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Permit • . IN y 1 . 11 CITY OF TIGARD MASTER PERMIT is COMMUNITY DEVELOPMENT Permit #: MST2011 -00068 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/08/2011 TIG- :. Parcel: 2S110CB07900 Jurisdiction: Tigard Site address: 12465 SW AUTUMNVIEW ST Subdivision: MOUNTAIN VIEW ESTATES Lot: 4 Project: Mountain View Estates, Lot 4 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1529 sf Basement: 0 sf Left: 5 Parking Spaces 0 Height: 19 Bathrooms: 4 Second: 1550 sf Garage: 825 sf Front: 20 Smoke Dwelling Units. 1 Third 0 sf Right: 5 Detectors: Yes Total: 3079 sf Value' $354,079.55 Rear: 15 PLUMBING Sinks: 1 Water Closets. 4 Washing Mach: 1 Laundry Trays: 1 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: 6 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: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 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 3079 Owner: Contractor: JT ROTH CONSTRUCTION J TROTH CONSTRUCTION Required Items and Reports (Conditions) 12600 SW 72ND 12600 SW 72ND AVE #200 1 Ersn Cntrl 503 - 681 - 4444 TIGARD, OR 97223 TIGARD, OR 97223 2 Structural Observation of Retaining Wall 3 Geo Tech Report PHONE: 503- 639 -2639 PHONE: 503 - 639 -2639 FAX: 503 - 624 -0239 Total Fees: $19,024.49 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 through OA' 952- 001 -0090. You may obtain a copy oft o d irect questions to OUNC by calling 1987 or 1.800.332.2344. Issued By: Imo. Permittee Signature: �_- _.. �_ — __ Cal • j} 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 t�0 > • cT" t. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY ECEIVED . R eceived a y y City of Tigard Date/By: "/ 'G / / Permit No.: !1n CT °Ln //. c 5 R � M °I 13125 S W Hall Blvd Ti gard, OR 97223 Plan Review ! r tJ / Q V 1 v-- � l a'r 6 , 11.' Othe Permit: 6, �. , 0 0 6 Phone: 503.718.2439 Fax: 503.598.196 DateBy: 4 ��� 2011 Juris: TI G A R D Inspection Line: 503.639 Date Re /B WI See Page 2 for Internet: www.tigard- or.gov Notified/Method: CD 5 Supplemental information �� C � ITY OF TIGARD (g) "`L4 ii 197 6/"7 TYPE OF E,I INU DIVISION REQUIRED DATA: 1- AND2- FAMILY DWELLING ® 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 CATEGORY OF CON STRUCTION work indicated on this application. Valuation: • :35A- ) (77 , '�-5 ® 1- and 2- family dwelling ['Commercial/industrial ❑ Accessory building ID Multi-family Number of bedrooms: 5 ❑ Master builder El Other: Number of bathrooms: 3.5 JOB SITE INFORMATION AND LOCATION • • Total number of floors: 2 Job site address: 12465 SW Autumnview Street New dwelling area: 3079 square feet City /State /ZIP: Tigard OR 97224 Garage /carport area: Z6 -- square feet Suite/bldg. /apt. no.: Project name: Covered porch area: .4 15 square feet i 5.) Cross street/directions to job site: Beef Bend to 122 " , left onto Deck area: 0 square feet q , �Z Autumnv Other structure area (( quare feet II. REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Mountain View Lot no.: 4 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 DESCRIPTION OF WORK . • work indicated on this application. Valuation: $ Construction of New Single Family Residence Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: J.T. Roth Construction Inc. Type of construction: Address: 12600 SW 72 " Occupancy groups: City/State /ZIP: Tigard OR 97223 Existing: Phone: (503)639 -2639 Fax: (503)624 -0239 New: ❑ APPLICANT ® CONTACT PERSON BUILDING`PERMIT FEES* ' (Please refer to fee schedule) Business name: J.T. Roth Construction Inc. Structural plan review fee (or deposit): Contact name: David Jensen FLS plan review fee (if applicable): Address: 12600 SW 72' Total fees due upon application: City /State /ZIP: Tigard OR 97223 Amount received: 70 Phone: (503) 806 -0602 Fax: : (503) 624 -0239 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E -mail: davidj @jtrothinc.com Commercial and residential prescriptive installation of CONTRACTOR . .. • roof -top mounted PhotoVoltaic Solar Panel System. Submit two (2) sets of roof plan with connection details Business name: J.T. Roth Construction Inc. and fire department access, along with the 2010 Oregon Address: 12600 SW 72 "a Solar Installation Specialty Code checklist. Permit Fee (includes plan review $180.00 City/State /ZIP: Tigard, OR 97223 and administrative fees): Phone: (503) 635 -2639 Fax: (503) 624 -0239 State surcharge (12% of permit fee): $21.60 CCB lic.: 31700 Total fee due upon application: $201.60 Authorized sign This permit application expires if a permit is ot obtained days within 180 days s after r it has been accepted as s complete. * Fee methodology set by Tri- County Building Industry Print name: Da ' Jensen Date: 04/26/11 Service Board. I: \Building\Permits\BUP- RESPermi pp.doc 02/ 24/2011 440- 4613T(11/02 /COM/WEB) 'Electrical Permit ApplicatioiR Er _ yr: O1?FICE USE ONLY • City of Tigard 0 �`" 1 Date/By: � �� y 'r PPermit No ' ` r� q 13125 SW Hall Blvd., Tigard, OR 97223 nn q Plan Review / 3 Phone: 503.718.2439 Fax: 503.598.1960 P R 2 6 2 O Date /B : Other Permit: ,0.• - ,Q g ll-Lze TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris RI See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF SING DIVISION PLAN REVIEW ® New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans wlitems checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. -- less to ground, or exceeds 14,000 , ❑ Commercial -use agricultural ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ' JOB SITE INFORMATION AND. LOCATION ❑Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: 12465 SW Autumnview Street 100HP or more, occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard OR 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 SCHEDULE - Cross street/directions to job site: Beef Bend to 122nd Description 1 Qty. I Fee. I Total New residential single- or multi- family dwelling unit. left onto Autumnview Includes attached garage. . Subdivision: Mountain View Lot no.: 4 1,000 sq. ft. or less . I I 168.54 kkei, 54- 4 Ea. add'l 500 sq. ft. or portion (c 33.92 - 2C'.._1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 1 75.00 'ZS 2 Limited energy, multi - family 75.00 2 Wiring of new single family residence residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER • _ . ❑ TENANT '. _ ' 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: J.T. Roth Construction Inc. 601 amps to 1,000 amps 301.04 2 Address: 12600 SW 72 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State /ZIP: Tigard OR, 97223 relocation Phone: (503)639 -2639 Fax: (503)624 -0239 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 121 APPLICANT ® CONTACT PERSON above service or feeder fee 7.42 2 each branch circuit Business name: J.T. Roth Construction Inc. B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: David Jensen branch circuit Each add'l branch circuit 7.42 2 Address: 12600 SW 72nd Miscellaneous (service or feeder not included) • City /State /ZIP: Tigard OR, 97223 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (503) 806 - 0602 Fax: : (503) 624 - 0239 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: davidj @jtrothinc.com Sign or outline lighting 67.84 2 CONTRACTOR . . . Signal circuit(s) or limited- energy Business name: Grizzly Electric Inc. panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 8002 NE Hwy. 99 #248 Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: Vancouver WA, 98665 Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr Phone: (360) 909 - 4080 Fax: (360) 694 - 8939 Inspections for which no fee is 90.00 / hr specifically listed (%z hr min) CCB Lie.: 186218 Electrical Lic.: C-572 Suprv. Lie.: 2643 -S ELECTRICAL PERMIT FEES, Suprv. Electrician signature, required: o Subtotal: . B� Plan review (25% of permit fee): Print name: Ron Nelson Date: 4/26/11 State surcharge (12% of permit fee): 5 3 , 6.. r‹ '---) TOTAL PERMIT FEE: .6 Q 7 rj Authorized signature: permit application p permit 9-- This ermit a hcation expires if a is not obtained within0 Print name: Ron Nelson Date: 4/26/11 * days after it has been accepted as complete. Number of inspections allowed per permit. I:\ Building 'Permits\ELC- PermitApp.doc 07/01 /10 440- 4615T(lI /05 /COM/WEB Mecha nical Permit Application FOR OFFICE ICi:: I SI. ONLY City of Tigard g ,f Date / By: q AU' H . 1 13125 SW Hall Blvd., Ti ar d, OR 972 il` " Phone: 503.718.2439 Fax: 503.5981 B Plan Review /,, I� Date /B: Other Permit: • ([/ 3 T I GA R D Inspection Line: 503.639 ( t P R 2 6 2011 y Date Ready /By: r fa See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information CM. TIGPSR T YPE OF W nING OIV . , COMMERCIAL. FEE* SCHEDULE. - USE CHECKLIST 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: $ • CATEGORY. OF CONSTRUCTION RESIDENTIAI,EQUIPMENT / SYSTEMS FEES*, ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB ,SITE INFORMATION AND - LOCATION . ' Heating/cooling: ' Air conditioning Job site address: 12465 SW Autumnview Street (requires site plan showing placement) 46.75 City/State /ZIP: Tigard OR, 97224 Furnace 100,000 BTU (ducts/vents) k 46.75 4( 7'5 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite /bldg. /apt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Beef Bend to 122nd Duct work 23.32 turn left at Autumnview 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: Mountain View Lot no.: 4 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: . DESCRIPTION OF WORK A - - Water heater I 23.32 'Z'3 ■32 HVAC installation at new single family residence Gas fireplace 33.39 33 :3 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 ® PROPERTY OWNER 1:1 TENANT „ Chimney/liner /flue /vent 23.32 - Other: 23.32 Name: J.T. Roth Construction Inc. . Environmental exhaust and ventilation: Address: 12600 SW 72 °d Range hood /other kitchen 11 equipment ( 33.39 City /State /ZIP: Tigard OR, 97223' Clothes dryer exhaust I 33.39 503 639 -2639 Fax: 503 624 -0239 Single-duct compartments, rt exhaust (bathrooms, rooms) Phone: r2. ( ) ( ) toilet compartments, utility rooms) � 23.32 (�� ` / L ❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans . 23.32 Business name: J.T. Roth Construction Inc. Other: 23.32 Fuel piping: Contact name: David Jensen $14.15 for first four; $4.03 for each additional Address: 12600 SW 72nd Furnace, etc. I (' 1� Gas heat pump City/State /ZIP: Tigard OR, 97223 WalUsuspended/unit heater Phone: (503) 806 -0602 Fax: : (503) 624 -0239 • Water heater i • Fireplace I. E -mail: davidj @jtrothinc.com Range ( • CONTRACTOR ,,, Barbecue Business name: B &M Heating Clothes dryer (gas) Other: Address: PO Box 1111 MECHANICAL PERMITFEES* City/State/ZIP: Boring OR, 97009 Subtotal S2A ' I Phone: (503) 637 -3489 Fax: (503) 637 -5244 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 124757 State surcharge (12% of permit fee) 1 8 ,r-I' 0 TOTAL PERMIT FEE (,,'�j , 2 - J This permit application expires if a permit is not obtained within 180 Authorized signature: - ignature: % days after it has been accepted as complete. Print name: Bruce White Date: 4/26/11 * Fee methodology set by Tri -County Building Industry Service Board L\ Building\PennitsVMEC- PermitApp.doc 09/09 /10 440 - 4617T (11 /02/COM/WEB) 'Plumbing Permit Application Building Fixtures ' FOR OFFICE USE ONLY III City of gard Date/By: T A6 if ( � Permit No.: w. 6 a 13125 SW Hall Blvd., Tigard, OR 97223 APR 2 6 2011 Plan Revie _ - Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: o� 3 Date/By: Inspection Line: 503.639.4175 Date R ead y B y : rur s: ® See Page 2 for TIGARD Internet: www.tigard- or.gov C ITY OF TIGA D Notified/Method: Supplemental Information TYPE OF WORK BUILDING DIVISION FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist Description . I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ® I- and 2- family dwelling • ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 ryzt ; ?72 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 12465 SW Autumnview Street 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.: ) Pagc 2 Suite/bldg. /apt. no.: Project name: Manufactured home utilities 50.03 . Cross street/directions to job site: Beef Bend to 122 left onto Autumnview 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: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Plumbing installation for new single family residence Drinking fountain 25.02 Ejectors /sump 25.02 ®PROPERTY OWNER I El TENANT Expansion tank 12.51 Name: J.T. Roth Construction Inc. Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 12600 SW 72nd Garbage disposal 25.02 City/State /ZIP: Tigard OR, 97223 Hose bib 25.02 Phone: (503)639 -2639 Fax: (503)624 -0239 Ice maker 12.51 • ❑ APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name: J.T. Roth Construction Inc. Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: David Jensen Roof drain (commercial) 12.51 Address: 12600 SW 72 °d Sink/basin/lavatory 25.02 City /State /ZIP: Tigard OR, 97223 Solar units (potable water) 62.54 Phone: (503) 806 -0602 I Fax: : (503) 624 -0239 Tub /shower /shower pan 12.51 E -mail: davidj @jtrothinc.com Urinal 25.02 Water closet 25.02 CONTRACTOR, Water heater 37.52 Business name: Malmedal Enterprises Inc. Water piping/DWV 56.29 Address: PO Box 207 Other: 25.02 City/State /ZIP: Banks OR, 97106 Subtotal X S2_, Phone: (503) 324 -0759 Fax: (503) 324 -0580 Minimum permit fee: $72.50 • CCB Lic.: 102535 Plumbing Lic. no.: 34 -276B Plan review (25% of permit fee) :1„.,: State surcharge (12% of permit fee) ,a'4 . Authorized signature: �. , ,---_, i-- TOTAL PERMIT FEE 5 lam, Print name: Kris Malmedal Date: 4/26/11 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. 1:l Building \Permits\PLMU- PermitApp.doc 10101/09 4404616T(IO/02/COM/WEB) Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: , RESIDENTIAL: WORK. .. . Fee for all residential systems combined $75.00 Check Type of Work Involved: ® Audio and Stereo Systems* ❑ Burglar Alarm • Garage Door Opener* • ® Heating, Ventilation and Air Conditioning System* ® Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical • ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I:\ Building \Permits\ELC•PermitApp.doc 07/01/10 . . -,f., • v . '' i ihi ■ " Building Division APR 2 6 2011 T r c n ii o Development Code Provision Review CITY OF TIGpRD Residential Projects BUILDING DIVISION Building Permit No: )•-1--r T AD(/- OCCCQg CWS Service Provider Letter Received: Yes ❑ No ❑ N /A)KC Routed Plans: , / Original Plan Submittal Date: 7 ' _. 4 44 1st Revision Submittal Date: 6 '�/ /// ❑ 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. J Planning Review (contact 31 L)'L L at 503 -718- 1 or CdiLit @tigard- or.gov) U- �: La yd Use Case o. a(Jr� ©(?� Name An) 0 �i ��rg El Zoning C2 / ffont I� Rear /.6." Side S Street Side /0 Gara e Q „ aximum Building Height 3 Actual Building Height as -s Er .Visual Clearance Li Easements V pug u �'^ q El Sensitive Lands Type: ZU5 ''(p i5 e!, • : G✓ ` fLebyt� - g 5 1 l Notes: 6' V1Z t L- ID (A.. ? G,�teya f► j5 Scat. a. S.e b -t'.,� psL `'ICP 4,.Dk1 J Original Plan: Approved LL Not Approved LX Date: L4 1' 9- '2 ( I . Revision 1: Approved Ld Not Approved ❑ - Date: (44- ( Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW@tigard- or.gov) . ,0' Actual Slope: 1 'a ” zZ % Notes: Original Plan: Approved 4Er Not Approved ❑ Date: k 2 ' ?./ Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 .,p d s City Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) S treet Trees Protected Trees Notes: Amc J d di' C . . /,jw 4 to 11 pe,i.i sl)3 Original Plan: Approved El_ Not Approved Date: y') 7 - I Revision 1: Approved Not Approved L Dat e: `` - "' ' 6 I" • Revision 2: Approved D Not Approved ❑ Date: C'3 --aoll Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or abert@tigard-or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: 2 / 9 j �� Revision 1: Date Sent to Applicant / Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes ■ No ❑ i �� /�� Date Routed to Building: _ , / d l l; v Page 2 of 2 • Bu ding Permit Application • Residential � � - ai v r�s,. b R OFFICE list U.NI V it. 1 - _ i fl . ', k pL ii i j City of Tigard + f • tt N 4 t" Received / _ r Permit No. II H 13125 SW Hall Blvd., Tigard, OR 97223 • ` Y ` - Plan Review ' _ ®�* G Phone: 503.718.2439 Fax: 503.598.196 p p 9 , az 2011 DateB Other Permit: I T I G A R p Inspection Line: 503.639 Date Ready/By: ® fa See Page 2 for Internet: www.tigard or.gov Notified/Method: � Supplemental Information . ji :. ^. L Ali li(, DAR i %k; E�F TYPE OF R � � REQUIRED DATA: 1 -AND 2- FAMILY DWELLING ® 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 CATEGORY OF CONSTRUCTION work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $350,000.00 ❑ Accessory building ❑ Multi - family Number of bedrooms: 5 ❑ Master builder ❑ Other: Number of bathrooms: 3.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 . Job site address: 12465 SW Autumnview Street New dwelling area: 3079 square feet City/State /ZIP: Tigard OR 97224 Garage /carport area: 600 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: 254 square feet Cross street/directions to job site: Beef Bend to 122 " , left onto Deck area: 0 square feet Autumnv Other structure area: 0 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Mountain View Lot no.: 4 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 DESCRIPTION OF WORK work indicated on this application. Valuation: $ Construction of New Single Family Residence Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: J.T. Roth Construction Inc. Type of construction: Address: 12600 SW 72 "a Occupancy groups: City/State /ZIP: Tigard OR 97223 Existing: Phone: (503)639 -2639 lam, f Fax: (503)624 -0239 New: ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: J.T. Roth Construction Inc. Structural plan review fee (or deposit): Contact name: David Jensen FLS plan review fee (if applicable): Address: 12600 SW 72 " Total fees due upon application: fr City /State /ZIP: Tigard OR 97223 Amount received: # 75z) Phone: (503) 806 -0602 Fax: : (503) 624 -0239 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E -mail: davidj @jtrothinc.com Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Submit two (2) sets of roof plan with connection details Business name: J.T. Roth Construction Inc. and fire department access, along with the 2010 Oregon Address: 12600 SW 72 "a Solar Installation Specialty Code checklist. Permit Fee (includes plan review $180.00 City/State /ZIP: Tigard, OR 97223 and administrative fees): Phone: (503) 635 -2639 � Fax: (503) 624 -0239 State surcharge (12% of permit fee): $21.60 CCB lic.: 31700 Total fee due upon application: $201.60 Authorized si This permit application expires if a permit is not obtained ��� within 180 days after it has been accepted as complete. / K r r� * Fee methodology set by Tri -County Building Industry Print name: David Jensen / � Date: 04/26/11 Service Board. I: \Building\Permits\BUP- RESPermi pp doc 02/ 24/2011 440- 4613T(11/02 /COM/WEB) • RECEIVED JUN 3 2011 Ili II 0 9 9 CITY OF TIGfi ' o N 89°49'32" W 3900' BUILDING DI 1 . - V_ -. • — iff , .. . / Q .., FEVIS STEWART RA OME DESIGN iz' „' / . _ •/+; 1 I e0/4/ll ta . I 1114.---- " 9 1 -;',A i o,.,44: 4 . 0 -;" 3).-71Ii • : • I r C - S '''' .69 )- • ____?--th 2L- I --- 0 'F6.*3866'. -- _--- ----- 1 % I • I 6131 80 6 GA 0.0. Tualatin, Or aeon 91062 ..441.0 . ' WOW. ----- I , 1 :ttj ' 7' , : 0' .. " (NOW E09.6311 P 9 / 61 ; S • ''l•j%, I: (5032 919.4I32 F ,o el ,,..„ ,- :.,, 1 , ,,, kmulinarkstesuort.com , -FT / , • ^3:' ,',' , - n I ' '- '' ' ,`" / FG.-4 Il k • I I - - . 1.9 ' I' ' / • , ' - ' . ; .._z_A- ."•.._, c," \ - 3 , o ,i r• I • , '- 0 . , I I . C I ) r II , i , , 1301.22 I I • 1_1- 1 } , rip . 302 S' • .4) • • C/2 ' I r ' ' 0 I • IQ "I .' I / t i I_ i ' • _II [ - ...Ai i S a t. _ I N II . , 0 '1 H ' ' rl•I'± 111 I • , • 1 i i •!',:i • I r.)1- tin • • • - I .' V,' ,/ . 1 ' I '--Itgiji - .. 4P I I Home Plans , ■I ,' .' I I I Custom Design -1 ' I-- _anori Builder Marketing Interior D esin g , I GF. • 3790 'S 'It '31 I . — rr' ' I - - -11 , i. , .. i 5Ince I962 43 I r 1_,L__ / I E '71 i _ _ - 1 1 - 1 5' 4 1 - Tar p4.... noll . 61..4,11rIn • ' ' ! I ' i - IIF • 330 / -- . 1=1 I : =1 // / Important Placloeur• 1 Pleams Read, ,, 1 Znr•=0060..."711;r1■1%.04. 1.1......../...ea 1•14 111.1 I 1 j I I 1.04= IN. Ws I . /- — ' --'-----------t. 0' POE ,t _,,, 7.-.........................a. Z _______ . ,,,, MOUNTAIN VIEW .116.11, reomuir ANT** V. =1117=• it b 7/ — — ,.- . f. J E,_, ESTATES LOT #4 aral WAY OW ....Z. 361.0E ... - .14 , , ' - ! • : ' "."fi Ishoo NV ne.er.12,1. Ow aonforsinlo • / 9 'i ' a br. ow 6 6or roroo ro Am ....67 1 tv . 0 . , ,‘ -5 ,,, ,l 1 1 . .) 0 4` SCALE: 1/,,,t — /0 —JT ROTH ' / J 2! SCALE: 4 IA - ,l, RINVCCI) &i+I ....• MOUNTAIN VIEW 1'4465 SW AUTUMN STREET ES7'ATES LOT 14 ---.. _ - - - - - - 1,10111 Hri i -00oCog SITE E El ... Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: �� Jurisdiction: c _ ^,( ,sC Qoi[" ��% Site Address: 5 •---\ \ ���� Subdivision/Lot #: ` , owl,, L" V i Q tN 1 �� 4 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 Sjcialty Code N1107.2) Signature: �, Date: Owner /General Contractor/ uthorized Agent Print Name: As P Ar\ 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 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, ' -r �',„� -� �� � �� , am the general contractor or the owner- builder at the following address: Site Address: 14.1 sv.-) P\\ -- uk ‘.Jt..v3 City: Permit #: Mss btt - oo6)? Subdivision/Lot #: \ `'n i I I 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. Date: r (�, /�� Generantractor or Owner - Builder I: \Building\Form'RES- MoistureSensitiveWood.doc 09/25/08 -0 II— INI STREET TREE i _ :Li F .f RD CERTIFICATION I, A' skvs R-L , owner/ agent for 3 Ca,s U.4,( -,,"ate , (PLEASE PRINT) (PERMIT HOLDER) do hereby certi 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. PERZVIIT NO.: N,A \ 41)' 1 _ p u 1/4..K ME ADDRESS: 144 L c - 5 ,,, 1 /h- ,,,,_-{- w,„ U,,2,„., &-- SUBDIVISION: IV -40:A ` i LOT #: 7 SIGNATURE: DATE: /0, (OWNER /AGENT) RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location ven: ed per approved site plan. / I: \Building \Forms \StreetTreeCertificate 04/01/2011 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. 114 City of Tigard = ; Buildin g Division T IGARD TRANSMITTAL LETTER TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: W( •L?!) JUL 2 5 2011 CITY OF TIGARD COMPANY: T �U l UT BUILDING DIVISION PHONE: 5 3 FOE d (-C�— B Y RE: l y- , ( Se Address i (Permit Number) (Project name or subdivision name and I s • i mb . I ATTACHED ARE T r FOLL 1 ING '' E ► S: Copies: Descript• n: Copies: Description: • Addif • nal set(s) of plans. , Revisions: Cro:s section(s) and detail Wall bracing and /or lateral analysis. F s or /roof framing. Basement and retaining walls. eam calculations. Engineer's calculations. Other xplain): REM • KS: A� • r c� \ • FOR OFFICE SE ONLY Routed to Permit Technicia Date: 7 Z I I. Initials: `"71 w. Fees Due: ❑ Yes o Fee Description: Amount Due: Special Instructions: Re print Permit (per PE): ❑Yes ` • , A ❑ Do e Applicant Notified: Date: 7 / jj _2 NFJ Initials I:\ Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011 or / %C ' 5' /krlMe /EP/ Project: Roth Mtn View 4 and 5 4 75 . 7 -1 `/ 0066Y page so- Mark Stewart Location Column 1 at front of garage • `" Mark Stewart Home Design Column "4 n f' " 347 NW 9th Ave (2009 International Building Code(2005 NDS)] ,' Portland, OR 97209 at 55 IN x 7 5 IN x 9 5 FT #2 - Douglas- Fir -Laren -Dry Use StruCalc Version 8 0.106 0 9/19/2011 11:13 49 AM Section Adequate By: 1 2% LOADING DIAGRAM VERTICAL REACTIONS Live Load Vert-LL -Rxn = 11887 lb Dead Load' Vert-DL -Rxn = 10085 lb Total Load. Vert -TL -Rxn = 21972 lb B COLUMN DATA Total Column Length. 9 5 ft Unbraced Length (X -Axis) Lx 9 5 ft Unbraced Length (Y -Axis) Ly 9 5 ft Column End Condtion -K (e) 1 Axial Load Duration Factor 1 00 COLUMN PROPERTIES #2 - Douglas -Fir -Larch Base Values Adjusted Compressive Stress Fc = 700 psi Fc' = 539 psi Cd =1 00 Cp =0 77 s s n Bending Stress (X -X Axis) Fbx = 750 psi Fbx' = 750 psi Cd =1 00 CF =1 00 Bending Stiess (Y -Y Axis)' Fby = 750 psi Fby' - 750 psi Cd =1 00 CF =1 00 Modulus of Elasticity E = 1300 ksi E' = 1300 ksi Min Mod of Elasticity E_min = 470 ksi E_min' = 470 ksi Column Section (X -X Axis) dx = 7 5 in Column Section (Y -Y Axis) dy = 5 5 in Area A = 41 25 in2 Section Modulus (X -X Axis) Sx = 51 56 in3 Section Modulus (Y -Y Axis) Sy = 37 81 in3 A Slenderness Ratio Lex /dx = 15 2 Ley /dy = 20 73 AXIAL LOADING Live Load -L = 11887 lb Column Calculations (Controlling Case Only): Dead Load PD = 10000 lb Controlling Load Case Axial Total Load Only (L * D) Column Self Weight CSW = 85 lb Actual Compressive Stress Fc = 533 psi Total Load PT = 21972 lb Allowable Compressive Stress Fc' = 539 psi Eccentricity Moment (X -X Axis) Mx -ex = 0 ft -lb Eccentricity Moment (Y -Y Axis) My -ey = 0 ft-lb Moment Due to Lateral Loads (X -X Axis) Mx = 0 ft-lb Moment Due to Lateral Loads (Y -Y Axis) My = 0 ft -lb Bending Stress Lateral Loads Only (X -X Axis) Fbx = 0 psi Allowable Bending Stress (X -X Axis) Fbx' = 750 psi Bending Stress Lateral Loads Only (Y -Y Axis). Fby = 0 psi Allowable Bending Stress (Y -Y Axis) Fby' = 750 psi Combined Stress Factor: CSF = 0.99