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Permit Zjuprin-t- Ae McvmS Qor(ecAr1C k CITY OF TIGARD MASTER PERMIT ` ' 11 COMMUNITY DEVELOPMENT Permit #: MST2009 -00179 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/20/2009 TIGARD Parcel: 2S109AB15300 Jurisdiction: Tigard Site address: 13294 SW Alpine View DR Subdivision: ALPINE VIEW Lot: 34 Project: Alpine View Project Description: New SFR. 11/5/09 Address correction from 14235 SW Alpine Crest Wy to 13294 SW Alpine View Dr. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1063 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1227 sf Garage: 456 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $253,548.28 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 0 Vents. 0 Woodstoves: 0 Gas Outlets 4 Furn > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 WI Svc or Fdr: 0 Ea add'I 500 sf: 4 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc /Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT 735 SW 158TH AVE. 735 SW 158TH AVE BEAVERTON, OR 97406 BEAVERTON, OR 97006 PHONE: PHONE: 503- 641 -7342 FAX: 503- 641 -7661 Total Fees: $11,707.58 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 throu• OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800,332.2344. / . r1 0 Issued By: ��..�� I. _ ` A. . L ii Permittee Signature: - % Q 0 ` �� `�a J� CITY OF TIGARD MASTER PERMIT ' • - z- COMMUNITY DEVELOPMENT Perm it #: MST2009 -00179 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/20/2009 �Z'°`Rp g Parcel: 2S109AB15300 I 3 2 q1-1 Al t o cV ∎C. Jurisdiction: Tigard Site address: • - - • - _ - -- . , - Subdivision: ALPINE VIEW Lot: 34 Project: Alpine View Project Description: New SFR. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1063 sf Basement 0 sf Left 5 Parking Spaces: 0 Height 25 Bathrooms: 3 Second: 1227 sf Garage: 456 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: sf Value: $253,548.28 Rear: 15 PLUMBING Sinks. 1 Water Closets' 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain' 1 Catch Basins: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr. 0 MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods' 1 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 F u rn> =100 K: 1 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 500 sf: 4 20 1 -400 amp. 0 201 -400 amp: 0 1st W/O Svc /Fdr: Limited Energy: 401 -600 amp, 0 401 -600 amp: 0 Ea addl Br Cir: 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 asin N Other: N Other Description: Ecom P 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT 735 SW 158TH AVE. 735 SW 158TH AVE BEAVERTON, OR 97406 BEAVERTON, OR 97006 PHONE: PHONE: 503 - 641 -7342 FAX: 503- 641 -7661 Total Fees: $11,707.58 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: �Q. / 6 Permittee Signature: V — \ ®.L Buildingrmit Application fe E 4 ,,, \fi „.„,„,,,„,,,,,,:.,,,:,:::,:-..„.:,:::„:„„,,,,,:::,:„:„:„.:.::,,,,,,,,„,„:„:::::::„.,0„„,-,,F,,,,„:,„„,,,is.,.,,,s,„:„,„,,,,::..,:,.,:.::.,,,,„,::;::::,,,,,,,:,),,,,„,„,,,,,,„,,,,,,,::::.:,,.:::,,:„...:.:„„ ,,,,,„.,::::•„,„:„,::::,.,,,,,,,,:;,... City of Tigard ' 41L1 * 116112111 ' - _. A IA II a a 41.0 • '' 13125 SW Hall Blvd.. Tigard. OR. 97223F p 01 2009 Review' Nran I h Date/By air, . is tv Min Other Pemats 6 of 2 . 4 000q z Phone: 503.639.4171 Fax: 503.598.1960 Date Ready/By' i A 1 1 r EI See Page 2 For Inspection Line: 503.639.4175 CITY OF T IGAR )Notilied/Method. I. U I, 01..1 L •a Erni Supplemental Information iNgitAi Internet: www.tigard-or.gov BliILDING DIVISION LIA, NA-cutt... cblk ct_v ot Cd-) TYPE OF WORK ,,.:. ''.! :' ''''',-' :•: ' ",. ,.::.. ----, ',:'',', - ' - 1 ' -' -. - El New construction 0 Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all O Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the i ''' ':: work indicated on this application. ,. -tc.;-. Ei 1- and 2- family dwelling 0 Commercial/industrial Valuation O Accessory,' building 0 Multi-family Number of bedrooms: g O Master builder 0 Other: Number of bathrooms: it •2 4,„ V.',7r'''':)Of 0 ■:9:4"Apitoe; Total number of floors: 2 Job site address: *414W;f:810 :i.w,D4f. New dwelling area: :-.2200 '' square feet City/State/ZIP: TIGARD, OR. 97224 Garage/carport area: 456::' square feet . „... Suite/bldg./apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet f):12.E0DllitP,DATA::CoritIMEIid1411:6iCkLiti;::; Plan No ':..0011 '1,:,:-iNtiTAVOI:A':„;',:li Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Subdivision: ALPINE VIEW Lot no.: , l.- .34'11 no.: ... .34,' equipment, materials, labor, overhead, and the profit for the Tax map/parcel no.: work indicated on this application. . llllIDESCRIPTION OF WORK' - '- " - ''' ,,''' Valuation ',, , - 5' .' NEW CONSTRUCTION Existing building area: square feet New dwelling area: square feet Number of stories: .i'l:Z14F,'F2,F-PM OWNER , :1: : :44ii - i;:iO4 , .Vim:nil'iT E NANT' , 'j' '; Type of construction: Name: WEST HILLS DEVELOPMENT Occupancy groups: Address: 735 SW 158th AVE Existing: City/State/ZIP: BEAVERTON, OR. 974006 Nev: Phone: ( 503 ) 6414342 Fax ( 503 ) 6414661 :- '1'( -:: ', . ? NOTICE 4':;.,,, API : ''': ,':' : - :, : :;1; , 1':4 - 4, 1 ,10 51! Abi5i'4=rA6f:iiEiisc4 - ' A's; All contractors and subcontractors are required to be ,,:q/6 ,', '. —, , ,` , :,lil l,4---, l, l ,;4'„ ',,,, :„ - ,:,7t1; , ,,v,o, - ; ,„<: ' ' licensed with the Oregon Construction Contractors Board Business name: WEST HILLS DEVELOPMENT under ORS 701 and may be required.to be licensed in the Contact name: STEVE POLLARD jurisdiction in which work is being performed. If the applicant is exempt from licensing, the follcwing reasons Address: 735 SW 158th AVE apply City/State/ZIP: BEAVERTON, OR. 974006 Phone: ( 503 ) 726-7041 I Fax: ( 503 ) 641-7661 E-mail: spollard@arborhomes.com ace/01;62 e ty b 4;y4 ..CONTRACTOR - :;,:', ''' - , ''!'';'' ,-''' s ' '' : ' ':' ''' A Yr , wibiiltime PERMIT FEES* `V ''''''4 . j,;•' - ;;;;: . - -: ;:` Aa;',•i:t7 D : ,'; ,„;„.:;::;„ '" , = „ t :-: :.: . : r!'gI,' , f,:* ' r" ''' ''-;,, ' . "' "',;''' Business name: WEST HILLS DEVELOPMENT Please refer to fee schedule Address: 735 SW 158th AVE Structural plan review fee (or deposit): City/State/ZIP: BEAVERTON, OR. 974006 ELS plan review fee (if applicable): Phone: ( 503 ) t - ' Fax: ( 503 ) 641-7661 Total fees due upon application: CCB lie: 114847 H Amount Received: Authorized f" This permit application expires if a permit is not obtained signature: # / l r , or within 180 days after it has been accepted as complete. i Print name: ' : YE PO LARD I Date: 8/31/2009 I * Fee methodology set by Tri-County Building Industry Service Board. I: \Building \pennils \ HUP-RES PermitApp.doc 11/6/07 440.461 3T I 1/02/COM/WEB) . _ „ ..„ „„.......„.............. ,..... ......„ ..„.. „„.„„,„,. ,„,„.„,„„....„...„....,...........„--,.....,..........„,.........„.„,. .......„ „,„ ..,.. ...... ......,.........,....„,..,_ ...... ,...„„_ ,„...,..„„... ,,.„, ,_„...,.....,....,,:,,„„..„,„..,..:.,.;:„....,..„,,,...:,..„.„,:.,,,,,„..„„:_:„.,...„:: Mechanical Permit Application sf::!.i. ms City of Tigard k.eaived [1 FL F V ' F Date/113y. I=1 IIM 2 11111 13125 SW Hall Blvd., Tigard, Ole97223" ''. ' ' ' Ilan Review Other Permits: Phone: 503.639.4171 Fax: 503.5983/260 0 1 9rinc Date/By. 1 u 1 L.. v v i. Date Ready/By EN See Page 2 For .4141100041104 Inspection Line: 503.639.4175 Notified/M Juris. ethod: Supplemental Information PlieriA kesdajogag Internet: www.tigard-or.gov CITY OF TIGARD _ — - - ', ' '', ,,' = ':-- ,, -.' ''' , ' - fiipceiF wd-Filo-Uimi ,Unfitli(J fki ,,',.`--,,,:;, , , ',:,::; L ': A F El New construction 0 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 0 Demolition 0 Other: materials, equipment, labor, overhead, and profit. CATg6614OF CONSTRLCT1QN7 :' - , , .-.H-- , ' Value. $ El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building :,., - ''RESIDENTIAL : EQUIPMENT /. SYSTEMS- FEES* 0 Multi-family 0 Master builder 0 Other: For special information use checklist. . „. ________ — JOB SITE INFORMATIOVANDIOCATION '3'.'iiifkg2o Description Q Ea' Total Job site address: 43494—S.W. ALPINE.WW --ete(54 k/ &Q.*.) Heating/cooling .) al r • Air conditioner or heat pump 14.00 City/State/ZIP: TIGARD, OR. 97224 (requires site plan showing placement) Furnace 100.000 BTU (ducts/vents) 14.00 Suite/bIdglapt.no.: I Project name: Furnace 100,000 + BTIJ (ducts/vents) I 17.90 X7, 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.: 34 in-wall, in-duct, suspended. etc. Flue/vent for any of above 6.80 Tax map/parcel no.: Other. 10.00 .D ESCRIPTION OF1NORIC,' Ocher fuel appliances NEW CONSTRUCTION Water heater 10.00 10 Gas fireplace 10.00 K) Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 A71 jRROPERTYOWNER. .' -4-t ,::' , , - 4: „ in ''. TENANT , '.- :':',:'-',-', -, - , ' Wood/fireplace/insert 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 ( 10.00 to Phone: ( 503 ) 641 Fax: 1 503 ) 641 Clothes dryer exhaust I 10.00 1 0 APPLICANT r fr. ,:, tit;:iA21"biii.AC,ifiiiii.64],, ,- ..:',, Single duct exhaust (bathrooms, toilet compartments, utility rooms) 4,.._ 6.80 2-420 Business Name: WEST HILLS DEVELOPMENT Attic/crawlspace fans 10 00 Contact Name: STEVE POLLARD Other: 10.00 Address: 735 SW 158th AVE Fuel piping (85.40 for first four: $1.00 for each additional Furnace, etc. 1 Sib City/State/ZIP: BEAVERTON, OR. 97006 ' Gas heat pump Phone: ( 503 ) 726-7041 Fax: ( 503 ) 641-7661 Wall/suspended/unit heater E-mail: spollardarborhomes.com Water heater ;( liT-: !; - ,'-l;:!?- 4, K l;: '=:lifdiikfliAbioR '' l.: '''" ; ' , ! ,;4"i,f'; ,,' . Fireplace 1 : „, ig ;; ':,;4740 - 4, , ,.. , ,,„ -!! ; ., ; '!!!";!., !, §,l ' " — ' Range I Business Name: PYRAMID HEATING AND COOLING _ Barbecue Address: PO BOX 1502 Clothes dryer (gas) City/State/ZIP: SANDY, OR. 97055 Other: Phone: ( 503 ) 786-9522 Fax: ( 503 ) 786-3432 MECHANICAL PERMIT FEES Subtotal $ 1 t CCB lie.: 1 ' 9382 . City or metro lie.: Minimum permit lee ($72.50) , Authorized 4 ClA Plan review (25% of permit fee) $ signature: - 4° 1 OLNYt....4.../C" . State surcharge (12% of permit fee) $ Print name: TAM! HAGEMAN Date: 8/31/2009 TOTAL PERMIT FEE $f 'j7 7 This permit application expires if a permit is not obtained within 180 1: \BuildingWermits \MEC-Pennit App.doe 01/19/07 440-4617T (11/02/COM/WEB) days after it has been accepted as complete. ' Fee methodology set by Tri-County Building Industry Service Board - Plumbifig Permit APPlication ,,, 7 , v i . !;::.:-:::::•;;:i!,!:..1::.:;::.:::A;;::11 , i - -.,:::i::::::•: , 4:',5:1 , •! . :9.R.:PFT:!!q.0:.::),9A.:9.: ,, , , ,:::.:::::,:.:7:•:•'::::::::! , '•.:itia• , ::::*::' , .:,::::,:',:„:,::::::::::i' , 2 . :' ' f Y 3ReceRied .-.:m•: City of Tigard ii a _.,A):7'L, i , Ate1/13y. Permit No. % 4.6 k • 13125 SW Hall Blvd., Tigard, OR. 97223 Review Other Permits: Phone: 503.639.4171 Fax: 503.598S60 0 1 200 Date Ready/By 13 See l'age 2 For tuns: Inspection Line: 503.639.41 75 Notified/Method Supplemental Information id etatfi Internet: www.tigard-or.gov CITY OF TIGAR nt in rstnif' rilyneirmi A'')1;:i;:::'''''41)9*00::ti4„:0,KA:',',!:::::,':'''.' ' ','i, : :: -i=,i; F EE SCHEDULE [21 New construction El Demolition For special information use checklist Description Q La. Total 121 Addition/alteration/replacement 0 Other: New 1-2 family dwellings (includes l 00ft. for each utility connection) 6ATEPoi,4i0EioiliYRD '. 4,; :1,, 249.20 SER (1) bath El 1- and 2- family dwelling 0 Commercial/industrial SFR (2) bath 350.00 El Accessory building 0 Multi-family SFR (3) bath t 399.00 - T - r GI Each additional bath/kitchen 45.00 Master builder 0 Other: Eihik:eii ' "416 to ' - 7 . %31. 3 ..,` ' ...,,,T.,_ ..,,, Fire sprinkler (4 sq. ft.) Page 2 4,9R SIT , INFORMA „IN , ca, -Al'oiy.4e.. Site utilities Job site address: 13294 S.W. ALPINE VIEW - -61 V ■ \Cu) Ot . Catch basin or area drain 16.60 City/State/ZIP: . TIGARD, OR. 97224 Drywell, leach line, or trench drain 16.60 Footing drain (no. linear ft.: ) Page 2 Suite/bIdglapt.no.: Project name: . 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.: 34 Fixture or item Tax map/parcel no.: Absorption valve 16.60 Page 2 DESCRIPTION OF WORK .;;: ::: : ;;;.' :::;:-':::::::: - Backtlow pies enter NEW CONSTRUCTION Backwater valve 16.60 • Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 PROPERTrOWNERL:,i-- -- :',..--, : : -,,,, .:w. TENANT' ' ' ' '"' " - Etectors/sump 16.60 Name: WEST HILLS DEVELOPMENT Expansion tank 16.60 Fixture/sewer cap 16.60 Address: 735 SW 158th 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 Ai4iLieitrt "' - , : ' -IRIoomtAd k iERsoi4 7,- ,,, ,,,, ; ,,,, : ,i„, Ice maker 16.60 '-,-, - '---'.'- " -'-:, ' -- - ---":- - :- •-",:,, . ":1;.:,:.: ',1; " Interceptor/grease trap 16.60 Business Name: WEST HILLS DEVELOPMENT Medical gas (value: $ ) Page 2 Contact Name: STEVE POLLARD 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 ) 726-7041 Fax: ( 503 ) 641-7661 Urinal 16.60 E spollarde,arborhomes.com Water closet 16.60 =1CONTFtACTOR!. .. 1:;,.. .'. ...... - „;,.:`, Water heater 16.60 ' ' "`,.'z - Business Name: DEVELOPMENT NORTHWEST (WOLCOTT PLUMBING) Other: Subtotal Address: 1075 W. HISTORIC COLUMBIA RIVER HIGHWAY Minimum permit fee: $72.50 City/State/ZIP: TROUTDALE, OR. 97060 Residential backflow minimum permit fee: $36.25 Phone: ( 503 ) 667-1781 Fax: ( 503 ) 667 Plan review (25% of permit fee) $ CCB lie.: 112220 Plumbing Lic. no.: 26-824 PB State surcharge (12% of permit fee) WV, Authorized v ..., COP TOTAL PERMIT FEE 4$4,4M 6I■, eW■Iii& 4 This permit application expires a permit not obtained within ii iiii signature: / n 180 days after it has been accepted as complete. I Print name: GARY LIPPOLD Date: 8/31/2009 * Fee methodology net by Tri-County Building Industry Service Board IABuilding \ PermitsTLM-PemUtApp doc 12/27/06 440-4616T ( I 0102/COMIWE13) • khecti ical"Per Applicatio ' � „ t (( 2I I R I iSI ONI �, City of Tigard f;""' . - R 3 Recented k 't� u-- . t r tt,..v , • ; Date ;Tr tge • 11)x; i • "an Revt aten} pl 13125 SW Hall Blvd., Tigard, OR. 97 2P f1 ® 1200 T • Other Permits: Phone: 503.639.4171 Fax: 503.598. t96O J Date ReadyiBy © See Page 2 For Juris: Inspection Line: 503.639.4175 CITY OF TIGAF, �onficctrb1ethod: Supplemental Information Internet: v w.tII ar'd- or.eov P1t sit ,, va,a r,.o. ,, , �r �,..., t =� :. .._: °- `__ � �. � �. ,. LAN RE , , ..< .. . .... ..... ..E�� , TYPE ; OF�WORK•� . .;.< � _ " ". 't' ''-1:571;';'"; P z VIEW Q New construction ❑ Addit ion /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked): ❑ Service or feeder 400 amps ❑ Hazardous locations 0 Demolition ❑ Other: or more where the available ❑ Service/feeder 600 amps or more .. fault current exceeds b ,.... II `" Building over three stories € E ; _; CATEGORY IO ' �' EE d s • � d x � UEE €� _ °.rO�.G. ,:. «t �.�,, � _- , •: - . =E�` ' , ,. . � , $ - � � , •r " Marinas and boa , - � ,� � _ ` � � ��'� � l = ` 10.000 amps at 150 volts or ❑ b ar Q 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 El Master builder ❑ Other: buildings =�€E a te., c,.=tr, ..�� ` JOB SITE INFORMATION, AND LOCATIO �� I installations ump ❑ Installation of 75 KVA or larger � . : " (J d �, ❑ Fire pump - °< �� „(4. 7"'- -.. . '- � separately derived system .loh no.: I Job address: 13294 S.W. ALPINE WEAV ❑ Emergency system ❑ "A ","E","1-2","1-3” occumancy City /State /Zll': TIGARD, OR. 97224 Addition of new motor load of 100HP or more ❑ Recreational vehicle parks Suite/bldg. /apt.no.: I Project name: ❑ Six or more residential units ❑ Supply voltage for more than ❑ Health -care facilities 600 volts nominal Cross street/directions to job site: -r . <;ar, .;E z € E , t F EE SCHEDULE a �o Description I Qt} I " Fee I Total I * .,;g: < �, ;e 1 - e:', ; „y. _ „, , : .._. � � . - .- ....:...: .....,,, ".;, �,:.: - � •`:1 ", `t = s ",�t Subdivision: ALPINE VIEW 01110.: 34 . 'I c attached multi-f amity dwelling , W , F E - , s ,� , =t� �� - .. Tax map /parcel no.: 1,000 sq. ft. or less 4 `` 451 `" 'F €"• P " t' " '' L ' a. a sq. o . fl. or portion ( 145.15 33.40 I _€ t' ' ' ` DESCRIPTION OF V416RK ''';'' :,,,s 'El dd'I 500 1 P x ._, _ - „ „,, . = � , �.,.,.tt;`'.`.;a•f�' €F€! € €PbE�t ,e ;rt , �€F�lr NEW CONSTRUCTION Limited energy. residential ( with above sq. ft.) 75.00 2 Limited energy. multi - fancily l «_. , = t , ., , .:.r:� EE =' E';:r r,' r t.;,.,x;.o-...., c i above 75.00 2 ., 1.E €,,, = �€ _...., residential ___, � , €, :.., .,.. ,,��,.;. , "_,,, ._ € t, rtE .. � r ` s =� : =ate - z',; : ,-. = P RO PERTY O WNER;:.;:.. : : i: F E .E' � =1t '� :,. "€':' .::.: •'Et , Ee r ; . e...� m v -. �3 ;;,, , , ,, „,, ,,,,�_.:,.. a: . t ,., =,:' ;< ;t , `” ''-:: ` -' € ' �S e = rvl c e s o r feeder iristullatitn {u un " lon e „ x €� � ❑ TENANT .- ,�c:, =::�E41E Name: WEST HILLS DEVELOPMENT 200 amps or less 80.30 2 Address: 735 SW 158th AVE 201 amps to 400 amp; 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 ade on residential or term property oumed by a le o r a member of i< s'= -- -- -- - - 8 P P Y =��Iemp()r}I`ry Set', \7Ce5,U[ f e I'% ,IDSI'atliltl(IO��a1tCr:ltltlniB tldlUL =�• my immediate family This property is not intended Com sale, ezhange or rent. (ORS 479.540(I) and 479.550(1). '" - � -' ' `�' ' ` `''' - " 200 amps or less 66.85 2 Owner signature: Date: 201 a too a 100.30 _ -, t ':AP.PLICANT' E., CONTACTPERSONA,' ==E<ttt y"� muEti:E' ' ,=Et l (t l ilEl£ ( � �A(E sk =EE - :c.� ,E.,Et €, t ..._. - =sd.g ° � , � -- - ' .. �_. r ... °- .u:�.:, . _, : t� -- ,. -' ; .. .�,. 401 amps to 599 amps (33.75 2 Business Name: WEST HILLS DEVELOPMENT ,'-'84t(c1) - gy a!te ati _ xt . ` circait,new:ulterutton:o r , exten s ion ; = p ' .. A. Contact Name: STEVE POLLARD . a boferbranch circuits with above service or r 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 -7041 I Fax: ( 503 ) 641 -7661 Each add'! branch circus 6.65 Miscellaneousi(�service or feede uotincluded' "nO 1'E'`` `'' 7 ° ' E-mail: spollard@arborhomes.com ' =EtE =_ A C =its T Each m nufactwed or modular 90.90 2 ;.,, ; zi'j rp , ,.c €e E, k„€E„ "C - ON - ' , €` dwelling, service, and; or feeder , K ecotmect only 66.85 1 Business Name: GARNER ELECTRIC Pump or irrigation circle 53.40 2 Address: 2920 S.E. BROOKWOOD AVE. Sign or outline lighting 53.40 2 Signal cucurt(s) or limited - C ity /State /ZIP: HILLSBORO, OR. 97123 energy panel, alteration, or K Page 2 extension. Describe. Phone: ( 503 ) 648 -4552 I Fax ( 503) 642 -7925 ��� =- i : F..at'hi daditional;instie 6:# allowable, *4nv of the,above. CCB Lie.: 121- ' I Electrical Lie.: 34 -3050 I Suprv. I..ie.: Per inspection 62.50 Investigation per hour (1 hr min) 62.50 Suprv. Electrician / Industrial plant per hour 73.75 signature, required: • ` t ( ;ELECTRICAL PERMIT FEES Print name: CAR 42 Date: 8/31/2009 Subtotal Z78. 5' Authorized / Plan review (25% of permit fee) � Signature: - ... _ State surcharge (12% of permit fee) ..3 4_. TOTAL PERMIT FEE P 3 ' O Z. b Print name: STEVE 0 LARD Date: 8/31/2009 This permit application expires if a permit is not obtained within 180 days after it has been acce led as complete. l:\ Building\ Permits \F.I.,C- PennitApp.doc 05 /23/06 440- 4615T(11/05/COM/WEB) * Number of inspections allowed per permit. ( � t3 V�T � � r22, 7 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, f tr2.3 YL 6 V ,,M /4 yi, f.5 am the general contractor or the owner- builder at the following address: • Site Address: 2_61 Li t pi of 2 City: TI G a rLp Permit #: Z U v9 ^66/ 79 Subdivision/Lot #: and /or Map and Tax Lot #: 34/ • To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: + s t G Date: 2_ 6/ Ge =Tr o tractor or Owner -Buil& I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 `1 STREET TREE CERTIFICATION I, C� uYci272x /2-tiD , Owner /Agent for AO450/?--- 615r �E (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard land use and development standards • for street tree installation. ADDRESS: /32. 9 W A /' /r✓E VIES d.- SUBDIVISION: ,0l7, u, LOT: 39 SIGNATURE: 111 47inksr _ DATE: 2 2 6//7 (OWNER/A j ) RECEIVED BY: DATE: (CITY OF TIGARD) I:\ Building \Forms \Street 1'reeCertificate 01/19/07 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: A -- Z 0 o ci 00 I jc Jurisdiction: G Site Address: 132.11.4 Ai IP/ N p ) Subdivision/Lot #: Al pry View and/or Map and Tax Lot #: ? —I By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: \ 6 uE \ OM EN Date: 2�6 /l Owner /General Contractor /Authorized Agent Print Name: 1 ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 Backflow American (503) 2894745 10-94592 Assembly Back$ ow- o m' eva. / ` NEW Test Report ,�,..„ o i�naes Si c�5 ❑ EXISTING 4� - nvsrnu nnorN e ® REMOVED Property o Li REPLACEMENT Owner: Al pine View Lot#34 Phone: Mailing 7 3 2 9 cl Address: -1 SW Alpine-View CV -c S 1- W CAI City: Tigard State: OR Zip: Assembly 13V9-5 or .e. 4 Address: —4 -35 .SW Alpine View- (Jc j Tigard OR ❑R:P.B.A >D.C.V.A ❑R.P.D.A ❑D.C.D.A ❑ P.V.B.A ❑S.V.B.A LIA.V.B ❑ AIR GAP Size: / Make: C. (o (,0 Model: 5 0 Water Serial Purveyor: Tigard Number: /4 G D (P 5S 4 's Assembly � q 7 -- ( i gi Location: � { � ! et fr— REDUCED PRESSURE ASSEMBLY P.V.B.A / S.V.B.A INITIAL TEST #1 CHECK DOUBLE CHECK ' AIR INLET CHECK PASSED.- /� PRESS DROP (A) CHECK #1 ❑ INITIAL RELIEF VALVE TIGHT j� 7 -/ OPENED AT: PRESS DROP FAILED TEST rim AT (B) � MIN 2 PSID LEAKED ❑ PSID DATE: RESULTS BUFFER A PSID PSID / /Z/ /o B = CHECK #2 _ MIN 3 PSID TIGHT z 3 DID NOT FAILED SYSTEM _ RELIEF VALVE OPEN ❑ ❑ PSI // S PASS ❑ FAIL ❑ LEAKED ❑ PSID COMMENTS REPAIRS AND 15 C�UOIOMER E IPW REDUCED PRESSURE ASSEMBLY P.V.B.A / S.V.B.A AFTER REPAIRS #1 CHECK ! DOUBLE CHECK DATE: TEST PRESS DROP ( A ) 1CHECK #1 AFTER RELIEF . ❑ OPENED AT: PRESS DROP / / REPAIRS OPENED (B) PSID BUFFER MIN2 !CHECK #2 PSID PSID PASSED ❑ A - B = TIGHT ❑ PSID MIN 3 PSID 1 IN COMPLETING AND SU: ■ NG THIS TEST REPORT, THE TESTER CERTIFIES THAT THE ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORD CE W ALL APPLICABLE RULES AND REGULATIONS OF THE WATER SYSTEM, AND STATE REGULATIONS. WATER METER # DETE • • METER READING Washington CERT# 4ii 4660 TESTERS SIGNATURE Oregon CERT# Seth Weitzel 020372 TESTERS PRINTED NAME GAUGE # American Backflow Services (503) 289 -1745 07/25/09 COMPANY NAME PHONE # GAUGE CALIBRATION DATE 5905 N Interstate Ave, Portland, OR 97217 SERVICE RESTORED Vi ADDRESS WATER FOUND EON 'OFF I SW ALPINE VIEW DRIVE • STREET LIGHT STREET TREE (TIP) - •CURB- I • • -I WATER METER' ` „ FIRE HYDRANT . ,..,.., .),..„ = � f ? 573 : _ ` .„ .' ' ,� � � a ' � '' `� r .,: ' VISION CLEARANC • . 1 bk.N I WAY . n EASEMENT • °+� ; ' 8' MUE b, .Law os 8.1,\,;,. , i , 555 REC EIIVE D :. SEP 0 12009 6. -0.. .' .,.' • I L I - -- I I . . 71, >` CITY OF TIGA D ��UILDI ¢ ^ CONCRETE I w. ,. o , \ ` t. � y �• � RETAINING WA L DIVI , .1E ' bs . 95b':::.:• AT GARAGE t ' . ,•„ .,( ? ttv L I a, ' v 3 3. . ry 14.-0' A 4. .. W • k.., Nd2Id3Wd.: : :: :: p k , ...._ ::: ~ ^ Z INCORPORATED ~ T CONCRETE RETAINING WALL 96ZZ ' .•A '� AT HOUSE } } }} I Q 5 EXTEN - 4' q Ad .w� •:. aoo1d Nivw::: I L — _ I -1t-- -1t-- 14'-0" v ^ / - - - - twos of m '0 YLa P�2 35' -0` �'H 5 Ir SANITARY SEW R LATERAL Nr `, • `� MITIGATION TREE STORM SEW: ` 564 . `� 55.00 0 r. — 572 _ — I P?ROYA ° i I '47 i g' _.• µ -- / s i 7 ° IT EP -'- R - • PRA 08/24/09 SHG - ' a ALPINE VIEW Contractor is responsible to check . , .•- , >> y site plans and notify designer of any c • SITUATED IN THE ,N.E.- 1/4 OF SECTION 9, TOWNSHIP errors or omissions prior to start of ..':2-SOUTH, RANGE' 1 -WEST OF THE WILLAMETTE MERIDIAN construction. Also plans and CITY OF TIGAR_D, WASHINGTON COUNTY, OREGON specifications shall be approve& by- ' -•'-•. ... _- .w. ALPINE local building authorities prior or start of construction. 5,402 SQ. FT. '"a ,e& 1 -2— tA LOT 34 vim vi WEST HILLS SETBACK REQUIREMENTS: DEVELOPMENT, INC. REAR YARD: 15' (FROM PL) �.. .._.-. ..,_.. FRONT (HOUSE): 15' (FROM PL.) FRONT (PORCH): 15' (FROM PL.) 735 SW 158th Ave. FRONT (GARAGE): 20' (FROM FL.) SCALE STREET SIDE: 10' (FROM PL.) BEAVERTON, OR 97006 SIDE: 5' (FROM PL.) 1"=20' CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: (Y 2 c=09' • 0)0 k PLANNING DIVISION: Required Setbbeks: Approved ❑ Not Approved Side: 5 Street Side: ( � Front. F_T Garage: ,91) Rear: . / Visual Clearance: DAppr-pved 0 Not Approved Maximum Building Height feet CWS Service Provider Letter Required: 0 Yes 0 No 0 Received B d)JA nhad Date: 11 a- /o i' ENGINEERING DEPARTMENT: Actual Slope:A.% A proved ❑ Not Approved Site PIa • Approved ❑ Not Approved By: 14L 72/cdeaa J Date: Sa —X-4 Notes: e'4''i x_cf- 14—' CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: '1ST 2 o O 9. aQC7 9 Street Trees: • Approved ❑ Not Approved Protect e s: Approved ❑ Approved By: �/ & yr Date: d y Notes: I . f ,� -14-7) :s NJ kr l ' - '4 4 ' -° " \ •