D au pump. O latnanuionaf75 or D news' "A",' separately delved warm. ,IOE SITE INFORMATION AND LOCATION QAddttlatornawmaor load of ®•A, "s ,"tom :wa - , Job no.: 1 Job site addfess1227 SW pkislta4i t i T.errAc e IaoNPOrtanm. D six err more midi:a ai m il& ❑ Asasatimsl whirls parks. City/State/ZIP: 7 eAGlr4i i 0 12 Cr 223 © Hustcsothations. D Supply voltage tamers t D Ho:adoaslacatloas 600 volts withal Suite/bldg./apt. no.: Pmject name: _ALQ '2 hitm _)410 D Savleo at' faada• Warms armaw -WEE SCHEDULE Cr' ss strcetfaircctions to job site /2 ) 5 f, D. •.. 1t><r*siELT»tta Mind 1e0d0111a1 single -or multi•famllr-dwdling unit. Includes attached game. Subdivision: L no Imo so, I1. or lets J 16844 '(( s7 4 En addi 500 sq. ft. a panion 7 3392 7-W7 1 Tax map/parcel no.: s 1 GC-- DO Limited energy. residential DFSCRJFI ON OF WORK i (with abovesq. ft) 75.00 "7.5, cc 7 Limited energy. multi- family 75.00 2 residential (with alcove sq. R) Services or feeders Installatloo, attrradon, and/or relocation / 200an• ores 100.70 2 1� � )PIhOPEiCCY4V OWNER 1 Q =CAW 201 amps to400 tan •- 1011111111M 131 401 amps to 600 temps I 200.34 Name: A loaf 2 4 61t4 t , ) 4/ e ' 601 amps to 1000 aims 301.04 AddrISs: P O • 8 tea( 2 11 9 Ova 1.000 am • orvahs $52.26 City/Sta1e/ZIP• I. y e yr 4/ 00—• ° 171% 1 7 5 Temporary t services or faders installation, altctutioa, nad/ar Phone: (ffe3) 705 - 24/Y4/ Fax: ((, ) .97 ' 4/466 200 amps or less 5936 1 201 amps to 400 i flPS 12508 2 Owner Installation: This installation is being rnade on property that 1 awn which is not 401 atom to 599 amps 1 16 25 831 I 2 intended for sale. lease, rent, or exchange. according to ORS 447, 449, 670. and 701. Branch catsvlts.. new or extGtulon, per panel Owner signatUr : Date: A. Fee for branch circuits with I; APPLICANT I -© CONTACT PERSON each branch citeuiit 7.42 2 Business name / to a• H G ti 11. Fee far breech f f c c Wrrbald _ - service or feeder tie. first 56.18 2 Contact branch cheull riam� ��, Y� Each *WI branch &wit 7.42 2 AddresS Aflseellancaus strvlce or feeder not intlnded each manufactured or macular 67.84 2 City/Stale/ZIP: dwelling, service t ndlor feeder - F ax : ( ) ltaxaraeent only 67.84 2 Phone: ( ) - Pump or Irrigation circle 67.84 2 E-mail: stir croinlinc lighting 67 2 CONTRA ONI'RACrOR - Signal cireuit(s) or limited- encr8yr name: es i - r - C., a C J — E rtel, alteration, tn!per tfoa over o ion. 2 2 Each addltintl>♦) ns _ allowable to say of the above Address .09 5 * s.. '� * / Additional ituptxdon (1 hr min) 66.25/ hr 1 ' tnvestigsion0 ht 111111) Clty/Slate/ZIP: , •�,d •'20 (1 Munn) • • '20 Industrial plant 1. 66 78.18/hr 251 1u Mill Phone: r• I pax: (d] ' - ] ] 0 ' Impt:awns for which no fee is mow h< III •� (t r ` s. - cicall listed Si brutal ■ CCB Lit.: 2„0 ice] Electrical Lic.: - Suprv. Lie.: c / . Ie i Suprv. Electrician signature, required: , =I 44 Plan review (25% of paatit fee). I* State surcharge (12%ofpcnnttfee): Miffil Print flare T O MIL , `� { Dam: 1 TOTAL PERMIT FEE: /°. `7 0 Authorized signature: — _ at pertain application caphos It permit is not obtslntd dittot t ISO days after it has bean seaptal u complete. Print name: . 1 Dale: • Number of inspections allowed per parmiL vaxidfoskivonalm.GpvaiMpp.doc trtrulfla 440.t615U1trvl!c0MNIE4 yi i llij i i Permft Al�Pl is tjO ° OR (pia rIC r l ;SlL ONLY:. 1 a City of Tigard Received • 't 13125 SW Hall Blvd., Tigard Untc/13 y' OR 9722 s : ;: Phone: 503,639,4171 Fax; 503.598.19} P1an Roview Permit No.: i>� e.c ta"'60e0 Date/By: Other Permit: t r c,A 7ll[ j Inspection Line: 503.639.4175 hate mend nri�: w Internet: www,tigard- or.gov NQ V ®2Q1O y Y !;d Soo Pap 2 ror Y Notined/Method: Supplemental Information E' New construction Add.ttion /alterati0 cal permit Fees are based on the value • the f L Uction TM' Of WOTt COMMERCIAL .. T O FEE*: SC ;:TJS'C11tv faTa`! ; � ' Mechanical � ^ -'. � I of the work performed. Indicate the value (rounded 'to nearest dollar) of all Q ]Demolition mechanical s c� : materials, labor, overhead, profit. ......:..:... . . •. ,.:.,; ::,: CAT>JGO1 ' ,... O'r. ..:C17NO*100CION, •' :: •. • , .. tv nt, a or. ovc ,.....•.. r _ aloe, d and » r a 1- and 2-family dwelling ❑ Commercial/industrial 0 Accessory building fifCSTI? 1V r E1VT`/ X h $? j ` , :':: 0 Multi - family 0 . Master builder c a! forma on eckltsr, r,.,;. .; . ;. , .. •:. .. . .. :......:..: _ ... , � Ea. "_ Description ... Total 0111Cr For s i information use ch Qt TienUn man, Job site address: ,2275 Sw <7 A y� 7� � Air niece itioning 'r „' Ti qc5 ro sires site plan .showing placement) 46, A1o:7 1 City /State /ZIP :77;kt red /0 Jr a 2 Furnace 100 000 BTU (ducta/vnnts) 46.75 ; 6 _7 , Furnace 100,000+ BTU (ducts/vents) 54,91 . Suite/bldg. /apt. no.: Project name :44 4Z H ama 1 ,,V C, Heatputnp 61.06 Ell Cross street/directions to job alts: 5 W 1 Zi 5f fl Duct work 23,32 H dronic hot waters stem MI 23,32 IIIM Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall In -du taus ended etc. 46.75 Flue/vent Lot no,: for any of above Subdivision: 1 Other _ 23.32 r 23.32 I. Tax neap /percel no.: 2 J CC j 54/00 Other fuel a . . linnets -.;� ,��` `�s, ;'r' ; i water :;;; ::,�;:: �,; � - ,i�� , )t����1�IPT;�i�iL�T�'�7�'`'i�ff 1tI�: c ?� � Itcator � 2332 (J C�NStr 1 I 4'/1 Gas fireplace min 33,39 2'3: lY 7� Floc vent for water heater or gas tire Place 23.32 Log li htcr as) I 23,32 Wood /pellet stove 33.39 Wood fidace /insert, 23,32 ,,;,�.:° r f.. ° :.,. :' !,f•;i:,;v: Chimney /liner /flue /vent 23.32 ;•nib. '1C�`; �'.,,:ii.i�'. '��'� :�'-�T�;tri1': -r ;:.:: . ; ! , .,,..., l , Other: 23.32 Name: AL-DER it. & , 1 ,,VC Environmental exhaust and ventilation Address: /, Range hood /other kitchen pp � . . 2, QP( 21 g j equipment I 33.39 33.E City/State /ZIP: + e v c 4/ or. - 7 Clothes dryer exhaust .. is 33.39 ? Single -duct exhaust (bathrooms, Phone: (5 6 •- ay Fax: (VD ) S7.' ,—!i 6 toilet corn , artments utili rooms - 7 23.32 r A :; F.,: '.1 i'`; Attic/crawls ace fans 4 IA1sJtlitif C ' Ol�ar\C S - p 23,32, Other 23,32'. Business name: 4L ) , i,46, l e • fuel piping 1 pP t, Contact namo: A t SI4.15 for first four; $4.03 for each additional Address: 't , ® /30A, 6 Furnace etc. (4 , • Gas heat um, NMEM City /State /ZiP: , r; y,aR/ 4r ei 7e 7v Wall /suapcnded/unit EMI Phone: ( 4 0 — Fax: : ( 1. 0) t ,' - s _ - Water heater Fireplace 3 ill L Range N''sl• 1% : :� q!:Cl,�'J " i; , ?.9- ' ^; :. i i'':' '�' ?:ii ' " /: . '.: r _ „ `; : J1V ' d ;.° , Barbecue 13u51ne$S name' . elethcq dryCr (�g8s) Other it r*y �qy �1- Address: " i �+1 t1V't M r., LL :. Fi! 2428 SE 105th Ave. Portland OR 97216 R; r.,u. `4. , .,, g: `'; 't .,F,r' LOW _.. X1 S. isr,:::'y';' :c,i;!z;,i +`i'.1• City /State /ZIP: .' (503) 253.7789 FAX (508) 253,7G93 Subtotal ' FBI •3 p xrrHa a AIR Minimum permit fee ($90.00) Phone: ( ) He oo rtarnowno flan review (25% e omit t c) i CCB lie.: 4..i dig 1 S State surcharge (12% of permit fee) TOTAL PERMIT PET,: This permit application expires if a permit is not obtained within 180 Authorized aignahtrc: ( /��a"` - C.4 ---- . _--,c, dry, otter It tins been accepted an complete. _Print name.: \, - l ( ..,t r 6 l k. Date: ` (,) f U, /D 1 " i=ce methodology sot by Trl Cotinty Aniiding Industry Serviec Board lfl� . �. 1: 1 13ailding \PcrmltAM.FC•NCtraltApp.d0c 10/01/09 440.4G17T0 IMVCOMlw18) :•4 PIumlb__tam ' _Ap.p!ieation Building 'Fixtures \ Fc'r\ i pia o rric; E. . li1 St. ONI t '- d Received Cf City of Tigard .. # 17ticlny. Permit No. M<7 sid- cOaci ;.,. n 13123 SW Tall Blvd„ Tigard, OR 97 a Pion Rwiow 4 . ® Phone, 503639,4171 Pax! 503.59819 i ® ZIi Ie JO y , Otita vtII1tt No.: Tm ectton Llnc; 503.639,417 T i O`I Dote Randy / 8v; 111i1'1; r \ V 8v; Luria. 0 9eo Pope 2 for - ` Emmet: www,tt8ard•or.gov _ ,;r'* Ne•1'rAedimerhod: S.. •iemeetai informntIon ,r F r+ 5 w • �.o <..� mdt n � 4 li,�J LFr, A^ ) 4Y�"ol � ,7 .',, �� Trim. ;i' y 1 � �, f � �;' � � � • +. r4 dL I 7E A 7 x 7 { ',.. , 3�iN f� T • �I'r, ': l F 14� �:, r • 4 .e F 1.141 I }' S r• '. J� .{', . l t�;J? alit:, 1 5 'rA 11i 1 J.t EME . �,�I' _ E �h }]3 7� a Y�J► •. . I'��' rl + ': ' ,✓' c a:. r l l :ptt 'Y4`: '. „&" ? i t i . Y : '� W ew onxairuction ❑ 134 '1.680 ' Fvr t • ecl tl l nr fan uee checklist Descrl•Pon U"= E. Total ❑ Addition /altcrntion/replacmmcnt ❑ Other: New 1- 2- family dwellin La Includes 100 ft. far each utility connection .r L: � � y � x i ti, ' ,g,r�4„ SP rb 312,70 L a . t ,Y +r .,, ,:; , t •�i r i' '' S, t , 'd.. . 1 11. : 4 die d l� • •,7 tie - th , 4.i„ ... . i ° �� i , ' 4*-i• , , tl m ' '!.', R(] It - aid 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 [] Accessory buil ding �` -."° SFR (3) bath 500,32 SC.j,' 8 ❑ Multi - family Baal additional bath/kitchen 25,02 2) A ❑ Master builder 0 Other, Fire sprinkler( sq. fl'.) Page li ^YY V�'. V •W M1. •I ' y.i i. - I:,.l , d.�. 7 M;^ o, ,,i i..,,.6: a rxl' - , 1 ''h.r•1. r o :7 ?r n ! s" s a i`' SIt4 : ut!)itl¢a! Job site address: )Za_.S s!•J p•,'Tc /-ere. Catch basin or nrcn drain TR76 nrywell, leach line, or trench dram al 76 City/Staic/ZIPLI -- ,•/ • • "w"7 Footing drain (no, linear ft,;,,,,� Pagc 2 M Suite/bldg. /apt. no.: Proicct namcl 4 Den...- . r A. )1c. Manufactured home utilities 50.03 Cross str eUdirectIonA to Job Alte /2' 4'-. _ p Manhol�9 18.76 Rain drain connector 18.76 Sanittry sower (no. linear ft,! l Page 2 - ... Storm sewer (no. linear ft.; ) Page 2 Water service (no. Huai ft,: Page 2 Subdivision; Lot no,: Fixture or item Tax neap /parcel no.: S c'.^ 1 OO Backflow proVentm 31.27 S f ` i ` nt. ' t ." ,�, ty ,,: Y1 ,i, ' vn ; : n Ede` , .,,� Backwater valve 12 -51 NM �, , y..n ! , r ', 11 e -' &x * ''''.1 ,, ~. '- r e.'. r. • N' "" ''' 'r t w•4 - ' 1 { : Clothes washer 25.02 Dishwasher _ 25.02 Drinking fountain. 25.02 E,lectorg/sump 25.02 ,v ��.q '/-42-,;..-;,.;' * 12.51 � . i, i ft: t { i x u ! „ u ' '" -,i; {� 9 ; .. Expansion tank 11, y p' .� ' .,����� SNST]'ItefiPi'. �r � i�' i++'F. M, rN;r, ;' , , !l p Name: A LDti� � 5 �� C ' ....,^ Pi oor drain/floor eswor cap 2 5,02 /� p.� Floor drain /floor 4ink/hub 25,02 Address: P. � . 8 ©� 6 1 11 -r Garbage disposal 25.02 City/State/ZIP: -- , OA/ t • '1 b 7 S Noe bib MN 25.02 =111 Phone: (9p - p - a f Fax: (f e. ) - _ Ice maker = 1251 NESENti >4 fit 1 :t ` u =' s,�. ry `�';' InlerceplorlSreasa 25.02 o iu',1 Business name: '� Medical gas (value; $ ) Pagc 2 �D - & N r /,, Primer 12,51 Contact llama: 1`" t - Roof drain (commercial) 12.51 Address: _ SI /basin /lavatory 25.02 City /State/71.P: Sohn units (potable water) 62.54 ?bona: (50,.) 7 05`2�/yy� Fatti; ( 5 ® 79 4/6Gds Tub /shower /shower pan 12.51 Urinal 25.02 B -mail: r. „ Water cln><eet 25,02 • li % 1. aw''• • a,,,U.!':'��H i oli ( 'a d�'.•� ilW. ;' 1 1c, k'W,'r''' ; 1'i Q � R?;-'ar'i W O ar - ^-. 77 52 afar h �!■ 13usirteas name: 4 . / ' or ' M. P ��i.= /Alr„ ��L�l7rTi, wpm. piping'_WV EMI - Addreas; ,, / A '` ,r 1, i r Other: = 25.02 - • City /State/ZIP: ! Subtotal 1 � i �.c�_. ,,ri �� /rte ) ) r• Rix; ( , )/ ,'.� 0' ;V Mlnirll pormic fcC: 872.50 NM Phone; ( �� - Plan review (25% of permit foe) 4211f Plumbing tic. nn. j / 4. State surehn a (12Yn of permit fee) I a rat �_ Authorized signatu ` AP �� TOTAL PERMIT FEE 'r 86 3 j ra i/ rs../ Tldr ""1" "r"r HOi (h a I, u x permit or not obtained within 1 -fl daYx Prior Warne: .:� Date: - �' �// otter it hoc Item =timid nr corn P tpt0. Too methodology set by Tri- County Rtilldlnit 1ntIultley Sorvlc9 HOCrd• 11AuIldlneermits \PLtd11•PcrmitApp.doe 10f01/09 4 /COMFWF,. 100 /10021 ANVd1400 N3111114 3H1 681:17OV9009 Hdd 917:Z1 OIOZ /VO /11 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 'Jf��",� A �j�� 3 , am the general contractor or the owner- builder at the following address: Site Address: 1v44 0/© City: I �l/ Permit #: MS - Ob2.o Subdivision/Lot #: 6 T 1 61-4/ 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: a, 7 , fW4i/2- IA/6 Date: /) General Contractor or Owner - Builder I: \ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: / -- rl4 20/0 - 2D / , 1 9. a,4 Site Address: ,cz c-f , l ' . 172_23 SubdivisionlLot #: > / ?' 4, c7,,t e 4- 7/ 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: !Z ■ giVA,rf )9j PZ12 jr) s Date: 5)2.9 l Owner /General Contractor /Authorized Agent Print Name: • f z p y)5 /q '4 4/ 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 RE CEVF CEN ., � a � i #' b1r i r ... I NOV 10 201 . - . �. ov OF 02010 , tl � rce, _ � l ING IGAR � r , N 88 °43'02" W � ,. � r 16 " I c 15 PRI ATE S. vIm 8 ST.-M SEWER I O n 1C N Y�' ' ?)< x x G C)( 3 AN 88 °43'02" W ?\ Ics\ 118.35 T L I C I wl kil■ 7 - ,, — .3 I CO I t O ' ESMT. / X EL PATIO Air 1 ,99 ; ,� F e• 6 . �..... / \ GAR GE/ % 4 +t#! V N I . 15414A94iit __ .._ E..... )(I%) 1 � ' s: vrill,1 c / ,+' ./. ( 8 7 14 12 9k S 6.51' - , L _ _ ,` -_ — _ Jr.. I y N ..._ __._ I I a 8' -10" a" CONC. wQ4 20' - cn CO DRIVEWAY < o ilo CV -cr (3500 P,SI) ° c I CV < , ■ .1 .— _ _ _ S 88 °43'02" E — _ _ — — R 99.26 s SW PLANTATION TERRACE 11/01/2010 MRR S C ALE 1 2 0'- 0" IIAB ALAN LE MA FOR TH SCORD E ACCUR DESIGN A AC SS Y O O C IATES E TOP INO OG IS NDT CITY OF TIGARD 2262AC F THE b.... E■ INFORMATION. IT IS THE SOLE RESPONSIBILITY OF THE LOT 4 BUILDER TO VERIFY ALL SITE CONDITIONS. INCLUDING (� ANY FILL PLACED ON THE SITE AND NOTIFY THE 12275 JW. PLANTATION TERRACE OWNERS OF ANY POTENTIAL FIELD MODIFICATIONS. C O L L E C T ION ALAN UNICORN MINN ASSOCIA & N0. B Y ALDER HOME . 1335 NW Lm AVE. PORTLAND OR 97239 10,749 SQ. FT) 633/926 -9161 FAN 533/336 -3939 Alip. / / + ++992255Nl3om I .rte s MIT NO.: V I�r��� roved . , Al4N1NG DIVISION Ap p ro ved S ❑ No t Ap Required Setb, Street Side: Rear -�- •- Side: rage. Front. ( 7 Approved ❑ Not Appro = Visual Clearance: , Frei ht• feet ❑ ti�� Maximum Bttildi�.ti. g Yes '.otter R ,.tired: E� . ❑ � e �� •ed i Z itte • 13N: '� EP ARTMEN�r: coved ENGINEERING Y. 5 Approved [I Not ApP Actual Slope: . Approved CI ' of ' pproved Site P n: / t,t - : /(' O /O Notes: G ey U W _ .,J � . t • TIG ARD - SITE PLAN • 4 v w d o • i WI 0 NG PERMIT NO: Y 4 j ❑ NeK rproveed d Approved ❑ NoR Street T ( Approve protected Tr pate: 10 lb