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Permit u CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit #: MST2012 -00098 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2012 Parcel: 2S112BD07500 Jurisdiction: Tigard Site address: 7894 SW HANSEN LN Subdivision: BRITTANY MEADOWS Lot: 11 Project: Brittany Meadows, Lot 11 Project Description: New SF . BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1036 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 1706 sf Garage: 598 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2742 sf Value: $327,287.48 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs /Showers: 3 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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'I 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 2742 Owner: Contractor: HERONWOOD PROPERTIES ALAN NATHANIEL GOFFMOORE Required Items and Reports (Conditions) 16615 MAPLE CIRCLE 13950 SW BARLOW RD 1 geo tech report required prior LAKE OSWEGO, OR 97034 BEAVERTON, OR 97008 to footing inspection 2 Ersn Cntrl 503 - 681 -4444 PHONE: 503 - 781 -1981 PHONE: 503 -664 -6423 FAX: Total Fees: $19,372.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and , oth= 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, o if wog is suspended for more the 180 days. ATTEN : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce =r. ' o - .. • s are set forth in OAR 952 -001- 0 through R 952 - 910090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 98 . / .3 . y 4. Issued y: /.._ 4� f Permittee Signature: / Call 503.639.4175 by 7:00 a.m. for the next available Inspection d .,r 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 RECEIVE Residential FOR OFFICE USE ONLY Received II City of Tigard MAY 15 2012 Re Re eiv : Permit No. • 56 /� -�fQQ Da ° 13I25 SW HaII Blvd., Tigard, OR 97223 Plan Review ► . Phone: 503.718.2439 Fax: 503.598.19( ITy OF TIGARD DateB : dp i ` r (� (Z Other Permit: /�' _ 41p Co T IGARD Inspection Line: 503.639.4175 Date Ready By: /`, 1.6,, 0 See Page 2 for Internet: www.tigard -or.gov BUILDING DIVISION Notifie ethod: C P T � � ; Q �\ Supplemental Information TYPE OF WORK 70.12.4-44.--- EQUIRED 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. Z 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 7j 2 r ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: 2 , 6 JOB SITE INFORMATION AND LOCATION Total number of floors: 2. Job site address: 7894 SW Hansen Lane New dwelling area: 27 y square feet City /State /ZIP: Tigard, Oregon. 97223 • Garage /carport area: 5 9 $' square feet Suite/bldg. /apt. no.: Project name: Brittany Meadows Covered porch area: 3( square feet ajy Cross street/directions to job site: 79 Deck area: 1 2 square feet (o Other structure area: ,33`,J square feet (6„ REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Brittany Meadows I Lot no.: 11 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 Homes Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Heronwood Properties Type of construction: Address: 16615 Maple Circle Occupancy groups: City /State /ZIP: Lake Oswego, Oregon 97034 Existing: Phone: (503)781 -1981 Fax: ( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Pacific Evergreen Homes Structural plan review fee (or deposit): Contact name: Alan GoffMoore FLS plan review fee (if applicable): Address: 7410 SW Oleson Rd Ste 133 Total fees due upon application: City /State /ZIP: Portland, OR. 97223 $751) 64_ Phone: (503) 664 -6423 I Fax: : ( ) Amount received: E -mail: AlanGoffMoore @gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: Alan GoffMoore Submit t . 2) sets of roof plan with con . details and fire dep. - it access, alon: ' e 2010 Oregon Address: 13950 SW Barlow Rd Solar Installation p•. • "ode checklist. City /State /ZIP: Beaverton, OR. ' 008 Permit Fee udes . review and administrative _ $180.00 Phone: (503) 664 -6423 Fax: ( e surcharge (12% of permit fee): $21.60 CCB lie.: 187268 •,_ ' , ' Total fee due upon application: .201.60 ��' Authorized signature: �— This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: /� g'�Sj � Date:sl /qhz -- * Fee methodology set by Tri -County Building Industry /�� Service Board. I:\ Building \ Permits \BUP- RESPermitApp.doc 02/24/2011 440 -4613T(I 1 /02/COM /WEB) - Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY . City of Tigard RECEIVED Received • ff ���� ` / 0/ / t�! , - u 13125 SW Hall Blvd., Tigard, OR 97223 Dat Plan Review Phone: 503.718.2439 Fax: 503.598) 9 fin 5 2012 Date/By: Other Permit No. 0 `a Inspection Line: 503.639.4175 T I G A R D Date Ready /By: Juris: El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF i i OF 1ICARD , FEE* SCHEDULE ,9 New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 3 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 ❑ Accessory building SFR (3) bath ( 500.32 ,3- � ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: . 739 1 1 5' 4QAJ SE/�/ L 4Aj Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: lz1 I� / .0X$(,1 ! 7Z 33 Footing drain (no. linear ft.: _ ) Page 2 Suite/bldg. /apt. no.: Project name: 8g, -r4t- (64Dcx..4)C Manufactured home utilities 50.03 Cross street/directions to job site: 7 q yk - /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: Pjga"1.7• 0)64DOCVS I Lot no.: /( Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Alt t . ) Id- ben Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 g PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture /sewer cap 25.02 Name: ti8/LOfJ (.JOUR P2vZSre's LC-C. Floor drain /floor sink /hub 25.02 Address: / &616 rf'1� 64241 Garbage disposal 25.02 City /State /Z1P:44 j exiA,E4 O /r t >03 Y Hose bib 25.02 Phone: (5 i 7F / / ' -f Fax: ( ) Ice maker 12.51 g APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: p1.rra[__Fi J CQJY�L�� Medical gas (value: $ ) Page 2 Contact name: Primer 12.51 L.4n/ C UrFi(, 6C,1rj Roof drain (commercial) 12.51 Address: 7 SW CC - it /33 Sink/basin/lavatory 25.02 City /State /ZIP: �� ,,,iD _. ' 7Z2, Solar units (potable water) 62.54 Phone: (503) 66y 6 y23 Fax: : ( ) Tub /shower /shower pan • 12.51 E -mail: 4/4,4 6,9,gbto0r.Q @ 1 , j �,,y) Urinal 25.02 �J Water closet 25.02 CONTRACTOR Water heater . 37.52 Business name: EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address: 1601 SE River Road Other: 25.02 City /State/Z1P: Hillsboro, Oregon 97123 Subtotal Phone: (503) 640 -0113 Fax: (503) 640 -4483 Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lic.: 92689 i ' 4 Plumbing Lic. no.: 34 -260PB Authorized sign F_,f�'� i State surcharge (12 % of permit fee) 4 r TOTAL PERMIT FEE Print name: Ray Mullen This permit application expires if a permit is not obtained within 180 days Y Date: s • iy i� after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I.\Building \Permits \PLMU- PermitApp.doc 10 /01/09 440- 4616T(10/02JCOM/WEB) Mechanical Permit Application FOR OFFICE LSE ONLY City of Tigard RECEIVED oR • - ®_ A , • , , �, ,, : ' 13125 SW Hall Blvd., Tigard, OR 97223 Plea Review Phone: 503.718.2439 Fax: 503.598.1960 Ca �� Other Permit ek _ . , ems 1, T l G A R D Inspection Line: 503.639.4175 MAY 1 5 ?. U 1 Z Date Ready/By. ,uris: ® See Page 2 for Internet: www.tigatd or.gov Notifed/Method: Supplemental Information CITY OF TIGARD _ .__.- ..� - .y: `a -=-q �..t... f.na v_.a,._av:[ "r',:Tt i :.. ._ r't:' - _ - . s :t:._!.^. , - .1'.r,` -'fin rt_ _a [ : " ci-, - _ :w : -i r_�_�. +m'T- (:'?.� - - ..i1. - :r - 1 �. .:l T•-- Fi r - _` - _- _ .[.__. �..c� _ _$� -:: S '-V' ` r te' c - 'i ' ,.. ∎••,. ,'' .� __ _ .F-_ __.._ : R'1 �, 'g .6�_L r.. , x . F _ r -- .: ..... _._ .. - 1. ) ? _ - * rte ' ....__ ees, based t n ::.•2.. __._ e work = - " " Mechanical permit fees+ are based on the value of the L � ® 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 w k " -�33;� s r k � Value 'F '617E.,.-....-1-.2..- �� � , `7 ' . - --; -, . �_ � `, �. - - - j 6 F , _,4-rrr _ a,� .. ».... • r ' - �, i [ a t S 1 6 d ® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building - For spedal information use eheddist ❑ Multi-family ❑ Master builder ❑ Other Description I Qty. I Ea. I Total r» ^. : ; mom ^ r . ;> � i r r -x - HeatinPJeoolinR • rti� _.:_^- '_...r.,� _'. -- - t-,-- .s.?f�'> t? = a �}.L!r7....z.:.... L- '. �h.aL ,x .�, Aircoadm '�� omn Job site address: 7' (- „ •. rjS E (requires site plan showing placement) 46.75 , • / Furnace 100,000 BTU (ducts/vents) 1 46.75 City/State//73lP: 7 2_Z3 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt no.: Project name: L / 4 _ Heat pump (requires site plan showing placement) 61.06 �k.i. Li.i .. r•t1r- �,nra�ra{auy 7 1- Ductwork 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: o r (Pl ' a / g , ead 0 - 1 S Lot no.: ' j Flue/vent for any of above 23.32 Other. 23.32 Tax map/parcel no.: Other fuel appliances: - ��^-� *.1rr,.._ •F 4:�. - t,re ° z��_. -._ :�._- _ - ` -•_fi_ heater 2332 •- �-- . �:.--= -, , � _..._.._� - ".. `T=_ - 2 33 .39 �p . � j - - Water •� :y - - - - :r - Gas fireplace/Insert • �t7 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 _. - �. ,,,. -_ - � .� .- • ,.- .,....:�'• -: Chimney/linedflue/vent 23.32 - o = ?SLF > 9 l � - - � r'+!� t .ri�ht gJ . : -- - -� - : __�_ 23.32 . .. - .� � __ «._ . ..w _ _� - - . --- - -= - - ��_ „_ _ . ,. -:. Other. Name: v .R A - 4 , • el - Environmental exhaust and ventilation: Address: - 7" T j O L • • r Range hood /other kitchen equipment 1 33.39 City /State/ZIP: • • 0 id O = q , 2 23 Clothes dryer exhaust 1 1 33.39 ,` �n Single-duct exhaust (bathrooms, Phone: (f503) , , Fax: (t,) 2.043 7 I toilet compartments, ) -5 23.32 I (1�e .v;.. i::�'._......_rr.= " :. m. �A -+ , �' , ^ - �.f• , v - Fd r Y G r, - �, ;; T^�,:t: _ �::E'..'. 5 :�:-' __ _ __- ._- -,-,.. :. _,,, a- r i "_ ,,, .- . -. ,"' ' , ^ ,- 4 ` ., _,_ 's-� r - a F P ` E T'_ ;r , . Attic%rawLspace I 23.32 Business name: 'Q _ - • ee • • sac Fad I 23.32 Fae! piping: Contact name: A • ...,t. a. ,l • - $14.15 for first four; $4.03 for each additional Furnace, etc. i 14, u5 • ` Gras heat pump City /State/ZIP: f Cori ' / i t ■ : 1 73 •� �� Wall/suspended/unit heater Phone: (503)0 , 2 <ii 3 __ a Ja. =,' Ira -ter beater Fireplace '"Z- E -mail: ¢t all r O a L 0c re (. h mad • COm Range I • , -�"Yt� _ __ _ _ _ _ _ '�'v=' -^ F ' Y:y :__y�. -_ _c1•'�:4:T:= .ra_c5 ='r r - - _ = r , � , i _.. Ii - 1 a , a<. ' L y ' . a{c� . > , noise �� ... _s ..:..t�� pr "r..t- -.' -ems . a ac,L .:i =r Barbeo Clothes dryer (gas) Business name: - a id Heat • & .. 's . - Other. Address: 9409 NE Colfax St. rl' E: er e ; �' - ''a ; < ; { a E : '�g- r .. ' City/State/ZIP: • oMend, OR 97220 Subtotal ) Q /� Fax: (503 '7 3y 3Z Minimum pit fee ($90.00 Phone: ( 1 OU "1 2 % Plan review (25% of permit fee CCB lic.: sci 3 g 2_ State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it t bas been accepted as complete. Print name: AAan 1 ,3 I Date: 511 1 112.- • Fee methodology set by Tri- County Building Industry Service Board L1.Buildmg!Permits \ ME d.PeruntApp.doe 03/07/12 440.4617F (11 /02/COM/WEB) , . . .. .. . . . • . _Electrical Permit Application .. . . . . . • FOR OFFICE USE ONLY.' • • •• • ... ..... . • ... • • - . ' City of Tigard ,-. • 13125 SW Hall Blvd., 'I lizard. fZig d //‘ i M I 111 2 50.1.7182439 Fax: 5t 3.5 .. 1 IVED Receixe 5 9,.. mi I P C117I n No_ 1-1.919 -_-.,,,,g ....,.. - pl. Re,., " ,,,B, , .-- -. .9 r. -___ -_ oth.- Nzmit. ( 5/4 1 2 .4 goa -ect,g(i, • - .. Inspect nterion Line: 503.6:19.4175 nate ReadyBy for : .rurt, - Fil See Page 2 TIGARD MAY 1 5 2012 In!: www.tigard guy Notified th-leiliod Supplemental information r .. TYPE :. . . . . . . . i _ 1 " . _ .- . ' PLAN: REVIEW • - . . 1 I ,_________________ : E New constructio ° n AddittAttpitkilDIViSION - I Pleas: ulle.c1; an that apply tsubmir 2 sets a plans .. c l hecked b-, 'es.) I 1 1 0 Ser. ice or feeder 400 amps or mon: 0 Building over hree stone , I _j Demolition 0 Other: Ishere the mild-Able l'ault current 0 Nlarinas and boarydrds. I 0 I . 1 ee 10 amps at 1 5! ) % oils dr !iii in:it:lin. t :3 I .. CATEGORY OF CONS .• - ' ' , . ,. . • . • - excds ,000 le•:,-. i: iutiund.,tr eseeerls 14.0110 0 Connitercial-use aKitetti:til. I lt t ii I - and 2 d wellin g 0 Cor nmercia lli • ndustrial El Accessory building 1 1 amp.i fin itll whet insidllatitms ttiiii.lin.,:s i 0 N'Iu hi-cam:II). 0 Master builder 0 Other: 1 I 0 File pump 0 instslhmon ,,,.1 75 K VA ,., r . :JOB srr E INFORMATION AND LOCATION l ON ' - - ; i 0 nricrgell,.. •-,-..-,..:cm. la,:,0 &m ,. e:: • • i 0 Athrnion ,• Ilel 7■10:01 lw:i of 0 - A", - I : '. ' I-2 '' I -r, 1:Illl IP n t r n oi rin,ie t I .ii•th ilt,.: I Job site address: 1 c.N , ! 1 0 Six oc atty residenal nit, 0 r 1.4..eeathmai yellicle • ; ; Oti,aith,ea”, raclith,::. 0 SuPPI;,- l ....,11:1.'w ' C ii.. . Smie. , /H'• -- 6. fita...0 o 9-72z 3 ri 1 0 iii ic.,..th":: 6f)() , ,iis temundl. cmilebld?...1:irt. no.. 1 Project iminc• g me 0 Sersice lr l 600 m a-r - • more ! , . ' . - . - ' "' SCIIEDITLE . • . ....• • , i . , street:directions 6 job site" -29 4 1, ip A e ., /Se' I 1 th,c riininn I QV, 1 Fer. 1 'iotia t ---- 1 I Nelti reSidential single- or multi-family dvvellin2 unit. 1 ; Includes 3 tta rhed . rzara;ze. , .._ ._....... . , ‘ 1 i-illa I i 0. .. ... 1 . . , 1,1 N (ii ViS I WI : 8 aen ,,/Y) ..,4-Doc,os [ Lot no.: i i , i . .. - . - adj i .sol.1 sq. It or poitithi ! _51 13 02flo . _4,0 l'=" marrIr llo-: 1 Litnit:Al energy. identiat I ( 1 ;'', . , I - - - . . ... _ I " • (will above 5d ft 1 . 1 DESCRIPTION OF .WORK - , • T , - 1 1 Liallted ettery, nntIli-linnily . - i - - . , ' . 1. 1 . i th „sd::„.1(„i above au:J. 3 d_ . • ------------ - 7 I Services or feeders installation,alteration. and/or relocation , ; FTamp.s or less _A ..... 1 it36.70 - ' _.. ,.. . i .'..' PROPERTY OWNER '': -.• Er TENANT I l 201 iiLL ii It i -100 :imps I I I ! 3.7 _ _ _____ ' 401 Amps to , nll drips I 1 206.34 [ I N:., it w..'. /./.6 l eo/N./L A. 2 00D .intps tit I l )00 anIPS i . 1 A ,1•31 j (•) yr) Are.,6 ( ..z e z " ... 8 I 1 Ov., i . 00i) am or x ohs I I 55 I ' : ; ... 1 ; Tett r. , zer‘ ices or feeders installation. alteration and'of i i 1 '2. :: SI a I elY. 1 I a 4tith -- cr 40 c... h i ez_ 9 3c , , : , relocaliall - 1."'" 1 ,'"' i _ _ . I i 1 ! 2th.) amps or ivss i ' 59 ‘, t 1 P11,111::: (563/ 77d / q r I I F:LK.( ) ,,., , _. -, , ,, „,,„, 4 ;Imp,: I 1 I i'. 1 .` : Owner installation: l'his install:Mon is beini2 made on property that I on which is not ' - • ••/- • ; 1 Liol amps io 5 :imp, I 1 168 5.i intended for sale. le:IS::. ri:111. or exchange. according to ORS 447. 449, 670. 1.ind 701. 1 I ii cit is nev,.., alteration, or ex tenM r panel 0 A.Nnk.•1 , ”..n . .,.d.tm::: Dale- I . . ; 1 APPLICANT 1 1 0 .CONTACT PERSON 1 i 11.)o‘ keder ke. i _1 ; ;;;Ich Isr.indi t:Irciitt I I • I . 1 8. I tor thal;elli:i1Vt:11.S Is'ithOUTI 1 I 1 131.1SIIIi: 11;1711:21 peci-xze_, 81E26(66E74 AlcimeS , 1 i I :SC: I S I ! • Citnil:il name • / C 01--FAA 1 brand'. iiimiii __ l--- . I I 1,211 adcribianch cifetot i i Ad d R:ss : 71.p0 s . o.) 6,66127,%,) ie.4) S 133 I Mikeellaneott. (service or feeder not included) ------- .---- 1 - 1 .- 1 - 17ra: 7 1 77 17:irAroCrn , (.•;:,....,stat,..zip.. ) - )( z . ,,..- z , , dyz q tea . 1N:i I 1,1., ! ILA ar.d.-or eer , 67 S..: : - 1 j Re,:ontl,,i 0;11` . 1110:is:: ( 503 2 66 6 eiZ3 FaX. : ( ) ' • I : UIT or tfri.tation cede I . I t :--illil ■ I . Al ckez ‘., epf &la 1 / C/44,4 . . .. ' ' :` Or 0;111111...• li,lillifl:', E --- I , N7 S.i ." .. , 1 - coNTpACT OR 1 , si,n;: T ,1 ; .,,,•,,a(..1 or linotzd-ewr;..r ; 1 i __ :al:trillion Or , rxtenslon. i Li 2 - i f itiSillesS panic. Rli Electric, Inc. _ ' I rich .idditional inspection • over allots able in any of the :lbw. r i " ' , ..... Acldr:-.;s: 24495 NW Oak Drive i 1 \._ mm' in.sp:....tica) ( I lir inir0 7 1 ,,,..25/hr • I ; .• it 1 . .r.' non( t I m i n ) 1:we'th;. hi I Cll.`, ;Slide/ill'. Hillsboro. OR 97124 ; 1 i ; inci.,5triai plan! (1 hr nun) l - /S I' hr I - , . P hone: (503) 640-1.544 I Fax: (503) 356 Inspe,.;tions for ‘‘ii,ch rim', t‘, :e. 15 i - 1 . - spoed,....ail (v: hr min) i 1 90.0t):'111 C( 94275 : Flectrical Lic.: 34 I Suprv. I IL .• 4724-S ' ELECTRIC'AL PERMIF FEES imr‘. Eh:eft:clan signature. required: I 64,7 t. .X . I - - S - ibtoril I_ . ■ . . . _.. .. Prim name: Ron I. Kurt; .. )ate: 5/11/12 , I Slate surcharge t 12'11, of penult le.ey I ...-.. ___....... ... . . .... • --- 1 A TOTAL PIT MIT IT.F.• I tith r oi ed .-4 11;Iture. ( /',7 ) ./ 7 ;.---- ----• - - - th. permit application exillirUN if a permit is not obtained tsitlii;l::::.: •-i.k-•!----/- . --t n day, after it has (leen accepted ml, complete. Print ninnv: Ron i KUM/ l)ale• ^- “11 /I / I.. . . • KtInV. orin,peel, ttilosv:•Jpt:i ihn inft. ____ _ 4 4..C•i'.•,:ii.kr2p •1,.: tr II,. f•,.. •-i-In !:•■•••!,. I •%, 1 I • 4 I - /1 89 " • ° Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: 4 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A )3( Routed Plans: Original Plan Submittal Date: /5 /A Pt Revision Submittal Date: - gr Site Plan Only S 5 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 along left only if pproved. Planning Review (contact ( at 503 -718 -a y1 or @ tigard- or.gov) Lapd Use Case No.., Name Zoning -I, 5 Setbacks: [1 ( ront 0 Rear Side - Street Side t Gar ge 2-- 0 aximum Building Height 3 fl Actual Building / ' Ei Visual Clearance 11V Er ensitive Lands Type: J/ 2 /e ) Z S % P1/17/07" Notes: - 4 •.Q Gf _ C -ke-t! ; r ► 5 ash ' l 17 ice/ ®P,.- ATZWil Original Plan: Approved LI., Not Approved L7 Date: s /b� ✓ Vim, Revision 1: • Approved 17r Not Approved ❑ Date: /TIM Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Z Actual Slope: 2 0 ¶" Notes: Original Plan: Approved e 2r / Not Approved ❑ Date: Revision 1: Approved [ld Not Approved ❑ Date: / �IIA Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 • Ci r borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) treet Trees ❑ Protected Trees , 1 ...r. Notes: .,- SWU+- / rbt ) " 0-- I rr,, I r r c ,1u1 . NJ o"- r' S V�.-- Y (i e (.4\ Y-O` ‘,./it h- wpp. t b.) 6. J Original Plan: Approved ❑ Not Approved It( Date: O// - Revision 1: Approved Not Approved ❑ Date: G7 // fa 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 Okay to Issue Permit: Yes No f 7 1 Date Routed to Building: 111 • Page 2 of 2 • TROXEL'S HOME DESIGN 1217 N.E. BURNSIDE STE. 303 GRESHAM, OR. 97030 RECEIED RECEIVED Ail : f'' w: I' JUN 1 2012 MAY 2 3 2012 �� IIIII i �Ip1 u�� Sr 5 IT OFTIGAR ■�► CITY OF TIGARD g < s9 . r BUILDING DIMS . iv PLANNING /ENGINEERING . I // / / / 26 //////7/ i ; 1 l d _ I I II I i!ll r i 1 I . I Iv I II I 1 I I 1 II Is -vl DECK I I II I • I II I I I II I 1 I 1 JI I kr I PROPOSED I I II Q o f RESIDENCE I , 1 / B o. PLAN # 1232A � Is I - I n F.F.E. = I O I .00' I 1 GI I ' L.F.E. =91.00 I I I it • 1 I G.F.E.= 100.50' - i IS / II I I Im II COVERED I 3° Al I I PORCH I We I� L I I W 1 1 I II - 11,_ /C- I CONC. WALK J I II I: I . I II I 4 " CONC b + I II I I DRIVE N / / l� i blb , ./ 6 / // mo _. -. - � 2 / / �� // 60.13' SIDE O �� - - —= J i `, ,/ � ice' PLANTER i � //// 5 1�- �enc�, SW hANSEN LANE LEGEND ® 3" SEWER ® I " WATER © GAS O POWER - -- RAIN DRAIN NAME: e << SITE PLAN DATE: 5 -23 -12 SCALE: 1 "= 20.00• PLAN: PLAN #1232A DRAWN BY: N ICKPOVEY ADDRESS: 7V 5W 14 ANSrJ L- A^)E FOR OFFICE USE ONLY - SITE ADDRESS: 7Ffe/ 4,4)0,..) 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 7 1 . ' Transmittal Letter T I G n R F) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: �- DATE ' 11 " D.:1 / 7 -, DEPT: BUILDING DIVISION ; ' ` r ' I JUN 2 6 2012 FROM: atit-/IA- Q -4.� CITY OF rIlit,q, DUIL D!NG 1`1Mi :: !r` COMPANY: e _ • ,�• , L `io PHONE: ` g0 4 �/ - Cpl, 3 Cab RE: 7g1 5R, • r ` ite ress .' 'emu 'urn. er (Project name or subdivision name and lot n . be ATTACHED ARE THE F OWI . • MS: Copies: Description: Co : es: Description: Additiona set(s) of plans. Revisions: Cross s tion ) and details. Wall bracing and/or lateral analysis. Floor/ oof fr 'ng. Basement and retaining walls. Be calculatio s. Engineer's calculations. Other (explain : REMARKS: / u,a-o ,^ js FOR OFFIC USE ONLY Rou d to Permit Technics. • c .te: (o 17--i ( l 2 - Initials: ) Fees Due: ❑ Yes I o Fee I escription: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes N ❑ Done Applicant Notified: Date: 1 �.(l I#4 I Ca A, InitialsCD ,0 (:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 Elect P ermit A. l icati rttrt 1 OR OFFIC USE ONLY . . II City of Tigard fictivED o e tl , f J►7/ / ` !%I f . /off _ i i 4 13125 SW Hall Blvd.. Tigard. OR. 972n, r . Plan Rovie 2 ...•' Phone: 503.718.2439 Fax: 503.598.4'960J 1 3 2012 Date/13y: Other remtit: TIGARD Inspection Line; 503.639,4175 Date Ready/By: kris; Ia See Page 2 for Internet: www,tigard- or.gov rr ^ Notifcd/Mcthod: Supplemental information , ... i ,, , U . . :':, . Y � �.` ,,, , . . ,x 1. ... , A . h .,, I,, 1� , ;';i,:. .,ra f:j5 . ,. � . i.v.'.i .Ir:l. i . � il<, . t , . ,.,1 .,.., I. , 1 �5 � � � .... � {.I�. I � 1... .. „1 ,. � {I, � .. " ;��; ! }1`i ; S,id' •,�i l.. '. • •...' : • ,.,.,..'.1 .......... .......�,,..,, , .'.,dl.,,,,.,,,,,,,,.,i�d yy ./r� ... ..,... r,. .�..� , .n ,w. ,fil � _ ,.I,i1.$yi- ':k;�;ic, .,,.. I,,.,, �...,... �.,;..,..' 1f.. .,,, ��,,. �, �,{ I , .� , I „ 1,. �... 1,, �I, 1,iJ��r.I�.i�•I.I{.11...•�.. I.'1•.•I �,Y•l;r,,,l::;���. ...1•r.,.l.r,:,�,h•., ;1:.:.1f,::d�, ww '' o . ,. Y ,,,. ,� ® New construction ❑Addition /alteration /replacement Flom all that apply (submit 2 sere of plans w/itcnta checked below): ❑ Service or tt:cdcr 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the avnilahle fault currant ❑ Merinos and bnnlynrda. ,.,,.. , ;,�, � � ;ii,i ns: ... �,:; ,' .. ;,' ;IJ• t; ��y, ,� ,�y�q� •� r, :. ; , exceeds 10.000 ampa at 150 volts or Floating buildih 'v,�L {; U!:�.,;1 � �Vlr�jlj:(k :�i "` :;i(ri ?rejliti.. S;. ;tit b LL3' • rr\i:iC :k, ��. � ., � .' . " ,,, ;• ;. k ; r, ;�; :; "' "'"''' � � .t„ , less to ground. or exceeds 14.000 0 Commcteinl•uec agricultural ® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps fbr all other instnllntions. buildings. ❑ Multi- family ❑ Master builder ❑ Other: pump. e ;,,,,,, ,;, „1, I., i ' �: ;1;; s aste er• ,;., a;� ■ ' ; 1V 1l itl dil r tNi l 4 . •• , :., V,•V rotor load of 2 1 .. .... ...... ..:: ,. i .. ., ,. ��4 dition0 wn larger A epe derived , ,. to nv fPl`�Fl�1Y - Syr • a • Ad ❑ '� .. Inerlrormote. occupancy, Job no.: I Job site address: 7894 SW Hansen Lane ❑ Si x or more residential units. ❑ netaendm\al vehicle parks. City /State/ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage fhr more than ❑ Hazardous locations. 600 volts nominnl. Suite /bldg. /apt. no.: I Project name: Pacific Evergreen Homes ❑ Service or feeder 600 amps or more. Cross street/directions to job site: ° ' n carq ,aeo '`Ii c ;';'+ .... ii.. . . { ....,ra .. .,,,..-..,,,;•:),:::::,".- . :. ' . ' r ___1 tom I FM, 1 Total T ■ New residential single- or multi-family dwelling unit. _ Includes attached garage. Subdivision: Lot no.: / / _1,000 sq. ft, or I�ss I 168.54 168,54 4 ' l Ea. add' 1 500 sq. R• or portion 3 33.92 101.76 I Tax map /parcel no.: residential ;! 75 00 2 ;, "', ;:;,:;;.1 V,T ;iii i ;; i .:' ; ii; ?'N't';;::y i:I i ; :i ;•.:Alt 1;i': '!'I;ji ::141' : ii;; ' !i ;; i ; : i.0;r; .:91' " •,1., . ! a : 1" '' ' ' '' {i - - - ..d. :I ,.., ""!;: •,''. ,. 'i',;. , (with above ft. ..) „,I .,.c;;n:l�i,, l i�li;;:: ,:� � ; ,y., n (.;..;, . tl,.,al � ,, ,.. ; - rui >' •;„ , . , „ . ,ri:; .. `'; ,y:;.•,;. ; Limited energy. multi-family 00 2 New Construction e - �e n l residential (with above sq, ft,) 75 Services or feeders installations, alteration, and/or relocation 200 amps or Inns 100.70 2 '!” ;; ,„ I., s � „ ; l:•' . :;l: il ! ,i'K . : , ;; :'1 . ;1 ;„ i;; ',Fir,,,iir!w:;; 201 amps to 400 amps 2 . .., „... ��1?fRIV��YI•;" � I, � :ir I •; �. �xil�`i . 401 amps to 600 amps 200.34 2 Name; 601 amps to 1.000 amps 301.04 2 Address: Over 1,000 amps orvolts 552.26 2 City /Statc/ZiP: Temp ^nry services or feeders installation, alteration, and/or Phone: ( ) I Fax: ( ) 200 amps or ices 59.36 I 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 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. Fce for branch circuits with 1; • t) , AC;Y ,, 'lil .:; above service or feeder Ice. 7,42 2 • � XhY'hlI'/°i�l��, ::i +i ; i�' , � .l'�' ,,. �S01V:c. :; ....1 . 1 . ho,1, � lb ��,l,,, , . I, ,: , i '� }, •. , ,.. :,, •,,. • . , . , ����; tech branch circuit Business name; b. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add branch circuit 7.42 2 Address: Miscellaneous (service or feeder not Included) Ci 1State/ZiP: Each manufactured or modular 67,84 2 h` dwelling, service and/or feeder Reconnect only 67.84 2 Phone: ( ) i Fax: ( ) Pump or irrigation circle 07.84 2 E - mail: . . Sign or outline lighting 07.84 2 • : ::.::::... .. .... .•.::,�., ,..,�..::: �,, :..,,.,.. (�':i ::i1:1y":: ',j ;, . ; C iro: 1 . ;,, ;: :. nh i ... i I, ... � p'�.:'r•...',1 . .. , �.!!: : i: ?I ' , •, 1'i`I�n;1f W.I,V ; pia 1 :'. 1 . ,. � Ilir:�i�• ,i:i' :fy '�'�: • � � • � 1" � � •. • •• � - Signal circuits) or limited,nergy Business name: Garner Electric panel, alteration. or extension, _ Page 2 2 Each additional inspection over allowable in any of the above Address: 2920 SE Brookwood Ave. #A t Additional inspection (I hr mill) I 6825 /lir • Investigation (I hr min) 66.25/ hr City /Statc/ZIP: Hillsboro, OR 97123 Industrial plant (I hr min) 78,18/ hr Phone: (503) 648 -4552 Fax: : - f' 2 Inspections for which no fce is 90.00 / hr specifically listed (V2 hr min) CCB Lic.: 121159 Electrical Lic.. 3'. 15c ,bp • 3707s •-'';�i • '`is�°'i"h 'i% i hq'�µ - � jii'itii il,i { e:nlinil iini 1'3P1�1�11!�1.f'x 1Itiai_ .ai^il , Suprv. Electrician signature, required: 'z . • Subtotal: 270.30 Plan review (25% of permit fee): _ Print name: Chuck Garner Date: 8/10/12 State surcharge (12% of pcnnit fee): 32.44 • • - TOTAL PERMIT FEE: 302.74 Authorized signature: This permit applientlon expires if a permit is not obtained within 190 Jaya niter It has been accepted as complete. Print name: I Date: • Number or in • :pcatigns al lowed per permit I:\ 91311ding \Penri[ \BI,.C- Pcmtlt^pp,doc u1Nll /tu 44o -4r,l r(I imsicokowkn • •. gir 1115-r-0062— ci2o '7,L/ SW HANSEN LN 5 S 89'05'10" E 60.13' 4jy ■ x 202 ' @ vb.— r i% p0 v 4 '/ Ct 00Z 25.00' N ,. I O N I�. N N N t l 24.00' T 12.03' 14.00' 14.00' `ti N N o s . $N 0 — •"' 5.00' Lai 0) of n N -/ t 61Z 11-y 220 0 I— rn I 8 -K222 0 205 in V) x 8.00' x216 in ! 0 STAKEOUT a N 0 50.00, x LOT 11 BRITTANY MEADOWS N Q N 4 16%7; NW 1/4 SEC 12, T2S, R1 W, W.M. 31.02' CITY OF TIGARD WASHINGTON COUNTY, OREGON MAY 29, 2012 ig DRAWN: DMR CHECKED: SPF N 88'57'42 W 83.82' 203 SCALE 1"=20' ACCOUNT # 165 Y: \165- 002 \DWG \L11 BM SURVEYING CONSULTING NOTE: 9138 SE ST HELENS ST THIS DRAWING IS NOT INTENDED TO BE USED FOR PO BOX 3251 THE PURPOSES OF A MORTGAGE LOAN INSPECTION CLACKAMAS, OR 97015 PHONE (503) 850 -4672 FAX (503) 850 -4590 a STREET TREE . TIGARD CERTIFICATION I, Ait t.ke. ko o , owner/ agent for C�..ea 5c& , (PLEASE PRINT) (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.: Zo 1 Z - 000 d% SITE ADDRESS: 'MI( SC.v M4 " /5t-+` Lvv SUBDIVISION: -� � rk2 Ij c „S LOT #: G/ SIGNATURE: ..,e DATE: lb .///2-- (OWNER /AGENT) RE CEIVED d� VERIFIED BY: DALE: (O - (CITY OF TIGARD) ❑ Tree location verified per approved site plan. I:\ Building \Forms \StreetTreeCertificate 05/30/2012 v . • Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: ► ' l SI ZO Z _ CX2Ch F Jurisdiction: � / Site Address: 13 7 S 1aq o5e-1■ L N Subdivision/Lot #: I3a.--tiAtJl rY7 for l and/or Map and Tax Lot #: By my signature below, I certify that a mini 1 I of fifty (50) percent of the permanently installed lighting fixtures in the above me tones building have been installed with compact or linear fluorescent, or a lig ' g source th. has a 'nimum efficacy of 40 lumens per input watt. (Oregon Residential Sp: Code N1117.2) _.■ _,___, Signature: Date: /v f' ./z • ner /General Contractor /Authorized Agent Print Name: ,L—#4_/ �.7e1- JM -ex4e6"" 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, 4LA,J 6)0 ttkanU , am the general contractor or the owner- builder at the following address: Site Address: -q 51,✓ /4+4n6g-i Os) City: Permit #: ivt-S1' 2012- OeX 9� Subdivision/Lot #: eArr7,4 A-t v,U0WS e_er // 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 • eneral contractor that all moisture- sensitive wood framing memb- . used in constru • have a moisture content of not more than 19 percent by dry we' . • f dry framing • bers. Signature: ` Date: /v /Z -neral Contractor or Owner- Builder [: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08