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Permit ,� CITY OF TIGARD MASTER PERMIT II i COMMUNITY DEVELOPMENT Permit #: MST2010 -00209 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/14/2011 Parcel: 1 S 135CA09800 Jurisdiction: Tigard Site address: 11424 SW 96TH AVE Subdivision: SOLERA Lot: 7 Project: Solera, Lot 7 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories 3 Bedrooms: 4 First: 670 sf Basement: 0 sf Left: 5 Parking Spaces' 0 Height: 26 Bathrooms: 3 Second: 909 sf Garage: 209 sf Front: 20 Smoke Dwelling Units: 1 Third: 300 sf Right: 5 Detectors Yes Total: 1879 sf Value: $192,441.48 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain 1 Urinals 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines. 100 Catch Basins: 0 Bckflw Prevntr 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp. 0 W/ Svc or Fdr: 0 Ea add' 500 sf: 3 201 -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: NEW SF VB R -3 1879 Owner: Contractor: SOLERA LLC EVERETT CUSTOM HOMES INC Required Items and Reports (Conditions) 9200 SW NIMBUS AVE 735 SW 158TH #180 1 Ersn Cntrl 503 - 681 - 4444 BEAVERTON, OR 97008 BEAVERTON, OR 97006 PHONE: PHONE: 503- 348 -5602 FAX: 503- 726 -7106 Total Fees: $15,937.66 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 iss :nce, or if work is suspended for more the 180 days. ATTENTION. Oregon law requires you to follow the - - • : by the Oregon Utility Notificati•n Cent 'r. Those rules are set forth in OAR 952 - 001 -0010 throug • ' 952 - 001 -0090. j • • . - • • •iea • ••�, - - , questions to OUNC by callings32.1 •� • : r t • • , 2.2344. A A Issued By: — ��t_ Permittee Signature: III m t I l i Call 5�� 7:00 a.m. for the next available inspectio e. This permit card shal .e e. - conspicuous place on the job site until com ion of the project. ` 1 Approved plans are required on the job site at the time of each inspection. fLUEIVCLJ L3 Permit ApplicationjV 3 0 2010 Residential CITY OF TIGARD FOR OFFICE USE ONLY City g of Tigard BUILDING DIVISION Received DateB : // JO SS B Permit No: J/ e:90r' i , • ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 DateB : ►i� g1MOtherPermit: 60 k. 20/o -ex, /6 . - H A R Inspection Line: 503.639.4175 Date ReadyBy:' �)r Ai Supplemental See Page for I . f Internet: www.tigard- or.gov Notifi ( / Supplemental l Information link r/J .I TYPE OF WORK REQUIRED DATA: 1- AND 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. X 1- and 2- family dwelling ['Commercial/industrial Valuation: $ I � i ❑ Accessory building ❑ Multi- family Number of bedrooms: El Master builder 111 Other: Number of bathrooms: 2.. %Z JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: (( 4- S‘,...1 0-Coi * e New dwelling area: { g q uare feet City /State /ZIP: `T'(GI t Q . Garage /carport area: Z 06 square feet deZ) Suite/bldg. /apt. no.: Project name: •C::) l_.-� 7 . Covered porch area: '�e square feet 9 Cross street/directions to job site: Deck area: square feet /070 �e-- .B-EAI'2 Other structure area: 7r) ,00 square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: j Lot no.: 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. - Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: �v• "1 e4.S"1 'tomiki - 5 Type of construction: Address: 7,3 E ��- I,..1 i . b3.,1� Occupancy groups: City /State / ZIP: .,d�..(c.'V_- 1---1 C 7 2- .'` 6 Existing: Phone: (9 73Q -- CO2678 Fax: (503 `726, 7 03 {- New: «APPLICANT ❑ CONTACT PERSON NOTICE Business name: -- sA 'Yj1O �i " E J.-A All contractors and subcontractors are required to be Contact name: (-4 I k....--, licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: l% ( SI,(■ N/lL(,ic-cP_ `f ( 7 jurisdiction in which work is being performed. If the City /State / ZIP: ,1S„ -� i �'-"i� __ c) Ei applicant is exempt from licensing, the following reasons e-� apply: Phone: ( G . 4 Cj , I Fax: : (r C: j39 ,+ �J�6 E-mail: - t ` & --ivit r 0Cf •E3_ `) C .. �{vi - CONTRACTOR v Business name: !�LS'T D&4 C) 1\A.I . BUILDINGPERMIT FEES* Address: -7 s 5t,:i (S e .,CS,-r,/g (Please refer to fee schedule City /State /ZIP: e7,,A5j 6 v - 012_ -7(::00 Structural plan review fee (or deposit): Phone: ( r...JZ2 7E p - 6j2(�g • I Fax: ( ) FLS plan review fee (if applicable): CCB lic.: Total fees due upon application: c. �� �j� Amount received: 75D " Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ne V I 2 6.4-400 Date: u.( fo /2...C710 . * 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) Building Permit Application Checklist One- and Two - Family Dwelling FOR OF USE ONLY City of Tigard Received Permit No.: Date /By: u 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: ' C Phone: 503.639.4171 Fax: 503.598.1960 TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ID Plumbing El 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. ❑ _ El ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan El 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 Oregon and shall be shown to be a to the •ro'ect 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(11/02/COM/WEB) Electrical Permit Applicatio E IV D 1 I >Uit Orr►r ► t;s1-: ()Nix Rooeived City of Tigard NOV 3 0 2010 . 30 /0 PamitNo.:. - r TPDio 20 13125 SW Hell Blvd., Tigard, OR 97223 Plan Review Ph one: 503.718.2439 Fax: 503.598 / OF D�/B : other Permit:643�, (20/0- ea /6 t . i t : lc 1 > Inspection Line: so3.639.4175 BU(L D i�G D No i f Ready/ Supplemental Information �' Internet: www.tigo rd - orgov � y� it k, �}. � }' 1u. ''f, '''''.."11:47:.4'... yt�` b . '' grata i*� .. ` 1 ( ' y: n1'1:V � "�li{,i . ,l�l .`S r y�Jy� 'r R ;,�'p. rl• ��' � ��1 }Ej r � � } E �. sS x �(. � I � •1. :.' Y.Htda, I,.0 <i 1 :' '�J.n( 11D a ill . K' ?�Yl.t �'+<d �. -S��L .�,'�.:�S..f:•IUNI"�h�, ��1; New construction ❑ Addition/alteration/replacement , . Please cheek all that apply (submit b seta of plans w/ftems checked below): ❑ Service or feeder 400 amps or mom 13 Building over throe money. El Demolition • 0 Ot her: where the available fault current ❑ Marinas and boatyards. r •f ' ; '.} * i "!i .'i; •w.Ve' 'p ,fit F s , �' . . " +' •rrq t '� ; antecede 10,000 amps at ISO volts or ❑ Floating buildings. 4 , , �: e . .... ' ' , n t . : . " te c fn• 1 e e . �� . e . �.b`�? . ~•.�yi .. t' . � < ~ -'�.� w ins • . lea to ground, or exceeds 14,000 ❑ l7ommasoiel - uao agricultural - and 2- family dwelling ❑ Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑ Multi -famil ❑ Master builder ❑ Other: 13 Pirepump. 0 rnsteUationof75KVAor ?. :, :{ - :�uj "Y ' ,' [ . it. ;r? t::., <: ❑Emergency larger separately derived system. ;� ' , . .:.. .r ':� i„'� P�if, li,?a• �� , to 5..( . .: • - .4'4 :..;.• ; 13 Addition of now motor toad of ❑ «A••, ,, B , •, "1-2", "1-3 ", Job no.: y Job site address: 11 1.4..' lfOIIPermoro. occupancy. p � ❑ 8hc or moro ro s i denttal units. ❑ Reomational vehicle parka. City/State/Z1P' ` a © g ❑ h -tam facilities. ❑ Supply voltage for more than ❑ Hazardous locatiana. 600 volts nominal. Suite/bldg./apt, no.: I Project name: 13 Service or feeder 600 amps or more. i Si R ��'= '/'1.. t,<5 - : ' tcih'. f. _ t • ., :e ;,, .• r . }' " i1 „h Cross street/directions to job site: ' 1 1 Baertene . 01v. Pm TWA • New residential single or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 7 1.0 00 sq. ft. or less 168.54 , 66, 4 Ea. add'I 500 so, n or portion 3 33.92 Kg . 71a I Tax map/parcel no.: Limited energy, residential ' *∎ ,i` 7 • : ' 1•3 1 '.2,t "V "1. • ..t71 l !FHra .. a,i, yS.+P.I ;� (with share aq .IL) ) 75.00 .�C' 2 "• r ' o: �i, ` . : w1J:? Limited energy, multidbmily 75.00 2 Na - T i/ •- --' ,/-- 12._ . residential (with above sq. ft.) Services or feeders Installation and/or relocation 200 amps or less 100.70 2 -i'', r ' ;; 4 ; �!�4 ' al 4+:r f:a ,; ! ' • ∎, f� •,f?tY r r r, l ka f 201 amps to 400 amps 13156 2 401 amps to 600 amps • 200.34 • 2 Name: 6`1 2. - x5rr C C (.s :,M 4dOtkIle . 601 amps to 1,000 amps 301.04 2 Address: 7.3s tA l .s E3 sal - Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State/ ZIP: i .1 ��CDVA CI:i‘a . - 71 relocation Phone: () `7se7 - 672k,Esi Fax: ( ) 200 amps or less 59.36 1 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 atlhps 168.54 2 Branch circuits - new; alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with .z��•,7� ';{, r ,a�(+j++;�m abov staco rvl fe eder fee, 'Sr�a MEN .. ' % ,mi l . llx (;,�"�,! IT •t s . y a im each br ews circuit or 7.42 2 Business name: IYVl 1P- -'tC7 (��C( {tV B. Feo for branch circuits wl/hmrt service or feeder fee, tits[ 56.18 2 Contact name: ! IL te7,3p....i => b,anehcircuit Bach add'I branch circuit 7.42 2 Address: (OI O7 Sv-1 0.A., ,t(2f2 J 1 47 Miscellaneous (service or feeder not included) City/State/ZIP: V ( tC'v 1 C2.. 8-' C'c • d lit and/or feeder r . 67.84 2 Phone: ( D3) 5I 5 E I Fax: : (503 639 .�>' S92, . Reconnect only 67.84 2 Pump or irrigation circle• • 67.84 2 &mail: sv� Sign or outline lighting 67.84 2 1 � 3` l�.�tA"'`' VEB V I t', i ;1 !I:vti :e_��4,s :ti rFtW.,.e7VNEM i " {t 'd frilk'gf si cirmtu(s) or limited- energy Business name: Lock f� T - 1 . A v penal, alteration, ea extension Page 2 2 - Each additional Inspection over allowable In any of the abov Address: � (n t' • F4 1 -41f\ [\v 6 Additional inspection (1 hr min) 6625/ hr -y l I L Investigation (1 hr brain) 66.75/ hr City/SlateJZiP: t� t„] C.TLPC1 b -1. -113 W Industrial plant (1 hr min) 78.18/ hr one -LID Q - 522 I Fax: ( 1 1p 2 - t5S Z3 Inspections for which no fee is 90.00/ hr • s • : call listed hr min _ - CCB Lic.: l 1,0031,0% J Electrical Lic.: 3 9J Suprv. Lie.: - 3j iii;�� ��''°. s ic."d 5 !�i�IEND:l t�l iRDITSII!L1i PIN_ `� 'sr_i?r� ,..s Subtotal: ' . • Suprv. Electrician signature, required: �det.o..:, il� Plan review (25% of pemdt fee): Print name: 1 p r,-)\7 lots 1 ..4.. 6, � I Date: State surcharge (12% of permit fee): vc: 4 Authorized signature: TOTAL PERMIT FEB: 3 , 74_. Tbb permit application expires Ifs permit is not obtained within ISO days after it has been accepted as complete. Print name~ I Date: • Number of inspections allowed per permit. 1:03u0dIngWeraitAELGAmoitApp.doc 07/01/10 4404615r(1U OSICOMIWBB Plumbing Permit AppltrictivED Building Fixtures C FOR OFFICI USE ONLY , City of Tigard NO V 0 24 y l4 Received permit No.: �r - • 13125 SW Hall Blvd., Tigard, 9 Dalai) D. tr/ LT • • / �� Fl ,1 fe) - ot7,._r Phone: 503.639.4171 Fax: Q3 9 4 PIm, Revie ao/ - Y a 7U1 { br TI Other Permit No Dstell3y: • ,3 Inspection Line: 503.639.41 Da Read lB Jody ® Pa o 2 [or rIcin 1LQ DIVISION Ready /By: s Internet: www.tlgard - oLgO V Data Read /By: Fa See Page Information 2 f o _ t i;;. TYP]g sWURK - ;,'t: °. < i `: ' ' : v : 't0E , $eFJ ,15 t)LF.: F or special l ormuall a checklist. uuse s New construction El Demolition Description Ea. f Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) c , ` SF R (I) bath 312.70 � and 2-family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath I 500.32 l . `73 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 O Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 1:'. tc: „: ,?j9)",g-04r,;JO 91, k�``QI.:ANbi't CA" .LUNr::;`:;';' ..+:, Site utilities: lob site address: (( 4. 2...4_ kl...1 .--\, Catch basin or area drain 18.76 City / State/ZIP: - 1 - 1 e [] Q 7 2 t)rywell, leach line, or trench drain 1836 Footing drain (no. linear ft,: ) Page 2 Suite/bldg./apt. no.: I Project name: 5� L,_ 2... '7 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 tc=,'���, Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: - - 7 I Lot no.: - 7 . Fixture or item: ___ Tax map /parcel no.: Backflow preventer 31.27 :nt • ^ - r Backwater valve 12.51 s.r;' �t;� 1'R`('IQ b1'�' ° :;yiy �'1�: °;Yi;�t;i:( ";. . Clothes washer 25.02 Nvl S - 'F-' Dishwasher 25.02 • Drinking fountain 25.02 Ejectors /sump 25.02 r,iY: }.;,.�< t; i Ex FROi'!0[2'1';4'�'�VI* (';'0 '4 'iir.; {' ir:'; TEN.4N:p;,. Expansion tank 12.51 P Name \- '�2't "( ( : ` C-- l.t - 1 - C ./l ...1.-N t _S. ' Fixture /sewer cap 25.02 Floor drain/floor sink /hub 25.02 Address: '7• S ' ( 8 •/SAp Garbage disposal 25.02 City /State/ZIP: l> ,�V ` per.. 9-7c70& Hose bib 25.02 Phone: 0)3 7S 0 (208, Fax: (5'i7 tom, 3 .,9 9 2 _ Ice maker 12.51 <a.;ir, :.: ,; i t;f. i , .. .t ,.y4y{•t' "r' 3YiYj i •yAl ip1 ; ?, + t�f{y t { �'a"[:� 6� ��]��` pf , ,`C phi �{ ' Interceptor/grease trap :t ,,ti t.!:ji .r. � t I t..,t'V 1 IY { .tstOl� :li;• k•.p.,, 1.,.*:T`,...',:`F, ie of... ,,. -'. .. :`5i. P O F 2 50 2 • - ^- Business name: 0 1 , t1 Medical gas (value: $ _) Page 2 ^�•� k� Primer 12.51 Contact name: 1`.--.) �tk�- , Roof drain (commercial) 12.51 Address: 6 0 '7 Sv' tkA-,- Ve-- -42- , 14.77 Sink/basin/lavato • 25.02 • City /State/ZIP: •,�i 1. o._ a-7008 8 Solar units (potable water) 62.54 Phone: (5Q3) �„a• 5 5 l� 528 I Fax:: (S,03 ,oss. , 592_ Tub/shower /shower pan 12.51 E -mail: t e ) 1 C e - l' . i Or;l. S1 4,v-1 - Lp✓t/1 Urinal 25.02 ;;4 S,,, : c •,;At iN' {t'._ 6`,�h; `-;,6}?.�(". r: 6�. r .�6 / , d'HY;:C1 Y; nf,%n { ( j!". ,:ij:i i . :P ` ,:y:il wale' closet 25.02 :::.;::•:..,,,;:.. " ::r'; r � i to ' .,. a. .. . , , `a; ,...1 .::. :; is + ' ' Water het a er 37.52 ai Business name: � ! f1�( ry(A a Water piping/DWV 56.29 Address: 1C 7.5 , // S '/� ✓ , ' ,J, �./ 4, / t' y Other: `- J 25.02 City/State /ZIP: / / /oaf /fe_ /OR_ 97'6v _ 6 Subtotal �7 Phone: (so? 7 -- /T ,Pr Fax: (,$ )167 -fQ/ Minimum permit fee: $72.50 CCB Lic.: /72.2,2_9 ■ ' Plumbing L'.. no.: 74 ` Plan n review (25% of permit fee) State surcharge (12% of permit fee) . )L Authorized signature: 0 TOTAL, PERMIT FEE rj [ n Print name: N) teiStl '1Q�tJ,e:,,..4`S (>p Date: 1 - t/ ') (t O This permit application expires if a permit is not obtained within IRO days II after it has beef accepted as complete. 'Fee methodology set by Tri- County Building Industry Service Boat d. r:\ BuildinglPcnnits \PLMU- PermitApp.doc 10/01/09 440.4616T(IO/0 /COM/VEa) Mechanical Permit Applicai ` ., FOR OFFICE USE 'ONLY City of Tigard Date/By: 3U /Q - Permit No.: - • �c, II ° 13125 SW Hall Blvd., Tigard, OR 97223 mi 3 0 2010 W51 o to de li Phone: 503.639.4171 Fax: 503.598.19W 1 Plan Review Date /By: Other Permit: �J O /6 TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for �I� Internet: www.tigard-or.gov OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ANew 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. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT /'SYSTEMS FEES* A6 and 2 family dwelling ❑ 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 t t 4-'2,44- S l,;�t ,9-0 --.- .6 Air conditioning Job site address: (requires site plan showing placement) 46.75 A � City /State /ZIP: •T'( � - CD-p - � ��223 Furnace 100,000 BTU (ducts /vents) 1 46.75 4.76 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: t.�.,_ ..'7 Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Z� , " -te-EA Reside is hot water system 23.32 C Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Flue /vent for any of above 23.32 •1��t� - � -7 Lot no.: - 7 • Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater I, 23.32 2.--;32.--' Gas fireplace r 33.39 13,''f( t - S - i= . . Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: ' GA_As,`TGIAA HTZ)t -' Environmental exhaust and ventilation Range hood/other kitchen Address: St I rte' ,IR ks„'../ equipment I 33.39 3 City /State /ZIP: ta:. ��R©i---i t1t? c'7 C o & Clothes dryer exhaust I 33.39 33. Single -duct exhaust (bathrooms, Phone: ( 7S-(:)- 672& g Fax: ( ) toilet compartments, utility rooms) 4- 23.32 9 XAPPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: �� 0 __D I ri C &_.0,C Fuel piping Contact name: (`I (t i".:00 $14.15 for first four; $4.03 for each additional Address: (p 107 St� M,a�j,i( ' (4:= Furnace, etc. i 4. Gas heat pump City /State /ZIP: i�,b.,_■.i ��` D -1 CD Q-____ 1- 7O Q 8 Wall /suspended/unit heater Phone: (501 .fit S 5s22 Fax: : (5e.,:: C 45- S9� Water heater � MeX I Q S Range E -mail: i� �i i � � • (:)." Range e CONTRACTOR Barbecue � p � e , C / (j / 0 � c Clothes dryer (gas) Business name: F - C Other: Address: P6 Q 311 (0 MECHANICAL PERMIT FEES* C 2 c, City /State /ZIP: j l.t 6 9 7G 30 Subtotal ZIT, (o7 Phone: ( 12 (.6/ - 1 [ f if Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 1 1 �f ya. , State surcharge (12% of permit fee) 3 t. . r TOTAL PERMIT FEE ?IC) � Authorized signature: /(1 '" This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 0 1. L.-- G1(y.R`S ALL-14v..O Date: 1(/Soi t (:, * Fee methodology set by Tri- County Building Industry Service Board C\Building\Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (I 1/02 /COM/WEB) Mechanical Permit Application - City of Tigard Paget - Supplemental Information Commercial & Multi - Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\ Bui lding \Permits\MEC - PermitApp.doc 10/01/09 2 NO 0 a .:;. alk m ,g F ,, \ Nz t ` > m o n _B .., i o y_ ` 1 j O , , , ,im 0 10' m r� I r j ��. �,�� ''t3 _ _ .1. r. Waft, . n. a " ":SCAL` �1.O:r TA I X 1 I . 1 :- ... .M , A - } Kn . . '... . -.. ��., -. ,. w vfA` 1 ' i : `RL i �iYf r • a �Q i l I LOT 8 , I � V f :,.pi T IECf w X 1 i X I V' . .. I , I , .r. J:. ;if {A. .••(• �..,i .,` ..0 :1. 1:• r. 1' :',! , ' Y I i. ' p • t. it k 27, � 1 � NOV 3 0 2010 X ira . - ' I ,t,_ ,,,,...;• . " • 222 . , :,.'# {._ CITY OF 1GARD I — ° "', . :`i • f UILDING DIVISION • X x ~ 21a.o — — — — — — — — # — — LW 8 PUE —1 123.79 . 218.. . , • . , } I x Z ® -T I 218.3' S O 0 � x ° a a 15 1. 5, ° LOT I :ir ea' 'Y:::s )r >= ce X l ' y: � t ��St•a: �''r, s;' W..�' ., , 1 S '' ��' _� k' k .�•: r t> 'r >- I ® \ a 3,145 SF c . s, �, ; t n .1!i:. 1 a �? t - cn Z C J SOLERA 7 AMERICAN { j : . : � 'n I W ° O NCRE TL C DRI VEWl� r.. __... _ �.. _.. :_ . _ ,...._.... _ _...�� �. O ') x PROPOS C y 1879 SF � ° I °A� "� ""'' j'S '� w \ 3 BDRM - , , a` y r�• z V EXISTING x — - — _ \ \ s 1� 2FF -220A4 I I � O ' � XIS o I EXI SITI G SA NITARY LATERAL ' \ - 42.94 10.00' o �� WATER METER 23 . 7 5 \ _ .. , $. >.. a ..:. J = x i ip� a cP . .Y : � x s �, \ 218.4' 5' , st u � . F I I a a' \ — — — — 128.65, 218.8' a Q IA i I 1:— 7 I I LOT s 222.4' a EXISTING LIGHT 4 1— — — — — • — — _ — �� -- .: :._:; - — — -- — — —, v ....*-----..---t-- �+ .� < - - ' �. �, # 't I - .,. z :� i J ----; j V d O e T� O. g .el ix. iF; i I rs.% . ;, ' a .F NOTES :t,;tif ,.� ,J`, .4 ZONE: R -12 ALL GRADE AND PROPERTY LINES ARE ESTIMATES _ X71 BLDG COVERAGE: 34.6% OF CURRENT LOCATIONS. . ,a' ' ;1 ', IMPERVIOUS AREA 1,087 SF _, ., :l °:� � ; 8 ALL DIMENSIONS AND SQUARE FOOTAGE ARE SETBACKS APPROXIMATE FIGURES. % max: a: M.. ° en c Q' g c E d ' N Y FRONT 15 1 . GARAGE 20' DRIVEWAY MAY DIFFER DUE TO LOCATION OF STREET SIDE 10' UTILITY BOXES, STREET LIGHTS AND OTHER SITE 1 �j E TT SIDE 5' CONDITIONS �/ c N REAR 15' CUSTOM HOMES ,... e z LU i n CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: ) PLANNING DIVISION: Required Setbacks: ta Approved ❑ Not Approved Side_ ,z _ Street Side: Front. I' Garage: Rear: 3 Visual Clearance: 6 Approved II Not Approved Maximum Building Height• . feet CWS Servi ,a Provider Letter Required: 0 Yes 13 No I Q Reee'ved i B�: X.L =� Date: / 3 6 ENGINEERING DEPARTMENT: Actual S ope: _ % ri§ Approved ❑ Not •pproved l Site PI Approved Q plot p ed I D.Y. Date:. ! lO Notes; l oya „4At' p /Q,. - it , - CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: Street Trees: �E Approved .0 Not Approved Protected T CJ Approved 0. Not Approved .g 7 - 7.,,,;11..1 Prw Date: / <)� !'th;> i o Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, JJC 6.SG'i G`2 , am the general contractor or the owner - builder at the following address: Site Address: u ji i 30 90, Ave City: 115 Permit #: ti6T- 1 D ^ 2Dcl Subdivision/Lot #: L��c` 1„ 4. 7 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: b `08/0 General Contractor or Owner - Builder I:\Buil ding \Fonn\RES - MoistureSensitiveWood.doc 09/25/08 HSOME .itied, Inc. Monitorin ieport Customer: Everette Custom Homes Street Address: 11424 SW 96th Ave Tigard MC Goal: 18% Start Date: 3/21/2011 Sales Order #: 13056 Subdivision: Lot/Unit #: 7 City: Tigard, OR Completion date: 3/28/2011 PO #: Cross streets: Site Supervisor: Joe PH #: 503 -621 -2199 Cert: Expected Date: Price $: $500 Date Moisture Content Readings 3/28/11 0:00 14% 12% 16% 17% 19% 13% 13% 12% 15% 13% 12% 19% 16% 15% 18% 16% 17% 13% 17% 15% 14% 15% 14% 13% 13% 13% 14% 13% 14% 9% 17% 15% 17% 17% 17% 13% 18% 14% 17% 14% 16% 17% 15% 14% 13% 15% 13% 17% 16% 13% 17% 14% 14% 18% 14% 16% 15% 16% 16% 14% 16% 13% 13% 17% 15% 12% Crawl Space Livin space E ui : 1588 1105 Pulled ?x.1588 -; 1105 .. Equipment 1340 D144 1340 D144 CCawl,Equipment . .1423 ,1 C,. Pre - insulation moisture testing (Frame drying): X Notes: - .`'3/28/11 Still in Crawl Crawl testing/drying: X Floor testing /drying: Water Damage: Sheetrock drying: Stud scrubbing: Certificate of Moisture Content: Other: • Electric heat: • Visitation: 3/26/11 Contractor signature: ( Y` t" Date: 3/28/2011 Customer signature: ' Date: 3/28/2011 Curt Kaupe See terms & conditions on back Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: pk61- c \ O _w 2Da Jurisdiction: — 1:13oJ - Ct Site Address: lt,��,,{ S� 90" - Subdivision/Lot #: /_ 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: 14— Date: /O/io11 Owner /General Contractor /Authorized Agent Print Name: Lee.- { ' 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 fmal 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- HighEfciencyLighting.doc 07/01/08 s • • STREET TREE CER TIFICA TION I, Lee - 214 /"^e 11 ; . ,owner /a agent f or tv hoes (PLEASE PRINT) (PERMIT HOLDER) do hereb' certify that the following4Wion meets City of Tigardland '!.use and ;development standards for sheet tree' installation and;, is consistent with the approved site plan. PERMIT NO.: {SST Z-O 1 -_OD ZOc1 SITE ADDRESS: /192-9 50 96 Ave - S UBDI VISION: Jo l ep LOT #: SIGNATURE: DATE: 6 /C /zb ► t (OWNER /AGENT) RE CEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificatc 07 /01/2010