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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2011 -00053 .TJ.GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2011 Parcel: 2S 109AB 17800 Jurisdiction: TIGARD Site address: 13245 SW HOODVISTA LN Subdivision: HIGHLAND HILLS Lot: 7 Project: Highland Hills, Lot 7 Project Description: New SF 7/13/2011: Reprinted for continuous loop fire suppression system. BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms: 4 First: 1328 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second. 1826 sf Garage: 606 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3154 sf Value: $352,484.36 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: 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 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! 500 sf: 6 201 -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 3154 Owner: Contractor: MISSION HOMES NW, LLC MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 681 - 4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 -381 -3753 PHONE: 503 - 381 -3753 FAX: 503- 214 -8524 Total Fees: $19,320.22 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 throu• • OAR 95i:� -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 • .800.33 • • • Issued B — 0.'" T f Permittee Signature: � Call 503.639.4175 by 7:00 a.m. for the next available ins • 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. 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. City of Tigard IN = Buildin g Division TIGARD TRANSMITTAL LETTER TO: DATEC ‘ ____„.7tds1-4 DEPT: BUILDING DIVISION H D JUN 2 8 2011 \ CITY OF TIGARD FROM: B UILDING DIVISI COMPANY: PHONE: — 3g l r 373 � RE: 1 3a4 11z101) Lo. rio/) --c c5 3 to Address) (Permit Number) c� - L1Q L* 7 ( Po j or subdivision name and lot number) ) 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: C.6-1\ t .4-44 o-1.■. • • FOR OFICx USE ONLY Routed to Permi echnician: Date: "7 -? ((( Initials: Fees Due: es ❑ No Fee Description: Am nt -Dtie. R 1A13 - RE Vt /( 0 ' 2-6( e ‘ F ) $ $ Special Instructions: Reprint Permit (per PE): es ❑ No Done /i Applicant Notified: 76sin I4e15 6 Date: 71 Initials: I:\Buildin Forms \TransmittalLetter - Revisions.doc 02/08/2011 q CITY OF TIGARD MASTER PERMIT III - COMMUNITY DEVELOPMENT Permit #: MST2011 -00053 TIGARD : GAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2011 Parcel: 2S109AB17800 Jurisdiction: TIGARD Site address: 13245 SW HOODVISTA LN Subdivision: HIGHLAND HILLS Lot: 7 Project: Highland Hills, Lot 7 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1328 sf Basement: 0 of Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1826 sf Garage: 606 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors Yes Total: 3154 sf Value $352,484.36 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: 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 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: 6 201 -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 3154 Owner: Contractor: MISSION HOMES NW, LLC MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 681 - 4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 381 -3753 PHONE: 503 - 381 -3753 FAX: 503 - 214 -8524 Total Fees: $19,059.04 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. ATTEN o . • -•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -O8 r through OAR : . -001 009" You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1111.0 Issue By: 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 Application Residential � CEIVE � Received FOR OFFICE USE ONLY t k City of Tigard DateBy: /.2 At Permit No.: �5r�jy /�. ( �3 11 - 4 13125 SW Hall Blvd., Tigard, OR 97223 APR 1 2 2011 Plan Revie r� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 4te4` ' I 1 Other Permit:weaddf sy T 1 GA R D Inspection Line: 503.639.4175 Date Read /B Juris 63 See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: s / 5 1/ 6 77.(p Supplemental Information BUILDING DIVISION , 1 In r ° : " ` `' 7 : 1' O W ORKS �3�` �` `, ' ' _ , ., `;s �p v s e , ;"; L11REDD ITA `:'it ND 2 FAMILY DWELLING : Y r',' `, � , ,*" a a* : :„ m°`s :..^sa, p ;_ . e,- , , : ,. 4-X 4N ° ,. u : e. t ,�, . >Q� ;me-. , �. a.r a w ."— : 1"_ -,w, .se h za , ® 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 k4 . * p 4 ' 4 GA EGORYyy O ' "CONSTRUCTION work indicated on this application. € V . _ -.gx� �...'s.it ,.., a.s' as ` s .,. . *- F v d ® 1- and 2- family dwelling El Commercial /industrial Valuation: $243,000 El Accessory building El Multi-family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 3 ' :Iii it "°� ` N l " .. g, ;Z -t 7 ' OB SITE� TIO t NkAND,LOGA ION R: ,� ; , -, Total number of floors: 2 Job site address: 13245 SW HOODVISTA LANE New dwelling area: 3154 square feet City /State /ZIP: TIGARD /OR/97224 Garage /carport area: 606 square feet Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Covered porch area: 60 square feet I Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134 Deck area: 300 square feet 17" Other structure area: 37W square feet 2e5 REQTT�IRED DATA COi1i 1ERCIAk USE - -'h Subdivision: HIGHLAND HILLS Lot no.: 7 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ���k r it o: DE SCRIPTIO 'OF WORKS work indicated on this application. 3 z . . n,.., a A: « i •� . e e NEW SINGLE FAMILY Valuation: $ Existing building area: square feet New building area: square feet ti® PROPiRTY OWNER , & ir ® TENANT . ° ; Number of stories: Name: MISSOIN HOMES NW Type of construction: Address: PO BOX 1689 Occupancy groups: City /State /ZIP: LAKE OSWEGO /OR/97035 Existing: Phone: (503)381 -3753 Fax: (503)214 -8524 New: 1U1 ,f, �.�,_.«,�� , ..��� ;;�`� x� . "tea �'� �;�. ,.. x #xs �s 7, • ' 7 . -',„,, . r CONTr1CT! PERSON Xi . 1, . z .s` PERiVllT FEES * `, , L - -1 Business name: MISSION HOMES NW i _ : - (Piease�rejerfeesctredute . � s , , _ Structural plan review fee (or deposit): Contact name: JOSH KELSO FLS plan review fee (if applicable): Address: PO BOX 1689 City /State /ZIP: LAKE OSWEGO /OR/97035 Total fees due upon application: t �d Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Amount received: '75?) " E -mail: JOSHI{ELS03 @GMAIL.COM V " PHOTOVO SOLAR PANEL SYSTEM FEESt'l ,°. r1 , y i Fes, «.. , , . a a Commercial and residential prescriptive installation of L . _,_ - ;., , 2f " ;,: tiEt'iCO @TOR .141,:,-„,i t 1 ^ . 1, .s �.L roof-top Syst- �� � � � roof -to �.�unted Photovoltaic Solar Panel S st- Business name: MISSION HOMES NW Submit two :is of roof plan with co 1*-- ion details and fire departmen'.. ess, along I e 2010 Oregon Address: PO BOX 1689 Solar Installation Specia „ „r .e checklist. la • . -view City /State /ZIP: LAKE OSWEGO/OR/97035 Permit Fee (incl . -s p $180.00 an.- . i ministrative e:,. : Phone: (503) 381 -3753 Fax: (503) 214 -8524 State su •- arge (12% of permit fee): $21.60 CCB lie.: 186849 Total fee due upon application: $201.60 Authorized signature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JOSH KELSO Date: t/ /rt /�/ Fee methodology set by Tri - County Building Industry Service Board. 1:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB) 0'3/17/2011 13:12 5034638863 CONNECTIONS ELECTRIC #2190 P. 002/002 CON Eu .nu.. I t. LV I t I V ZLIII nv. I ITV I. L Electrical erflnit App ` ; ' . 101:01,11( I Il *.,1.1» I:a City of Tigard . 13125 SW Halt Mad., risard, OK 9722E R 1 2011 }c+' Thom,: 503.113.2439 IA: 503.596.1 t � rat 7 Other Pamir: Inspection Liam 9 C' � Or i iG�i'�® -• Su pp l e men tal inrarmnhoa intemet: rvtvw.ti v II N .: , •• TYPE OF :, t l r7 , " ... " �. ...:4..t." J21 izv t .: w • . . ! NOW Cartar00tion ch4 11 thataFpirOlohm1 11muof atom sr /itemse1) okt be • : 0 or 400 amps or MOM ei Buildine ma throe stories. ilk Demolition • Other: Pico 0 the imitable hull ewtgal 13 Maims sad boatyards. ' 4T , r '',402. . ' l.t 4;' ,: ,./.); .h":.,,' exceeds 10,000 amps at 150 mils or CI Floatiai bnildinar, toss to mwase, or oxoeedi 14.000 a Cammoroiai4s0 agricultural ►'4 - and 2-family dwelling 0 Commercial/Industrial 0 Accessory building amps tbrail awl imtWtatiaas. butldiaga. l Multl -famil ❑ Master builder 1:J Other: CI Piro pump. CI tasuuation 075 KVA or ' '• 300 SITE ' 'INFORMATION AND LOCATION f 1 M Sl motor tarter , ~i- . d 3". system. 1� A ddition of new nrotw load or Q'•A , �'1i ; "i� °. "t�", Yob no.: Job site address: 1'3 4 S Ste) Apo dt/. i4,tr 1001 Ottawa. '- • Q sat or more residential traits. n itareadottat whittle perk% City /State/ZIP: -F • . 04 .99 7.-7,y ❑Hoattheare Wiliam fl SupplrVolage rot mare than i O ll►tardow locations, 600 volts nondnal. Suite/bldg./apt. no.: 1]Service a !aria WO amps orworm Cross strE6Udlrtctlo t9 10 .017 Site; l srarxtri ter •1•C M.CTEIIM110 A a __ Nov residential Magic- or multi - family dwelling unit. � '�� . 40 � ', • > Includes attached garage. St bdivlsian: h crt l .: 0 F.- I t.t, S Eel= 1A00a1• it. or lass Eau 132. a44't SOO sq. it. or Malian 1111NWW,44 II Tax map /par+coi no.: 'a t -, -.. . ri mom 7SA0 '76t29 la DTSCR1PTIQN OF *OM . • . with above •.. 1 • L,;n►ited energy4123" II 75.00 13 tresitloolial ll. Services arteederi butaliatian alters ion and/or relocallan 200 am . • or lea NM 100.70 —[I ® PROPERTY OWNER ❑ TENANT ' 201 • to 400 am • s iiiramiamIlla Norne; 119YS9CQl�1 HOMES NW 401 . •- to 600 .:i 200.34 . II 601 amps to 1,000 amps In $01.04 — Address: PO BOX 16$9 Oren 1.000 amps or vaiu IIIII 532.26 E] City /State/ZIP: LAICE OSWE©O /08197035 T . ; serriecs or tram intattatton, alteration, and/or Phone: (503)3813753 Pax: (503)214 -3524 • • 200 amps or leas no 5916 MOM NI Owner installation: This installation is being made on property that r own which is not 4 0 1 am to599 amps 12514 © Intended Per sale, lease, rent, or exchange, according 10 ORS 447, 449, 670, and 701. apt + tos99 maps � � Mind circuits — new alteration or extension er I anal Ownersignantre: Date: A.Fao for branch citeuito imam! • . , fk3 APFLICAN'1' 0 CONTACT PERSON• above service or reader fee. each branch circuit Business name: MISSION HOMES NW - .ca hooch • is wit , MIN MI amino to &eclati°, Grit Contact name: JOSH KELSO h . •h efmuit belt edd'I branch circuit IIINNESNININIEI Address: PO BOX 1689 M s e n i anus ;orrice or feeder no included City/State/ZIP: LAKE OSWEGO/OR/97035 67.34 IMMO Phone: (503) 381 -3753 rtut; ; (503)21+8524 6 5 4 © ar • :lion carob 67.84 Q l mafi:JOSfKELSOarDO 4.IL /COM SI, or ad* lighting MN 6714 CONTRACTOR Slgnol circtiii(s) or litniteSeaergy M Business name: CONNECTIONS ELECTRIC ;, : a dds do orexlenaiaa. Each additional in .rerun aver allowable in an or the above Addrasa' 46 5 ' OR - . • ' t ') s Additionat ' • • ' oa (I hr min) in 66.25/ hr MOM. • Q':3ALEM /p1i19 Q5 $ iaresagstion(Ihrmin) al _IN City /State/Z � a����X� lndttsirialplant ( lftrmin) �� �. aspect tw . �► no it 90.00/hr Phone: (3113) x90.7914 (`+) 4143_ _ ;! 3 a • - Ball listed s4 hr min CCB Lie.: 65444 1=EMEEMI Supra. Lie.: 36A6 ELECTRICAL MART' FEW Suprv. Electrician s'a 1 lute, required: �( 10 t 1 e Subtotal: al P 4 ea . Plan null w r 5% . • milt tee : IIIIMIIIIIIII s _ _ . i ianrr t . TOTAL PERMIT FEE: ..c �i J Authorized signatu fa permit application oxpirot If a permit is eel o , Need within 100 Print natno: - 7,--- S a ' :. ' (.-S � Date: f r i . dapAfk s allow d been per sit. a t atnpl0la Number of hupoot {ass allowed per wait. 1,•UutuiinglacrrniitkELCre rclia. p..doa owouto aawstsTU mints Mechanical Permit A 111, i 1ti l . IV FOR OFFICE USE ONLY City of Tigard Received Date /By: Permit No.: r' °.. 13125 SW Hall Blvd., Tigard, OR$$ 2 31 Plan Review Phone: 503.718.2439 Fax: 503. p�� Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 OC'`I �tllD Date Ready /By: Juris ® See Page 2 for Internet: www.tigard- or.gov CM 1 1 r D I %'IQI0r1 Notified/Method: Supplemental Information BUILDI ' Vii_ e. 7 IY P F6P r i OR1t' ,F°?- �1 . C0 **74CIIL FEE* tSGHEDULE USE�GFIECICLo Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ c i` . e: "' sue , ,„ s , e i �?. wu r ai . .§ ^ -_ at , 7 M.._ .,,— - r. ..., .. u'. ' ;, ? , aC EGOR ,N, - CONS'TRLIkCTIO ; . '' , .:.E a. . "� � _ � � � � � - ` � � e � "�� EbIDE1VTI .E UII'MENT 1 SYST FEES 5,9* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total l r , ” * OB 1NFOR aViZiD LOCATION £ ` `{ x ., Heating /cooling: ,,, ., , - m„ ,, _ is.sSu -. r asp. r =.... . kw . Air conditioning p j Job site address: 13245 SW HOODVISTA LANE (requires site plan showing placement) 1 46.75 .46,7 Furnace 100,000 BTU (ducts /vents) 1 46.75 44.::: j City/State /ZIP: TIGARD /OR/97224 Fumace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH 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 Subdivision: HIGHLAND HILLS Lot no.: 7 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: i giri t e . DESGRIRTI®N OF VORK'C ° VW, di ':':e Water heater 1 23.32 �)..' -� NEW SINGLE FAMILY Gas fireplace 1 33.39 ' ":5 . '”! 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 :47'' . m f tgtPROPERTY ®VWEiVf , $„ * Y-P ®KTENANT Chimney/liner/flue/vent 23.32 Name: MISSION HOMES NW Environmental exhaust and ventilation: Address: PO BOX 1689 Range hood other kitchen , equipment 1 33.39 City /State /ZIP: LAKE OSWEGO /OR/97035 Clothes dryer exhaust 1 33.39 "3 -- Y": Single -duct exhaust (bathrooms, Phone: (503)381 - 3753 Fax: (503)214 - 8524 toilet compartments, utility rooms) " 23.32 _ ?IC . 'S' ®APPLIt A NN t `l ® COWAVei ERSON(` + Attic /crawlspace fans 23.32 Business name: MISSION HOMES NW Other: 23.32 Fuel piping: Contact name: JOSH KELSO 514.15 for first four; 54.03 for each additional Address: PO BOX 1689 Furnace, etc. 1 (4./-5 Gas heat pump City /State /ZIP: LAKE OSWEGO/ OR/97035 Wall /suspended/unit heater Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Water heater 1 Fireplace 1 E - mail: JOSHKELS03 @GMAIL.COM Range 1 Ap xY r � as ;fk"` �,. ' ' - t 12040'. -m s w 1, * ; CO ,: s � 1 � • V I Barbecue 1 1 ,G7� z � _..M_ ..tee -�3 e..... ON IN,:, F, ., s...- �.e�,� 3- �L,9a � . : �..��- a' ° ..&�'�k. -� ��� �L, Business name: RITE -WAY HEATING & AIR Clothes dryer (gas) Other: Address: 33505 SW TUALATIN VALLEY HWY 1VIEGHA__)\TICALEEIMIT`EES ;:y. 4P City /State /ZIP: HILLSBORO /OR/97123 Subtotal ` .I Minimum permit fee ($90.00) Phone: (503) 693 - 3161 Fax: ( ) Plan review (25% of perntit fee) CCB lie.: 71242 1' 114 1' State surcharge (12% of permit fee) 42: Zj ---11P TOTAL j TOTAL PERMIT FEE ..,.� 5 Authorized signat T his permit application expires if a permit is not obtained ( within 180 - j days after it has been accepted as complete. Print name: JOSH KELSO Date:.f / l / /// * Fee methodology set by Tri- County Building Industry Service Board 1 \Buitdmg\Permits\MEC- PermitApp doe 09/09/10 44 -4617T (I 1 /02 /COM/WEB) Plumbing Permit Application Building Fixtures RECEVED R ceiv FOR OFFICE USE ONLY - City of Tigard � Permit No.: II Date /By n 13125 SW Hall Blvd., Tigard, OR 97223 M pg 12 2 011 Plan Review Phone: 503.718.2439 Fax: 503.598.196 Date/By Other Permit No OC TIGARD Inspection Line: 503.639.4175 T�C�ii�® Date Ready /By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov CITY f Notified Method Supplemental Information ce „ A '` r :4 ; ., § , , s ''. ,- WiTY PE O W O1t�U . �t.: ' ' ', .ti r' ;1 FEE* 'SC1lEDULE g ; .r;�; � °'i a >...� a, >. as�x'3x n cm, <,: ' `,'x.,d, <s, '� .$; , r.�r - a t-`.: . . .-",;,--,=S-:'',',1,- ...Fe ,� . �,: �- sn t»- F :' ® New construction El Demolition For special information use checklist Description Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ,_ i" CATEGORY OF GOIVSTRt1CT ON N SFR (1) bath 312.70 _�.�� .��.4a,. �:ra six � ..�.o� o � . �._ ,w�., �. -•�. �i: ® 1- and 2- family dwelling El Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 all �Z-- ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 El Master builder El Other: Fire sprinkler (3154 sq. ft.) Page 2 :' I n ,' OBTS fN'r() M ATION D L OC TIdI∎ , # ` � Site utilities: Job site address: 13245 SW HOODVISTA LANE Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD /OR/97224 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Manufactured home utilities 50.03 Cross street/directions to job site: BULL MOUNTAIN TO 133" TO 134TH Manholes 18.76 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: HIGHLAND HILLS Lot no.: 7 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 i ai 3 Backwater valve 12.51 o °� � .` �t .,., .e ESCR OF v VORK . ' t4 l , 9' , _. Clothes washer 1 25.02 NEW SINGLE FAMILY Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® . - .TY^t O , . , A TENANT) 1. Expansion tank 12.51 Name: MISSION HOMES NW Fixture /sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address: PO BOX 1689 Garbage disposal 1 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Hose bib 2 25.02 Phone: (503)381 - 3753 Fax: (503)214 - 8524 Ice maker 1 12.51 _ v41- 'A r LCONAC'I PERSON 1 Interceptor /grease trap 25.02 .. a» - , ' '. . 0" A.c . ,. . _ r ' amnr,&,'° , 1. 4.,:..d' . .'P.m.a. t . , fit. ,. . - - Business name: MISSION HOMES NW Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: JOSH KELSO Roof drain (commercial) 12.51 Address: PO BOX 1689 Sink/basin/lavatory 7 25.02 City /State /ZIP: LAKE OSWEGO/OR/97035 Solar units (potable water) 62.54 Phone: (503) 381 - 3753 Fax: : (503) 214 - 8524 Tub /shower /shower pan 4 12.51 E - mail: JOSHKELS03 @GMAIL.COM Urinal 25.02 .i ��. 3 �,,, :, P 0 CO\1T .` 11 i Water closet 3 25.02 ° ` Water heater 1 37.52 Business name: S & B PLUMBING Water piping/DWV 56.29 Address: 10601 EVERGREEN HWY Other: 25.02 City /State /ZIP: VANCOUVER/WA /98664 Subtotal J U3 Z__ Phone: (503) 545 - 3601 Fax: (360) 695 - 5031 Minimum permit fee: $72.50 CCB Lic.: 168129 i /y',0_ Plumbing Lic. no.: ra Plan review (25% of permit fee) State surcharge (12% of permit fee) 6 0, - A u t h o r i z e d signature. ■.......- 7 / / / TOTAL PERMIT FEE 5 6 0 ' - P r i n t name: JOSH KELSO Date: V /7/// This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I\Building\Permits\PLMU- PermitApp doe 10/01/09 440- 4616T(10/02 /COM/WEB) 51 q Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: H - t 1 ?I' I I - 5 CWS Service Provider Letter Received: Yes ❑ No 1 N/A ❑ Routed Plans: / Original Plan Submittal Date: y f // 1St Revision Submittal Date: ❑ Site Plan Only 2 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 alon left only if approved. Planning Review (contact 1 PJ i -¢.t ct. at 503 -718 -.Z St or Ard•d */ GL @tigard or.gov) Land Use Case No. SA. S 2008 - woo 3 Name I4I5h I .d. I-1; 11s Ca" n Zoning /� - '7 GrSetbacks: Front 15 Rear { 5 Side 5 Street Side / 0 Garage E vIaximum Building Height 35 Actual Building Height , _ Z�J EYVisual Clearance GVEasements Cs7' Sensitive Lands Type: NC NE Notes: Original Plan: Approved Not Approved ❑ Date: J 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) yr Actual Slope: Notes: Original Plan: Approved Zf Not Approved ❑ Date: 4W1 /1 Revision 1: Approved „Er Not Approved ❑ Date: s Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 r City & Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) E ms/ treet Trees Protected 3-1,.3-1,..-- Tre Notes: �,.- );z d °` Tu. 4. - ?I5th) Original Plan: Approved ❑ y Not Approved 7 Date: / I `i Revision 1: Approved a Not Approved H Date: YA7d,'1l 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: / 1 a 94 c ¢, / 0/1 1 Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes No �' Date Routed to Building: 6 d, 0��� / Page 2 of 2 STREET TREE W♦` 4CER, Rubrum "Red Sunset Made" 50.00' ,„: r __._____ (( (1 4- 1\ LOT 7 ( ok<10.4 1 4,893 SF. 1 I 1 / ;, ; '::::::, : "',", : :; / E'',/,' ; ', 2 ,:',";',;'/,';';';' , /, SILR OOD j FLOOR - 182650. FT ' 1 , ^1AIN FLOOR - 132050 FT ' 1 TOTAL - 31545= FT_ ARAGE - _ 63650 FT ' i 0 , ,,,� I /,; 'GARAGEi ,' , ,',�' ' ,, ` 1 , ii f / ' ,. ;, 1 ::://:;,:::::,:',),:;:,://',;',/:;;;',/,-"•-;:::,;',;',.; I COVERED E NTRY 1 p. :'J O 6' '. ' �a , 1 � ' ° ,,. DRIVEWAY o �' T A _ ��WW 'ii _W VPIF URB K I A w m S.W. HOODVISTA LANE SETBACKS: GARAGE = 20' BUILDING =15' PORCH = 12' SIDE YARD = 5' STREET SIDE YARD = 10' O= STREET TREE N S itep fan ''� SCALE : 1 " =20' PLAN NAME: CONTACT: Phone -503-381-3753 503 -381 -3753 SIL vERWOOD F 03 2 -85 j� ✓ L i lilana ✓ filZ n n DRAUN: SKE PLOT: 5 /23/11 � � ®� Mission pion. NW , LAC. SCALE: � 1/411_11 -D11 - ( ) A '2D ‘1- Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 1 ,c1 QeJ be , am the general contractor or the owner- builder at the following address: Site Address: 13), s SU H1 1 VAS t ►� City: Permit #: Ms +Io 1 i -t'66 S -s Subdivision/Lot #: 1 l ` K 1 „ A 11 N l t el L 1-11 1 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: L. ,L Date: General ontractor or 0 ' ner- Builder I:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: M S+).Q 1 I .- Qoo'3 Jurisdiction: • Site Address: 12 t1 su 1.4ocd il Subdivision/Lot #: i$11 t,0 A 14-013 3 16-i-- 7 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: Own /General Contr or /Authorized Agent Print Name: (-\ r d Da. lbs. J 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:ABuilding\Forms\RES- HighEfficiencyLighting.doc 07/01/08 • • ° STREET TREE TiIGARLLD CERTIFICATION , owner/ agent for M; ss;6A 1- \r^e: NV , (PLEASE PAINT) (PERMIT HOLDER) do hereby certift that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: M5 -2.an - 6ocsS3 STl E ADDRESS: SUBDIVISION: 4' }-1;11'1 LOT #: `7 SIGNATURE: ,- L7 J4 .- DATE: (OWNER/AGENT) RE CEIVED & VERIFIED BY DATE: i _ -- (CITY OF TIGARD) I Tree location verified per approved site plan. I: \Building \ Forms \ StreetTrecCertificate 04/01/2011