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Permit ' , t CITY OF TIGARD . / " ' : MASTER PERMIT MENEM 1 , - COMMUNITY DEVELOPMENT Permit #: MST2011 -00005 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/22/2011 , Parcel: 1S135CA10100 Jurisdiction: Tigard Site address: 11394 SW 96TH AVE Subdivision: SOLERA Lot: 10 Project: Solera, Lot 10 Project Description: New SF /41 t /t ) Q � t�c. G ,4 ` @.2.e -l�s J 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: 905 sf Garage: 245 sf Front: 15 Smoke Dwelling Units: 1 Third: 275 sf Right: 5 Detectors Yes Total: 1865 sf Value. $192,625.24 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 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 i Other Fixtures: 0 Drywell- Trench Drain: 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! 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 1865 Owner: Contractor: EVERETT CUSTOM HOMES EVERETT CUSTOM HOMES INC Required Items and Reports (Conditions) 735 SW 158TH AVE STE #180 735 SW 158TH #180 1 Ersn Cntrl 503 - 681 - 4444 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 750 -6268 PHONE: 503- 348 -5602 FAX: 503- 726 -7106 Total Fees: $16,144.68 This per is issued subjec o the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do in accordance with ap•roved pl•.s. 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 r- • .fires ou o follow the rules adopted by the Oregon Utility Notification Center. Those rul s are set forth in OAR 952-11 1-0010 through OAR 952 -00 *090. You . , obtain a copy of the rules or direct questions to OUNC by calling 503 32.1 87 or 1.800.332.2 4 . o ir 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. ,, N CITY OF TIGARD MASTER PERMIT _ - COMMUNITY DEVELOPMENT Permit #: MST2011 -00005 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/22/2011 Parcel: 1 S 135CA10100 Jurisdiction: Tigard Site address: 11394 SW 96TH AVE Subdivision: SOLERA Lot: 10 Project: Solera, Lot 10 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: 905 sf Garage: 245 sf Front: 15 Smoke Dwelling Units: 1 Third: 275 sf Right: 5 Detectors: Yes Total: 1865 sf Value: $192,625.24 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 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 Other Fixtures: 0 Drywell- Trench Drain: 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 SrvclFeeders 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 1865 Owner: Contractor: EVERETT CUSTOM HOMES EVERETT CUSTOM HOMES INC Required Items and Reports (Conditions) 735 SW 158TH AVE STE #180 735 SW 158TH #180 1 Ersn Cntrl 503 681 - 4444 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 750 -6268 PHONE: 503 - 348 -5602 FAX: 503 - 726 -7106 Total Fees: $15,964.68 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 uspe ed for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Can Th■se ru es - set forth in OA% 952 - 001 -0010 through OAR 952 - 001 - 0090 _ . You m- _ - - • •y of to - . - .: •'rect questions to OUNC by calling 503.232. a: • 1.800.3:2. 34. Issued By: /!G . ! f _ ��.%%"" Permittee Signature: k �! l t C. 0 •! 9 ' 175 by 7:00 a.m. for the next available inspection date. This permit card s a I • • ept in a conspicuous place on the job site until completio of the project. Approved plans are required on the job site at the time of each inspecti • n. 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. l i g City of Tigard = Buildin g Division TIGARD TRANSMITTAL LETTER TO: . -1e9 — A7 / S-c rJ DATE RECEIVED: DEPT: BUILDING DIVISION iIVEr.: NOV 16 2011 FROM: Ge0 F (AMA,(s HT _ CITY VI { f OF T! {GA9 SD COMPANY: ` -.O 1)&516,41 BUILDING DIVISION PHONE: O3 - zZ— ZI c ( ° 1 By RE: // 9V 916 �= /9 1.( 1S7 7 = 2 0//' -- D6.200s (Site Address) (Permit Number) ...,C0 Z. '—/ L0i /0 (Project name 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: A-41 D - (zecA e6 14& FOR 0 FICE USE ONLY Routed to Permit hnician: Date: ii 4/ i In ice; , Fees Due: es ❑ No Fee Description: Amount Due: $ $ $ Special Instructions: Reprint Permit (per PE) A -s ❑ No ❑ Done Applicant Notified: Date: /// /10/ if Initials: ;7 / L\Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011 Building Permit Application • _. - wr „ : . . r t`L � ,� •+}'� F ��`3'�•r5„@ r ^ � �� Residential 0> ... k r � f . FOR OFFICE USE OILY i"' + - ; r _ g* fi; HEC az.., ..1 [_ :, ; ‘} , . ".s a :=.,.1.., . r.r. .., k 7,, a . eig .�. ":i "-1�� ,.1:4',R., City of Tigard 6 2011 Date/By: : ' U/ l� O / � NN Permit No.: �Jr� 1�� , ° • 131 SW H all Bl vd., Tigard, OR 22 Plan Review ° n Phone: 503.639.4171 Fax: 503.5 8.1960, Date : Z j � Other Permit ► _,. + A TI RD, GA Inspection Line: 503.639.4175 CITY O B TIGARD Date Ready /By: - l ® See Page 2 for m`' "i., Internet: www.tigard - or.gov BUILDING DING DIVISION Notified /Method:' ' /I Skill ,.• _ Supplemental Information ,. vr ;.. e ,- ,. " : ::;+ „ Y *.'Q: "�`.':.; N:� ° L:'�'- \a `� "m :, "ffi.d".. �'�� :: ' tut e, .,.; r te':; �',n�\ ..,. >:: v a <.::i�:.,.:,:G. .. .. o. m, i:'�°,', �. . :':: ,, -T YPE : W RE UiREDDATA , AND: =2 = F E LING= ® 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 n., 7 x 11 A , 3° �• TA ;i aii:;:,: ' work indicated on this application. CATECORY•SOF ;CON ; Nit ® 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 A '" •�k: ,. , Total number of'floors: ,,, JOB: SITE I `A L r , = ,.{ M r,,,..;, Job site address: It 3 ` i) SW 96 Ave New dwelling area:iquare 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: square feet ? REQUIRED DATA LCOMME Gt SE" CHECK ISTir * ,,, • Subdivision: Solera - Lot no.: 10 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 m:.,•.,:. :. and the profit for the equipment materials, labor overhead, a e o r ,ct;:,: •,i, �:: work indicated on this application. ,,z , : • ', � • =DESCRmP OF \� " a a : ; ,'��< .,,.. *�.. . - ,,:?5... :•.-: ... ern;. >r.,,...;..�.., x...> . � :., » . .. .�.., �,',;a•,..a.,.,.sar�':>:":_` _.:., New single family residence Valuation: $ Existing building area: square feet New building area: square feet ,,N•g ®.'.PROPERTY: OWNERF =:'`' - ', : TENAhT - °. ' -'4-,. ° Number of stories: mwsA : y 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: N >,.... ... �< , ;,,. r '_ • � :,. �t > = Ate ::.. �` . .. .. ... fir.. :r k ,...:�.... >:,.. �•: NTACT�PERSON:' ,.a c: ° "`: �.� ® ®,NCO '' , 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 I Fax::( ) E -mail: neil@emeriodesign.com 'f „CONTRACTOR` , �, :, , . .. - , _ . - - ' >. . ... .. `rte: _ `i, ; Business name: Everett Custom _ '�� Homes ��;., 'BUILiDING`PERNllT1FEES *�? " 158th _ , ' ;g :!;.;; ; a,;,( Pleas"e;-referYofeesehedide)#,� = =' `'< = Address: 735 SW 158 Ave Suite 180 7S Structural plan review fee (or deposit): 4 71 . Cit /ZIP: Beaverton, OR 97006 Phone: (503) 750 -6268 I Fax: ( ) CCB lic.: /p41/ FLS plan review fee (if applicable): --e'""� e � , Total fees due upon application: ,1178. 7S WI' Mr" Amount received: Authorized signature: yap �, This permit application expires if a permit is not obtained /6, within 180 days after it has been accepted as complete. Print name: 1A P ; _ � P A'� Date: 1 I * Fee methodology set by Tri -County Building Industry \� Service Board. I:ABuilding \Permits \BUP -RES PermitApp.doc 10/01/09 440 -4613T(11 /02 /COM /WEB) • Plumbing Permit Anplicati I � � .. 6 Building Fixtures JAN 6 2014 TOR =F USE ONLY wutxt :" _ f. Received e�� N i' , ;. ", ,.: City of Tigard R+es r t �t Dalc' t3}�: > a u Pho ne SW Hall Blvd., Tigard, OR 97 3 OF Yi�ARD plan Re, .c: +' Other Permit tvt�Gl72p�� C r q y l Phone: - S01 639 Line :.503 .639.1F41 71 ? Q ' } ( LDING DIVISION Date,Bv: Inspection Line: 5031 D t �Ti;G'A w +• .t i Date Ready /3,: Arm El Sec ['age ? for Internet: w gard or - gov Notified/Method: Supplemental Information i . TYPE OF WORK .. FEE‘ sclfCD ULE .: Demolition Far special information Inc checklist ® New construction Demo on F IJescn lion Qty. Ea. Total ❑ .Addition /altcration!replaecment ❑ Other: New 1- 2- family dwellings (includes 100 t1. for each utiiiry connection) CATEGORY: Q - ... • R . ... V SCR tiih ate _.. .: - - : SFR (2) bath 437.78 ® 1- and 2- family dwelling ❑ Commerciai /industrial / 500.32 i 8 :3Z, t3) bath l Accessory building ❑ Multi-family Each additional hathikitchen 2a.02 I LI Master builder ❑ Other: Fire sprinkler I sq. II.) Pate 2 1 JOB. SITE INFORMATION',AND LOCATION Site utilities: i Catch basin or area drain 18.76 1 I Job site addre,s! /�', 96 Avenue Drywell, leach line. or trench dram 15.76 City/Slate/ZIP: Tigard. OR 97224 Footing drain (no. linear lt.: _) I Page 2 I Suite/bldg./apt. no.: Project ect name: Solera Manufactured home utilities 50 l 1 Cross street/directions to job site: Grcenburg and 96th - Manholes j 1 15.76 Rain drain connector I 1 8.76 I Sanitary sewer t no. linear ft.: _) Page 2 I i _Storm sewer {no. linear 12.: �1 Paget I € __ i Water service (no. linear ft.: ) Page 2 I Subdivision: Solera - Lot no.: 10 Fixture or item: 1 ! 31'_7 1 Back preventer R t Tax map/parcel no.: 1 12.51 i Backwater valve : DESCRIPTION ; OF ;WORK. _ .::` Clothes { 25.02 I .- New single family residence Dishwasher 2531 Drinking fountain 25.02 11 1 ' Ejectors/sump 25.02 I Expansion tank .. ® PROPERTY, OWNER - .... . .. .. [� T EN �lyT ' . l:vpa '� k t i I Fixturthewer cap 25.02 Name: Everett Custom Homes Floor drain/floor sinkflnsb 2 5. 0 2 1 Address: 735 SW 158th Ave, Ste.180 Garbage disposal 25.02 1 City/State/ZIP: Beaverton, OR 97006 !lose bib 2 2i. 02 Phone: (503)750 -6268 Fax: ( I lee maker 1 12.51 - r1PPLiCANT:_ :- .::❑ CONTACT :PERSON,.-.:. -'.'`. nereeptnrig asetrap _5.0_ -. E .. due Page 2 I 1 t "re ..: . �. Medical gas (value: $ ) { Page 2 Business name: Emeriti Design t Primer )? St Contact name: Neil Fernando drain (commercial) 12.51 _ Address: 6107 SW Murray Blvd #147 Sink/basin/lavatory I 1 25.02 Solar units (potable water) i 62.54 City /State/ZIP: Beaverton, OR 97008 1 Phone: (503) 515-5528 Fax:: t ) Tuhlshowerishower pan 12.51 Urinal 25.02 i E - mail: neil!a.em j criodesign.com Water ' - I ON i TO Water heater - . , - heaver . ,, Business name: l fff 77U/# Waterpipin_!D\\;y' = Address: r r 7 �G � . 1 �f.416 �je 1 /�/ Other. 25.02 f /71/&717-44 a / r Subtotal S� .3 , City/Swell 0: O 7 9� f Etimmumpetxuit Ike 572.50 t f ) 3 1 1 �0 f� "03) Phone: Fax: ( �! Plan review i -5 ".+ of permit lee) l CCB Lie.: 77;2,7_4) ' lutnbin ' Lic, no.: v YI t� ` State surchar_e i 1 3`: -0 of permit feet Authorized signature: - TOTAL PERMITFLF. SA0' 41., �Authl t signature: /` 4#' ...AAA 7j. � This permit a pplication expires if a permit is not 0i1121/112d n ithin 180 days Print name: . l J L . or a iiii i ( D a t e: l e , / / a /i, after it has been accepted as eumptete. .Fee methodology set by Tti- County Building Industry Service Board. I: Building .Pcm,d;PLN1U- Punnt,App.doe 1 O'0I,09 440- 50tol(10.01-CO \/'SEII Mechanical Permit Application _ 3 . ' ' City of Tigard 5 Fk ,F V E D Received / . . Date/By: r _./ Permit No.. 1../.7"' „... , -, ... 13125 SW Hall Blvd., Tigard, OR 7 424= '''. ' ---1 1,1 Plan Review Phone: 503.639.4171 Fax: 503.598.1 Date/B Other Permit: Ary / Inspection Line: 503.639 9AN 6 2011 y: ' TiGAR'15, Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard Notified/Method: Supplemental Information CITY OF TIGARD Koz,31,,m, sAineegtweivouri)tityg ii-Alit L.r070 New construction 0 Addition/alteration/replacement Mechanical permit fees* are based on the value of the work El performed. Indicate the value (rounded to the nearest dollar) of all . 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ M43.4eF iltdiS4tiiTat(ONVA: ';,I ,SMV!*§0%;,i;,,I , „-, _, ,__ i2E$IDENTIEQUIPMENTI:SYSTEMS;FEE**0Wr-, El 1 - and 2 dwelling 0 Commercial/industrial p Accessory building For special information use checklist. o Multi 0 Master builder 0 Other: Description Qty. Ea. Total / :::;71 Heating/cooling Air conditioning Job site address: // 39 SW 96 Avenue (requires site plan showing placement) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) / 46.75 2 /476 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: Project name: Solera Lot 6 Heat pump 61.06 Cross street/directions to job site: Greenburg Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Solera Lot no.: 10 Other: 23.32 Tax map/parcel no.: Other fuel appliances r4MllrgW;, ARSE:4 - 4. ,, W iiizi-riiin6sco t iiotomait,N. - i.H' ,, ' :;: _ Water heater 1 23.32 a:t' ''''''''''''''''''''''''' ''' ''ma'N.4 ' ' - ' ''''FAM''''' ' ' '''4'''' Gas fireplace ) 33.39 ".g3iSi NEW S.F.R. 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 "T:: : tiPTIAgAi intiEVAKiret"' ''''V.:;r- Chimney/liner/flue/vent 23.32 23.32 Name: Everett Custom Homes Environmental exhaust and ventilation Range hood/other kitchen Address: 735 SW 158 Ave / 3 33.1/ equipment City/State/ZIP: Beaverton, OR 97006 Clothes dryer exhaust / 33.39 33 3 Single-duct exhaust (bathrooms, Phone: (503)750-6268 Fax: ( ) toilet compartments, utility rooms) y 23.32 53,2g tt _„,,, ,,,, tiii IF1-17,11 Attic/crawlspace fans 23.32 Other: 23.32 Business name: Emerio Design Fuel piping Contact name: Neil Fernando $14.15 for first four; $4.03 for each additional etc. , Address: 6107 SW Murray Blvd #147 Furnace, I 1 €1,./ s' Gas heat pump City/State/ZIP: Beaverton, OR 97008 Wall/suspended/unit heater Phone: (503) 515-5528 Fax: : (503-) 6592 Water heater I Fireplace / E-mail: .. 1 liAtili;14..;::'' - 01. -9*ii:MaZIMfit4igii, N Barbecue Business name: , Clothes dryer (gas) t V ■ . 1 A- rt - 1) g 4 1 te-- Other: . Address: - - TT, j4 i e 1 ;i 4 5: iii , 4.,,, , City/State/ZIP: ( Th , t ,, \. y- A.(,,, i / ( 1 , t, /l rm i e q ---Tm_ Subtotal Z rl q. ‘7 f Li Minimum permit fee ($90.00) Phone: (50 ) -. , . ),,... Fax: (5i ) 7 il _ t Plan review (25% of permit fee) ' i CCB lie.: 5136-2 State surcharge (12% of permit fee) 2I),3 7 ....-1 A _------- TOTAL PERMIT FEE 3 This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: ___) Date: * Fee methodology set by Tri-County Building Industry Service Board 1: \BulldIng \ Permits \INIEC-PermitApp.doc 10/01/09 440-4617T (11/02/COM/WEB) „. $ n , � } zt a y. it,z` z a � + t - "C e o m.,rfc + t { ae Electrical Permit A licat` \ µ ^ ” : ` + ` FOR OFFICE USE ONLY- I t } "'4 w n a "'?..:..':f:•:;'.1*,-,::: 11 \ Received �� 14 City of Tig tn 6 �11 Date /B O PennitNo.: b-� ap /l— 5 131 SW h a ll Blvd., Tigard, OR 97223N'V Plan Review Other Permit: • a Phone: 503.718.2439 Fax: 503.598.1960 OF D Date /By: o�CC��'O� T Inspection Line: 503.639.4175 CIV O Th ' Date Ready /By: Janis: 0 Sec Page 2 for ;; ...r `,1:„ Internet: www.tigard or.gov G D1\119,...,14 Notified/Method: Supplemental Information :. , .:� E .�,, .��.��, .,�:. � i'1 PE O T� W.ORK � ' : � . PLAN` =12CUI ® New construction ❑ Addition /alterationheplacement 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. ,' -,, :. .... E GO RY - CON i — fee , { _,'° " - 'iY'�"z °`` exceeds 10,000 amps at 150 volts or ❑ floating buildings. '.; :V:: .., <;< - . .. 0 Commercial-use g '' " - less to ground, or exceeds 14,000 ❑ Commerc' agricultural 1E1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ d „ Installation y tun 11 er ❑ Other: all t' of 75 KVA or '''t-ti , :,..,:<., ... MaS1C1' builder et Fire pump, nst ❑ Emergency s ys t larger separately derived s s A 5, JOB'. SITE;' INFORMATION: =AND LOCAT510N` >; ". ; '„ , ,`zy: ❑ Addition of new motor load of ❑ "A" I OOHP or more- occupancy. Job no.: Job site address: il3 9 �� '*-'L_ . - ❑ 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: Solera ['Service or feeder 600 amps or more. ,..>:...tr; ',;..... rfPEE,'SCHEDUL'>J'. Cross street /directions to job site: Greenburg and 96th ' Description I Qty. I Pee. 1 Total I * New residential single - or multi - family dwelling unit. Includes attached garage. Subdivision: Solera Lot no.: 10 1,000 sq. ft. or less 1 168.54 1 Ls ,c I, 4 Ea. add'l 500 sq. ft. or portion -7 - ) 33.92 / 9 / , `'] e I Tax map /parcel no.: Limited energy, residential 75.00 S , O(1 2 K - ,,<•s <, (with above sq. ft.) ' OF WOR a: • ' ' \ 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 , , PRO 70* OWNER: ; �-y'�' '> " ❑- TENAIV,V ' 201 amps to 400 amps 133.56 ;, 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 Cit /State /ZIP: Beaverton, OR 97006 Temporary services or feeders installation, alteration, anti /or Y relocation Phone: (503)750 - 6268 Fax: ( ) 200 amps or less 59.36 i 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 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 `' . ' ` "s'` ``` 7 ';' C NTACTz =PERSON : n above service or feeder fee, 7.42 2 APPLICANT r i, . .: O , _ < , .. , 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 y 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 @emeriodesign.com Sign or outline lighting 67.84 2 k P , ..a,. < ., . ,:> :•: C, N A • :-:• . 'n'::;�::;.:6'mk° °' ) ":: Signal circuits or limited -ever 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 investigation (1 hr min) 66.25/ hr City /State /ZIP: Portland , OR 97236 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 (' /z hr min) CCB Lie.: 162368 Electrical Lie.: 3 -332C Suprv. Lie.: 3398S ;,; 4V.SV. ".: rELECTRiCAL PE1 M11T. /,( . : :-.,: .. Subtotal: 34ct S fJ Suprv. Electrician signature, required: 01 ,A!' 141 0? Plan review (25% of permit tee): Print name: Dennis Welch Date: State surcharge (12% of permit fee): LI1,N ,( TOTAL PERMIT FEE: n (, I Authorized signature: This permit application expires if a permit is not obtained within 10 slays after it has been accepted as complete. Print name: Date: ' Number of inspections allowed per permit. I: \ Building \Permits \ELC- PermitApp -doe 07/01/10 440 - 461 5'1(11 /05 /COM /W Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: �..:.,.��.° .� E �: � ,fir.. ., RESiD,ENTIIAL:WOR ( : ONLY .._. . 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: zWORK®NiLY: ::_ .,.. T" ,, , ;COlVIM�E =RCIAL' � � �:; . ='`" "- iN 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 ❑ 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:\ Budding \Permits \ELC- PcrmitApp.doc 07/01/10 1 1 ig _ Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: ` a - 1 — e *Di / f S CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: i I 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 (V) 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. I Planning Review (contact i E-L-6 0,� y at 503 - 718 - - ( or �J- �^_' / -&/ @tigard- or.gov) Land Use Case No. .(3 'd0 Name �.aULiiM r J't 1, 0 l2KZ z Setbacks:: Front t? Rear /S Side J Street Side / U Garage PO E ] ,Maximum Building Height 3 -S -- Actual Building Height .3? a Visual Clearance E Easements � r / E Sensitive Lands Type: &) A Notes: Original Plan: Approved L� . Not Approved ❑ Date: / f6 Revision 1: Approved Not Approved ❑ Date: 1 /124/ Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) Actual Slope: Notes: Original Plan: Approved Not Approved ❑ Date: 1 ` Revision 1: Approved k Not Approved ❑ Date: 1I 7 /( Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Cit- Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov) Q Street Trees P rotected Trees / � ` Note l: ' Acc.� ` �Lo,_ c, a'' 66.1 R,,,,, ,J, of L 7'z-c.'\ T'2�. - ,, -4,--- , - r„, -f- cirn J / Original Plan: Approved —❑ Not Approved II Date: Revision 1: Approved L� Not Approved ❑ Date: Keel/ -01 Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Conditions of pproval Prior to Issuance of Building Permit Notes : A1crwi0f2I s 1- D■ro . i" / /e o /Ce e i • Original Plan: Date Sent to Applicant: / II - Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant / Okay to Issue Per . : Yes = c M Date Routed to Bu ding: A * 1" I O • Page 2 of 2 i � s, 5'i. ° ..s"' '.. a ; 115 s M1. / 2 e ®7 — t� e7 '.. _ U L. VI __,I Q1.•,El..19' e t, . / ifeA ' F N ,r:---:!.r..) 0 .....,;\ A ilk 7 �q t \ Y1g p I 1 I glI ,. \ ;i! i: '< 0 ' 6 r „ -..in 0 10' 2c, PLANNINGENGINFNue ,,.w,11' -- _�.NE z:.. __ SCALE: 1" = 10' EXISTING EXISTNG STORM WATER MEIER 215. MANHOLE EXISTING 212 8' l SANITARY ®J ® ® ® ' MA7DHr�E 8' PUE . 101.47' _ � � 15' 215.1' xw PROPOSED 2 D44 CALIPER 5 °� 215 0' 5' RA OOD ASH I YW . . . , .: , : .. gym, ..> . ., - :�.�: ,.4 . . x 1 T 1 1 p xs. . I� 1 v xso 4 1 1 LOT )0 1 b CI I `.. 3,136 SF 1 1 cc X ' 1 SQ!ERA 10 FRENCH I N I ® 6id Z _ IPROPOSED SONCRETEOR I W WA rasa SF D _ 3 BDRM I O E A CATCH G SAID 'RY L ► 2 1/2 BATH 1 Z V o xCATCHBA I I1 x 1EX/S/RK -= --=-�- 67 . . . .....: -1. �A... — — — — _L 30' —_I p ( " 3 I 16.3' I- 40.31 171 c I 661 5 2 17.5' = Z �, k, 121.28 _ o w o x m Oa• 1 _ x o x qW 6.1 tor9 217.6' 0 61®1 � p 21 C I x Cen I x� X W 4 � • I 1 I I 1 I < o I I . 1 ri -------- ± 2T I I I . 1 I p . I v 1 i N a NOTES: 4 A ZONE: R -12 ALL GRADE AND PROPERTY LINES ARE ESTIMATES BLDG COVERAGE: 36.2% OF CURRENT LOCATIONS. IMPERVIOUS AREA: 1,134 SF m ALL DIMENSIONS AND SQUARE FOOTAGE ARE ° I o 6 (or cETnervc ADP YIiAW cl(II?r' FRONT 15' GARAGE 20' STREET SIDE 10' DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, STREET LIGHTS AND OTHER SITE cs SIDE 5' CONDITIONS g�ai 4 az REAR 30' a 1 ! jv I i I" is " Building Division .1 Development Code Provision Review TIGARD Residential Projects Building Permit No: /ISTcZO // — 0 0005 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A "c Routed Plans: Original Plan Submittal Date: O / O 1st Revision Submittal Date: 1/ / - iFIJ Site Plan Only 'may 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. Planning Review (contact at 503 - 718- oZ. or @tigard- or.gov) Land Use Case No. 540 P6b6` 23 Name L f� Zoning R. l ❑- Setbacks: l3 ront l 5 Rear J r She Street Side , Garage Maximum Building Height 'J Actual Building Height isual Clearance 0/Easements Sensitive Lands Type: Nf A" Notes: �n� l � Io E e CK Original Plan: Approved I2' Not Approved ❑ Date: t j J f 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) J Actual Slope: 5 Notes: Original Plan: Approved Not Approved ❑ Date: It 2- 7 4 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: `s4 (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) ''Street Trees Ll' Protected Trees #! //- Notes: 5 f ,1Xi7 J a.•-c, Original Plan: Approved -0- Not Approved ❑ Date: - - Z. — 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: 1 / 1/ y Page 2 of 2 I Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Lae-- rtor , am the general contractor or the owner- builder at the following address: Site Address i \ 3 3L3 90' Ave • City: ant Permit #: 6 -r2 en\ , oo005 Subdivision/Lot #: 6,[e( 1o4 (0 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: Date: 11- ? ' O 11 Genera Contractor or Owner - Builder I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 b � } Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: MST20ll -00005 Jurisdiction: 647 d i 'rya Site Address: nevi 51.) 96+k Ave Subdivision/Lot �o (er4- I of 10 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 r /General Contractor /Authorized Agent Print Name: Lap-- '""ve'S ' 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. 1: \ Building\ Forms \RES- HighEfciencyLighting.doc 07/01/08 . STREET TREE TIGARD CERTIFICATION I, l.ae, /? mer , owner/ agent for Ev€r 60 s kG s , (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.: AST tt - c0005 SI"1EADDRESS: ii 39 5'J gd tL Ave . SUBDIVISION• (- f LOT #: 10 ) SIGNATURE: DATE: 1 t - 2 % k / (OWNER/AGENT) RE CEIVED & VE RIFIED BY DA 1 E: // ■_ OF TIGARD) Tree location verified per approved site plan. 1: \ Building \Forms \StreetTreeCertificate 04 /01/2011