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Permit ,, CITY OF TIGARD MASTER PERMIT 11 1 COMMUNITY DEVELOPMENT Permit #: MST2011 -00103 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/24/2011 • Parcel: 2S 109AB 13700 Jurisdiction: Tigard Site address: 13164 SW STARVIEW DR Subdivision: ALPINE VIEW Lot: 7 Project: Alpine View, Lot 18 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1192 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27.5 Bathrooms: 3 Second: 1289 sf Garage: 663 sf Front: 20 Smoke Dwelling Units: 1 Third: 384 sf Right: 5 Detectors: Yes Total: 2865 sf Value: $323,855.52 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 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: Y 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: 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 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2865 Owner: Contractor: ALPINE ESTATES LLC WEST HILLS DEVELOPMENT Required Items and Reports (Conditions) 735 SW 158TH AVE 735 SW 158TH AVE 1 Ersn Cntrl 503- 681 -4444 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: PHONE: 503 - 641 -7342 FAX: 503- 641 -7661 Total Fees: $18,520.70 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 OAR 952- 001 -0090. You ma • • - • - •py o • - rules or direct questions to OUNC by calling 583-23 .1987 or 1.800.332.2344. Issued By: / e.dera, s Permittee Signature: V C. it • 9.4175 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. R � j t R Blllsl fll ��ei'Ci14t Application RECE � � 1 1, " �' C)1FLCE USL '�C ?NL "' �� ff�, dam.,.. , a�'�. � ��" ' =' :.n „� W ...r” i.,aa .<._,< .✓a �,,. Tigard ,,y D i'eeived ^ City of JL iard Date/By: / Permit No.' � �� � g ` ®d>��� M 5TH .._ 60 , `` 13125 SW hall Blvd., Tigard, OR. 972 �� ,,II Z011 Plan Review �., Other Permits: O r J IV 1 4 Date/I3�. Milli Other — 0 0 0 ! O'., =x Ill . Phone: 503.639.4171 Fax: 503.598.1960 Date R ad} 11 See rage ^_ For i Inspection Line: 503.639.4175 CITY OF TIG . '. Notified/Method: I 1 Ira supplemental Information a Internet: �m��v tigard or gov gUILDING DIVISION i� / - rm� /cri9 t� d : TYPEOF WORK : q REQUIRED'DATA ; 1 AND 2- FAMILY DWE A.. 2 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 r " ` CATEGORY OF- CON ? work indicated on this application. Q 1- and 2- family dwelling ❑ CommerciaL'industrial Valuation 4 pZ ° „ S0- ▪ Accessory building ❑ Multi-family Number of bedrooms: J' X� . c dal ❑ Master builder ❑ Other: Number of bathrooms ,3 JOB SITE IN FORMATION AND LOCATION Total number of floors i Job site address: "13164 S W STARVIEW DRIVE 1 New dwelling area 2 865 ' square feet square City /State /ZIP: TIGARD, OR 97224 GaraGarage/carport area: � 6(3 a feet _ Suite/bldg. /apt. no.: Project name: Covered porch area: LA square feet I -1 Cross street/directions to job site: Deck area: 2A square feet 1. (92 Other structure area: •Zf-5 square feet Z7.•5 REQUIRED DATA "COMMERCIAL U SE CHECKLIST Plan No.: 2865 SABLEWOOD AMERICAN Y Permit fees* are based on the value of the work perfornted. Subdivision: ALPINE VIEW Lot no.: X1 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the Tax map/parcel no.: work indicated on this application. DESCRIPTION OF »WORK Valuation .ems .._, _, ': ,, ... ..[,, W. _�.- ,.. .. , >. a �.,., F, ... -. - NEW CONSTRUCTION Existing building area: square feet New dwelling area: square feet Number of stories: gi PROPERTY OWNER 'fi [✓I TENANT Type of construction: Name: WEST HILLS DEVELOPMENT Occupancy groups: Address: 735 SW 158th AVE Existing: City /State /ZIP: BEAVTRTON, OR. 974006 New: Phone: ( 503) 6414342 Fax: ( 503) 641 -7661 NOTIC ' '' APPLICANT [� CONTACT PERSON _ subcontractors e require A ll contractors and are required to be licensed with the Oregon Constriction Contractors Board Business name: WEST HILLS DEVTLOPIVEENT under ORS 701 and may he required to be licensed in the Contact name: SCOTT GODDARD jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons Address: 735 SW 158th ANT apply: City /State /ZIP: BEAVERTON, OR. 974006 Phone: ( 503) 726 -7044 Fax: ( 503 ) 641 -7661 E - mail: sqoddardarborhomes.com '' a, CONTRACTOR ° BU ILDING PERMIT Business name: WEST HILLS DEVELOPMENT Please refer to fee schedule Address: 735 SW 158th AVE Structural plan review fee (or deposit): City /State /ZIP: BEAVTRTON, OR. 974006 FLS plan review fee (if applicable): Phone: ( 503 ) 641 -7342 Fax: ( 503) 641 -7661 Total fees due upon application: CCB lie: 104847 Amount Received: #750 ' `at Authorized This permit application expires if a permit is not obtained signature: : within 180 days after it has been accepted as complete. . Print name: SCOTT GODDARD I Date: 6/13/2011 I * Fee methodology set by Tri- County Building industry Service Board. I:\Build ng \pennits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COMAVEB) Electrical Permit Application , .,,, . rnR ®1lctisi'o�r��► V w .. F ° ����� Rece,v / ®1 - f co o.: 0 City ®f Tigard UareBy � � Permit N � / 1 11 .M a 13125 SW W Hall Blvd., Tigard, ORi t 2 1 4 2011 011 Plan Review: other Permits: UareBy: . 03,2_.., • __dog Q M Phone: 503.639.4171 Fax: 503.598.1960 `� Date Ready /By: n See Page 2 For Inspection Line: 503.639.417 OF TIGARD Notified /Method: Juris Supplemental Information u i DING hjyisiON : TYPE OF. WORK . r d PLAN REVIEW _,, • ' ntc,rnc.t w�n�t G mar o2 Lo 0 New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked): ❑ Service or feeder 400 amps ❑ Hazardous locations [I Demolition ❑ Other: or more where the available ❑ Sernce,•'feeder 600 amps or more PE r CATEC3QRY OF CONSTRUCTION � c " - • °' " ;' fault current exceeds 0 Building over three stories 10,000 amps at 150 volts or ❑ Marinas and boatyards El 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building less to ground, or exceeds ❑ Floating buildings 14,000 amps for all other ❑ Commercial -use agricultural El Multi-family ❑ Master builder ❑ Other: buildings installations. ❑ Installation of 7 5 KV A or larger s,. _ . . T.. - ON I JO INFORM AN LOCATI, ❑ Fi re pu mp -� - � - '� ' '- separately derived system Job no.: I Job address: 13164 S.W. STARVIEW DRIVE ❑ Emergency system ❑ „A, , E', "I- 2 ",'I -3" occu nancy City/State/ZIP: TIGARD, OR. 97224 ❑ Addition o1'new motor ❑ Recreational vehicle parks } load of 100HP or inure Suite /bldg./apt.no.: - Project name: ❑ Six or more residential units ❑ Supply voltage for more than ❑ Health -care facilities 600 volts nominal Cross street/directions to job site: _ ` FEE=SCHEDULE r Description Qty. I Fee I Total Subdivision: ALPINE VIEW lot no 18 Newl lsm re or mutt famil d a unit ' j¢ wln ide gar d% : • Tax map /parcel no.: 1,000 sq. ft. or less 145.15 4 DESCRIPTION OF WORK _-c Ea. add'] 500 sq. ft. or portion 33.40 Limited energy, residential NEW CONSTRUCTION ( with above sq. ft.) 75.00 I Limited energy, multi- family 75.00 2 residential ( with above sq. ft.) Q PROPERTY OWNER r ❑ ,TENANT ] `Service or feeder installatio alteration andior• r` ' Name: WEST HELLS DEVELOPMENT 200 amps or less 80.30 2 Address: 735 SW 158th AVE. 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 City /State /ZIP: BEAVERTON, OR. 97006 601 amps to 1,000 amps 240.60 2 Phone: ( 503 ) 641 -7342 Fax: ( 503 ) 641 -7661 Over 1,000 amps or volts 454.65 2 Owner installation: This installation is being made on residential or farm property owned by me or a member of 1 emporary sirvrles or feeders installation alteration and /or relocation E , my immediate family. This property is not intended for sale, exhange or rent. (ORS 479.540(1) and 479.560(1). 200 amps or less 66.85 2 Owner signature Date: P amps amps to 400 an s 100.30 4 Ef APPLICANT 0 CONTACT PERSON P E - • .. s . , , „ 4_ . „ . T i ,: 401 amps 599 amps 133.75 2 Business Name: NEST RILLS DEVELOPMENT Branch c ircuits new alienation extensi or' on per panel?* A. Fee for branch circuits with , . -_- -. , Contact Name: SCOTT GODDARI) above service or feeder fee, 6.65 2 each branch circuit Address: 735 SW 158th AVE B. Fee for branch circuits without service or feeder 46.85 2 City /State /ZIP: BEAVERTON, OR. 97006 fee, first branch circuit Phone: ( 503) 726 -7044 Fax: ( 503) 641 -7661 Each add'1 branch circuit 6.65 E-mail: sgoddard@arborhomes.com Ea ch e m anuf manufactured modular 90 90 2 net included`) ' Via' dwelling, ervice. and / or feeder � � CONTRACTOR ' t &� - ° Reconnect only 66.85 1 Business Name: WEST HILLS DEVELOPMENT Pump or irrigation circle 53.40 2 Address: 735 SW 158th AVE Sign or outline lighting 53.40 2 Signal circuir(s) or limited - City /State /ZIP: BEAVERTON, OR. 97006 energy panel, alteration or C) Page 2 2 extension. Describe Phone: ( 503) 641 -7342 Fax: ( 503) 641 -7661 t -. , additional mspecte o ve r alloble w a in am of th above , �,I. CCB Lie.: 104847 Electrical Lie.: Suprv. Lie.: Per inspection 62.50 Investigation per hour (1 hr min) 62.50 Suprv. Electrician Industrial plant per hour 73.75 signature required: ` ELECTRIOALpgifooT F w,___ Print name: Date: Subtotal Authorized r Plan review (25% of permit fee) Signature: r r ' State surcharge (12% of permit fee) TOTAL PERMIT FEE Print name: SCOTT GODDARD Date: 6/13/2011 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 1: \Buil ding \Peimits\ELC -PerrmitApp.doc 05/23/06 440- 4615T(11 /05 /COM/WEB) . Number of inspections allowed p permit. Electrical Permit Application m I'OR(U] I IC) li E ONIL1 A in: i,,,:ily :•sz = -' r ,.] Received € Tigard of 1 igard ��(( ED �� Permit No.: ���� ' m 1 3125 SW Hall Blvd., 'TTigar �Y�InL?�SJt 7 llate/By 'lan Review Cher Permits: 111 1: Date/Sy: By: 1 - Phone: 503.639.4171 Fax: 503.598.1960 D a te Ready /By: {7 See Page 2 For m Inspection Line: 503.639.4175 J U N 14 2011 Ju s: Notified/Method: Supplemental Information Internet: www.tieard- or. eov ,TYPE OF:U�ifl til0r tiJA $u t1. W :. , , - , �7 7� 7 : :- j � . PLAN REVIEW ; ..,,,, IZI New construction El Addition /altefaddit/tt I i ®N Y Please check all that apply (submit 2 sets of plans w /items checked): ❑ Service or feeder 400 amps ❑ Hazardous locations Q Demolition ❑ Other: or more where the available ❑ Service/feeder 600 amps or more r Building over three stories �., current CATEGORY OF CONSTRUCTION ` - fault crent excee - 10,000 amps at 150 volts or ❑ Marinas and boatyards Q l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building less to ground, or exceeds ❑ Floating buildings 14,000 amps for all other ❑ Commercial -use agricultural Multi-family ❑ Master builder ❑ ❑ Other: buildings installations. , ❑ Installation of 75 KVA or larger vn JOB SITE I NFORMATION AND LOCATION ❑ Fire pump separately derived system Job no.: Job address: 13164 S.W. STARVIEW DRIVE ❑ Emergency system ❑ "A ","E",'l- 2', "I -3" occurnancy TIGARD, OR. 97224 ❑ Addition of new motor parks /ZIP + load of 100HP or more ❑ Recreational vehicle arks Suite/bIdglapt.no.: Project name: ❑ Six or more residential units ❑ Supply voltage for more than ❑ Health -care facilities 600 volts nominal Cross street /directions to job site: FEE: Description I Qty. I Fee Total I * Subdivision: ALPINE VIEW Lot no 18 N cliet., restdentialsin le- or main fatmy m u dwellnit Tntdes nn i nra„ e. ". 1 -„ Hs .. — ... Tax map /parcel no.: 1,000 sq. ft. or less tc 4 PKVIMINAIRME ) c a - Ea. add'1 500 s . ft. or portion sDESCRIPTION OF WORK r q P 4 ' 249-3 `-s __' NEW CONSTRUCTION twittea energq. residential 75.00 ( with above sq. ft.) c •••"� 2 Limited energy, multi- family 75.00 2 residential ( with above sq. ft.) j PROPERTY OWNER ,- ❑TENANT s or feeders installation alteration and /orrelocation Name: WEST ... ._. � Seri ice HILLS DEVELOPMENT 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 Address: 735 SW 158th AVE 401 amps to 600 amps 160.60 2 City /State. /ZIP: BEAVERTON, OR. 97006 601 amps to 1,000 amps 240.60 2 Phone: ( 503) 641 -7342 Fax: ( 503) 641 -7661 Over 1,000 amps or volts 454.65 2 Owner installation: This installation is being made on residential or fam property orsned by me or a member of Temporar ser or i n stallation 7alterati and /or` rel ' ..,.., .. ,....dap„ ... - ,.. . =r .. _ ._. ... ,. - =- _ ., ." �: my immediate family. This property is not intended for sale, eshange or rent. (ORS 479.540(1) and 479.560(1). 200 amps or less 66.85 2 Owner Slutlature Date.. 201 amps to 400 amps 100.30 2 ® `APPLICANT _ ' © ' CONTACTIPERSON my <.� n 401 amps m 599 amps 133.75 2 , . t-_ . .., Business Name: WEST DILLS DEVELOPMENT Qraneh circuits new, alteration or ext "'nsion per panel A. Fee for branch circuits with Contact Name: SCOTT GODDARD above service or feeder fee, 6.65 2 each branch circuit Address: 735 SW 158th AVE B. Fee for branch circuits -without service or feeder 46.85 2 City /State /ZIP: BEAVERTON, OR. 97006 fee, first branch circuit Each add t branch circuit 6.65 Phone: ( 503) 726 -7044 Fax: ( 503) 641 -7661 Rliscellaneous (sew a ce or feed_ er not includ ed) u E • • ; _: E -mail: spollard(c�arborhomes.com - - Each manufactured or modular 90.90 2 CONTRACTOR dwellivg, service, and / or feeder - -' ''''''''"g°2:'''''''!"" . ' Reconnect only 66.85 1 Business Name: GARNER ELECTRIC Pump or irrigation circle 5340 2 Address: 2920 S.E. BROOKWOOD AVE. Sign or outline lighting 53.40 2 City /State /ZIP: HILLSBORO, OR. 97123 Signal p anel, al er or t i o n . or + energy panel, alteration. or Page 2 2 Phone: ( 503) 648 -4.552 Fax ( 503) 642 -7925 extension additional ingpectiou ove aQol e* m an of tMe CCB Lie.: 121159 1 Electrical T,ic.: 34-305C Suprv. Lie.: Per inspection 62.50 � investigation per hour (1 hr min) 62.50 Suprv. Electrician ,/ / Industrial plant per hour 73.75 signature, required: � ����6 / ELECTRICAL PERMIT P EES ,t. �'T Print name: CHUCK GARNER Date: 6/13/2011 Subtotal ,' l , 0 L Plan review (25% of permit fee) Authorized (�� / _ Signature: Cy�� State surcharge (12% of permit fee} � TOTAL PERMIT FEE roe), 7 Print name: SCOTT GODDARD Date: 6/13/2011 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 1:\ Building \Penuiis\ELC -PennitApp.doc 05 /23/06 440 - 46157(11 /05 /COM/WEB) * Number of inspections allowed per permit. ., a . I'FICE USE NL OYk� �� 1l�ecl��nlca7 Permit Application � �..,, FOR ��..� ..., ..�� � ,..r r t City of Tigard JiJd t �t (Q Permit : (7 �� /65 '+ door P v iew ;Ali ' �' 13125 SW Hall Blvd., Tigard, OR. 9 Other Permits: cg_ pa/ . 2 Date /By: S' 'I Phone: 503.639.4171 Fax: 503.598.1960 9 e Reaay By: see Page 2 For AlegOBIogeall Inspection Line: 503.639.4175 JUN 1 4 2 (j {e�,Yified•/ lethod: Suns. Supplemental Information I nternet: www.ttgard-or.gov CITY nF TIGARD 1 .,,. „ ; TYPE OF Woittliit i iivi ti CO M M ERCI A L F EE ,-- HDU LE FUSE C H E CK L IST Q New construction ❑ Addition /alteration /replace Mechanical permit fees* are based on the value of the work performed, Indicate the value (rounded to the nearest dollar) of all mechanical ❑ Demolition ❑ Other: materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION �. Value: $ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ',.• -,,,, ''' ':: RESIDENTIALEQ UI PMENTI SYSTEMS FEES* ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. r JOB - SITE INFORMATION AND LOCATION , Description I Qty. Ea. Total Job site address: 13164 S.W. STARVIEW DRIVE Heating /cooling Air conditioner or heat pump )) 7 City/State' /ZIP: TIGARD, OR. 97224 (requires site plan showing placement) l Suite /bldg. /apt.no.: Project name: Furnace 100,000 BTU (ducts/vents) Furnace 100,000 _ BTU (ducts /vents) 17.90 Cross street /directions to job site: Gas heat pump 14.00 Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 • Unit heaters (fuel -type, not electric), 14.00 Subdivision: ALPINE VIEW Lot no.: 18 in -wall, in -duct, suspended, etc. Tax map/parcel no.: Flue /vent for any of above 6.80 . DESCRIPTION OF WORK Other: 10 00 ''�'..? � , �: . ,." . .. _ � f z . V€ .� _ -. �� .. o -,, . _ ,� - -w Other fuel appliances NEW CONSTRUCTION Water heater -,r-- ...3:.- Gas fireplace 1 Flue vent for water heater or gas fireplace 10.00 - Log lighter (gas) 10.00 Wood /pellet stove 10.00 E PROPERTY OWNER ,TENANT. Wood /fireplace /insen 10.00 Name: WEST HILLS DEVELOPMENT Chimney /liner /flue /vent 10.00 Address: 735 SW 158th AVE Other: 10.00 Environmental exhaust and ventilation City/State/ZIP: BEAVERTON, OR. 97006 Range hood /other kitchen equipment ( 1 ,' i Phone: (503) 641 Fax (503) 641 - 7661 Clothes dryer exhaust -� .: Single -duct exhaust (bathrooms to ilet r © ' A PPLICANT ® CONT A CT • PERSON . J J W ° " compartments, u rooms) Business Name: WEST HILLS DEVELOPMENT Attic /crawlspace fans 10.00 Contact Name: SCOTT GODDARD Other: 10.00 Address: 735 SW 158th AVE Fuel piping (S _ Furnace, etc. ( /4./ City/State/ZIP: BEAVERTON, OR. 97006 Gas heat pump Phone: ( 503 ) 726 -7044 Fax: ( 503 ) 641 - 7661. Wall /suspended /unit heater E -mail: scioddard @arborhomes.com Water heater ( - i f t CONTR'ACTOR' r : , j - Fireplace Business Name: PYRAMID HEATING AND COOLING Range Barbecue Address: PO BOX 1502 Clothes dryer (gas) City /State /ZIP: SANDY, OR. 97055 Other: F Phone: ( 503) 786 - 9.522 Fax: ( 503) 786 - 3432 MECHANICAL PERMIT FEES Subtotal $ 34 7.'- CC.B lie.: 9382 City or metro lie.: Minimum pennit fee ($72.50) • Authorized Plan review (25% of permit fee) $ signature: State surcharge (12% % of permit fee) 8 AN r Print name: TAME HAGEMAN Date: 6/13/2011 TOTAL PERMIT FEE $ 351 A7 This permit application expires if a permit is not obtained within 180 l: \Building :Pernmiu.MEC- Permit App. doe 01/19/07 440 -4617T (I 1 /02 /CON/WEB) days after it has been accepted as complete. Fee methodology set by Tri- County Building Industry Service Board Plunibin 'Permit Application FOR OEI'ICG�UG ON ,viii c��` � �. � g F�� ssa�r " � e� u � u.... � fie s ," � m �a g c:t� 6 � ��.� Permit No. City of Tigard and /.....66/ 63 9111iiii ' rate•'B � �� �' 13125 SW Hall Blvd., Tigard. OR. 97223 Plan Review Other Permits: I // ^ '` , Phone: 503 Fax: 503.59Sj ' O 1 4 Pate /B _ , ��� Pate Re a dy /By: 11 See Page 2 For Inspection Line: 503.639.4175 Notified Method: J0 °s ' Supplemental Information ilitatlia Internet: www.tigard- or.gov CITY OF TIGAR 1' ` TYPE o' I. t t � - t 4 ', FEE ''.SCHEDULE ' Q New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1 - family dwellings (includes 100ft. for each utility connection) CATEGORY OF,CONSTRUCTION- ' C ' ., ,.z...■ SFR (1) bath 1 249.20 Q I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath I , ❑ Master builder Each additional bath /kitchen 45.00 ❑ O ther t JOB SITE INFORMATION AND LOCATION , sr , ` Site sprinkler ilitiesr (# sq. ft.) Page 2 s Pa e Job site address: 13164 S.W. STARVIEW DRIVE Catch basin or area drain 16.60 City /State /ZIP: TIGARD, OR. 97224 Dry leach line, or trench drain 16.60 Suite /bldg. /apt.no.: Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: Page 2 Storm sewer (no. linear ft.: Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: ALPINE VIEW Lot no.: 18 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK. r• , Backtlow preventer Page 2 • NEW CONSTRUCTION Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 D PROPERTY OWNER I is = ❑ TENANT "f-w s Ejectors /sump 16.60 Name: WEST HILLS DEVELOPMENT Expansion tank 16.60 Fixture /sewer cap 16.60 Address: 735 SW 1.58th AVE Floor drain/floor sink /hub 16.60 City /State /ZIP: BEAVERTON, OR. 97006 Garbage disposal 16.60 Phone: ( 503 ) 641 - 7342 Fax: ( 503) 641 - 7661 Hose bib 16.60 D APPLI $ il 3 ❑✓ CONTACT PERSON 7 Ice maker 16.60 Interceptor /grease trap 16.60 Business Name: WEST HILLS DEVELOPMENT Medical gas (value: $ ) Page 2 Contact Name: SCOTT GODDARD Primer 16.60 Address: 735 SW 158th AVE • Roof drain (commercial) 16.60 City /State /ZIP: BEAVERTON, OR. 97006 Sink /basin/lavatory 16.60 Tub /shower /shower pan 16.60 Phone: ( 503 ) 726 -7044 I Fax: ( 503) 641 -7661 Urinal 16.60 E - mail: sgoddard@arborhomes.com Water closet 16.60 CONTRACTOR Water heater 16.60 Business Name: DEVELOPMENT NORTHWEST (WOLCOTT PLUMBING) Other: Subtotal 6.'3 ?� Address: 1075 W. HISTORIC COLUMBIA RIVER HIGHWAY Minimum permit tee: $72.50 City /State /ZIP: TROUTDALE, OR. 97060 Residential backflow minimum permit fee: $36.25 Phone: ( 503 ) 667 -1781 Fax: ( 503) 667 - 9891, Plan review (25% of permit fee) $ CCB lic.: 112220 Plumbing Lic. no.: 26 - 824 PB State surcharge (12% of permit fee) $ TOTAL PERMIT FEE $ J c Authorized !4V, i ' .6 "this permit application expires it a permit is not obtained within signature: h„ 180 days after it has been accepted as complete. Print name: GARY LIPPOI.,D Date: 6/13/2011 Fee methodology set by Tel- County Building Industry Service Board l:` \. Building \PermitslPE.M- PermitApp.dor 12/27/06 440 -4616T (10102 /COMIWEB) IN 1 ill Building Division "HGARD Development Code Provision Review Residential Projects Building Permit No: HO AC,P/ 16 U' &&) L r /6° CWS Service Provider Letter Received: Yes ❑ No74 N/A ❑ 42/6 ,/ l .���, / / -� Routed Plans: NN �f O�U o Y V Original Plan Submittal Date: Cp / /q4 1St Revision Submittal Date: ❑ 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. Review (contact t , • Planning U 1Ma 2 -`1 5 2 g � ( h at 5 03 - 718 - or � ri3 1"1 e., @tigard- or.gov) Land Use Case No. s %A.43 °2 ,zc4• t� 2. L Nam 4 ( h . e , V t e "� "Cr Zoning Q 7 • a Setbacks: c Front 15 Rear IS Side S Street Side 10 ( r n. Zo a Maximum Building Height 35 Actual Building Height 1...7 i/Z G Visual Clearance Is- Easements Sensitive Lands Type: A/0 AR Notes: Original Plan: Approved EA Not Approved ❑ Date: 14/1 hi 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) ❑ Actual Slope: l Notes: Original Plan: Approves' V Not Approved ❑ Date: / i f Revision 1: Approveu Li Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City trborist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov) Street Trees ❑ Protected Trees Notes: Original Plan: Approved L/ Not Approved ❑ Date: 4 7/7 *G/ • • 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 y 0 ` . ' Date Routed to Building: , .k, , Page 2 of 2 1 CITY OF TIGARD Credit No.: 201)7 - d 00,2 - Date Issued: 4/26/07 Engineering � � ey t �, I ,� Authorization '.. Date: 4/26/07 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Casefile No.: SUB2004 -00024 In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) Colton - Fettig, LLC (name of developer) is entitled to $ 232,720.00 in Traffic Impact Fee Credits that can be applied to TIF charges for development on lot(s) 1 - 46 of the Alpine View Development. The use of TIF credits are subject to the rules and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of issuance of the building permit, or if deferral was granted, issuance of an Occupancy Permit. (Q ` P Director f 1 J Date Permit Numbers Lot Numbers Credit Used Balance t" Beginning Balan P "' $ 232,720.00 p q/A9 rod %laoeq oo,6o Se 3411 44 — .2,,v ©y/ 9/91 tivg009 -a4 l51 Sy 3 09 _ 9 . da.;' s6a, ( /1') � o o� ilhr Awl -o0 oci Se/ 09 iii 4 • UU 0M / 6,93 1 1 5 j p� nyrAr9o9 - 00 et i qo loci I „A. , °° auei, oo y' WOE oq .)'?c,T2. -oo !I0 .3 3 73 o - f Al a /5; 34S' Sty m/Yiml Heraao -angv '6 I. • °p y" �° aio, 454, ellirii_ N� aa3z an _ .y 1aoc Muff oio- (�DDf$ T . + ,.(1° 020 ,,IP �lb .3174 r{.bram10-- OoDa15 9. 1 00,„,), !`79, 60 g/4 //s7-mo // - 0 /?5," 9.90 4 o Mr Sat 0 - 00Ottk /'. to oO Ad /902 65"/ i Balance carried forward to TIF Credit No. •\1 Ordinance 379 provides for an expiration 10 years from authorization. ,Jginlviola\tif09 1 l Date Permit Numbers Lot Numbers Credit Used Balance J Beginning Balance /9A,05/ 4A s'7 /o MS/a0/0 --dooss ' % .� '* ati;S2 5' I15r°y.n' 04967 s r . 41 ! 6 —4 Al .„ 1111 ' IAr - , ' +. [/ eL. 5 r u /o Horaara- aao3fi aS 6 , ( .do P' /9, .S3,5' /� .ha ti�rAptb i9 I 1 A1`0 ` 019 /''73, s'4, i 77f`,L1 r/) r r801o• -txAo i VD .�'� n7er. �° ►n / o / < 7($010 11.0oto -omoo K I t ff? 9' "° _§_)°, No g j ilgin ti9r %tn- 6013 17 ,5;6027 9-,# n ■*6/, A7/ Tv 919.s fib io . Ho' us aob710 / 0 _ ..L79 ai /5'7, 9.Z, //i.��ii CO t /q/t1 Mg kio -oo , - •e' 0 ' /` 1 3�5 --,8�4- 9 / ihi H9rA210 -60151 . 615 \ /' .5 (1.(1° /91 ;�6 J'c, .a� o a' -14'. f a / Hsi O oi5t h! C /, s q p aal /9 7, /.SR As `d s a 1 Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 10 years from authorization. RECEIVE 1 • STORM SAN. 2" PACIFIC JI 4 2011 • SEWER SEWER DOGWOOD LAT. LAT.�IT DRIVE j[ � CITY OF TIGARD • WATER METER V �-� C SW STAR il BUILDING DIVISION .;: -A. • ' ' , *Ptk 116111 4 DO l f * 4 6 .1. - .5°..-- i5 • ,.. --- • r -- i agi=k • .:,c ..1 156. t' �cC 1.11, \ 2 ■ _ S' MUE 7 11016-.A.LIAL r -t. F qs Fq --. liN, anittql ' ',:., :' .-...,-: -- • A q • .10„ ANDSCAPE WALL . 1� -` > ti • • LI • ApP INIir-a ' . @ i 6 ; 'DECK' .. h b ( • Ir ° `ARNE h �r, fr . 20 at,„„,. I o :::::::MAIN FLOOR : :::::: : ::: : . :: .: • :::::::1,192 SQ. FT. :::::::. I. ° : c ... GE 1 o :::; . ::. 663 SQ' .;.:.:.:::::•:':: ....... g o ° :•::::: :::: MA{i�t.: f LR_:: _ E� , 6fi; : b hr. NEW GRADE `S6 " SABLEWOO II 6`L t ' - \ ��-:.:•:.:::::: AMERICAN • 1 lillo .. ..TATIo , NIII \ NEW GRADE 1111 1 1 1 7 Io Q`� • — i 5.. l° l--- i EROSION , ,m CONTROL o LING ` 1 1 55.51 — — — ° PACIFI 1 55.00 DOGW O • DRAUIN 06/8/II DSC SITE P LA N Contractor is responsible to check ALPINE VIEW plans and notify designer of any errors or omissions prior to start of SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP construction. Also plans and . 2-SOUTH, RANGE 1 -WEST OF THE WILLAMETTE MERIDIAN specifications shall be approved by CITY OF TIGARD, WASHINGTON COUNTY, OREGON loco! building authorities prior or 13164 SW STARVIEW DRIVE start of construction. 6,246 SQ. FT. WEST LOT 18 S ETBACK REQUIREMENTS: REAR YARD: DEVELOPMENT, INC. 15' (FROM PL.) .. __..- ..,.:„,„. ...�,...,,- ,,._ -, �,. FRONT (I- IOUSE): 15' (FROM P.L.) FRONT (FORCI -U: 15' (FROM PL.) 735 SW 158th Ave. FRONT (GARAGE): 20' (FROM PL) SCALE STREET SIDE: 10' (FROM PL) BEAVERTON, OR 97006 SIDE: 5' (FROM FL.) I V;"" t•. .4;:•14X.'4ik^rAnlitersaittzrgo-77,4•-•,--qPve.we-• — - % -• . ' • . ..._. . ' . - .. •1 PERMIT NO./P5rov C : . - . -..‘‘ • . . • • CleanWater Services • Our commitment is clear. LOT f? . . . EROSION CONTROL INSPECTION REPORT , 1 • i a • DATE 00 / . INSPECTOR i /6i.bh O to SUBDIVISION (L40. VOA) OWNER/PERMITEE 12e At ilsh I 1 • , . • SITE ADDRESS /3/4/ • (L.) (...;" '6740/Y_Lit_) ri.).4.-.. . . •.. : .: - - . - :'• i • tt - , .t • • . . • ., t, • 1 VIE . . I' •• .., , .. - . _I 1 . — . -.. - . ,: f i f i k ' ' . ''' • t '1 . . . ,. .. . • . . . I ' •■,.4 , • . ''''... . . . / • ': .. THIS SITE MEETS THE POST-CONSTRUCTION EROSION 'CONTROL REQUIREMENT S SET FORTH IN CLEAN SERVICES . • ' ' , ., - - -.. RE SOLrUTION'A Dr ORD Elk: / ...,.: : I\-m. --. ,:,) i if r .:-''' . '- ' ( • .. •*--... ' u 17_,...°. '''' , ... . . • ;,_ ' • . - NOTE: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARE STILL.BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, ( ..' 1 ,....• THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMP,LETE , . , ) - OR PERMANENT GROUND COVER IS ESTABLISHED. t " . . t p ' 1 .. . ' . A COPY OF THE FINAL EROSION CONTROLINSPECTION REPORT MUST BE • ,.. FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES r _., * ' '\•,, , ....,• . THEiRESPONSIBILITY FOR MAINTENANCE, REPAIKAND REMOVAL. : L. • . ..:,, • ._.. • --- , _ . OTHER . • . ..i . . vs •--' ,--- • ,...... ,...,,•,. • .. -- ti , '■. . . • . THANK YOU FOR YOUR COOPERATION! . ; .. g .. INSPECTOR • ( t-/---r • PHONE AR (..%59 •. . , . . . .. . . .. . STREET TREE . _ .,,,,,•. ,... ,,,,, �T:I o � �t-.-_:_ 3 . CER TIFICA TION ." I, e - S - (LL Ps , owner/ agent for REs ,,(45--i. , (PLEASE PRINT) (PERMIT HOLDER) do hereby cent j 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.: kST2o t\ -co (O 3 STl E ADDRESS: \ 3 u, Li & STA 72---1 r SUBDIVISION: f(,-e( (4 V t�.1 LOT #: C Y SIGNATURE: fIll `_`_ ■•■ DATE: ( 2 - 4,3 / , (0 v7;0 ' /AGE RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. N I:\ Building \Forms \StreetfrecCertificate 04/01 /2011 • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM ft oc-u)e_s - , am the general contractor or the owner - builder at the following address: Site Address: 3 (by 5 s'Jl b( City: --i -(,2) Permit #: MST x- A DO ( 3 Subdivision/Lot #: p J� / 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. ,4 ,/ Signature: Date: General . or or Owner -Buil. ipr L\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: m57---2,0l1 --G0 (0 3 Jurisdiction: j ( 6P , „\ Site Address: 3(0+ sferaoll Subdivision/Lot #: nip �� ' s and /or / 1 [� 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) Signature: Date: if 37fr O ersor co, ractor /Authorized gent Print Name: 63 ia4( es ' ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\Building\Fonns\RES- HighEfficiencyLighting.doc 07/01/08