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Permit
q CITY OF TIGARD i ' MASTER PERMIT I ' ; ' COMMUNITY DEVELOPMENT ® Permit #: MST2011 -00093 Date Issued: 08/02/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Parcel: 2S104AD03101 Jurisdiction: Tigard Site address: 12976 SW WALNUT ST Subdivision: BELLWOOD Lot: 50 Project: Layton - Weihrauch Project Description: Remodel and addition of master suite 1144/11. REPRINTED TO ADD (1) 200 AMP PANEL (1) 400 AMP PANEL & ALL ENCOMPASSING LOW VOLTAGE TO SCOPE OF WORK. BUILDING Floor Areas Required Setbacks Required Stories 1 Bedrooms 3 First 1700 sf Basement 0 sf Left 5 Parking Spaces 0 Height 16 Bathrooms 3 Second 0 sf Garage 0 sf Front 20 Smoke Dwelling Units 1 Third 0 sf Right 5 Detectors Yes Total 1700 sf Value $250,000 00 Rear 15 PLUMBING Sinks 0 Water Closets 6 Washing Mach 0 Laundry Trays 0 Rain Drain 0 Urinals 0 Lavatories 6 Dishwashers 0 Floor Drains 0 Sewer Lines 0 SF Rain Storm Sewer 100 Drains 0 Tubs /Showers 5 Garbage Disp 0 Water Heaters 1 Water Lines 0 Catch Basins 0 Bckflw Prevntr 0 Footing Drain 0 Ice Maker 0 Hose Bib 1 Backwater Value 0 Drywell- Trench Drain 0 Other Fixtures 0 Other Fixture Units MECHANICAL Fuel Types Air Conditioning N Vent Fans 8 Clothes Dryers 0 Natural Gas Heat Pump N Hoods 0 Other Units 0 Furn <100K 0 Vents 0 Woodstoves 0 Gas Outlets 1 Furn > =100K 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less 0 0 -200 amp 1 0 -200 amp 0 W/ Svc or Fdr 10 Ea add'l 500 sf 0 201 -400 amp 1 201 -400 amp 0 W/O Svc /Fdr 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: ADD SF VB R -3 1700 Owner: Contractor: LAYTON, ELIZABETH F INTEGRITY HOMES INC Required Items and Reports (Conditions) 12976 SW WALNUT PO BOX 52 1 Ersn Cntrl 503 - 681 - 4444 TIGARD, OR 97223 GASTON, OR 97119 PHONE 503 -590 -0236 PHONE 503 -985 -7203 FAX Total Fees: $7,341.91 This p is iss subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be ne in accordance ith 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 da s ATTENTION Oregon law - quires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 95 - 001 -0010 hrough OAR 2 -' d 1 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800 332 344 i (�/�- Issue �� _ /� Perm Signature: < - � .K . � �' i , , j l �i� 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. Electrical Permit Application RECEIVED FOR OFFICE LiS ° I L ;' . l -,q City of Tigard NOV 0 4 2011 D. d / ©� IMI Permit No , —4104 -c9 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review 9 Phone. 503.718 2439 Fax. 503.598 1960- Date/By Permit T l GARU' Inspection Line. 503.639 4175 l ITY OF TIGARD Date Ready/By Suns 10 See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISIO . Notified/Method Supplemental information TYPE OF WORK PLAN REVIEW El New construction ition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below). ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other' where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings • less to ground, or exceeds 14,000 ❑ Commercial -use agricultural a nd 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately denved system ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: Job site address: ' 2 1 4 100HP or more occupancy ❑ Six or more residential units ❑ Recreational vehicle parks r C1 City /State /ZIP: - p a g 1' 3 , k„......)..S.A.....-4" ❑ Health -care facilities ❑ Supply voltage for more than ❑Hazardous locations. 600 volts nominal L f `( �. 1 1 ❑ Service or feeder 600 amps or more Suite /bldg. /apt. no.: I Project name: �t rf�11 , �� .' � � FEE SCHEDULE ��y Cross street/directions to job site. T f" 4� Description I Qty. I Fee. I Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq ft or less 168 54 4 Tax map /parcel no.: Ea add' 1 500 sq ft or portion 33 92 l Limited energy, residential 75 00 2 DESCRIPTION OF WORK (with above sq ft ) ^� J4 Limited (with energy, multi-family Ut above sq 75 00 2 �* 'i — 1 e� � Q residential aboe sq ft ) Services or feeders installation, alteration, and/or relocation c-/ D O /IaCLLt De. '4u T,.JC0H1435/Al6 4084)Voireae200 amps or less / 100 70 / ?,7D 2 ❑ PROPERTY OWNER ❑ TENANT c j 201 amps to 400 amps / 133 56 /d5.5 2 401 amps to 600 amps 200 34 2 Name: 601 amps to 1,000 amps 301 04 2 Address: Over 1,000 amps or volts 552 26 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59 36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 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 APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit _ Business name: ���,Q \ B Fee for branch circuits without service or feeder fee, first Contact name: <J p } branch circuit 56 18 2 Each add'I branch circuit 7 42 2 Address: 'b'Q $ TI. Miscellaneous (service or feeder not included) t Each manufactured or modular 67 84 2 City /State /ZIP: 9Q, arok,.•„3 dwelling, service and/or feeder Phone 4 ) ' 2,‘ e7 G ( Fax: : (`366) , 7 3 (® 9 Sr Reconnect only 67 84 2 E - mail' J Q/-d...a , ..." �}"Q.C.e. Gy}YL 4. �� I �+ - 1" .. c.o."' Pump or irrigation circle 67 84 2 0 Sign or outline lighting 67 84 2 CONTRACTOR p an e el, arcutio) or n, or extensionergy 75 2 4r) p Business name: r anl, alteration, extension Page 2 / 2 ^ p a Each additional inspection over allowable in any of the above ? Address: o cc Additional inspection (1 hr mm) 66 25/ hr City /State /ZIP: (CR.... .f QroN w W J Se Investigation (1 hr mm) 66 25/ hr industrial plant (1 hr min) 78 18/ hr Phone:V(ab ) 9 2 (, $19 \ Fax: (, `v) r ? 7 6 10' inspections for which no fee is specifically listed (% hr min) 90 00/ hr CCB Lic.: t) g{ 1-1 it File• rival 'c.: C. 2 rf Supry Lic.: c r) ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature, re. fired: _ Plan review (25% of permit fee) _ Print name: ■•• Q , , e Date: t t ( ( State surcharge (12% of permit fee)' Authorized signature: A--J — TOTAL PERMIT FEE' A ir This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: _ 01...... Date: I * Number o i nspections allowed per permit 1 1Buildmg\Permits\ELC- PermitApp doe 07/01/10 440- 4615T(I 1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* " ❑ Heating, Ventilation and Air Conditioning System* • n Vacuum Systems* • n Other: COMMERCIAL WORK ONLY: 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 . n HVAC - n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* a "x" , • n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ' ❑ Protective Signaling - .. • ■ n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations • 1 \Buddmg\Permns\ELC- PermitApp doe 07/01/10 • R ,, CITY OF TIGARD MASTER PERMIT ' . - COMMUNITY DEVELOPMENT Permit #: MST2011 -00093 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/02/2011 Parcel: 2S104AD03101 Jurisdiction: Tigard Site address: 12976 SW WALNUT ST ' Subdivision: BELLWOOD Lot: 50 Project: Layton - Weihrauch , Project Description: Remodel and addition of master suite. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1700 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1700 sf Value: $250,000.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 6 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 6 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 5 Garbage Disp: 0 Water Heaters: 1 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 Backwater Value: 0 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 8 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 ' Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add' 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc /Fdr. 10 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 Ecompasing: Y Other: N Other Description: p g' BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R -3 1700 Owner: Contractor: LAYTON, ELIZABETH F INTEGRITY HOMES INC Required Items and Reports (Conditions) 12976 SW WALNUT PO BOX 52 1 Ersn Cntrl 503 - 681 - 4444 TIGARD, OR 97223 GASTON, OR 97119 PHONE: 503 - 590 -0236 PHONE: 503 - 985 -7203 FAX: Total Fees: $6,960.15 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 do - in accordan 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: Oreg• law - quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 101 -0010 through OAR 9 : :11- '90. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.23 9 or 1.800.332 344. ,t I P Issu: . 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. - Building Permit Application in Res>rden l L 1 �� and III i!.(:)12 OFI u i I. Si ON E Y. , of Ti Received r P No.: Syr a 13125 SW Hall Blvd., Tigard, OR 97223 2011 Date/B : ig� �l1 �d S Plan Review � ' Phone: 503.718.2439 Fax: 503.598. 96r0� TIP' DateB : .... Bv j!•• j Other Permit: t' i G A i D Inspection Line: 503.639.4175 Ld I ` V t r gL��ytt.'l LD Date Ready : June: 66 See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: v ( t Supplemental Information • ( /yam ry , a x�. 4 <p= "n: x: ;: -tea `c;� WETT:ING. `2- ANIQ;Y �,.� �:� °,W . <:� -`r ED A:'1 -A D �;;� : 'O \ U R Ui DAT d rt TY F . ItK . .:.� „, °s fi ✓+f -,.. ,iii: if �i. ,� � -�», n v; if " n c .y` , '�„v3> ' - -. , ' �^`^ ' ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all RrAdditionJalteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the s >�< M' : i '. work indicated on this application. GATEGORY�,UF', "GONSI'itUGTT u �;�,».. M ... :.- .�.�-°^.i _,.u. �.. ... .. .�ir_ < "� «t �s. .. >. . »�.�'rx. �.:aErc.,, .. ..., �,,. .,... .,. .�'. ° a�,'x�,;. "%.' � l:,e ;,�,�; ' - .� ; ":< ,. �1- and 2- family dwelling El Commercial/industrial Valuation: $ ?�� 1� ❑ Accessory building ❑ Multi- family Number of bedrooms: 3F -14107 l t.f. tr y , Op Master builder ❑ Other: Number of bathrooms: �7 ` `.,,_ . 1` „ : ,r�4 " .,. Total number of floors: ss'; = " JO S . INFU TIUAT "AND' UCATION 's ue ,_.� ^�`�;� ��x .. ... ... � � �z,., . , :,: »:� „sue. ., ._ � y F. Job site address: ` ;Ci c C > v `/�� y „ ' New dwelling area: 1 •'"� 0O square feet City /State/ZIP: '"�' " ` � . ' ,,s` - ` 4�'1 Z '7 Garage/carport area: 13 , square feet Suite/bldg. /apt. no.: _ i Project name:L.464 (' -- (" ' lj CA.' Covered porch area: „� , square feet Cross street/directions to job site: , I t ti Deck area: square feet ( ltt 1 t z�, _ ", Other structure area: JJA square feet ( ) ' ' O 111 E REQUIRED DATA: COMMERCIAL USECHEC { .KLTS T ;' Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no-. equipment, materials, labor, overhead, and the profit for the ;.� :.�+..��. ..: ,,;,,{^` ,a�'4 =;' "'.bra, °`: :z k:.h %s�•Yi « ,;gym$ .'zv.k P �';ii:':, -,'r,t ` &- < 's SIZZS: x s =<.� work indicated on this application. �:�`^ °i°'- e, ` "ESC1tIkTIt1tN: -QF WOR.K� =�;;, ": � ,:w�:`:.;.`�= PP x's*:�x�; =. ., .i °.�.n . :'1..�,�.�.- ..��•ri;�vty? , 1? ,s : =� ,c Y i;:^ . , <.. ,.�%a�":�`u';: ".�1#3:titi�fe'e . ..,, �;3 ,i 06_31.........,, '� ; . ",, � ,r \ .N - � j.,l`r, Valuation: $ , C'- - VOL—Vi - 0 () ,. -t / Ac Existing building area: square feet l rJ 1 ^ l �(1 New building area: square feet GJ ('1L` � - - i -t- 1 )e 9 t I �x'( ' i y %�,C ; � t - ! i 1� � fea 1 „ .,, 1 , ` ; T - ! - °1--` '1 � ROI"F1iTY OWNER � �� ��; := �� Number of stones Name: j„W ��y ' ,' `( - ' Type of construction: Addresst 0(1k i1 , , } -f' U r , `t ` l r 1 I + t / � weitif`,` tt Occupancy groups: City /State/ZIP: i ai► ' ) la `1,0 Existing: Phone: (- '!7 4r, } •ya' o Fax: ( ) New: - „ F ' .;: � . �, NF CT' . ERSON° ,. , ,,,,,. :,` - � � r: #�s:tie ` A P 5. .. . Vin ,� , B DTNG:PEIt1411T5F'EE5 - .:,.,.,- �':,,:�:; °;;�,. -.. . Business name: 1 , { 1.7 r- L -. ,.• '� 0` tr '. ; <,, ,; ,, { °ieiei x r, :;:. r ' az: Structural plan review fee (or deposit): Contact name: /1 G t_i.= FLS plan review fee (if applicable): Address: v✓ i t ' 1 1 -�. Total fees due upon application: City/State/ZIP: Li -G \ cT1CCP°1 �7� 1pd . Phone: �” -'t' - 72 1, Fax: ( ) Amount received: -�C.I E -mail: = PHOTOVOI ATC SOLAI P "'. 1 `� C tl!LC ` 5; t1 e x AiY,, ,,,,„ EIVI`FEES. ; , <, = :v -,:: r;,cp- r, t, ; az ; :; Commercial and residential prescriptive installation o . � CONTRACT012 ' <<; ' _ ° =; ` ". ' ` w roof -top mounted Photo Voltaic Solar Panel S . Business name: leb�7 Submit two (2) sets of roof plan with • • ction details � ✓ � �- -- ly d_... / City/State/ZIP: P V �/�j / � — and fire Solar In . re department access, alo i t , .ith the 2010 Oregon Address: Q /' Ration Speciq. •. ode checklist. ^� � Op_ -1 7 1 r � — Permit x : ? s plan review $180.00 Phone: �` hon andadministra� s): , gyp 3 ?$S - la ? Fax: (.; ) : , to surcharge (12% of permit fee): $21.60 CCB l .: 7 44-/ \ /O/ !` l',.. Total fee due upon application: 1 A .60 1(Ututh ral 1 C i'.Z t l Rzed s tore: 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. r -� Date: / R " Fee methodology set by T n- County Building Industry Print name:. ..i I...;J 1::• ,, - C � 1 i i Service Board. 1:\ Building \Permits\BUP- RESPemtitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) Jul 28 11 09:19a Pacwest Electric Inc 3605736755 p.2 1...1 r .t_th, LL#11 1., I . •1LJ JUJ,J30170G1 l.,I. 1 Y Ur I Ill3f4C1.3 FA(*. El 3I RECEIVED - IMeetriesilI Penult Application ` City of Tigard 111 13.125 SW Plill Blvd.. Tigard. OR 97223 ...,, , ,, I.J r- .., r.1 . )UN 3 • 2...i..,1 „..., # Phase: 503.7182439 him 503.591:11461i r 1 - 1 %-" K ‘ Li 1:12 1.4" CI f dWillifr P°""at ; Impaction Linn 903.439.4M Internet wwvalgard-oe.gov 131_11LDING DIVISION ,,,,,,,c.ictrio, See ra very.drmahmt Elm In pt r So Supplemental lee made a i: .,:- : - I .,_ ,...F.1' : *Trat.Vit4 . iftitllk: ...:' - ::, - .. : . ' $; : ..;• ; '. . s:Ni ' 1 ' '':,....\.*, 7 .B. : • 0 New construction FrAdditionls 1 teration/replocement ' Ram think all Mai apply Cvolonitj seta of Ors seem. ethookod bolosr) CII 24.4e or &oder MO sop or moo I:11341.14e over Owe maim 0 Demolition a Other: oboe the mold* fa& oganot 0 Willa and boeyarda. 7 :••:.:,..7, :• :!: • . •.:.,-:, . - . :. • : ea. o30 fflftfa fflt 150 voila or 0 Waling builditp, • . -, ... • . levo to rook or moos% I4 900 OCinniniskie wise knot .01- end 2-family dwelling 0 C OITIIITICTChil ATItilleTii Ai 0 Aocupory building owe tor NI ottres neullainor. tolldiuse. 0 MnIti-ftanily 0 Master builder El 0014r. Mee pew abindhelottof 75 KVA cr • • ,...'' : .. :'''., 7 ::,4011iNtire:Moklettlintwogoettpow .. -- .-.,..... :., .. ! _CiE.eetsefter Voter& lergerleyorshly derived wool% -- - .. ...-, . ' Ull Addition atom now lose of 13'1% "S", ,-r.-r. Sob no.; J ob site addre,----r lamp of wiam., oesupssity, CI Sto or 11111/e toielsolill 49. 0 Itamedi opal vehicle prorks. CityiStecIMPri % f 4 iIi 4 : • -Z72 0 Reekb-coo 9c11104. CI S000ly vol Noe RE Ina= Oar .■ 0 Ifenedoe bream. A00 volts notninril. Suite/bldg./apt no.: ...- s:1*r romect4ir,C43- Vitaikeg a %mks or fludir 600 mot or morn. Cross street/directions wish nit= Ai2 r FNS - - , - - ....„„.. I 94- I no r ;sod . C44 40 .6ts Nay rakIndinl id wile- or unda-lindly dw mit illiwg . CFF OF-" Indents* n Itndid .• ni .. SCbdivision: 1 Lot no.: 1.000 eq. It cries Mil i41.54 CI No. mkt, 500 sq. It or melon 33.92 Tie montystrol BO.; . Limited ciao. foriderrard '11.00 . ...‘;';'BRNallttiftritiBiltaltr.:;': :: . - ''• ' ' '" : ' - ':: : ::i : /g 11 - 1 .1"i .. (with 'bow °I- n • - ) 444tOd SWIM 09119 -003012 ..LLY■t:e-■tAIESKI-F-NL-.AM1100__AP___Vdk: '"wilt261j vilh lib"! .. ft. 75,00 scrvirroler Focdcrn Instedle . • Must! • sedfor relocettOn liAiebaire I ..A 1.) i - f-r - -_:..-. 200 moo or lei KTo ? . : ?..; . '142 . P. OrdiStriVe ' 4 . T*11347 1 : .• :.."-- '.:%;•; ' 201 arnfn en 4 03 911 .14 III 15156 1111H ...,,„ to 500 amp En 934 El .1 0 ro . , ; r im, . i 20 ugal ••• 1 1! A t I 16- A 1 601 amp to 1.000 sop MI 301.04 Ei ....... - Addrcs5i--L3 C4 '3V/ WW j Oyer IOW smog re vole MIMI El nip., set* kat or Wien inmeltaristi, sitereass, wager City/Statc/ZIP i ... dip jt - *itemise Phone 1 - Fat ( -- ) _ 200 amps or Ices MI 5936 ii so ...slis.e-1 Ai 125.08 Owner inntallabins; This hoindlation ts being made on rawly that I own which is not ui 8 °391 2 Intended ibr Ult.! e, el: or. - - . - , sccortr-.• to ORS 447. 449 6 an 701, 401 vI l s " 599 /IV' 166.54 2 / ./ , Branch circulln - swoop strentaser, or mitenehm, telt pool Owner signature: :41";.. , ..oe /. &4 - .. i. i 14 ... Mac A. Yet fOr booth CIIMMIS Mirk ... Above lort or Feeder fee. 7.42 2 Business mune: 1 1zoc ibr brunch circuits witkoir novice or Ruda kr. firtil I 56.111 2 Contact mom hooch circuit ^-, Each add) branch circa lkillIlliZllIlli•INIEI ArldresT . 1■11teellasesesiserviee or feeder se bechselcol) City/SesteZIP: roch nuandictored ar nodular 672.4 1 . 2 dwollits. novice audio, !rote -......., I Fitt: : ( ) , Reconnect enlY 67.84 1 2 • E-mail: Forro or inigation circle 6714 2 ''':::?, '•:‘.. C::'• ;;-: ,.- -7'%:: v. . ''''.-" - -. ....': "..".-=•': • ; " so grtcitcwlin4; 47.34 2 0 ,.u . • ... , , („ l. ' !liminess Tomne 4. to. j .a. r i .-. 9 .... La esre •e_ p ......t. tre_ . ' Adams: s‘ Each sidnionatiscaprodon ever afkrwsitie la nay of Ow . how mentiond iunrection ( 1 1r mho CS lit tott/ ... ZIP: 12 1b . a.p 6 i ........,..) 0 is 1 6 4 47 ,4 u-tigaii- (I bt '6°) 661S/ lor 111111=1111.111111111 .,, ' Mistrial OM (I Ar Phone: (3444 t:( 2.1 ., la 1 a ) Frac: I% 0) 6/ 3 - C ir.:- Disp.o. lot viichno - 11. 11111 90, to 2. ... .. ored ;517, , •, pri aiiwAsia la„ 5 - &toy. Lk.: SE Pt; • In Mil ,..1,, ma .- 04'.. 4pnewer. „ , N '....-14 '.■ :,;`,.. ::•.• SUM. • ' ' -, Si :. ” • 7 ftqlli • • : ..iii r ■.... S 11111111111. fine review P.5% of • . ft 0--- Prim mon= e K Th gaa. I Dam •- '24` t Slam snrchage Om of ponit fix); Authorized ..' • • ; A ir rorALremar FEE: o c bls 14.° sSOPleth a 044 if is 6 rr ....M Is volt irodot 4 ol .110 . SW Pant =net G tr , e-y ' L ,,r - rt•-1 I ga, C Mac n ( T Le- I / t days atm IT he!. betli nocinal as anoolete. i • • Number of insoncrino iihnnsa per persoit, • nehrinemonaprenotAgAnee 1/90119 41944132411464.91.942:11 4f 'ILA.- E46,0-1P45.51J L 5 y E 7// bq 5 2.51)S P lo(i (IS 4_0 Alqii3 . Plumbing Permit Applicati0 ECEJVED Building Fixtures l ()It _{]1 I I(_I l SI OA.I = ; -"= City Of Tigar JUN 8 2011 011 Da�e/B (Q gAr o1p i Permit No.: cj 'f 3 IN -v 13125 SW Hall Blvd.,'figard,OR 97223 p lan Rev;ew 6 Phone: 503.718.2439 Fax: 503. OF TIGARD Date/By: abet Permit No.: Inspection Line: 503 Dat Read orris Hi See Page 2 for LITC��B.D Internet: www.tigard- or.gov BUILDING !DIVISION I +? i ® i V Notified/Method: Supplemental Information a TYPE OF WORK FEE•` SCHEDULE , ❑ New construction ❑ Demolition For special information use checklist Description ( Qty. I Ea. I Total . 2/Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF 'C,ONSTRUCI ION SFR (I) bath 312.70 I- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (._ sq. ft.) Page 2 JOB Sfl'E INFORMATION AND • LOCATION Site utilities: Job site address: ` r_q'i Q 4 v,/ 1NaLj�'sf1"'` Catch basin or area drain 18.76 Drywall, leach line, or trench drain 1 8.76 City/State /ZIP: 1 � -) c)C' ell 22 Pa e 2 �,, , ` Footing drain (no. linear ft.: _, g Suite/bldg. /apt. no.: -._... Project name:L :0-W _,��_) Z 4lJCj E Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 e;6 f , �/ , ,'^ " O. , t , / l , t `, Jt .J A - A � Q Jj5- Rain drain connector 18.76 110 r O t€0 ` _) l-+ Sanitary sewer (no. linear ft.: _) Page 2 - ", Storm sewer (no. linear ft.:1 CIC)) , Page 2 ( Water service (no. linear ft.: _) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK , :. Backwater valve 12.51 Clothes washer 25.02 '9( y(,-,t ._ �i / 11 ` C3 `tl A..fl -) `11 , / 1 L91 3 ' 5 Dishwasher 25.02 � �, 4 �` e ,y - )1 tbii P 1 f 1 �'- --SU(t �.� Drinking fountain 25.02 ,( /r/ t - - l \ j j Ejectors/sump 25.02 i v 63 ROO ' ERTY OOWN ER . . ` �` ` _ ry � ❑ TENANT Expansion tank 12.51 Name: f U .c1 } , .tQ /,t \ Jc� Fixture/sewer cap 25.02 -�_ 4 t a-" "'s Floor drain/floor siddhub 25.02 Address : ,�Gl�u ,...., l //� �r j� Garbage disposal 25.02 City /State/ZIRr1( 4E 1 v W � {�s .) O1'1 Z 7 Hose bib ( 25.02 - 2- - 5, 0 Z Phone:. ` 1 -)� y '�0 01_ 1.24 ` Fax (- ) Ice maker 12.51 ❑ APPLICANT • •❑ CONTACT PERSON Interceptor /grease trap r 25.02 Business name: Medical gas (value: $ _ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12.51 Address: Sink/basin/lavatory k) 25.02 t 0, ( r G- City/State/ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51 e.pZ . Urinal 25.02 E -mail: j Water closet u � 25.02 �t 1 `0..- CONTRACTOR. Water heater 37.52 7,7,57-- � (1 � Business name: r (,} I O 1�j � tie / i l) S L. L C _ Water piping/DW V 56.29 Address: LI g g d. 0o- 5.1 Other: 25.02 City/State/ZIP: '69 t IJT LA,r,) S 611 9 70 S-/ Subtotal 4 7 . Phone: 63) g, 35 - (.p ? Fax: ( ) j / Minimum permit fee: $72.50 CO F rd l0 7 l Ay Plan review (25% of permit fee) CCB Lie.: / $ 5 at / Pl umbing Lic. n o.: 6Q / State surcharge Or /0 of permit fee) 58, 5-` Authorized signature- t J J TOTAL PERMIT FEE \ ® � j ' 46 , �k It Print name: /f e //0 7� 6 4 5 Date: 7/Z/// This permit application expires if a permit is not obtained within 180 days �/�' Y Y after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I:\Buildingwemtits\PLMU- PermitApp doe 10 /01/09 440- 4616T(I0/07JCOM/WEB) RECEIVED . Mechanical Permit Application 8 , * w 21Il "I(Ikl lktil��i, i _ - _ , a��rS�� � ®' 1B'' City of 'Tigard JUN O .� 01 Da edi /7 Permit No. y� „. of M "-" - ' - 13125 SW Hall Blvd., Tigard, OR 972pr Plan Review ® G- Phone: 503.718.2439 Fax: 503.598.1 6b OF TIGARD Rev Other Permit: -. f - 1 R --- c Inspection Line: 503.639.4175 B UI LD I Date Ready/By: �s ® See Page 2 for - Internet: www.tigard - or.gov � DIVISIO Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL. FEEa- SCHEDULE - USE'CIIECKLIST , • Mechanical permit fees° are based on the value of the work ❑ New construction [ Addition/atteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ - CATEGORY OF CONSTRUCTION RESI DEN TIAL -EQUIPMENT./ SYSTEMSEEES -- . 01 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For specialln/ormwion use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: - Air conditioning Job site address: ' •2�-1 t (' !� Y 1/ Y 0 acrtc � (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) 46.75 City/State /ZIP: C1C...efc..:Cli 2Z77 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: - Project name: Y'r - t" 1 L Heat pump ,�., ` (requires site plan showing placement) 61.06 Cross street/directions to job site: •k2 v 1 ` Duct work I 23.32 Z . 3 - 1 r� Hydronic hot water system 23.32 �L , � ~ A y._ k.-\ G... _ ' ■ ' It Residential boiler (radiator or 2 V �( ..�e \ / j , Lit C____-. hydtnnic) 23.32 � �GG�Nf/ b "� Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. _ 46.75 Subdivision: I Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: ' DE SCRIPTION,OF WORK . - Water heater I 23.32 '7i 7Z Gas fireplace 33.39 I .j )e . � _/�pn 1 � -D Y S 3, 1C'�^ � Flue vent for water heater or gas 1' fireplace 23.32 ayi JA, : _ _ .-s A ."'iL_ ' - -6 t Log lighter (Ras) 23.32 /4/4/ 'e j�06 " (.L Wood/pellet stove _ 33.39 t 1 Wood fireplace /insert f 23.32 'Z, "z 3. � Q'PItOPERTY• OWNER I " CI TENANT Chimney/liner /flue /vent ' 23.32 ` Other: 23.32 Name doc u .fr. Sit IP, A c_ I a " Environmental exhaust and ventilation: Address: Range hood/other kitchen 11-A-1 U 1/,/ AL.-- r%/ equipment 33.39 City/State /ZIP ` - Clothes dryer exhaust 33.39 ! l ( Single -duct exhaust (bathrooms, Phone: ( � © Z,-jCP Fax: (_ - ) toilet compartments, utility rooms) (5 23.32 t y ❑ APPLICANT - ❑ CONTACT PERSON - Attidcrawlspace fans 23.32 23.32 Business name: ,,�� ` CO Other: �, �T" k. 23.32 ... G. ,1 6. .,, ` 4 S 4 - I tit c S t ©o1 Fuel piping: Contact name: r 0 tki N L° (l C J4 $14.15 for first four, $4.03 for each additional t ^ Furnace, etc 9 Address: V 2 & 6 U yZ �1 I lot Gas heat pump City/State/ZIP: f 1 .t. I O ok Q T 2 (C Wall /suspended/unit heater Phone: (S03 S i e7 (.21 L e eoci Fax:: ( ) Water heater 1 �r l� Fireplace ' E -mail: Range ,,�� t A CONTRACTOR Barbecue Business names 77 4 6 bppo y r Clothes dryer (gas) Other: Address: • MECHANICAL PERMIT PEES* Le T c_ _ - v s - Subtotal a 3 7, City/ State/ZIP: Minimum permit fee ($90.00) Phone: I I Fax: ( ) Plan review (25% of permit fee) CCB lic.:70/ ag • _ State surcharge (12% of permit fee) „ _ TOTAL PERMIT FEE ' J , , et �1f� ` This permit application expires if a permit is not obtained within SO Authorized Signature: `�! days after it has been accepted as complete. Print name: TO A) J Ecl L1,4 Date: 204/ . Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Permits \MEC- PermitApp.doe 09/09/10 440 (I 1 /02/COM/WEB) . ' Q Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: )1 a 8c 1 Oo CWS Service Provider Letter Received: Yes `.l. No ❑ N/A 0 a..061.0 %C "" [U 0-0_12,4„0 p. • C - tt ) 1 / y erm Ct.Dg (� Routed Plans: / , V Original Plan Submittal Date: t.(/ ( A S./ 15t 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. ( f Planning Review (contact at 503 - 718- ' r9--`#S or @ tigard- or.gov) Land Use Case No. Name �: N Zoning 2-� S ' Setbacks: Front Rear / Side C Street Side (.5 Garage 0 -0 [ Maximum Building Height 3v Actual Building Height Q." Clearance h)(1t Ci Easements � }} ❑ Sensitive Lands Type: N I. Pr Notes: r jj // Original Plan: Approved 17 Not Approved ❑ Date: (p(r'g111 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: s Notes: Original Plan: Approved Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Citty Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov) I " ,Atreet Trees 0' Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: 6/l q /)oi/ 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 No • Date Routed to Building: , iI • Page 2 of 2 . . • RECEIVED JUN 10 2011 _ . • • • - •• •• _ -- . . GlIy tit I iLatillu — iG1 TMr- BUILDINO.SION Clean Water Services File Number CleariWater Services I k-o 0 . 2'51) . 11 ill JUN 0 7 2011.: bebsitive Area Pre-Screening Site Assessment 1. Ref rladictitin: •:•1 \--: Of '-1t6:,642. . 2. Property information (ample 15234A501400) 3. Owner Information - . . .. . Tax lot !D(s): ;2, 1 ociA4b0 . Name: lit 4" . . " • Company: • .. — . . . 'L KW— -. - " - ' " " • - " ' ' " - " .. . .. . . . . . .. . Addresi:. . '''' i - - ' . - .... a ,Idle - ■ Site Adicirese: ( V.N7 ' kAr4Lr7\ , City, State ip: - ' r :4j - A-:)• AIL_ ,---&.1."-'71"-(---!--4----7 City , Siete, Zip: ,: , • ,, .: '.■le. . -. • .... Phone/Fax - r)` - 7 9 . C 7. 10 . ' .. p Nearest CroSS Street: .„ ,-,,,.• • • St.. Arr,./Aw E-Mall: . . . . . ... . . . .. . .. . • . .. • . . ...•.•. • • .•,.:.•.. • • . .. . . .. .... . • 4. :Development ActiVity (check all that 601 5. Applicant Inforniation . ' • ,.:. ef 0.4.)*- . . . . Addition to Single Faintly tiesIdeti.. (Oen,. ' !eck, garage) Name t)/5.1A 1 ( - 1,11 Lot Line Adjustment • 1] Minor Land Partition Company: /c.ELC_:1 '1 . - •• • • - - - . • [I Residential Condominium .(;) dOrnmeitiel Condominium . : . ' •• - - • • - . r--• • - , , " :- ; .: - ; -- - .:.. • .... Z t Stae, ip:. Address: . • -. -',. .,- • I ....k. 1 . _in IZI Residential Subdivision 1:1 Commercial Subdivision -- I LS -1 _ • - , . . - - . ij Single Lot Commercial C:1 Multi Lot Commercial City, Other . . .. Phone/Fax: ." • . . .. 0 1' ..'.0. . - - . • . . E-Nla il: 41, 6' . • '..- . 61. ...11M .Cl • „... • ...- . .. . ,, . . ... . . 6. Will the project involve any Off-alte work? 0 Yes Eirho •Li Unknown Location and description Of off-site iivOrk. .• . . . • , , • 7 :. - - • --... -,- 1__._' ,\A ---- . Additional comments or information that may be needed to understand your project £- . . __. st ta . :.10,-..-.-:,.. !` At. _.,. lc. . .iLA _. at ,,.1 , _r • _ iii . - - Tbis doria. NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Perrnits;f3EQ 1200-C Permit or other permits as Issued by the Department OtEnVironniental Quality, Department of State Lands and/or Department of the Army CoE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law, ._• •.: By signing this fa* the Owner Or OWneraa agent or rePresentatIve, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at reaso , tile times for the purpose of inspecting project site conditions and gathering information to the project site I certify that I am familiar with ' ' A rm , .• tamed in this dodUrnent, and to the best of my knowledge and belief, this Information is true, complete, and aCeurate, • SIM ..- it ■ s•-:...' ---• • • • •••• ti Pririlit. i - ' am :' 11111,:Z. 4t111.% 'i - ,:gr.L.. _ ISIXAgar Print/Type Title AD- ',7 ' . ' 11110 A.,..0 lille . 11 ' 1 l •SIgait , re ' -;: Illii_2„/, ..,.:... . ' _ .. . . .. . . Date ( .., e \-- .11 .:.•.•......„..._......•......."•........•• . . . ............: ,:.::.,..:.......... ..• F0 s k ons ti ithi T are a s 111C tI U aliSe E tio N a L o Y or.w ... ... ... ... . ... .. .. .. . . . ... . . ... , . . . u Po e ti exist bin 200 of the site THEAPPPCANTMYST PERFORM A SITE ASSESSMENT F3.10R. TO ISSUANCE OF A. ERi/lCE PROODER LETTER, If SeiiiitiVe Areas exist n the site or within 200 feet en adjecentproperties, a Natural kesourdes Asiessmerit Report /nay 'also'bereqUired... J' . . ,. Based on review of the submitted ritterials and best available Information Sensitive areas do not appear to exist on site or within . 200' of the This - i Sensitive Area Pre Assessment does NOT eliminate the heed to evaluate and protecf water qualityaensitive if they are - discovered, This document will serve as your Service Provider letter as required by Resolution and Order 07-20 *lion 02.1. All required permits and • • approvals must be obtained and cornOleted local, State,' and federal law. • ..• . . . .. . •: . . . ..... •• . . : . . . . . " ID Based on "review of the submitted materials . and best initillible information the ebeve referenced project will not significantly impact the existing or potentially sensitive area(s) fOUnd neal site This Pre does NOT eliminate the need to evaluate.andProteCt additiOnal water clOalitytensitiya areas if they are sal;Sequently discovered. This document will serve as your Service Provider letter is required by Resolution and Order 07 Section 302 .12' , All required permits approvals must be obtained and o6iiiplocri)ridet.tippliotible Ideal, state and federal law Li U . _.__ . . ... .• . .• ...... .... :.. . . ... .-. . •• . • :...: . . Th le Service not valid unless -. . OS approved site plan(s) are attached, . . . . .. . . . . . . . . . . . .. . .. 0 The 'prepoSed aCtiVity-deee not meet,the definition of development or the lot was platted after 9/9(95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE'PROVII,' R LETTERIS-REQUIRED. ke■iieweii:Eiy , . - .. ,- . i.• , -/ . AP , .-•. - . ..-. : . . Date . • 6, / /4 I. . :•- 2550 SW Hillsboro Highway - Hillsboro. Oregon 071 • . Phone: (5q as 1-5 on , Fax: (503) 681-4439 • www.cleanwaterservices.org ' . . . . . .. . . . . ! . , • • 1 APPROXIMATE - V OF CEDAR TREE TO RECEIVED AND - VERI FY Y PRIOR PRIOR TO TO START ART OF WORK AND COORDINATE MODIFICATIONS TO PATIO W/ OWNER AND ARCHITECT AS REQUIRED. I I ZIF 2 U 00' -0 12'-6" CONCRETE PAD FOR EXISTING HOT TUB. 11� JUN 8 2 011 a r" O DIMENSIONS TO MATCH EXISTING TUB. a+ EQ CONCRETE PAD TO BE LEVEL VERIFY FINAL a , � ` LOCATION CITY OF TIGARD 4 WATER FEATURE ■�'1� ■� ■I ����� .g d I ❑ COORDINATE ADJACENT 1■■■■■■■Vt�li■ VERIFY NUMBER OF STAIRS REQ'D TO EXISTING PAVER PATIO BUILDING DIVISION ¶ 0 4 CONSTRUCTION TO FIT `� •G =- ■■ 1 ■ FACILITATE GRADE CHANGE STAIRS TO NEW PAVER WALKWAY TO •I .,u C FOUNTAIN FEATURE HAVE RISERS OF EQUAL DIMENSION. �� 1 ■I ■ ■■ MATCH EXISTING ADJACENT kv I • ■ I ■ ■ ■ is L p PAVER WALKWAY `e a tv. .=■; a 5' REAR YARD SETBACK I ❑ 6 �l - ■ice & _._ „� r ' ■ ` � ^ ■ - ■ J ■ • ■ a pp, ` 22 2 :2:2,.2.:' 4 `4 k 2 ;,: ., ..:,, .:. k .4 . • • p J ■ ■ ■ ■ .'4',`...t :2\ \ 2i.: 1222 `.2 . . : ".., ,v vv 2 wL:iiiti'. 2 , >L.\2p h k. 22R:r. :'�,:.. '< 'OZ. �.vh 22 :W.!, `iv.:2222:2 ; r.:3` ^2Wi �ti2 ;;v` \v�R v"'. :12 ■'c 1 11 1 11 1 0011 11 01 2 .: ``'222;'z „� 222`.2222::x a: 2222".2 \.22.2ri sv;:v +'US _ \ \�:iaY 222:::::`: 4;k \222 E f# • • ■■■ ■■ ■■■■■■ ■■ .. ,4.. „ir. ;. m �R�� ■ ■ ■ ■ ■a ■C'■ ■ ■ ■� EXISTING PAVER WALK 0 .'1 ■ ■ ■ ■■ ■I% ■ ■=■ eN ■ ■■■■40F■■■ • w ■ �i ei■di ■ ■ ■ ■ ■ ■0F ■ ■■ EXISTING LANDSCAPE ul • ! MMIITE7,■^■■MMON■ 106.3' (EXISTING GRADE) TO REMAIN I ■ ■ ■ ■yill ■1 5 \■ m,■I g\■ Lir 7 . N I I IiIuI. uI III Bovilim •I ■ w ❑ U.N 0 � ` it � ■: ■ ■i SUBJECT TOC N FINI SHED FLOOR), I I I (n SUBJECT TO CONFIRMATION 102 0' (EXISTING • z ' 5' -0" GRADE) in y I 0 ❑ Q ..— I ro • W w ADDITION / EXISTING HOUSE ❑ I I � U z 01 o D Q ec 0 0 N R I � N / EXISTING HOUSE. FOR Q O p REFERENCE ONLY I I I CO D' �I < r- ❑ 5' (EXISTING N F [N FINISHED FLOOR) I Z ❑ COMPACTED 3!4" MINUS 104.9' 0 GRANULAR FILL OVER >_ (EXISTING I Q ❑ LANDSCAPE FABRIC. � GRADE) J • x RELOCATED FENCE AND A/C UNIT, BIDDER DESIGN ON CONCRETE GATE, COORDINATE PAD OVER COMPACTED GRAVEL: PROVIDE I EXISTING WALK EXACT GATE LOCATION PAD AND LOCATE PER GOVERNING I TO FRONT DOOR ~ W! OWNER AUTHORITY REQUIREMENTS 102 7' (EXISTING U L x GARAGE SLAB) ❑ ❑ o ❑ ❑ ❑ ❑ ❑ J ❑ z a ,.`8 20' FRONT YARD SETBACK I 102.6' (EXI ING GRADE) 101 1' (EXISTING GRAr) U 'i w w ❑ a x / EROSION CONTROL/ SILT EXISTING DRIVEWAY �/ FENCE PER GOVERNING i= AUTHORITY REQUIREMENTS I C o x I < I _ X X _ X X _ X_ X X 100' PRIVATE DRIVE SITE PLAN •' Nv PROJECT GENERAL NOTES: SCALE. 1/8=1'-0 1. ALL WORK TO MEET APPLICABLE LOCAL AND STATE BUILDING CODES • DURING FINISH STAGES USE EXTREME CAUTION TO INSURE PROPER 11 THE DRAWINGS REPRESENT THE FINISHED STRUCTURE UNLESS NOTED DAVID P CELLOS, ARCHITECT PROTECTION OF ALL SURFACES. OTHERWISE THEY DO NOT INDICATE THE METHOD OF CONSTRUCTION. THE 2. ALL NEW PLUMBING FIXTURES TO CONFORM TO LATEST PLUMBING CODE • WINDOWS SILLS, COUNTERTOPS, ETC ARE NOT TO BE USED AS SHELFS, CONTRACTOR SHALL PROVIDE ALL METHODS AND EQUIPMENT NECESSARY ' 3 ALL REFERENCES TO METAL FRAMING CONNECTORS AND ACCESSORIES • LIQUIDS SHOULD BE KEPT IN AREAS TO AVOID DAMAGE FROM SPILLS. TO PROTECT THE STRUCTURE, WORKMEN AND OTHER PERSONS AND SITE PLAN NOTES: REFER TO'SIMPSON' PRODUCTS INSTALL PER MANUFACTURERS PROPERTY DURING CONSTRUCTION AND SHALL ENGAGE AT HIS OWN ` ,/ 7 EXISTING PLANS ARE PROVIDED FOR THE CONTRACTORS REFERENCE THE . RECOMMENDATIONS, EXPENSE QUALIFIED PERSONS TO DETERMINE ALL NECESSARY 1, SITE PLAN PROPERTY DIMENSIONS AND BOUNDARY. SPOT • ' � � CONTRACTOR SHALL VISIT THE SITE AND MAKE FIRST -HAND INSPECTION OF PRECAUTIONARY MEASURES AND TO INSPECT SAME AT JOB SITE ELEVATIONS AND HOUSE LOCATION PROVIDED BY OWNER VIA THE PREMISES AND REPORT ANY DISCREPANCIES TO THE ARCHITECT 4 PROVIDE 110V INTERCONNECTED SMOKE DETECTORS WITH BATTERY OBSERVATION VISITS TO THE SITE BY THE ARCHITECT SHALL NOT INCLUDE RECORD DOCUMENTS BY LIVING DESIGN DATED 1994 GENERAL ' `��.. '.' °t r%�� BACKUP AT ALL FLOOR LEVELS AS PER ORSC, SEG 313. SMOKE DETECTORS PRIOR TO START OF WORK. INSPECTION OF THE ABOVE ITEMS , CONTRACTOR TO VERIFY ALL SITE CONDITIONS INCLUDING SURVEY SHALL BE INSTALLED IN EACH SLEEPING ROOM, OUTSIDE OF EACH 8 REMODEL PLANS ARE BASED UPON THE ORIGINAL HOUSE PLANS AS AND NOTIFY OWNER AND ARCHITECT OF ANY DISCREPANCIES • 1 � ` - SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOMS 12. THE CONTRACTOR SHALL PROVIDE TEMPORARY VENTILATION AS REQUIRED PRIOR TO START OF WORK 0., . ■✓ PROVIDED BY THE OWNER. AS -BUILT CONDITIONS MAY VARY FROM TO DRY OUT THE WORK. MAINTAIN ACCEPTABLE CONDITIONS FOR ALL THE f / • , 5. CONTRACTOR TO DEVELOP A CONSTRUCTION WORK ZONE PLAN TO SEAL ORIGINAL PLANS. CONTRACTOR TO VERIFY EXISTING CONDITIONS MATERIALS AND SPACES NECESSARY FOR THE PROPER ACCOMPLISHMENT ',• ; 2 SLOPE ALL FINISHED GRADES AWAY FROM BUILDING. V. nit OFF THE CONSTRUCTION ZONE FROM THE REMAINDER OF THE LIVING AREA 9 THE CONTRACT FOR CONSTRUCTION WILL BE THE ABBREVIATED FORM OF OF THE WORK. VENTILATE ALL SPACES TO ADEQUATELY ASSIST DRYING1 b � ` Y PART TIONSH I CLU D BUT I AND PLASTIC C TO EETING R AN Y IS TO BE AGREEMENT BETWEEN OWNER AND CONTRACTOR, AMERICAN INS IL/ UTE OF AND AHE REMOVING SMOKE, GASSES AND FUMES HARMFUL TO PERSON 3. PROVIDE AND MAINTAIN AMPLE MEANS AND DEVICES WITH WHICH %; 1 ; THE PLAN REVIEWED AND APPROVED BY OWNER AND ARCHITECT PRIOR TO ARCHITECTS LATEST EDITION OR APPROVED CONTRACT BY OWNER AND I TO PROMPTLY REMOVE AND DISPOSE OF ALL WATER ENTERING SITE PLAN CONTRACTOR, TO APPLY FOR PAYMENT, EXECUTE A COPY OF THE AIA 13 THE OWNER WILL EMPLOY AN INDEPENDENT TESTING LABORATORY TO THE EXCAVATION KEEP ALL EXCAVATIONS FREE OF WATER CONSTRUCTION GENERAL CONTRACTOR IS RESPONSIBLE TO MAINTAIN THE LATEST EDITION OF THE APPLICATION FOR PAYMENT; AND, EXECUTE A PERFORM INSPECTION SAMPLING AND TESTING REQUIRED BY GOVERNING AGENCIES. I DURING THE ENTIRE PROCESS OF THE WORK. 6 I ` A INSPECTION. BARRIERS AND INSURE THAT THEY ARE SECURELY IN PLACE EACH DAY COPY OF THE LATEST EDITION OF AIA CHANGE ORDER PRIOR TO r . 6. GENERAL CONTRACTOR TO POST ON SITE RULES FOR BOTH THEIR PROCEEDING WITH THE WORK FOR ALL CHANGE ORDER AND SUBMIT IN . EMPLOYEES AND SUB - CONTRACTORS TO FOLLOW DURING CONSTRUCTION. CARE OF THE ARCHITECT 14 SHOULD CONCEALED CONDITIONS ENCOUNTERED IN THE PERFORMANCE THESE INCLUDE: OF THE WORK BE AT VARIANCE WITH CONDITIONS INDICATED ON THE EROSION CONTROL NOTES: 10, MATERIALS SHALL BE SO STORED TO INSURE PRESERVATION AND THEIR CONTRACT DOCUMENTS, OR SHOULD PHYSICAL CONDITIONS CONCEALED 4 • NO SMOKING WITHIN THE HOUSE. QUALITY AND FITNESS FOR THE WORK WHEN CONSIDERED NECESSARY. OR UNKNOWN CONDITIONS DIFFER MATERIALLY FROM THOSE ORDINARILY � _ RECEPTACL EE S RECEPTACLES TO BE LOCATED O ON CONTRACTOR EACH FLOOR AND ND A GROUND. AND /OR THEY SHALL BE PLACED UNDERCOVER THE OWNER WILL THE CONTRACT T SUM SHALL B BE E EQUITABLY ADJUSTED B BY THEY SHALL BE PLACED ON A CLEAN, HARD SURFACE. NOT ON THE 1 LOCATION OF SILT FENCE IS APPROXIMATE. ALL EROSION AO • • ALL TRASH BE DEPOSITED IN GENERAL D PROVIDED TRASH T E AND GENERALLY AS INHERENT IN THE WORK. OF ; l OCN A CHAE BY CHANGE ORDER CONTROL MEASURES ARE TO BE IN ACCORDANCE WITH CLEAN gyp - MINIMUM OF ONE ON THE EXTERIOR NOT PAY FOR MATERIALS STORED OFF -SITE UNLESS SPECIFICALLY AGREED UPON CLAIM BY EITHER PARTY. WATER SERVICES • JOB SITE TO BE BROOM SWEPT AT THE END OF EACH WORK DAY. PRIOR TO SUBMITTING THE APPLICATION FOR PAYMENT. ( 1 , MS r t/ azro 9 fa97CP 5 r.Je...11.2 ,...)t 51- 1 . t /r; Reg Sf to lexe�>< ; irt: iil!t �alec'�.1•i installation x �tf to» I f1 ?S(O '1 Jurisdiction address: ,.+'i_ r i1 c( il" ING1: Sl1f111 VISING :r_I.I- CI '(lLC1AN;IN1UfiM/1 ON`_`'•; Nal no of supervising electrician: 6,,, y 6,14, Date of request: )0 1171 III - . \ , Supervising eicctidian'8l(cense number: ?- Sa Dole installation was eon: ridec &• Jt 2/ L ( lr t ] )ICOtricnt pennil fro.: if a temporary penalr Is posted al rhe sfra, please include it cagy grit with this ffrl ur- :.:,-• ; .,, .,r. : . - i. F:',\7 : MI�(� • YYI raLCG.f (`/l `mho A'A 1 \1 .,:_. - .:: .� N7 ,'r •.; 1� c�ri ° Mune of electrieni contractor: ..e.vao.pri` ,6L- -'L c ,:a 1 { •icenso Ito.; G 2 -.5. _ i3n;tlltess 1clrt.ss' G 1>C g _ i ‘t 6c) City; �rO - iLi Smlc• ____ 7Q': Phonc34e ' p 4 L Fax:) de -,jp/ e 7. _ J .mail: pa.c.w:W -4 -Ca dYL..• Q!' — • c�.•ti -;'4,,, =. , . .i, , . ?=:i- ., -_.. .,ry -;gt T ), viii , : ?•INFOom/Mirp.1:1,._ i': " ; `;i'.- - _� CuStotilet•�s ll no: � - .y iA.- .) L i.& 6...c -4 . ,_ Customer•'srlilflress: (L_a 7 has' dk_o to, , sr , -- C:sly: J l 4—g., A T su OA GIP: 1 7 2 - --- Address of installation ifdiff'crent tuna customer's address: _ City: _ _ Slate; ZIP: — ., :.: '!: ':.: -:r,;;',.�r1,,: 7.1'' -v`' - '.I(4SP ?I;r ING,`AU'f'FIUEIIIGY7jNI C713M'Ai1 ON) . ..' - - '.i � . l Authority havihl; Judsclfetiort to lnt;pect: _ ( _� �. _... ....__ M 4 � Ph one: _ _ 5 7 /r� 7—`6 w 5 Addie..N: 4 2 I '� -,f' ' 1.-- r�'c. i 6 s—. --4 —. City: r n g ... .- -- - Mato: C zIP: 7_2'ZJ 7-7- :;'; 5 •.: 2: ); '.:` :,; s .i,ta f3rr,I IVINra. 11 t., dale, (11 :.11 aYf.'IN1501:1 1(AN: 77. . , .',....: munc or electric utira rac:cJvi rcc uost; 1, .A Pltunl 2 2Q ` 2 t` ' ' Addn:ss A L , - fC •C' fr.:: City: .PO h(1."! G Slate: Q f 7.I!'; , . 7 P� 7 a • A. Restoring eleclticnt service flint was irttcrnipteci or disconncetedl bevausc of either rt :. Sc1'vfec: change or 0 Uncontrollabic event, such as fire, Ilootl, or scvcro weather; or Ii, Ricclricai service to it remote location ucctts to be: ) rrliliali'LCa t:Slotcd •. - ,.•.•: -. '� hvi► silo icnligUII1 • , :.., • ._,. ... . ..... .. .. �•c) . :T.:'!'Ic }t�::•INS:iitue: rIUN, AND Supervising cicc(r1ciarl Elcc(deal eon! ractor l' icttsc riot it •— After sandin); 1111 :,rornt the t:feetlic Ylenseno(c- '- Bycloseof tarsier :Ns onIhorirst.busiucss ii nutted ahoy; )'nu ln ( =Id it copy or this rot i n to; t!ny, following energizing of a completed iustallatiort in .. 1) are a •c ell contractor, ('J.) Use customer. and (3) the rastronsc to the above request, you alum (i) notify Chic •rtshct:tinl. tut (only: authority lttivtngjur•isdictron that the itu lulfution has been I 1�,,- 1�„,,(( ener heed .„1 ( 2) rer item! t ;tutbordl y inspect IIto ,_ ....._._.... -' -- . . _ j' _A completed iusltdfatirnt. - Supnrvls u;; efectr(clnu'gitI aturc •'-. ; . I1 It. --- — I f� ir ' �U lfNT(I' E ttAgff � Il) C - Sl IRV L d ;p -d1•fs -cost (9res /c'O1t 1 • 181 -d 100/100'd 1780 -1 -WOdd NVEE :80 I10i; -01 -030 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. City of Tigard Buildin g Division T I;GARD TRANSMITTAL LETTER / TO: &Ai ' P ATE RECEIVED: DEPT: BUILDING DIVISION ECE OCT 252011 • 54 CITY OF TIGARD FROM: � v 2 ,v o-. BUILDING iaNG DFVi 'iOFa COMPANY: - {ec /14 OlnsO \ PHONE: SU3 3 /o 76 g / By: RE: S w4 /1.6cT (Site A dress) (Permit Number) / 'roject ame or su .. tvtston name an• of num. r ATTACHED ARE THE FOLLOWING ITEM' : 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. 2_ Other (explain): 55 LA REMARKS: OR OFFICE USE ONLY Routed to Permi echnician: Date: (0 k'2.- I \ Initials: O Fees Due: es v No Fee Description: Amount Due: 1 bbl _ f L- v ) $ .-an Special tn/✓© iC_�A Instructions: Reprint Permit (per PE): ❑ Yes No -- - ❑ Done Applicant Notified: Date: /VA /l/ / / / / / / Initials. I• \Building \Forms \TransmittalLetter - Revisions doc 02/08/2011