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Permit ,, CITY OF TIGARD MASTER PERMIT :� - : - COMMUNITY DEVELOPMENT Permit #: MST2010 -00211 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/29/2011 Parcel: 1S135CA09200 Jurisdiction: Tigard Site address: 11488 SW 96TH AVE Subdivision: SOLERA Lot: 1 Project: Solera, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 700 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 898 sf Garage: 245 sf Front: 12.75 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1598 sf Value: $168,102.97 Rear: 24 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals' 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 2 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 SrvclFeeders 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: 2 201 -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 1598 Owner: Contractor: SOLERA LLC EVERETT CUSTOM HOMES INC Required Items and Reports (Conditions) 9200 SW NIMBUS AVE 735 SW 158TH #180 1 Ersn Cntrl 503 - 681 - 4444 BEAVERTON, OR 97008 BEAVERTON, OR 97006 PHONE: PHONE: 503- 348 -5602 FAX: 503 - 726 -7106 Total Fees: $15,637.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work i -usp: ded for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce.ter. Rios.. le -re set forth in OAR/ 952- 001 -0010 through Os' 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 - • :7 or 1.00.. -.23 • . (/ c / • Issued B w — ��J< Signature: s/. ��I • .4 by 7:00 a.m. for the next available inspection da•:. This permit card shall be kept in a conspicuous place on the job site until comple 'on of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT •111. ~ . COMMUNITY DEVELOPMENT Permit #: MST2010 -00211 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/29/2011 Parcel: 1 S135CA09200 Jurisdiction: Tigard Site address: 11488 SW 96TH AVE Subdivision: SOLERA Lot: 1 Project: Solera, Lot 1 Project Description: New SF 4/26/2012: REPRINTED permit to replace mechanical contractor with Pyramid Heating & BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 700 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 898 sf Garage: 245 sf Front: 12.75 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1598 sf Value: $168,102.97 Rear: 24 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 Fum > =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 add'I 500 sf: 2 201 -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 1598 Owner: Contractor: • SOLERA LLC EVERETT CUSTOM HOMES INC Required Items and Reports (Conditions) 9200 SW NIMBUS AVE 735 SW 158TH #180 1 Ersn Cntrl 503 -681 -4444 BEAVERTON, OR 97008 BEAVERTON, OR 97006 PHONE: PHONE: 503- 348 -5602 • FAX: 503- 726 -7106 Total Fees: $15,727.06 • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / Permittee Signature: Zi7 // n/ G e/5 Call 603.639.4175 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. I Permit Application ' ` F OR•OFFICE USE ONLY _ ;.: dential�:: , C1 Of Tlgard $� ED Date /B ,' / '7 r Permi No.: ST, 0 - -0 2-4,1 ' 13125 SW Hall Blvd., Tigard OR ..,f /' Plan Revie �V . Phone: 503.639.4171 Fax: 503.5 1 .:' ' • • Date /B : ' ' IT r Other Permit: Inspection Line: 503.6394175 Z 10 Date Ready /: ® See Page 2 for RD Internet: www.tigard - or.gov VEC Q Notified/Method: l J' i iri, , Supplemental Information 4 .TY,. r OF• °- q0:0 IRED;DATA:',I= 'AND: FAMILY D , Permit fees* are based on the value of the work performed. ® New construction 30.-W- iiMition Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . , :- .,.;-=a gy m. ., -," ° . - -- . . , , },.. y Y A., i, ,1 -` work indicated on this application ' er a, `' •,,.. ,, , N CATEGORY , ,' CONSTRUCTION " : : " . ' t .� - , @ t� 7 -=� ��.;i • �� �;., ,�- >'s < � x. A. - .- _., • � - - .,,,t .v � 1_x:0 ., ,_ - _ °' _ , : � ,a _ :x � a ' "_� '' \ � � �l �� Valuation: ® 1- and 2- family dwelling ❑ Commercial /industrial 1 1:1 Accessory building ❑ Multi- family Number of bedrooms: 3 3 ❑ Master builder ❑ Other: Number of bathrooms: <`k - „ ° I ,, ; iiv> , «-; •.: x t - , � • • 1 N :t7 Vim -.,, M4 £ ,J OB ; SITE” INFORMATIO - L OCATION - , . , 0 st; i , , < Total number of floors: 2 #� w , : d J #� �' : v'�:SE�' a.,.c' „r...'„_k¢A�.•: ,... "rx ." m, c ' "�:1.2is� Hi � �`�. Job site address: 11 54, G /* � h{, New dwelling area: 1598 square feet City /State /ZIP: Tigard, OR 97224 ( b Garage /carport area: 245 square feet Suite/bldg. /apt. no.: Project name: Solera 1�4 f Covered porch area: (26 square feet 898 Cross street /directions to job site: Greenburg and 96th Deck area: square feet TOO ,( Other structure area: �� square feet 2" :REQUIRED DATA'1COMMERC L =USE CHECKLIST ' h rP Subdivision: Solera - Lot no.: 1 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the - ;, ,IESCRiPTION' 9 work indicated on this application. New single family residence Valuation: $ Existing building area: square feet New building area: square feet ,, ` `°,ice; ®- PRORERTa YtOW1\ER e t Y` - ` ' r . • ❑TENT • . .AN ,, � Number of stories: Name: Everett Custom Homes Type of construction: Address: 735 SW 158th Ave, Ste.180 Occupancy groups: t City /State /ZIP: Beaverton, OR 97006 Existing: Phone: (503)750 -6268 Fax: ( ) New: '54 h .: -_' <_ ' ®.. NTAGTfPERSON'.';” : . -4 _ £ : ''''''''' . ®'AP.PLICANT��'r= '�� �� °- CO � ° -. '' .- "emu s� �. .,,,., " "�:� -, •g,�'t :A,5:54'. ��_ : <.;^'- ;_-��` �'� �.� - - ..- ,. g." �� � -,. ,,,O,,,,,', Business name: Emerio Design All contractors and subcontractors are required to be Contact name: Neil Fernando licensed with the Oregon Construction Contractors Board r under ORS 701 and may be required to be licensed in the Address: 6107 SW Murray Blvd #147 jurisdiction in which work is being performed. If the • applicant is exempt from licensing, the following reasons City /State /ZIP: Beaverton, OR 97008 apply: Phone: (503) 5155528 Fax: : (5:23) 6,39 es9 -- E - mail: neil @emeriodesign.com . '- = r �. `,;,' ac s« .' >.,.- `,°x" -? ; ;'�¢,;. . ,. @ ; s `_ , '_ ;:- s ; , , ., „ a CONTRAL w; k .. $ z s> ''. , : 11 . Business name: Everett Custom Homes : -- = : -` • ' :° 3. "" : 1 ; BUILDIIVG,�P•ERMIT F IrES , * ��- ; = < ,_ : o , r. Address: 735 SW 158 Ave Suite 180 / .1g* : '�� '" '' " "fE(ease'r' "e to (eeschedrr(e) "t = •, „��; : ",�: Structural plan review fee (or deposit): City /State /ZIP: Beaverton, OR 97006 FLS plan review fee (if applicable): Phone: (503) 750 -6268 t � Fax:( ) , , ) - Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained f ��, 1 � �,,�{ within 180 days after it has been accepted as complete. Print name: �� rl� r� Oi�t N "�` _ 00 Date: * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \ Penults \BUP -RE'S PermitApp.doc 10 /01/09 440- 4613T(1 1 /02 /COM /WEB) 1 Electrical Permit Application FOR OFFICE USL,ON1..1' 6 City of Tigard Received Nn.: �p ��—�o —()(1?:- j • f Other Permit 13125 SW Hall Blvd., Tigard, OR 972 f� 0 Plan Review Q U� t: Phone: 503.718.2439 Fax: 503.598.19 1 Q DatdBy: 1' 1 G n It D Inspection Line: 503.639 ..- C , 1 t Ready /By: Juris: 65 See Page 2 for Internet: www.tigard- or.gov �`' ��`GQ1 ed/Method: SupplementalInformation `l1 , • 'YR.E :., ..:: ! . .::.:. . ... ; ;�.. ; . ":_ A . OF. TWO W :.. . � .':,'PLAN" :.:; ' . 'r;.'..-1'. " ;::. ® New construction ❑ Addition/alteration/r : '1,,. t Please check all that apply (submit sets of plans w /items checked below): • ❑ Service or feeder 400 amps or more ❑ Building over three stones. ❑ Demolition ID Other where the available fault current ❑ Marinas and boatyards. • "!'. '' i' : "' ? $ t', , 3- ICA iEGORY OF. ICONSTRUCIIIUN•' ' ''' • exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ._. .. ..., . less to ground, or exceeds 14.000 ❑ Commercial -use agricultural ® 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or Emergency system. larger separately derived system. �oB - srnlE: nvFOxt� lox' avenTioN ..... load f 13 ` ddition of new motor oa o Job no.: Job site address: looHP or more, occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Solera ❑ Service or feeder 600 amps or more. ,, Cross street/directions to job site: Greenburg and 96th oer°ription l Ore. 1 Fee. 1 Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Solera Lot no.: 1 1,000 sq. ft. or less 1 168.54 (L. . 4 Ea. add'i 500 sq. ft. or ponion 2- 33.92 'VT, Tax map /parcel no.: Limited en ._.. . ,_ , . ..... _ residential 75.00 _ ... -..... r :: -,,;. ..:...:.-::: ?OFyWURiC:: - (with ft.) 1 Z�JtC%1L" :. .,.., .ilia:.•: ,:__...: th above s :::: , Limited energy, multi - family 75.00 2 New single family residence residential (with above sq. ft.) _ Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 iEIiO s � : titYiOWdHIIR _ - 201 amps to 400 amps 133.56 2 Name: Everett Custom Homes 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 735 SW 158th Ave, Ste.180 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State/ZIP: Beaverton, OR 97006 cation Phone: (503)750-6268 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 1 own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with l';',, — natal i. e t , •K above service or feeder fee 7 1101 .......,,;, . := z. :• :i y i -.i : 4 _ t ® GlO 1 ViL`AC' 1 . 1E ERS M? .42 2 . __�... ..: i' each branch circuit Business name: Emerio Design B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Neil Fernando branch circuit Each add'l branch circuit 7.42 _ 2 Address: 6107 SW Murray Blvd #147 Miscellaneous (service or feeder not included) Ci City/State/ZIP: Beaverton, OR 97008 Each manufactured or modular 67.84 2 tY + dwelling, service and/or feeder Phone: (503) 515 - 5528 Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: neil@emeriodesign.com Sign or outline lighting 67.84 2 ::,:.1...�•� ., ;:,3, rr: - - - 5r +``,l ::- , :_,... 0044G'+11OBC: ' ='4;: :��.,-.:. h ;, r ,.. .... :;i Signal circuit(s) orlimited- energy ' .^,fit panel, alteration, or extension. _ Page 2 2 Business name: Wt H� ctzEng_) Each additional inspection over allowable in any of the above Address: 5 t i' SE f 1 7 5' ' -AO 6 Additional inspection (1 hr min) 66.25/ hr City/ State/ZIP: gi'� in� Z31 Investigation (l hr min) 66 25/ hr ro Industrial pleat (1 hr min) 78.18 / hr Phone ( ) qtpe) S � b 2 2 — I Fax: ( 5 ) 5 ) - 1102„,,— \ S 2 , . . 3 Inspections for which no fee is 90.00 / hr JJ __ specifically listed CA hr min) CCB Lic.: t (p lob Electrical Lic. : 'R_3 c Suprv. Lic.: ? J hJ S > ' __._ilia -_ Suprv. Electrician signature, required: 0- e- a....b, ,/• L 44i Subtotal: `.2,11 , ' j Plan review (25% of permit fee): fee): • Print name: L%—yOpt 5 IAD e Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: S t i 5 Authorized signature: This permit application expires Ira permit is not obtained within 180 days after It bas been accepted as complete. Print name: ■ Date: • Number of inspections allowed per permit. L•1Buitdiag\ ertalt ELC-PUmitApp.doc 07/01/10 4404615T(11/05/COM/WEB S ccr^ st Mechanical Permit Application gq1 FOR OFFICE USE ONLY City of Tigard ) �,E �l , Er Rai ived Permit No.: - 13125 SW Hall Blvd., Tigard, OR 97223 Y' / �� ��� 9 201 Plan Review , Phone: 503.639.4171 Fax: 503.598.N& Date/By: Other Permit: Ins ection Line: 503.639.4175 UL e �uris: TIGARD p Date ReadyBy: ® See Page 2 for Internet: www.tigard - or.gov of� Notified/Method: Supplemental Information cra �,au , CI �...� �: ,.,,, . , �:�t, ;°�.. �:,�;,,, yam. � � r " ' "'x:>i M41F USE°CHECKL ST'' S;� ;'h�xG'. .�.rr �: '.r�, e d,,,u � a 7 > °. �^ „�i..� t l — S. _ e ° ,�....nr.�s : y , < ' "s' d...t� _ . .E10 m � _. ._ E . SCHE Mechanical permit fees* are based on the value of the work ❑ New construction l=1 Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. s Value: $ c. -G; :=GATEGORI' O °. >' °; ,a, ��:'.:, >:.�., .. ,.,..� . •',a,. >.,.,•.....,.�, „.;•,a�>a..., r�.,.�, ... ss�`+^.�`� S'FEE ','.,, RESIDEN'tfZeoUIPMENT S* ; ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total �' i � ' JOB SITE INFO .MAT10N> AND L ATION =1:` ' =` �' Heating/cooling Q 5,% „ANY .. �, ,,.,. ..., o•...... ;o..., ..� °,_,. •rat +,5s: +b; a ^, ;,,- .,, OC ,., '•`,`; xLf'f`�� �;,,, rr. � b M Air conditioning Job site address: (requires site plan showing placement) 46.75 City/State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) ` 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite /bldg. /apt. no.: Project name: Solera Heat pump 61.06 Cross street/directions to job site: Greenburg and 96th 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: Solera - Lot no.: 1 Flue /vent for any of above 23.32 Other: 23.32 • Tax map /parcel no.: Other fuel appliances :Q .";.al- ..,,�,r,. •,::; - >;. W ater heater 23.32 „ l: DESCRIPTION Okt:sti '' r single family residence Gas fireplace or 33.39 New sin g Y 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 13,s e ,..,, r ; a , r -. F;; ., , < Chimney/liner/flue/vent 23.32 ,., ® P) OWNE R%;.• • ';:, ', „i ' -1 : .: <. :❑ ' ` a, ° ,,• ,:, �,�.�,.. .. �.. :, -,: -:. �.� >e>_.� .; ,. �.... Other: 23.32 Name: Everett Custom Homes Environmental exhaust and ventilation Address: 735 SW 158th Ave, Ste.180 Range hood /other kitchen I equipment 33.39 City /State /ZIP: Beaverton, OR 97006 Clothes dryer exhaust ( 33.39 Single -duct exhaust (bathrooms, Phone: (503)750 - 6268 Fax: ( ) toilet compartments, utility rooms) 5 23.32 ^? + " ; :' "' Attic/crawlspace fans 23.32 a E. ° ®AP,PLICANT %' l CONTACT .. ERSON`` `; , p Other: 23.32 Business name: Emerio Design Fuel piping Contact name: Neil Fernando $14.15 for first four; $4.03 for each additional Address: 6107 SW Murray Blvd #147 Furnace etc. _ Gas heat pump City /State /ZIP: Beaverton, OR 97008 Wall /suspended /unit heater Phone: (503) 515-5528 Fax: : ( ) Water heater f Fireplace I E - mail: neil @emeriodesign.com Range 1 t R .:' �' Barbecue �,.: , � .:... .:.:::.: - .CONTRALTO .,, a,,, g w ,. „ .. :.:. .0,.4..:`si .:k °: :.. .,. :� �.�a`i.: '. � ?;'..,,,,.,,', - ..,,, • twn s.:. �...e�.E�.ea.��'? tY.��£ .r .: v . Business name: ilCr' - 1 �inS} per Jeff . Oh �7 Clothesdryer(gas) M r Other: Address: St.) i f ' ` .,) CpHANIGAI ?P RMIT FE * ' %" City /State /ZIP: ' �. • (A( l 00 � Subtotal )5 !�J " � t Minimum permit fee ($90.00) Phone: (503 ) 75 - 0 — Ga r Fax: ( ) Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) 3( (:Z.- TOTAL PERMIT FEE "? j 7 ( 1 / l - This permit application expires if a permit is not obtained within 180 • Authorized signature: +1 days after it has been accepted as complete. Print name: l J Date: (;C / ( * Fee methodology set by Tri -County Building Industry Service Board I:\ Budding \Permits \MEC- PermitApp.doc 10/01/09 440- (11/02/ OM /WEB) 04/19/2012 THU 12:39 FAX 503 786 3432 PYRAMID HEATING el001/001 Mechanical Permit Application v FOR oFn►ci: USE ONl.1 a City of Tigard Da A • I "IN' _Mr& / f' 13125 SW Hall Blvd., Ti r . 72 Plan Revie 11 . Phone: 503.718.2439 Fax: > 960 p Other Permit: 1 - l It D Inspection Line: 503.639 1'3 r1 \l- Date �dy/BY: See Page 2 for Internet: www.tigard oI.gov 4 0 . • �G Notified/Method: Supplemental Information t r- r e l . . t'. X .t l - lti l :k"'2 y !I �? ' r r� r'i- d __; ` J� G t�l , 1 :.1 .I_�?= L 1,1 it T,�l Ft. mechanical pit fees' are based on the value of the work is New construction ❑ Addition/ on/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit Value: $ ' i :1 '� . r i (9 4 `£ . £ 1 2 t 61 a `' � i )1I I - k, -. f ` .. ? . 1 . i . . � Y . . ,t , - 93. a! Y ;5--, 1 r .. s ;.:�. _,._. -_.. _.. »..: ^c 1 . ::.... ..'t. :r. -41 n:SLu l e i I .1!,. . 7 `- IJ 1 e tti .,, ' 1 - and2 - famil dwelling �.�. _._ _.,..- - - -� ,,. .:..,., .,,. �:.--=- ___ ,�. y g ❑ Commercial/industrial ❑ Accessory building For spedal l yormudon use checklist Mnlii :fermi__ ..... - : .. .... . ..................... ................ - --- - ' ---- ... - - - - . - 7 777 -- - - y Master builder ❑Other: Description Qty. I Ea. I 9'otal -� ,-- �PJCo ; .a` � ..t(d�':,�TIJ `: Pl �. , i N i�Ji ;L yh � 9 �. +, D b' E . � J� _ ., Hee o r a:,_�:_. �4+ � S _: a:n :.> . A cond Job site address: 1 1 S u - I j -/ / •,V C - (requires site plan showing placement) 46.75 � An G )'M 3 Furnace 100,000 BTU) (ducts/vents) 46.75 CCity/State/ZIP: ' /' I( � I : Furnace e 100,000+ BTU (ducts/vents) 54,91 Suite/bldgJapt no.: I Project name: Hem site plan showing placement) '61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 ' Residential boiler (radiator or hydronic) 23.32 ' Unit heaters (fuel -type, not electric), 1 in -wall, induct, suspended, etc. 46.75 Subdivision: t \�l O ('� I Lot no.: 1 Flue/vent for any of above 23.32 ���vvv Other. 23.32 Tax map /parcel no.: Other fuel appliances: ..: -_, :._?...__.:_ -r. ; • I i = K e 1 a - ... _-- -!.,- Water heater 2332 �l Gas fireplace /insert 1 33.39 f <11►1 i.7 I ' .� .. I . `I>I' ..1 T I' T��11<!� l Flue vent for water h or gas 1 � , firep . p ,•• ,• r - ' I!1/'N�tu l Log lighter (gas) 23.32 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 r f ,. . �:�;�4Y.•,` ..T --mac �` _ �� T.-- :. =.r.{��:�•�:�. ;;.: = ��_<:i ;�� - ' - rJ �' �;;, - , _._ . , { : :- .:z .., t l w F 4 n IR 1�` _ei:. :r It ' 1 _ _�. � . ` `' r''' I `' c' _:4� other, /liner/ fhtveat 23.32 - � .,:_ 1 . ,� . ....� Other. • 23.32 Name: i A l i1 , `• ,�, \1 y Environmental exhaust and ventilation: Address: 3 8 y S g z / IN., g • 1 1 Range hood /other kitchen J I 33.39 equipment City/State/ZIP: 0 1 � • h (. * . I / Clothes dryer exhaust 4 ) 33.39 Phone: (640 -- N(Jlfl� er exhaust (bathrooms, ( ) toilet compartments, utility roomsr LI 23.32 -:' 1 «pus .4.;'1 . " _4 777 1 P .:... ti . `' ?L -ti 5 .3 x x = Attic%rawispace fans 23.32 Business name "a .1 !, .) Oth . / 1 23.32 Fuel piping: / Contact name: - d, r L h $14.15 for first four; $4.03 for each additional Address: /. , _ a: vV .wl / WWI Fumace, / 1 . Gas heat pump City/State/ZIP: 1 r f i , 1 . � -4 14 / � i, ' N ., 1._ �� �j� �. . / Wall/suspended/trait heater l ' o it , ' • lie"u)r) /1!`_A� Water heater Phone: i I Fax mail 1 / lace / • } . )2e @' 1 I ,,{{ : n .. - Range • , a i nr ti 1 J1 7 �i / .7 . ., L � � '. � „ 1 rt 1 tL i `/ - ti , f Barbecue �� : usiness name: �. „ .t,. I z _ - ' 1 , �� Clothes dryer (gas) ' \' - Other Address: ■/�11 at \_ ► /.• k-1■ ! . f y e: 41fc�';N F 4` th i .S _ y _. I.. VO City/State/ZIP: ,\ ♦ ` 1 \ Subtotal Phone: 2 Q� , \ / w ,` Minimum permit fee ($90.00) a 7n ({I l� Fes: �S , t lo r.?, 5�. Plan review (25% of permit fee) i CCB lic.: - g . State surcharge (12% of permit fee) 1 _ TOTAL PERMIT FEE 01 0 . Authorized signature: ' - r This permit application expires if a permit is not ob within 180 Z40 / days after It has been accepted as complete. Print name: /7)1(\ ,Q/y I Date: !�, ) 9 , 1 t& • Fee methodology set by Tri- Cotmty Building Industry Service Board 1:�aasa�tr�m�c•t�;1n�.aa a3ro - 440-4617r(11ro2/cohvwm) BIA � �t1UJ l�O��� ., hd y /Zq 7 Py h /6 w i t C6,46 f D 6N OD, rd , C C 4-LG- 8,9e k-• . ;, -7c / ,5 - 6a/ - A/99 . TCuSToM f-lecr Plumbing Permit Application �� Building Fixtures � '% FOR OFFICE USE ONLY ' "� e cei3ed CI of Tigard Q Permit o .: u 131 ty SW Hall Blvd.. Tigard. OR 9 ( �` © alelBy P i Np,-15.74,0 �0 60X � \ v ` Pl an Rtvte\a ' ' C Other Permit No Phone: 503.639.4171 Fax: 503.598.1960�� 6 � � p /g \ , T I GA R D Inspection Line. 503.639.4175 �� Date Ready /By: Juris H See Page 2 for Internet: www.tigard- or.gov ti IVOtihe dr'Method� Supplemental information ..,,...., ;� .,..cf . ,...t .x..;� >....,s.,._.- ..,,,fix` a . . : ;s, = t; � 3.. g ,,n roe ;:-r ., .s %-; TXP > kc: WORKti� H,. .; ' i c YFEE-,. S NFDLILE -.. t {av`'".�.. �� � { r •�.a,. k,� - . _.,t w.._aad -�. ",.7, . �'3.�. t+3"n�:r. , . ,.UU3 -, �� r .a� ...: §"._,.. - _ _ . ,_.... ..... , . .. ® New construction ❑ Demo!! ion For special information use checklist Description I Qtv. I Ea- I Total ❑ Addition /alteration /replacement ❑ Other: New I -2- family dwellings (includes 100 It for each utility connection) , SFR bah 312.70 ° �, ,. fi "'V , �ah CA .. " EGtd;Ct CU ,��,f , . ®I and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 ' ❑ Accessory building ❑ Multi - family Each additional bath /kitchen 25 -02 ❑ Master builder ❑Other Fire sprinkler ( sq. ft.) Page 2 ' , :a "'x3f? -,4ITE LNFO ilfA A D LOCA"rlof+', .° ,. Site utilities: Job site address: Catch basin or arca drain 18.76 Drywell• leach line. or trench drain I S 76 City /State /ZIP: Tigard, OR 97224 Footing drain (no. linear ft.: ) Page 2 Suite /bldg. /apt. no.: I Project name: Solera Manufactured home utilities 50.03 Cross street/directions to job site: Greenburg and 96th Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear It: ) Page 2 Storm sewer (no. linear ft.: _) Page 2 Water service (no. linear f.: ) Page 2 Subdivision: Solera - Lot no.: I Fixture or item: Tax map/parcel no.: Back flow preventer 1 31.27 ' , Pq : ,i t ,1t ; „d,..:-t, Backwater valve 12 51 Clothes washer 2 25.02 New single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 t : ►t -PROP .RTY' OWNER sg. : F: -_t i 2_ Q TLr ANT : Expansion tank 12.51 • Name: Everett Custom Homes Fixture /sewer cap 25.02 Floor drain /floor sink /hub 25.02 Address: 735 SW 158th Ave Ste.180 Garbage disposal 25.02 City /State /ZIP: Beaverton, OR 97006 Hose bib 25.02 I - I Phone: (503)750 -6268 Fax: ( ) lee maker 12.51 ,y,;_ �;:,,'s. >t,' " Interceptor/grease tra _'5.02 „x �1.?, ''�i, NTA ,AERSO : :!' :..y;- trap „a� '. ®�'al'PLI�A;h;Tt "s.t ". ' >� C Business name: Emerio Design Medical gas (value: $ -) Page 2 Printer 12.51 Contact name: Neil Fernando Roof drain (commercial) 12.51 Address: 6107 S\V Murray Blvd #147 Sink /basin /lavatory 25.02 City /State /ZIP: Beaverton, OR 97008 Solar units (potable water) 62.54 Phone: (503) 515 -5528 Fax :: ( ) Tub /shower /shower pan 12.51 E -mail: neilta :emeriodesign.com Urinal 25.02 l5 )2 .,- ; :y , ,s Water closer 25.02 acONT.AACTO t t- .. . r� W'ater heater 37.52 Business name: 4 / O / f f / � � h Q/ i Water pipine /DWV 56.29 Gtr l Address: /O 75 - ,S r^/ a 444 u 6rl4 /f l4P J7 Other: 25.02 City /State /ZIP: jZr elk � Phone: X 97o�a Subtotal 5(', , ) `, 7_ " 69� Fax: ( 4 7 _ C fj Minimum permit fee: $72.50 �i`j ( 3) U ,� rl Plan review (25 %ofpermit fee) CCB Lie.: // 7"2„2%0 Plumbing Lie. no.: - 8L` -/GB State surcharge (I TA T of permit tee) �? q- t Authorized signature: �,� /yam TOTAL PERMIT FFE t / W� / This permit application aspires if a permit is not obtained within t80 days i/ Print name: /qy i S L u h nd :7 Date: �Z • �, fQ after it has been d as complete. J "Fee methodology set by TO- County Bu Building Industry Service Board. I \Building \Permits \PL doe 10/01 /00 440- 1616T110 /O2,C'OM /WEBI I ()ie., ( .65/ Dp 1 1 X 2" CAL /PER RAYWOOD ASH LOT 2 0 216.2 I 213 x as .. 1 Q : nom �P X ,y f 8' PUE T — — — — — 81.66' — — — — — — o �� X � - ;�{ '� J . 4 _ 1 22.02' -I 214.6, 5' 215.7' pi � �E 1 !!!iiii!!!!iii q a o � < - c a -- 0 10' : - 24 ' 1 � 4 ; i (3 " L.- a . I I I I = W x 1' I 1 0 SCALE: 1" - 10' `O = z PROPOSED C ONCR L - TE DR/ VEW Y r = � 7 GARAGE 1 X ° Cr) r � T ; X Z W I i LOT 1 1 W :e i 3 SF I . x RECEI 12 .7 5 7.25 XW SDLER .E N CH 25 x I X I Q ., : I N I 2 1/2 BATH I DEC 21 2010 X EXISTING I r I � � I a WATER M? 1 R I I 45.25' — I = "' O CITY OF TIGARD I n , EXISTING LIG{ - tT .. 75' I I " BUILDING DIVI I ` - �, X . ,, 1 1 I ' I W I I cg x EX /STING \ � ,:. ---m I O 4 . \ FIRE HYDRANT _ — v) —s - -- — - — _213.8- - - - - — REVI _- __ --- - - -- ( e— D r o X ° �- -__ I z 4 U $ P UE - _ 0 —___ x \ I = _ '' �' W w Q s t rL, ',,h :f f" fX/ST /NG S / DEW4L K - -. — �— _ _ 2 14.2 - > Q p I . M x ,14 ce ,. 1 � " " �►►..�� �� EXISTING STREET TREE � � X E_ _____________ ..... _ c_.....7......j ,..... 0 ��� �- '< T — — �// U SD XT _� - -� _`V" • x X o XT - i g X SD XT X XSD XT ` o X � X ` I I . -- v� - XT - '• . N 1 U NOTES: it ° ZONE: R - 12 ALL GRADE AND PROPERTY LINES ARE ESTIMATES 0 BLDG COVERAGE: 34.2% OF CURRENT LOCATIONS. IMPERVIOUS AREA: 1,237 SF e,, o o 7 _ ALL DIMENSIONS AND SQUARE FOOTAGE ARE c SETBACKS APPROXIMATE FIGURES. • .i. N Y tNI FRONT 12.75' GARAGE 20' DRIVEWAY MAY DIFFER DUE TO LOCATION OF II STREET SIDE 10' UTILITY BOXES, STREET LIGHTS AND OTHER SITE EVERETT N SIDE 5' 24' CONDITIONS o N REAR CUSTOM HOMES a z ° ° CONFIRM FINISH FLOOR HEIGHT w/ OWNER & I `a' ° 3 ru BUILDING SECTION C g W a 2. s CC oy l ., CITY OF TIGARD - SITE PLAN REVIEW _ . _ B ILDING PERMIT,NO.: r PLANNING DIVISION: Required Setbacks: 6 Approved CI Not Approved Side: 5 4 Stfeet Side: ...Li_.... ., . rfotit. 2 -i—af ' Garalp: ,..-. — Rear: V i.:1.1! Clearance: u§ A 0 Not Approved NiaxstInuti 1 31.1i1dinF Ht i ..t.t.._ feet 1 Service Provider Letter Required: 0 Yes al‘ 0 Received ... \—__..:ArAi ' ate: V-1 to i 24 • -....x..A.-vw......,_ IN Ci I N ERING DEPARTMEN Aitual Slop :% Ai Approved 0 Not Approved * Ibi Pin: CO Approved CI ot Approved B ' L -, , ,r... Date: /0 4 140....- 1ool - 000 3 - „ALA. .i , , As ,..6... c ,. i., 1 0 0010 - 0,4 ilyj -44_464-4.. 4 - 0 i 2_, - 7s i --..-4 - TV OF TIGARD:- SITE PLAN ' VIEW BUILDING PERM NO; ,4 Street Tree§: Vpproved CI Not Approved Protect edi n Appfoved 0 ot Approved Bt v 1 /ru Date- lows; Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: AA Jurisdiction: - PA,1 2010 - Oo 2 t Gltl 0 d- � / i .4 Site Address: it tags .5� 16 ANN Subdivision/Lot #: >0 1 erei La - Ot 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: 7 /l 9 /2o1 Owner /General Contractor /Authorized Agent Print Name: Leese_.+,.erS t 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, , am the general contractor or the owner- builder at the following address: Site Address: , t y 8S SO i6+ Ave • City: T 'cArd Permit #: M.$T 2o10 -002_1\ Subdivision/Lot #: / L + and/or 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: Date: 7/ I /Zo 12- Gen r 1 Contractor or Owner- Builder I: \Building\Fonn\RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE CERTIFICATION I, Lem Rim es , owner/ agent for Eve.'e- - £1 (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. PERMIT NO.: M5 2_010-002_1x SITE ADDRESS: 1 19 $g svi 96+ Ave. SUBDIVISION: LOT #: SIGNATURE: / q /z,o L (OWNER/AGE ATE: AGE / RE CEIVED d� VERIFIED BY: _ L �. DATE: 1 )// (CITY OF TIGARD) ❑ Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 07/01/2010 Backflow American 1(so3) 28 1745 - 74690292 Assembly Backflow! , a ..sN..•. + ,.••mr.,...a. , NEW Test Report =The •.�.� , •••�• L� I EXISTING p INIPTAULAifots ❑ REMOVED Property [I REPLACE ME N T Owner: Everett Homes Lot # Phone: _ ___ Mailing Address: 11488 SW 96th Ave Cit Tigard sue: OR n 97224 Assembly Address: 11488 SW 96th Ave Tigard OR 97224 R.P.B.A ]D.CV.A [,1R.P.D.A jD.CD.A HP.V.B.A [lS.V.B.A ❑A.V.B ❑ AIR GAP Size: ( -t Make: le-6 Model: Water Serial Purveyor: T artd Number: / Assembly ,. �i d/ 1/0,2,( / .j �1?4 Location: / REDUCED PRESSURE ASSEMBLY P.V.B.A / S.V.B.A INITIAL TEST #1 CHECK DOUBLE CHECK AIR INLET CHECK PASSED bC' PRESS DROP (A) CHECK #) INITIAL RELIEF VALVE TIGHT / L OPENED AT: PRESS DROP FAILED TEST MIN AT (B) MIN 2 PSID LEAKED ❑ PSID DATE: RESULTS BUFFER A - PSID PSID 7/ ) ,! B= CHECK RECOMEND 2 PSID TIGHT ' a� FAILED RELIEF VALVE e DI DPI STEM L. e - PSI PASS FAIL LEAKED U • #1 Shut Off Rusted Off COMMENTS REPAIRS AND / OR ® OURO MIER C OL.S W f ❑ #2 Rusted O Stu' °if ff PARTS REDUCED PRESSURE ASSEMBLY P.V.B.A / S.V.B.A AFTER REPAIRS #1 CHECK I DOUBLE CHECK DATE: TEST PRESS DROP (A ir — HECK #1 AFTER RELIEF TIGHT PSID OPENED AT: PRESS DROP / l REPAIRS OPENED (8)1 BUFFER MR 12111 • % 2 A - B= PSID PSID PASSED G p , .3'• IN COMPLETING AND SUBMITTI . ' TN • • , THE STER • FEES THAT THE ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE W "/ ALL •P / ■ E RULES D R ..71 •TIONS OF THE WATER SYSTEM, AND STATE REGULATIONS. WATER METER # ', CTO• R READING Washington CERT# 5523 TESTERS SIGNATURE Onsyon CERT# Ma . Yun , ebe • #20920 TESTERS PRINTED NAME GAUGE # . (503) 289 -1745 02 -26 -12 COMPANY NAME PHONE # GAUGE CALIBRATION DATE 5905 N Interstate Ave, Portland, OR 97217 SERVICE � ADDRESS WATER ND OFf