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Permit CITY OF TIGARD I ' MASTER PERMIT i f i 1111 1 COMMUNITY DEVELOPMENT � ''�' � Permit #: MST2011 -00019 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/16/2011 Parcel: 2S109AB12700 Jurisdiction: Tigard Site address: 14196 SW STELLER'S JAY LN Subdivision: ALPINE VIEW Lot: 8 Project: Alpine View, Lot 8 Project Description: New SF. 2/16/11, demo credits from BUP2006 -00246 applied to this permit. 4/26/11, reprinted for deck addition. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1155 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1383 sf Garage: 436 sf Front: 15 Smoke Dwelling Units: 1 Third: 160 sf Right: 5 Detectors: Yes Total: 2698 sf Value: $284,155.82 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: • MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 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 Ecom asin Y Other N Other Description: p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2698 Owner: Contractor: WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT Required Items and Reports (Conditions) 735 SW 158TH 735 SW 158TH AVE 1 Ersn Cntrl 503 - 681 -4444 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 641 -7342 PHONE: 503- 641 -7342 FAX: 503- 641 -7661 Total Fees: $7,775.79 This pe 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 one in accordance Witt 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 ys. ATTENTION: Oregon\.la quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 95 01 -0 9 . / ou may obtain a copy of the rules or direct questions to OUNC by callin. • .232.1987 or 1.800 ued By: k.. i t - 4 MA Permittee signa i� . • . - iZ.���■ °v Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ,, CITY OF TIGARD MASTER PERMIT I ' I , COMMUNITY DEVELOPMENT Permit #: MST2011 -00019 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/16/2011 Parcel: 2S109AB12700 Jurisdiction: Tigard Site address: 14196 SW STELLER'S JAY LN Subdivision: ALPINE VIEW Lot: 8 Project: Alpine View, Lot 8 Project Description: New SF. 2/16/11, demo credits from BUP2006 -00246 applied to this permit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First. 1155 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height 25 Bathrooms: 3 Second: 1383 sf Garage: 436 sf Front: 15 Smoke Dwelling Units: 1 Third: 160 sf Right: 5 Detectors: Yes Total: 2698 sf Value: $281,344.82 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals. 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 1 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 2698 Owner: Contractor: WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT Required Items and Reports (Conditions) f 735 SW 158TH 735 SW 158TH AVE 1 Ersn Cntrl 503 - 681 - 4444 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE 503- 641 -7342 PHONE: 503 - 641 -7342 FAX: 503- 641 -7661 Total Fees: $7,752.32 This • - • _ • subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will b= •one in accordance 'th 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 :ays. ATTENTION: Orego I- • equires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 9 - 001 -0•. •0 You may obt- in a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I ed By: - Permittee Signature: .4..I ., . _ii 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 theyob site until completion of the project. Approved plans are required on the job site at the time of each inspection. This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. III II BUILDING DIVISION TIGARD TRANSMITTAL LETTER a TO: DATE RECEIVED: DEPT: DING DIVISION RECEIVE FROM: av, ,„ , APR 1 3 2011 COMPANY: CAA LA') U CITY OF TIGARD %-4,-014....0 / 73 �� BUILDING D l:7 PHONE: 3 CQ 4 RE: • . I / I y - -OL°/ ? ite • • • ress - (Permit/Case Number) 0 � . 8 'meet e or su.. ivision name an' ( t numaer ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: ( Th..Z...e l FOR OFFICV USE ONLY Routed to Perm' echnician: Date: 4-12_ Initials~ Fees Due: Yes III No Fee Description: Amount ue: __ �f l Special Instructions: Reprint Permit ( r PE): o 111 Done Applicant Notified: 0 ate: �l�1// Initials: 0 14 _w/ C (,yc I: \Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07 d 1 Building Division Development Code Provision Review T i e n ii o Residential Projects Building Permit No: d - reg 0 r , D l CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: ( j iTlp Original Plan Submittal Date: 1st Revision Submittal Date: V //3 /// X. 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 , i approved. ' �j Planning Review (contact 1 - ) L 1 at 503 - 718 - _- or 1 Li @tigard- or.gov) Land Use Case o. S-tn it- 0 Name A{.PiIV U( ❑ Zoning 11d- Setbacks: Front 1 Rear /C Side 5 Street Side fQ Garage )i ❑ Maximum Building Height 3.5" Actual Building Height Clearance E asements Sensitive Lands Type: ( Notes: Original Plan: Approved V Not Approved ❑ Date: Revision 1: Approved Not Approved ❑ Date: 1 1'(( 44 II Revision 2: Approved ❑ Not Approved ❑ Date: En ineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: / D Notes: Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved Not Approved ❑ Date: / i i Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) Street Trees Protected Trees Notes: Original Plan: Approved (i Not Approved ❑ Date: 4 'Iy' l /l 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 Applicant Okay to Issue Permit: Yes )( N ❑ 4,41 Date Routed to Building: Page 2 of 2 Building Permit Application , 'Tit l - t �1 /). . � R esi d e nti al C f F ��3 s ov °FOkrO Ice u G , �. Received Q City of Tigard , Da1e /Bv / ,2(p . a Permit No�!1i // evo t a 13125 SW '-hall Blvd., Tigard, OR 97223AN 2 6 2011 Phut Review �`''� '^/ — /0411 � p Phone: 503.639.4171 Fax: 503.598. Other Perini ' mil/ «lJ 1 Ins Line: 503 Ci I f 960 r Date Ready/By' Tic.. ...„ la See Page 2 for • CIGAR ?' �..II lLiA D Dnte/Bv: Notified/Method: l � CT Supplemental Information �� Internet. www . ti g urd- or BUILDING �IVIS1O) * L/`9a20 �� o02'� a��� - .. �.,.. <.,_,.,�,- .,,;,r:����s�:::r..:: ... � - . tip,.. .,, _:;`�, -....- . m ,_....,, - � ,� ;,� > - : .: r _.. �' . ,„,,, , OF-WORI{� °`•` _ ' t2E y 1 =°AND• ,, ,r IIL d : z gm y,ie , ... w,kR <s.,,¢ �... ,.. -. ..; na. ..,Y' \. , .. ,r,.. 's =q.gx ,..; ".': :,:..:.< : ,.. ... , . . -,. .s ..,s..r.,. �, .. : "i•&:` ✓� +:5 ,... , .. —. _ Y��`3.:,'nGn':..'i "A.. :dXi?' .. ... _ .r: }:Y- 'ti'+hdK,x, e �.- .,^uvtk• ..° ._., -n ,z c,,,,< y....., ,a sa v. ..� d.�.,a�@..me sbn <o „¢� � F ' w�"�,. C "., -_ :.� �. - k _ © 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 , ,- '1 ; : < < x ,.,T• w 5 ,, r ; N '„„ wort: indicated on this application. `;. r ,, ' ; _ -- fI?GGORY - CCINST if ,,,,, o- - , : „''f r > .:..: © I - and 2- family dwelling ❑ Commercial /industrial Valuation: S ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 3 qtr "V.: w; . <,'', , r ,a. 0 ,,c =)< a : ,” 4 u' '''`'' ''' Total number of floors: 2 : _ n2 t'` .� 4 1 .; . <J(7It4 SI . - ',.1Nf'O..,4. TIC3lV ,,..h LO e1T101�,, ' , �9 '"''".i v 3 _., ,-.. �.��has�frieh.:2..:�n, Yrc3x'afjx�.�.S„E. - -. 2v a24°F G= Y- e.c:`�r5..5' >;'."T�«. �• ;.5, :' Job site address: 14196 SW Stellers Jay Lane New dwelling area: 2538 square feet 115 City /State/ZIP: Tigard, OR 97224 -++ Garage /carport area: 436 square feet 1,? g3 Suite /bld /apt. no.: Project name: ALPI VI fa, Covered porch area: yo square feet /6 p S- 7. 2rkc,L Cross street/directions to job site: Deck area: square feel Other structure area: . 11 311 square feet LS ;"REQUIREDIDATA COMMERGUt US) CHECKLIST" Subdivision: Alpine View Lot no.: 8 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 ate, :� �,�=«.:-e��N G,�.; �, _�� „ 'a � ' > =e'•< r °``' Ef. ” _work indicated on this application. '1'.I.,. r,. ., _ �dr� ,, u;DESCRII'.tt',[ON'�OJ± ��VORK ° , _ PP New Construction Valuation: S Existing building area: square feet (# E 54G�) New building area: square feet ;:'.�_ $E FE AN7 m . Number of stories: ®:BItOIER I'Y;OWNER'`isvp w« ° a' ❑ N Name: West Hills Development Type of construction: Address: 735 SW 158th Occupancy groups: City / State/ZIP: Beaverton OR 97006 Existing: Phone: (503)641 -7342 Fax: (503)641-7661 New: ^ „;' sty a ^. �.. k.„.s u�ac .,F. ... •„ ; ^ �;;?,g'� vat' � �;�,z�,as.�., ,;4fR1iCANT CO .A RS w;;:t, �� �. ;. ,.. , .< <.., ..., v. __,- ,�..�- ." ._..... -. .gym a��� .,. -� >�;`, NOTICE � , Business name: West Hills Development All contractors and subcontractors are required to be Contact name: Angie Cook licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 735 SW 158 Ave jurisdiction in which work is being performed. If the City /State /ZIP: Beaverton, OR 970(16 applicant is exempt from licensing, the following reasons apply: Phone: (503) 641 -7342 I Fax: : (503) 641-7661 E -mail: acouk@arborhomes.com arborhomes.com 71'. ;:.. ,' ' , y . ,. s rx�,w i ; ,, , OIVTa 'I � , K fj- , 4. 4 ftt Vn ;s ; k ��rvF., t. ,. <..,x .._a,.. .�.R ,�" ✓_.+oi< v F�J.�.'N d: aara.0 a. 4a ,� �..... _ ".� �"'�: -� >� ' -$ � , >_, sxg,: ,t3. ;�. >r.x n ,_. AZ_ Business name: West Hills Development PEEs , -; . °fir€ r, ; '',: °t t l BCi1LDIN,O,ER011,T:' Address: 735 SW 158° Ave + " + -'' ..- , IPlcarr: r" ejerra (e4'selardida)< %u:.= '1;X..- City/State/ZIP: Beaverton OR 97006 - Structural plan review fee (or deposit): Phone: (503) 641 -7342 Fax: (503) 641 -7661 PLS plan review fee (if applicable): _ CCB lie.: 104847 Total fees due upon application: Amount received: r? 0 Authorized signature: /�, < (7.-,./(..._ This permit application expires if a permit is not obtained C within 180 days after it has been accepted as complete. Print name: Angie Cook Date: 1/27/11 * Fee methodology set by Tri- County Building Industry ' Service Board. I:1Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WEB) Electrical Permit Application_ rotz orrlcl. utic oNL� } ` Ci of Ti and t ' mace r<d / � [ -n t - DateJB . Penni[No /�V�/ tie � 0 � 13125 SW Hull 131vd., TigttrdrOR - 97� Plan Review p Phone: 503.639.4171 Fax: 503.598.1 � L ' 11 Date/B : Outce Pcrmit: ���O/ — 2�i/i� TI.GAIW Inspection Line: 503.639.4175 J �'V Delc neady/By: rutir m Sec Page 2 tar Internet: www,tigard or.gov Nolified/Mcthod: SepplementalInformation t�# # `` , r 7! r t+ ' + • e v fl New construction ❑ Add t lae cment i fit r t b Please check all that apply (submit 2 sets of plans tv /llama checked below): itia�t %11'cmun/rep ❑ Service or feeder 400 amps or more ❑Building over tltrce stories. ❑ Demolition ❑ Other: where the ovaiiabiu fault current ❑ Marinas and baotyards. exceeds 10,000 mops m 150 volts or ❑ Floating buildings. Icss to grotmd, or exceeds 14,000 ❑ Commerciei -use ogriculhtml ❑ i- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other instnllations. buildings. ❑ Multi family ❑ Master builder ❑ Other ❑Firs pump, ❑ Ins tallation of75KVAor ❑Emergency system. larger separately dented syslent. �� �` ��' �1�7> ��t�l' ie) ��Itrt�xE�tl (7k(�4r����ll�ji ��-��• �. load or ❑ "E• " Jtib no.: Job site address: 14196 SW Stellers Jay Lane IOOHPormore. occuponcy. ❑ Six or more residential units. ❑ Rccreattonal vehicle perks. Ciry/StateJZIP: Ti card , OR 97224 ❑ Health -care racaities. ❑ Supply voltage h ge far more nn ❑ Hazardous locations. 600 volts nominal. Suile/bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more. £F... i a 9 Io e[r 1i)VDiwiV : Y LELC t Cross streetfdirections to job site Descripttoa I Qrt'• I Fvr I ToOt I New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Alpine View Lot no.: 8 1,000 sq. f. or less / 168.54 ) G8 • S'4' 4 Es. ndd'I 500 sq. IL or portion L/ 33.92 1 Tax mop /parcel no _ Limited energy, residential h (with above sq. i1) I J J' D � 2 l n , l a .,. {:. ._._..�.._._. c _ -•.- _�- Limited energy, multi - family 2 New Constnlction residential (with above sq. R.) 67`84 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 p�o 201 amps to 400 amps 133.56 3 Name: West Hills Develo ment 401 amps to 600 amps 200.34 ? P 601 amps to 1,000 amps 301.04 2 Address: 735 SW 158th Ave Over 1 ,000 mops or volts 552.26 2 City/Stale/ZIP: /StAIe/ZIP: Tempornry services ur feeders installation, alteration, and /or B Beaverton, OR 97006 relocation Phone: ( 503 ) 641 -7342 Fax: ( 503 ) 641 -7661 200 amps or less 59.36 I 201 amps to 400 amps 125.08 2 Owner installation: This installation (s being made on property that I own which is not q01 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: Dale: A. Fee for branch circuits whir e above service or feeder fee, i o ( o er a (a] ,,` each bmnch circuit 7A .. Business name: Wt Hills Develo meat B. Pee for bmnch circuits a/r /tour es p service or feeder'fec,, first 56.18 2 Contact name: Angie Cook branch circuit Each add'I breach circuit 7.42 _ 2 Address: 735 SW 158th Ave Miscellaneous (service or feeder not Included) Each manufactured or modular 67.84 3 Ciry /State/ZIP: Beaverton OR 97006 dwelling, service and/or feeder Phone: ( 503 ) 726 - 7042 I Fax:: ( 503 ) 641 - 7661 Reconnect only 67.84 2 Pump or tmgotion circle 67.84 2 E tnntL . a a � a r• Si a . r n or outline li 67.84 2 B 6') min B �,�,^���,�,,� y ro Ai��ilol���_ u "t'�:��•e`r� §: _.` Signal circutt(s ) orlimlted- energy Business name: Garner Electric panel, altemtion, orextension. Pngc 2 2 Each additional Inspection over nllownble in any of the above Address: 2920 SE Brookwood Ave Additional inspection (1 hr min) 6625/ hr Investigation (1 hr min) 66.25/ hr City/State/ZIP: H111SbOCO, OR 97123 Industrial plant (1 hr min) 78.18/ hr Phone: ( 503 ) 648 -4552 I Fax: ( 503 ) C42 -79 Inspections for which no fee is 90.00/ hr s cificaily listed (K hr min) CCB Lie.: 121159 Electrical ' .. ' 4 - Suprv. Lie.: 3707S ` '1ci %c cilttil ?iidS1 it tit'i1ut: r!c LF.t ' gel Suprv. Electrician signature, requi • t a Subtotal: Plan review (25 of permit fee): Print name: Chuck Garner Date: 1/27/11 Stole surcharge (12 %ofpermit fee): ys� Authorized signature: TOTAL PERMIT FEE: y y,r'' This permit apptication cxptrea if a permit is not obtahlid vtlthin IBS Print name: Date: days ntler it tins been ocrepted as complete. + Number of inspections allowed par permit. t:\aullding\Pmnirr'ELc- PmmltApp dec 10/01/09 440- 161ST(I I/OS /COMAVIID Mechanical Permit App 0 i r ', ; icil;: r» is 1 l 1 ONL , �'Y � � CIty of Tigard 11 G , r 9 1 L Received PermilNa 4A117 7 0/ / 01 /• t C • 13e S50 Hell 7., TFx OR 97223 I Plan Revi � St n / Da y.l - Phone: 503.639.41.41 a 71 Fax: : 503.598.1960 A N � 2 � � � p Ot16erS'umlt: K 11GAIto Inspection Line: 503.639.4175 OweReedy/By: ante El See Page 2, far Internet: www.ligetd- or.gav CITY OF TIG p- mated/would: Sapplemeatal laformadon • Ink 1tl ■111 ,'. hfi JIr,, mac tr/MNEerrieTra -W�g.ktit `, ". F ORI{4 ' .., 1 l.'t,s '• . ,1 br, g iYIh1tPR(.I ,1F_jEEE st 1— DIJlliE (USETt aluilsn•3 ® New construction ❑ Addition/alteration/replacement permit fees' are based an the value of the work perlbrmed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: Air mechanical materials, equipment. Inbar. overhead, mid profit. L Alf4 : _ .. ..= s.< .. , OR. 4 clig ONb`,1r1(il0 la�552 W Value: S ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory . building Forspeclal Information use checklist. ❑ Multi - family ❑ Master builder ❑ Other, Description rip l Qty. I Ea I Total 1 �- at OB; , t r .11 e O 1. t ii a GA O J'Ela.r s Ifentiog/coating Job site address: 14196 SW Stellers Ja Y Lane Aircondlag (re(require, s(usIa p plan elbowing ptlrlxmcah) 46.75 City /State/ZIP: Tigard OR 97224 Furnace 100.000 BTU (ducts/vents) / 46.75 4 -/C, r ls SuileJhldgJapt no.: Project name: Furnace 100,000+ BTU tduets/vcnrs) 54.91 Heal pump 61.06 Cross street/dlrectloas In job site: Duct warts 23.32 Hydronic hot water system 23.32 Residential boiler (radlalor or hydranic) 2332 Unit heaters (fuel -type, not electric), In -wall. in -dust, suspended. eta, 46.75 Subdivision: Alpine View Lot no.: $ Flue/veneforanyaf arm 2332 Otter. 2332 Tax mop /parcel no.: Other feel appliances t n"I b t �� rt. L' STEF 1.. _ ORK% M: ;17— a arr�,4f?tN� Water beater p 23.32 Clew Construction Flue fireplace I 3339 Flue vent for water healer ar gas fireplace 23.32 - Log lighter (gas) 23.32 Wood/peilet stove 33.39 Wood fireplace/insert 23.32 rr r;.riy_ h y'r.• ,a^ °:ur s r --- � "y • Chimney/liner/flue/vent 2332 ct � ROR 1 lit �h.._�1:..x ?;5.f.0.7:0(i:... a +�,..:; Otter. 2332 Name: West Hills Development Environmental exhaust and ventilation Address: 735 SW 158` Ave Rine hood/other kitchen equipment i 33.39 City/State/ZIP: Beaverton OR 97006 • Clothes dryer exhaust / 3339 Single -duct exhaust (bathrooms, Phone; (503)641 -7342 Fax: (503)641 -7661 toilet compartments, utility romps) f 2332 1, 2 07 ET: to ;r' `V , 3 .L fr �r�C1' iep ' t ( Ekl?U p, ` �' A(tic/cmwispace fans 2332 Business name: West Hills Development Otte: 7332 Fuel piping Contact name: Angle Cook 614.I5 for first four, $4.03 foreach additional Address: 735 SW 158 Ave Furnace, etc. I ?Vac Gas heat pump City/Stole/ZIP: Beaverton OR 97006 Wall/suspended/unit heater Phone: (503) 726 -7042 1 Fax:: (503) 641 -7661 Water.healcr I Fireplace E -mail: acook©arborbomes.cam . Range 1 68+77 • A 14"4..11. ar '•ilr�l + = 3M ?";•!'fy �h f �, .fi '? Barbecue w. 'ne ^+6 ->rt. n..i,,- �EONPRAiG7'OR/ i•.t.:ta:t�L.1� -:e 7 Lrar;'d' 'Fi Clothes dryer (gas) Business name: Pyramid Heating at Cooling Other. Address: 5699 SE International Way Suite 19 �� t " : - G:13 1 I�� ' % rv1t5r3>3A[Yl�?/f s' .1 • ]t t�[.:r .1 ymanr y City/State/ZIP: Milwaukle, OR 97222 Subtotal ... 0C1 .?I Phone: (503) 786 -9522 Fax: (503) 786-3432 Minimum permit the ($90.00) Plan review (25 %ofpermit fee) CCB 11o.:59382 Slam surcharge (12 %of permit fee) "\ 6,12 � ' f TOTAL PERMIT FEE S .01 til Auorize signature: � Tots permit application nfl r l has b if a permit u net within 180 days aces It bas been =cord m eompla ptcur. c. [ Printnamc: Greg Phillips Date: 1/27/11 • Fee metlh odotogy set byTrt- Coeaty Budding lndumy Service Bawd LinullaWcrrnhfN¢GPerrahAppdae 16/01/09 4404517T (I 1/02/COrtlw123) Plumbing Permit Application v . Building Fixtures x ` � "' roii�ciF cy is o �y ' . � JAN , �� o �� � - �t� r "'° 'F•: Received Permit N City of Tigard o. • 131 SW Hal Blvd., Tigard, OR 97223 ll l D°"`c/BY // v�Q��' 470/9 ' lTY OF T I G 3D PINT Review 0 Pho ne: 503.639.4171 Fax: 503.59 r-, r \ , n t Other Pennii Np,� .; 8.1 BV �L6ln - ®i v -, -.NI D ate /D ye G Page 2 . t7�� QQ�f� I nsp ection Linc: 503.6 39.4175 Date Ready/By: bins, O See Pa e 2 for • i 1 ` GA RU Y y - Internet: wuw.tigard or.gov Notified/Method: _ Supplemental Information ,� ..»,.�'.att� 7;ra^;s« .�e, s'ms;�z,}�, .ma;r.,A_ -� +s�� ' n�:T »,�q��cax :;= 1a'a'X >. :. :'} : :�.- : :3 :; ., r :,''� °� �s.�,. ,fin. �`.�ii���, . �,d� s;aF ,P�, T 1? . .�I!'s1SORttc,a�� �;,,,�; � ,.� .EE�T SGHF3I)l3�IiE »;. .» - -»`� :�t« a - =, .,t ..;?:��= ti :i;n� :,xari- m -W .,,<- - s_ < -�o_�_ ��_ �;j.,•� >�.� ,�i ,?i�w,u r, =�� :,: <� :,�.a..' . �._.z,.w.. -�._ _..- ...- _- sawsr�u,� ::..�_.,u.,«�,«d © New construction ❑ Demolition For special information use checklist. Description ( Qty I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 R. for each utility connection) ' °',�`.Y�@ .R; K. i H a �d7r» o9+' 6' aib�rA''K.ei'Y� : "F"'. �t' SFR (1) bath 312.70 , K y « ^«`� t o ^`;fie" :(il QItY OI? {+:ONSTRID e101l,x ,.'. „i's tine fl - ....�sr' .< - <_t,� ��F�: .a._ ..� >�s :<� El I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 ❑ Accessory building ❑ Multi- lhmily SFR (3) bath I 500.32 Cod .3 Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 , » s aBL pp, t JG1i ;` ITCf *. 'IC)i�' 1ND 91t 1lOti --.. N y .^ . . ,. Site uIinties: " Job site address: 14196 SW Stellers Jay Lane Catch basin or area drain 18.76 Drywcll, leach line, or trench drain 18.76 City /State /ZIP: Tigard OR 97224 Footing drain (no. linear R.: ) Page 2 Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear it.: ) Page 2 Water service (no. linear R.: _) Page 2 Subdivision: Alpine View I Lot no.: 8 Fixture or item: Tax map /parcel no.: Backllow preventer 31.27 F; ;;;• ;t .w ,, x,+ , :W Wi n,: ;,, M 74 ,4 Backwater valve 12.51 1'a::s�, ^: _ <.,.. -t fD Fa�CR2P TtO i11 O = x >t. Y ' Clothes washer 25.02 New Construction Dishwasher 25.02 ' Drinking fountain 25.02 Ejectors/sump 25.02 i 'r':t 3r.4 €' rs gIVII 3; Expansion tank 12.51 `' :" "�►.�`1'�Et[)1.I�R`I`1.;>JtiVNER , „�.» q :`� :� =i`�= ��,'O �,,�r' ��`�;aa, P Name: West Hills Development Fixture /sewer cap 25.02 Address: 735 SW 158 Ave Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City /State /ZIP: Beaverton OR 97006 Hose bib 25.02 Phone: (503)641 -7342 Fax: (503)641 -7661 ice maker 12.51 `V =®" App„ i A,v " ` F `:' r a a` Q kit:4 G PE1L4ON `N. Interceptor /grease trap 25.02 Business name: West lulls Development Medical gits•(value: $ _ ) Page 2 Primer 12.51 Contact name: Angie Cook Roof drain (commercial) 12.51 Address: 735 SW 158 Ave. Sink/basin/lavatory 25.02 City /State /ZIP: Beaverton OR 97(106 Solar units (potable water) 62.54 Phone: (503) 641 -7342 Fax: : (503) 641 -7661 Tub /shower /shower pan 12.51 E -mail: acook@arborhomcs.com Urinal 25.02 s _. ., ; : :4 ,� - .> <; :. .a ,w nn g Yr :. 7. : ` t „,,, Water closet 25.02 . t.a „< `s _z. rr °;3`'K' ryrotr „'."7.: t`f:�1 I' t t,F!i\1 " ".Y,S;•.� t tiB :, • f: ;i, °> -.._ v =��..�.;e .. ». v� •12�..,,s..... .. _ :saw 6._„ s+ as �s�rf,. aw.( 4. w, ..,a,..a.��_..w._,-- ..._..�'`:� a.»..d �.�- ..... -, miter hooter 37.52 Business name: Development Northwest (Wolcott Plumbing) tauter piping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 City /Statc/ZIP: Troutdale, OR 97060 Subtotal TOO, 3 4 Phone: (503) 667 -1781 Fax: (503) 667 -9891 Minimum permit fee: $72.50 CCB Lie.: 112220 Plumbing Lic. no.: 26- 824PI3 Plan review (25% of permit fee) _ State surcharge (12% of permit fee) 6 rm O. Authorized signature. e i ..,..,-... / TOTAL PERMIT FEE � 3 , , Print name: Cliff Bowman Date: 1/27/11 This permit application expires if a permit is not obtained within 185 days after it ttas been accepted as complete. "Fee methodology set by 'let- County Building Industry Service Board I. \auildin5Ncrmits\PLh1U- PcmutApp doc 10/01/09 440- 1616T( IOM /COM/WVEB) Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: I l T ,910( 1 —0001 q CWS Service Provider Letter Received: Yes ❑ No ❑ N /A) Routed Plans: Original Plan Submittal Date: 1 oleo // 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 e 1(�J �l-u 1 e2af W�.�'1 at 503 -718 -L YSZ or ei h e, @tigard- or.gov) Land Use Case No. Name a-"Zoning 1Q s z oo- diei't l FM Vim E Setbacks: Front / S Rear / S Side S Street Side / C Gara e 2a [ l — Maximum Building Height 3_5 Actual Building Height Z `/ / 2— E Visual Clearance Ia.—Easements 0- Sensitive Lands Type: Na J Notes: Original Plan: Approved EY" Not Approved ❑ Date: g 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) *- Actual Slope: 15— yo Notes: Original Plan: ApprovedYl, Approved , Not Approved ❑ Date: 2— / 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) g Street Trees Protected Trees Notes: Original Plan: Approved E7 Not Approved ❑ Date: r / ;(i Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @ @ard- 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 A plicant Okay to Issue Permit: Yes No ❑ Date Routed to Building: ' • Page 2 of 2 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, EJ P.4-1 tL t , am the general contractor or the owner - builder at the following address: y Site Address: (t1 / s W 61-A ifz-5 Jp\t.? City: . mac Permit #: KA5 2 ott 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 framing members. Signature: ,' ` � Date: . 7 /(S / Ge er o tractor or Owner it wilder I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE CERTIFICATION I, eR(Lt.( 15 , owner/ agent for PCPIND12- (-401k,1 e 5 (PLEASE PRINT) (PERMIT HOT .DER) do hereby cert fy that the following location meets City of Tigard land use and dev lumen standards for street_tr - ee- installation ands -is consistent / with the approved plan. SITE ADDRESS: 1 419( 0 ST ,R-s - S UBDIVISION. e ` 4 1 1\ LOT #: SIGNATURE: DATE: 74 (O ER /AGENT) RE CEIVED & VERIFIED BY DATE: (CIi "Y OF TIGARD) Tree location verified per approved site plan. 1:\ Building \ Forms \StrectTreeCertifiicate 07/01/2010 1 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: -r- _ Oco ( Q Jurisdiction: - 11 - 4 1024 Site Address: 1 / 1 S � s 5 � t �` 1 (k( Subdivision/Lot #: A , RigE 1 eA and /or �-t" V o 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) p L Signature: Date: 7/ ( Owner /G ral Contractor /Auth rized Agent Print Name: ,_\ . PH( (_l.( 1 ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08