Loading...
Permit • • t CITY OF TIGARD MASTER PERMIT 1 1. 11. . COMMUNITY DEVELOPMENT Permit #: MST2012 -00052 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/03/2012 TIGARD. . g Parcel: 2S109AB17500 Jurisdiction: TIGARD Site address: 13252 SW WILMINGTON LN Subdivision: HIGHLAND HILLS ESTATES Lot: 4 Project: Highland Hills, Lot 4 Project Description: New SF. 6/21/12 REPRINTED to add fire sprinklers. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1328 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1826 sf . Garage: 606 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 3154 sf Value: $352,289.06 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 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: Y Vent Fans: 5 Clothes Dryers: 1 Gasoline Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 6 201 -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 3154 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 681 - 4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 . PHONE: 503 - 381 -3753 PHONE: 503- 381 -3753 • FAX: 503 - 214 -8524 . Total Fees: $20,013.04 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 ofuance, or if work is suspende. _ more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T • • rule- . e set •rth in OAR 952- 001 -0010 through R 95 - 01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 • .800.33 - 4. Issued By: Permittee Signature: — „,. goo" - Call 603.639.4176 by 7:00 a.m. for the next available inspe • ate. This permit card shall be kept In a conspicuous place on the Job site until completion of the project Approved plans are required on the Job site at the time of each inspection. II CITY OF TIGARD MASTER PERMIT is : COMMUNITY DEVELOPMENT Permit#: MST2012 -00052 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/03/2012 Parcel: 2S109AB17500 Jurisdiction: TIGARD Site address: 13252 SW WILMINGTON LN Subdivision: HIGHLAND HILLS ESTATES Lot: 4 Project: Highland Hills, Lot 4 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 1328 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1826 sf Garage: 606 , sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3154 sf Value: $352,289.06 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: Y Vent Fans: 5 Clothes Dryers: 1 Gasoline Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 6 201 -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 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All asin Y Other. N Other Description: Ecom p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R - 3 3154 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 681 - 4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 -381 -3753 PHONE: 503- 381 -3753 FAX: 503 - 214 -8524 Total Fees: $19,792.09 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. ATT • TION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 ' 1 10 th • gh OAR 2-001-0090. � Youu may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. - �1/1 1 %day/ • Permittee Signature: . Call 503.639.4175 by 7:00 a.m. for the next available Inspecti . 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 kk FOR OFFICE USE ONLY • City of Tigard Received t n �mn �� 1291 Permit No.: -DOD 13125 SW Hall Plan R lvd., Tigard, OR 97223 RECEPJED D w ' II 2 Phone: 503.718.2439 Fax: 503.598.1960 2012 B Date : J •therPermit:p`I(O�d�dj e vi e� TIGARD Inspection Line: 503.639.4175 MAR 1 3 Date Read :y: AM ® See Page 2 for Internet: www.tigard Notif Supplemental Information CITY OFTIGAI;D ,L,v� fW ; TYPE OF WOIDUILDING DIVISION 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. ® 1- and 2- family dwelling ID Commercial /industrial Valuation: �r`■1 ❑ Accessory building ❑ Multi- family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 13252 SW Wilington Lane New dwelling area: 3154 square feet City /State /ZIP: TIGARD /OR/97224 Garage /carport area: 606 square feet Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Covered porch area: 7) square feet tszc Cross strect/directions to job site: BULL MOUNTAIN TO 133 TO 134'" Deck area: 300 square feet I Other structure area: '3760 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: HIGHLAND HILLS Lot no.: 4 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 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. NEW SINGLE FAMILY Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: MISSOIN HOMES NW Type of construction: Address: PO BOX 1689 Occupancy groups: City /State /ZIP: LAKE OSWEGO /OR/97035 Existing: Phone: (503)381 -3753 Fax: (503)2144524 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: MISSION HOMES NW (Please refer ro fee schedrrl) Structural plan review fee (or deposit): Contact name: JOSH KELSO FLS plan review fee (if applicable): Address: PO BOX 1689 City /State /ZIP: LAKE OSWEGO /OR/97035 Total fees due upon application: Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Amount received: 767) E -mail: JOSHKELS03 @GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR C .•sercial and residential prescriptive installatio c roof -top •ounted PhotoVoltaic Solar Panel S -m. Business name: MISSION HOMES NW Submit two sets of roof plan with con, - tion details and fire departme . ccess, along wi • e 2010 Oregon Address: PO BOX 1689 Solar Installation Spec • i Cos ecklist. City/State /ZIP: LAKE OSWEGO /OR/97035 Permit Fee (includes :. • eview $180.00 and a' istrative Phone: (503) 381 -3753 Fax: (503) 2144524 State surchar•_ - 12% of permit fee): $21.60 CCB lic.: 186849 • s al fee due upon application: 60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JOSH KELSO Date: 3/7/2012 * Fee methodology set by Tri -County Building Industry Service Board. I:\BuildingWerrnits\BUP- RESPermitApp.doc 02/24/2011 440 -4613T(11 /02 /COM/WEB) FOR OFFICE USE ONLY — SITE ADDRESS: /24 2 5-z SA) 4) /L'At/A/6T' V This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT a Transm Letter - r i c, A i. n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: /9A/ /1V6 Z- SO Al DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JUN 0 FROM: JoSt r4/1b00 CITXOFTIGARD COMPANY: OA IS �o ASS S; DJ - --,,,c hi BUILDING DIVISION ■ , PHONE: 5:0; - jai - 3 �-S`g By. '% Arr RE: 1325 S vJ VV ■ (44 i L c 20 2 1- eO . (Site Address) (Permit Number) 41 4 ( (6a-; uS Cu+ 1 (Projct name or subdivision name and lot number) • ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: Copies: I Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. X Other (explain): pr;^ Eli..- P (,,,,,y , REMARKS: /5' FOR OFFICE USE ONLY Routed to Pe t Technician: Date: Initials: Fees Due: /= Yes ❑ No Fee Description: Amount Due: Cat 40/ Jkcte 6art> $ 7696c ga 1424fhg2d. $ o�o•35 /AJ ') doe.. /1 X /7 -t' (ti fb) $ e -/.°° /tot /2Ac • // x/7 — (5'g m $ Al - o0 Special Instructions: T -c b,.ag" r go . 9S' Reprint Permit (per PE): Yes I ❑ No one Applicant Notified: J ( ' a te: 6p/f /.2— Initials: W I: \Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 03/7/.20141 13:12 5034636863 CONNECTIONS ELECTRIC #2190 P.002/002 m... le. 4V11 'V. nv. IITV I. L , Electrical Permit Application RrrE i it 111 I'll 1, 1 c1,�,l.1 f l'"i City of Tigard ' as tt' ° � tilt No.: J-/5 %?0« - = 5 13125 SW !-1x11 Blvd., Tigard, OR 97223 Cwo/b . i 1 " puone: 503.118 r� 503.5984960 MAR 1 3 2012 a l k t r y n ', , _ ,,,• .A . A . , , Inspection Liao: 503.639.4115 . -i""' Y - See raga 2 rot Internet ww w.tigord Nedliedibtethed: WM Supplemental Infarmalion TlrP� a8 ITY ©,�TE'�A?� W 11 r to r, f i tl;c�iCet .. , . :. .. •:;. . MN : il?IYNW. . Now Construction 0 Addilion/alteratl� n nt ' e d ill uml appy (Walt 1 ieu of pleeis warms cber • le Demo11I1on Other: _ T Um d or feeder 400 mops or mom e evol�el O Building lam boatyard Mom stories. ' 4+pz , *d . t i#d i �Q : i ArL „ • meads Io,00o em�ps of 150 lolls or CI Floating bell4tegs. bus ID I - and 2 - famil dwelll ❑ Commercia /IndusWel ❑ Acc b ut rue& ar anoeede 14.000 Cl buildings. a agricultural Y � 4' � ampstbra11o1Amr6e4a1W1o� buildings. q Multi amts ry _ ❑ Master builder CI Other: D Piro pump. CI lasetteden MIS KVA a ' ' JOE S!�'INFORMA`!'ION AND LCI CATION D W f cow m - saga r,- 14;11.3`. moms. [] Addlltortar oaw aatwloedof CI "Ayr, t� ."t�". 1001iPorro lob 110.: Job sU S� eaddress: 132- 2, lvil,ltI`. m �a psacermoones leery exogamy. CI lumpiaa.t r.dz atylStat*J tP: T1 (1 . t7 0g- e -� Z 2� (/ O ireaUh sane flciAdcs. A d0e mono them E3 Re aadow bW1om. volts media Sulleibldg./apt.no.: I Project name: #/ ») Jf %wf O Service a fader 600amps Cross street/directions to job site: L... , minsorn ma n=SI blow raddemdal stoglo- or multi-ramtly dwelling wait. ( iM,o J4�i v /g3 Includes *mew garage. Subdivision: /-/-(1 1AOOat it or l ess 1 168.54 CW . U h (a� �'�/ lot no.: t Ea. edd'l300 sq. R or ponico )O 3312 9 Tax P no.: ka . n 7500 IIIM Ei DESCRIPTION O WOK ' Limited w e e r muttldlanilY ■ 75.00 mg NEW SINGLE FAMILY residential with above ..11. Serviees or feeders installation alteration =Idiot reloeatlon 200 ' - or las 100.70 A PROPERTY OWNER 1 0 7 iNANT ' • 201 .... 10400. , • 133•56 Q — ' 401 to 600 20034 _ U Name: MISSION HOMES NW - - - - 601 amiss to 1,000 amps — 301.04 fl Address: PO BOX 1609 Over LOCO amps arwtu 1111 55216 —0 Tempararyaer+rtces or [cosecs imtalletlon, alteration, and/or City/Stare/2M:1.AICE OSWEOO/00197035 Phone: (503)381 -3753 Pam (503)2144624 • 200 amps or leas ME 59.36 NM d Owner Installation: This b►sroJhi(0n is being ade on that l own Web iS not 201 .. M400 amps 12508 Q Intended tor sale, lease, root, or exchange, according to ORS 44 , 449, 670, and 701. 'rot 1°594 maps Brand &cuia -new nutrition or extension -r , and Owner s i g n a t u r e : Date: A. F e e Ihrrbamacit ca cI S WO 111 142 Ill - . ' ® ArrUCANT Q CONTACT Folsom obovo hunch c or War 110 cad► praaob ltr wit IIttsittcss name: MISSION SOME$ NW a feed • r im M© carrie ar feeder lba, root Contact nano: JOSH KELSO e. "' draidt 7.42 MEM El Address : PO BOX 1689 hi .. e i e :. comet or Feder no Included CiirISiat /2 LAKE OSWEGO/OR/97035 . s:~ 67 � a Phone: (503) 381.3753 I I'a>s" . (503)214-11524 . 07 .84 NM El 11.malt:JOSRXELSO3@GMAlr.I,COM s 1 . , .' oreadlno uehang M 67- MIE11111d cotcroAcrea Sepal etrcud(s) or lfathedftergy � � � Business name: CONNECTIONS E1.EC R1C , - u, orexleaasem �.. Each irddltinael , , melon ova allowable in n,► of the above Address! 4675 PORTLAND RD NE :, -7114 _ Additional • • - . ,., (1 hr tall IIII1 66.25/ hr EOM Ill City/Slate/ZIP: SALEM/OH/97305 .v..,. c312-44 . m � t ON ON II= ii Phone: (503) 39p.79i4 I rex: ( 4e43-6te rigilagiapiiii 90.00br Mill. CCB 1.Ic.: 65444 I Lie,: 24,2414 iSapty. Lk.: 3e 1dLEC'Y'IItICA.I. ft;91LT' PUPS Subtotal: LL'r r! Suprv. Electrician signature, Molted: d'Irelaillt Tian review a S% of . -nab tee . Print name: axo.4, ,,.n._ _ 1 D _ ; ' State surdbataa (123 of permit foe): gN Authorized signature: '— . _ Omit epyllrnden expires (re Knob is pal co Word ilt& Lao Print name: .t2 - F Date: • Numbaror lame t I t t pa a camplala l• 1, �allaah{glimmitt bApPdoo 00010 eia+613201/0ut03v0103 • pr Meclianical Permit Applicatioa FOR OFFICE USE ONLY City of Tigard MAR 1 3 2012 Date/By: ateiB `, g Received Permit No.: • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review , '/� �Jr� C Phone: 503.718.2439 Fax: 503.598.1960 Permit: ao Inspection Line: 503.639.4175 CITY OF �IC�►;�® Date/By: r�� i ii T I G A R D Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ® 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 I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 13252 SW WILMINGTON LANE (requires site plan showing placement) 1 46.75 Furnace 100,000 BTU (ducts/vents) 1 46.75 City/State /ZIP: TIGARD /OR/97224 Fumace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH 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: HIGHLAND HILLS Lot no.: 4 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 NEW SINGLE FAMILY 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 0 PROPERTY OWNER El TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: MISSION HOMES NW Environmental exhaust and ventilation: Address: PO BOX 1689 Range hood/other kitchen equipment 1 33.39 City/State /ZIP: LAKE OSWEGO /OR/97035 Clothes dryer exhaust 1 33.39 Single -duct exhaust (bathrooms, Phone: (503)381 -3753 Fax: (503)214 -8524 toilet compartments, utility rooms) 5 23.32 i i ,I W ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: MISSION HOMES NW Other: 23.32 Fuel piping: Contact name: JOSH KELSO $14.15 for first four; $4.03 for each additional Address: PO BOX 1689 Furnace, etc. I 1 4 ,1 4 5 Gas heat pump City/State /ZIP: LAKE OSWEGO/ OR/97035 Wall/suspended/unit heater Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Water heater I Fireplace E -mail: JOSHKELS03 @GMAIL.COM Range I CONTRACTOR Barbecue 1 4,Q2i Business name: RITE -WAY HEATING & AIR Clothes dryer (gas) Other: Address: 33505 SW TUALATIN VALLEY HWY MECHANICAL PERMIT FEES* City/State /ZIP: HILLSBORO /OR/97123 Subtotal 3 1.77 Minimum permit fee ($90.00) Phone: (503) 693 -3161 Fax: ( ) Plan review (25% of permit fee) CCB lic.: 71242 State surcharge (12% of permit fee) AZr,2, ( • TOTAL PERMIT FEE 31' 3.9 8 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JOSH KELSO Date: • Fee methodology set by Tri -County Building Industry Service Board I: \Building\Permits'NEC- PermitApp.doc 09/09/10 440-4617T (I 1 /02ICOM/WEB) • Plumbing Permit Application � Building Fixtures RE ,:� l ` y FOR OFFICE USE ONLY City of Tigard Received /1 ` ` �� ty ll MAR 1 3 2012 Date/By: pl 3 !2 � / Permit No.: /Ait l 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C y� L Phone: 503.718.2439 Fax: 503.598.1960 �l� _�a " / Inspection Line: 503.639.4175 CITY OF TIGARD Date/By: Other Permit No. T IGARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING D! I SW) ! Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New 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 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 ❑ Accessory building ❑ Multi - family SFR (3) bath 1 500.32 3,--- Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (3154 sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13252 SW WILMINGTON LANE Catch basin or area drain 18.76 City /State /ZIP: TIGARD /OR/97224 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: HIGHLAND HILLS Manufactured home utilities 50.03 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH 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: HIGHLAND HILLS I Lot no.: 4 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 NEW SINGLE FAMILY Clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: MISSION HOMES NW Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: PO BOX 1689 Garbage disposal 1 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Hose bib 2 25.02 Phone: (503)381 -3753 Fax: (503)214 -8524 Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: MISSION HOMES NW Medical gas (value: $ ) Page 2 Contact name: JOSH KELSO Primer 12.51 Roof drain (commercial) 12.51 Address: PO BOX 1689 Sink/basin/lavatory 7 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Solar units (potable water) 62.54 Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Tub /shower /shower pan 4 12.51 E -mail: JOSHKELSO3 @GMAIL.COM Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: S & B PLUMBING i Water Pm i P� g/D WV 56.29 Address: 10601 EVERGREEN HWY Other: 25.02 City /State /ZIP: VANCOUVER/WA /98664 Subtotal 5b i. 32 Phone: (503) 545 -3601 Fax: (360) 695 -5031 Minimum permit fee: $72.50 CCB Lie.: 168129 Plumbing Lic. no.: PQ Plan review (25% of permit fee) lc' State surcharge (12% of permit fee) , t(:)* Authorized signature ��� _ TOTAL PERMIT FEE, , Print name: JOSH I SO Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB) Alt:11 AlLeed III Building Division 3/ Development Code Provision Review r i c n K Residential Projects Building Permit No: i -( 6T AO/ da- - noo5.2 CWS Service Provider Letter Received: Yes ❑ No ❑ N /94 Routed Plans: 2 Original Plan Submittal Date: c.1 /el / 9— 1st Revision Submittal Date: ❑ Site Plan Only 2 Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning. Review (contact 941 V at 503-718-./ �� or @tigard- or.gov) La se Case N Name / l 4C$IDLL 14),Je5 9 , Zoning 7 . ' , ld Setbacks: T / . Front Rear _/,_ Side J Street Side Garage 0 CYV aximum Building Height 3 Actual Building Height a1 .2s isual Clearance ❑ Easements /tY 1nd _ dA, L3 Sensitive Lands Type: lV / Notes: Original Plan: Approved V Not Approved ❑ Date: It?.-1( }- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov) Actual Slope: 6 cy Notes: Original Plan: Approved Not Approved ❑ Date: 3 !A -! Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City borist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov) i S treet Trees Protected Trees Notes: Original Plan: Approved / Not A roved ❑ Date: yt � �� 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 Appli t . Okay to Issue Permit: Yes No. ❑ _ Date Routed to Building: s 1 .. ir --------- Page 2 of 2 Rgr.17ninin .,nc 9 VI' L MAR 1 3 2012 CITY OF TIGA RD BUILDING DIVISION TREE KEY f STREET TREE VA ' ACER, Rubrum 'Red Sunset Maple" S.W. WILMINGTON LANE S N 6° CUB • g (l � � D • B' 91DEW D AL � � • , f /� D °° D k0 0 .. . _ _ 4 _ _ _ -: i ' cW D I C I /;, /I COVERED I ENTRY ' GARAGE I ■ -.1 / ...z., cr c,,, / /SILVERWOOD / ft tlIrr�%Al ivy �1 / / / / /E:'rT-! _ ;C,T1 / S2 - -.: l / / / /L ;74;11 r , i SETBACKS: LOT 4 I ° GARAGE = 20' °i BUDING =15' 50 POR = 12 SiC •. — — — } �3 SIDE YAR = 5' 4,703 SF. STREET SIDE YARD = 10' (1 ) Sitep fan SCALE : 1"=20' PLAN NAME: CON IAC I: Phone-503-381-3753 SILVERWOOD I li -21 a1„ ii Z n DRAWN: BKE „ ✓ 'f L J �` n n PLOT: 3/12/12 LOT �t Mission 1MomES NW , Lt.c. SCALE: �'F' 1/411 =1' -0" Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: M1 tk c ?. Site Address: Subdivision/Lot #: ■ h Ia�► I + ,11 S 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: E/a� air r Date: 7 ` l - 1), Ownc(rr /General C ntractor /Authorized Agent Print Name: (ai.‘, J O \ 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. 1:\ Building\ Forms\RES - HighEfficiencyLighting.doc 07/01/08 • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, n ,4 b 04 t , am the general contractor or the owner- builder at the following address: Site Address: l l City: Permit #: Subdivision/Lot #: s , A 11► 11 S Lo ' F 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: 7-1-k �. Gen al Contractor o Owner- Builder 1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 STREET TREE TIGARD CERTIFICATION I, An„L Qc)._\■' , owner/ agent for M;se,;ot, ��M (PLEASE P ) (PERMIT HOLDER) do hereby certift 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.: -UOLS HIE ADDRESS: 1.3 1S S . �, ; � t I . SUBDIVISION: N :; 5 1„, k Uri IA; I\ LOT #: SIGNATURE: DATE: 1 -1. -1 ? 614 ' ER /AGENT) RECEIVED & VERIFIED BY - _ DA I E: ("c— 7 { (CTTY OF TIGARD) ❑ Tree location verified per approved site plan. I: \Buildiu, .rms \StreetTreeCertificate 04/01/2011