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Permit
Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, A /04 ‘?v-',/Vt 2- , am the general contractor or the owner- builder at the following address: Site Address: ` q 7 33 s - w 7 9 4 Ui City: —, Z 02-0 • Permit #: " 7,012- — oc27 • Subdivision/Lot #: h C Mt x'12 ,au L - 7 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 writin_ sy •u e general contractor that all moisture- sensitive wood framing members used in •ons tion have a moisture content of not more than 19 percent by dry we'll of dry fr. ing -mbers. I • fi Date: 0:0 Signature: - eneral Contractor or Owner - Builder 1:\ Buildin2\ Forrn \RES- MoistureSensitiveWood.doc 09/25/08 rim - L oy,, o LI • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: ✓451' Zoo, -coo 0 T.zr -�R2ID Site Address: , 79 - egVE Subdivision/Lot #: /11690,04 GDS '7 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 of linear fluorescent, or a lighting source that has inimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107. Signature: Date: e„/„..._ g ' wner /General Contractor /Autho ized Agent Print Name: M LA ni 6OZ A ' 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\ Fortes \RES- HighEfciencyLighting.doc 07/01/08 � a • STREET TREE sec CERTIFICATION • . j ,4 f t / t ' ers� , owner/ agent for Azik, e (PLEASE PRINT) (P,YIIT HOLDER) do hereby certj 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.: /�S� 20 /Z — oo ?e SITE ADDRESS: /9 73 3 Sw 79 4 v SUBDIVISION: gx.r`f 4-1Jt a 697 uJS LOT #: 7 - SIGNATURE: G% � i� �. DATE: r /3 (OWNER/AGE ) RE CEIVED & / / r / DATE. j 1 Z VERIFIED BY. / /I //� � _ _ ri(cI ,M' ) Tree location verified per approved site / 1..1. 1:\ Building \Forms \Strcl`tfrCCCCrt catC 05 /30/2012 • CITY OF TIGARD MASTER PERMIT - 9 " COMMUNITY DEVELOPMENT Permit #: MST2012 -00080 TIGARD. 13125 SW Hall Blvd Tigard OR 97223 503.718.2439 Date Issued: 05/21/2012 Parcel: 2S112BD07100 Jurisdiction: Tigard Site address: 14733 SW 79TH AVE Subdivision: BRITTANY MEADOWS Lot: 7 Project: Brittany Meadows, Lot 7 Project Description: New SF BUILDING Floor Areas Required Setbacks Requ Stories: 2 Bedrooms: 3 First: 1245 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1092 sf Garage: 380 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2337 sf Value: $260,293.52 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: N Vent Fans: 4 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 add9 500 sf: 4 201 -400 amp: 0 201 -400 amp: 0 W/0 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: V BUILDING INFO Class of Work: Type of Use: Type of Constr. Occupancy Group: Square Feet: NEW SF VB R -3 2337 Owner: Contractor: BRITTANY MEADOWS LLC ALAN NATHANIEL GOFFMOORE Required Items and Reports (Conditions) BY WESTLUND, MORRIS R 13950 SW BARLOW RD 1 Ersn Cntrl 503 - 681 - 4444 16615 MAPLE CIR BEAVERTON, OR 97008 LAKE OSWEGO, OR 97034 PHONE: PHONE: 503 -664 -6423 • FAX: Total Fees: $18,163.67 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code /nd all other pp cable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan• • 'f work i sus ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification i -,. - •os rule. are set forth in OAR 952 - 001 -0010 throw OAR 952 -001- 090. You may obtain a copy of the rules or direct questions to OUNC by -' -- - - = • � ��riA - k 32. •44. Issued By: Permittee Signature: Call 603.639.4175 by 7:00 a.m. for the next available inspec n 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. L , , Building Permit Application Residential FOR OFFICE l!SE ONLY City of T igar d V \ 14 Recea.eti • Date,B+,. i lith , Permit No. a _ ... _ ;, lig - ,,• 'I 13125 SW Hall Blvd..Ticar _ " 1 ''‘'" %\l Mail Re% ieii7",41 r NW' Phone: 503.718.2439 Fax: . 60 .\ Dalc,m. ■*.i■Iffiiittl i 1 her Pmlity , J ( t) .- 6 0 r ec Insption Lim: 303 639.4175 - Date Readv . . • I Jwis El See Page 2 for Internet WNW tieard-or,gov TIGARD I''' 'nliedi- ‘cP:': ,, I o letluxl N N I - 7 - ...0 Supplernennd Information TYPE OF oit W ,.. ' ‘Isf.) REQUIRED DATA: 1-AND 2-FAMILY DWELLING \\. New construction r DIZtAiaolition Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 0 AdditiottialterationIreplacement 1 0 Other: equipment. materials. labor, overhead, and the profit for the ■vork indicated on this application. CATEGORY OF CONSTRUCTION 2. I- and 2-family dwellin;.! 0 Commercial/industrial Valuation: S 1 .... i 0 Accessory building 1 0 Multi-family Number of bedrooms: 3 Number of bathrooms: 2.5 ; 0 Muster builder 1 0 Other: JOB SITE INFORMATION AND LOCATION _, I Total number of floors: 2 Job site address: 14733 iav 79' Ave New dwelling area: 2337 square feet i (7ity/StateiZIP. Tigard, OR. 97224 1 Garagcicarpori area: 380 square feet Suite/bldg./apt. no.: 1 Project name: Brittany Meadows Covered porch area: 124 square feet Cross street/directions to job site: Bonita Deck area: 0 square feet i I Other structure area square feet 2.3.5' i REQUIRED DATA: COMMERCIAL-USE CIIECKIJST ------; — Subdivision: Brittany Meadows i I lot no.: 7 Permit fees' are based on the value of the work performed. Tax map/parcel no i 2S11213D07100 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. 1 New Home Valuation: S 1 1 Existing building area: square feet - i New building area: square feet 1 El PROPERTY OWNER 1 0 TENANT Number of stories: Name: Pacific Evergreen Homcs/Heronwood LLC '1,±.pe of - I construction: _ . :address: 1015Maple Circle Occupancy.; gmups: City/StateiZI I': Lake Oswego, OR. 97034 Existing: Phone: (503i7811981 I Fax: I I _____ _ New 0 APPLICANT 0 CONTACT PERSON r BUILDING PERMIT FEES* Business name: Pacific Evergreen Homes . [ (Mare rePr to fee schedule) Structural plan review fee (or deposit): Contact name: Alan GofTMoore - ELS plan review the (if applicable): Address: 7411) SW Olseson Rd Suite 133 1 .. Tow' i Cit>15stateiZIP: Portland, OR. 97223 fees due upon application: Phone: 1503 ) 664-6423 Fax: : ( 1 _ Amount received: 1 1 _ E-mail: AlanColfMooren:gamilcom PitOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRA OR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Submit two (2) sets of roof plan with connection details Business name: Alan CoffMoore Construction 61.69.w ori,9-7-#41. . and fire department access, along with the 2(110 Ore Address. Address: 139 S 50 W Barlow Rd dol Solar Installation Spty..ialty Code checklist. _ _. .......... ____ Permit Fee (includes plan review Cit:AtateLIP: Beaverton, OR. 97008 5180.00 and administrative fees): Phone, t503 664-6423 Fax: ( . i ..„m l State surcharge (12°."6 of permit fee): 521.60 [..._ .‘ CCB lie.• 187268 7/0V/3 Tottd l'es due upon application: S ... . ...............i) rized signatitrc This permit application expires if a permit is tun obtained Autho - :-. 1'1-14 Is unto um days atter it nos neen accepted as complete. ____........_ * Fee inedindolop , t:t h' Tri-County Building infiustry Print nainc• A Ian GoffNloolv 1 Dour - 416-2012 service Rood . . R . ' Plumbing Permit Application Building Fixtures rIt FOR OFFICE USE ONLY City Of Tigard C„\ 9 Received Pecs,;, No.: a 13125 SW Hall Blvd., Tigard, OR "' Date/By: Ari 7 � V i f 0 1�, Plan Review 0 . Phone: 503.718 2439 Fax: 303.5•>.: 'v ! - ^ C ti� Date/By: Other Permit No.: Inspection Line: 503.639.4175 T I G A R D Q. �® Date Ready /By. luris, H See Page 2 for Internet: ww+v.tigard or.gov Q.` 2 �('�� e f ' , r ,3' Notified/Method: Supplemental Information TYPE OF WORK 4 ?� � t';r;1 % FEE' SCHEDULE New construction �� } \ ... information special For s use checklist. ❑ Dem T�ph� ,.•" P Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Othe New I- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 i 6032 ❑ Accessory building ❑ Multi- family SFR (3) bath 500.32 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: 14733 SW 79 Ave Catch basin or area drain 18.76 Drywell, leach line. or trench drain 18.76 City / State/ZIP: Tigard, OR. 97224 Footing drain (no. linear ft.: _ ) Page 2 Suite/bldg. /apt. no.: l Project name: Brittany Meadows Manufactured home utilities 50.03 Cross street/directions to job site: Bonita 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: Brittany Meadows Lot no.: 7 Fixture or item: Tax map/parcel no.: 25112BD07100 Backflow preventer 31.27 " _ ' DESCRIPTION OF WORK Backwater valve 12.51 New Home Clothes washer I 25.02 Dishwasher 1 25.02 plumbing Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Pacific Evergreen Homes/ Heronwood Properites Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 15516 Maple Circle Garbage disposal 1 25.02 City / State/ZIP: Lake Oswego, OR. 97034 Hose bib 2 25.02 Phone: (503)781 -1981 Fax: ( ) Ice maker I 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptorigrease trap 25.02 Business name: Pacific Evergreen Homes Medical gas (value: $ ) Page 2 Contact name: Alan GoffMoore Primer 12.51 Roof drain (commercial) 12.51 Address: 7410 SW Oleson Rd Suite 133 Sink/basin/lavatory 6 25.02 City / State/ZIP: Portland, OR. 97223 Solar units (potable water) 62.54 Phone: (503) 664 -6423 Fax: : ( ) Tub /shower /shower pan 2 12.51 E -mail: AlanGoffMoore @gmail.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater I 37.52 Business name: Edward Mullen Plumbing Water i in P p II/DWV 56.29 • Address: 160IA SE River Road _ Other: 25,02 City /State/ZIP: Hillsboro, OR. 97123 Subtotal 5a) v Phone: (503) 640-0113 Fax: (503 ) 640-4483 / Minimum permit fee: $72.50 CCB Lic.: 92683 •.r Plumbing Lic. no.: 34 -260PB ,�^ 4/ - Plan review (25% of permit fee) State surcharge (12% of permit fee) 100.04 Authorized signature: rr‘-i----.<1 TOTAL PERMIT FEE ' r jk Print name: Ray Mullen Dat 1 �1 s permit application expires if a permit is not obtained within 180 days Ln after it has been accepted as complete. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard 1•44NICCIC) Received - Date/By: Permit No.: q 13125 SW Hall Blvd., Tigard, OR 97 \\ 7 �- x -- • �V CV- Plan Review Phone: 503.718.2439 Fax: 503. , \ ° Date/By: Other Permit: T I G A R D Inspection Line: 503.639 i 1 ti O'I`L Date Ready/By: Juris: ® See Page 2 for I Internet: www.tigard- or.gov l g Q C Notified/Method: Supplementallnformatito Q P ` i \i t , t TYPE OF WOt (� ')' ti COMMERCIAL FEE * SCHEDULE - USE CHECKLIST[ M Mechanical permit fees* are based on the value of the work ` ® New construction ❑ Addition /alterati\oli 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 e ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 14733 SW 79 Ave (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) I 46.75 I City / State/ZIP: Tigard, OR. 97224 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Brittany Meadows Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Bonita 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: Brittany Meadows Lot no.: 7 Flue /vent for an of above 23.32 Other: 23.32 Tax map /parcel no.: 2S112BD07100 Other fuel appliances: DESCRIPTION OF WORK Water heater I 23.32 New Homes Gas fireplace/insert (. 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 1 Wood fireplace /insert 23.32 ® PROPERTY OWNER ❑ TENANT Chimney/liner /flue/vent 23.32 Other: 23.32 Name: Pacific Evergreen Homes/Heronwood Properties Environmental exhaust and ventilation: Address: 15516 Maple Circle Range hood/other kitchen equipment 33.39 / City /State/ZIP: Lake Oswego, OR. 97034 Clothes dryer exhaust I 33.39 Single -duct exhaust (bathrooms, Phone: (503)781 -1981 Fax: ( ) toilet compartments, utility rooms) - 23.32 / ® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Pacific Evergreen Homes Other: 23.32 1 Fuel piping: Contact name: Alan GoffMoore $14.15 for first four, $4.03 for each additional 4 Address: 7410 SW Oleson Rd Suite 133 Furnace, etc. + (etr Gas heat pump City /State/ZIP: Portland, OR. 97223 Wall /suspended/unit heater Phone: (503) 664-6423 Fax: : ( ) Water heater Fireplace E -mail: AlanGofMoore @gmail.com Range CONTRACTOR Barbecue Business name: Pyramid Heating Clothes dryer (gas) y Other: Address: 9409 NE Colfax St. MECHANICAL PERMIT FEES* City /State/ZIP: Portland, OR 97202 Subtotal 'Z .( J Minimum permit fee ($90.00) Phone: (503) 786 -9522 Fax: (503) 786 -3432 Plan review (25% of permit fee) CCB lic.: 59382 / State surcharge (12% of permit fee) `j 1 . 2- � ".1.011 TOTAL PERMIT FEE 3'fl Di 11 Authorized si • �..,..,.- , I This permit application expires if a permit is not obtained within'180 i days after it has been accepted as complete. Print name: Tina Bronson Date: 4/17/12 • Fee methodology set by Tri -County Building Industry Service Board (:\Building \Permits \MEC- PermitApp.doc 03 /07/12 440 -4617T (11 /02/COM/WEB) i . 1 .Llectrical Permit Application , FOR OFFICE USE ONLY * -1. ' ' City of Tigard ' Received Datellv: Permit No fIlSra"""00C.)t-6 - • 13123 SW Hall Blvd.. 'Figard, OR 9722e' N .. , (.s Review 1 t. P 4 3 ' Phone: 503.718.2439 Fax: 503.59 ''.: : 1) DatelBy. Other Pei mit: Inspection Line: 503.639.4173 ,ve; N 4 4 \ DatoReadyllly• Jinn. I la See Page 2 for - TIGARD Internet: www.tigard-or.gov t. 0. ...,r_ . Supplemental Information TYPE OF WORK 3 ' • • , PLAN REVIEW : .. c,kazoc)ci■ 0 Srvice r feder Please check all that apply (submit 2 sets of plans wiitems checked licl6w). [s] New construction 0 Addition/alteration/regi\ 0 Detnolit ion 0 Other: OV e oe 400 amps or nutre 0 Building over three storiei where the available fault current 0 Marinas and boatyards 1 CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 0 Conunercial-use agricidoural Eig I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building I amps for all other installations. buildings 0 N.lulti-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or 0 Emergency sytdem. larger separately derived -■.sicirt JOB SITE INFORMATION AND LOCATION 0 Addition of new mom( load of 10011P or floe occupancy. Joh no: Job site address: 14733 SW 79 Ave 0 SIX or more residential units. 0 Recreational vehicle puts —•-- City/StaleIZIP: Tigard, OR. 97224 011eabh-eare fiteilities. 0 Supply %chime for mor thin 011ar.ardous locations. 600 xelt, nominal r 7..........7.____ 0 Service or feeder 600 amps or more_ Suite/bldg/apt, no.: _ 1 Project name: Brittany Meadows -------- FEE SCHEDULE ---1 Cross street/directions to job site: Bonita Description 1_92y._ 1_1_12e,IIp221_1 — ..._....._ ..._....____ ..._ ......_ ----- New residential single- or multi-family dwelling unit. Includes attached garage. , _ _1,000 t ' 1 Subdivision: Brittany Meadows Lot no.: 7 sq. ft. or less 6854 1- ( -)-- Fa. add'I 500 sq. ft. or _.3 ponion -- .)... 735 Cs 1 Tax mapiparcel no.: 25112BD07100 I --..,-- Limited energy, residential DESCRIPTION OF WORK (with above sq. di 7 1 i I 5.0 . 0 r - . --- Limited energy, multi-family 75.90 New I lome residential (with above sq. 11.) 1 I 2 ------ .._________........_......___ --------- Services or feeders installation, altera ion, and/or relocation 200 amps or less 10).70 3 --- — 10 PROPERTY OWNER 0 TENANT 201 amps to =100 snips 13156 1 2 ..._ 401 amps to 600 amps 200.34 I 2 MUM: Pacific Evergreen Homes/Ileronwood Properties ---- --- -- . 1 601 amps to 1,000 snips 3u1 04 - r ..... . ... Address: 15516 Maple Circle 1 Over 1,000 amps or volts 1 552.20 I 1 Temporary services or feeders installation, all a nil or City/StateIZIP: Lake Oswego, OR. 97034 relocation Phone: (503)781-1981 Fax: ( ) 200 amps m less ,... _ . __. . . 59.36 201 amps to 400 amps 125.08 Owner installation: This installation is being made on property that I own which is not _______ .. 401 t I intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. imps to 500 amps 1(>8 54 - Branch circuits - new. alteration, or extensioruier nhel Owner signature: Date: A. Fee for branch circuits with I — ID APPLICANT 0 CONTACT PERSON abovL- service or feeder ice, each branch circuit 1 1 7..42 1 ' - Business name: Pacific Evergreen Homes B. Fee for branch circuits without —. service or feeder fee. first 1 Contact ______ ct name: Alan GoffMoore branch curtut 56 8 .. ------- ---------------- --- Each add'I branch circuit 742 Address: 7410 SW Oleson Rd Suite 133 ___________ Miscellaneous (service or feeder not included) Each manufactured or modular City/Staler/IP: Portland, OR. 97223 67 2 . 67 dwelling, service and/or feeder Phone: (50) 664 1-. 1x: 4 : ( ) Reconnect only -----___ _ Fr 07.8 r— - _-- _ Pump or irrigation circle 67.84 . 'i E A la n Go ffM oore@gma il.co m - Sign or outline lighting n7 84 1 2 CONTRACTOR ---------__ Signal circuit(s) or limited-energy I Business name: RK Electric _panel. alienation, or es.tension. Page 2 ; _ Each additional inspection over allowable in any of the a ho% e Address: 3075 SW 234' Ave Additional inspection (1 lir min) 66 25/ hr — _ .... _____ ..... ..... Invesripation f 1 hr min) 66.25/ hr CilyiSdateiZIP: Hillsboro, OR. 97123 — ____... Industrial plant (1 hr min) 78.18/ hr ____ _..... Phone: (503) 640 Fax: (5 specific 7)3 ) ,p. 0 inspections for %%Inch no tee is 00.001hr ---,-,, ally listed (V2 hr min) C('.B Lic.: cicials-',v Electrical Lie.: 3a. 37 a . Suprv. Lie.: 7 0)4/... $ ELECTRICAL PERMIT FEES -- 1 Suprv. Electrician signature, required: - Subtoial:_3 71, a ( 2 7 ... / .......____________, _________ Plan review (25% of penult fee). Pr int name : ( ry in •••••7 — De: y ,...,A,„ St ale surcharge ( I 2°,1, of Nunn fee): .._ ToTAL pERMIT ! , Fri?' 4-2:4 Authorized signature: ..4f _ j-(4 , This permi, application expires if a permit is not obtained nithin 18(1 ----J _.....____. ---- days after it has been accepted as complete. Print music: e: if .47... Date: V/ L d ap/ 2,.... • Slumber of inspections allowed per permit. 1 Ulnil,fing Pernms9:1 GI'nrrno App due 07i01110 440-451 1:4■5:CONVIATS lig ° Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: / — Cki Orr) CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: y /7/1 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked ( 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 alo g left only if approved. Planning Review (contact 1` atilt) C.c.( at 503 718- �� or l S /� ti d or. ov g ( @ g ) Land Use Cas o. S 3240S- 0 oo1 Name a ( L t AEI M _' pacJS 9 Zoning I if. .5 J EKS Front Rear I S Side r Street Side 1 ° Gar, �ge ❑ Maximum Building Height 3 0 ' Actual Building Height Z3 /Z J lir Visual Clearance 12 Sensitive Lands Type: IJ/ a Notes: Original Plan: Approved 0" Not Approved ❑ Date: 1 1/17117/ . 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) J2KActual Slope: Notes: Original Plan: Approved 2 Not Approved ❑ Date: + 17/12, Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City .rborist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov) IJStreet Trees Protected Trees Notes: Original Plan: Approved d Not Approved ❑ Date: V/7/401- 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 Applic t Okay to Issue Permit: Yes • No ❑ • _ Date Routed to Building: 4 • • • Page 2 of 2 ti ' 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 . Buildin g Division TIGARD TRANSMITTAL LETTER TO: ----1 ThiL,i , .__ DATE RECEIVED: 1 DEPT: BUILDING DIVISION RECEIVED MAY -42012 FROM: a(261_4/. .. �� y/ � CITY OF TIGARD A BUILDING DIVISION COMPANY: yt _ , : i, � i , . PHONE: 1� ' � J By. RE: l q 7 53 79 M in 6 (Site Address) (Permit Number) 1 ■ • .// L 7 ' roject name or su I 'IV .1 c name an' of num I er ATTACHED ARE THE FOLLOWING ITEMS: Copies: 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. Other (explain): REMARKS: 1 ' • e , FOR FF� E USE ONLY Routed to Permit Tech�nic�i Date:6 'Z Initials: Fees Due: ❑ Yes Ly"No Fee Description: Amount Due: $ $ $ $. Special Instructions: Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\ Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011 TROXEL'S HOME DESIGN 1217 N.E. BURNSIDE STE. 303 GRESHAM, OR. 97030 4- e 112-0-- 1- .- .- - -z.5a - - -. -.£ C? LOT #7 I RECEIVED �/ I I 7,560 SQ FT 1 j 1 i APR 17 2012 I CITY OF TIGARD i I I BUILDING DIVISION i I I I I 1 . 1 I I I j I I i I I i I I i U-1 1 w 1 I 1 i in 1 1 I� I I 0?r: I 1- I I l O Iv •- - I 7..c• .a.o 1 3. - C I I PATIO PROPOSED . RESIDENCE I PLAN #1228 1 F.F.E.= 101 .00' 1 I it G.F.E.= 100.05' I I 1 2 r 'T(1s8EJ'C mACk I R - - I I �i rj�(C� C I - COVET D i PO l�I� s-, £ Ro`�'J '1 �'q M1�� R P Q and � b 4" CONC I k • I I a DRIVE ' I o f 5 £aVIQ'( I 1 1 I 6 ' LEGEND �- � TSIDEW: 5 2._ . O - . - - - '''4-E:1-17- T `' ®. 3° SEWER - ( - _7 l/ 4 0.) ® I°WATER ? . 3 W � _ � -- .i..4° 0 GAS - © POWER - -- RAIN DRAIN NAME: 7 Blacarsz.E 7a C SITE PLAN DATE: 4.9-12 SCALE: 1 ° = 2 0 . 00• PLAN: PLAN #1228. DRAWN BY: NICKPOVEY ADDRESS: -L' Sw 79 -VE /a6i12.0