Permit 1 - . ,, CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit #: MST2011 -00133
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/31/2011
c
Parcel: 2S109AB14300
Jurisdiction: Tigard
Site address: 13336 SW OUZEL LN
Subdivision: Lot:
Project: Alpine View, Lot 24
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories 2 Bedrooms. 5 First: 979 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1396 sf Garage 434 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2375 sf Value: $262,284.64 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays. 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers. 3 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 add'I 500 sf: 4 201 -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 2375
Owner: Contractor:
WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT Required Items and Reports (Conditions)
735 SW 158TH AVE 735 SW 158TH AVE 1 Ersn Cntrl 503 - 681 - 4444
BEAVERTON, OR 97006 BEAVERTON, OR 97006
PHONE: 503- 726 -7044 PHONE: 503 - 641 -7342
FAX: 503- 641 -7661
Total Fees: $17,943.49
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 ac • -- -- 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. ATT. 4 TION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -00 0 through OAR 9 2-.; -019: ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19;7 or 1.800.332.2 .4.
/ Issued By: `� r / � — `" P erm i ttee Signature: A � 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.
Building Permit Application � � l . , ®1 C1CL U - SF 1 w 9 r
11114117-,11111 City of Tigard R
Date'B Ih/1
7
1 L
13125 SW Hall Blvd., Tigard, OR. 97223 Plan Rev,e2, a ,
s ✓ other P erm nn w0
:5i, Date!Date/By � tor �® �W � l nn Se , � , t!� Ve✓ a
Phone: 503.639.4171 Fax: 503.598.1960 trate Rea y , , y E7 See Page For
n e Inspection Line: 503.639.4175 Noti6ed 2. hod Supplemental Information
g , , 7
Internet: www.tigard- or.gov �� f �
• 4 ,4:::T ,;.;.:..F F�W R K,. � �:: _• ��� � �� �� %'�- � REQUI D�DATA •1= ;AMD'2- :FAMILY; DWELLING„
{� 3W
Q New construction ❑ Demolition ` ,(\c..):,\54) at
\e Permit fees* are based on the value of the work performed.
❑ Addition/alteration/replacement ❑ Other: l �9 e d the profit for the
O QIn dicate the value (rounded to the nearest dollar) of a
ll
equipment, materials, labor, overh ad an e ro
.. ,
:. .�:.. W - -. r ..� WxI � " =�= `CATEGORY =OE C � "' = r"' ``�� , work indicated on this application.
Ei 1 - and 2- family dwelling ❑ Commercial istrial Valuation �6. Z04-, ,4
❑ Accessory building ❑ Multi - family Number of bedrooms: I :Z* E• ,y, ',
Master builder ❑ Other: Number of bathrooms: ;->;3 . "' T ; n`;' :." ,., 4S.• ,• _-
'- ,,. , 40- & �;;: • —;10R—SITE—INFORMATION—AND LOCATIONS, "; , Total number of floors:
,�•�;:� '" _ - r
Job site address: :13336 "SW'O.UZEL:LANE; �:: a. '01 „, ' t New dwelling area: 2375,,'' square feet
City /State /ZIP: TIGARD, OR. 97224 Garage/carport area: ; square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: 1/e square feet I "'i°C,
Cross street/directions to job site: Deck area: square feet el-0
/
Other structure area: Zenct square feet 2.6
: :,
REQUIRED` "DACOMMERCIAL- U ,
Plan No.: ;23757§ LVariAerleaII, ° "` $-t' i`` :; ; 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:: s <: . 24 ', equipment, materials, labor, overhead, and the profit for the
• Tax map. /parcel no.: work indicated on this application.
``` ,. En valuation
�W
.. - �� _� u , °x� - °�- �: .. , .: . ` , ... ��N;;•d -_.. ,. , -tin.` _._ - . rt''''_� �4 •. < " - , �':��, ...€
. —, . DE3CRIPTL. F'WORK : - ?:`.� � ; " .,: a
NEW CONSTRUCTION Existing building area: square feet
New dwelling area: square feet
Number of stories:
i. construction:
..� _ ..._; . PROPERTY °OWNER '>� �TENANT� - Type of
�
F-
Name: WEST HILLS DEVELOPMENT Occupancy groups:
Address: 735 SW 158th AVE . Existing:
City /State /ZIP: BEAVERTON, OR. 974006 New:
:i:w. ;, :,, . NOT ICE'}:.- ?:= ;r'='' k'. ;,,
Phone: (503) 641 -7342 Fax (503 } 641 - 7661 '' ` '
�( `APP :;•?::. • W CONTAC;TRSON "' «< All contractors and subcontractors are required to be
, ,...,._:.,..- - _ LIN
r .� , : : � i , ;PE x
licensed with the Oregon Construction Contractors Board
Business name: WEST HILLS DEVELOPMENT under ORS 701 and may be required to he licensed in the
Contact name: STEVE POLLARD jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
Address: 735 SW 158th AVE -, apply:
. City /State /ZIP: BEAVERTON, OR. 974006
Phone: ( 503) 726 -7041 Fax: ( 503) 641 - 7661
E- niail: spollard a(�arborhomes.com
. ,.... ,' e,;.. _. :-, :. , 2,.,-- fr: 'l llq.
__ ___.. CONTR :', . , ' n ;
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UILDING'PERMIT FEES ` ° :,��
,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 FLS plan review fee (if applicable):
Phone: ( 503) 641 -7342 Fax: ( 503) 641 -7661 Total fees due upon application:
CCB'lie: 104847 Amount Received:
Authorized permit application expires if a permit is not obtained
signature: Q---- within 180 days after it has been accepted as complete.
Print name: STEVE POLLARD I Date: 7/26/2011 * Fee methodology set by Tti- County Building Industry
Service Board.
I:\Build ng \pennits\BtJ S PemtitApp.doc 11 /6/07 440- 4613T(11/02/COM /WEB)
. „
Electrical Permit Application Eitagrilit
Received
V City of Tigard Daie/By 121:11EN
k q 13125 SW Hall Blvd., Tigard, OR. 97223 Plan Review
j, Phonei 503.639.4171 Fax: 503.598 1960
Date/By: • . Other Permits
ri See Page 2 For
40644444 Ins ection Line: 503.639.4175 411 ND:ti71:7/MdYiBeth:)d. kris:
'MPAAPi
Inspection Information
In't , t' 0,,,,,,, m , Internet: www.tntard-or.p..ov
VI*1000 = iitiliri -" ::::: ',4,' %''i;:i,Z11,- ' '-:,',„ '..TTYY
O New construction 0 Addition/alteration - 1.i... t ment q,
e Please check all that apply (submit 2 sets of plans w/items checked):
\\
El ° r < (')
'S' .$) 0 Service or feeder 400 amps
0 Hazardous locations
Demolition 0 Other: or more where the available
O Service/feeder 600 amps or more
!'kr&rt' ,.:::,, ' CATEGORY OF'CONSTRUCTIO
V5),A, fault cuirrent exceeds
0 Building over three stories
10,000 amps at 150 volts or
O Nlarinas and boatyards
[0 1- and 2-family dwelling 0 Commercial/industrial . ccessory building 0 Floating buildings
less to ground, or exceeds
O Multi-family El Master builder 0 Other: 14,000 amps for all other 0 Commercial-use agricultural
buildings
installations.
U ,, ''''^$, '''''' : ''' SITEINFORMATION AND LOCATION ;:1 i; „s. 0 Installation of 75 KVA or larger
,:1 ; , i• ,, R,' ,„:,,,,, : „, — i.,', , , 4 '''':'-' , , -,,,,, 0 Fire pump separately derived system
Job no.: Job address: , 13336 SW OUZEL LANE 0 Emergency system
0 "A","E","1-27I-3" occumancy
City/State/ZIP: TIGARD, OR. 97224 0 Addition of new motor 0 Recreational vehicle parks
load of 100HP or more
Suite/bIdglapt.no.: Project name: 0 Six or more residential units 0 Supply voltage for more than
600 volts nominal
0 Health-care facilities
Cross street/directions to job site:
%F EE SCHEDULE
Description 1 Qty. I Fee Total I *
Subdivision: ALPINE VIEW Lot no 24 ,New residential single- Or multi-family dWellittg.Unit;,.
...Includes attached garage. .',.4.,9,-
Tax map/parcel no.: 1,000 sq. ft. or less 4 .,. ILF., 4
bE , '-:.i''' - ''''''''V'' -' ::' "" Ea addl 500 sq. ft. or portion
' '
Limited energy, residential
NEW CONSTRUCTION ( with above sq. ft.) 1 75.00 2
Limited energy, multi-family
75.00 2
residential ( with above sq. ft.) .
21.a!„FLIP.P.....R.17PYYNEIR:1 -:.: „ ' ':;.'77u, •. -...t- ',:-.', - Asi ii; 49,;•;
Name: i--= •-- • WEST _HILLS DEVELOPN1ENT 200 amps or less _., : , , . . 80.30 2
. ,
201 amps to 400 amps 106.85 2
Address: 735;SW 158th AVE
401 amps to 600 amps - 160.60 2
City/State/ZIP: BEAVERTON, OR. 97006
601 amps to 1,000 amps 240 60 2
Phone: ( 503 ) 641-7342 Fax: ( 503 ) 641-7661 Over 1,000 amps or volts 454.65 2
Os.er installation: This installation Is being made on residential or farm property myhed by me or a member of Teiii966 services oi. -,
my immediate family. This property is not intended lot sale, exhange or rent. (ORS 479.540(1) and 479 560(1).
200 amps or less 66.85 2
Owner sigiature: Date: .
, „ .‘,„,„,,,,,, „
, „„„; „ 201 amps to 400 amps 10030 2
PI;P:g ,.-:::Ert6ntAcfAliitoN„,7-4-.411n . . ..._ .
133.75 2
Business Name: WEST HILLS DEVELOPMENT ; Branch enrcInts,, per ponclItA- il s
A. Fee for branch circuits with
Contact Name: STEVE POLLARD above service or feeder fee, 6.65 2
each branch mrcuit ,
„Address: _ 735: SW 158th AVE _ B. Fee for branch circuits _
without service or feeder 46.85 2
City/State/ZIP: BEAVERTON, OR. 97006 fee, first branch circuit
Each addl branch circuit 6.65
Phone: ( 503 ) 726-7044 Fax: ( 503 ) 641-7661
Oliccellaneous or feeder not included): c.,: ':- ,,.,
E-mail: spollard@arborhomes.com Each manufactured or modular
90.90 2
CONTRACTOR ,,,..,;,' ,,,;. . ,,,,, dwelling, service. and / or feeder
" ' a ' 'Ca "" "' ' '''''' a a- ''''' ' '" ' r ''''' "" - - ''" Reconnect 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 circutl(s) or limited-
City/State/ZIP: HILLSBORO, OR. 97123 energy panel, alteration. or Page 2 2
extension Describe'
Phone: ( 503 ) 6484552 I Fax ( 503 ) 642-7925 Et.h.liCIditiiiii an'y oltlii,i,t)Oe''')
CCB Lie.: 121159 1 Electrical I ,ic.• 34-305C Suprv. I Ic.: Per inspection 62.50
Investigation per hour (1 hr min) 62.50
Suprv. Electrician Industrial plant per hour 73.75
sigtature. required: ." , -' '-a 0:A;::t:liii;E4
Print name: CHUCK GARNER Date: 7/26/2011 Subtotal - 3 7 = r,
Plan review (25% of permit fee)
Authorized
Sitature: I ?,4L.,— • State surcharge (12% of permit fee) 4s 5.- t
TOTAL PERMIT FEE i- 7-4. 7
Print name: STEVE POLLARD Date: 7/26/2011 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I: \ Building\ Permits \ELC-PennitApp.doc 05/23/06 440-4615T(11/05/COM/WEB) . Number of inspections allowed per permit
Mechanical Permit Appli 2,:p:
. ........... , . . , , . ...,
Received
City of Tigard % Date/By 1:11111ffigfeffiln
lillie:i''' Al - 131 SW Hall Blvd., Tigard, OR. 97223 .. INN \c „ , 1 , Plan Review - •-: - ,. - - - - - - - Other Permits: : n'' L '..!' ,-.
Date/By
gli: ii ii a $:i: • Phone: 503.639.4171 Fax: 503.598.19 '
1 1pate Ready/By. ra See Page 2 FOT
..0.XitaAligili Inspection Line: 503.639.4175 ci
' tified/M Juris.
ethod: Supplemental Information
76tKit* 1 1..
allaSjeggift Internet: www.tigard-or.gov A•
- 6%0E - ,60,irtibi7itc:', : ).7.4''• :■t\-- . ,U - I: ,:,0thiliftlai4Okt'01 A
El New construction 0 Additionialteration/replaceA Mechanical permit fees° are based on the value of the work performed,
0 Demolition 0 Other:
C the value (rounded to the nearest dollar) of all mechanical
materials, equipment, labor, overhead, and profit...
, P
''...CATEGORY. OF:CONSTRHCTI ,......: - -,:-.: -71.A. .,-,--- Value: $
RI 1- and 2-family dwelling El Commercial/industrial 0 Accessory building ,; ' , 'RESIDENTIALl'EQUIPMENT/,sysTgm4:FEE*.p:::,:me ,
0 Multi-family 0 Master builder 0 Other: For special information use checklist.
,.. -- AND LOCATION ' ''' ,':, ,--. ';:e'37,4'-'t0,--": Description I Q13": Err. Total
Job site address: 13336 SW OUZEL LANE Heating/cooling
Air conditioner or heat pump
14.00
City/State/ZIP: TIGARD, OR 97224 (requires site plan showing placement)
Furnace 100,000 BTU (ducts/vents) 1 407
Suitelbldglapt.no.: Project name:
Furnace 100,000 ÷ BTTJ (ducts/vents) 17.90
Cross street/directions to job site:
Gas heat pump 14.00
Duct work 10.00
-
Hydronic hot water system 14.00
Residential boiler (radiator or hydronic) 14.00 '
Unit heaters (fuel-type, not electric),
14.00
Subdivision: ALPINE VIEW Lot no.: 24 in-wall, in-duct, suspended. etc.
Flue/vent for any of above 6 80
Tax map/parcel no.:
- 10.00
, 4D
' ' - DESCRIPTIONEM ''.:,.
ORK ' -' '
' ' , - - •-.,..,, , ,,;..,-Ap:e;,1. , ,, , ,,, ',-, ', ., , .=..e.,.. , .. , t-.. , i.-ve. Other fuel appliances _,-.......... ,..
NEW CONSTRUCTION Water heater . . -..
• • ' Gas fireplace -
. Flue vent for water heater or as fireplace 10.00
•
Log lighter (gas) 10 00
, Wood/pellet stove 10.00
I42617'.E04 ''' 1" AMMA:b:,:;ittiAktf,i0-1 ':',1','",-'-' -",, Woodlfireplace/insert • 10 00
'... zs-i-". '' -;-'-: ...1.... .,"A1.5,,,
Name: WEST HILLS DEVELOPMENT Chimney/liner/flue/vent 10.00
•
Address:, . .. ..735. SW .158th_AV.F.,_ . Other: 10.00
_ , ......, _. . , . ... ,
Environmental exhaust and ventilation
City/State/ZIP: BEAVERTON, OR. 97006
Range hood/other kitchen equipment 1 57
Phone: ( 503 ) 641-7342 Fax: ( 503 ) 641-7661 Clothes dryer exhaust
-- S exhaust (bathrooms toilet
q: 11 kf 24: .. . - :-.. , :i' ':!rnii C.Z. ' - - 7-4 1 LL v2
, , ) , , „:: , '
‘,,. , , ''N ,,, ' :',':' ' ,, ,,,,,'' ', ' : 0 ' ' — ''''' '"' ' '''''''''''''' 4 ''''' ' '''' ' '' compartments,-utility rooms) --
Business Name: WEST HILLS DEVELOPMENT Attie/crawlspace fans 10.00
Contact Name: STEVE POLLARD Other: 10.00
Address: 735 SW 158th AVE Fuel piping /4 ,t '15 four: ach additional
Furnace, etc.
City/State/ZIP: BEAVERTON, OR. 97006
Gas heat pump
Phone: ( 503 ) 726-7041 Fax: ( 503 ) 641-7661 Wall/suspended/unit heater
E-mail: spollarde.arborhomes.com Water heater
C6i,rRii,6i "- '''a::::'::: , :‘' : :: ; d: ', ' Fireplace
Range
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 $ 1 300, f `i
CCB lie.: 9382 , City or metro lie.:
Minimum permit fee ($72.50)
Authorized ' Plan review (25% of permit fee) $
signature: 4 41 Ot./v \AA. Ck-C
State surcharge (12% of permit fee) $
Print name: TAMT HAGEMAN I Date: 7/26/2011 TOTAL PERMIT FEE $ ..3 i
This permit application expires if a permit is not obtained within 180
l: 1 BuildingTermitaNEC-Pelma App.doc 01/19/07 440-4617T (1 1 /02/CONI/WEB) days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
. .
Plumbing Permit Appli .:w.'.a..
Received
City of Tigard Date/By ' rallINIMIEHIMI
• - •
• .14 ,t41 - 13125 SW Hall-Blvd, Tigard, OR. 97223 Plan Review • • -,- • --- ;• — -- Other Permits: • - • -
. Phone: 503.639.4171 Fax: 503.598.1960 Date/f3y•
- :... • ,.,• - ,, , E4
Inspection Line: 503.639.4175
l afi R ed e 7/v d 1 Y e iB th 5 O ' d . Juris. )I(j See Page 2 For
r4illiPillSeSSilk,4 Supplemental Infommtion
g*G0000
AlBANNOWS Internet: www.tigard-or.gov
iC ti* )
i`P:ElOitfVORIC ':IP'11\Pi '!'::;,:: 111 r. J ow 4 .
2 New construction 0 Dei lith n
) \\‘'' 4 0 F or special information use checklis
0 Addition/alteration/replacement 0 Other: ' A \-‘ Description I Qty. I Ea. I Total
, _ , , New 1-2 family dwellings (includes 100ft. for each utility connection)
-.,,,' 4-:;! TC, OF CONSTRUCTION ‘S-.47,-., ,..,.; -: SFR (1) bath 249.20
E 1- and 2- family dwelling 0 Commerci . mi stria] SFR (2) bath 350.00
0 Accessory building 0 Multi-family . SFR (3) bath (
0
Each additional bath/kitchen 45.00
Master builder 0 Other:
Fire sprinkler (4 sq. ft.) Rage 2
1:4,4: „ JOB ,OffiliNFcmlyvgioNANR:Locoo, „ ,,,:, -, ,,, , ,.::::,, s. Site utilities
Job site address: 13336 SW OUZEL LANE 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/bldg./apt.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.: 24
Fixture or item
Tax map/parcel no.: Absorption valve 16.60
..... ... _ ...
• . ...:.; - :i•;5.;:4;.iL Backftow pre enter Page 2
BackWiatei Valve , 16.60
NEW CONSTRUCTION
....
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
3 :i i:::' .-, -.' :: IV 1,OVENANT„ 4,--7'2,'W,,ta Ejectors/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/Z1P: BEAVERTON, OR. 97006 Garbage disposal 16.60
Phone: ( 503 ) 641-7342 Fax: ( 503 ) 641 Hose bib 16.60
4:'"',IjiiRqRf?
APPLICANT ''''''-' 6iiiii ,,,.',..,' lee maker 16.60 •
,,,,,•,,,it. „Jr, ,.. :, ; ,: „:. .':. , ... - ,i,,,, .„-..2. :'"',4 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 Fax: ( 503 ) 641-7661
Urinal 16.60
E-mail: spollardaarborhomes.com Water closet 16.60
51y, '' ';,::: .. 7: 'ZI-1-7:;t:', 6.6klit46±61i " ';',',W.4. ,:v.:t ,,, ,,,,,, :, Water heater 16.60
4-" 'F'1,,i; ',,,:" '' :•,, / : , 4 2 0.'"),, , imar40 ,, Amn' ,," 7,,,, - ,'-' — ",' , •' / ''':': '• ' '': •• •-'''''
Business Name: DEVELOPMENT NORTHWEST (WOLCOTT PLUMBING) Other.
Subtotal
Address: 1075 W. HISTORIC COLUMBIA RIVER HIGHWAY
Minimum permit fee: $72.50
City/State/Z1P: TROUTDALE, OR. 97060 Residential backflow minimum permit fee: $36.25
Phone: ( 503 ) 667-1781 Fax: ( 503 ) 667-9891 Plan review (25% of permit fee) $
State surcharge (12% of permit fee) $ 60,C
CCB lie.: 112220 Plumbing Lie. no.: 26 PB
TOTAL PERMIT FEE $
Authorized . 00
signature: 1 411P.," , 1 le if
This permit application expires a permit is not obtained within
180 days after it has been accepted as complete.
Print name: GARY LIPPOLD Date: 7/26/2011
. Fee methodology set by in-County Building Industry Service Board
1: \ Building Temats‘PLM-PerrnitApp.doc 12/27106 440-4616T (10,02/COM/WEB)
Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: V — •
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A (J/
Routed Plans:
Original Plan Submittal Date: 7 /,) /I)
1st Revision Submittal Date: ❑ Site Plan Only
2'" Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) 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 5 11_ , Ur ( i 2 t1 at 503-718-4-- or _S/{ C.t-/ @ tigard- or.gov)
Land Use Case No. .e.46,92.004 Name 44-011/436
0i6?)
ck Zoning g 1
•
Er Setbacks:
Front (S Rear
e 5 Street Side /L �
Garage �
El Maximum Building Height Actual Building Height
❑ Visual Clearance
❑ Easements �
❑ Sensitive Lands Type:
Notes:
Original Plan: Approved V Not Approved ❑ Date:
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)
9 Actual Slope:
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)
;3 Trees AO
k7" - Protected Trees /✓i+
Notes: IL 5'f /1EE ?'6E 5 /�C' 'G�1i
kve 144 / FJJ e ��t / ltr� (��a� ✓,{J G't
. / / 44
Original Plan: Approved ❑ Not Approved ° 2 Date: b' — S' ( iP)
Revision 1: Approved » Not Approved ❑ Date: rill!
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 !, No
Date Routed to Building:
i / Ji l 7
Page 2 of 2
•
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-- - - - -� DRIVEN/ W' fi 'iI■
T.O.S. 579'
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I 434 56. FT. in
MAIN FLOOR
980 5 S. T.
F.F.= 80' .,
0
2375 "SYLVAN"
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AMERICAN 5'-0'
Os a,
tit L D POR
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T I k.
MITI . ATION I PE/� �
F rR " -'-6' ASE TALL, I
- --I- - _ _Et, 582.5 — — 0 — ilk c(T AUG 2 2 2011
�• hm 579 ; ^b 50.00' — . 'f a or 7 (
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4 4, ,i NNING/EN R NG
REVISED S /18/11 JJG S I ® E P LA N
REVISED '1/25/11 JJG ALPINE VIEW
Contractor is responsible to check SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP
site plans and notify designer of any 2- SOUTH, RANGE 1 -WEST OF THE WILLAMETTE MERIDIAN
errors or omissions prior to start of CITY OF TIGARD, WASHINGTON COUNTY, OREGON
construction. Also plans and
specifications shall be approved by 13336 S.W. OUZEL LN.
local building authorities prior or 5,674 Shy. FT.
start of construction. �i
LOT 24
WEST HILLS SETBACK REQUIREMENTS: c).
'gym — - - -- 15 REAR YARD: 15' (FROM PL.)
DEVEL INC. FRONT (HOUSE): ' (FROM PL.)
FRONT (PORCH): 5' (FROM PL.)
FRONT (GARAGE): 20' (FROM PL) SCALE
735 SW 158th Ave. STREET SIDE: 10' (FROM PL.)
BEAVERTON, OR 97006 SIDE: 5' (FROM PL.) 1 " =20'
__ _.
4 Y
UnderA ^'L ',♦��
Crawl Space V
.-. J-L,,7*," 7.* A
Designed and engineered
for years of service
Galvanized face Models V1D and V2D
plate may be include adjustable Thermostat
dehumidistat
trimmed if _ deactivates fan
necessary
1, o �> � / '! below 40 °F to
a •-, -/ , avoid freeze -ups
Sealed bearing -=-,/ - =- Models V1 D and
motor(s) ', =
V2D have 6
- r grounded power
.., k4. cord
Easy to install
Ventilators are . .
installed inside crawl
space behind existing ;` = -•r;' ''. ° , , "' "
ventilation opening. •' " 1 _:- �� _ " - .-,
Screws and masonry i ry i f anchors are - ' __.,.._ y - ' . r
included. Models V1D & V2D Model V1
Specifications
Model Vi 4 V1 D V2D
Performance 110 CFM i
g 110 CFM 2 0 CFM
Motor 15 /1 /Fe i 115/1/60 @ . 15/1 60
0. 0 a• ps 4 0.30 amp 0.61 amps
Dehumidistat optional "ir�del DI-110 1
OFF /ON or OFF /O or
dehum !
ir' stt, available 20-80% RH 0 -80` c RH
.eparatt
Thermostat C 'ens at 4o 'F ! Opens at 40 °F • pe• s at 0 °F
Dimensions '4 3/8" x 6 7/8" x 2" ' 18" x 9" x 2" ' : " x 9" x L "
i
11110IVIIIIMOW11110
,' 4 ,� .I �� _ JC o ll� C
i k 1601 Ninth Street White Bear Lake, MN 55110 -6794
h = " Phon 651.426.2993 800.255.4208 Fax: 651.426.9 ra
547
Visit our web site: www.tjerniund.com
.
TIGARD
City of Tigard
February 24, 2012
West Hills Development
Attn: Dan Grimberg
735 SW 158 Ave.
Beaverton, OR 97006
Re: Permit No. MST2011 -00133
Dear Applicant:
The City of Tigard has processed a refund for fees on the above referenced permit(s) as
follows:
Site Address: 13336 SW Ouzel Ln
Project Name: Alpine View, Lot 24
Job No.:
Refund: ❑ Check # in the amount of $
® Credit card "return" receipt in the amount of $4,048.34.
Note: Please allow 2 -5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account "deposit" receipt in the amount of $
Comments: Refund parks SDC paid as demo credits were applied from BUP2006- 00248.
TDT fees paid by credit voucher were deposited back to credit voucher (copy enclosed).
If you have any questions please contact me at 503.718.2430.
Sincerely,
'a
Dianna Howse
Building Division Services Supervisor
Enc.
I:\ Building \ Refunds1,1125s5Nntiga EWAfuRd Trigardot gon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov
M il City of Tigard
TIGARD Accela Refund Request
This form is used for refund requests of land use, development engineering and building application
fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached
to this request. Refund requests are due to Accela System Administrator by Wednesday at
5:00 PM for processing by the following Wednesday. Accounts Payable will route refund
checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing.
PAYABLE TO: West Hills Development DATE: 2/22/2012
Attn: Dan Grimberg
735 SW 158 Ave. REQUESTED BY: Dianna Howse
Beaverton, OR 97006
•
TRANSACTION INFORMATION:
Receipt #: 183798 Case #: MST2011 -00133
Date: 8/31/2011 Address /Parcel: 13336 SW Ouzel Ln
Pay Method: CreditCard Project Name: Alpine View, Lot 24
EXPLANATION: Refund Parks SDC paid by applicant as demo credits from BUP2006 -00248 have been
applied to this permit. TDT fees paid by credit voucher will be returned to voucher.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund •
Example: Building Permit Fee Example: 2300000 -43104 $ Amount
Park SDC 425- 0000 -43300 $4,048.34
TOTAL REFUND: $4,048.34
APPROVALS:
IE under $5,000 Professional Staff
If under $12,500 Division Manager r1. ,'1Y1a,&_
IE under $25,500 Department Manager
If under $50,000 City Manager
IE over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: a4513/AM= B : Mj
1:\ Building \Refunds \RcfundRcqucs[.doc x 09/01 /2010
STREET TREE
TIGARD I A TI
cERTIF c o1v
I ,S s C Eire( V owner / agent or AIa MAfte
� g f
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certify that the following location meets
•
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMITNO.: 41 ®Z$Il.00 f 33
SITE ADDRESS: f 3( *4 , SUBDIVISION: ® mI LOT #: Z
SIGNATURE: L_- DATE: ® ed®
(OWNER ENT)
RE CEIVED & ,e°
VERIFIED BY: DATE: / -7 /
(CITY OF TIGARD)
Tree location verified pe; approved site plan.
I: \Building \Forms \StreetTreeCertificate 04/01/2011
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: mreal.04133 Jurisdiction: en iro
Site Address: ( 55 4
Subdivision/Lot #: otipole Vs f s/
and /or
Map and Tax Lot #: 2
By my signature below, I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)
Signature: � (� Date: l el lit
r ner c`e eral Co actor /Author's Agent
Print Name: SIAMMV41401010g
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.
l:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I,
AnINWIRIAM__
% , am the general contractor or the owner - builder
at the following address:
Site Address: % Isss sNiv Ou C4 L J.*'
City: l't 6 0
Permit #: Al a ,1_c�%b
Subdivision/Lot #:
and /or V s
Map and Tax Lot #:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918 - 480 -0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture - sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: .4 _ `_� Date: 4/142._
Ge a1 Con or or Owner- Builder
I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
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
Building Division
T I.GARD
TRANSMITTAL LETTER
TO: ILA) D D. , ��L r ,
�
DEPT: BUILDING DIVISION i. .
SEP 2 9 2011
CITY OF TIGARD
FROM: iN C BUILDING DIVISION
•
COMPANY: 4 U r itYLe AAIK
By
PHONE:
I �\
RE: l . 0 _ .. \ � cOI / -ooi 33
rt (
e . • ress ermit umber
A( A \ en or (6 9 'y
r su div "sion nat�e and lot number)
ATTACHED ARE THE FO OWING ITEMS:
Copies: Description: ,/Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain): f (
REMARKS: /
•
FOR O • FIC . USE ONLY
Routed to Permit Technicia • Date: • Initials:ei�
Fees Due: ❑ Yes o Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: :\ Date: '11 / Initials: �
I \ Building\ Forms \TransmittalLetter - Revistons doc 02/08/2011