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Permit • Xn CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2011 -00075 1"jcA.Rp 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/10/2011 Parcel: 2S104AD05400 . Jurisdiction: Tigard Site address: 12826 SW SEVILLA AVE Subdivision: WALNUT CROSSING Lot: 1 Project: Walnut Crossing, lot 1 Project Description: New SF. • BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First. 1172 sf Basement. 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1561 sf Garage: 885 sf Front: 20 Smoke Dwelling Units: 1 Third. 0 sf Right: 5 Detectors: Yes Total: 2733 sf Value: $318,529.20 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain' 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains. 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains 0 Tubs /Showers: 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: 5 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 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 Other: N Other Description: • Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2733 • Owner: Contractor: PAHLISCH HOMES, INC. PAHLISCH HOMES INC Required Items and Reports (Conditions) 63088 NE 18TH, STE 100 63088 NE 18TH ST #100 1 Ersn Cntrl 503 - 681 - 4444 • BEND, OR 97701 BEND, OR 97701 •• PHONE: 541- 385 -6762 PHONE: 541- 385 -6762 FAX: Total Fees: $25,263.25 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 R 952 - 001 -0090. You ma o• -.• - .. of the rules or direct questions to OUNC by calling 503.232.1 87 or 1.800.332.2344. Issued B . _ _ - • Permittee Signature: Ca 034005 by 7:00 a.m. for the next available inspection date. This permit card s • . . - ept 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. . !tilling Permit .; Application • 41 Residential y ' , • FOR OFFICE USE ONLY a t .r. �xa r 1 .1 R ece ived Qty Tigard Permit No.: `1 g Date /By / / /' , I/'4SC(07� °� • 13 Hall Blvd:, Tigard, OR •7 • i Y��ssr• i\'� Plan Bevie - / 3 0' Phone:: 503.639.4171 Fax: 503 5' - ?'(y 14 t Date /B ;/ WI O I ( Other Pennit: is 1 -f L i. L /. TIGA Inspection Line: 503.639.4175 (( �� - o Date . 0 ' B ' ®, See 'age 2'for , — , _ -, ,.=1 - :'! , , ,, --:' , Internet: www.tigard- or.gov - � I" A V ��,.' o ff\ Notified/Method: ,' ( a mp Supplemental Information O` ∎ \1 \S (13 ' . / TYPE OF W 4 ® New.construction ❑ e ollition Phone: (541) 385 -6762 Fax: (541) 385 - ❑ Addition /alteration/replacement ❑ Other: GA OR ' N CO S Ue IT O , ,� M a CCB lic.: 42067 ®'1- and 2- family dwelling ❑ Commercial /industrial Authorized signature: • ❑ Accessory building ❑ Multi- family ❑ Master builder ❑ Other: Print name: Phillip Pahlisch ,- . , . ,.- _..,i � ti c ,; °.,�. a ;, , irem . ,- R 1410TA:i,�AND`3- AMILYDW,EL•`L• "IN l . JOB SITE INFORMATIOiN D x s; , - `" , . are DAF ." + .t = . G . vas° - "�' - , , sv.�as... 4 Mmtaa6�4.�'N.:'C'r :`k'E �. .e'.a," Permit fees* are based on the value of the work performed. Job site address: 12826 SW Sevilla Ave Indicate the value (rounded to the-nearest dollar) of all City/State /ZIP: Tigard, Oregon 97223 equipment, materials, labor, overhead; and the profit for the work indicated on this application. ,. Suite/bldg. /apt. no.: Project name: Walnut Crossing Valuation: !J -5725? , 2C � . Cross street/directions to job site: Walnut . &,Sevilla, , - ) - Number of bedrooms: 3 . Number'of bathrooms: 3 ' Total number of floors: 2 Subdivision: Walnut Crossing Lot no.: 1 'Tax map /parcel no.: 2S104AD05400 New dwelling area: 2,733 square feet • '' ;. J � D SCRIPTION OF WORK : a ii : Garage /carport area: 885 square feet . _ p , tom, % a« - ' t a ; a.e.ari .' b , _? ,. „emu r., = „.4.00, y Construct new single family home on lot. Covered porch area: '40 square feet 11 • Deck area: 240 square. feet / (" ,Z • Other structure area: 3616 square' feet 2 3 , ® PROP.ERTY OW *° Calla NT' 1 . R QUI D DATA COMMERCIAL USE CHEC IST Name: Pahlisch Homes, Inc. ' . Permit fees* are based on.the value of the work performed. Indicate (rounded.to the nearest dollar) of all Address: 63088 NE 18` 100 equipment, materials, labor, overhead, and the profit for the ' work indicated on this - application. City/State /ZIP: Bend, OR 977,01 Valuation: $ Existing;building area: square feet Phone: (541)385 -6762 Fax: (541)385 -6742 . . New building area: square feet Ey �� efts ; Number stories: �, � ® �T= ' ..-- _ ® CONTACT PER , Business,name: Pahlisch Homes Type of construction: ' Contact name:.Phillip Pahlisch Occupancy groups: Address: 63088 NE 18` STE 100 Existing: • • City/State /ZIP: Bend, OR 97701 New: Phone: (541) 385 -6762 x104 Fax: : (541) 385 -6742 All contractors and subcontractors are required;to be licensed with the Oregon Construction Contractors.Board q /' L� ©(� - under ORS 701 and may be required to be licensed "in the • jurisdiction in which work is being performed: If the E -mail: phillipp @pahlischhomes.com applicant is.exempt•from licensing, the followingareasons> 4"- u- / r w ' - , - , A:-. GONTRAGTOR 1 � - > ; ' ` apply. '.Business name: Pahlisch Homes Address: 63088 NE 18` STE 100 City/State /ZIP: Bend, Oregon 97701 . , BUIEDING PERMMI.T`EEES* r ' ” I mo ; , .. �(P/e erefer In fe" e '.' ehedule t " = i ' ' 1: A Building \Pertnits \BIJP -RES PennitApp.doc 10/01/09 440- 4613T(I1 /02 /COM /WEB) d6 . Jun 10 20'11 1:19PM . HP LASERJET FAX 5033560513 p.1 `tie .tr[ca Permit Al lit_ tl - , ' , " fi a p.y� l�� s��[UTA ' .., ^ 1 t }h t)I i I(I 1'I51 (PNI, , T. I -11 of 'Tigard i1� _.r ` s � �Or , r.. ,gyp- �a _ , 4 EL v u .1 :125 SW Hall Blvd.,Tigard, �OR, Q 4 I 0\ • u i `. . 1? Ana 503.6391171 Fax: 50 94q • D . ;, , Mar Permit: I 1 r , tt i, I emotion_ Lino: 503,639.4I 75 Dato Reedy/By: • Aida: _• Set Page 2 for 1. tenet: www.tigard•or.gav '� NottlledrMetl,od; dupe ?etnartcal infvrmatl TS7 1 . . ., n t r� I , �p r �A >> ♦i'b'` \Zt f bit t , NAM. ."•1 't Pf 1,' t i F ,W.11 ' t f r gyp, r, ¢° r^ , � � �W y A ? W%�r �` r ro 3 v ®".blew cons) Dijon A Addilion/altee LI \ r=pleoement eat* • a ,that apply (submit/ orplarwYvAhtme a eoke. below): 1] service or Rieder 400 m.+p■ 07'4106 ❑ Bullding over three etorise, ❑ Demolition A Other; - where Ow tvallab le' tlualt El Marinas end honynrdo, `` ` r at e ' e ?, e' s � ri u :t a � < , a 4t 150 volts or p ��1't@'k�>t+�.sl�w.. rbt�arrw' � :fn���.14e� , ,. ti�u Uwe& 10000 m .�� 1� ❑ pleating bur/dingo, lees to gerund, or exceeds 144100 ❑ Commereiel - ueo egriculrurel ® '1- and2•fa1 ily dwelling U Cotnmeroial/industrial U Accessory building empa Pr ell otherInnelletioas. buildings. e 0 Multi -fame 0 Master builder [J Other: � Cl Fire ;unlp, ® Installationof71 KVA E-aaei at lrl 1:`3, } 68anU i;1$ ..i L1 :t ai'.,.. F - .. 1!;ail : " } 19 dJitlo+ of elv no ior load of CI is larger pa,vtely derived system, ECM Job site address: 12826 SW Sevilla Ave IOObte or nloro, 000upenay. ©81x or m ore teddential units. ❑ R.eera�tion 1 vehicle parks. City /State/ZIP' Tigard, OR 97229 ( Ha ith.aere taollitiae, ❑ Supply voltage for more than 17 Hazardous loasiione, " ,600 volts nominal. Suite/bldg. /apt, no,; Project name: Walnut Crossing ©$arvioo Ur 6:oder 600 amp or mom, C1o69 street/di - lone to job site, Walnut 3t & 13ev[Ue Ave. __ i u .f° Mi ` •di'„` _ I ... . �, �� `ffMIIIIMI New residential's ogle - or muitl•Qimlly dw,elling unit. lrtaludes attached garage. Subdivision: - !nut Creasing Lot no 1 1,000 eq. ft. or leas I 1 1¢8,54 168.54 I 4 — Tax map /parcel no.: 28104A005400' a. ndd'1500 sq. ft' or portion 33.92. "Z�I3P 521 ��,,��;;� ��; x w . L S% residential 1 litl►:'a t223(z l�,.)eicsli.i :;:� "i;dra a:,ii ,e .° 1 a ammo 1 �3 wit above • . _- I ' 2 Install new gar ice for,singlt'i'am11y residenc. Limited oneagy, multi•! §,m y e atia 67:84 2 ldentlal(RI {h nboro sq. tt ) - Servlees or' feeden installation alsarntlon and/or i 410,, lop { � aa nn p �pp�� 2_,00 amps'or less _]00:70. 2 - Y'� Z� 9`J��� �� 1 �� t �•�'§ a-1 11 s +live ,t: �v. � 1 , v x., L rrf.���; i , �at�i >'' Fg ti el gge 1 1. ° 201 amps to 400 amps II 133.56 2 Name: Pahiise Homes, Inc, 401 amps to 600 amps: 200.34 2 601 am.o 1,000, ani.s 301.04 2 Address: 63088 NE 1$th 'Over 1,000anipe or volts In 552;26 Ell City/State/ZIP: end, OR 97701 Temporary service: or feeders Installnfon, alteration, ai dfor ,relocation ` 200 sin s or less 59,16 1 Owner In,talla lam This installation is being r a4m on_ ptnpea r that I awn "which is not 201lalnps to 400 gulps 12508 2 • intended for sal =, lease; rent, or exchange, according to ORS 447,449, 670, and 701, 401 stns to 599 au's 168. 2 Owner slgnatu : _ tiatb: a na1 elr II 1 :U. , . or eaten l,m. . a' lewd r' E F 3, t r r u" Sr at ` ° a4 iii y rs+ a a +• r, �� , , l r, r � , A, Fee fey branch eireuite with ?' , i e #' "V, .E aTl:t lS e�: f C'ys` IV '!+�v C` c..;+' above earv o feeder fee, 7.42 , 2 Business name: Pahilech Homes each bran s'tru't - B. Fee for branch ciicults Contaot nano; : hillip Fahliach wldeost service or feeder felt, 56,18 2 first French' circuit Address; 63088 NE 18th 13aohrodd'i branoh ct roult • 7.42 2 " lMisceltaeeoue service or fonder not lnctud City/State/ZIP: :end, OR 97701 Bash cture - or.tsodular di/Milli, se andrbr fbeder 67.84 • Rea onneet only 67.84 8- snail: phtllip , @pi hllsehhomes.com Putt) :'or,irri tlon oirole &7,84 t?::'.$Mil i , , tlfaM :�°�bl' Etriti:,,:'' 'E Y , l i t :.." 1,41*4 Vi Sign or outline lighting ° 67,84 2 Business name: r $ _� ignal•orotslt(s);onilacd I. - ...t - r4 ene rgy "p altat'etic1l�r, or . Address: 5 NW C .PatVe extension. Describe Page 2 City /State/ZIP. •g _ 0 ci 7 ( 14 Eech'addltlonai hie: action over allowehla In an of the above S Per i ; :lion 111n11111 111n11111 CCB Lic3 Ia ' e. -1 Fax: ( 7 , , O Trivet' aion'. peshourp hrtnln) r T1 M� Electrical Suprv. Lio,: Industrial-plant :er hour 78.18 �� n signature, rt:guired: �a1I . . .._ 2ait1°�z�_4 ta_41t•�i, 1 'r t;: Solndial: 44 t► '� s Plan tevlvw (2595 of ... zlitt Pee ='' i � state ,urohnrge(12% of, permitfee): , Authorized sign P i TOTAL PERMITPB �� 8; 'A, 6 Q tT 1e 1 . � � � t� Date • . Th le permit applkotlanexplre� if a pormlt'ts aof obrainee wlthtn 150 days etterlt ha been aecegred AFCginptote ° Number of inspecttett Fllowed poi' pennIt. I: Bails >inr\Pcmtute LC. • armitAppdoc l ent/st 440•4tliST(I1/O5/COMIWaa i kfj f` Mechanical Permit Application a� y ,, *' FOR OFFICE USE ONLY `� ? ) , • Z j W - City Of Tigard Received `J Date /By: Permit No.: my tq i'--( yr) "� �j 13125 SW Hall Blvd., Tigard, OR 97223 ++ Plan Review Phone: 503.639:4171 Fax: 503.598.196 % \\ Date /By: Other Permit TI GARD: Inspection Line: 503.639.4175 Date Ready /By: funs: ® See Page 2 for I °•s t: a Internet: www.tigard - or.gov ryC i n �C Notified/Method: Supplemental Information. o 1, `C), -, �1 • �; - 1 01714RK Cj ti, g . il.,. �`�e Phone: (541) 3856762 • Fax: (541) 385E • ® New construction ❑Addition /alteration/re Cement ❑ Demolition ❑ Other: • A .' !` CAT GE ORY OF' CONSTRUCTION' '' '' CCB lie.: 42067 ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Authorized signature: ❑ Multi- family ['Master builder ❑ Other: „� , x - Print name: Phillip Pahlisch ' JOB?SITE INFORMATION = A ND,L OCATION 3 ; rj' fin. .,� � g s �. w uli. • �u�aa �k �c - ,:x _ , �:;�,�ar�s,.. y W , � .. t +> : g�� i� »,. aca.`- sx,.. c., �+ s>,• w; m: Yasss::.:; rx-.+s ,c±ra:°�--- -z.�sa:z�.*- �.xtr�.: Job site address: 12826 SW Sevilla AveOg*RGIAL FEE 4.SCHE I ", USE CHECKLIS City/State /ZIP: Tigard OR 97223 Mechanical permit fees *•are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Suite/bldg. /apt. no.: Project name: Walnut Crossing mechanical materials, equipment, labor, overhead, and profit. Value: S Cross street/directions to job site Walnut St. & Sevilla Ave - r - F= `t RESIDENTIAL QUIPMENT aSTEMS FEES* For special information use checklist. Description, Qty. Ea. Total Heating/cooling • Air conditioning (requires site plan showing placement) 46.75 Subdivision: Walnut Crossing Lot no.: 1 Furnace 100,000 BTU (ducts /vents) 1 46.75 46.75 Tax map /parcel no.: 2S104AD05400 ' Furnace 100;000+ BTU (ducts/vents) 54.91 ' � � '� °"� �"�' �'" , ° Heat um 61.06 a 1W4IPTION OF WORK -° p p , waa»w� *s',°�.. - �zeE�" - <w�sr<, v»mrn .. -�.�, � <az. _ r� ,.. - �€ ""&ce3'a'.`r Duct work 23.32 Install new service for new residential single family home • 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 23.32 „ 1 - ,� ' ®TENANT. � ..;an POPERIYON<ERr�. .a 7 , emv:.»n. „�r �� A, ; sI Other: 23.32 Name: Pahlisch Homes, Inc. Other fuel appliances Water heater 1 23.32 23.32 Address: 63088 NE 18`n 'Gas fireplace 1 33.39 23.32 . City/State /ZIP: Bend, OR 97701 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Phone: (541)3856762 Fax: (541)3856742 ' Wood/pellet stove 33.39 - Wood fireplace /insert 23.32 Chimney /liner /flue /vent _ 23.32 . i':7,?:': ° ®: P LICANT % Q® N7 PE ON= - .-.4 Other: 23.32 Business name: Pahlisch Honies Environmental exhaust and ventilation Range hood /other kitchen . Contact name: Phillip Pahlisch equipment 1 33.39 33.39 Address; 63088 NE 18th Clothes dryer exhaust 1 33.39 '33.39 Single -duct exhaust (bathrooms, / , City /State /ZIP: Bend, OR 97701 toilet compartments, utility rooms) 23.32 I (�f�• - . Attic /crawlspace fans _ 23.32 • Other: 23.32 Phone: (541) 385 - 6762x101 Fax: : (541) 385 -6742 Fuel piping ' $14.15 for first four; $4.03 for each additional, Furnace, etc. 1 14.15 14.15 ' - E - mail: phillipp @pahlischhomes.com Gas heat pump W TRACTOR ° t i" Wall /suspended/unit heater a .. _•.� CO ..3 _, : 1 vA�� = Water heater 1 14.15 14.15 'Business name: Pahlisch Homes Fireplace 1 14.15 .14.15 Address: 63088 NE 18` Range 1 14.15 14.15 Barbecue 1 4.03 4.03 City/State /ZIP: Bend/ OR / 97701 Clothes dryer (gas) Other: . I:\Buildmg \Permits \MEC- PermitApp.doc 10/01/09 440- 4617T(I 1 /02 /COM /WEB) 3C:-G .,162. 3 j ' e , ,(;,d Plumbing Permit Application Building Fixtures OR OFFICE USE ONLY '' . -- City Of Tigard [ ,, L i\ Date /By Recei : Permit � J i( (� 7c P t N a. 13125 SW Ball Blvd., Tigard, OR 97223 AJ k , an'Review Phone: 503.639.4171 Fax: 503.598.1960 \,.. i r ' te L y Other Permit No.: Ili' inspection Line: 503.639.4175 �\ 1 ' , ' ∎ TIG A RI3' ®� ` `1 � Read /B 1uris: 0 See Page 2 for Y Y � M rq Internet: www.tigard-or.gov or gov 0‘ `�Ot�fied /Method: Supplemental Information / �T�YPEii WORK p , % +g m- *. z 'EEE ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. J Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) - ' - oRy O " `' ` SFR l CATEGORY OF .CONSTRUCTION ( ) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 Accessory building SFR (3) bath 1 500.32 500.32 El ry g ❑ Mul ti - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 A JOB S - -R INFO M T MOP 1. "•° "z a- ��` ,„,z ° � ,�,� ,. �_�� w.�����° �� �,� .;F��. ��- a.�.z �,-a Site utt Siilii .� R. es: Job site address: 12826 SW Sevilla Ave Catch basin or area drain 18.76 City/State /ZIP: Bend, OR 97223 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: I Project name: Walnut Crossing Manufactured home utilities 50.03 Cross street/directions to job site: Walnut & Sevilla Ave. Manholes 18.76 R 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: Walnut Crossing • I Lot no.: 1 Fixture or item: Tax map /parcel no.: 2S104AD05400 Backflow preventer 31.27 "_ " t " �*" Backwater valve 12.51 ' DESCRIPT OF WORK ill Clothes washer 25.02 Install new work in new single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 e s r =te s ;x ° ® PROPER° °OWNER; / , :TENANTS Expansion tank 12.51 �a aim �� �u .xx��s:r„se ,. e . „„ ',°Y�A u Name: Pahlisch Homes, Inc. • Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 63088 NE 18 , Garbage disposal 25.02 City/State /ZIP: Bend, OR 97701 ' Hose bib 25.02 Ice maker 12.51 • tai. �� ®. @O'T�ACrVT PERSON Interceptor /grease trap 25.02 • Business name: Pahlisch Home s Medical gas (value: S ) Page 2 Primer 12.51 Contact name: Phillip Pahlisch Roof drain (commercial) 12.51 Address: 63088 NE 18 Sink/basin/lavatory 25.02 City/State /ZIP: Bend, OR 97701 Solar units (potable water) 62.54 • Fax: : (541) 385 - 6742 Tub /shower /shower pan 12.51 il: hilli ahlischhomes.com Urinal 25.02 E -ma P PPG�P �. �� - Water closet 25.02 t '• r I•. CO . - water heater 37.52 • Business name: Wolcott Plumbing Water piping/DWV 56.29 Address: Other: 25.02 • - City/State /ZIP: . Subtotal 500.32 Phone: ( ) Fax: ( ) Minimum permit fee: $72.50 CCB Lie.: " ��. Plumbing Lie, no.: Plan review (25% of permit fee) • �� i State surcharge (12% of permit fee) 60.04 Authorized sii � ''e g TOTAL PERMIT FEE �5 name: J� / i ` f� This permit application expires if a permit is not obtained within 180 days / 1 , ��) l � � is, . _ Date: Y ✓ � after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service _Board. • I:\ Building \Permits\PLMU- PemuApp.doc 10/01/09 440- 4616T(10/02 /COM/WEB) . electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: EMBYMTWKOTCONIN:4i1" Fee for all residential systems combined ... $67.84 Check Type of Work Involved: ® Audio and Stereo Systems* ® Burglar Alarm ® Garage Door Opener* ® Heating, Ventilation and Air Conditioning System* ® Vacuum Systems* ❑ Other: Fee for each commercial $67.84 system (SEE OAR 918 309 - 0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\ Building \Permits\ELC- PennitApp.doc 10/01/09 • (4- RECEIVED JUN 2 2011 CITY OF TIGARD BUILDING DIVISIO jj t A co 0 ®1 a elk i I .. • I • n • ' IN I ',:-i 111 o I _ —_ —_ - -_— i , I I P�� ' op N—I I — -- I ! - - - -- I. I I I - 00 I — B�.f2 3 I • , f a) Z IN I I d- I O s Q \ N 6,3.1X I \� \ \ ' �, ' A, • CO illig \ I z 1 ,•• -; I'' I . . \I ® - ---- - :-- ..— . ftm.114,11tilille---1---_44_ E a Irtr` W ,..„, ir ,- . �, /' GS 1_, ` • • Buyer Date Buyer Date Lot Sq. Ft. = 12,958 sq. ft. W alnut Cxossin _ Foot Print Sq.,Ft = 2,421 sq. ft. Subdivision:- - ._ if Lot Coverage = 18.68% Pahhse ll � �$' Address: Lot #: 1 A ' Total Impervious Surface= 3,588 sq. ft. u m� 12826 SW Sevilla Ave. PLANT SCHEDULE We „„ ,,,. „ »' P"•"'" "m "'"' ,,,, Plan Name: Stonecieek P - „ 63088 NE 1 RTH STREET, SUITE 100 ■ O, • 2' �, nr - „„ „, ,�„ t „� w - BEND, OREGON 97701 Date: 4/22/11 flIAXXUS PH: (541) 385 -6762 FAX: (541) 385 -6742 Scale:1 " =20' O is ru r nr 'RAnng” sn ,n • DRIVEWAY, WALK AND PATIO LAYOUTS ARE FOR REFERENCE ONLY AND NOTINTENDrilo TO BE THE EXACT DEPICDON Or THE FINAL PRODUCT • EXACT UTILITY CONNECTIONS AT RESIDENCE MAY VARY PER BUILDERS DISCRETION • Walter H. Knapp & Associates, LLC 1 Consultants in Arboriculture, Silviculture, and Forest Ecology r; 6/2/20.11 0939 Walnut'Crossin• Homebuildin• Tree Protection Monitorin• 6 .xls Page 1 of 1 Inspection On Site Condition or Comment Recommendation for Resolution Item Inspector - Date Contact . , _ Corrective Action" Date. - Tree protection fencing satisfactorily in Remove the garbage and excess materials from the Morgan place and in good repair at rear Of Lot 7; protection area in the front of Lot 7. 05/12/11 Holen none Lot 7 fencing satisfactorily in place in the front of 06/01/11 Lot 7, but garbage and excess materials within protection area. 05/12/11 Morgan none • Lot 8 Tree protection fencing partially collapsed Adjust the fencing upright and maintain in place. 06/01/11 Holen at rear of Lot,8. Morgan Excess materials within protection area at Remove the excess materials from the protection area 05/24/11 none Lot 7 front of Lot 7.. Fencing in need of general in the front of Lot 7 and perform general maintenance 06/01 /11 Holen maintenance in the rear of Lot 7. to fencing in rear of Lot 7. Morgan Protection fencing partially collapsed and Relocate the construction materials and perform 05/24/11 Holen none Lot 8 construction materials within protection general maintenance to fencing in rear of Lot 8. 06/01/11 area at rear of Lot 8. Protection fencing has been established as Walt Phillip shown on the attached site plan for tree Issues identified on 5/12 and 5/24 have been resolved. 6/1/2011 Knapp Pahlisch Lot 1 #9063, a 50 -inch DBH redwood with a No new issues were identified. N/A crown radius o f`20 feet. General Comments 7615 SW Dunsmuir Lane, Beaverton, OR 97007 Phone: (503) 646 -4349 Fax: (503) 747 -4863 waltknapp @comcast.net Building Division P Development Code Provision Review T + D iGaR° Residential Projects k Building Permit No: f 7 c) /I CWS Service Provider Letter Received: Yes ❑ No " N/A Routed Plans: Original Plan Submittal Date: 1st Revision Submittal Date: , ❑ Site Plan Only 2 °d 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 SitLi at 503 - 718 -d - gl or ' � @tigard- or.gov) Land Use Case No. � a'IZ)� C�,� Name U) /�Llll (,�I °' ' C� S S! Er ;Zoning Q'4. I •Setback Front 9-0 Rear 1> Side Street Side 5 Garage ab ❑ Maximum Building Height Act ual Building Height " isual Clearance lQ Easements 1 Pt. 5cfu- al r ari eAell J� Dr Lands Type: (oL) s1 tab - L f r-I 7 Notes: Original Plan: Approved 11 / Not Approved ❑ Date: - /S/ i Revision 1: Approved LX Not Approved ❑ Date: /.�1( Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) X Actual Slope: f Notes: Original Plan: Approved Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revi 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) ll Street Trees Di Protected Trees Notes: Ntd (..fkwit Sr... to of of to _ T f .t, , :,- Original Plan: Approved �❑/ Not Approved LA Date: C- , Revision 1: Approved LI Not Approved ❑ Date: ('' 3' 2 11 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 0 "1 No 1! A 5711/1 . Date Routed to Buildin • , ,i .fr I I Page 2 of 2 STREET TREE CERTIFICATION I c- \ \i\ Owner/Agent for R°Ai\-- (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that<the following location meets City of Tigard and Washington C ; unty land use and development standards for street tree installation. 5i,l / -6 ADDRESS: SUBDIVISION: \k)0,_,L,,, LOT: C�� SIGNATURE: DATE: )1/?/ I ) OWNER /AGENT) DATE: (( - RECEIVED BY: `. � f j `f � (CITY OF TIGARD) L \Bu ldmg \Forms \Streetl'reeCeruficate 0101 ®07 Oregon Residential Specialty Code 8318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, "� , am the general contractor or the owner- builder at the following address: Site Address: V2_9 Z City: Permit #: 1‘ f oQ Q i Subdivision/Lot #: L .1 and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section 8318.2 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: 1(/51/I General Contractor or Owner- Builder T• \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 2 \ \ Sao? �< '5 Jurisdiction: Site Address: 1 -Z S' 2 6 Subdivision/Lot #: WI. 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 Ni 107.2) /3/ Signature: Date: l t er /General Contractor /Authorized Agent Print Name: I 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