Permit t 0 fa /l ?'1 -4-(), � � c e- .� 4 0- eo
n
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2009 -00199
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/12/2009
Parcel: 2S 108AB04200
Jurisdiction: TIGARD
Site address: 14148 SW 155TH TER
Subdivision: BRENTWOOD ESTATES Lot: 4
Project: Brentwood Estates
Project Description: New SF with accessory dwelling unit.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 5 First: 2864 sf Basement 0 sf Left. 5 Parking Spaces: 0
Height: 19 Bathrooms: 5 Second: 1119 sf Garage: 660 sf Front: 20 Smoke
Dwelling Units: 2 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value' $439,083.52 Rear: 15
PLUMBING
Sinks: 2 Water Closets: 5 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0
Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures' 0
Tubs /Showers: 5 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100
Drains. 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 5
Furn > =100K: 1
ELECTRICAL
Residential Unit Service Feeder Tem Sry
p clF Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add! 500 sf: 8 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc /Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir:
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:
Owner: Contractor: Required Items and Reports (Conditions)
BRENTWOOD HOMES BRENTWOOD HOMES
15170 SW FINIS LN 15170 SW FINIS LN
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 407 -1101 PHONE: 503 - 407 -1101
FAX:
Total Fees: $19,920.11
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 Center. Those rules are set forth in OAR
952- 001 -0010 h OAR 2- 001- 0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
• Issued B : OL" "" �-4"� Q t.f
Permittee Signature: C 4:if-(c A /
r. .
111 CITY OF TIGARD MASTER PERMIT
2 ® COMMUNITY DEVELOPMENT Permit #: MST2009 -00199
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/12/2009
TIGARD 13125 2S108AB04200
Jurisdiction: TIGARD
Site address: 14148 SW 155TH TER
Subdivision: BRENTWOOD ESTATES Lot: 4
Project: Brentwood Estates
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 5 First: 2864 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 19 Bathrooms: 5 Second: 1119 sf Garage: 660 sf Front: 20 Smoke
Dwelling Units: 2 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $439,083.52 Rear: 15
PLUMBING
Sinks: 2 Water Closets: 5 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0
Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0
Tubs /Showers: 5 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100
Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 5
F u rn > =100K: 1
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 8 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc /Fdr:
Limited Energy' 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir:
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:
Owner: Contractor: Required Items and Reports (Conditions)
SUN RIDGE BUILDERS INC BRENTWOOD HOMES tn ,,,�f O _\ e L / - - 1(`/7 �f
i /
14912 SW SUMMERVIEW DR 15170 SW FINIS LN v /V COO Oi 7 7
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: PHONE: 503 - 407 -1101
FAX:
Total Fees: $19,920.11
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 z - • . - 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. TENTION: Oregon aw re.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 1 -0010 through OAR 952 -a a •l a s. :. may obtain a copy of the rules or direct questions to OUNC by calling 503.246 66 00.332.2344.
✓ 7
Issue y: , `I� �L ''�L ' Permittee Signature: �
TRANSMISSION VERIFICATION REPORT
TIME : 11112/2009 12:50
NAME :
FAX .
TEL .
SER.# : BROH7J690762
DATE, TIME 11/12 12:50
FAX NO. /NAME CWS
DURATION 00:00:17
PAGE(S) 01
RESULT OK.
MODE STANDARD
ECM
CITY OF TIGARD PERMIT
' I: C OMMUNITY DEVELOPMENT Kermit #: MST2Q09 -00199
13125 SW Hall Blvd., Tigard DR 97223 503.639.41'11 Date 19auer9: 11/12/2009
F t (.7..„,,,r3:1 Parcel_ 23108AB04200
Jurisdiction: TIGARD
Site addreaa: 14148 SW 155TH TER
Subdivision: BRENTWOOD ESTATES Lot 4
Project: Brentwood Estates
Project Description: New SF
BUILDING
FlooJees t7oauired Setback* _5oeuired
Stories: 1 Bedreorris: 5 First 2864 Sf Sesement: 0 St Lett: 5 Parking Spaces: 0
Height 19 Bathrooms: 5 Second: 1119 st Garage: 660 at Front: 20 Smoke
Dwelling Unite: 2 Third: 0 sf Right: 5 Detectors: Yes
Total: sr Value: $439,083,52 Rear: 15
PLUMING
Sinks: 2 Water Closets: 5 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0
Lavalor1GS: 7 Dlahwashera: 1 Flasr Drains: 0 Sewer Lin6S; 100 SF Raln Other Fixtures: 0
Tuba/Showers: 5 Garbage plop: 1 Water Heaters: 2 Water Lines: 100 Drains'
0
Bckflw Prevntr: 0
MECHANICAL
Fuel Tvi L Air Conditioning: Y Vent Fans: 5 Votes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Unite, 0
Fum <1001t: a Vents: 0 Woodstoves: 0 Gas Dutiet9; 5
Fum =100K: 1
ELECTRICAL
Reeldentlei4inik Semite fouler Temp Brvc /Feawt - prance Circuits
1000 st or less: 1 0-200 erne: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add! 500 at 8 20 1 -400 amp: 0 201 -400 amp: 0 1St W/O SvGFdr:
Limited Energy, 401 - 500 amp: 0 401 -500 gimp: 0 Es add! Br Cir:
601-1000 amp: 0 601 +amp- 1000v: 0
10004-amp/volt 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
A.dia & Stems: N HVAC: N Security Alarm: N Vaccuum Svatem: N Garage Ooener: N All
.,y. _
' Building Permit Application RE . ,.
Resiaential - - FOR'OFFICE USE ONLY - '
111 `J Tigard f� r T 200 DateB 1 ��� 1 � ' t 44.4"... w[ / I
City of T i and I Permit No.:
° 131 SW Hall Blvd., Tigard, OR 9'7223 Plan Review ' "`,'
.
Phone: 503.639.4171 Fax: 503.598.19 p Date/B : lir 1 Q M C64 Other Permit iP. Qrpo /O
Inspection Line: 503.639
503.639A17501( Or I I Date Ready
GA 1 Ready/By: l H See Page 2 for
TIGARD
Internet: www.tigard-or.gov BUILDING DIVISI4 Notified/Method: O• • • • .� FM Supplemental Information
>,. a t� r.. .''\Y\"SR.:'r , ` "�• `s.�°f+.>>`i > '?>Y `;. i3 ,° >4�' L` ::»�. ' 4 , t'° ', T ^; `-'
'TYPE .,O WORK" °RE IRE D.`DA T 1VD.:2' -F
,s. F :� CI A.�1A A MIliY F DW EL 1aIN G.
® 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
�:,;,¢, �=.�:° ��" A � = =��" � ,.�, >, work indicated on this application.
�. ;::,. ", CATEGORY' ,ti N RUCTION ` 4 ' , '.r °" -' ;
® 1- and 2- family dwelling El Commercial /industrial Valuation: S 43i 683, 5
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
c :" _' :.
° JfJg� S I OC A = TIOIit % >. .�,�a...,s;- `te Total number of floors:
Job site address: 14148 Sw SW 155t Terrace New dwelling area: 3983 square feet
City /State /ZIP: Tigard Oregon 97224 Garage /carport area: 660 square feet
Suite/bldg. /apt. no.: Project name: An i.4.ap0b g` S Covered porch area: •.,--1.-54--Sctquare feet
Cross street/directions to job site: Bull Mountain Road and Roshack . Deck area: na square feet
Other structure area: square feet
': REQUIRED 'DATA:�COMMERCIAL- USE`CHEC ` °IST
s ". ... .. :,d „tee.' +E`w :. ......... . .......r. ;.(.� \.
Subdivision: Brentwood Estates Lot no.: #4 Permit fees* arc based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
a,< a ...`: a and the profit ,, � ,% equipment materials, labor overhead, a e for the
`�; DESCI4I TION OF`WORD +u %n> work indicated on this application.
/ New construction home Valuation: $
/
, Existing building area: square feet
New building area: square feet
®.; " PROPERTY :OWNER ® TENANC , Number of stories:
V
Name: Brentwood Homes Type of construction:
Address: 15170 Sw Finis Lane, Occupancy groups:
City /State /ZIP: Tigard Oregon, 97224 Existing:
Phone: (503)407- 1101 Fax: New:
-;.�L" x`�'- "a��'�Y��F, ii" ,- v'.3�:” , . p C ;':i ��$i'T�., \i. �,S.,jdrs.,..: c� ., v, ^U " „ %:i
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Business name: Brentwood Homes All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail: John @brentwoodhomesoregon.com
'*• „*4 `;' ; ,' 2; `.+, i z ' i '°c Y, Ea ..
a z
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".� ` -00 , C OR
Business name: Brentwood Homes
��:�_ si5',, =s .BUIUDING.PERD4ITF �`'`` =�?•, ;�.��
Address: 15170 Sw finis Lane
'(Please.'refer;tofeescherlule :� i '`�. , liz ,:
City /State /ZIP: Tigard Oregon, 97224 Structural plan review fee (or deposit):
Phone: (503) 407-1101 Fax: ( ) FLS plan review fee (if applicable): �p
CO
C Total fees due up on application: �( c7 Ts permit apican expires if a permit is not obtained
Print nam 0 Noffz Date: 10 -5 -09 * Fee methodology set by Tri County Building Industry
Service Board.
l: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(I 1 /02 /COM /WEB)
' • Electrical Permit Apolic A" . i`i lvE - FOR OFFICE USE ONLY
Cl of Tigard Received Permit No.: �j /��
ill �'''' City Q� Date/B : T ifd7 - 0‘ , / / 9 n 13125 SW Hall Blvd., Tigard, OR 97 0 G 20 J
g I , Plan Review MI
'60 Date/B : Other Permit: � �/�� /i
Phone: 503.639.4171 Fax: 503.598 1 9
TIGARD Inspection Line: 503.639 �/ of TIGARp Date Ready /By: luris: El See Page 2 for
:% . Internet: www.tigard- or.gov C jl l 1 i o Notified/Method: Supplemental Information
-. s tV
..,,, r PI AN <'RE�?IEW , ::
�, ,,,r,. TYPE O � :� ;i., ��;- �:�r €, .
N e w construction Please check all at apply (submit sets th 2 of plans w /items checked below):
® ❑ Ad dition alteration /re lacement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
'��4, .�s`z ��� �:,�.'�,a; ,. �'�??�� exceeds ]0 000 amps 150 volts or ❑ Floating buildings.
. ��, :, -: C AIE GO Rl OFY -19 :" ft , . : 4 _ :: ;;ns: P g s.
g
less to ground, or exceeds 14,000 0 Commercial-use agricultural
® 1- and 2- family dwelling ❑ Commercial /industrial �❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fite pump. ❑ Installation of 75 KVA or
*,. ❑ Emergency system. larger separately derived system.
-2.= " JOB 3STTE INEiORlY1ATIOl AND,, QC TIQN ' r< ",
,><�;,,. .. <; � :' '::.. ,,� <.� . .. , .. ,- �,,.. , „,...,�, .,.,,. r . ,.�,�,.,., . ,... ...-,,,y,- _...... . T _.,,., ❑ A tio of new motor load of ❑ `<A,, .< <. <.
' ddi
155th 10OHP or more. occupancy.
Job no.: Job site address: > - SW 155 Terrace
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard Oregon, 97224 / ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
..,, .`.. ; ;: "FEE::SGITEDULE `-' " : ..7f u_R:_ '
Cross street/directions to job site: Bull Mountain Road and Roshack Description j Qty. I Fee. I Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Brentwood Estates Lot no.: 04 1,000 sq. ft. or less 1 168.54 K2 7k 4
Ea. add] 500 sq. ft. or portion g 33.92 7„1k °1
Tax map /parcel no.: residential
<...,<...,., l ;_ 1 67.84 2
eg.,
Vi a., , ` ' � �?'� >, x ,,,,,..:°
]uSCRIPTIOlY�AF:a,WORK:- , ? � (with above sq. ft.)
New Construction Limited energy, multi - family
residential (with above sq. ft.) 67.84 2
Services or feeders installation, alteration, and /or relocation
>'Y _ k-_ a., : W ,. , ' ,Zt,� a , y
200 amps or less 100.70 2
';PROPERT,Y ,OWNER • k;' TEN A NT -' '' .;..
"'� ®a �. .
r�,.
201 amps to 400 amps f. 133.56 2
Name: Brentwood Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 15170 Sw Finis Lane Over 1,000 amps or volts 552.26 2
City /State /ZIP: Tigard Oregon, 97224 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)407 -1101 Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits – new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
sv ,,r; �:,: or feeder f
` ” � � �'� <� ° � _'< >` "" ``� < above service o eer ee
"'APPliICANT -. „❑, ,,CONTAG.. „. „„ RSO ,
��,ii�<'� ° .`�°, , r,.��� � - ._..F . �, ",<,. >...a_. _ .,. , A� „�,n.,,..,. x - _ ,,.,3� -, . ,_„ _ 7.42 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 56.18 2
first branch circuit
Address: Each add'l branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: John @brentwoodhomesoregon.com Pump or irrigation circle 67.84 2
':r �` . ”` " "' ",. °' Sign or outline lighting 67.84 2
-� \ <•,a, >. �`�;;._: .., GONTRAGT(lR>,t;,.,<, >... �... �.- '.. g g g 678
Signal circuit(s) or limited -
Business name: Kodiak Electric energy panel, alteration, or
Address: 8486 Sunnyside Road extension. Describe: Page 2 2
City/State /ZIP: Salem Oregon, 97036 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (503) 881 - 1259 Fax: (503) 391 - 2611
Investigation per hour (I hr min) 66.25
CCB Lie.: 161998 Electrical Lie.: 247 -528C Suprv. Lie.: 5113S Industrial plant per hour 78.18
...., . ,<.`. L:
sI • ELECTRIC) _
PERNITTFEOlatatrf- ,.. \ .
Suprv. Electrician signature, required: Subtotal: q .j. 1l'D
Print name: Randy Seiber Date: 10 - 05 - 09 Plan review (25% of permit fee):
/)\,
State surcharge (12% of permit fee): 'L.- . CT
Authorized signature: _ , TOTAL PERMIT FEE: 4 1 2. b /
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of Inspections allowed per permit.
I.\ Buildin g\Permits\ELC- PermitApp.doc 10/01/09 440- 4615T(1 l /05 /COM/WEB ` t®Z -
t2- �� eD-
. ,riy --
ate/By: tey: Other Permit: O�
' Mechanical Permit A+ i lid '''
t E City of Tigard -" ,i N ED FOR OFFICE USE ONLY
I ' Received �t/
Date/By: l 9 MN Permit No.: 115r� 9
13125 SW Ha Blvd., Tigard, OR 97223 T 0 0 2008 e i
—�
Phone: 503.639.4171 Fax: 503.598.19`60 D n B e (J�O `�/trX„ JT / !O ;
1
TI Inspection Line: g 0 8 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for
g' Internet: www.ti and -or. ov Notified/Method: Supplemental Information
BUILDING DIVISION
„r r • ,, = ..�, _,:, • ��.. � , , , . 'I;vP °E, OF „W,ORK ' �.__ -_• �. <:x..� � � �C0117METtCIAL° „S E i1SE' @HECKI
® New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
�rfb "� :�.yxu�� °�` , t���” ` �:,; ���;;3= :_�;:E::.;a:- �r�:'� Value: $
CATEG ORY,�OF. -CO STRUCTIO
- ,.< x:,er...w.,, � N ,n �•.3��r.�2 �:��. . � •.r ate, „ . . -- ��.: sl ,. >;'�� �"
- RFS IIF' N, TI [T1��I'T1•SYSTEMS�I�EE5
® 1- and 2- family dwelling ❑ Commercial /industrial
❑A ccessory bu ilding '
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
,,,, , JOB'SITE�<INFORI\1ATION LOCATI N- =''
�;,
;., , y >: - . O ��""�; A V: a' Heating /cooling
Air conditioning
Job site address: 14148 SW 155 Terrace (requires =
uires site plan showing placement) 1 46.75 , � s ..
City /State /ZIP: Tigard Oregon, 97224 Furnace 100,000 BTU (ducts /vents) 46.75
Fumace 100,000+ BTU (ducts /vents) 1 54.91 541
Suite/bldg. /apt. no.: Project name: Heat pump 61.06
Cross street/directions to job site: Bull Mountain Road and Roshack. Duct work ' 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. _ 46.75
Flue /vent for any of above I 23.32
Subdivision: Brentwood Estates Lot no.: 04
Other: I 23.32
Tax map /parcel no.: Other fuel appliances
a
:.: , .R i , 1 >:; : ;" , ~ ;:% , Water heater 2 23.32 p .
<� ?� :. =• '1?ESCRIPTION��OF`- VVbRK' ` - - -, � b '
,::; . �. - - � .: �. ° .. ..... .ate, ....,. ...�•,,, ��,. -,.., _ - , ;:�:3 °:.z:�,l,,,�, W h
Gas fireplace 1 33.39
New Construction `3"; .3`t
Flue vent for water heater or gas
fireplace 23.32
— Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
'4%":''''''' .,, Y , Chimney /liner /flue /vent 23.32
''° E =PROPERT: OWNER � . TENANT Er�e3��,. °,... ,. P,,,„,,,, �1: -..,. <..� ".� a, °,.., ..a���y ° ., ": , ° " ' ' . . . - ..'la 444481Mi e::.,;..
Other: 23.32
Name: Brentwood Homes Environmental exhaust and ventilation
Address: 15170 Sw Finis Lane Range hood /other kitchen
equipment 1 33.39 33.37
City /State /ZIP: Tigard Oregon, 97224 Clothes dryer exhaust 1 33.39 J 7-,,'' . 3`,
Single -duct exhaust (bathrooms, j�
Phone: (503)407 -1101 Fax: (N /A) toilet compartments, utility rooms) Is 23.32 ( (6,Y)
.,.�.�, 1
:� � \�';.�- ;��' M.f`,;% �- Attic/crawlspace fans ° t ; ; �• ,� APPEI GANT� r�,� ' 1�. cONxACr= °PERSON, _ � p
Other: 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Furnace, etc. 1 OW. ( , ( 5
Address:
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater 1
Phone: (503) 407 -1101 Fax: : ( ) Water heater 1
Fireplace 1
E -mail: John @brentwoodhomesoregon.com Range 1 40
C RAC 19,- - .:•;• , '>
\; ; " \�� ,��! ti•.: : \�� �_�;�� -:; - , h c,. •• f`N:�. Barbecue
Clothes dryer (gas) 1 8.16
Business name: Rumbolt Heating
Other:
Address: po box 397 , =. V A -, ' , m
mME -,,. A * '` °
City /State /ZIP: Beaver Creek Oregon, 97004 Subtotal 3 3, 7-5
Minimum permit fee ($90.00)
Phone: (503) 656 -0475 Fax: (503) 632 -8669
Plan review (25% of permit fee)
CCB lic.: 172897 State surcharge (12% of permit fee) i t5, V
r n TOTAL PERMIT FEE *Z`� , Z T
Authorized signature: d0 , J X This permit application expires if a permit is not obtained within 180
��CC days after it has been accepted as complete.
Print name: John J CloeK Date: 10 -5 -09 * Fee methodology set by Tri- County Building Industry Service Board
t. \Building \Permits\ME -C- PermitApp doc 10/01/09 440 -4617T (I 1/02 /COM/WEB)
-
urr 41,
Plumbing Permit Applir'.Wor
n; LA v r 1
;1:6 L.,: X,
Building Fixtures
OCT 6 2009 . ,,,, r ,,, a ,, -: itcusEimoNLia`f-• ••••••••-"-7"--;"••
i•III City of Tigard R D 7:1', d , /0 ff f; 1110_2 Permit NoH e F
13125 SW Flail Blvd., Tigard L . OF TIGARD I Plan RCN kW
Phone: 503.639.4171 Fahlii si.1 8 - Other Pertntt No
' Inveetion Line: 503,639...04zy . 1 ; ..U 9 ii 6bIVISION I DateItiy:
lIG - Dale ReadyiBy: ktii 1 0 See Page 2 for
.',...,=:- -,A.,.. Internet: w‘ Not itie&•l•iteiliad: i Supplemental Information
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TYPE OF , WORK .
•
. • I ' FEE* SCHEDUIIjE . • •
, • ,- ',,. , • - • „ ., •
1 ea New construction I El Demolition For special information use checklist.
Deseription I Qty. I Es. i 'rota
1 0 Additiontalteration"replacement D Other: New 1- 2-familx dwellings (includes 100 Ii. for each utility connecti
. • • ,- . CATEGOltii: ,ot 'CONSTRUCTION v." • •I' ' ,--- ' SFR (n bath 312.70 1
Z 1- and 2-family dwelling I LI Commercialiindustrial SFR (2) bath 437 78
1 SFR (3) bath I 500.32 1 5 f
El Accessory building El Multi-familx
1 Each additional 1 7 ... 25.02
0 Master builder
1
1 0 Other:
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' JOB SITE ,NEORMATION '.'. : 7- . 1 I Site sprinkler 1 sq. ft 1 Page 2
' I Catch basin or area drain 18.76 I
Job site address: 14148S\ " 155 Terrace
1 - Drywell. leach line, or trench drain 18.76
1 Citx1Sta T oregon, 97224
Footing drain tno linear ft. 1 Page 2 1
Suite/bIdglapt. no.: I Project name: Manufactured home utilities 50.03
_
1 Cross stretildirections to job site: Bull Mountain Road and Roshack Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft..: ) Page 2
Storm sewer (no. linear ft: _ ) Page 2
Water sen ice (no, linear ft : I Page 2
S tibili‘ ision: Brentwood Estates 1 Lot no.: 04 Fixture or item:
1 /
Backflcr.v presenter 31.27 I
Tax maplparcel 110.:
W 0 l 'i-:" - Backwater calve 12 31
1 I ' . • " • , 1 - s : D "OF 1 ';' ' .'..„, ' ::.,";',,., . :I ':'r, : : , "„ :, ,
Clothes washer 25.02 1
, I New Construction
Dishwasher 25.0 1
I , Drinking fountain 25.0 -- - -- ----
/
1 1 Ejectors/sump 25.02
PROPERT1 OWNER - ': ' • I:II r I , its4 1 ENPansic`n tank 12.51
I 1 Fixture-'seer cap 25.02
Name: Brentwood Homes
Floor draindloor sinkthuh 25.02 1
i Address: 15170 SW' Finis Lane
I I (.iarbaae disposal 25.02 I
City jState/ZIP: Tigard Oregon. 97224 1 iio bib 25.02 1
1 I Fax: ( ) l
i lee maker 12 51 1
1 • El APPLICANT , 1 0 ICONIIIIACTPERSON„ ; -'• " 1 Interceptor/grease trap 25 02 1
1 Medical gas (‘ aim:: S ) Page 1 1
1 Business name: Brentwood Homes
1 Primer 12.51 1
Contact name:
1 I Roof drain (commercial( 12 3
- i
Address: SinkJbasinflavatery '5.02
I CityiStatelZIP: Solar units (potable water) 62.54 1
I Phone: ( ) Fax: : ( t I TobiSlIOssti5110WOr pan 12.51 1
Urinal 25.02 1
E-mail: john`ii3brentwoodhomesoregon.com
Water closet 25.02
I :. I ,, , • , - 1 CONTRACTOR ' - " - ' I "- "1II I ' II '' Water heatcr 37.52
I Business name: Craftx.ork Plumbing (tic • Water piping/DWV 56.29 1
1 Address: 7737 S\\' Cirrus Rd Other: 25.02 1
1 Citx/State/ZIP: Beaverton Oregon, 970(4 Subtotal(,
i I Minimum permit fee.: $72.50 1
I
Plan review (3.5% of permit fee)
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B Lie.: 79666
I .1 1 I'lu thing Lic. no.: 20-148PB
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State surcharge (12%
t of permit led 6641k--
Authorized sigature: .
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I TOTAL PERMIT FEE b [IA
' :.• 1/ / -if,- I This permit application expires if a permit is not obtained within ISO tit
I Print name: Pete Pollard Date: 10-5-09 after it has been accepted as complete.
Fez ElICtiltI50/07. get 1".Sl 111-001.111Zy lituldmit Industry Seri ice Hoard
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TYPICAL PROPER LINE
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Y MIN SIMIOAROS ANO RECI
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MEW YARD MAGIC i
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.:
PLANNING DIVISION:
Required Setbacks 71 A:: 0 Not Approved
Sicle•
ront Rear: IS
XA!prod 0 Not Approved
%/iaxinlotrt ! ,
••••■ce Prnytiley Lt:tm 't es 0 No
4ceived
ENGINEERIN DEPARTMENT:
Actual lop :_ 111 Approved 0 Not Approved
Site P n: Y 0 ottproved
By: Date: /0
Notes: a
4 ( I 6 (X / /6 /1 / /7
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO:
Street Trees: C 0 Not Approved
Protected.TT Approved 0 9t ,Ap
By: Va9 c A , Date: /‘' 7 07
Notes:
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTE f' !OR LIGHTING SYSTEMS
Permit No 2 °? _ c c 7 Jurisdiction:
Site Address: /4(/ l 5 3 I- it.....4c_ —
Subdivision/Lot #: g r- ✓oc� f �
and/or
Map and Tax Lot #: q
•
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: � V
Owner /General Contractor /Aut orized Agent
Print Name: V dd-7 &.. o
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.
l:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08
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(PLEASE PRINT) �� ` � u (PERMIT HOLDE
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Do here c e that tleolo meets
C ity ` . 9 - �,p nd T s -ins 6 -ounty I
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land use and development st. . , fbr
dsfe' tree installation. !
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ADDRESS: / ___<" (....-.. - S`,cT 7
SUBDIVISION: ,P - ......C;'t_.„-_,L..,-, �s - 1 4- c_....y`c s LOT: `-'
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SIGNATURE: , � DATE: 7/z ? ///
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(OWNER /AGE 1 )
RECEIVED BY: I DATE: 77:9-4-7/// 1
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I:\ Building \Forms \StreetTreeCertificate 01/19/07
r\ ,voc -Up l
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT F ORM
I, / Z , am the general contractor or the owner- builder
at the following address:
Site Address: / ( 1/ `/a° S L R /S l ( `
City: /
Permit #: /1s-r--2 c)d /7 7
Subdivision/Lot #: /4,
and/or
Map and Tax Lot #:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture- sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: d Date: //2 /(
General Contractor or Ow -Be
L\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08