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Permit ,� CITY OF TIGAR t r. ! MASTER PERMIT Ir ':. COMMUNITY DEVELOPMENT Permit #: MST2011 -00165 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Date Issued: 10/06/2011 ,, Parcel: 2S112BD08400 Jurisdiction: Tigard Site address: 14758 SW 79TH AVE Subdivision: BRITTANY MEADOWS Lot: 20 Project: Brittany Meadows, Lot 20 Project Description: New SF. 10/21/11, reprinted to correct number of tub /showers to 3. BUILDING Floor Areas Required Setbacks Required Stories. 2 Bedrooms. 4 First 1140 sf Basement 0 sf Left 5 Parking Spaces' 0 Height 25 Bathrooms 3 Second' 1294 sf Garage 397 sf Front 20 Smoke Dwelling Units 1 Third' 0 sf Right 5 Detectors Yes Total 2434 sf Value $264,781 34 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' 500 sfs 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 2434 Owner: Contractor: BARKHUFF, JORDAN ADVANCED CONSTRUCTION & REPAIR LLC Required Items and Reports (Conditions) LI, TIANCONG 13450 SW CRESMER DR 1 Ersn Cntrl 503 681 - 4444 13450 SW CRESMER DR TIGARD, OR 97223 2 Geo tech report prior to TIGARD, OR 97223 footing Inspection PHONE. 503- 841 -1323 PHONE 503 - 841 -1323 FAX Total Fees: $18,327.27 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 e 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 ENTION Or g law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 1 -0010 trough OAR 52- 0! " -00• You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issu d By: /. ', .1 Permittee Signature: .fQ e% -/�`C I Call 503.639.4175 by 7:00 a.m. for the next available inspection date. U 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. II r CITY OF TIGARD MASTER PERMIT I g :, C OMMUNITY DEVELOPMENT P ermit #: MST2011 00165 • Date Issued: 10/06/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S112BD08400 Jurisdiction: Tigard Site address: 14758 SW 79TH AVE Subdivision: BRITTANY MEADOWS Lot: 20 Project: Brittany Meadows, Lot 20 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 4 First 1140 sf Basement 0 sf Left 5 Parking Spaces 0 Height 25 Bathrooms 3 Second 1294 sf Garage 397 sf Front 20 Smoke Dwelling Units 1 Third 0 sf Right 5 Detectors Yes Total 2434 sf Value $264,78134 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 Linen 100 SF Rain Storm Sewer 100 Drains 0 Tubs /Showers 4 Garbage Disp. 1 Water Heaters 1 Water Lines 100 Catch Basins 0 Bckflw Prevntr 0 Footing Drain 0 Ice Maker. 1 Hose Bib* 2 Backwater Value 1 Drywell- Trench Drain. 0 Other Fixtures 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 SrvclFeeders Branch Circuits 1000 sf or less 1 0 -200 amp 0 0 -200 amp 0 W/ Svc or Fdr 0 Ea addl 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 2434 Owner: Contractor: BARKHUFF, JORDAN ADVANCED CONSTRUCTION & REPAIR LLC Required Items and Reports (Conditions) LI, TIANCONG 13450 SW CRESMER DR 1 Ersn Cntrl 503 681 - 4444 13450 SW CRESMER DR TIGARD, OR 97223 2 Geo tech report prior to TIGARD, OR 97223 footing inspection PHONE 503- 841 -1323 PHONE. 503 - 841 -1323 FAX: Total Fees: $18,327.27 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 i cordanc- . th 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 TENTION• Orego law .uir s ou to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -0 1 -0010 through OAR 952 •41-0090 ou'may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800: 32 2344. Issue , 6 a,st)(4-4:( Permittee Signature: A Call 503.639.4175 by 7:00 a.m. for the next available inspection d./ This permit card shall be kept in a conspicuous place on the job site until comp!: ion of the project. Approved plans are required on the job site at the time of each inspection. N Buil Permit Application Residential RECEIVE. - FOR.OFFICE USE ONLY , ' City of Tigard Date /B d 9 Permit No ��!!�(�� '� 13125 SW Hall Blvd., Tigard, OR 97223 5 P 2 7 2011 Plan Revie7.�.:,/ i � Other Permit ��`/�L�`! f3 Phone' 503.718 2439 Fax 503 598 1960 Date /B AWE AV Inspection Line 503 6394175 Date Rea+ j Juns ® See Page 2 for Internet www tigard- or.gov CITY OF TIGARD Notified/Method !/9/u ` // - Supplemental Information BUILDING DIVISION ff OF WORK . g i , ., AIEQUIk9 DATA I AND2 FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' 2 •- ;'CATEGORY OF CONSTRUCTION '`. '' .. s = a work indicated on this application. Valuation: k Z �,q EA 1- and 2- family dwelling El Commercial /industrial 7( ' =� 1— ❑ Accessory building ID Multi-family Number of bedrooms: 4 ❑ Master builder L ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION '' - '' 75 ' a° ' ',,. -- Total number of floors: 2 Job site address: 14758 SWAve New dwelling area: 2434 square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: 397 square feet Suite /bldg. /apt. no.: N/A Project name: Covered porch area: ,JS square feet iii - - Cross street /directions to job site: off Bonita & 79 Deck area: square feet i t 40 Other structure area72P Msquare feet 'REQUIRED`DATA: COMMERCIAL- USE:CHECKLIST Subdivision: Brittany Meadows Lot no.: 20 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 2S112BD -08400 Indicate the value (rounded to the nearest dollar) of all profit for the :=,;. equipment, materials, labor, overhead, and the pro •' - work indicated on this a a ', "DESCRiPTION..OF_VVORK � �•�, _ .s: application. t - € , , 6 - Valuation: $ �J C' Existing building area: square feet New building area: square feet ® PROPERTY YOWNER "" . ),'" ;,,, ,y ; ;i• ❑ °'TENANTS Number of stories: Name: Jordan M Barkhuff & Tiancong Li Type of construction: Address: 13450 SW Cresmer Dr Occupancy groups: City /State /ZIP: Tigard, OR 97223 Existing: Phone: (503)841 -1323 Fax: ( ) New: ' APPL;ICANT CONTACTS;PEliSU1V:'P:s ``�' =F ,BUILDING PERMIT FEES r : - °: :/fPlease' efer to'Jee. schedule , -, '." - °� Business name: Advanced Construction & Repair LLC Structural plan review fee (or deposit): Contact name: Jordan Barkhuff FLS plan review fee (if applicable): Address: 13450 SW Cresmer Dr City /State /ZIP: Tigard, OR 97223 Total fees due upon application: ,,,r) Phone (503) 841 -1323 Fax: : ( ) Amount received: i750 / E -mail: jordan@advancedconstructionpdx.com PHOTOVOLTAIC SOLAR PANEL- SYSTEM�FEES* ,- ' - 4. - - - _ ,a. , ,. Commercial and residential prescriptive installation of ' � CONTRACTOR- '';,` roof -top -'ounted PhotoVoltaic Solar Panel System Business name: Advanced Construction & Repair LLC Submit two sets of roof plan with connecti etails - and fire depart it access, along with th 10 Oregon Address: 13450 SW Cresmer Dr Solar Installation p- shy Code c - list. City /State /ZIP. Tigard, OR 97223 Permit Fee (includes • • review $180.00 and adm' ' rative eeg : Phone: (503) 841 -1323 Fax: ( ) State surcha • - 12% of permit fee): $21.60 CCB lic.: 181918 (/ _ 'f( y - otal fee due upon application: 60 Authorized signature: K /L This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JORDAN BAR HUFF Date: * Fee methodology set by Tri- County Building Industry Service Board 1:\ Building \Pennits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T( I I /02 /COM /WEB) Froln:R2C Group 10/03/2011 08:30 #006 P.001/001 RECE , , Electrical Permit Application FOR OF ICE �:Sr ONL 1 . City of Tigard OCT 0 3 2 ii '�j dateB eceived far? rte +, Permit No /�a/6 -- Iii 13125 SW Hall Blvd., Tigard, OR 97223 Phone. 503 718 2439 Fax 503 598 1960 FL Other Permit �s _ n lt . 0 Inspection Line. 503 639 4175 CITY OF TIG i u 0e Read Iris RI See Page 2 for Internet www tigard -or gov BUILDING DIVI!' to k d /Method, Supplemental Information TYPE OF WORK PLAN REVIEW iiWI New construction Addition /alteration/replacement Please check all that apply (submit 2 sets of plans whtems checked below) ❑ Demolition ❑ Other: 0 Service or feeder 400 amps or more ❑ Building over three stories, where the available fault current ❑ Mannas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 0 Commercial -use agricultural fig 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other Installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump 0 Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately denved system Q Addition of new motor load of Job no : Job site address: � jF �; (V' �� 1001 or more occupancy ❑ Six or more residential units 0 Recreational vehicle parks City /State /ZIP: i, f ❑Hea lth -care facilities �, 0 Supply voltage for more than . ❑Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name: p 0 Service or feeder 600 amps or more Cross street/directions to job site: // x (%� FEE SCHEDULE f f b' ( l / 761,,,./., Description I Qty. l Fee. I Total tt New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq ft or less I 168 54 lie$, _ 4 Tax map /parcel no : Ea add'l 500 sq ft orpomon 33 92 ` 1 Limited energy, residential DESCRIPTION OF WORK (with above sq. ft) ` 75 00 75,6f1 2 Limited energy, multi- family residential (with above sq ft ) 75 00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100 70 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133 56 2 T ` 164 401 amps to 600 amps 20034 2 Name: r 4 < �G C (,^ i v / (f i � — 601 amps to 1,000 amps 301 04 2 / Address, 1 ( 0/4 4, C Over 1,000 amps or volts 552 26 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( c,7 K /32 7 Fax, ( ) 200 amps or less 59 36 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125 08 2 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 ❑ CONTACT PERSON above service or feeder fee, / each branch circuit 7 42 2 Business name: 4e Ceti .. <'Y ( , / ", , l / C i B Fee for branch circuits without service or feeder fee, first Contact name branch circuit 18 2 Address: Each add'l branch circuit 7 42 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder 67 84 2 Phone' ( ) Fax: ( ) Reconnect only ' 67.84 2 E - mail: Pump or irrigation circle 67 84 2 Sign or outline lighting 67 84 2 CONTRACTOR Signal circuit(s) or limited- energy _ Business name- l• / t ,, c j1 Cl•r � /L ' Cr panel, alteration, or extension. Page 2 2 _ Each additional inspection over allowable in any of the above Address. / 3 ' A a /�� Cr Additional inspection (1 hr mm) 66 25/ hr City/State /ZIP: (4)/z_ 60A/V u_f_ 9 70 Investigation (1 hr mm) 66 25/ hr Industrial plant (1 hr min) 78 18/ hr Phone: (593 ) 57 Z - ,j19 Fax: ) t /, f 5 Inspections for which no fee is 6 C y ► ®l I specifically listed (% hr mm) 90 00/ hr CCB Lie.. / pp. 17 f v � 1 Electrical Lic.: 7 -� d Suprv, Lic.:�•'°7/ 75 C ELECTRICAL PERMIT FEES Suprv. Efectr (s ture, required: : „- i I 1 - Subtotal' ' ' 7 • ,,,t ' _� i Plan review (25% of permit fee). / Print name- ,$ / Date: P/30 //f State surcharge (12% of permit fee)• LC 7, � 1 C °�2 Authorized signature: TOTAL PERMIT FEE. 41' z4-, 7 - This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit I \Bwldmg\Permits''ELC•PermitAp doe 0701'10 440- 46 /ST(11 /OS /COM/WEB Mechanical Permit Applica 111 , FOR OFFICE USE ONLY �� Received City of Tigard Date/By 9A I / Permit No. ff5raoa—°6/695 ° I 13125 SW Hall Blvd , Ttgard,OR 9722 CC y Plan Review n Phone: 503 718 2439 Fax. 503 598 19 0 P ` 2011 Date/t:(4)/2., y Other Permit ty/C. A0 / /O e, r TIGARD Inspection Line: 503 639 4175 Date Ready /By Juns ® See Page 2 for Internet www.tigard-or gov CITY OF TIGARD Notified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work I� New construction ❑ Addition /alteration /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 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 4 1_ and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: • 9 r r 4 79 (requires site plan showing placement) 46.75 f Furnace 100,000 BTU (ducts /vents) 46 75 L+ City /State /ZIP: „, 0/ Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg /apt. no : Project name: Heat > �r pump // (requires site plan showing placement) 61 06 Cross street/directions to job site lict1, l Duct work 23 32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23 32 Unit heaters (fuel -type, not electric), In -wall, in -duct, suspended, etc 46 75 Subdivision: Lot no.. Flue /vent for any of above 23.32 Other 23 32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater ( 23 32 - 2 3.2— (.J Gas fireplace 33 39 � ( �l' Flue vent for water heater or gas fireplace 23 32 Log lighter (gas) 23 32 Wood /pellet stove 33 39 Wood fireplace /Insert 23 32 PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23 32 / Other 23 32 Name' 7 r '‘' (( 0 a' /4 ? `i7 Environmental exhaust and ventilation: Address: / / �- _ ((( Range hood/other kitchen equipment 1 33 39 �'✓• , c �U ��., r � � r t� � - e -- � City /State /ZIP: `7 y --(/ C/rZ Clothes dryer exhaust I 33 39 63.i Single -duct exhaust (bathrooms, Phone: 6 �'� /— /7 2 3 Fax: ( ) toilet compartments, utility rooms) '' 23 32 i (6 r_ ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23 32 Business name' Other. 23 32 Fuel piping: Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc 1 1 J Gas heat pump City /State /ZIP. Wall /suspended/unit heater Phone: ( ) Fax : ( ) Water heater 1 E-mail- Fireplace i Range CON RACTOR Barbecue Business name: - 2/(A�,y/ Clothes dryer (gas) Other Address: 7 f TO SG/ c e [AT - r!" MECHANICAL PERMIT FEES* City /State /ZIP: T. �, 012 Subtotal 4 ( Phone: (5Z2)) v..7._ 7) 2 Fax: ( ) Minimum permit fee ($90 00) �� (3' Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) ,' -- 'p / TOTAL PERMIT FEE .3?, Authorized signature. (g f2: J/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 10(\d, k 7 /(-4 v C Date: y— 7 7 /7 * Fee methodology set by Tn- County Building Industry Service Board 1 \Building\Permits\MEC- PermiApp doe 09/09/10 (7 440 -4617T (1 I /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • Commercial & Multi - Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. \Bwldmg\Permrts \MEC- PermitApp doc 09/09/10 2 1 - Plumbing Permit Application . Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard C Received A P � IN - Pe rmit � Pert No h6ragew ner `„ n 13125 SW Hall Blvd , Tigard, OR 972F3E C P 2 7 2011 Plan Re i ^ Phone. 503.718 2439 Fax: 503.598.1960 Da Date /By taw Other Permit No . p/L JI(. �GV � �� 7 T 16A RD Inspection Line 503 639.4175 CITY OF TIGARD Date Ready/By Juns Ed See Page 2 for Internet: www.tigard- or.gov RI III DING DIVISION Notified/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist V New construction 0 Demolition Description I Qty I Ea I Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 Op 1- and 2- family dwelling CI Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 !j __,C), 3� ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other. Fire sprinkler ( sq. ft) Page 2 JOB SITE INFORMATION ANDD L CATION Site utilities: Job site address: / L/ q 5 C si.1/ � � ' -' Catch basin or area drain 18.76 /' City /State /ZIP: r t/ 4 „„ 0 /Z I f Drywell, leach lme, or trench drain 18.76 Footing drain (no linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site. Poll /d 7 w--A Manholes 18 76 Rain drain connector 18.76 Sanitary sewer (no linear ft . ) Page 2 Storm sewer (no linear ft ) Page 2 Water service (no linear ft.• ) Page 2 Subdivision: l Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12 51 /�� Clothes washer 25 02 f t1 '�' / ( Dishwasher 25.02 C Drinking fountain 25.02 Ejectors /sump 25 02 �C PROP RTY OWNER I ❑ TENANT Expansion tank 12 51 /7 ll / Fixture /sewer cap 25 02 Name: J 6 (Ali /� Q / K� v / Floor drain/floor sink/hub 02 Address: z ei 7, S y s Li yo 4 Garbage disposal 25.02 City /State /ZIP: l2Ur 'Novi Hose bib 25.02 Phone: (5 1” VI— n 7 3 Fax: ( ) Ice maker 12 51 0 APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Lai gas (value $ ) Page 2 Business name: 4U` �a (•-( C S 1 / , v e 1, oil Primer 12.51 Contact name: `r(g ,a ah , ? / / 2: '15-0 7 / Roof drain (commercial) 12.51 Address: / J S-� �"rt1N -�{�^ ,, (c: Sink/basin/lavatory 25.02 City/State /ZIP: r 9 r �, 0 /Z Solar units (potable water) 62.54 5 Phonc: (5 7.7-/- 73 7 7 Fax. : ( ) Tub /shower /shower pan 12 51 E -mail: Urinal 25.02 4 I- CONTRACTOR Water closet 25 02 / Water heater 37 52 Business name: A / Am my) ran (OP J~ fa (• /0, -, s� lde---. Water piping/DWV 56.29 Address: '7 S bt. M0 b( Other: 25.02 City /State /ZIP: Pow,- ,„,,,,,h t oQ 97 (p Subtotal 600e 32. Phone: (56; ) S 6— l tot(P Fax: ( ) Minimum permit fee. $72 50 CCB Lie.: / c‘ / T y 1'S Plumbing Lic. no.: Rey Plan review (25% of permit fee) 1 711! L4 State surcharge (12% of permit fee) (a, 0# Authorized signature: /e..-e- ( TOTAL PERMIT FEE on, Print name: ;� ar k4 �!� Date: This p ermit a expi if a d within 180 days t) g o after it has been res accepted permit is as not complete. obtaine *Fee methodology set by Trr -County Building Industry Service Board I \Budding\Permits\PLMU- PermdApp doe 10/01/09 440- 4616T(10/02/COM /WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - l st 100' 50 03 0 to 2,000 $121 90 Footing drain - each additional 100' 37 52 2,001 to 3,600 $169 69 3,601 to 7,200 $233 20 Sewer - 1st 100' 62 54 7,201 and greater $327.54 Sewer - each additional 100' 37 52 Water Service - 1st 100' 62 54 Medical Gas Systems: Water Service - each additional 100' 37 52 Storm & Rain Drain - 1st 100' 62 54 Valuation: Permit Fee: $1 00 to $5,000 00 Minimum fee $72 50 Storm & Rain Drain - each additional 100' 37 52 $5,001 00 to $10,000 00 $72 50 for the first $5,000 00 and $1.52 for Other Inspections or Fees Qty. Fee (ea) Total each additional $100 00 or fraction thereof, to and including $10,000.00 inspection of existing plumbing or for $10,001.00 to $25,000 00 $148 50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90 00/hr • each additional $100 00 or fraction thereof, to (minimum charge — 1/2 hour) and including $25,000.00 Inspections outside of normal business 90 00/hr $25,001 00 to $50,000.00 $379 50 for the first $25,000 00 and $1 45 for hours (minimum charge — 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90 00/hr and including $50,000 00 Additional plan review for revisions 90.00/hr $50,001 00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge 1/2 hour) each additional $100 00 or fraction thereof Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for any of the following. Performed: Capped Added Relocate Q y g Baptistry/Font Please check all that apply. Bath - Tub/Shower ❑ Any new commercial building with water service 2" and Jacuzzi /Whirlpool greater, except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor /Water Aspirator as defined in OAR918- 780 -0040. Dishwasher - Commercial ❑ Medical gas and vacuum systems for health care facilities. - Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain • ❑ Any complex structure as defined in OAR918 780 - 0040. Eye Wash Floor Drain /sink - 2" Submit 2 sets of plans with any of the above. -3" 4 Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser s diagram is required for new buildings Garbage - Domestic— non -food g q g Disposal - Domestic—food related that meet the qualifications above. - Commercial —food related - Industrial -food related Ice Mach./Refrig Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec Vehicle Dump Station • Shower -Gang -Stall Sink/Lay - Non -food related - Bradley - Commercial -food related - Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer - Clothes Water Extractor increase of sewer EDUs, a sewer permit will be issued and Water Closet - Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures I:\ Building \Permits\PLMF - PermitApp.doc 02/24/2011 2 Building Division Development Code Provision Review TiGARp Residential Projects Building Permit No: H 5t aqo t ( I bot h CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: 94/ J Original Plan Submittal Date: 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (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. Planning Review (contact at 503-718 4.S�f )2 / or S 4 (" / , / @tigard- or.gov) Land Use Case No. �� 1$ An ' Name l ik _ 06 2 � 0 1 P .� Sctbacks: l Front i S Rear /, S Side 5 Street Side / v Garage ❑ Maximum Building Height OS Actual Building Height E EI Visual Clearance opr Easements ci ' PO. P- Sensitive Lands Type: 00d.) SA--a h as Notes: Original Plan: Approved I2" Not Approved ❑ Date: 9 1 7l 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: 12- Notes: Original Plan: Approved Not Approved ❑ Date: ' Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved Cl 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) D Street Trees GI Protected Trees ff� Notes: ' (74 �. s 'fie. 1 n e ,� ��New� /5 irk, ,‘ �, .c am ,k1 4 act,0.�.4„ Original Plan: Approved G/ Not Approved Lei' Date: 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 Applica Revision 2: Date Sent to App ant Okay to Issue Permit: Yes No ❑ Date Routed to Building: v Page 2 of 2 2 TRIDENT MAPLE TREES Designer: Ryan Zink ,_ \ - 172' EL. 162' EL. 3111 Cottonwood Ct , x 72.000 y — — — — — — — \ West Linn, OR 97068 ° C: 503/701 -8213 4; Ryan @Zinkdesignservices.com \ - � n in! SETBACK , Client: e RECEIVED 7 '� Jordan Barkhuff & a a OCT 0 3 2011 Li Tiancong New 0o CITY OF TIGARD i ' , -_l . HOme BUILDING DIVISION 1Qf _ - i'_ , . 14758 SW 80th Ave �? 0 ° Tigard, OR 97224 f � / LOT: 20 R #: W432786 �* . N. • / < ' \'_ Tax Lot: 2S112BD08400 7 I Prop ID: R2155939 j� Map #: `� „ / a v I d W o ° a I A SQUARE FOOTAGE: ° a a 1st Floor: 1185.4 4 < - i -_ Garage: 397.3 LA I g ° ° . o a a a =! =; 2nd Floor: 1249 a :TA ^` I Total Living: 2434.4 — 1_ Lri 4 A a a a a l0 4 a ° ° a a ° PERMIT SET 09/21/11 a a En a _ ,--1 SETBACK I o 0 NJ a U I SITE PLAN u a m m H w (/) cn a ° EASEMENT 1 _ _ _ 72.000'_ — — — x SP 169.3' EL. \ 165.625' EL. SITE PLAN CD 1/8" = 1' SHEET Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: S7' (o(/- /‘r Jurisdiction: /y Site Address: / 0 qr./4 /4LP Subdivision/Lot #: Pr/ My �t4 1:7 � f g and /or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) • Signature: Date: li/2 O er /General Contracto Authorized Agent Print Name: gorZ11 ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I: \Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 7orZ. i / r( v , am the general contractor or the owner- builder at the following address: Site Address: / . �� S( 79/4 4.t. City: 7 2 Permit #: Subdivision/Lot #: ey � � r 7o and/or Map and Tax Lot #: /f7 Q �/� G� /(c 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: / Date: 5 G .- eral Contractor or Owner - Builder I:\Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE CERTIFICATION I, Jo ria/ . 4. -fit vim' , owner/ agent for Jacs/rii , (PLEASE PRINT) (PERMIT HOLDER) do hereby certi that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.. MI ?0/ / -00/IS HIE ADDRESS: / y SZ,/ 9/‘ SUBDIVISION: ,041/ �YR w J LOT #: 2 0 SIGNATURE: I /, / DA"1E: �f �� ( ER /AGENT) RE CEIVED VERIFIED BY: 2-- TZT rrOF Tree location ven: ed per approved site plan. I \Buildin \Forms \StreetTreeCertificate 04/01/2011