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Permit CITY OF TIGARD MASTER PERMIT ; :; COMMUNITY DEVELOPMENT Permit #: MST2011 -00022 13 125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/08/2011 TI Parcel: 1 S135CA10000 Jurisdiction: Tigard Site address: 11400 SW 96TH AVE Subdivision: SOLERA Lot: 9 Project: Solera, Lot 9 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 685 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 904 sf Garage: 245 sf Front: 15 Smoke Dwelling Units: 1 Third: 275 sf Right: 5 Detectors: Yes Total: 1864 sf Value: $192,517.92 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: 2 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 3 201 -400 amp. 0 201 -400 amp. 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 1864 Owner: Contractor: SOLERA LLC EVERETT CUSTOM HOMES INC Required Items and Reports (Conditions) 9200 SW NIMBUS AVE 735 SW 158TH #180 1 Ersn Cntrl 503 681 - 4444 BEAVERTON, OR 97008 BEAVERTON, OR 97006 PHONE: PHONE: 503 - 348 -5602 FAX: 503- 726 -7106 Total Fees: $15,968.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o her 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 f wor is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio- • : .:. . .- Oregon Utility Notification C. •ter. Thos rules are set forth in OAR 952 - 001 -0010 through OA' • 2- 001 -0090 You may obtai - • • • o • - . les or direct • uestions to OUNC by ailing 503.23. 0 1.81 i •.2344. Issued By: __ �•" �� •ermittee Signature: 1111111111k A\ai Call 50 6i; 00 a.m. for the next available inspection date. 111, This permit card shal nspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Bui Permit Applicatio Resid FOR ONLY JAN 2 7 2011 ., ,. :,: �,,, ,a� Received Permit No.' City of Tigard Date e : f t //)/ �1� jr. D� 13125 SW Hall Blvd., Tigard, OR 97..,. Phone: 503.639.4171 Fax: 503.59 OFTIGARD Plan Date /B Red -wp' OtherPermi ,# 4 ,7 , `, TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: / BI See Page 2 for . Internet: www.tigard - or.gov NotifiedlMethod: �� 1 Supplemental Information C_7 11- Ail], ac =z� •`'_- �' `:DA�TA�� :A \`= ND:2�= FA MIt;Y DWEL LING'.?h:i' YPE OF >WORK- �,,,, °; ,1 a . ,. .� e a=:... �...� ��. ' ., ., _ � ..:.,c, °..�, .� �:a. Vii'• % °ter_ .,,. _ _ �`��. ® 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 T' 1,- . ORY: " Y O F`- " '•- N i∎_ ? ,a work indicated on this application. : ;;- CATEG , , OS ,, :,, - QN - : ' ,,' ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $80,000 ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 2.5 i< . ''' '''r* Total number of floo 2 O. . ` , JO S TTE- - INFORMATION. AND:,LO, , , , 1'.714:;-`,..;A:,-.:.,`,' ` ` ;. , - 1 Job site address: jf YOQ SW 96 Ave New dwelling area: jspe square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 245 square feet Suite/bldg. /apt. no.: Project name: Solera Covered porch area: square feet Cross street/directions to job site: Greenburg and 96th Deck area: square feet Other structure area: Z/ 0' square feet : UIREDAATA G :1"40'AL-USE CHEGKLIST� ,emu. Subdivision: Solera - Lot no. 9 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 ,<a � . y �:,��:..�: ,�.�, yam;, � :'v;: ,:�; ° z ;''' AI ' DESCRIPTION.- OFrWORi work indicated on this application. New single family residence Valuation: $ Existing building area: square feet New building area: square feet ;,, PROP = .OWNER :TENANT�`u Number of stories: 4 � �.d . , ,. ,. , �..,..h�a,.., . . a�< ,:1-.-:,, < � . f'i't � , ., Name: Everett Custom Homes Type of construction: Address: 735 SW 158th Ave, Ste.180 Occupancy groups: City/State /ZIP: Beaverton, OR 97006 Existing: Phone: (503)750 -6268 Fax:( ) New: c, 7' t<' 1 , :r : ; ' --'h:.: i ,7 ;',-,;:z-:. 1 "i_.i r r ' % :m .� K - ...- ,.- � , - r , .. - .. A ., . <: . ;� . ..�_,' ®>.'CONTAC�T<•EERSON °: �.= _ e °� N .::�: <:�-: Fes, �,� -�: O Tic E Business name: Emerio Design All contractors and subcontractors are required to be Contact name: Neil Fernando licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 6107 SW Murray Blvd #147 jurisdiction in which work is being performed. If the City /State /ZIP: Beaverton, OR 97008 applicant is exempt from licensing, the following reasons apply: Phone: (503) 515 - 5528 Fax::( ) E - mail: neil @emeriodesign.com GO:Nt.IWOR: >' :r- ?mm 3 BUILDING'PERM ...FEES Business name: Everett Custom Homes °� - . - 1 4 _ �` , _ �� F: "( -< Pas le ref to fe * it `:- -x Y , Address: 735 SW 158 Ave Suite 180 Structural plan review fee (or deposit): City /State /ZIP: Beaverton, OR 97006 Phone: (503) 750 -6268 Fax: ( ) FLS plan review fee (if applicable): F9 / /y/y r 75- CCB 11C.: /V / �� Total fees due upon application: -/ e Amount received: /// Authorized sic t ature: is... `/ _ . This permit application expires if a permit is not obtained �. - d�� VW, within 180 days after it has been accepted as complete. Pr'iyl�� Date: * Fee methodology set by Tri- County Building Industry , `f /._ i Service Board. I:ABuilding \Pa its \BUP -RES PermitApp 10/01/09 "0- 4613T(11/02/COM /WEB) \ d - 1 t ' n e r t {tea . ` t' a ,, Electrical Permit A licatio .. �� i s TOR Ol FIC)✓ USE ONLI " � 9� r ' � City of Tigard Received 0 // 142 Permit No.: $7 , — i2OOooZ '� 13125 SW Hall Blvd., Tigard, OR 97223 cs'7 q 011 Plan Review Phone: 503.718.2439 Fax: 503.598.1�¢ON 2 A L Date/B : Other Permit: TIGAR ' Inspection Line: 503.639.4175 Date Ready /By: Jurist IRI Sec Paget for Internet: www.tigafd -or.gov CITY p1 TIGARD Notified /Method: Supplemental Information :;17.1,-,:.'r'-;;;',-',, ..... . ,..._ , .. ,.,.,.:;. - :,.�,�;,<, . < -m; r ., � =• < <�v , .�.. ` : • < xs: .� ,.. ,. -,, tt =PLAN � .. 1)i W ' ` : ,. .,. {, .. "S+ , r , ' � \� �� ;- „., :��.� <„ ... -.,. :....., hF��.•: :ate, - �.�w, . � � =, -e � : : <.'Y .�� :� ..,.�� ��.,. ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. t, ., -_� i ,,, � ,., ` :� t;, . exceed IQ,000 amps at 150 volts or Floating buildings. y; , ma y, _ _. CATRGO OF § TR UCTION 7� _ � Wa. �� ' - ' ” �x � 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: 0 Fire pump. Installation of 75 KVA or 1 , r ,, .; ; ,, ,. _, ,..., ❑ Emergency system. larger separately derived system. '` = =r ` JOlS `BITE INFORMATION;;AND'LOCATIO Addition of new motor load of ❑ "A" "E" <`1 -2" "I -3" �: :� -�, .,F.,��= ,.,.., , ,, , ,,, ,, ,,, , , , :� :.....����.; �: a . , -. <, ,. ❑ // t7 0 5`- 9 f"-:--e-- 100HP or more. occupancy. Job no.: Job site address: (N (o ❑ Six or more residential units. 0 Recreational vehicle parks. an City/State/ZIP: Tigard, OR 97224 ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. Y g 600 volts nominal. Suite/bldg. /apt. no.: Project name: Solera ❑ Service or feeder 600 amps or more. „ -,;. ' _ .ter, n',' Cross street/directions to job site: Greenburg and 96th Description I Qty. I Fee. I Total I * New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Solera Lot no.:CI 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. Ii. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential iw,is "z..;; r :w �7" - .:, ; '"'s %;'Ty - with above s . fl.) 75.00 2 :r Ptak _" - _;;. ( 9 k.�,'�k, DCSCRIPTiO1V :O :W ORD "��'��y''�R,. , 'ra' '�:i:� ,,R�3i ,,'�; # .. ,. :. ir "�. .- ..., . :.�% „ .7a.�n,xx -ar;<= t � ;., . Limited energy, multi - family 75.00 2 New single family residence residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 "d ' '' `'a`'” - ,.. Y 201 am �, `Ic ., ® PROPERTY OWNER ' . _ ., ; ,, , ' , ❑ "TLNAN amps to 400 amps 133.56 2 p 401 amps to 600 amps 200.34 2 Name: Everett Custom Homes 601 amps to 1,000 amps 301.04 2 Address: 735 SW 158th Ave, Ste.180 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Beaverton, OR 97006 Temporary services or feeders installation, alteration, and /or Y relocation Phone: (503)750 -6268 Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with . :r•° a serv or feeder fee, 7 >, _ ; . � , ,. A PERSO '_ '> AP - PLICA4 -' ''' y ` ;' ''' '' ??v. ® CQ1VT , , C T.,.. ,_. ,. , ' .. 4 ,; s; . .42 2 ... ° 4'>" ` ? ?'... :•<� ® .. ,.,.� . . ... .�..., -�, .a . . * -� F - . . .... �� >���;;�; each branch circuit Business name: Emerio Design B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Neil Fernando branch circuit Each add'l branch circuit 7.42 2 Address: 6107 SW Murray Blvd #147 Miscellaneous (service or feeder not included) City /State /ZIP: Beaverton, OR 97008 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (503) 515 - 5528 Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: neil emeriodesi n.com g Sign or outline lighting 67.84 2 : ? , /_;,,_, , CONTRACTOR: ,, .. ., s-. Signal circuit(s) or limited- energy Business name: Wright 1 Electric panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 5618 SE 135 Ave Additional inspection (1 hr min) 66.25/ hr City /State /ZIP: Portland , OR 97236 Investigation (I hr min) 66.25 / hr Industrial plant (I hr min) 78.18/ hr Phone: (503) 760 - 8522 Fax: (503) 762 - 1823 Inspections for which no fee is 90.00/ hr specifically listed ('A hr min) `, =' a "' r ICAL- ,PERMIT.;FEESr .,,`;� ..`.c: '.i'". - : CCB Lic.: 162368 Electrical Lic.: 3 -332C Suprv. Lic.: 3398S . ?;;�;)' ,�,. - -. , ELECTR Subtotal: Suprv. Electrician signature, required: Q leJ,�U Plan review (25% of perniit fee): Print name: Dennis Welch Date: State surcharge (12"/0 of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. N um b er of inspections allowed per permit. I:\ Building \Permits \ELC- PennitApp.doc 07/01/10 440- 4615T(II/05 /COM/WEB Mec Permit Annlicat , CEWED Tot - 9 �sl; O ' , : t ;' , Received , City of Tigard Dummy: / • O 7AIIIIIIII Permit No.: O • ge • " 13125 SW Hall Blvd., Tigard, OR 97223 2011 Plan Rev'. r Phone: 503.639.4171 Fax: 503.598.1960 HIM 2 Date'By: Other Permit: inspection Line: 503.639.4175 TTGARD; v � DateReadyiBy: RI _ Internet: www.tigard -or.gov cIT a OFTIGAR Notified/Method: ® See Page Z far Supplemental Information NCI DIVISION ..... _...... .. ...... 3'1 '> :� ,. :.. _ .............._ ,......._...................... ;_ . ...-.FEE ..::: -HED L :4.. SE .CHEGKLIST; • ® New construction ❑ Addition/alteration/replacement Mechanical permit fees* arc based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overlurd, and profit. Value .dc;a::e . .... .. - c' ;_,:,- :,v; _: $ ...__.:..._........_:_.�.: _.....- : :.:.......... ................ QL' GU)` i$ TR7IC" L' ...... K :. �_...._. ...,.,._..........._.:___ - :. - ,_ . - . iRP- , SiDPIT ' EQL1JP MEISTISXSTF:ItiJSVEES'"i-4 ® 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building ❑ Multi - family ❑ Master builder El Other: For specs! information use checklist. Description I Qty. I Ea. I Total €'?s3DB`i:SITE INF .IOl�FE M Dr-LOCA f O.:' -' t F is'di := ; ._ ... .. � HeafillOenaling Job site address: // /) 9 SW 96 Avenue Air conditioning (requires Site plan showin g placement) 46.75 City /State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (duets/vents) 46.75 Suite/bldg. /apt. no.: Project name: Solera Lot Furnace 1 mow BTU {data /vents} 54.91 Heat pump 61.06 Cross street/directions to job site: Greenburg Ductwork 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 2332 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended etc. 46.75 Subdivision: Sitters Lot no.: Flue/vent for any of above 23.32 Other. 23.32 Tax map/parcel no.: Other feel appliances _.. j 2332 ...... - . : - -_ . - : .:....:............_. .. .... _ Water heater a .32 .........__._.. : U ES `.I1QLy- .;U.:'.::...::'. R f4: � .t ' >€ ; -: -isn � � �� '::ac's::__:_;€ r' =i': NEW S.F.R. Gas firepla 33.39 Flue vent for water heater or gas Emplace 23.32 Log lighter (gas) 23.32 . Wood/pellet stove - 33.39 Wood fireplace/insert 23.32 _- ::::,:...:: - :_;:: _ ::. -::: : ; :::__ :; :_ _::_ :...�:: :; R- ::;::;:;::: Chimney/liner /fluelvent 2332 - _ _ ` - _ : RUPE'R't"fi< . 0:: it »_=s `; =: - - ::, ; ..... _;.::: H'E1 = -i?s 1i91YE � .. .....,..,. .,.,_........_ .............. Other. 2332 Name: Everett Custom Homes Environmental exhaust and ventilation Address: 735 SW 158ttrAve Rangehood/otherkitchen equipment 33.39 City /Slate /ZIP: Beaverton, OR 97006 Clothes dryer exhaust 33.39 Fax: Single -duct exhaust (bathrooms, Phone: (503)750-6268 ( ) toilet compartments, utility rooms) 2332 ,,,,, :.:. _:::::::: ..-..._ . -:._._ .._.......,...._.. _ ,..._.._ __ Attta/crawis act: fans 23.32 __.,,.:._._.__.:._...._.- _APPLI�''I'�-- �i:' € -__ ��:= �;-.:>:'•: �: Q: G4�� . °�= P�EtS(3Ple;:_�__ p Other. 23.32 Business name: Emerio Design Fuel piping Contact name: Neil Fernando $14.15 for first four, $4.03 for each additional Address: 6107 SW Murray Blvd #147 Furnace, etc. - Gas heat pump City/State /ZIP: Beaverton, OR 97008 Wall/suspended/unit heater Phone: (503) 515 -5528 Fax: : (503 -) 6592 Water heater Fireplace E -mail: Range _ '_.,_- -.- :,:..::_,.:: ::::::.:.: .::: ... ...........::..CONTRiI;CTD..."r:_Y : w;r r;':> ='_ -s ..- ;::s:::::_ Barbecue • � ( p ¢ � Clothes dryer (gas) Business name: T , rQa I A _ � , �� � : � , Other. Address: r c°S - � tL rna h.th . U t 3 A- = E ` _ 41. ti > ' k 1CziCi:i ERM ii§ -#IBS 4 i ^ ;s = == s': Cit /State/ZIP: (Nlt I4, b 12._ 61-12,1„,i2„,.. Subtotal Phone: (5 )11 a�," 1 C722 Fax: 3) 1 eA 3s4 r_2;2.., Minimumpe�mitfee ($90.00) Plan review (2510 of permit fee) CCB lie.: 5-'9 / S 2:7 .. State surcharge (12% of permit fee) / - TOTAL PERMIT FEE Authorized sig • ture• c\-e, \ 3 Dj �i This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print clam • : + i Date: 1 _ 1 - i 1 a Fee methodology set by Tri- County Building Industry Service Board 11111, , RIMP , t3 Building OPam' , CC -Per aApp.doc 10:01109 440.4617T(1 I MiCOb11VEn) • Plumbing Permit AnDlicatio t�: CEIVED BuhIdt8la Fixtures . FUR OFFICE LSEl ONLY �` �- JAN 2 7 2011 R �eeiti .... t ti.w City of Tigard Permit No.: 5��'7/7.� -0000' s 74 u 13 i25 SW Mali Blvd., Tigard, OR 97223 D / me.'ti?: 3 �IC'3'�l OF TIGARI� Plan Review Other Permit No.: Phone: > L 503 F ax: 503.:9 Date:f3 1Gn�n inspection Line: 501.6 39.3175 i„ . BUILDING DIVISION Date Readv'(3�� � H See Page «tor i Internet: www.ti ard or.gov Notified 'Method. Supplemental Information : TYPE OF \%OR,1C. :. _ ) FEL* SCHEDULE . ® New construction ❑ Demolition For special information use checklist. Description r Qty. Ea. ( Total ❑ Addition/alteration/replacement ❑ Other: New i- 2- family dwellings (includes 100 ft. for each utility connection) .: CATEGOR3' : :Ofi. C OtiSTRUCTION ,'. SFR (1) bath 1 312.10 1 ®1- and 2- family dwelling ❑ Comntercia]industrial SFR (21 bath 437.78 SFR (3) bath 500.32 1 ❑ Accessory building ❑ Multi - family Each additional bath /(lichen 23.02 I ❑ Master builder ❑ Other: Fire sprinkler ( sq. (I.) Page 2 site address: JOB SITE INFORMATION; ' - Site utilities: I ' Job a .... ......... l7 � _.. ddress: SW 96 Avenue / Q � � � � Catch basin or area drain 15.7(1 Drywell, leach line, or trench drain 18,76 Gt y /Slate :ZIP: Tigard, OR 97224 Footing drain (no. linear 11.: __) Page 2 Suite/bldg./apt. no.: Project name: Solera r. ; Manu.ectured home ut ilities 50.03 Cross streetidireclions to job site: Grecnburg and 96th Manholes 18.76 Rain drain connector 18.76 I Sanitary sewer (no. linear ft.: l I I Page 2 Storm sewer (no. linear ft.: _) Page 2 - Water service (no. linear )t: _) Page 2 Subdivision: Solera - Lot no. 1 Fixture or item: _ Tax map/parcel no.: Dacktlow preventer -- 31.27 • t) Backwater valve 12.51 - .... :.... ESCRIPTION OFy!'ORIC : ...,, 1 , - {�2 • Clothes washes ( -�. . New single family residence Dishwasher 25.02 Drinking fountain 15.02 Ejcctorcisump 1 25.02 - _ Expansion tan 5 ,. - .- .. ®`PROPERTJ` :Ol1'NER: _.: _ ; : ; + ;: • : : : ❑. .TENANT. •` > : :: Fixture/sewer cap 25.02 Name: Everett Custom Homes Floor drain/floor sink /flub 25.02 Address: 735 SW i58th Ave, Ste.180 Garbage disposal 25.02 City /State -ZiP: Beaverton, OR 97006 !lose bib 25 .02 I Phone: (503)750 -6268 Fax: ( ) ice maker I 12.51 I . .. .. . . - i n torgrease trap ?5.02 -,- El APPLICaL'S ;, : :. :: - CONTACT. PERSON tercep p Business name: Emerio Design Medical gas (value: $ _) Page 2 1 I Primer 12.51 Contact name: Neil Fernando Roof drain (commercial) 1251 Address: 6107 SW Murray Blvd 4147 Sink/basin`lavatory I 2 5.02 City:'SlatcIZiP: Beaverton, OR 97008 Solar units (potable water) I 62.54 Phone: (503) 515 -5528 Fax:: ( ) Tub/shower/shower pan 12.51 E -mail: neihn?emeriodcsign.com Urinal 25.02 Water :loser 25.02 1 / \r‘‘,;::::: !� 3 Business name: �f(�/f�L71h pipinc/DWV I 3fi "+ j ai Address: / , 7 S Other. 9r�G /G� �GI /!u� 25.02 I ,- �'�' /o,. /970 ` City /Stale /ZIP: //ti�/L Subtotal Phone: ( , 3 kp ,1— j7 7 i ' , 3 ) ‘07-T9/1 Minimum permit flee: $72.50 Plan review (2a .-e of permit fee -1 CCB Lie.: /Timed Plumbing Lie. no.: Zi — #21/9 /�/ [ / State surcharge (12% of permit feet : ; �i. Authorized signature A , j �'j f ff I TOTAL PERMIT FEE I 1 � J , / Thu permit application ekpiires if a permit is not obtained within ISO dais Print name: , j�k/� Date: l � ( ! ({ �1� after it h:u been accepted as eampiete. *Fee meth�do logy s by Tri- Couni} Building Indu try Service Hoar.. 17:Ruikim_c'.Pcr,eO. piMlf- Pennit•1pp.doe 11151 :5 .145.4616'n la 02 'C'U4t'sysm 07/19/2011 TUE 18:14 FAX 503 786 3432 PYRAMID HEATING fa001 /001 Mechanical Permit Application FOR OFFICE USE ()NIA' u� A City of Tigard t Received Permit No.: 26 i i �Z 13125 SW Hall Blvd., Tigard, O 23 Re e ' 1 • Phone: 503.718.2439 Fax: 503.598.1960 i Plan Review Other Permit: pate/By: I l ti A RI) Inspection Line: 503.639.4175 JUL • 20 2011 Date Ready/By: Iuris. ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information 0 1 u Yf t ¢ CO ,C,�.I Y: 'A, ..rS DULE U E of the ± CKLYST' 10 New construction Me perrni# fees* are based on the value work ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit, 1 z Value $ �4a; ':.A `. ....`CAt €O tOFCO1�$TRIeCiTIQl sx,.... ,;:,',.a,... r w ::k $ gf#X,i Qi 'ME .r r xS'inE:YISTf`EE + Ic 1- and 2- family dwelling ❑ Commercial/industrial ❑ Acces building For special information use checklist. 0 Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total ' ° "� JOB, ' u A Heating/cooling: . , , ...+fitgATIAN ,. a �i3O�C Y .?Oi\'. . .? us Air conditioning Job site address: • • 5 J , I 4'4 (requires site plan showing placement) 46.75 I Furnace 100,000 BTU (ducts/vents) , 1 46.75 A - } 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: Duct work 23.32 Hydronic hot water system �� 23.32 c Residential boiler (radiator or �.7 (� t.�i hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: 23.32 ' Tax map /parcel no.: Other fuel appliances: , 'l) Rll l'IO V,M'�Y > s S,A Water heater 2332 MK Gas fireplace 33.39 r • • ±• 1 Mf V� Flue vent for water heater or gas ER MAN ' . / / fireplace .23.32 • � � .� I �C� j Lop fighter (gas) 23.32 ■`�' 1 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 , , Ie, PROI'ERTYyd� I L r w t� lap' , r ` x F�' r , v 2 '( • - v I '�e" Chimney /liner /flue /vent 23.32 ,. .,. . ..... . .....�.. , ,. .. .. . .+^ .. ...,_ Other: 23.32 Name: • t ifi ai kb V Environmental exhaust and ventilation: Address: - Range hood/other kitchen • I • equipment 1 3339 City /State/ZIP: r / Q i DR t£ i .i... Clothes dryer exhaust j 33.39 Phone: ( ) F ax: ( ) Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 9 23.32 y 1 ' fp }` . 3 :10. XOAR > " , ..r l + r e ,t gOi ikf) CT `'j?EIRSON f '; n Atticferawispace fans 2332 Business name: Other: 23.32 Fuel piping: Contact name: - = id Heating and Cooling $14.15 for first four; $4.03 for each additional - Address: Suite A Furnace, etc. 1 „ .: • : .Err Gas heat pump — City / State/ZIP: Wall /suspended/unit heater Phone: (505) .. g f 2,7_ Fax: : (9)7) -7 6 6 32 Water heater E -mail: Fireplace j p y ,� ( G , rO t 7 .. ii � : 4n ° 'wn Range 1 ,.. , , � ;;: ' .�s !r` ::N�w , . e ., ,.9xv,t +3;`rF Barbecue Business name: p , p -b 1 II% Clothes dryer (gas) Other Address: - t ` .i4 a _ - St °1:��'e,dOSO „R ,.,1 P! ' CWONNE, ' r j-A 'Ail DR CI-703 Subtotal Minimum permit fee ($90.00) Phone: ( 955) (02 -I 2_I / q Fax: ( ) • Plan review (25% of permit fee) State surcharge (12% of permit fee) [� e ` r/J TOTAL PERMIT FEE Authorized signature: ( .f x ,_,� This permit application expires if a permit is not obtained within.180 days after it has been accepted as complete. Print name: r , i U 5 e �--1 �— Date: 1 hq u 1 p • 'Fee methodology set by Tri C County . Building Itidust rySer vico$oard I:\ BuildingTermits\MEC- Pe p•doc 09/09/10 � 440-46 /01/COM/WEB) • \,etk5c odd 50l.) liq " Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: " 00 D 0 CWS Service Provider Letter Received: Yes ❑ No N/A Routed Plans: Original Plan Submittal Date: � a 0/ 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 along left only if approved. Planning Review (contact K1 ST IQJ at 503 -718- s or .L7il/ C @ tigard- or.gov) Land Use Case . S tt1 L 00C 00043 Name So /e v o... I7" Zoning / 2— L9--• Setbacks: Front / 5 Rear iS Side /° Street Side S Garage � D.—Maximum Building Height 3 5 Actual Building Height 240 Ca' Visual Clearance ❑ Easements ❑ Sensitive Lands Type: Notes: Sm..4- 4.e./‘.. 01074~tr`4 P • Original Plan: Approved I' Not Approved ❑ Date: Z// / / 0 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) h Actual Slope: 4- cyo Notes: Original Plan: Approved gi Not Approved ❑ Date: 2 .-71/1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City_ /rborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) L Street Trees Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: /: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes N • ❑ Date Routed to Building: • Page 2 of 2 I n L A - a NV m Hg �_ ° a E \ ., rn m ° \ N N m O. ,, z ,... ‘ m ..: a O n n o 0 10' • e VVV —� 11 ��o�- v . ,r w .. x 3 N. Fw; m L O G SCALE: 1" = 10' n /-27 _ 1 1 I I I I I LOT 10 I ° (X) = I I I I I Wx I . I I * I 21 7..' 0 I 216.1 ° x W X m ,Y �( X— X — y\ X X � ••C — --4— — — X y— .\\ — I 8 PUE 121.28 Z • <' 4 ... 15' 216.5' 7.. 0 I 1 '1 5' 5 21 ce o ■ O x X as I I. I 1 I x I W , .'ROPOSED CONCRETE DRIV WAY' ' LOT 9 I I I . I I 3, 048 SF °o _ D • n . N I I I ±:OL ERA 9 FRENCH N O c ° n x X . Z v x — — — — — OpPr- d I I ■ I :: :. I 1,864 3 BDRM O W Z _ _ lk, 21.. 21 /2BATH J Z rEXISTING jEX/S7TI/CA7 Z x x � g . I 2175 5 218 ' Y 41.2 �. Q I °° °� I -- -- -- 122.53' -- -- �� 3 o 11111r t cn o cn x W .17.3' I / Q x o LOT 8 219.2' x I a I P. I I I o O � \ v a 0 o SI C 8 �/ 0 NOTES: . 0 ZONE: R -12 ALL GRADE AND PROPERTY LINES ARE ESTIMATES o BLDG COVERAGE: 37.17% OF CURRENT LOCATIONS. N IMPERVIOUS AREA: 1,133 SF en r- ALL DIMENSIONS AND SQUARE FOOTAGE ARE ° o n = a SETBACKS APPROXIMATE FIGURES. �' - 0 FRONT 15' o Y N GARAGE 20' DRIVEWAY MAY DIFFER DUE TO LOCATION OF STREET SIDE 10' UTILITY BOXES, STREET LIGHTS AND OTHER SITE ` 0 N SIDE 5' CONDITIONS E. N REAR 30' U a z ° W C F- aa L1J 0 O g W a 0_ cc 0 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, I- ra _ 22W' - -'3 , am the general contractor or the owner- builder at the following address: Site Address: 1 CO SO 9 6 +k ,lie . City: Permit #: M 5TZoi1 _ 000 2-2 Subdivision/Lot #: 10+ 46. and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, 1 am notifying the building official that 1 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: I °/I Z /a i General Contractor or Owner- Builder 1:1Building\ Fonn \RES- MoistureSensitiveWood.doc 09/25/08 • Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: M5-r20 11- 0002.2. Jurisdiction: 6. + o 5 Site Address: -Fb. 11'100 S� 96 Ave Subdivision/Lot #: 1p✓ c" �d� 9 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: )0/12./Z011 Owner /General Contractor /Authorized Agent Print Name: Le-e— PaiPA S ORSC Section N 1107.2. 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 f1 has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\Building\Forms\RES- HighEfficiencyLighting.doc 07 /01/08 STREET TREE CERTIFICATION Le- Rk- '"L"tiw' "s , owner / agent for Eve✓'e t Fees (PLEASE PRINT) (PERMIT HOLDER) do hereby certify 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.: M5r / A 2.0 1 l — 006 2. 2_ SITE ADDRESS: IN 00 , L3 9 6 -ti Ave . SUBDIVISION: 501 eft- LOT #: 9 SIGNATURE: 1 DATE. 10/ 2 /z0 j (ow ER/AGENT) RECEIVED & j VERIFIED BY: _ DATE: (© /11 1 I (C F 'IIGARD) ❑ Tree location verified per approved site plan. 1:\ thnIdin \1•ormc \tirrcct1rcc(:crtificarc 04/01/2011