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Permit 1 CITY OF TIGARD MASTER PERMIT IN ILw Permit #: MST2011 00182 4 :. ":- COMMUNITY DEVELOPMENT Date Issued: 11/01/2011 TI rftiARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 parcel: 1S125CA11900 Jurisdiction: Tigard Site address: 9255 SW 74TH AVE ` Subdivision: 2007 -083 PARTITION PLAT Lot: 2 Project: Lawrence Partition - Project Description: New SF. Demo credits from BUP2007 -00021 applied to this permit Demo credits from BUP2007 -00021 applied to Parks and TDT fees 11/1/11 BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 3 First 1783 sf Basement 0 sf Left. 5 Parking Spaces 0 Height 20 Bathrooms 3 Second 736 sf Garage 420 sf Front 20 Smoke Dwelling Units 1 Third. 0 sf Right 5 Detectors* Yes Total 2519 sf Value $275,434 90 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 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 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 2519 Owner: Contractor: MEECHAN, PATRICK & KATHIE C & L PROPERTIES LLC Required Items and Reports (Conditions) 8603 SW 49TH AVE 9279 SW 75TH 1 Ersn Cntrl 503 - 681 - 4444 PORTLAND, OR 97219 PORTLAND, OR 97223 PHONE 503- 245 -2931 PHONE. 503 - 245 -4944 FAX. 503 - 245 -5038 Total Fees: $7,751 22 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 iss :nce or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility No atio Cen er Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090 You may ob - . - • • • e rules or direct questions to OUNC by calling : . 32 l• :7 or 1 801' 332 2344 Issued By: /. d._ _ � = Permittee Signature: l� .4 it Cal1�y 1C! ► 5 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. H 4 Building Permit Application Residential R ECEIVED FOR OFFICE USE oN Y City of Tigard DateBy� [ _�,�� I PennitNo , 2 � 6 // W 1111 111 13125 SW Hall Blvd., Tigard, OR 97223 O C T 19 2 011 Plan Review > ` Phone: 503.718.2439 Fax: 503 598.1960 DateB : �j' F �� Other Permit 0. t , ../(--CO/ T I G A R D Ins Line 503 639 4175 CITY OF TIGARD Date Ready :y /�� H See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISIO .1 Notified/Method i i ( 'y. n �� ' � Supplemental lnformation 4 r , .3' L st .�_ %a. T TYPE OF WORK REQUIRED DATA: 1 - AND 2-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 CATEGORY OF CONSTRUCTION work indicated on this application. X 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ L. --- ) ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: Z 6 Z JOB SITE INFORMATION AND LOCATION ' Total number of floors: Z Job site address: 9255 S .- Al,...) New dwelling area: 2519 square feet City /State /ZIP: j O' " .,, 0 e . 97 _ Garage /carport area: Az O square feet • Suite/bldg. /apt. no.: Project name: t 0(4 4 : 'z' '• /.. i ' , Covered porch area 1 240 square feet 736, Cross street/directions to job site: 1.'4 iP O 7 gyp Deck area: Iola square feet i 7�' - 1 - 44 1 .)es Ve Other structure area: 2C1 square feet -2....e) tiLD REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: ^ I Lot no.: 2 Permit fees* are based on the value of the work performed. Tax map /parcel no.. Y (41 l 1007 - 0 2)3 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the . DESCRIPTION OF WORK work indicated on this application. A qG Co AT ,- . . ^ Valuation: $ N� ��„Kr g E ^11 Existing building area square feet New building area: square feet PROPERTY OWNER ❑ TE NANT Number of stories: Name: 14 OCic t$ �'�A'�'46E �,,�/� Type of construction: Address: e bo3 S _„.i 4.91 Occupancy groups: City /State /ZIP: POP, 01Z...9 72 f 9 Existing: Phone: ( 50f, 245 213 1 Fax: ( ) New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* �� `` (Please refer to feeschedule) Business name: C Z. L Zd Peel LL,C Structural plan review fee (or deposit): Contact name: LpQ R j \ ei 6 1,41— Address: CM-Ft �_S''°°''��� , IS 1-1N- �U� FLS plan review fee (if applicable): Total fees due upon application: City /State /ZIP: el 0 0 Q_ 9'pz, CC ( so c 3-1 Leto 5 2 I� ,3 Amount received: Phone: - Fax: ( D3) L"t,s - 5 E -mail: CANI Lae. 5 A�DEr. c co PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: C. eZ L P� P Tpcs LL c Submit two ( sets of roof plan with connec ion details e and fire depart .•nt access, along wit 010 Oregon 2. `• Address: 9 19 S . ' 75r)B A\DE. Solar Installatio •ecialty C ecklist. Permit Fee (i' I : "- planrevie City /State /ZIP: fp 100 O. � n.2.3 r :. em' " ='strative fees): $180.00 Phone. (5 3) 939 -2 Fax: 2. 5..S State .rcharge(12 %ofp: . it fee): $21.60 CCB lie.: `L 6 I ", . al fee due -upon applica , : $201.60 Authorized signature: � ' I ? � This permit application expires if a permit is not obtained 1ralLi ii ;� within 180 days after it has been accepted as complete. Print name: !V i V4 2 (A I i Date: I • , r / p 6 * Fee methodology set by Tri -County Building Industry Service Board. I•\ Building \Permits\BUP - RESPennitApp roc 02/24/2011 440- 4613T(11 /02 /COM/WEB) . , y Building Permit Application Checklist One- and Two - Family Dwelling F OFFICE USE ONLY City of Tigard Received Date/By No Er 13125 SW Hall Blvd , Tigard, OR 97223 Associated permits. Phone 503.718 2439 Fax: 503 598 1960 • T[GA RD 24- Hour Inspection Line 503 639 4175 ❑ Electncal ❑ Plumbing ❑Mechanical Internet. www.tigard - or.gov ❑ Other. THE FOLLOWING'ITEMS ARE RE >QUIRED FOR PLAN REVIEW ' ! 'Yes I No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. -IN ❑ ❑ 2. Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 12 ❑ ❑ 3 Verification of approved plat /lot. IR ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ .I 6 Sewer permit. ,.! ❑ ❑ 7 Water district approval. L 1 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control 1Xplan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state tik ❑ ❑ building codes. Lateral design details and connections must be incorporated into the.plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to'scale. The plan must show lot and building setback dimensions; property corner elevations (if Tit ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area, existing structures on site; and - surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size N ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke.detectors, water heater, , ' .151: ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray l construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations,,for non- Pi ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing 5t ❑ ❑ locations. Show attic ventilation. . . , 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ A systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists } ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof trpss design details. . I , 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required n ❑ ❑ for four or more appliances. . 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or 1St ❑ ❑ architect licensed in Ore :on and shall be shown to be a plicable to the .ro'ect under review. \ JURISDICTIONAL SPECIFICS . ` i i .I 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". , ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. .. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard • ❑ ❑ ❑ Street Tree List. , 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, • ❑ ❑ • ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I \Building\Permits\BUP- RESPermitApp doc 02/24/2011 440- 4613T(l1/02 /COM/WEB) i , ,* Electrical Permit Applica i "CE1VED FOR,OFFICE USE ONLY Received 1,1 .. City of Tigard Date/B ��� �/ Permit No : r / r -- el /e.-- . q 13125 SW Hall Blvd , Tigard OR 1 9 2 Q 11 Plan Review Phone • 503.718.2439 Fax 503 59 960 Date/By Other Permit. A/ k /....-et, /5f1' T t'GARD Inspection Line 503 639 4175 CITY OF TIGARD Date Ready/By. Suns fill See Page 2 for Internet. www.tigard- or.gov Notified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK PLAN REVIEW MNew construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural X 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings ❑ Multi- family El Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately denved system h ❑ Addition of new motor load of ❑ "A ", "E ", "i - ", "1 - ", q ``� g� IOOHP or more occupancy Job no.: Job site address: 9►255 S w °`Y T i r 7 1 h ' \ / " ❑ Six or more residential units ❑ Recreational vehicle parks City/State/ZIP: ❑ Health -care facilities ❑ Supply voltage for more than ty (I A Q . 97223 ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name. ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total '61�O5 ED New residential single - or multi - family dwelling unit. 1 LIDOS Includes attached garage. Subdivision: Lot no. 1,000 sq ft or less 168 54 ( ��), ` 4 p ^ _ T * ^ OO 1 _ 083 Ea add'I 500 sq ft or portion 33 92 ( I Tax map/parcel no. l,lp G Limited energy, residential DESCRIPTION OF WORK (with above sq ft) ` 75 00 75 So 2 Limited energy, multi -family 75 00 2 ■11 CT 1 V I residential (with above sq ft ) Services or feeders installation, alteration, and/or relocation 200 amps or less 100 70 2 i.4i PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133 56 2 • t 401 amps to 600 amps 200 34 2 Name: PA IC$C' s k A- sa °(.A I 601 amps to 1,000 amps 301 04 2 Address a �j0 3 S 4 IE . 4912' AN F., �"� Over 1,000 amps or volts 552 26 2 � Temporary services or feeders installation, alteration, and /or City/State /ZIP: ® �� ci ZQ9 relocation Phone: (5 Z 45 - 2ci3 Q Fax: ( ) 200 amps or less 59 36 1 201 amps to 400 amps 125 08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 168 54 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A Fee for branch circuits with APPLICANT ❑ CONTACT PERSON above service or feeder fee 7 42 2 each branch circuit Business name: C bL - Peofte:rf .S L,L` B Fee for branch circuits without service or feeder fee, first 56 18 2 Contact name: LAe kIYI JI \ /zit C tkr branch circuit Each add'I branch circuit 7 42 2 Address:92n 'I,4- 7 5 T—kt Miscellaneous (service or feeder not included) City/State/ZIP: ?DIATLAILI O ©fz. 6 i.3 Each manufactured service and/or d/ r modular 67 84 2 dwelling, service and/or feeder Phone: (503) 939 -•23 Q O Fax:: (5b3)• 2A5 -• 50312, Reconnect only 67 84 2 E -mail: � 1-41:k 6111$ it 1EV Akt Er CO Pump or irrigation circle 67 84 2 Sign or outline lighting 67 84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: \0414; re.. 1i9 1 Nei E1.�G , � * panel, alteration, or extension. Page 2 2 �� Each additional inspection over allowable in any of the above Address: 11524 S Z - . C 2 - Additional inspection (1 hr min) 66 25/ hr •) Investigation (1 hr min) 66 25/ hr City /State /ZIP: . q 2� Industrial plant (1 hr mm) 7818/hr Phone: ( 563 -212_ -- 3 009 Fax (503) 1 '12. ^ 400 '2 Inspections for which no fee is 90 00/ hr specifically listed (% hr min) CCB Lic.A53 W-1 Electrical Lic.:31 -liSrC Suprv. Lic : A41 55 ELECTRICAL PERMIT FEES Subtotal c:::::::. Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE. Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit I \Buildmg\Permits\ELC- PermuApp doc 07/01/10 440- 4615T(I 1 /05 /COM/WEB Electrical Permit Application - City Page - 2 - Supplemental Information . LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: - Fee for all residential systems combined., .. , $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* • ❑ Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* .n Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 • system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ■ ❑ Audio and Stereo Systems ❑ Boiler Controls • ❑ Clock Systems n D • ata Telecommunication Installation • • n F ire Alarm Installation ❑ HVAC . ❑ Instrumentation n Intercom and Paging Systems - , , ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls H Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 \Bmldmg\Permtts\ELC- PermnApp doc 07/01/10 Oct 1711, 01:42p \A/hite Lightning Electric (503)772-4008 p 1 .. t, ;.'.v. g.i1,1-1.k, E l e letriCati Per...---...1 ,,,...z;vzt,,:...,,,,i,,..t..4..,,,,p,.;,,,..;,VV,t.I.jri.,lifl..71(iir?..i..i.A;).x.t.V)•hyv,,,.,,..4.f.,v,;,;,,:i=i'A..:;•.,.6,1r,`.W.N‘,?. ,, , , , ,f,z,,..„,, , i?',',, , I,' , .flii:;;;" , :.:'41 ,1 'f•k..ti7.4A. ,, AY-'11',0 f' .,;',1..^ , ' , ,*."'"'"'i.""5,' ,, .i . NP , •' , :' ,., 'W' ., ! , :31.- i 1 City of Tigard RNICI1r...d DatelBy: 1 No.: i'llY(5 13125 SW Hall Blvd., Tigard. OR 9 Plan Review Phune 503.718.2439 Fax: 5o3.598,1960 Date,3• Ober Penult ' Inspection Line: 503,t39.4 I 75 Doc Randy/By: krif. e see Page 2 for J,J 1 ,J lotctrict: WWW tigard-or.gov Not tiecl r ahethod: Supplorneratal Information --- - - 1 l'ITE OF WORK PLAN REVIEW E N rnA/ construction 0 Additiorualterationireplacement Nast check a2 illat apply r5ulyma : sets. Jar plans wheat elleaerl balm 0 Service lr feeder 4033111p5 or more El 134ilding over three star eJ 0 DcrnDlition 0 Other: v...itetette available fault current 0 Manilas and boaprarth, CATEGORY OF CONSTRUCTION eitce.tils 10,1100 amps at 1:"Q 'Mlle Ur 0 Hosting balicliags. -- less to prour.S, or ex=eds J4,000 C Ctsc rnerceni np,nel:Itilmi 0 1- and 2-family dwelling 3 Conarnerciallindustrial 0 Accessory building QtrilS for all Jailer irotallatioca„ buildings, 0 Multi 0 Master builder 0 Other: 0 ,_, Pim tort ?um,' 0 lo (talon o A f 75 KV or LI Errieroancy system in Ter separately ottarerad sybtcin 3011 SITE INFORMATION AND LOCATION 0 Adchtias of new mocor cad of – ,,,-- Job no.: — Fob sue aJdresa. C IA 55- 7.----11-=-'71-17-i___ WOW oe more. ocimpar cy, A 0 Six or more reskenttai units 0 Revatat.cruil vehide pirks. C /St ru/ZIP: Cl Hcalth-cale facilitim 0 Supply mitspe for more titan ityt 0 Elszardcus locations 600 volts mammal _ sundblcig. , apt. no.. . Project name: 0 Scrvicz or feoda 60 maps or more 1 ------_. _______ ---- — FEE SCHERIJLE -I Cross street/directions to job site %%cup.. 1 ... 2 a j Rt._ - 1 Tout -- __-_—__ ----- New residential single- or Amalfi-family dwelling wilt. / Includes attached garage. Subdivision orpc rt 1- i_zt ria: 1,000 sq. fl. or :ess Ea. aticrl 500 sq. ft _ ------- -- 1 ----7--M-8 :43!fl ------- : 4 11 Tax map;parcel no.: I united enerriy, residential T 75 DESC1RIPTION OF WORK I I 1 1 Limited erera, multi-Emil!) 1 / 75 00 I residential (with above sct ft) j i Services or feeders installation, alteration, andfor relocation 0 PROPERTY OWNER .------- - I- L — — 0 TENANT _ 1 200 arripc ar less 201 amps:0 400 amps --- T1 - 1 1 _ - 100.70 2 j i 33.56 1 .1. 1 -- 1 .J-01 amps :o 600 amps , .20t.).74 •urt , 1 N - , -. -1-- &CI arnpal:o 1,DCO snaps T .:et ..14 2 I Address. Over 1.0:,0 lunps or valts tion1 552.2o 2 Temporary services or feeders installa, a n. lteratio and/el 1 City/State/ZIP: relocation ______ --- i FaX. ( 11 20i.i amps dr less _ .____1 59 36 1 _L------.------ 201 am 1 - p to 400 125.08. 2 Owner installation: This ingtalialion is being made on property Mar 1 own which is not ' ' ------ .599 intnde<1 for sale, lease, rent, or exclianae. according to ORS 447, 444, 670. and 401 Jumps to amps 165 54 2 701. Owner si.grianue: 0 APPLICANT Business name: Cont2tct name'. Address: ........... Brandi circuits new, alit ration extension, .cr Date: _ A. FeeTor branch circuits wall 7 El CONTACT' PERSON above service or rimier fee. each brunch eircuii B. Fee for branch circulis withcze sen feeder fee, IirSt bracci °'!! , 7.42 I 2 71 ice or -- —! 5.5 is 2 --1 Each add'', branch -- 7 4> [ 2 ___._-____u_., Miscellaneous (service or feeder net ineladed) ' Eioli — 6 7.114 ---------'-1 City/State/ZIP: 2 dwelling, service anchor feeder 1 1 2 i L rh,,,,,.. ( ) i Fau, ( ) -- 1 Reconn 11 Pump or irrigati an circle 67 64 i 2 E - mail: Sirg or outline lighting 67114 CONTRAC.TOR i i _.„....1 Signal ciicuii(s) Di limitai B:is,ir,es. g, 1- 11 - ‘ 1 7- 1 1 - -E77 - 1 ,..., - 1 .— C.T 01 4.4 <,, 1,.. 1.4.:.,___________I [ d 7 ,4 6 -- ---- — _ _ .ant..1, 11: tont, or eItCRSornl. .... Page 2 I 2 Each additional inspection over allowable in any of the oho ..e Additional inspection( i hr coin) 66.25/hr ClyiStateRLIP: et. G I oak q 7 .1-0-co Invesugaion min) 56 25/ hr 1 H Industrial plant 11 hr mini 78 18/hr 1 ' Phone: ( 7 7 z ....3e, 0 .1 i Fax:. 6 l 7 7 2 - Livor inspactions for which no tee is 1 -- 5.,p iu0 hr — — ficany '.isted (l/2 lir min i .c ) _ _ 1 i 1 .1_ 1 CCB Lie.: 17 Electrical Lie.37.,,, I Suptv. Lie.: Lill - 74; s EI,ECTRICAL PERMIT FEES ---.-1 /— 4.. ....... 0 " - ;.,,...--, 1 Suprv. Electrician signature, required: Subtotal: 1 L- / __. Han ivview (25% of perme) it fe: 1 , Print name: )."' r3: 7 11 - c: / 0 7 // State surcharge (12% of pent* fee.): ---I Authorized signature,: 1--- TOTAL PERMIT PEE.: I l This permit implication espi fts ifs gonsit is MI obisintsf Wilt in IRO I Print name: Tie: days after it has been accepted as complete. _ * Nurthz( of inspcett ens allowed per 7.7rraii -----" I ■floilekng'slennitsZIC.ParratArpdoc 07A 440-401 ST(' 1teS(COWNE3 Mechanical Permit ApplicagttEwED FOU OFFICE USE 1 Y Received / III City of Tigard Date/By ( airrA / Permit No l-iir�l i 8� 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review [~ 9 Phone. 503.718 2439 Fax. 503.598 19QIC� ' 2011 Other Permit. 54.4...A9//- A DateBy • T I G AR D Inspection Line. 503 4175 Date Ready/By Juris ® See Page 2 for Internet: www tigard-or gov CITY OF TIGNR Notified/Method. Supplemental information VP DI NG D IVISI O N TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work 7/ 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* ►■ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty Ea Total JOB SITE INFORMATION AND LOCATION Heating/cooling: q AVE-. Air conditioning Job site address: 9255 S .NO - .1 4 'r AVE-. (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts /vents) I 46 75 City /State /ZIP: - ®1E. 9122 3 Furnace 100,000+ BTU (ducts /vents) 54 91 Suite/bldg. /apt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 ^^ Hydronic hot water system 23 32 14y S ZD Residential boiler (radiator or hydronic) 23 32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46 75 Subdivision: Lot no.: Z Flue /vent for any of above 23 32 Other 23 32 Tax map /parcel no.: P aT 2-O07 -- 0 2)3 Other fuel appliances: DESCRIPTION OF WORK Water heater k 23 32 -� Gas fireplace k 33 39 CO �� L C I! 0.00 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: rPiSr��Gk •8 KA11 - .k G ME: C ,- 1 4I \II Environmental exhaust and ventilation: Address: N o 3 S , 4q l.r- AmG Range hood/other kitchen equipment (. 33 39 City /State /ZIP: 2DRINA ®e, q cl Clothes dryer exhaust 1 33.39 rr � r/!�, Single -duct exhaust (bathrooms, 23 32 l' `�I� Phone: (5o3 245 -•'7. j3 I] Fax: ( ) toilet compartments, utility rooms) APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23 32 C • L Y ' "l.0 lr () a es L l.. C Other 23.32 Business name: G.7 Fuel piping: Contact name. IL,,,,,,e � ' 4 . . 4 R a $14.15 for first four; $4.03 for each additional Al Address: 92_ 3 - u n • 7 5. re AN 6 y Furnace, etc l 1 ( � Gas heat pump �"V' City /State /ZIP: ?I &I 0 (9 er _ 223 Wall /suspended/unit heater Phone. ( Sir) 939- Z 0 Fax: : ( 03 Z45 — 5os a Water heater �_.A1 A ^ HENJ1\ co K. Range E -mail: J LOA p�0 Range 1 • CONTRACTOR Barbecue Business name: . t. Ai R Clothes dryer (gas) Other Address: p, 0 • goy, 433 MECHANICAL PERMIT FEES* City /State /ZIP: cut,c,Kai As 0 e. °a-7015 Subtotal Q Minimum permit fee ($90 00) Phone: ( 5 65 6s6 J6 - 1 5 Fax: ( 5t* 650 -. 3 +3 pis Plan review (25% of permit fee) CCB Iic.: 0 s62_ 1Ckt State surcharge (12% of permit fee) j( ( • TOTAL PERMIT FEE . 337, I Authorize atu e: , This permit application expires if a permit is not obtained within `� 180 ^ 41)/ pp days after it has been accepted as complete. 1 � Print name: ,C \ rd25 Date: u�� 141 m,( # Fee methodology set by Tn- County Building Industry Service Board 1 \Buddmg\Permits \MEC- PermitAppdoc 09/09/10 440- 4617T(I1 /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. 1 • • • 1• \Building \Permits \MEC- PermitApp.doc 09/09/10 2 Mechanical Permit Application '. FOR,OFFICE: USE ,ONLY • y IN Cit of Tigard ReceivedReceived No.: `J Date/By: Plan Review 13125 SW Hall Blvd., Tigard, OR 97223 6 Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Inspection Line: 503.639.4175 Date `ll GA D , ne: Date Ready/By: kris' Ed See Page 2 for Internet www.tigard Notified/Method: Supplemental Information 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* 0 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 97.55 < NO -14 4 JI (requires site plan showing placement) 46.75 � Furnace 100,000 BTU (ducts/vents) 46.75 City /State /LIP: v tl 0 tE _ 9121-3 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 & „ ^ _ ^ Hydronic hot water system 23.32 !1 �j Residential boiler (radiator or . hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Z Flue/vent for any of above 23.32 j Other: 23.32 _ Tax map /parcel no.: 9�'� 01 0 en Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 �� C B U ® � n Flue vent 3339 e nt I n e+ �+J Flue et 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 I ❑ TENANT Chimney/liner /flue/vent 23.32 . � p Other: 23.32 Name: ?�° zge� �5 K� U t MetaC��� Environmental exhaust and ventilation: Address: B60 3 S Nu. 49 (f �ME-, Range hood/other kitchen equipment 33.39 City/State/ZIP: ( PcidRINATZ0 Clothes dryer nthaust 33.39 �� Single -duct exhaust (bathrooms, Phone: ( ® 5 3 f Fax: ( ) toilet compartments, utility rooms) 23.32 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Business name: C. L oP a LLC_ Other: 23.32 Fuel piping: Contact name: meal \ t . . � R 0 G $14.15 for first four, $4.03 for each additional Address::` 2 Furnace, etc. Gas heat pump City/ State/ZIP: a '°tea op_, 223 I Wall/suspended/unit heater Phone: (S . 9 39 4 1? 8 0 Fax: : (S 03 2.45 ,_ 510.3 S Water heater Ne E -mail: �R' N iAA o co Range • CONTRACTOR Barbecue Business name: A R. Clothes dryer (gas) Other Address: !< > 0 . Goy, 433 MECHANICAL PERMIT FEES* - . City/State /ZIP: c.. ckcat 4 As 0e ono 5 Subtotal Minimum permit fee ($90.00) Phone: ( Ste 6 1,1,, - fl C.® 7� Fax: ( ®3 �'8 Plan review (25% of permit fee) CCB lic.: I `� . State surcharge (12% of permit fee) --7-------'--- TOTAL PERMIT FEE tu / A This permit application expires ft permit is not obtained within 180 Authorized Signa �( �L '1 days after it has been accepted as complete. Print name': -gA PQA.€ 4f 5 * L Date: 1011 y f (i $ Fee methodology set by Tri -County Building Industry Service Board \ P 1.\Buildingermiu\ME mi C -Pe tApp doc 09/09/10 410-0617r (11 /02/COM/WEB) Plumbing Permit Applicatio ECEWED ' Building Fixtures • FOR OFFICE USE ONLY • City of Tigard O C T 2011 Received /9 �� / permit No S��Q�!'�d /��s Illi 'I 13125 SW Hall Blvd., Tigard, OR 97 y /D Phone. 503 718.2439 Fax: 503.5 t�6 O TIGARD Plan lan Review ' . /(� 2 Date/By • Other Permit No 44 ! 6T T[ GA R D Inspection Line: 503.639.4175 BUILDING DIVISIO Date Ready/By Juns See Page 2 fo Internet www tigard -or goy Notified/Method I ® Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction El Demolition For special information use checklist 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 ►: , 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 500.32 /. jC p, ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: "9 2 5 q J S � _ 7 ^ 1 +1 Catch basin or area drain 18.76 ���^ ^ � �� Drywell, leach line, or trench drain 18 76 City /State /ZIP 12.0 o . 9172 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: Manholes 18.76 i AM C J Li C " V. 6]. 1 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: Lot no.: Fixture or item: Tax map /parcel no.: 1L- too/ --obi Backflow preventer 31 27 DESCRIPTION OF WORK Backwater valve 12 51 t `S ` CO S � _ ` Clothes washer 25.02 9V �V Dishwasher 25.02 Drinking fountain 25 02 Ejectors/sump 25.02 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: `RICK IS K 4 dS IA I�p� Fixture /sewer cap 25.02 `. A L Floor drain/floor sink/hub 25.02 g, Address: ' 003 S-•il , 49 ASE , Garbage disposal 25.02 City /State /ZIP: p 0 O Q . crl Zt qi Hose bib 25.02 Phone: ( 501 ?As —2_93 Fax: ( ) Ice maker 12 51 APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25 02 Business name: C 7., L.:DQ Q j_ ' S U_L Medical gas (value $ ) Page 2 Contact name: L A I Z � �d l Primer 12 51 Roof drain (commercial) 12.51 Address: �' 2 S- 5 - irk Sink/basin/lavatory 25.02 City /State /ZIP: 01;:k11��0 O e, C 7j 7.3 Solar units (potable water) 62 54 Phone: (508- 9 sq- 2,31p Fax: : (Sa Tub /shower /shower pan 12.51 ('> w N % LAIR p � S ,I E r . c � Urinal 25 02 E -mail: �-�- "��'vv Ie�G "�A — CONTRACTOR Water closet 25 02 Water heater 37 52 Business name: Os LTA, pL j 6 u ( s-0,5c,. Water piping/DWV 56 29 Address: 122,. S e . L (3 5t _ Other 25.02 City /State /ZIP: I.�4PP■■1 \I ligi— O2. Subtotal 5c0 ,-3-z_. (C „� ` 99 g— 0 (0 Minimum permit fee: $72.50 Phone: J v 7� ax: ( ) 6 64 9 Plumbing P� S (o2 Plan review (25% of permit fee) CCB Lic.: Va Lic. no.: A " State surcharge (12% of permit fee) (4 OA Authorized signature: �� --of � A ___ ! TOTAL PERMIT FEE at l L This permit application expires if a permit is not obtained within 180 days I Print name: Date: Q o1 Q 3 it after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board 1 \Buddmg\Permits\PLMU- PermitApp doc 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 - 1 100' 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 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 62 54 $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 ", r , , , please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees Quantity by Fixture Type Plan Rev for Pl Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. 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. , , • , . , - ! , a , ; I , - 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. - 4 Isometric or !Riser- Diagra Car Wash Dram ❑ Isometric or riser dia ram is fe, uired for new buildings Garbage - Domestic —non -food g 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 fixt wo ' Rec Vehicle Dump Station Shower -Gang : -Stall Sink/Lav - Non -food related - Bradley • - Commercial -food related - ' - Service . • Swimming Pool Filter *Note: If the fixture work under this results in an Washer - Clothes p 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 C I on 4/2013, 07:13 6267 , . . . . ., ° ?II. `I 4_ ,.. ' er , t ...„.-,,, ., ,, ‘.. a. qf ! Ina , • ' , t, ., : ,,,,,,,,, • t, ,,,,,,, .,,, ; -„,,,,,, t -t- t ,,, , , , ., t- ,,,, ,,,„: , ,,,,,--.1,-.-, ,.: ,,t,, . ,- ,J,, .."(4q: , ..!,,, , ., k.„ 1,0, t4,4, - , ..,,,, ,,,,,, • ,.:, ttot:to•o4, . 4 A4 / 4, ': ;) r4 of ti).', ' ' e,,, I , , .,a.. , Building Fixtures ,,,,,-.-.,,, ..,t",;„•k,", ",..:, .,... „ - l''• ';',• `, ,•- .'''),..4 „l';' '' :X •, ti,ite „••;g:, , •-, ;,•; ,•.'1,1, t,rq z 1 • a k.•`• ',.4.-„ 11 ,• City of r t , d Iteceired %nut No. 1312W ilalt Bkeit, Tipci. OR 9722 Ro:t01-011—;------.....__—__......- GO= Partai MI.: 503.716,2439 Foe 503.596.1960 ,, z i• - .! ,,,.. ., tosrproton Line: 5a5 O. 4,4)/.5 Dap ituutyll: MI6: lif SW Peat 3 gtr baton= www.tigoutoo.Sov NotifiarOktabodc - .., - ,-, ' odia,"# ." 'IV WOW '-' ' -, .,, ' r *:' , 1 .,,. , , „ ; , , , , . - :' trlii:Witt '''' ,. ,:. - ” ' • .. .. Wiew crtuttaceract 0 ItIcreolitaose ...._. 0 Additioravlsonatioaroplacenseen 0 Ohm: Now t. 2-firtiV V ii_n_tlutiee 100 ft, for emia.otili oormac 604ttgaiW77'-7.77,7-77, SFR (I) beih _ 312 . 70 ---. dw 2 1- l a , ,......._ SFR (2) both 431 .11 aai 24* ly ell C * anuntrciellindasifial _---_ - — NM (3) bail _ 1 500.32 0 Accessory Wilding CI Yarltarang) ----- Farb additiosal bativlitalicI ... _ 2$.02 ,..... ..____...___, El Mr bonder 1",:$ Other Fire spiels!' L.-- --J_Pss. 2. --77. . ' . Alst *Fri setomor ibmcipercaropt 4Lc . ,. ;T it BMWs. Jab Rita odrivear (,) 5 4r3.„,,,._ ciao!, hawk Ex AM dmios — 1 --"" 1106 —.--,....----_ --,... --....--.. " ---"------""--- Drivot kerb Ike, or twit drain O CitY/State-0 _MZ 'Win ditiA (Ito Item It • ) Psaa 2 Sokintbidgispe. no.: _ sumac — — Mendafted home militieo _ - 50.613 - - Co 93 Eitivedireatoas to job 111r. Mealvres liff,74 .. ----____-- I 18.76 4 1120 sur: • ,,,,,,i .... - 71r1) _ RAM dm onmemor _____ Seamy sower (no Nam it' ...._) Pow 2 ----------------- Storm triver (Ity3.1inter tt; --. _____—..—.. , .1•■••■■■Ami.-....rawar WOW Stre it (TM. [War it. ■ ,......,) 1 _Pogo 2 Subdivaatos. Lot ao.: --„-- ---- I - TOR( Imapip67;47:0,11;74 / ...us:if-- Bookficor preverta_ __ _ 31,27 . BEirdlirri014 CO WAX , . , ., , ,..,. . 1 Bacirweirs r elve WI ' clothes weabgi UV Digyaisher 25 02 - Prinking fountain 25.02 11jecuot t 25.02 v.; FROSINTY SInifrda , . ' Emsoriert tack 111111 Nome. , . o. "SLS__1 arrion .z., , •. - - ----- - 25 02 Roar drain/floor riot/bob 25.02 • ailf AMC.. Address: ," , ,,T , • , "5 "5.N44, • 4 . ...—,,, , ii. . — Globose disposal -- 25,02 City/Stmetak ,It ..... '... , ei ,` ' ,. crruct liose lib 25.0 , Phone; (S03 2A5 a 1 Pm. ( ) lee woke: 12.51 __‘-„, _ r. .. ___ ' ' .':" AFFUCANT tj tatfaCt, ' ,,, ,. ' .. Taterctororigreste trip 25.02 Rosins mum: C,, , 70.01,71s_,>_____4(.. Viedivel oar (value. S ______ ) Pep Z Contnet mow I 11% • '7-e '!"-f. 'ILL % e ' 4 :: , - ' ---, --4-- ' •------- , i Roof dram (cornmordal) 12.51 Address: "S. , , , .____ . . , , SodebasittAivalary 25.tY2 • att/3tatsa17: 1, elt .,, , 11r • e,,, 1 9 1 12,1,3 Solar mitt (potable WSW) 62.54 - Flom: t ,, ' te. ., 9 at:/.... 7 1• Fax', TebIstiosper/stroire__Le__ — , — a ...:... 1 CrattoN Unser1 25,02 ecorr , .".---", ''''. I • ,, r . Water close 5 O's ' — — 2 . * , , ..,,,11.. -- , ' i .---=,---• -:-. 1 - , .-- .0 -4. Winer beater 31.52 BuSiness Palm gl rt.-L0 (VC_ 7 Water pi '.s *Wv , — ..... _ s _ -- City/Suovizip bijgbe yhty„..6.,e,' e.....7 ie.. ubtotal ____... _ _ Phu ( (4)3) f'Ff ( .0, Fa. ( ) Minimum Vara fro 372.50 -- --- _ rine xsprimor OS% of ■wn Ste) ccB Li 1 if 6 1 TOTAL FERASIT Fr3E L ?thitnamc ......J5e26:e!z2- I D I - W ....j. ZZ - The oinTrir roptiesirli maim A' v evonir le vor viZed visSO II' n dkyr _ — titlark Lyn Sees remora sr vonotett. *Fix mOhatialagy ga by Wow* DA% balzatey Serail* adilni ovkiladogireausrAnasim■srmidAp9 ate I:UMW ei4-401GTOCRIVCOMAISM I - 1 • • RECEIVED l'A 1 9 2011 CITY OF TIGARD BUILDING DIVISION • .. ■•■■■ m. ■ ■■■■.,-■- ■ ■ v Gi Dits... . 0 .s. I, I ---1 O \ 16'-6" / \ ,--- L 7 -; \ r. 1 • , , 7 ) i . 12/-0" I / f =-r--- ' ,99. /----1 12/-0" EL.J0' I b - , / i \ IU) I ' \ / I 8 9 MAIN FLOOR ■ N/ EL =10 0 0' I I I U Co ND ICD --- -r I I 0 0 ■ - .0 r 7\ I Irn ,--) / I \ l \ I /1\ GARAGE EL =99 5' • i / \ I i I I I / I I, I „ I 'z: 111 1 w w ,----- T-P 12'-0" T, 12'-0" , / 4" CONC --/ -5< (=> 0 z _ io DRIVEWAY 1 3> • 11 NJ — 73 rt R 13500 P.S,I I To cf‘f z . I cv 0 rl S 0°36'55" W I 0 74.00' _ 7 _ —4 ROW 6' — DEDICATION P.LJE ?AC'S SW 74TH AVENUE • 10/11/2011 MRR • SCALE : 1" , 2 0 - 0 • =.EVIM ACCI w... ' • l IT IS THE SOLE c RES N P D O T NS O N IBILIT , Y L J F T,IE CITY OF TIGARD ULDER T VE IFY ALL SITE 0 I 0 S, NCL DI N'C PARCEL 2 ANY FILL PLACED ON THE SITE AND NOTIFY THE OWNERS OF ANY POTENTIAL FIELD MODIFICATIONS _2 4 5 . CO LL EC 1 ION ALAN IAASCORD DESIGN ASSOCIATF-8, INC. FOR THE MEECHAN RESIDENCE , Ins NW lam AVE PORTLAND OR 97209 ( 7, 720 S0 ET) 503/225 0101 FAX 603/225-0933 htt,//www rnescord corn ■ • Building Division Development Code Provision Review T1cARD Residential Projects Building Permit No: ' ' 7 0 / / -oC / S a ` ` LP ,,?CC 7-oGoO 1) CWS Service Provider Letter Received: Yes ❑ No ❑ N/A iN Q�� . t! e- Pego2-77 �p Routed Plans: Original Plan Submittal Date: /o / - / 1st Revision Submittal Date: (0 � . / ❑ Site Plan Only 2 °d Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact 5` AU. at 503 - 718 4 or @tigard- or.gov) Land Use Case No. M t./9 - 7" 00 30 ( Name LAt - ' P v"TiD,0 ('f il—W- ❑- Zonin ' Li'• -5 .❑' Setbacks: Front 90 Rear t 5 Side ` Street Side / S` Garage �l�_Maximum Building Height ?"40 Actual Building Height »o ❑ Visual Clearance ©', Easements � 0 Lands Type: iq/' a Notes: Original Plan: Approved r4/ Approved ❑ Date: /0 /1 Revision 1: Approved Not Approved ❑ Date: (ofX,((( Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ti Actual Slope: Notes: Original Plan: Approved Not Approved ❑ Date: / 6 �, 1 Revision 1; Approved Not Approved ❑ Datc: (® z, 243 Il t' 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) Ci Street Trees Protected Trees Notes: htrJ tru-e fo(1") r *ree try' -k C . ec r S: �f ot �� „mot E -r»�- , .� „J ^ � t f 7 . t INT:17 � , I I 11i ” • Original Plan: Approved ❑ Not Approved C'f Date: /n /aopon Revision 1: Approved I Not Approved ❑ Date: t Il( /o?o j I 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 : � ice/ i 4 Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes WN4 No lQ /20�/ Date Routed to Building: 1 /l // i Page 2 of 2 te 'Co 8 G Oregon Residential Specialty Code N1107.2 "W4, � 0 � 4q1 sr b • C� f s f o4 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: ` —2 _ � / P)Z Jurisdiction: r ,i /,.,�v Site Address: 97;55 S . 71 ) 4 , Subdivision/Lot #: , L Vic€ N -2T1 LOT and/or Map and Tax Lot #: I as A- i 1 goo 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: *3/12_ 0 r /General C I ntractor / orized Agent Print Name: LAUbJ VVI�- �Cj VIT • 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, 1 .- - Uki `(N Q; JJ , am the general contractor or the owner- builder at the following address: Site Address: Q 'Z S ' 4 ANIE City: [GAO) De . 972.23 Permit #: Mar—WI/ _ 0 01 B2 Subdivision/Lot #: and/or ,fit 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. . 41. I • Signature: �� ,�� Date: 3 //Z ' ZQ(Z Gene :I Contract: r or Owner -B der CsLP • CCg`'14 -c,7 (:\Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08