Loading...
Permit CITY OF TIGARD MASTER PERMIT al COMMUNITY DEVELOPMENT Permit #: MST2011 -00017 TIGAR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/04/2011 Parcel: 2S108AB05100 Jurisdiction: TIGARD Site address: 14087 SW 155TH TER Subdivision: BRENTWOOD ESTATES Lot: 13 Project: Brentwood Estates Project Description: New SF with accessory dwelling unit (ADU). BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 4147 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 5 Second: 1008 sf Garage: 788 sf Front: 20 Smoke Dwelling Units. 2 Third: 0 sf Right: 5 Detectors: Yes Total: 5155 sf Value: $544,878.05 Rear: 15 PLUMBING Sinks: 3 Water Closets: 5 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs /Showers: 5 Garbage Disp: 2 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 2 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: 2 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 1 Gas Outlets: 8 Fum > =100K: 1 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: 10 201 -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 5155 Owner: Contractor: STEEL CREEK HOMES LLC STEEL CREEK HOMES LLC Required Items and Reports (Conditions) 7327 SW BARNES RD #507 7327 SW BARNES RD #507 1 Ersn Cntrl 503 681 - 4444 PORTLAND, OR 97225 PORTLAND, OR 97225 PHONE: 503 -519 -6078 PHONE: 503 -519 -6078 FAX: 503 - 987 -1448 Total Fees: $23,754.98 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C- er. Those rules are set fort ' OAR 952- 001 -0010 through OA:_ • 2- 001 -0090. You may obtain a co. of .. - . - - er-djrect questions to OUNC by calling 503 . i987 or 1.800.33 - - 4. Issued By: „ . i Perm Signature: �� Call .k +•y 7:00 a.m. for the next available inspecti • n 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. r Banding Permit Application Residential A R D �� F OFFICE USE ONL1 City of Tigard C� ?EA Permit No.: y , , i 7 13125 SW Hall Blvd., Tigard, OR '?C' 5� p� Revie ( a DPI Phone: 503.639.4171 Fax: 503.598.1960 N. Other Permit: C' (O /� L Da teBy: ti's � •, 2 1 t l JIiUQ. �l/ " Inspection Line: 503.639.4175 �P C►' Date ReaReady/By: raris: Ea See Page 2 for 11 4, G No tified/Method: d / Internet: www.tigard or.gov �'� � ^ � / Sri Supplemental Information 11 O IA jdke w I TYPE OF VW. ; REWORD I- AND 2- FAMILY WELLINhr": + XNew construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 5f40 O6 , V ❑ Accessory building ❑ Multi - family Number of bedrooms: ) ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION 2.. N AND LOCATION Total number of floors: . Job site address: r (/0 $7 6(,t) 15 � gg New dwelling are... S 1.55 square feet City/State /ZIP: *-- es,tr' ` aR Garage /carport area: ' 4.E513 square feet Suite/bldg. /apt. no.: I Project name: Covered porch area: ,square feet I oa8 Cross street/directions to job site: Deck area: }' square feet 41 47 G� V t1 ��� 'rt. rjrjT� [�� Other structure area: J `1 "t 3 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: t- . �l '6a-04-& I Lot no.: I, - 5 Permit fees* are based on the value of the work performed. Tax map /parcel no.: W 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. /� �, c ��, 1' t Cam , ; C) Valuation: S J Y l � `�' W Existing building area: square feet New building area: square feet W .4 1 ROPERTY OWNER I ❑ TENANT Number of stories: Name: &- }^.{�C G ti 0 e, (�► L. i.c.. Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) I Fax: ( ) New: %APPLICANT CONTACT PERSON NOTICE Business name: s`--G�� C r �,� buff,, L L C. All contractors and subcontractors are required to be Contact name: LTV d a, licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: �... 2 - �„` I t jurisdiction in which work is being performed. If the City/State/ZIP: a � 1 c � - , applicant is exempt from licensing, the following reasons CCC��� C� [ 0 I 11t apply: Phone: (5 t Q - �CJ'9 Fax: : (I 3) C3:4' - 'i T E -mail: Sokvl � I e-a• e CONTRACTOR Business name: (- A 1 dJ s L c___ BUILDING PERMIT FEES* Address: (Please refer tofeesclheditle) Structural plan review fee (or deposit): City/State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: r' 4 r Total fees due upon application: 1 � Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: a•�y_ 1 g V I". AA Date: (I Z_ ) * Fee methodology set by Tri -County Building Industry Service Board. I :\Building\Permits\BUP -RES PennitApp.doc 10 /01/09 440- 4613T(11/02 /COM/WEB) Building Permit Applicatio._ .;hecklist One- and Two - Family Dwelling FOR OFFICE USE ONLY City of Tigard Received DateBy: : w 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Permit No. Phone: 503.639.4171 Fax: 503.598.1960 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 li No N/A I 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 -fl. 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 applicable to the .ro'ect under review. f ,►l RISDICIIONAL SPECIFIC 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 /021COM/WEB) r. t FAXED Electrical rical Permit Application (t, R ()I i ! ( 1. (� ().1 ,, j City of Tigard I 4IQ . JNIQ'II119 Ree g * 9'28 LW) Date/By: Pea mitNo.:/t/S7 -�O//- OOO / N • 13125 SW Hall Blvd., Tigard, OR 97 plan Review ■ Phone: 503.7182439 Fax: 503.598.19CQ Li 0 7 7 N Date/By: Other Penai5 & ./ / ,�� gDD /y T 1 G r\ , t? Inspection Line: 503.639.4175 �s FF ( Date Ready/By: Juice: I 0 See Page 2 for Internet: www.tigard- or.gov Notifred/Method: Supplemental Information ,. s, j� t- .� a b#;�'` -ea° ,� r y X> # s .� -ss.. w re. :Z3,,,:,,,-,..,-, », Tl'PE OF Wkii4 fo =.li3' - : `� ,. , i.�' ,,„i-ik 'Z:s .., ' r �' a � 1 New construction ❑ Addition/alteration/replacement Please all that apply (submit a sets o plus w/items checked below): ❑ Service or feeder 400 amps or more 0 Building over three stones. ❑ Demolition 0 Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCT ION , , exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1- and 2- family dwelling C❑ Commercial/industrial ❑ Accessory building amps for all other instatlat;ons bu ldings. I gt Multi - family 0 Master builder 0 Other: Fire pump. O Installation of 75 KVA or ❑ Emergency system. larger separately derived system. J OIE SITE INFORMATION AND LOCATION ❑ Addition of sew motor load of Job no.: II ' 'p A �, \ i Cr i - h O mom. ' Job site address: I 1 "5�� - 1 �JY `i \ J ��� l Jl a ❑ Siix OHP °r or r no r e residential units occupancy. . ❑ Recreational vehicle parks. City /State/ZIP: ` -1 1*. r 1 '224 a Hazardous lt Health-care 0 Supply vol voltage for more than Suite/bldg./apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee I Total I _ New residential sin or multi -family dwelling unit 1 -1 t : Includes attached gara Subdivision: I` �,th. . tom t ' , Lot no.: 1 1.000 sq. ft, or less 168.54 4 Ea. add'I 500 sq. ft, or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTIO 1 Q1? 'aliT RK y (with above sq. ft.) t Limited energy, multi-family 75.00 3 ,.I C./94'1'0C? s ( residential (with above sq. ft.) - Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ` PROPERTY OWNER I' ❑ TENANT 201 amps to 400 amps 13156 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City /State/ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. - Owner signature: Date: A. Branch ee circuits - h circuits new, is with ion, or extension, per panel above service or feeder fee. APP ICA I ( CO N' AG PERSON each branch cretut 7.42 2 Business name: .:.� �4 T- r t L L B. service or e ech fee, without , first Contact name: � • 1 th branch circuit 56.18 2 _ 1 Each add'I branch circuit 7.42 2 Address: x.37"3, e i �- ,,,; Miscellaneous (service or feeder not included) CitylState /ZIP: ( Each manufactured or modular { ' 1� dwelling, service and/or feeder 67.84 2 Phone: ( 5 0 3 ) ` f ....c I Fax :: (56 4"'- /"'3" •, Reconnect only 67.84 2 °�� f #,.� r Pump or irri tion circle 67.84 2 E tj,++1�t tv - - . C)% -r! V \ tP P ea "! S ign or outline lighting 67.84 2 CO _ '' ,# Signal circuit(s) or limited- energy - Business name: it . e �, °y panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: t' P' . ® - 35; 1 Ci , Additional inspection (i hr min) 66.25 / hr City/State/ZIP: (� p Investigation (1 hr min) 66.25/ hr 0. i " Industrial plant (1 hr min) �� 78.18/ hr Phone: (9t) S Fax: (503) / ® It Inspections for which no fee is 90.00 / hr specificall listed ('S hr min) CCB Lic.: ri I Electrical Lie,: 214 -1 \ �1 rv. Lic.: L I -5% 1 S EI:Ec'tRICAI: "PE,R1YIIr; FEES , : . Suprv. Electrician signature, required: �[ ` �V/ Subtotal: Plan review (25% of permit fee): _ Print name\ � Date: 1 - 2_4 1 1 State surcharge (12% of permit fee): ` 1 � 1 TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name Date: * days after it has been accepted as complete. Number of inspections allowed per permit. 1. nuildinglPermitslELC- PermitApp.doe 07/ 01/10 440.4615T(11/05ICOM/WEB ech • n'c • I Permit A s I licati' Received F 1 OFFICE USE ONLI City of Tigard Date/By: Permit No.: /` 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • Phone: 503.639.4171 Fax: 503.598.19;i V V Other Permit: 413 Q Date Ready/By: ) Date/By: I I t , ,\ i, i , Inspection Line: 503.639 `� ardor, ov G� o Juris: Supplemental See Page l for Internet: www.ti g g � i � V � Notified/Method: Supplemental Infornradon O TYPE OF WORK COMMERCIAL FEE* SG'IiEDUII.E LrSE•CNECw.L4 � 'r Igf New construction El Addition/alteration/rep ent 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. CATEGO RY OF CONSTRUC ITON Value: $ 1- and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total ' . ; JOB. SITE INFORMATION AND LOCATION Heating/cooling Air conditioning Job site address: I 1 10T7 s 1 1` 5 T �. (requires site plan showing placement) ' 46.75 4( City/State /ZIP:', i . ( 7- 15.-5-' ✓ � Furnace 100,000 BTU (ducts /vents) 46.75 I Furnace 100,000+ BTU (ducts /vents) ' 54.91 ,t •1' i Suite/bldg. /apt. no.: I Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 G `` 1' ,, ( 1,(,, G� Hydromc hot water system 23.32 w �� L M Y V � • �® ✓ ��P� ~i Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: ' Q -e -- Lot no `� Other: elvent for any of above 23.32 ��d 1 Other: 23.32 _ Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 23.2 n�f Gas fireplace 2 33.39 ip(,�, e- VOV‘ � t2 ► ®V■.• Flue vent for water heater or gas _ fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert i 23.32 2-3 :ry Chimney/liner /flue /vent 23.32 XPROPERTV OWNER I ❑ TENANT Other: 23.32 Name: Environmental exhaust and ventilation Range hood/other kitchen Address: equipment 33.39 . City /State /ZIP: Clothes dryer exhaust I 33.39 2 j3.W Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 7 23.32 1-- • YAPPLICANT CONTACT PERSON Attic /crawlspace fans 23.32 Business name: S-k'e�C -_ a f L -'� Other. 23.32 1 irenv..... 1 c7v"cf Fuel piping Contact name: V ` �1. $14.15 for first four; $4.03 for each additional Address: �.- 2 s Q ax- �� -�tT� 5 _ Furnace, etc. 1 (4. e Gas heat pump is r 12., City/State /ZIP: 0 t--Vt, B. OR q'9 Wall /suspended/unit heater Phone: (5O;) S' t - A , r = Fax: : 503) C1 • -) = Water heater WAN 1:2•01. Fireplace 7 j E -mail V l .., 0 C - CAFte,K .,G • h ej Range . ' • CONTRACTOIIr ... . ' Barbecue i Business name: - 0,6 VAC Clothes dryer (gam �/ A Oth Address: P y ! ' I r 1: 0.1! r"' ei A MESCAL PFrlt11'11T, 1,S* City/State/ZIP: p - �� (1.. 3...z id Subtotal , - 4., Phone: 503) 2:54,933 l Fax: (503) 03 - ! 2 5 Minimum permit fee ($90.00) Pl an review (25% of permit fee) CCB lic.: / Lfil/ State surcharge (12% of permit fee) 6. 41,0'S - j' I 1 53 1 Authorized signature: T his permit application expires if a permit is not obtained within 180 _ j ice* days after it has been accepted as complete. Print name: lb, ...\y l j. pl, Date: r / 2 / i * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440-4617T(11 /02/COM/WEB) Mechanical Permit Applicat, . - City of Tigard Page 2 - 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:\ Building \Permits \MEC- PermitApp.doc 10/01/09 2 Plum ink Permit Applicatir Building Fixtures OFFICE USE ONLY City of Tigard Received Permit No.: II III 13 125 SW Hall Blvd., Tigard, OR 97223 C/ Date/By' / /1 aC�l 7 Plan Review Phone: 503.639.4171 Fax: 503.598.1 1 `a r ; Other Permit No.: I Line: 503.639.4175 Q� G to Read /B Jur s: 61 S ee Page 2 for I nru r rd # n Internet: www.tigard- or.gov , �'� � Supplemental Nott fi ed/Method: Su IementalIntormaho . '? TYPE OF WORK cc, tly FEE SCHEDULE New construction ❑ Demolitior�` For special information use checklist vvvv Description I Qty. I Ea. I Total Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 'i 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 El Accessory building - SFR (3) bath ( 500.32 3 7 ry g ❑ Multi - family 1 Each additional bath/kitchen '3 25.02 76,06, ❑ Master builder ❑ Other: Fire sprinkler ( sq. It) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: / Catch basin or area drain 18.76 � � �� ! �' Drywell, leach line, or trench drain 18.76 City/State/ZIP s S► b i Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 tip --f„vLk „,,,_ . 4, 1 � r ) t G 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: ko Lot no.: ' Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK A Backwater valve 12.51 N vV C C7 'S4 1"V Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City /State /ZIP: Hose bib 25.02 Phone: ( Fax: ( ) Ice maker 12.51 APPLIC r CONTACT PERSON Interceptor /grease trap 25.02 Business name: �� qd , L.L,� Medical gas (value: $ ) Page 2 Contact name: � It Primer 12.51 V� 1 Roof drain (commercial) 12.51 Address: �.. 2 C, gO 1,d. 9c> Sink/basin/lavatory 25.02 - City /State /ZIP : A ( 1- ' .. t) Solar units (potable water) 62.54 Phone: (9 i lam- r Fax: : (5c � -14 Tub /shower /shower pan 12.51 E -mail: ,,, G, vt P�(D. N.e Urinal 25.02 �� Water closet 25.02 56.29 CONTRACTOR c ,, Water heater 37.52 Business name: (7* g 14 0 $ 7 , 1-17.,i6. Water 1 m W V v loe PP € Address: 7C) . © Other: 25.02 City/State /ZIP: Gf 0.V L 0R �- 1 -� Subtotal .576 Phone: � J1� !i( ( q3 -1 ) L/_`�,�, / O Fax: ( 63) 633_631-e Minimum permit fee: $72.50 t / �/? Plan review (25% of permit fee) ' CCB Lic.: / g T 3 IO /, Plumbin Li e. no.: 7/1 /11 " "IGfJ State surcharge (12% of permit fee) //__ ' QJ Authorized signature: TOTAL PERMIT FEE // __ . This permit application expires if a permit is not obtained within 1S0 days Print name: � OVV, t 1 �' Date: i/' 2/ (/ after it has been accepted as complete. Gi � � a *Fee methodology set by Tri -County Building Industry Service Board. I. \ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB) Plumbing Permit Applicati' - City of Tigard r •- Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - l' 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 Storm & Rain Drain - 1st 100' 62.54 Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for Q ty. Fee (ea) Total each additional $100.00 or fraction thereof, to Other Inspections or Fees and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge 1/2 hour) each additional $100.00 or fraction thereof. Subtotal: 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 I=1 New exterior plumbing site utilities for any complex structure as defined in OAR918- 780 -0040. - Jacuzzi/Whirlpool Car Wash -Each Stall El Medical gas and vacuum systems for health care facilities. Drive Thru ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ 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 that meet the qualifications above. - 4" Car Wash Drain Garbage - Domestic Disposal - Commercial Industrial Comments regarding fixture work: 'cc Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Washer - Clothes Water Extractor plumbing permit can be issued. Water Closet - Toilet Urinal Other Fixtures: I:\ Building \Permits\PLMF - PermitApp.doc 2 il h Building Division Development Code Provision Review T c n R o Residential Projects Building Permit No: db //` ()CX) 9 7 — / CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Its Routed Plans: r Original Plan Submittal Date: i /3 // ✓ � 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (•) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact tka tet4 at 503-718-44‘ ,or SitkAll @tigard- or.gov) Land Use Case No. &AO A pea yy'' --FF,, Name a1 Y%!LT(/) d e + Er Zoning I21 ❑ Setbacks: I0) Garage Front a- Rear I Side 5 Street Side ❑ Maximum Building Height aS Actual Building Height .3 Er Visual Clearance 12' Easements g' PL F0 S 5' S 7 I Si D‘ ❑ Sensitive Lands Type: A) 1 4 Notes: Original Plan: Approved 13 Not Approved ❑ Date: I I /' / 1 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) Ir Actual Slope: 8 Notes: Original Plan: Approved 0, Not Approved ❑ Date: _(L7g Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) — /St reet Trees LQ' Protected Trees Notes: I 60 i t Ri . Original Plan: Approved V Not Approved ❑ Date: 1�Yd ) Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Ap 'cant Okay to Issue Permit: Yes o 0 Date Routed to Building: / / f // Page 2 of 2 RECEIVED =p�ete51> JAN 2 7 2011 .� 98.50 maa ?.i X �. A . . �.ti �+., _!1 g5 : R� > :� CITY OF TIGARD �, Y Y � 7`�ne . . .: . . i nlr e � "8l ± ■ aW�. 0 to - � r !e e ` �.M —;` m n � _ �� L , S e — - , _ , BUILDING DIVISION ... a Mit 91.5 1 �_ r edami M R p LL I ]� 'ROAM N. N t:ieb I R. I• FA - CID A II I 1 i �' hi 1 e, 1 it r,,o, F7❑ 1 � pi i H � !(-- O �� PIN. ENfR7 PL. 349'1. EL - PIN. K iCAT FL. !fib I le t U �J PIN. GAR4GE FL. 9498.® Y' 1.1 b �fl II I 1C3Rs J •' f= i 1 '. iI I f t 1 t' I r .."-....41 y I . I rnew Y0 rN • Or no feSpOli Ir I ES Ell OW Ne 901.35 N: X650133 E dli E. 50%15 GRADING PLAN SCALE. V6' .1 . 3) LOT 13 BRENTWOOD ESTATES TIGARD, OR 4 RESIDENCE FOR: STEEL GREEK COMES (2011 STREET OF DREAMS) Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, a ✓ j , am the general contractor or the owner- builder at the following address: Site Address: J 1/4:20q— City: Permit #: ,{,( oc:/ / Subdivision/Lot #: 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 fr ing members. I Signature: ��' Date: / (< Genera ontractor Owner- Builder I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 HOME Certified, Inc. Monitoring Report Customer: Steel Creek Homes Street Address: 14087 SW 155th Ter. MC Goal: 18% Start Date: 4/1;2011 Sales Order #: 13192 Subdivision: Brentwood Estates Lot/Unit #: City: Tigard, OR Completion date: 4 26.2011 PO #: 1084 Cross streets: Site Supervisor: Dave PH #: 503 -519 -6078 Cert: Expected Date: Price $: $500 Date Moisture Content Readings 4/26/11 14:59 12% 13% 13% 12% 12% 13% 12% 11% 11% 11% 9% 12% 14% 13% 12% 11% 14% 13% 15% 14% 14% 17% 12% 13% 14% 17% 12% 13% 15% 14% 12% 12% 12% 13% 13% 12% 13% 12% 11% 12% 13% 9% 11% 13% 13% 10% 13% 11% 9% 12% 11% 10% 11% 11% 13% 11% 12% 13% 12% 11% 10% 10% 10% 10% 9% 11% 13% 12% 8% 11% 12% 12% 12% 13% 13% 11% 12% 13% 13% 10% 13% 11% 9% 10% 9% 8% 11% 9% Crawl Space Livings ace E ui : 1730 1022 1506 1902 Pulled 1730 1022 1506 1902 1488 2150 1162 2156 Equi 1488 2150 1162 2156 Crawl Equipment: 1506 1162 1902 2156 Pre - insulation Moisture tesimo (Frame drying I X Notes: 4/26/11 Still in Crawl Crawl testing/drying: X Floor testing/drying: Water Damage: Sheetrock drying: Stud scrubbing: Certificate of Moisture Content. X Other: Electric heat: Visitation: 4/5/11 4/8/11 4/12/11 4/15/11 4/19/11 4/22/11 Contractor signature: Date: 12/17/2010 Customer signature: Date: 1217'210 Curt Kaupe See terms & conditions on back Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: A ,/ T j// y (7c7 Jurisdiction: / f � 54L., e 1/4 6::(Z Site Address: / q00 I , ' / r', ' ���-- Subdivision/Lot #: f� � 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)1 -*".? trO Signature: gaiL1 Date: NZ Z:>/ Owner /General Contractor /Authorized Agent Print Name: �' - 7; ; : . �l // ' ORSC Section N 1107.2. 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 r STREET TREE CERTIFICATION , Owner/Agent for 4 5 LIG g (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard and Washington County land use and development standards for street tree installation. ADDRESS: r 15 - e 1 SUBDIVISION: (_ ,,,i i _ �� LOT: 1 SIGNATURE: 4 r DATE: 2Q S GNA _ _� j ipAir AGENT) RECEIVED BY: DATE: S (C FTIGARD) 1:\ Building \ Forms \StreetTreeCettihcate 01/19/07