Permit „ CITY OF TIGARD MASTER PERMIT
° - COMMUNITY DEVELOPMENT Permit #: MST2011 00003
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/15/2011
Parcel: 1 S 135CA09700
Jurisdiction:
Site address: 11436 SW 96TH AVE
Subdivision: SOLERA Lot: 6
Project: Solera, Lot 6
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 685 sf Basement: 0 sf Left: 5 Parking Spaces. 0
Height: 26 Bathrooms: 3 Second: 904 sf Garage: 245 sf Front: 15 Smoke
Dwelling Units: 1 Third: 275 sf Right: 5
Detectors: Yes
Total: 1864 sf Value: $192,625.24 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: 1 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 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 1864
Owner: Contractor:
EVERETT CUSTOM HOMES EVERETT CUSTOM HOMES INC Required Items and Reports (Conditions)
735 SW 158TH AVE STE 180 735 SW 158TH #180 1 Ersn Cntrl 503 - 681 - 4444
BEAVERTON, OR 97006 BEAVERTON, OR 97006
PHONE: 503- 750 -6268 PHONE: 503 - 348 -5602
FAX: 503- 726 -7106
Total Fees: $15,964.13
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 - • • - - 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. • TTENTION: Orego law re• res you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -''01 -0010 through OAR 952 -:0 0090. Y• . ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1,8000. .3332.233444.
R 114
Issu- • By: ` t Permittee Signature:
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.
Building Permit Applica . ;, .
Residential a FOR O N r 1 ar
�... � ..... _ _...._, � �Y 1' . 1� � t� �a�I � :•r- .'� . ,. s � 'c 1 . �tviia< ' ;'t0�lFt�a�.''
City of Tigard JAN 0 6 2011 Date/By: / cP / - Jpi Permit No.: f� //. 3
71 '° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I Other Permit: �,'�V! /CSJ'�Q��'�
Phone: 503.639.4171 Fax: 5 e '1 TIGAR Date/By: / /f `
Inspection Line: 503.639.41 Date Ready/By: lens: 0 See Page 2 for
TLGARD Ins p $UILDING DIVISION Not Supplemental Information
Internet: www.tigard- or.gov I 7/� I
'� <•> `?_ =FA ILY D,WELL[NG
:, :N° `?• R;`' i RE U ilE:PIATAii1,X0 N i
�w�:: ,�, �•i•; .c�TYP.E<<.OF �•W,ORIf, >�. Q
=:y - _ �_���`.Y �`..:'' • . -, ' . . . .. .............. �'�•v =,nom•::, �';v: �, -
® 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 El Other: equipment, materials, labor, overhead, and the profit for the
,, 2'; ; . ON TR I' ' ,<F� =' -r :,;
Q �r
? CATEGORY.'; F, CONSTRUCTION,;; "•; °: ,.. work indicated on this application.
® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $80,000
❑ Accessory building ID Multi-family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: 2.5
i =A,;, L Tl •;.,I '' ° yc/r't °`i:r`6 Total number of floors:
i °' � - NFORMATl01\ N D LOC:4T10∎17 X3
°JOB` S1TE
Job site address: tp /34, SW 96 Ave New dwelling area: Je j 8,¢quare feet
City/State /ZIP: Tigard, OR 97224 Garage /carport area: 245 square feet (
Suite/bldg. /apt. no.: Project name: Solera - Covered porch area: / / square feet 705
Cross street/directions to job site: Greenburg and 96th Deck area: -/---- square feet Z.7s—
Other structure area: Z/07 square feet 26
<`'RE,QUIRED DATA :,COMMERCIAL-USITHECKLIST'
Subdivision: Solera - Lot no.: 6 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
' >i x`° " YORK ) °_ work indicated on this N-A4,ORK ; ork ndica application.
New single family residence Valuation: $
Existing building area: square feet
New building area: square feet
,s,.. i ®., '. >.......>� � a,< ,- Ems.•. >�,
PROPERTY OWNER I
3 ® i . TEN ANT• =;-#° ,, Number of stories:
Name: Everett Custom Homes Type of construction:
Address: 735 SW 158th Ave, Ste.180 Occupancy groups:
City/State /ZIP: Beaverton, OR 97006 Existing:
Phone: (503)750 -6268 Fax: ( ) New:
.,., pro,,,,, �;. a, : <._,,:...:.._;- _:., -.;�:- :.�,-.
A CONTCT- 'PERSON" , ilexamil
Business name: Emerio Design All contractors and subcontractors are required to be
Contact name: Neil Fernando licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6107 SW Murray Blvd #147 jurisdiction in which work is being performed. If the
City /State /ZIP: Beaverton, OR 97008 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 515 -5528 Fax::( )
E -mail: neil @emeriodesign.com
CONa'I'RAC
.'i�'s�; ". .<.. _. ,<,. �. �e �''�.:4,.ca:•sit+,.wN..wsaa,.�: '. »'s: ; 'n,:,s ,
Business name: Everett Custom Homes 5 ;,1-ry, " * �_>`./
<�,r� �,•� :Bi1[Lt) �-•;a:>
8th Ave Suite 180 `'` a ( Please "re : _" k ,.
Address: 735 SW 15
Structural plan review fee (or deposit): 41� 8'• 75
City /State /ZIP: Beaverton, OR 97006
FLS plan review fee (if applicable): "49
Phone: (503) 750 -6268 Fax: ( ) 17 75/
CCB lie.: / �'7 /7 Total fees due upon applicat (
Amount received:
Authorized signat This permit application expires if a permit is not obtained
/ i1 C�� f within 180 days after it has been accepted as complete.
Print name: 1 I �' C Date: - * Fee methodology set by Tri County Building Industry
I
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)
Plumbing Permit Application
Building Fixtures FOR OFFICE USE � '' s '
4. Receive / � .. M ,Ripy..10 a2
City of � Permit ;`o
+ • f Tigar f � a t Datc`B
114
v t 313? 5 5 f I tall Blvd., O ' 1 "' Plan Review Q£J�i/-0229 0
Phone: 503.639 �t 171 Fax: o 1 : P a n Rev Other Permit V+ "�/'�
Inspection Line: 50 75 Date Readvrtly: )tier 63 See Page 2 for
TIG R , • Internet: www.ttgard or.gbv QN ^ NotifiediMethod: Supplemental Informatien
*„ SCHEDULE:: . ...:.'l•'. -:-
�,� PE
}� j` '�y For special use checklist.
Nets construction � L� zi ernolilion { Qty. i E Total
® NR1 D l Description
Addition/alteration/replacement I S ) thee : New 1- 2- family dwellings (includes 100 ft. for each utility connection)
.. - ..,.: .312.70
.. ..: .- -�= `:...- ' .:: OF tZONS . = r ? ° ° __= ;:: :. ::; : -.:.:
SF R (1) bath ... SFR (2) bath 37./�
® I - and _ tamtty dwelling ❑ Commercial/industrial /
SFR (3) bath 50}.32 S60 •
❑ Accessory building ❑ Multi- family 25.02
Each additional path kitchen
❑ Master builder ❑ Other: Fire sprinkler (_ sq. ft.) Page 2
: tJO B:.
.:= ;: -= - ' " O= SI7`EitiNEORAtiATION AlD LUGATION ;; > -, -- Site utilities:
Catch basin or area drain
18.76
Job site address y.„S�i 96' Avenue Drywell, leach line, or trench drain 18.76
City/State/ZIP: Tigard, OR 97224 Footing drain (no. linear 11: ) Page 2
Suite/bldg. /apt. no.: Project name: Sotera Manufactured home utilities 50.03
Cross street/directions to job site: Greenburg and 96th Manholes 18.76
Rain drain connector 15.76
Sanitary sewer (no. linear ft: ___) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: Solera - Lot no.: 6 Fixture or item:
Backilow preventer 31.27
Tax mapiparcel no.: 12.51
..-. WORK.::.` f: .- water valve —
c_ : i= _c 'l:` ::: ;i `cDESGRIFTIQ v OF — I 25 02
=- ..... .........._:....:... Clothes washer _
New single family residence Dishwasher 25.02
Drinking fountain 25.02
Ejectorsfsump 2 02
91lYERt.`.;:, ,., ; t:A i ;' : :` - --
_.:_;.:.:..:.: � . _ Expansion n tan
PROPERTY; O....:..:.._......._...... . ; ..
- .. Exps s a tank :TENANT. <`:.:. ` `;' `.
Fixtutdsewer cap 25.02
02
Name: Everett Custom Homes Floor draioilloar sinklhub " -? (l'- i
Address: 735 SW 158th Ave, Stei Cmrt>age disposal 2 = -0
City /State /ZiP: Beaverton, OR 97006 Hose bib 25.02
Phone: (503)750-6268 Fax: ( ) Ice maker 12.51
..
. ... I - : . :.- . •.: Interceptor / grease trap 2
CONTACT: ;PERSON' `.c `, ;,'.:
® APPLICAt'V`T ;`s _ i , :. : `' : - -,
�..; ;
Medical Ras (value: $ � ) Page 2
Business name: Emerio Design o ;
Primer
Contact name: Neil Fernando Roof drain (commercial) 1251
Address: 6107 SW Murray Blvd 4147 Sink/basin /lavatory 2 5.02
CityiState /ZIP: Beaverton, OR 97008 Solar units (potable water) 62.54
Phone: (503) 515-5528
Fax :: ( ) Tuhtshowerishower pan 12.51
Urinal i 25.02
E -mail: netl(a?emeriodesign.com LVatcrclasr ( 25.02
_ ,_ .. . .. .. . .. .. ._: -.: - °- CO TRACTOR:: r`'`.`: .::: : = :. .i `; ':i..: -' Watcrheatzr 37.
Business name: 49jlt :R464-1,:t � J Waterpipine•I)k�'k _ 56.29 Address: g75 iv. / .. 1 1 (11 it / �� � Other. I 25.02
City %StateiZlP:
/ity 7 r�/97a6.0 Subtotal Sao 32_
G Minimum permit Siff: $72.50
Phone: ( 9) 1 � / Fax: t � j7 r `
Pf ` Plan review ('_J "•n of pemtit Yee)
CCB Lie.: /7 fi,�i2 0 Zing Lie. no.: � / t State surcharge t 12% o permit fee.) I t0 rOV
Authorized signature : i TOTAL PERMIT FEE I S60.31:4;
0
!! / � A`f This permit appfir.,tion expire; If a permit is not obtained Ixithia 180 dais
Print name: �(� /� L • �L'/� /�A Date: ' 7 after it has been aceepted as complete.
`.// `sec methodology set by Tri- Count} Building Industry Service Ruard.
t:- .nuildie : Pcsmit:.PLMU- P:rautApp.dec i -Sti0c 440-464(Tt Ss O1-COM'Wt:nt
Mechanical Permit Applicati! i CEI`IE ` t012OF1:10E L.5E ON a;
R eceived LY ui _ �T; :,, /—
' City of Tigard Permit No.:
14
` " I3125 SW Hall Blvd., Tigard, OR 97223 JAN 1 2 201 I p a n R
flan Review Other Permit:
, Phone: 503.639,4171 Fax: 503.598.1960 Data'By:
.TIGARI); Inspection Line: 503 CITY O F TIGARD Date ReadyrBy: Pi See Page 2 for
Internet: www.tigard-or.gov fads
BUILDING DIVISION Notified/Method: Supplemental Information
_..._.. ......_: >_ . ._..._.. .,_...._..�,..�,�_.T 0 K _...,..._ , ._ _ ..... _._ a =CO. R �ti FE);.:- SGffEAtt SSE' °CHICKIIST
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- -:.,.._.... ,.:.
® New construction ❑ Addition/alteration/replacement Mechanical permit fus• are based on the value of the work
performed. Indicate the value (founded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
,::::,:. <::,.:.::: _ ..- :z..:�...::.:::::: �:::.:.. �: _ �.._... ... ... ..:.::: ... :.::. . ..:: �:::. lu 5
........... .... : . ::: G:, G ATEGURX �O) r:_ , .- .:,:�::, ::•_•, • . <<' �: JIU��` 1�. 4�A�+_ � ±4L Va 3iP e: V�'� °SY,1�5�?EE5*�ic�_P�' ..
® I - and 2- family dwelling 0 Commercial/industrial ❑ Accessory building '` " "` " ""
For special infonnuiion use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total
_ :::-._;:: - =r=-. =01:;-91, : JbB;: iOttilNFOR -gT'ITiOiciWii:- E�OriT:(Q s rr: i:;:,::a:.;-- - ::• Heating/cooling
coolie
=::-: �;•-: �:, :;.,;.n- _:. >:.:,. :....... : ... : ._ .., .._.._- ._- :_-- -- .._._...... fit 8
Job site address: / (t;./ 2 SW 96th Air conditioning its pl
l W (requires site plan showilui t plamment) 46.75
City /State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ductsrven:s) f 46.75 1 14 'c
Suite/bldg. /apt. no.: Project name: Solera Lot 6 Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Cross street/directions to job site: Greenburg Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 2332
. Unit beaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Solera Lot no.: 6 Flue/vent for any of above 23.32
Other. 23.32
Tax map /parcel no.: . , Other fuel appliances
:: - - -, :.:::::__ DESCIt1P2'TOTI = QE'91 ____ _ - - = - --- - -
..::. ::::::::. ...._.,::....., ... Water heater 2332
NEW S.F.R. Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
• Wood /pellet stove 33.39
Wood fireplace/insert 2332
; PROFE ::: 1 _, ,: :. _;:.•.IR sru .7-s a ai rl - ,_zu7 , a _ ;-, t;
Chimney/liner/flue/vent
23.32
_.__--- .............._..... Other 2332
Name: Everett Custom Homes Environmental exhaust and ventilation
Address: 735 SW 158 Ave Range hood/other kitchen ey
equipment ) 3339 3 3'3 r
City/Slate /ZIP: Beaverton, OR 97006 Clothes dryer exhaust / 33.39 '5
Single -duct exhaust (bathrooms, '®
Phone: (503)750 -6268 Fax: ( ) toilet compartments, utility rooms) I-/ G 23.32 1 , , ZS
_..._ _ ..............__.....:_ • ' - - :- :,•,_ -:- .. gdOw �'RoEsy ac `: -w Atticicrawlspace fans 2132
• Business name: Emerio Design Other 23.32
Fuel piping
Contact name: Neil Fernando $14.15 for first four; $4.03 for each additional
Address: 6107 SW Murray Blvd #147 Furnace etc.. J yr iS
Gas heat pump
City /State/ZIP: Beaverton, OR 97008 Wall/suspended/unit heater
Phone: (503) SI5 -5528 Fax:: (503 -) 6592 Water beater
Fireplace 'I .
E -mail: Range 1
_, :::R ..::......... _ . ,.._ :......_ ...,:__......_,...:,:.:::.... i$.:ilifiin:i 54;.`1 i iS._cc :: =:r:.a
' SSi: :: lip-
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e. � �:.....,_: .....: • ::: ....
..........�... ..
..... ................................ n-
: c :c.'..`S: -
e � Lkt �I ! y 11 a A 1 ��f1 Clothes dryer (gas)
Business name: r rn A t 1 � S S Other.
�q Y
Address e � to
' � `t'y � � 1/11 ..... - .,.,..,,._...... . - - --
J' � -tea r_s�r : A' IC:CI�1t11�'AGi:PET2A31T3?�ES i.•i'!iVi;;:
City / State/ZIP: •KttV1/4)Q,U, ,C, p 12- Collz„.L2 Subtotal 2177, 7
Phone: (N% )1 g( _ 't �Z Fax: 1 3* 2 _
Minimum iw (25% fee r mit fee
2.-- Plan review (25% of permit fee)
CCB lie.: 5 v l c.:7Z / 82_—/'7_, State surcharge (12% of permit fee) S , 32
�/'� - TOTAL PERMIT FEE -Si Q ,11
Authorized sig tore ' OC \ - e \ Dj3 r This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print nam : wNftSZ:3 — > J Date: 1 _ i — ` \ • Fee methodology set by Tri- County Building industry Service Board
— 1 -
I :\anilding\Penu 5C•Yer ,App.doc 10101109 440-46M' (I I;aveotisweu)
•
t . `* ,;; r � V � i , y ���, e tzt r�''; aj �I
Electrical Permit Applicatio `' CEIVE D O ti o +rlcl USE OT L1' f t , i ; x
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City of Tigard 1q Received ���� permit No . s — A14 J/1 h' Date /6 / / r� i�
13125 SW Hall Blvd., Tigard, OR 97 N ®� 2011 Plan Review
Other Permit: w / _ Q G _
C Phone: 503.718.2439 Fax: 503. Date /B
Inspection Line: 503.639.4175 OFTI Date Ready /By: lads: 0 See Page 2 for
TIGARb} Ins p BU Notified/Method: fied /Method: Supplemental Information
Li :t Internet: www.tigard- or.gov I VNO
° : � 'Y ti .� ,r=� r �..,..,- ��
nr 3a = -g: s: <: :i'. _ :ins
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Please check all that apply (submit 2 sets of plans w /items checked below):
® New construction ❑ Addition (alteration /replacement 0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
,, , , iT =;fin =� <.: °'- +::.,:. i efia.<. , s �, >: '<Q 1 . �: I exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
ds °' x ,. ° - : fir,..
m - a CA "TEGORY OT• rCOlV5TRUCT,,, ' ' 44AIMD,, :; ,
; � �w �d��� "� -,� = .> ��� _ _ :__: - � , ���'� °sue == s *s`i " "'r � °� less to ground, or exceeds 14,000 ❑Commercial -use agricultural
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. • buildings.
❑ Multi family 0 Master builder 0 Other:
❑ Fire pump. ❑ Installation of 75 KVA or
'�:c >� _ r< a;,<; �> �. �.; v-.,, �.,< �.,+ r: �» .,.:°.:.- :-: : :. «:;; <<.- . ,a,;a.-. ° z Y•, Emergency argersepa separately 0 larger rat derived system.
TE INRORMATION AND�::LOC , •- ❑
'>'� � nP`a' "�'�JOB � kT10, ".:����` � +` ` , ❑ • Ad dition of new motor load of
: fi t?: � .., � �^. .:. a ..: `: �,`. a: �w wa; .. , .,;...,;:.. �=,,., �. �: z: ao: .�; ?;r�':�ess.;:��::�i a.4�x : �: ; S z,�i ��t�s:: "
;z \ Job site address: 11 4'31 l tP / 4 I00HP or more. occupancy.
Job no.: U ❑ Six or more residential units. ❑Recreational vehicle parks.
❑ Health -care facilities. ❑ Supply voltage for more than
City /State /ZIP: Tigard, OR 97224 0 Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Solera ❑ Service or feeder 600 amps or more.
=wt''`::'� "° 'FEE'SCHEDULEs ' #.ii4::: : t i liati,
Cross street/directions to job site: Greenburg and 96th Description I Qty. I Fee. I Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Solera
Lot no.: 6 1,000 sq. ft. or less 1 168.54 / Ull ST 4
Ea. add'I 500 sq. fl, or portion j 33.92 lr /, 7(, 1
Tax map /parcel no.. Limited energy, residential a 75.00 2
x;• .,,., ��r> ,:, 21 ., ; . ° r:;Y, ' >>„ ",. 'j (with above sq. R.) /
�'�:;� - >,ar� ;.,� �:� .:�si'U=�. _. <„ .:3. ,. I+, ) ' WORD � .� :�, . .;� �.:
<:? >s.: ,;.,,> .. ii =.a x.a..c .,,.::: os ,<.x,, ....,:; - „ .- x;, -,'s' Limited energy, multi- family
gy 75.00 2
New single family residence residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
� U �, ;i =,- ,,;4T 133.56 2
�.�• t�, ,_ s • x: m '';;i 201 amps to 400 amps •
°`''° � ` "'''"'' -` " '- 401 amps to 600 amps 200.34 2
Name: Everett Custom Homes 601 amps to 1,000 amps 301.04 2
Address: 735 SW 158th Ave, Ste.180 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City/State /ZIP: Beaverton, OR 97006 relocation
Phone: (503)750 -6268 Fax: ( ) 200 amps or less 59.36 1
2
201 amps to 400 amps
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. Branch circuits new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
,° <�_<. i .: ... €:, 1:t- ".' € .,.. :--,;, 3 -.,... tad above service or feeder fee, 7.42 2
>" i a_¢ w CON ,.. P,, FiSON a g..
;� ® aA �PPLICANT .�`; >� ._� F �, _ N , : ,,,�, a ,,r „ „ >.:. - ., >: � ':��, V each branch circuit
Business name: Emerio Design B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Neil Fernando branch circuit
Each add'l branch circuit 7.42 2
Address: 6107 SW Murray Blvd #147 Miscellaneous (service or feeder not included)
Each manufactured or modular
67.84 2
City/State /ZIP: Beaverton, OR 97008 dwelling, service and/or feeder
.
Phone: (503) 515 - 5528 Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail; neil @emeriodesign.com lighting 67.84 2
t->s s: ; .:f,..; t ^„• .,- . :-_°°, ,' s-. _CONTRACTOR`*: ;,,,, „ ;cy .., . -, ,_ >- .. < r41, Si al circuit(s) or limited- energy
w.: «;�N- K =;x:�:�,� .- erg.- ��"�.; >.<;� >,<,...� �, ..�_ -.,. -� -,�; �= tir:v:R.,' <:1,:,�s,.> g
Business name: Wright 1 Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 5618 SE 135 Ave Additional inspection (1 hr min) 66.25/ hr
investigation (1 hr min) 66.25/ hr
City /State /ZIP: Portland , OR 97236 Industrial plant (I hr min) 78.18/ hr
Phone: (503) 760 -8522 Fax: (503) 762 -1823 Inspections for which no fee is 90.00/ hr
specifically listed ('h hr min)
CCB Lic.: 162368 Electrical Lie.: 3 - 332C Suprv. Lie.: 33985 POWIESagilleTRIlObliPERMITAFEEK4kW4A
Subtotal: 3yc ,30
Suprv. Electrician signature, required: FJ.,,,...:. A 4,1 ,C Plan review (25% of permit fee):
Print name: Dennis Welch Date: State surcharge (12% of permit fee): Lif N
TOTAL PERMIT FEE: IBC, t t 7 y
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: ' Number of inspections allowed per permit.
1:\ Building \Permits \FLC- PcrmitApp.doc 07/01/10 440 -4615T(I 1/05 /COM/WEB
11.•
'Pi : , . Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: H r p . I / — 0000
CWS Service Provider Letter Received: Yes ❑ No N /A7f
Routed Plans: ( ( CD t ,
Original Plan Submittal Date:
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 1 /2-(—e at 5033- 71 '5I or 5iti / @tigard- or.gov)
La Use Case No. DS` 0000 Name l.C /
/ Zoning R I .
12 Setbacks:
— ` Front / 5' Rear / 5 Side ‘ Street Side Id Garage
L ,Maximum Building Height 35 Actual Building Height ale
Li Visual Clearance
R Easements 1 pc,l .
1 t Sensitive Lands Type: ' ki f R
Notes:
Original Plan: Approved 2' Not Approved ❑ Date: d Lot I
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)
,r Actual Slope: 4
Notes:
Original Plan: Approved Izr Not Approved ❑ Date: Wii
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Citty / Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov)
Ld' treet Trees
Protected Trees
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date: // - 7/,c) //
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 proval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: pplic
)2( o • ■
Date Routed to Building: / //
Page 2 of 2
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SCALE: 1" = 10' r4
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i ' — i T y \ 0 X.
X 3 ° 220. '
X
218.6' \ \
EXISTING k'
"• -�' Z
1 28.65 O
o X WATER ME ER ^'— \ 03 1 5' 219.1 ' V
III
V-1
x O 0
_ EXISITIN $,gNlr RY LATERA 1 r_. _. _,....,.,..,....T. , _.. _.,_,.... ........,_........ _,.. ..,,. _... ,,_ — — __ — :I —�
i � EXIS — — •I TING /GHT - - - - --- - - - iiii
T z
o
x �� , .x� LOT 6
W
X I = x j PROPOSE' CONC' TE DRI VEWA. I 3,178 SF o O
. I W a �. 1 SOLERA 6 FRENCH N I— eN W
t' I 1,864 SF > 0
v� 3 BDRM
2 1/2 BATH
N W 30
,;
z I N t/ <1.1.11
I 2 18.7 5 � ,� - 46.55' o X x q. 218 I -- -- 127.28 0 x I O I X r - 36 PROPOSED 2" DIA CALIPER RAYWOOD ASH LOT 5 220.2 �. o
o I 0
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NOTES: t -I g
E
ZONE: R -12 ALL GRADE AND PROPERTY LINES ARE ESTIMATES Cdo - al g
OF CURRENT LOCATIONS. ` :..
'_ .
BLDG COVERAGE: 35.6 p R ' Csi
VS U S AREA: 1,131 .:',F ` . �: ,.. Y " .
iI PERVIO c+9 O
ALL DiMENSiO S AND SQUARE FOOTAGE ARE ° _ " e
SETBACKS C KS APPROXIMATE FIGURES. � ``'�`' N N
FRONT 15'
GARAGE 20' DRIVEWAY MAY DIFFER DUE TO LOCATION OF '
SIDE 5' UTILITY BOXES, STREET LIGHTS AND OTHER SITE EEErT
}
REAR 30' CONDITIONS d
CUSTOM HOMES 6 c 2 � �
_ a
a cc 0 CO3
1"( Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 2o 1 \ - 00003 Jurisdiction: z, D' 7 �1P
Site Address: 936. 50 90 Akie •
Subdivision/Lot #: cif- �o{- 6
and /or
Map and Tax Lot #:
By my signature below, I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)
Signature: / Date: i1/4 /2D1C
Owner /Ge eral Contractor /Authorized Agent
Print Name: Lee_ Rem 04 e✓'.
ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
I:\Building\ Forms \RES- HighEfciencyLighting.doc 07/01/08
STREET TREE CERTIFICATION
j� Lee- w-e-r5 -,, owner / agent for a/e -tee - 4 Gvsf-w� 1,ovvie 5
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certj that the following location meets
City of Tigard land use and development standards
for street tree e installation and ,is consistent
ith� - the - approved site plan.
PERMIT NO.: • Z - O ODD 3
SITE ADDRESS: 11'136 SO 9 ( Ave.
SUBDIVISION: So ke)so -- LOT #: G
S I G N A T U R E : D A T E : 2 Zo t k
(OWNER /AGENT)
RECEIVED &
VERIFIED BY DATE:
(CITY OF TIGARD)
Tree location verified per approved site plan.
I:\ Building \Forms \Streetl'reeCertificate 07/01/2010
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
` `m-e.ir5 , am the general contractor or the owner - builder
at the following address:
Site Address: [ 1143 6 5 96.)` Ave .
City: .� d
�
Permit #: 2_0 —co 003
Subdivision/Lot #: 5o le,r
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: U b `] /Zo1
Genera Contractor or Owner - Builder
I:\ Building\ Fonn \RES- MoistureSensitiveWood.doc 09/25/08
HOOME l 4fied, Inc. Monitorin .eport
Customer: Everette Custom Homes Street Address: 11446 SW 96th Ave MC Goal: 18% Start Date: 1/4/2011 Sales Order #: 12969
Subdivision: Solera Lot/Unit #: 5 City: Tigard, OR Completion date: 1/31/2011 PO #:
Cross streets: Site Supervisor: Joe PH #: 503- 621 -2199 Cert: Expected Date: Price $: $500
Date Moisture Content Readings
1/31/11 13:17 17% 18% 17% 17% 17% 17% 15% 14% 14% 17% 15% 13% 15% 13% 14% 12% 15%
12% 16% 10% 12% 13% 13% 15% 13% 17% 17% 13% 14% 11% 14% 15% 14% 14%
13% 13% 14% 9% 17% 13% 16% 14% 17% 14% 10% 13% _ 12% 14% 14% 14%
14% 13% 10% 8% 13% 12% 11% 14% 18% 15% 14% 13% 13% 13% 13% 13% 12%
11% 13% 10% 15% 8% 9% 8% 11% 9%
Crawl Space -
Livin s ace E ui : 272 1903 740 Pulled 272 1903 740
1075 1623 1314 Equlprnent 075 '' 1623 1314
_�� �., Q ra w l Equipment 1537 �.::. �... ,,, . ' r f .. �,.. ����,�,� m�;_. > 3.t
s . ➢�,.. �, ..,.Af4., �" z x'KYs; v. . �i. _ _ ,...... ., .... , N.. ,,.... Y ... :. .. '* ..:........ ..... .::. :. :. . .:._:... ........... ... _
Pre-insulation moisture testing (Frame drying): x Notes: 1/31/i1 Still in Crawl -
Crawl testing/drying: X
-
Floor testing /drying:
Water Damage:
Sheetrock drying:
Stud scrubbing:
Certificate of Moisture Content:
Other:
Electric heat:
Visitation: 1/7/11 1/11/11 1/14/11 1/18/11 1/21/11 1/25/11 1/28/11
Contractor signature: Date: 1/31/2011 Customer signature: I Date: 1/31/2011
Curt Kaupe
See terms & conditions on back