Permit 1.% q CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2012 -00030
T t GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/14/2012
Parcel: 2S109AB12500
Jurisdiction: Tigard
Site address: 14216 SW ALPINE CREST WAY
Subdivision: ALPINE VIEW Lot: 6
Project: Alpine View, Lot 6
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 938 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23.5 Bathrooms: 4 Second: 1070 sf Garage: 507 sf Front: 20 Smoke
Dwelling Units: 1 Third: 658 sf Right: 5
Detectors: Yes
Total: 2666 sf Value: $298,714.45 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 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
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =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 sf: 5 201 -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 2666
Owner: Contractor:
LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports (Conditions)
12013 NE 99TH ST #1650 2103 NE 129TH ST 1 Ersn Cntrl 503 681 - 4444
VANCOUVER, WA 98682 VANCOUVER, WA 98686 2 Geo tech report required prior
to footing inspection
PHONE: PHONE: 360 - 258 -7900
FAX: 360 - 258 -7901
Total Fees: $18,714.35
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 t • • • OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332 344.
Issued B ' � ji i Permittee Signature: 4' ���i' I _W1
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
•
•
Residential � �Q�� FOR OFFICE USE ONLY •
City of Tigard `�`` - ‘s ' �% Dat : , � � Permit No.: i . . — •
. ° 1 3125 SW Hall Blvd., Tigard, O 9223 �c Pl an Review
,1114 ♦ '' O Permit.
Phone: 503.718.2439 Fax: 503:598.1 11 N 1,A K1� DateBy: J ' ��� Et�eo�O « 'ADO 3'
TIGARD Inspection Line: 503.639 C o G, a gg �� \J Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard or.gov 9 , . • Notified/Method: P Supplemental Information
TYPE OF WQRI;r . • ' - REQUIRED DATA :.1 - AND 2- FAMILY DWELLING,:
lew 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.
Ekf and 2- family dwelling ❑ Commercial /industrial
Valuation: $ Z 7�
El Accessory building ❑ Multi- family Number of bedrooms:
•
❑ Master builder ❑ Other: Number of bathrooms:
t31cv
OB SITE INFORMATIO AND LOCATION .. , Total number of floors:
/ -`
Job site address: �� ' /N • ,g2/„),t,8, e, t/UA New dwelling area: �('�' 6 square feet
City /State /ZIP: � �� �o /v '7. t� l � Garage /carport area: 507 square feet
Suite/bldg. /apt. no.: Project name: ! i i '�, A . . Covered porch area 84,__ square feet I070
Cross street/directions to job site: au l( ..f , Deck area: square feet 9 3e
Other structure area: square feet*—j
?'
r REQUIRED.DATA: COMMERCIAL-USE CHECKLIST
Subdivision: pivive .ifrPd,s0 ,(-¢�7 Lot no.: 6 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 6� 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.
Valuation: $
Existing building area square feet
New building area: square feet
• , Et PROPERTY OWNER - ,❑ TENANT .,:. ' - . Number of stories:
Name: T of constructi
L �nij4e ` 7�o rl fh s . � i tJ L .
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Address: / ,„, i z� .. 7 ,„,::,,„,./ .e," 7 , Occupancy groups:
City /State /ZIP: /J9 /Ljeo a '9 /M?Z . Existing:
Phone: (eio 75' . -7900 Fax: (we) i "7 7/ New: •
,❑ APPLICANT ' . ' ❑ CONTACT PERSON.' '.:` : ' , ' . . BUILDING PERMIT.FEES* : , f '
Business name: L N�04 2 n a,� ��� . (Please 'refer (or deposit):
Structural plan review fee (or osit):
Contact name: eaze,„..t:J--29.tCfleiv,aAt- FLS plan review fee (if applicable):
Address: ..zio /0F /.7 61 e. ,.. 7 . 4 .
•
City /State /ZIP: CiAitG�uu�i, 6� Total fees due upon application
qq 'o Fax:: ( Amount received: -7.
Phone: ( 2 58 — 7` s ) 7-59 - 79D
E -mail: C� pa inG PHOTOVOL SOLAR PANEY. FEES*
• � �•� "' � '� C ommerc i a l an res prescr i of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel Syste.•. •
Business name: 4. i f� a � a • Ne _ Submit two (2 sets of roof plan with con on details
and fire departm- • access, along w' e 2010 Oregon
Add ress: ' f' Solar Installation Spe • • C• • • checklist.
City /State /ZIP: iii l Le yP� /j Permit Fee (incl • plant $180.00
/ 7 ,,p .790/ an - .ministrative fees):
Phone: ( 2 59,- 79,00 F ax: ('9./....1) 2 i7 D - State su • P )
. ge (12% of permit fee): $21.60
CCB lic.: jf c a-7 ,r(
/ �/' otal fee due upon application: $201.60
Authorized signature: Q �� ` This permit application expires if a permit is not obtained
�J within 180 days after it has been accepted as complete.
Print name: * Fee methodology set by Tri- County Building Industry •
�� !C T/f! Date: �� . �i�. Service Board
I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/201 I 440- 4613T(11/02 /COM/WEB)
Electrical Permit Application: ; , FOR OFFICE USE ONL
�
City of Tigard 4 Received
Penn" 11 ° . : Date/By: A 1 y / 50— M IX - 004 3 36
0 I�
r 13125 SW Hall Blvd.,'f ,O 7 223 r�\ Plan Review
Other Permit: .L9 S
2
Phone: 503.718.2439 Fax: 03 Date/By:
T I G A R D Inspeclion Line: 503.639.417 C� p`P'Q Re Dale Ready/By: laic I Fa See Page 2 for
" Internet: www.tigard.or.gov c ' NCP° Notified/Method: Supplemental Information
4. � • \
- TYPE OF TO O %r o� PLAN REVIEW
▪ s� V. Please check all that apply (submit 1 sets of plans tv(tems checked below):
. 1 X1 New construction ❑ Addition /alters 1 F�P cement 0 Service or feeder 400 amps or more 0 Building over three stories.
� ❑ Demolition ❑Other: Q v� where the available fault current ❑ Marinas and boatyards.
i CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
X I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for ell other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75KVA cr
❑Emergency system.
larger separately derived system.
• JOB SITE INTOR 11 lON AND LOCATION ❑ Addition of new motor load of 0 "A ". "E", "1- 2 ", "1 -3 ",
Job no.: Job site addle 4 1 / /� IOOIIP or more. occupancy.
:. /4) _ 1 14 ;. ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: 72;1 J ❑Health -care facilities. ❑ Supply voltage for more titan
lY' �� 9 7.2. � ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: U I Project name: 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I or,. I Pee. I Tara I
�� New residential single- or multi-family dwelling unit.
Bu //41 , , ied Includes attached gar •
Subdivision: - / ✓C . I Lotno.: /Iii IAOO sq. R.orless ,
168.54 � , 4
Coo Ea. add'I 500 sq. R. or portion ■5 33.92 i wq 6c I
Tax map /parcel no.: I limited energy, residential
DESCRIPTION OF WORK (with above sq. IL) i 75.00 -( 2
``. 1 • , / Limited energy, multi-family 75.00 2
G' e /V9 S/I'f / dy ale /7/ residential nove sq.
idential with above sq. R.) _
// Services or feeders Installation, alteration, and/or relocation
200 amps or Icss 100.70 2
RI PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 20034 2
Name: L //LW /1/O 77/ . Z J(� a 601 amps to 1,000 snips 301.04 2
Address: 071 1/" 1. S7L $744. , /‘'W Over 1,000 amps or volts 552.26 2
J Temporary services or feeders installation, alteration, and/or
City /State/ZIP: 114/7zew yi p, , `'J 9ff ( 1" relocation
Phone: Oda ) 2S- 79o0 I Fax: (9 ) J5- 79P/ 200 amps or less 5936 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 utnps 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. Fce for branch circuits with
RI APPLICANT ' ❑ CONTACT PERSON above service or feeder fee, 7 42 2
each branch circuit
Business name: _, '' , p .S owt&r� D. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: d2i,.,fC,„. /1,'LGYC /l %rf� f branch circuit 2
✓ Each add'1 branch circuit 7.42
Address: Miscellaneous (set-vice or feeder not Included)
• Each manufactured or modular 67.84 2
City /State/ZIP: . dwelling, service and/or feeder
Phone: ( ) I Fax: • ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E l'q r f r?ri me!,61)0ig / /943.7.", fingi Sign or outline lighting 67.84 2
ONTRAC TOR Signal circrtit(s) or limited- energy
Business name: / /7 . n � / /1 /� panel, alteration, or extension. - Page 2 2
Ldr, 77 �� L:- ay„.. G l°G���C Each additional inspection over nllownble in any of the above
Address: -6 /e? aE /36 ii-p c Additional inspection (1 hr min) 66.25/ hr
y /f Investigation (I hr min) 66.25/ hr
City/State/ZIP:
c', 7 /. *1 p - Industrial plant (I hr min) 78.18/ hr
Phone: (.917) 740- 4 ?� I Fax: (5 -/f z3 Inspections for which no fee is 90.00/ hr
specifically listed ('A hr min)
CCB Lic.: / 25.f J Electrical Lie.: 3-3_9,26 Suprv. Lie.: 339g5 ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: iDe , &JAZ Subtotal: ,13 A
e '-
/ Plan review (25.0 •� of permit fee):
Print name: _pen ?i�vs lee /c /L Date: Slate surcharge (12%ofpenuitfee): 4-74356
n TOTAL PERMIT FEE: 4-c, 2.7 Z
Authorized Signature: /u /.f � �
This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Print name: . ----- hie-__, , Date: a f _ • Humber of inspections allowed per permit.
t: tauilding \PamiteELC- PermitApp.doe 07/01/10 440
r
I'YleChanical Permit Application t (c� FOR OFFICE USE ONLY
�A
City of Tigard , a Received
Date/By: Permit No.:
V 7t; • O
C a 13125 SW Hall Blvd., Tigard, 0 •< o ,, , ' ``, Plan Review
Phone: 503.718.2439 Fax: 503. °4 . ! .a V esQ Date/By: Other Permit: 5
. I G A R D Inspection Line: 503.639.4175 ` �( e ,'0 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard or.gov `` �` � ` �,1�' Notified/Method: Supplemental Information
\\ "e∎A
TYPE OF WOR �\ )' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
ew 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 rid 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special Information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I_ Ea. I Total
/ / JOB SITE INFORMATION AND LOCATION
Air c
A Heating/cooling: diti
`��� Air conditioning
Job site address: L. `, i ,,�, LL a4 ctNr Cie (requires site plan showing placement) 46.75
� y Furnace 100,000 BTU (ducts/vents) ( _ 46.75
City/State /ZIP: / J e Q� , 9 7 Z Z V Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: f Project name: QZ /Nt vli ems, 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
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: ac „, O / / �� J 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 1 23.32
Gas fireplace 1 33.39
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
111.4 PERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 23.32
Other: 23.32
Name: ,`[g/ilfilt L 7�M 2 y 1 � • Environmental exhaust and ventilation:
Address: 7.10 3 / C . p . / eL" - Range hood/other kitchen
equipment ( 33.39
City/State /ZIP: �C / z 47 , 4ii �p /f� 9969A. Clothes dryer exhaust 33.39
[/ !fi r,1 ! Single -duct exhaust (bathrooms,
Phone: (w) 7s5g . 7i00 Fax: (7C)) 6P -. --74749/ toilet compartments, utility rooms) 6 23.32 1V/12--•
�PLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Business name: ,a� � 7 7� � l , I ►-�
Fuel piping:
t in 23.32
P g:
Contact name: a / LA - ex_ % / /,,, e � .� �, .40• $14.15 for first four; $4.03 for each additional
Address: v 2, �, Q . / / 2)9 . t.4 F urnace, etc. (4 /S
l Gas heat pump
City/State /ZIP: p ,,v/,ar, a o .92 Wall/suspended/unitheater
Phone: (310)-2_59- - k7 y r Fax: : (3O -..69-<-79,/ Water heater 1
Fireplace
E -mail: _..../ / '.t • •[L . - i • t 1 - 's/ • ' -..,I -. Range r
CO RA I • Barbecue
Business name: Clothes dryer (gas)
I2 "6 l4 �Ti o�!')2� (44:514 Other:
Address: / 2 . / .. 5 .-- D a ! l a 10�� MECHANICAL PERMIT FEES`
City /State /ZIP: (S / ►Z a. 6 0� /9 , 9 ' 45' Subtotal ' , 3(
/ Minimum permit fee ($90.00)
Phone: (f$ 5 �� �Z� Fax: (54N ��7 ., 09/9 Plan review (25% of permit fee)
CCB lic.:-- -_ 6, 2 -3 State surcharge (12% of permit fee) , ,9 •
TOTAL PERMIT FEE 13 2...2..3
nature' This permit application expires if a permit is not obtained within 180
Authorized signature: - d . days after it has been accepted as complete.
Print namey �'f id y i i- Date: c03/42... * Fee methodology set by Tri -County Building Industry Service Board
1:\ Building \Permi PermitApp.doc 09/09 /10 44404617T (Il/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.
I9
Note: All new commercial buildings require 2 sets of plans.
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1: \Building\Permits MEC- PennitApp.doc 09/09/10 2
Pfuinbing Permit Application ,... ��
Building Fixtures FOR OFFICE USE ONLY
City of Tigard `3 Received 1 p No.:
�, Date/By: , 31y / SIM 'lX)i7 a
lig n 13125 SW Hall Blvd., Tigard, OR 972 1„. G 1'‘`‘ Plan Review
C P hone: 503.718.2439 Fax: 503.598.19 0 G'` ; , Date/By: Other Permit No L - _ _ e „',�' q�
T I GA R D Inspection Line: 503.639.4175 0 N � C)N Date Ready/By: Jude: ® See Page 2 for
w
Internet: ww.tigard or.gov ��� e, Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
ew construction ❑ 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
Ll l- 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
/4024 l JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: lla f /` C /2.6, f- t&," Drywell, leach line, or trench drain 18.76
City/State /ZIP: r ,- i.i� �L., , / ` :��iif�
" Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: `
I�W / GLLC, Manufactured home utilities 50.03
Cross street/directions to job site: 0_ 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: p% v/ e, J I Lot no.: (o Fixture or item:
Tax map /parcel no77:-- Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
•
Ejectors /sump 25.02
la OWNER I ❑ TENANT Expansion tank 12.51
Name: /-/ e VAl (IK °n t- {h GueS'- _Th.9c� Fixture /sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 740'x, /l. a , / �-&-_, 6 e ,
' ) . Garbage disposal 25.02
City/State /ZIP: v »/L C49€#40 lN& fC$6�,� Hose bib 25.02
Phone: (3 ) � .7 Fax: (I , ) 5 -79D/ Ice maker 12.51
APPLICANT / ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name:t &, 9 » 7, /-k, ��� , Medical gas (value: $ ) Page 2
"/` A6 Primer 12.51
Contact name: ,5
� N r Roof drain (commercial) 12.51
Address: - Z ./0 /VC !?� 15411--__e7,- Sink/basin/lavatory 25.02
City/State /ZIP: � ` 1;044 Solar units (potable water) 62.54
Phone: (a0 2_57- 7f» / Fax: : ( ) y / Tub /shower /shower pan 12.51
E -mail: ��% • • Urinal 25.02
a e e • 1' iA/ `L eLP/d/19A0 ice :is/l_'.
CO CTOR ater closet 25.02
/J Water heater 37.52
Business name:"'29n�
u/yLao eiH/'- i t0� p
/ Water piping/DWV 56.29
Address: / 1:,. / /J, 7 - Z � Other: 25.02
City/State /ZIP: g_4�r5 ( PL._ q-7 /c Subtotal
Phone: (c; - 0 0, f6_ 15, Fax: 5.7 3 3z fi t9g gp - Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic. no.: Liz - Plan review (25% of permit fee)
State surcharge (12% of permit fee) Q A--
Authorizedsignature: " 7 -, G TOTAL PERMIT FE e
Print name:0 , , , z fP //�� 9 �. f - Date /�3�� This permit application expires if a permit is not obtained within 180 days s
/� / after it has been en n accepted as as completen.
*Fee methodology set by Tri -County Building Industry Service Board.
I:IBuilding\Pennits\PLMIJ- PermitApp.doc 10/01/09 440- 4616T(10/02/COM/WEB)
C LQ,Q.c,.,t� v tg- -� L4
®° B uilding Division
r i c; n RD Development Code Provision Review
•
AA ,, Residential Projects
1
Building Permit No: 1 -. r.P.0(2--e,003o
CWS Service Provider Letter Received: Yes ❑ • No ❑ N /A,.
Routed Plans:
Original Plan Submittal Date: r ,.Z' a?j //.3.-
1st Revision Submittal Date: ❑ Site Plan Only
2 Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each.section.
Staff: please check items along left only if approved.
Planning Review (contact at 503- 718 -0 @tigard- or.gov)
Land Use Case o. SL 43 0 l i-WP ame 4 w ' if al B7
,L'] /Zoning k 7
12 Setbacks:
El Front /5 Rear i b� Side < Street Side 7? Garage
E, aximum Building Height 3s Actual Building Height p` •
ld Visual Clearance
Irr ,� sements
O' Sensitive Lands Type: 'v l A
Notes:
Original Plan: Approved ji Not Approved ❑ Date: 1.1 AR ( 12—
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (con Mike White at 503- 718 -2464 or MikeW @tigard- or.gov)
,'Actual Slope: r
Notes:
Original Plan: Approved Not Approved ❑ Date: 3' /t2,
Revision 1: Approve ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
•
(Review Continues on Page 2)
Page 1 of 2
•
City Arborist Review (contact Prager at 503 - 718 -2700 or todd @tigard- or.gov)
EV treet Trees
O Protected Trees
Notes:
Original Plan: A r oved Not A Approved ❑ Date: 3 7 O/
PP PP ,� /�
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 Applicant
Revision 2: Date Sent to Applicant
1...firve ......,„ _
Okay to Issue Permit: Yes No ❑ -
- -
Date Routed to Building:
Page 2 of 2
RECEIVED
LOT COVERAGE FEB 2 3 2012
LOT AREA: 4750 SQ. FT. CITY OF TIGAD
BUILDING COVERAGE: UILDING DIVISION '_
1580 SQ. FT. = 33.2%
IMPERVIOUS AREA: 421 SQ. FT. � �
\.W
PRIVATE STREET
1
1
50.00' 1
1
( LOT 6 11 ;
4
ST ,
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DECK m MP ,
I OUTLINE
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E PROPOSED
RESIDENCE
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i _ _ I GARAGE I '—
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� ,Ie — CCijil - — J ' w . AO 6 ``�� } DR i
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i IDEWALX 1 50.00' I - - _ _
VA AV NI Pr i �L ° CL
De_riciri
SW ALPINE CRESTS WAY \ \
SUNTEL HOME DESIGN, INC. IS NOT Mil
LIABLE FOR THE ACCURACY OF THE LEGAL DESCRIPTION KIST
TOPOGRAPHY INFORMATION. R IS
THE SOLE RESPONSIBILITY of THE LOT 6 — ALPINE VIEW
BUILDER TO VERIFY ALL SITE SW ALPINE CRESTS WAY LEGEND
AL norm PLA ON THE SITE, AND INFORM TIGARD OR A� m
OWNERS OF ANY POTENTIAL FIELD �i� 7 DOGWOOD STREET TREE ° ' P
A
MODIRCATIONS. N°""" °�"
.71 STREET TREE
TIGARD CERTIFICATION
I L 'viv,/ Y109 owner agent for L€'w&c/ Holm
(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.: 7 I Z �
SI1 E ADDRESS: I \ vt
SUBDIVISION: f ' v18 Ls - les LOT #:
SIGNATURE (1410 DATE: L: / '2.
( O 1 • R/AG NT
RECEIVED & 40,x, _
VERIFIED BY: � _ DATE: L: 7) c
(CITY OF TIGARD)
❑ Tree location verified p approved site plan.
I: \Building \Forms \StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, U14e/fter , am the general contractor or the owner- builder
at the following address:
Site Address: 1 41'1 5tv I
City: 1 k .
Permit #: l Z_ C25
Subdivision/Lot #: / 1') D' Y
� S
and/or
Map and Tax Lot #: te)-1-.
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: 1 Z
General Co ractor or Owner- Builder
1:\ Building \Form\RES - MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ZC) I , a ._ca Jurisdiction: G
Site Address: /4i A,6 StA/ I C e - �� ///VVV y
Subdivision/Lot #: / ' j t tne.
and/or
Map and Tax Lot #: / ,-j--
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)
Ogi
Signature: Date: 1
Owner /General Contractor /Authorized Agent
Print Name:
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