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Permit ,, CITY OF TIGARD MASTER PERMIT `! ,' = C OMMUNITY DEVELOPMENT Pe rmit #: MST2011 -00113 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/20/2011 Parcel: 2S 112 BD09200 Jurisdiction: Tigard Site address: 14726 SW 78TH AVE Subdivision: Lot: Project: Brittany Meadows Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1197 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1393 sf Garage: 410 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2590 sf Value: $282,181.55 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types ' Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 500 sf: 5 201 -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 2590 Owner: Contractor: HERONWOOD PROPERTIES PACIFIC EVERGREEN HOMES LLC Required Items and Reports (Conditions) BY MORRIS R WESTLUND 7410 SW OLESON ROAD #133 1 Geo tech report prior to 16615 MAPLE CIR PORTLAND, OR 97034 footing inspection LAKE OSWEGO, OR 97034 2 Ersn Cntrl 503 - 681 - 4444 PHONE: PHONE: 503 - 664 -6423 FAX: 503- 671 -0204 Total Fees: $18,586.59 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty .des a -. 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 is ance, -r if work is suspende•I for more the 180 days. ENTION: • -:.n law requires you to follow the rules adopted by the Oregon Utility Notification Ce- er. Those rules are set forth in OAR 952- 01 -0010 through OAR 9 -01P -009r You may obtain a copy of the rules or direct questions to OUNC by calf - .� += �.19�800.332.2344. ��' / / Issu By: ' Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspe ion 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. Building Permit Applicf .9n R BECE \ I Ws 7) Residential FOR OFFICE USE ONLY City of Tigard JUL 2011 Received ? g . }� f o�D�l 3 ®� Date /Sy: O i QQ�/ Er 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie �. Phone: 503.639.4171 Fax 503.598.1960 r r Date /By: l Permit Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGA � 1 . . ( 04 — et ) /0 ate Read % tins: H See Page 2 for Internet: www.tigard- or.gov BUILDING DNt '1I otified /Method: Supplemental Information TYPE OF WORK . • • • REQUIRED DATA 1.- , AND 2- FAMILY. DWELLING New construction ❑ Demolition Permit fees" are based on the value of the work performed. fiZi Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment. materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION . . • work indicated on this application. E 1 - and 2 - family dwelling 1:11 Commercial /industrial Valuation: $ 1V II Accessory building 11] Multi-family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors; 7 Job site address: 1 £( 702.4 5.0j f i _' °" `'^ New dwelling area: ZOO square feet City /State /ZIP: /,�g.,.>!G.11, / G _ Garage /carport area 4 (0 square fee Suite/bldg. /apt. no.: Project name: p F_- S' 4 y„4_ h120L..,S Covered porch area: , (5 square feet lo&I Cross street/directions to job site: 7 0, =l / )_. (.;,) -r: Deck area t ,/ fib square feet 1 197 Other structure area: `3 square feet • REQUIRED DATA: COMMERCIAL- USE;CIIECKLIST.. Subdivision: ��� ; ��� %�� _� Lot no.: F��' Permit fees" are based on the value of the work performed. l Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment. materials, labor- overhead, and the profit for the DESCRIPTION OF WORK . . work indicated on this application. [� Valuation: $ _5 � Nei; Sl - � �✓ t.. _ a '=5. ✓'v Existing building area: square feet New building area: square feet • lia PROPERTY OWNER i • • ❑ . TENANT Number of stories: N /n U!L// C.• ✓ e --, S -Lvrvj 0 2 ,V ' � � � Type of construction: Address: / 6, /`c 1 /94•- Occupancy P )'f�l try G,� „/ O ccu ancy grou s: City /State /ZIP: L-0 ia, ®s en O. 9 7®39 Existing: Phone: ( 5 o) Fax: (5 ti �C �" 3 ?� � / > G � �.0z New APPLICANT CONTACT PERSON. • NOTICE Business name: p /1 F�"` „.., 0 � e . .1 �, q � l 76 � �I�r All contractors and subcontractors are required to be Contact name: // licensed with the Oregon Construction Contractors Board L.4 f l C / \ ` ` under ORS 701 and may be required to be licensed in the Address: -: % i:i �(, ) 0L�. CGS/ f .J' /3,3 jurisdiction in which work is being performed If the City /State /ZIP: find / (9`,,- G`7 applicant is exempt from licensing, the following reasons �y� apply: Phone: (So ) 6 , . . ( , , , &A Fax:: (�O ;) C7, Gv E -mail: r'; f �- ,, ; C ,1, .y ,.- ; ?snP .'.- 61 I li fir' ) > (BUY✓) J`-' CONT Business name: PA (, - l - r_2=L �kierZ Q [ -Ct,/ j.- /G`r(,� 7 LL C- BUILDING PERtMIT FEES. Address: �/ (Please refer to fee. schedule) ' . G (�-% C":) -So o N i i 7 w 1Lr� G✓L 0 (70 7 Y I Structural plan review fee (or deposit): City /State /ZIP: p FLS plan review fee (if applicable): Phone: (5o3) 67 Fax: (50 CCB lic. p/, � ✓'e , r ' j / i Total fees due upon application: f1 . Authorized signature: Amount received: 750 This permit application expires if a permit is not obtained nn / � within 180 days after it has been accepted as complete. Print name: Y-� L” �`'/ � 0 ��✓�� /2E Date: S / f //) Fee methodology set by Tri- County Building Industry Service Board. 1: '•Building'u.Permits'\BLIP -RES PermitApp.doc 10/01/09 440 4613T(I 1 /02 /COM /W'EB) "Mai 11 2010 2:12PM RK— Electric,—Inc. [503) 356 -05 p.1 05/11/2810 13:20 5t,.,c 710 9 04 PAGE 02/02 le ric Pei es 11 ED r test (11 I I(1 t • -t t1'`f 1 ' lig 11 p.,,nit 14'9.; / � s �� City of Tigard ll 2011 • 1 Sw Hall Elvd,, Tigard, OR A7Z2S ricer t+.ands: '' / •ileye le phone: 5o3.639.4171 PAX; s03.s9S, t t t • •. t • p ta60 �r j tun,: ins lon Lim so3 G! IY O Tr I`�:1Ai'1® DateRwdy/By. V ultimo: ultimo: www tillard ar.�av t t o P tC' 1 Rio r N ailliaibmeh.1 . . pp, e>f..11 dot .pply (submit j eats efplews wlitama ehaoNed blow): ® h•loweoenrluetion ❑ Addition /alteration/replacement d6 orCo du 444 meow MOM ❑ 8ufidito over tMesvenial, ❑ *We tM avaitablo foul) current ❑ Mari and boaba(�• Demolition '' '.:, Other: *We 10,00 entree at t 60 wit. at ❑ Floating bulldlnp• CAT ' 0� 40 c' '_ _,' ' ■'` t... to moo& or r, se& 1 ❑ Carlwercidwtt 46r0..a1 building". g t- an4 2-lm t0 iIy dwelling ❑ Commercial/industrial Accessory building O all ee f e other iostallltioox bing". Pire u ot9s ANA or ❑ TvluLi -fam i1 ❑ Master builder ❑Olhtr, 0 Eypremeyayrtatt )arperiiprstsly . '; 100 ':13U$ !'4i .*3141st ANT).'LO(A!1i'...,:,'.. Addldos01noestnetorloador ❑ "A..`•$....1- 2 ^'•1.3 ", tow or mare. oeeupeecy. 7 .� / ❑ R..enuticrat whicia packs, Job ra. Job sits addresa; 1 "/ILTw 1 � � X It -QE (Nil Wit,. D Sepp1Y wttegc fa incr. ❑i{.anh -tar. facilities. EOQ why seminal. tat1etZIP' 'ryi4rrz -' ❑ Itaeardoue teaaltWra ❑ Service or riador 600 em • c et mac :If 5uite/bidg, /apt. no. Project name: : R2401* lra+8• ixc-lfl 1 Mt. „' ..,,'.i,_ , .,• •r'•lttRiC '; TiG� ' Cross sneetidirr eeions to job alto: 7� ' * , R tiew rtaldeoNd moose -or multi -famUy dwening unit. Includes attached gore • , � WI 1,000. •, R. of lea# � ass j�4.4 Subdivision: `e s Lot no ,: f fit `( Q S be. eq. R. or portion 33,9E I�Irrtitosse Li n77ealdeaual pCi 75C r' Tax Diapfparcel no.' ,,, r R gi . . ' fl ; W4R1C, 1 ��,, ;;.. with a r�, t,.. , i IN E:1111111113 LL„, tad �1fe trio t1• / 0.).5'i'1Z e-1Cr) n • .till With abOr t•. R, 200 amps or )car 100. � El r ,.. —,. '� Z�v4 201 sm. to 400 amps NE 133 Stt 12tf1 IiTX',.gy�elpR' T 401 amps to 600 tope E. 2 IIIIIIIEN Add e: ry/ O/2 0.-r;3 to 6 L r.d 0 17 -Y- � P + " ! 601 vnpo to 1,000 amps 301.04 — �rr Ova I,ODD amps orroSta 352,26 11.1111E11 Address: �� /} C >` Temporary services or • leede re {nitellation,'ltctation, aadfar City /Slate/ZIP; 4.t4it' G LAA af.y741,3 ntocarisst leas x00 am1A or r Phone! ( 3) 7 L 1'I '<ea: ( j > 4.3 ' 5'2/22.. zo 1 arms Or len ern�a 59. 12s,03 0 ot � Oviner InatallotiOn: This installation is being made on property that I owl which is not dpi mi... to 559am intended for salt, Wan, rant, or exchange, according so OR.S 447, 449, 470, and 701. grate elven,** dew site orlon or oaten •• . ail pwztar xlgnatUfC Irate: _ n for branch above service I anc or to with II II abo T cite • with ' , : • i •, . . ^ ;(Q.;,01.4A(31A'•. .�i.. 1 ' __cad circuit e: • ' . „ � C i dZ i x� r/c�,, b. Pre for or r fend r R t e. r n i t Busine nmrle: '� � tef eice feeda fi a, bast Conflict name' -, / + ! a j Rtev its Loch arid'I booth Circuit 1111111.0:11 . - Addt85 SC)) Q( S nl AP # /3 E.rh « ditto twrd or m or teede r _tied 0 Each ananadaetUted w rlladalaf City /St,ateJJZIP: 'e)' 4 r • , 7 lestl n: service and/or feeder � 67.9a�Q Ph0 e: r // Fax ' ($d,3) £ 4 � � © (5CJ �� ��� � _ Pump or irclptilln41rc 2,1 (.7 ,p �” i 4.cv. , C� r - �,! i 11L S1• Oa LOt hie lidhtin: NMI 47 € MEND D : . ,- --r -~a �; -,✓ ..� . , • gigra :uil(�orfirnirsd•enerpr 1 ale 1inspe do 9U SinNS dArile; EaCle addltl °Sys r extension, a rule ynawallu in a the . Z �-1 L c r� ' Xh anti ins atan (1� 1 m i Address; / ;c�!`tL "�G �5►r� City /Stato/JP; i..111,1..t,') .f t. 1 12. Industrial plant (1 hr Mtn) L ) '` _ M. Ltspettione rbr wr w h t no Ste is 90.001 hr Phone: (5'v ) n Fax: a• - et call 1' n CCB Lie.: `j 5" _ } subtotal IKAIME SuprV. Etcetriclan signature, regulard: rte. 1•r . Wire review 5% of . rmit foe ' Ail Slate sueehatae (II% of permit ke): . 41111 Print name: `l 4 e a S. ' J TOTAL. PERMIT PEE; 1 1 6 Authori2ed signature: h-) ' Yt IV. peradl •pp exp re+ if I peewit is del obtained *taco lio �, \ `• r days sire 11 pee bee. e•eepne Be eaa,pleta. Print name: „ 1_ fir Date: " _ l • 1•lltmbar of impaadmu allowed per permit. .M ,ne„MO at44eNT(11105169Mr'wa Mech,anlcal P unit App Permit 1•01, UVI'i(r: Psi: ()Nil . � {/ r City O Tigard ° i t3a�teett3 d 7 8 // k / r' +r t•1a: 1 -eat/ 5 ,r- 13125 SW Hall Blvd, Tigard, OR } Pr;,,. plgn Ltvitw Phase; 503.639,4171 Fait: 503.598=11960 t • % D ate /S y; Other permit: cl Ui�0 I t <, , .� 1;1 htspection Line: 503.639,4/ 75 a S • Date Ready/Hy: Ruin 0 See Page 2 for Internet: www.tigard- ar.gov �' `� R �Q� 1 7r • NmfnctitAiurtiod: supplmt+nntal llnro�rm:ation "' • tu . •' a il. ) 7'I J .('`�P ' S ' S 1' ?' 7R ' I'%`I� k 7 I v • r �1, , r � ^"" � ; ;;I';/ •:, , • a , ' ` � I ' :' ; OW' Fr, DIV ., -- - i i � y. Q i t 1. if let . J.� 1 J L' ' , Z :5 ' 1: •dC','d' RY M _ , . , -r YNt1�iw. ' 3 � 0 New conet:uction © Addition/alte l rirahg l Mechanical paz»1zt dm hosed on the value of the wade performed.. Indicate the vaine (rtmndad to the nentent dollar) of ell [J T3cmotitlon ❑ Other: mechanical materials. equipment, �'� , labor. overhead, and . rofft. • ^� - 'k'r`�k • �4i� ' i't�'�'1 ,pi7 j/ y y���y�p. �.o - ;, �. �.�I Value: 'W' y ,r �I. t ; r��,.7 h y `�:: i. . I., � +r•., x" Rt, ,+.!r+sa.^ -vy. E 1- and 2- family dwelling CI Comraeroird /industrial [I Accessory " `r t '!, 1 G.o o I `r ;'fo tf �`' tlt'rG' ,ta t r3' building � � ' Muiti..f'emily ❑ Master builder 0 Other: / or sprckrrl itrfor?naticn u,se oi4ecklrs/. �� Description �y ea_ Total w`" , '- ,j : ''`,' ,�Y°. 'stiL: "1t o ' , ■ ; , , 4 a , • . t jll ,ik�;a;; ;pp ;, ,.: , ' Y cash, coalln_• t� / Air conditfanin Yob alto itdtltt3R: (y ,f' d 7 �'' f � • ' requi.essitept v ruin m •laaoc 46.75 Mill Gity/Statclzre: 7 - [ /„ w Furnace 100 000 BTU ducts/yews) � 46.15 6� ._ Furnace 100.000+ BTU (daets/vcnta) 54.91 Suite/bldg. /apt. no.: Project name: d / y --. riq " ,` J'y7 6 : 14 .S Heat .i n, 61.06 Cross street/directions to job Site: 79 4 5/ e , v , z -- T - l:)tset F H dronic hot water a : 23.32 Residential boiler (radiator or h dronic 23 2 " - - Unit heaters Cfuel - type, not electric), In in - duct, suspended, C. Subdivision; _ i h � g' LT.ot no.: 2 . Othe vent for an • of above = '" Other: Tax map /parcel no.: Other fu e m lianc+ea '„ .,: ". „' ' JG? 1 0 ^;.60∎ CV TC . ` a �, `, : Water heater EILINFICIMM t�N �i C a / r� LrH� ��11` Gas Imo place Pal 33,3J /9 r�y1� / / �Y onJ,) Flue vent. for water heater or gas -__, tire, lace EMI Lc,:li• ter C•as) EMI Wood/ eller.ntovc = 33.39 Mil Wood fire dace/heart 2332 r ° r ° 1!L�tt1t "..Q ' [Ekt ,;�. aim, /lifar'fhtt/vcnt 1•111111111111111I 23 32 1siamo: i 4i , � •,, r ..li v r 1 . , ,, t 1 1: . . • G G v» ,lation Address: ��� Range hood /other kitchen _ �6. S I S . � e. a'-c City/State/ZIP: C.13 Ime City/State/ZIP: 3 � . �► �, }� b / �� Q 7o Clothes d tr ex haust �� 33.39 �� Phone: Single - duct exhaust (bathrooms, �.5�3) 7F/ 9 - / ; cam (y. ) 6..3 X 07 toilet com.artments ntili moms 5 - 23,32 1 MII l ... l! s. ,> +.)4fII0` C'. k,k (m ?rr;: . ;, 1 22MN i}i :h•, f 23,32 MEI im "rtirL�Irte.91EWIA� .. Ui1tGr: Btlszncatt name. 1 t /I t tG._ IC/e 1.2, 0 )' t' Fncl 1pin Contact rotrte: A A, / 6 ,.zp0 $14,1,5 for first four; 54.03 far each ad ulnas; -12(//e, �Z,.J/ A ./ ,W. f Furnace. etc. �� Address: irlear pity /stat�zl : � 6, (- 1" 4,.r ? n42 f Q 9 7 2-7.t? Wall/sus. ended /unit heater M � Phone: ( 6 3) q �Y L , � Fox:: ( 4 ) 6.•. hatter 111111111111111111 .3 fir ��a� II Ater hatter E -rni s i ?mot - i A r,� �y V a Tire∎lace �� y -.. � .-- �,�nct 9 . cur- Range �n Vi i° , ;1µ: _ ',� 7,7 : °r•�'''' •+ j , : a ! :0 :',I, • ,.c,, •o ' . +:.• , .� •.dw Ir ..., J .. � � `� �,.. 'i.�J�+ Soit.V� rr.�J�hA�i�'1 • I , IFhKtr I N1 -6 tt�" 1:'1 Barbecue �� _ U {/� µ �� I O UV /`� Clothes d ex . as _� Business name. . - Other. 1111111 WIN Address: 2 Li ; 3' 6 -C / i Al _ _ � ' g.': 1- 74•M 0 E a •d �A Cit /Stats/ZW: r "" I a ,I el -7 2. j / Subtotal 1 �: i n (S ) � Minimum pun%T'' e($90,00 Phone: U J Fax: 5b3 Z [ 6(3 Plan review (25% of permit the) CCB Ho.: L f / 0 state surcharge (12% of . unit is r.� �f�,f' ,( �_ tHnt■ as TOTAL rER1 t,T 1tEI�. 0Z 3�J Authorized signature:,( ` `-' ` f J /'� / p .�'�` --•� ,{ ` .. /� ` ° /] - — ��. This permit rpirticspires it a permitie not abdtmrd wbttn !$0 Qnys after It luta neon nGCgptrd ass complete. Pratt naniat . vv O Q 1, 7 C/ Date: j 0 • Fee mMhadeiesy Tet by To- County Betiding mangey Survive Scant :\trumpets ustoptcco -runt npp.dm worms t4617ft11 /Q2(COMMAY)a g;'W[� �J7c{ V0 - t3 L9E@S a:,Z :ET. 01.2 /tt /99 , r 1 i, 'vii ic.co r Ay, Du3b4U4483 THE MULLEN COMPANY a 001 /001 05/11/2010 13:21 710204 PAGE 52/02 Plulmb I Applicatio ° t c', • Buildin g Fixtures t i ;' rtyu UI 11( r. l `'t. °1I.1 City of Tigard JUL 0 8 2011 nut �` 70/ • i I '. t89 : /� -e/0// 13125 SW Hall Blvd., Tigard, OR 977-.3 low Other remit No t ��� ih ■ Phone: 503.639,4171 Fax: 503.598.1960 PtsnRm t�(J� (:),/ ' 2- :� I < t t Inspection Line: 503.639.4115 CITY OF TlG1RD p xeaay S+r ru.-is: Ei See Page z for I i t Internet rvww.tigordvr.gov • i k i ' coN Kbilacy h od: 8 Dpltott.fal talforet�atla ,,,.,••.:::.,,•!.., ;4. A.;: ; .. -� - _ ,` ; 4, .; a , � _:.+ :,, • •,, .:. ,.Y� i . . i', :tl _:i,, ' 311 :i }t:M �• .t7r �P9�VTGl :�' , ; f y , „: , %3 lcor� � yi u •ll New construction 0 Demolition 5 eels /lnjnrnrnr(arr use checklist Dotcription L oty. I Fa_ 1 Total ❑ Add ition /alleretion/replacement ❑ Outer; New 1- 2 - farntly dwelling. (includes 100 ft. for each utility connection) yy� ♦� '.." �" , �/�/ + y ,.,; ; ..': ' ?• SFR 1 bath 312.70 iii 7; . ... • w ♦n /industrial 5P u �� � �:• 1 -and 2- family dwelling (] Commercial/industri5f11 (2) bah SFR (3) bath 50032 �' - •❑ Accessory building L.J Mulu•fatttily Each additional bath/kitchen 25.02 0 Master builder Other: Fire sprinkler ( _ s4- t) page 2 pl,' ite utilities: } : � • ..''''"•.''• �� ��. ,. �: Lei OVN1 " ": � S sties: _ Job site address; ` T 7 � 7g --/+-1)2.- 1 Catch basin cr area drain l $.76 • City /State /ZIP: - A _, 0(L Drywall, leach line, or trench d 18.76 Footing drain (no: linear ft.: _) Page 2 Suite/bidg. /a pt.no.: Proe(.tn - J iy ���Z5___ Manufactured home utilities 50.03 Cross street/directions to Job sire! 7 -Lt 4?, manholes 1 [1.76 Rain drain connector I8.76 • Sanitary sewer (no, linear ft.: Page 2 Storm sewer (no. linear ft ) Page 2 -_ Waiter servioc (no. linear t.: 1 Page 2 Subdivision: , ? ( rr] 640:51,0 Lot no -: v� FFJ Iurc or ROW . . Tax map /parcel no.: 9ackllow Nei/enter 31.27 X< '= - %�TiF:$CFtIPTION • Oi� NVO t '';'/J: ='n'; ' ' " "- :: Saakwatervalvc' i2.51 ' Clothes washer .. .. _ 25.02 ry(rr fir? r✓I,CG Dishwabher. -. . .. 25.02 iliiceA i C G'.ti ? Tl." C „ .) Drinking fountain 25.02 Ejcetoi i'tuInp • 25.02 r i, Expansion tank 12.51 Name: 1 ' ; Fixture/sewer cap 25.02 ���i�-LS �" ��! L . Fl oor d rain /floor sink/hub 25,02 ! Address, / f Af t , ( • Oarbane diipoSal 23.02 City /State /ZIP: / • . • 97/ � 25.02 Phone_ (.34?) - /,2.,./ Fax: (563 ) f:, di 7r2,ciZ. 12.51 + 1 ' . :* ' " - z. L. � Interce tort easetra • • 25.02 . ..�e�f +Pt, i '� 74 :5 : jhF•���xl.+ • !•9i '�� .�:�^�.. �6�' 9 . t , � � �.. • p I� P Business name: JJ1t� 1 e.l✓ is ,/ /77F LLG Medical pas (value: $ • • ,) Page 2 - Primer [2,51 Contact name: J4e_, O `if.10 �'L[. Roof drain (c4ntinctci4 12,51 Address: '7e/k) e74„, GiLESO r-) ,C,D / -)> SiuWbasin/lavatory - 25.02 City /State /ZIP: Rae.-7 , J ,J)) / A - 2 7277 Solar units (potable water) 62.54 Fax: : ( ) 7/ d � pan 12M Phone (Sp3) Cyr; ye 6 921 � Urinal .. 25.02 c ; • J 2 5 " &zaai1: a ` wi ,,,. rr -,'�J `� - 1.4,,, • )1 .c.-0,1 25.02 ;∎';.,::: •1';11 :::e. " ., ='' , 41 ��y',� ;�3y�; e.,. -' :.., ; ,.� 4' • ? i Water closet t_:C7 � ( :bVq � _ �' :,; I •. •,. ir : F'r.i+,. r lLl��jJ,1>i7� /f 1 /. r/ . • . �. .. i Water Pep n / D 56.22 Water i in WV 56.29 Addre t., .ill= Other: 25.02 City /State/ZIP: r _ , 1 d % difillIVIMMIIIIII Subtotal J 1 Phone: ( ) Fax; ( � . 40 Minimum permit fee: $72 -50 � ` Pl an review (25% of permit Os.) - CCI3 Lie.: / Alf _,....• Plumbing Lic. no.: ► o A .: t State surcharge (12 h of pewit fee) Authorised signature: %� _ -�iJL , TOTAL PERMIT FEE WtIM M, R' This permit applicahnn aspires if a permit it eat obielood '.stein I80 days Print name: AP1 ` 4 Date: - • ;tte.' It bas boos acceptor as complete- "PCs snnbadoingy an by Tri- County' BuildinBiodustsy scrvlca Board. 1:',n.,adln8verm1.wvi- -k, 7Wui'CS a'n..6t6Tftarni:ON.Vwia) RECEIVED TROXEL'S HOME DEsiGivuL 0 8 2C11 1217 N.E. BURNSIDE STE. 303 CITY OF TIGkiD IE GRESHAM, OR, 97030 BUILDING DIV ION LOT #28 4,443 SQ c1.70.- 40.35' CY I 5 EASEMENT I I CONC. PROPOSED • RESIDENCE PLAN #2288 F.E.E.= I 0 I .00' 21 cd . . COVERED RORch G.F.E.= I 00.50' _ • \\ I - 0 4" CONC DRIVE 1 I )5) " 4-• • • Ti‘a< • — • — • — • • SIDEWALK PLANTER — — — — SW 79th AVE. LEGEND ! N T? 5EVVER ! 0.1) 61itco E. VT ( T,i m .1 „;•-:,, I " 'ER GA5 POWER ! 5 rc E.1" 5ITE PLAN RANI DRAIN 1 DAME: DATE 6-30-11 - 1" = 20.00' PLAN #2288 2288 P A WI E: Y: _NICK POVEY ADDPESS: " Building Division Development Code Provision Review T[GARD Residential Projects Building Permit No: J ,0 ( -60 / ( CWS Service Provider Letter Received: Yes ❑ No p N/A ❑ Routed Plans: Original Plan Submittal Date: 1 ' 1st Revision Submittal Date: ❑ Site Plan Only 2 °d Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (/) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. / Planning Review (contact l.Y� at 503- 718 -� or 5IU 4'il f @tigard - or.gov) Land Use Case No. 51 1- 00t,7)1 Name F4M at) PA 1J Cq C3' Zoning .. "7. P � Er Setbacks: ront Rear fS ' Side S Street Side ft) "1 Ga ge Maximum Building Height 5- Actual Building Height 0 Visual Clearance �" Et Easements eG LariC_ut 4J1Ct — fri S . C.trC.u_ •... iwdi dovaik._ e cisense• ld Sensitive Lands Type: J3(lf'C Notes: Original Plan: Approved/r- Not Approved ❑ Date: Vi 32 ( 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: 43 Notes: Original Plan: Approved Not Approved ❑ Date: 1 ' ( Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard- or.gov) q(/Street Trees L'7 Protected Trees Notes: 2 4 6 re Tt d 1 (e7vir kit Original Plan: Approved li Not Approved ❑ Date: 7' n' ,20 (r 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, o ❑ Date Routed to Building: Page 2 of 2 l2bs a J. 1 to 1 -0441 Rcvb 1•7)4• I UNCONDITIONAL RELEASE. its successors and assigns, do hereby b release his/her is rights and elm is rcgardi>'tg constri tion work and improvements � provided at the real property commonly known as 1C�� C. r 4 x� a A 5 including but not limited to any right to a constructiol‘ lien or other claim as to Pacific Evergreen Homes, LLC. In witness hereof, the undersigned has set his hand on the C day of A � r 'c A./ e mc, `. ; C_'Eq t ; l zb 1k\ , • c�v By STATE OF OREGON ) ) ss. County of Washington ) This instrument was acknowledged before me on this CO day of •, , .t. )V 20 1 , by (name) S�.. ' #;!&Y ,,"t4 the (title) 1 (-4/% ( of (company name) rrc _t Cam( _.:l ... • ; ;, OFFICIAL SEAL r -2- T: i , . ;_ . 3 TANA MICHELLE BIRCHER )" i Pi ) yy� " NOTARY PUBLIC - OREGON (I �'i" COMMISSION NO. 440991 (I • ��. �- ti— s % Notary Public for r17`'`i My commission expires ( 2(I /4 g)C) /J • - GeoPacific Engineering, Inc. Invoice - -- Attn: Tana Bircher ■ Geo edit 13910 SW Galbreath Dr., Ste. 102 Date Invoice # ingineering Inc. =r' Sherwood, OR 97140 7/25/2011 21940 • Bill To Pacific Evergreen Homes 7410 SW Oleson Road, #133 Portland, OR 97223 Project 2373 - Pacific Evergreen Homes Misc. P.O. No. Terms Due Date Proj. Mgr. Account # Service Period Net 30 8/24/2011 JDI 2373 Serviced Description Qty Rate Amount 7/22/2011 Principal Engineer 1 130.00 130.00 7/25/2011 Principal Engineer 1 130.00 130.00 Mileage 15 0.60 9.00 Brittany Meadows Lot 28 Phone: 503 - 625 -4455 Fax: 503 -625 -4405 Total $269.00 Email: tbircher @geopacificeng.com Payments /Credits $0.00 VISA Master Btu krITIM7Y Balance Due $269.00 • • Oregon Residential Specialty Code R318.2 • MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, L-4- 4-/ c -1-=M OC►t c , am the general contractor or the owner- builder at the following address: • Site Address: / z _(- 7 _ a ( 5',) 7 $ `� /2,2✓� City: A Permit #: AA51- ZUI/ -00/i3 Subdivision/Lot #: � -)5 & Z F 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 i lation of interior finishes, the building official shall be notified in writing by, e gen: al contractor that all moisture - sensitive wood framing members used in construction h.ve a moisture content of not more than 19 percent by dry w- ..ht of dry framing members. I �` Date: i s f4 l/ Signature: - — General Contractor o • : ilder • I \Building\ Form \RES- MOisturesensitiveWood.doe 09/25/08 • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: AA ST Zo ff -00113 Jurisdiction: - s-C (2. Site Address: s ..) 7 a & ✓ A Subdivision/Lot #: 0�li °AAA � /14 e� De)(A) S G Z �S 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 al': ti ,g source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential .ecialty Code N1107. `- --�.� / �// / Signature: / �� Date: j QCvner /General Contractor /Authorized Agent Print Name: AZ- 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\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 ' Ns' STREET TREE CERTIFICATION Mike, �� sJ� o wner a ent or Pau, ��� C ems I, -� , l g f Fidynes . (PLEASE PRINT) (PERMIT HOLDER) do hereby certib 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.: ,/ S i %o (t - 00 113 SI"1 E ADDRESS: ) 7 Z& S 7 r iq vC SUBDIVISION: 01 -rrrA II. S LOT #: SIGNATURE: \Al _ DATE: /0/AD 0/ ti ER / AGE ' ) RE CEIVED & VERIFIED BY DA1 E: /f 11IM• :ARD) Tree location verified a � .fp�p roved si 1: \Building \ Forms \Street l'reeCertificate 04/01/2011