Permit o . Community Development
T l c n Request for Permit Action
TO: CITY OF TIGARD
Building Division Services Coordinator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor Er City Staff _
(check one)
REF • I OR Name:
1 DICE 0: (Business or Individual) 3 f 4 / L s ��r ) �� /�� ` 1 ���
Mailing ANdress: 7 3 5 51..z 15) 'v
City/State /Zip: - Ne f}() ,2 rOIJ 012, 97ejap
Phone No.: 503 - eo (f ! - 734' .-
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): V ® 1
[T CANCEL PERMIT APPLICATION.
e o j / -
❑ REFUND PERMIT FEES (attach receipt, if available).
• INVOICE FOR FEES DUE (attach case fee schedule and explain below).
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: b:FAO/ a — COO & $ ' p a?O /O - coo 5
Site Address or Parcel #: / ij / 91p e t.0 ieLg2'5 Y LK)
Project Name: A Z P 1 r V i € LJ
1t tr
Subdivision Name: Lot #:
EXPLANATION: — 0 1 6e,12.. t,IJ l /40/16 OtQa S c . I' n L A- A) 6a/5111 7g 2 )
5 Ef- 11 41r ao1i- 000 /9 bu02 Aot!- 000/g.
Signature: t, _ / , / 4 / Date: ! Su e ///
Print Name: I e66( t /4 y /
Refund Policy
1. The Director or Building Official may authorize the refund of:
a) any fee which was erroneously paid or collected.
b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.
c) not more than 80% of the land use application fee for issued permits.
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended.
c) not more than 80% of the building permit fee for issued permits prior to any inspection requests.
2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to S s Admin: Date A _ rre' ` _7,�al Rte to Bld • Admin: Date a /1' p la
Refund Processed: Date .9 B ' '' Invoice Processed: Date _ �/' /J' B : ,,
Permit Canceled: Date _ /( /// By r fir:: Parcel Tag Added: Date By
Receipt # Date Method Amount $
1:\ Building \Forms \Regl'cmutAction.doc Rev 07/26/07
Building Permit ApplicationRECEIV V
� Resic ential , ' A PR 2 0 2 010 FOR O FF I CE IJ ONLY
City Oil l a 9 A A41--- Permit No �7 y� / I,/ �J g �(p��� Received
Ill Date/By: to / /s /0 —! a6,
° 13125 SW Hall Blvd., Tigird, OR 97223CITY OF TIGARD Plan Review
Phone: 503.639.4171 Fax: 503.598.l 8tyILD I NG DIVISION Date/By: ,7 -1 Other Permitszyj o O/0 — t?OOS9 V
Inspection Line: 503.639.4175 Date Ready/B Juno: ® See Page 2 for
f I G A
RID N otified/Method: 7 / '7G Supplemental Information
Internet: www.tigard ` .
1 yi: y, 'L-. i.•.'',.;..': : ,i • :. , .,.y:... _ r t �, a. wa ii4T•t '-'-`.,:'.:7-1: r f M : '? -4: - . l..-
:: uF .r .. _1 "TYPE,'O » ORK } " .' ' RE T) ^ D'DAT :`� -' 2- FA1SI1L '::D.±
...4. 1,.1....,! ,:.b. . ,,- ..'::.•:... _:tom , re ,;;_ =',. ., _`.:r''.— _. .: ,- .. •.. , 'ii: .� �.. ... .: r • .. _ ._ .. _
`}v. ; 7 r.;. A1Vlq V�LLIPfG;
® 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
,''' ; -1 '
.; ,. : �,-- -or:� * y :� ;OAT -'r • }• 1. work indicated on this application.
t 1 + 'OA GO }' ,O u ION e' 1 ��- i .,..t
.. e.•r _. .- ..::. �., ,�.T.G. -�f tiff :' . A:.!. G. r .,�.: :....� I:.- .. ... �. .. -. Zt2'' �'�. ';-4- i '.�1�. .. r '.'1 � ' . r_ valuation:
$
�R
® l- and 2- family dwelling ❑ Commercial/industrial G s,/
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 3
,;, _ . ' JOB S it '"`OitiaiiOl ' � ND. . ; T OCATION » +T' Total number of floors:
. . \;;Jrr1. _ . ' : i rk:. .la, _ .',- _ a.." r... : Ir =4. : ,
Job site address: ` II ( q 4 5u1 � k' S Ja.dA �� v . New dwelling area: 100 5 square feet
City /State/ZIP: Tigard, OR 97224 1 Garage/carport area: 32: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: CV. 1 square feet 808
Cross street/directions to job site: Deck area: square feet /9
Other structure area: Z.33 square feet z r+
i REQ '(3IItEDIDA!IIA.(iii1YIERCIAI: )iE'CAI!:CKLIST:'
Subdivision: Alpine View 1 Lot no.: g Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel equipment, no.:
p r F� s, labor, overhead, and the p
uipment, material , 1 ad an e ofit for the
r
,114' ;P; •: '• 1 'D ' .
F T' ' OF :WORK = work indicated on this application.
.rte:. . r- 7nri�i: . .. P. �. � r- i � � , ly': � i " �: - r� •�' - _
New Construction Valuation: $
Existing building area: square feet
New building area: square feet
'; , iiR''OPER'1* •OW :ii ;:"y ,' j ' 1 r " ':.❑: TEINA. 7';-`.:: Number of stories:
Name: West Hills Development Type of construction:
Address: 735 SW 158th Occupancy groups:
City /State/ZIP: Beaverton OR 97006 Existing:
Phone: (503)641 -7342 Fax: (503)641 -7661 New:
.�, r „ .7 ® „A' . '', :m 'CONTAC1 P �� . p( 17 T OIV ' ,
. . _ i :;U :, :' -,. :;,
• .,,.� i ,r:�.'. ,. , -. __..•� . . , . ., °�:�;� =� .- �`: „ -, - . - . . -� 1 • ' .p. . . F... - - ; � :r'NOTICE
Business name: West Hills Development All contractors and subcontractors are required to be
Contact name: Angie Cook licensed with the Oregon Construction Contractors Board
• under ORS 701 and may be required to be licensed in the
Address: 735 SW 158 Ave jurisdiction in which work is being performed. If the
City/ State/ZIP: Beaverton, OR 97006 r applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 641 -7342 I Fax: : (503) 641 -7661
E -mail: acook@arborhomes.com
;I= . r.�. ;F ' 1 Jc: ` '1 tar: -,-i. 2 .y:,
�:tl� 't�W:.� ', . ,;nI:,, .r: .�,COP1'I'RA- �OIt�_'�i., - :•� _ ”' ;� . , .. - . .':
Business name: West Hills Development i i Y. '' IBIII;I)1'hiG;-PERMTrPFE$ *:;;
Address: 735 SW 158 Ave i s r . 2- tea`` =' 1P .rela,•mfee schedulee/•,`t:•=
City /State/ZIP: Beaverton OR 97006 Structural plan review fee (or deposit):
Phone: (503) 641 -7342 Fax: (503) 641 -7661 FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.: 104847
,
/�(,i
at !� offii%.%. Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Angie Cook I Date: 4/7/10 *
within 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
APR-12-201U MON U4:34 Pll V NO. "b 661 P. 02 2
Electrical Permit Ampl11cahoD' 2 °0 2010 � .,�.
t� City of T ,and APR ,.,, won No.:
"1 V 13125 Phone: 5 Hal ... 417{ Tigard, os s I gITY OF TIGARD " w _ — - -- -
Insenstioo Llt •:101,639A175 BUILDING DIVISIO oapReelyrOy _ -- � i�ar :tar • — —.
Itttomof: wee 111014- or.boy N• .. Nebo � -S�Icmmtellnrornimotr . _
PI I li I '' : II iii ' P I ' . ,I I , L , ii , I1 . 11f l`•I . 1 ,•11 �,
0 - New et/mime:tion I Addhion/elteratioaheplaaoetent Pltwrn tmadr all Writ op. y am • to t ors or plini wRCemr oneebed below)
O Service or Ruder 400 amps or mime D Bu0diny river dlruo MC IV!,
■ . ' De olition E. Otbor barnyards
'1- , .,,,•
', ,; • wgewv rbv erubrhlr, snub current M ilieu and bOaar
�� '' i� ';i 1 'I � ", " • :'I.7. • " . "
,
.' -. , . ".'.�. ; �� ;, • 1'� , i:, 1 r �iCl nrmeth 10,000 amp; in l6UvnllM or QFI Mousing bU114Hfg•
kiss crowd,
I�I ,' " fumily ": •
..._.___ .___.._...._ �7i l�.�
II i exceeds 14,000 �I Commerobl- ute ;iiloadi•�rul
k ! • Commercial/Industrial • Aodeesory building sops rot all odor irerotlmlout. buildinga.
❑ Multi -amity ❑ Master builder • Other: ark* pump. Cl resonation nr7s r vA .:a
i i I I 1,: I; !Ir' .I , . ' . I' I 0 SmerBwrey eyOlern. laser rsparetely alariwd .yeti
.li •�'L. • � u •
_ ._ ! ! I_' . i ..1 I' AddlWMat now motor lnadal' J A ", "s", "1.2 ".'I -3"
Job no.: E. • Site eddraa9: L'ILiL/Z2TV' , 6., 100HP or morn. O/ ipgeay
Sur or men resl4erdial Haile. C I RrrraeianuI whkis Pence.
City /StaWZIP: Tigard. 0 ' 97224 D D Neeldfoen tiallltlee, C7 SUN
-T49 far mo a i ra7
- T49, t Q Hsix4orU bmtbae. 600 veto nominal.
Suite/bldg./apt no.: i P r o j e c t name: EI 1lnviae or Ands 600 • . , or rome,
Cross street/directions to Jell) aim ■` , e
"'"" 1 """"'- — ' New reeideniirleingle - or mu doml • wailing null.
Iladudee attached `crape,
Subdivision: Alpine View i + __. ". eq. ft. or lam 16854 , Ea. ad41 an. it or Portion -- II , 92 i o j- .
Tu. m. areal no.: t.hnito4 enorgy, terl0W U$l
,11' `iii, I if; i i _L. r I . •• Ij • :. �
Now Conelrootfon I toe w mu rt -thm l t. 4.) 6 � - •
-
-- '+ -- _ _' BOPVICOt 0P tbedaa lga apg/gr (!!!L_..
200 amps or 1666 100.70
j`1" 1 ' II �' I , :,i:, ilt'. �•1 :.� . .I. a , 20 . I to1001unm -_...... —_• 133.56 - - --
401 amps to 600 umpb 200,34 '
Name: Wont H110 RevSW • moat p6 401 em to .000 wnae 301104 - _
Addroae: 735 SW 155 ° ' Agile Ova 1,000 time or vans - 55226 - --
Clty /St Beaverton; OR 97006 ti n services or faders humilihumiliation. ln, altePano —
- Temporary .
Phone; (503)641 -73 P wc1(603$41 -766 _.._ 100 angre or la re _ 59 '
■
Owner Inetanatinar chic i' taliation is being Horde an pm/nifty that r own which la tot zgt woos to 400 amps 125.0e _
Intended for sale. lance,r° � exchange, according to ORS 447, 449. 670. and 701. 401 mo to 599 am)1 ' ' 168.54 �
I $rn clan{ - , alt 1.1_ Pr aigmion, oar Hanel _
Owner si • • : turn: _Date: Aim r c rrtihe with
iMI I,i: 4 1 . ... 1 _ . .. .I. . .. i. .. i ., . ..:,, shove eervic:OorRedafee, t',4: .
each broach circuit
Business name: West HI
1111 Dovelopltltrot 6. Poo ler bnIIroh circuits welrad
service or feeder fee, Arse ;0. t N
Control name: Angle Conti (mynah circuit
-- Add 735 9W 195 A le ' ' Each add9 branch dealt 1 7.42
_ t( MMted taneoua leetvlee or Tieder and Mils,
COY/State/ZIP:. Beaverton OR 97006 .. d 1 wwlutbuurad or madulru 67.84 . • wellln ami/or Gxdsr'
• Phone: (503) 641-7342 ; j Pmt: : (503) 641 -7342 • !Mannar only 67..84 _! -
•
P4ntp Or irrigation circ ,
le 67.84 -1
- acoo ■ r., burbo �........... -..- -� ._...�... _.
Igeamoni _ signor outline lighting 67.84 _:
F,
I' l I'1'I�1.. ',.'.':�.!1JLi iI 11.II.l.' 1 ._ __"— .._:I'. ,. ;I i I. ._ii! _._ . I' ". Signaldreun(s)a' led- energy
Rlwiness name: Garner Electric' noun. olatrltUnn.wcrcerwien. P
. -- Boob eddigonal inspection over allowable m acv 'tbe abov
Address;: 2920 St Brook and Ave. Additional 1 .orlon (I hr min) 66.25/ lw I
lnvatlgatlon (I hr min) 6625/ hr ,
City/State/ZIP: Hillsboro, .971216 -
and mrbd c i hr nen) 18.18 hhr_ _
Phone: (553) 648-4552 , )642_ - ,nopaatione l . e whlrh no tae is 90.00 / hr
CCBLie.; 121159 Bleel1v& •- ', Lie r , ''': "•I i ? ;, .',i'•s'i'.`_IrrI l,, iI•
Electrician Bititttuu , required: I - .if/' �;� •
Suprv. Electrician Subtotal: 3y _
- _ Plan rovicw (25 %etpetmit foo):
• Print name: Chuck Cam 1 Della 4/7/10 . Stale aurehargo (12% ofpramh •
&0)' _ % 7f
• Authorized signature: Sets TOTAL PERMIT PO: S ,t., / t I
permit application swine it permit b no oltrrinnl whole
. 'days otter It boa been uroepad u complete.
Print Hants: Angle Cook - 1 Date: 4/7/10 r Number of impactions allowed pee peach.
I:VBelI5I nWenultrl2La4cenhAyy mum r4o46MT( I1/061C0e'4fwaa
I
•
Td Wti80 :80 0i0Z ET 'add SZ6LZt'9£0S : 'ON Xtid 0I N10313 el3N& O : W02Id
04/07/2010 WED 15:11 FAX 503 786 3432 PYRAMID HEATING It 002/002
APR -07 -2010 WED 01:55 PM % v �. n A NI. 50.64 7661 P. 02
I :
• l ,. , . U 1 . ' L /' 4: •
Mechanical Permit Apnlicati l ll'` L)l't I('`' ;'I ("y '' City of Tigard ' VE F . Permit No.:
II _- _
13125 SW Hall Blvd., Tigard, OR 97223 P� g . .
B Phone: 503.639,4171 Fax: 503.598.1960 APR 2 1 2010 D,m,By Other Permit:
1 1 , , , . , , t , i Inspection Line: 503.639.4175 Date R /B . auto 18 See t'ane i for
Interact wsvw.tigard- or.gov CITY OF TI ARD NotitiedlMothod• . Supplemental Information
l_ Fr i1 I ill � 1 i f i ,, „. � .. X . `s11lu4rl �i h' 1 , 1" I - 1 � d.l � I af , -' +II ., - � • 1 iLl Ilf c�1�� , �. !.� :.. f 1t �. ... ���� -�i �.r . 1.' ".�
,1� l r 1 ' I 1, r1 � Ii�s f t Ii6 ;: {5 t` 1_I 1;111 11 , .I5 JAI, 1 - : lµ..11 {,t�� ',_r:Ia,11! f.8�%.
1 �. , � _ �l a a i�.`I�_i1 1 11:i ' ,mil al � , _1i, r11r., ,tu'I; 1s+JtL I
New constaucdon ❑ Addition/attrration /replacem- t Mechanical permit - -• are bated on • e value of the work El performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead. and profit
{ �Ir { 1' i�. l' I Ua i p �I lir 1. r I� i I'1i I, •t�{111(51I X 11 t ,_- Value :$
I1[ri��1 :111 ` 11:. P '.... , � ..', 1 . ,i llrl 1 :4 !
. ie:3l__!.t 1. 11 )i,� � l . . r l'. . , d..,J l �l. t ,_IiH 11 /1 •I .1 v. i , I , [ r r •.. lo •le- T I'.'k- i -3 .L , •• lI. ti 1 :1
Ili t,t •11' '��.iTOV U :` _ I _ ` 1 tl . ,:'.i � p1li
® I- and 2- family dwelling ❑ Commercial/industrial ❑ • cessory building -
❑ Multi-family ❑ Master builder. ❑ e ter: Description . Total
5 i t 1 1 Ir ,-: il ,Ir.1J110) : IiIi 1 I li I, ill r.' {I,i. ,i .,,i),', i..I rL.l. t ol,.,,,i,6111 _! I _',h h ,�l� l` � - 1. , u • r 177 o w '
Job site address' ■ gr/ M . 46.75 .
City/Slate/ZIP: Tigard OR 97224 Pamlico 100,000 BTU (dueft/veats) NE 46.75 ff/4. Pig
Furnace 100.000+ BTU (duetr/vents)
SuileibldgJapt. no.: project name: Heatsump
Cross street/directions to job site: Duct work
Hydronio hot water system
Residential boiler (radintor or
hydronic)
Unit heaters (lbel•type, not electric).
In -wall, in -duct, suspended. etc.
F ae/vent for an or above
• Subdivision: Alpine View Lot no.: ,, Other. 2332
Tax map/parcel no.: Other
r ( Mr.Jn -+ i 1 ',''',1,1, r I pl r
. L.D C I ll 0 F • I 1 l •Ir r: 1 �, �I
l�1 r 1 '1 Ill t). .-.,l �i I,) r 1l I� i� a 4 :? .li .1
i i�1 ` I . ! r�P l 9 . n .7 :!I.. {, �i, - t_._G ,1,_�1. . ]_ '.. ..1 !J �I:'ri �. f I . .TJI Gus rife lace 33.39
New Construction Flue vent Re water batter or gas
fl ace 23.32
Wood/pellet starve
Wood fireplace/Insert
�
II
,'Ir, I 11 1 1,,917 1 IIi1 l , iT 2tiv 1I1,H ll r6;1,_ ' r '.sJ I 1, ,i 1'p'I ' Chime- /liner/flue/vent
J II ed ' I . Ii II I .J 1, i t lP ! ,',-1! k nt�J oth.... _ .32
Name: West Bills Development Environmental exhaust and ventilation
Range hood /other kitchen
' ' - ui tactic I 33,39 - . —
OR 97006 I 11111 33.39 b
Phone: (503)641-7342 Fax (503)641 -7.61 exhaust 11 2332 1 , Z,Ci
1 '4I `itill � III J, 1111 it _i 1 ;1 t [I I � t 1 � '' i hIJ 1I''fI ' �'i 111, 'l l I J Attic/amyl Iuoefans r 2332
I d I �. . ,_au ' c , J Jt.i. I 4 i I l Jil _ _ Ilr FI
O 23.32
BuSiness nem= West Rills Development Fuel dein -
$14.15 for first four; 54.03 for each additional
Address: 735 SIN 1511 Ave Furnace. ctc. • 1
Etas hest pump MI
Beaverton O I Wall/sus. dod/unitheatBr
1 �
Phone: (50.3) 726-7042 Fax: : (503) 641 7661 Water heater F lace No
1 ' 1 k P F ,'111 1ti 1� J1. 11 1 „rI1.',1 �, h �I I J7 1 1 l I 1 .,. 11! d -
r� iI'rI1�.l !�4,1l, y l �t Pf'rfi�( I i J� J., ,LIti1��!1 ' bl!�i 1 l� I n ! !1 _ !PI rJ i _ �� Barbecue
B �_—
OduoP
Addre.ss: PO Box a 1 p, r111 ;. '. II , ,., , .. Il 'rlhr i ' +6
Cll�all 1 [ I I ,� h 11i: � i,r,
t ^�IJV�J 4�1.
City /State/ZIP: Sandy OR 97055 Subtotal INON.
Minimum ■ mit fee III
Phone: (503) 786-9522 Fax: 1
Plan review r 5% of email roe)
CCB lie.: 59382 SUM Gorda (12 %of• 77
II
TOTAL PERMIT FEE III? I
' , 4 +' epptioitton esplrcs If a permit is nut obtain . to 180
Authorized signs . i � I 2 2 Ibis permit o�o ` den after it hoe been nceoptsd me complete.
I, t1l/al � t�v / j 11s , ' Fee mxlhodolegy set byTh. aunty Buildine industry rewire Board
I:1BuIIdInMPermita ate- PUndtApp.duo IWDIAM 4404617T(II107WCOMIWOB)
• • . / ' 1 J ,
APR -07 -2010 WED 01:64 P11 /4 // FAX NO 5036417881 P. 02
. icatid :E
plumbing Permit ��-
Building Fixtures APR 2 0 2010 R Pa+eirNa.;
City of Tigard web, — odmr Pen Ne„
1 3123 SW Hall Blvd,.? d OR 9nQITY OF TIGARD yaw
II '
' Phalle, 5113.678.417 64 Sm.1 tbING DIVISION ' "' i° Su Pam
x+,639.4175 psn my'
i i '. Inseams: W►YW.tlQard'oGgo" „ .I ! -
I', I . ul y, ... . . -j._ . I • • , __ i - :. 1 -- ' • _ _ For • ' '�
❑ Do molitlOn , a.
� U
O New , tides 1001E east uu • -, auniwaUon)
,WddonlalmratiOnAala� ❑ Athor. New 1- -family 31230
11 SFR(1)bath
:r. l i i � bath _ 437.78
I, ,,1 :,: • sFS(2)
► 1- god l amity Pico lag CI COmiflerelallwit<mtrial I 51 (3) bath /N 30032 <b • ,
Memory bui141na pegs 2
p M llkll
Mall - family push addidonal bntlahen O
Moser builder 13 Other: • i� —
it Job silo addre / / , l 1l/ .A'D►Z er• /r l DM+a• latch had or tench drain
City /Smle/LMP.'fiord OR. 97234 Footle drela (no. inew B.: J
MawOotmdb • �� 50.03 BulteJbldl�aPt Prqleatname: _ Manholes 111.76 '
era.:
Coals Srootltllrocilons to job site: Roia drain connector 111111 11111331 .
Sanitary user (no. linear 11•: _
Storm gWa (no. linear 1R: r 110
wesor xavlse (no. Ifnedr R: ,.J
Wino,: y -t 3127 1
Tax n •
Subdivision: Alpine View pravaalar ��
mplparael no.: 'rolve
Naoksra 35.01
I ; ` , :!, A' ,,... -_. .. __' -- - Clothes washer
25.0.''
New Cosetreetlon . Dis 25,01 •
Drtadda: Cumin 25.03
25.03
b Iar+L
I. _, _ • , : :, : 2:4.02
Noma: Wald RBIs DevdoPmoal Floor drdNAoor sinklhub —.111111
Addrao: 736 SW 188 Avo Garbage di ... 25.01 Hose bib Mill
CityfStnefilP: Beaverton OR 147086
Phone: (503$ 41.7342 In /° '
Yew (503)641.7661 25(J1
, ur,;:. , - ; ' , „ - _ . ... ) I __ ..............._.... ...: . _ Medical eat (value S —
Business name: West Hills Development Pr1°1°r NM 12.51
11.31
Contact soma: Angie Cook Roof dram (commeralal) 1231
Sink/basinllevetary 62 i•1
City/ al : B liver oe I Solar Pio (P "well
CitylSlata (503) 6 1 4vartoa OR 97006 641.7661 , •11bAha--t ---war - 25.02 i
Phases: (583) 541.7342 �aa:: ( ) Urinal
6 -matt: aeooh@arborilawa.cotn ,. , .,, Wear c bsct
37.52 I
11:,'I i, _I.'n.l.: - 'p ie ;:! . -. ' �: ' .I .• . -_ ..._..'._' Wane Mawr 58.59 I
Busil7csa name= Develop t Na►•sbwess (Walcott t'lufableg) um 25.01
Subtotal 0 0 Z
Adding! 1075 W Nino* Columbia River WO Other.
'1`awrdda OR 87060 --_—, I
Minimum permit fait: $72.50 Cityl_totel_lP: Fax: (584) 667 -9081 Plea xsv (35% vi(35% err • - It 74)
It Ito boon r
Lie: obi yO.y24PB State cur- • , - 112% enema fee) ' 01 0. 4
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Authorized
GCB Lie.: 11120 i / , . rao sale
al :twisters: hid Walt "P ear mime a won l not o
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Dom •Fee nairodalaay so td 'rii•C aunty Deriding Indian), P eirn narnc 1 " t . --
410.0 le'ra PWCO AdD1
I ftudlatpermieM6M6•Pomunpo•dod $worm
Z@ /Z0 39tod 9NIEWfIld 110010M 1686L99E0S 94:60 0i0Z /80/b0
6 1
Building Permit Appl
I OR OI I( : l' (1\ 1,1
Residential APR 2 0 2010
City of Tigard Data G Permit No.fS O�Q - -I i 0 . r
13125 SW HaII Blvd., Tigard, OR 97223OIT OF TIGARD• Plan Review 7 � `O , � I
� �9lLDING VISION• I) other Permit5�y1P' 0/ D OQ
Phone: 503.639.4171 Fax: 503.598. E DateB : 0 --
�. , n i , I Inspection Line: 503.639.4175 Date Ready/13y: - EI See Page 2 for
Internet: www.tigard or.gov Notified/Method: SupplementalInformation
� ; lc(v 'r s a r �l� kaF . • o I � Y� � �
- � 'n q �- ;J u e .� '. rF!rLi {� r .�' � - H-I, N i s ,� "�; ' �? H,F ••
.� : PAT f 'r * _ K ', ". . ' n4 �1' P H• 0 f1 4"" " i ', s1 3 r , I • •, ,,a riiii I ti , LL o E 1 ! 1 'f ry ' '°' M� ' • •' r,. tl;7 E' (( 7 . ,,,,104. �� : "
ti rr�J i � �� i� � � A
i.L, ,e,� *. r. s1 '9 ..e cl :alp - _ ,r : I , ∎ YG ' F . � �_ , Ak in__:a r �' �;ax: y: s I �� :P , k,,- :.,�,
IS 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
� n *_ •a -s-sc r ': "'^ isr r P " work indicated on this application.
'�`� � , 1 � ; �'�'� a1' � . �� � 7 c � i o 'c�e� ��"�a y � � � I ri ��U e � � ; ' �y �r ..�" aPP
!a al e! 12 A;z i+ l �:y" ,111 i IWI. !N mt7
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: , 3 3
. ,� ,� , 5 l s r ss a�w ; � •
,,fir ;,W i A g li �O + - Total number of floors: � f . -
. E- ',,g,.,�. ''r+'- �f, .- r3'�•`� -, ' -, r , 1 , -r. , M .,,1 a .. Fw cF ., •I.sy'; ..L,. �. ? ,.a•i �,. b.
Job site address: 1 Li ( tic, 5) ,v S JI,I 7.e v • New dwelling area: 100 5 square feet
City / State/Z1P: Tigard, OR 97224 Garage/carport area: 321 square feet
Suite/bldg. /apt. no.: 1 Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
r, 'E i An, 4_ 'd 1 0 67, :. LI . • q I; V
d . : I ; ,, vi4i ' W.IIJeRH +etl, AM., -•L:A ni7..1
Subdivision: Alpine View I Lot no.: g Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: , labor, overhead, and the profit for the
equipment, materials
.. .fl ! j, - fro: � ti Y,I: ±: �,, ,: .I m•M
�,, : iiu:iI.- 4;.. .4'a4t+'1H:F.-,. -' �+ L ".�� r ' P ,Y•..c•
r ;.'aY �.j:s� Iq' N ti + "n.nil•I n 1 �,'NIp,t{lif8 - �:F.•: work indicated on this
i i' ^
� s 4' 4 r 11 1 4440 i l ii`. ; af;D 't ,,T4w ., trem � ii E; ooii '�: ]� ,. �,I'r- ^,ti<•• application.
n ��' +'Y�a:''v .�Y.: ` _ �• -- w ?��- "; *?��. ��•� �:y_ E'�a�, 'L r I S•�:
•_� -�a '�'e: .,s.~r. +, :�- �S`l�'u �;mf.. v ; .Skh:.'"-a'� ;�a,aa ".Y'+'IF `d- ak+7-:; + kJ�1.� t r!.'':
New Construction Valuation: $
Existing building area: square feet
New building area: square feet
`I ' ++i,w;r- Ii:.0.- . td. # • !'. .i*F`F.' tiltlYf a�>,,.. ;: ••."e:e �:f' rl'� PIT
`', :6 = 1 ; I 11 PEt�(!j� d VP r r ' = .t , Ea ": AN , 41' + t .: : Number of stories:
_ ^r .. e. 'm ily ,,,,,.:u " 37i� .0,. . .:k 1,k7n i t,3 h,'.4n :..�,,.,,,, .... •d;I.Y;F%.'....0 �.j- d.,�1%1:
Name: West Hills Development Type of construction:
Address: 735 SW 158th Occupancy groups:
City/State/ZIP: Beaverton OR 97006 Existing:
Phone: (503)641 -7342 Fax: (503)641 -7661 New:
:,L �� ° �zR 4MIp '. ; ,Yft, i +1 - �.;i , u a h 5A t -c n:. i ti:l �m ~ - .,. •� :I �Jdr.•;•A� y[A -r . ,•..a n „• y: .•
yI M`� e. -11 ' _ 'L-F 1 �l 1 F r, �(k ire, 1, J A -.. ,e' r At e. fir::
1 �� 9 ' 11 Y) �� M � 'd � C 4� I i 1F 1 f Y':'W'•'�'T' :j ��...r�'"Lh•a....,:
.s ;,i 7 �1 1 ' : 1 - o p 1 t i , W - 1 - , ia.. ' •,I- xe.;l ,,, : �� l, i ' "e.,. i•i Eg :W ii " ua . 4 ,, , r1 9 I, k�i a X a nt , v y:�
. L ` N _ a�gxrr, Jrr" rI7R�ti�. e1:3 .��.'IWw" "-0�xl'`F.'9F••. •. _:.�i1L�Gi AJS �•
Business name: West Hills Development All contractors and subcontractors are required to be
Contact name: Angie Cook licensed with the Oregon Construction Contractors Board
• under ORS 701 and may be required to be licensed in the
Address: 735 SW 158 Ave jurisdiction in which work is being performed. If the
City/State/ZIP: Beaverton, OR 97006, applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 641 -7342 I Fax: : (503) 641 -7661
E -mail: acook(4)arborhomes.com
'r_i <� V°� i;.Gq y ,,.� s nl+riS - r� +A�i, r- r. � � . � ,�. �}
I `!�" /y;;; fi y�AA�J� p,�++r �` cG #:,� �p.�''- .V'I�"���~.. y. .�Y ��'�•. rd•� h . ��
,a`11 ... i . i e , r;�: !'1. I,%)0 F "' .0. :>l ir4''it:• .; n+ 1 4i . , , i , , 11
4ed:*'r.k,�l 1, "�1� 9�Yli, * �A'w }' I ,,� � it ITO,�.'A;`• icl. :, 0. ia':..`' f'= .'h,.-•
x+ k F:: s1..4:d7�✓,I�:a;-,_' w�s: 1- +,..•. +! R•, + ;�k',6 ". . r!i�^ hid? _.P °n4 =;'aFr.r.�.L n�4•..+,
Business name: West Hills Development 4:':;x, ~ '' ' W: ''':1 " ":
Address: 735 SW 158 Ave ; s:r.1,.. _:. , . ,.x : afilts:i'Itte}„ ;_r ::�1.,- . ,;,r: ,i.::
Structural plan review fee (or deposit):
City / State/ZIP: Beaverton OR 97006
Phone: (503) 641 -7342 Fax: (5 03) 641 - 7661 FLS plan review fee (if applicable):
CCB lic.: 104847 Total fees due upon application:
Amount received:
Authorized signature: This permit application expires ei a permit is not obtained
Print name: Angie Cook 1 Date: 4/7/10 , within 180 days after it has been accepted as complete.
g Fee methodology set by Tri -County Building industry
Service Board.
(:\Building \Permits\BUP -RES PermitApp.doc 10/01/09 440 .4613T(11 /02 /COM/WEB)
Building Permit ApplicationRECEIV V
� Resic ential , ' A PR 2 0 2 010 FOR O FF I CE IJ ONLY
City Oil l a 9 A A41--- Permit No �7 y� / I,/ �J g �(p��� Received
Ill Date/By: to / /s /0 —! a6,
° 13125 SW Hall Blvd., Tigird, OR 97223CITY OF TIGARD Plan Review
Phone: 503.639.4171 Fax: 503.598.l 8tyILD I NG DIVISION Date/By: ,7 -1 Other Permitszyj o O/0 — t?OOS9 V
Inspection Line: 503.639.4175 Date Ready/B Juno: ® See Page 2 for
f I G A
RID N otified/Method: 7 / '7G Supplemental Information
Internet: www.tigard ` .
1 yi: y, 'L-. i.•.'',.;..': : ,i • :. , .,.y:... _ r t �, a. wa ii4T•t '-'-`.,:'.:7-1: r f M : '? -4: - . l..-
:: uF .r .. _1 "TYPE,'O » ORK } " .' ' RE T) ^ D'DAT :`� -' 2- FA1SI1L '::D.±
...4. 1,.1....,! ,:.b. . ,,- ..'::.•:... _:tom , re ,;;_ =',. ., _`.:r''.— _. .: ,- .. •.. , 'ii: .� �.. ... .: r • .. _ ._ .. _
`}v. ; 7 r.;. A1Vlq V�LLIPfG;
® 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
,''' ; -1 '
.; ,. : �,-- -or:� * y :� ;OAT -'r • }• 1. work indicated on this application.
t 1 + 'OA GO }' ,O u ION e' 1 ��- i .,..t
.. e.•r _. .- ..::. �., ,�.T.G. -�f tiff :' . A:.!. G. r .,�.: :....� I:.- .. ... �. .. -. Zt2'' �'�. ';-4- i '.�1�. .. r '.'1 � ' . r_ valuation:
$
�R
® l- and 2- family dwelling ❑ Commercial/industrial G s,/
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 3
,;, _ . ' JOB S it '"`OitiaiiOl ' � ND. . ; T OCATION » +T' Total number of floors:
. . \;;Jrr1. _ . ' : i rk:. .la, _ .',- _ a.." r... : Ir =4. : ,
Job site address: ` II ( q 4 5u1 � k' S Ja.dA �� v . New dwelling area: 100 5 square feet
City /State/ZIP: Tigard, OR 97224 1 Garage/carport area: 32: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: CV. 1 square feet 808
Cross street/directions to job site: Deck area: square feet /9
Other structure area: Z.33 square feet z r+
i REQ '(3IItEDIDA!IIA.(iii1YIERCIAI: )iE'CAI!:CKLIST:'
Subdivision: Alpine View 1 Lot no.: g Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel equipment, no.:
p r F� s, labor, overhead, and the p
uipment, material , 1 ad an e ofit for the
r
,114' ;P; •: '• 1 'D ' .
F T' ' OF :WORK = work indicated on this application.
.rte:. . r- 7nri�i: . .. P. �. � r- i � � , ly': � i " �: - r� •�' - _
New Construction Valuation: $
Existing building area: square feet
New building area: square feet
'; , iiR''OPER'1* •OW :ii ;:"y ,' j ' 1 r " ':.❑: TEINA. 7';-`.:: Number of stories:
Name: West Hills Development Type of construction:
Address: 735 SW 158th Occupancy groups:
City /State/ZIP: Beaverton OR 97006 Existing:
Phone: (503)641 -7342 Fax: (503)641 -7661 New:
.�, r „ .7 ® „A' . '', :m 'CONTAC1 P �� . p( 17 T OIV ' ,
. . _ i :;U :, :' -,. :;,
• .,,.� i ,r:�.'. ,. , -. __..•� . . , . ., °�:�;� =� .- �`: „ -, - . - . . -� 1 • ' .p. . . F... - - ; � :r'NOTICE
Business name: West Hills Development All contractors and subcontractors are required to be
Contact name: Angie Cook licensed with the Oregon Construction Contractors Board
• under ORS 701 and may be required to be licensed in the
Address: 735 SW 158 Ave jurisdiction in which work is being performed. If the
City/ State/ZIP: Beaverton, OR 97006 r applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 641 -7342 I Fax: : (503) 641 -7661
E -mail: acook@arborhomes.com
;I= . r.�. ;F ' 1 Jc: ` '1 tar: -,-i. 2 .y:,
�:tl� 't�W:.� ', . ,;nI:,, .r: .�,COP1'I'RA- �OIt�_'�i., - :•� _ ”' ;� . , .. - . .':
Business name: West Hills Development i i Y. '' IBIII;I)1'hiG;-PERMTrPFE$ *:;;
Address: 735 SW 158 Ave i s r . 2- tea`` =' 1P .rela,•mfee schedulee/•,`t:•=
City /State/ZIP: Beaverton OR 97006 Structural plan review fee (or deposit):
Phone: (503) 641 -7342 Fax: (503) 641 -7661 FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.: 104847
,
/�(,i
at !� offii%.%. Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Angie Cook I Date: 4/7/10 *
within 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
ROOT PROTECTION ZONE /1-7 ‘,57-c20 i O OeO �O/
BOUNDARY. ALL WORK
SEE ATTACHED WITHIN
ARB TTAC E WIT THIS AREA r; ., t? ,N. '1' RECEIVED
REQUIRES SUPERVISION BY
PROTECTION I.S.A. CERTIFIED ARBORIST -C-- 9 0
PLAN° — — — MAY - 7 2010
TREE
PROTECTION
— —
FENCE / �� N CITY OF TIGARD
- - / 7 t \ \ B DIVISION
/ _ �'
/(1698)10° ( 1697 ) / (183) � / (186) (187)12 °, � \ \ \ / /
DOUG FIR (1700)10° \ (1 15° / CED 16° CEDAR I
(SAVE) coup FIR D`5 F n inp s � 1 0 0 a (SAVE) \ \ 547
(SA ' j 7 c � — /— — 1
4* frig/ r I /
t 11K1P _____ ; / 14 7 .-4
y •� o o 0 0 0 I T WALL
/ I / ENTRY / L90 // SF .PA • / RE
I
(16 10° 1 �� �\ •r • ab A Ox /
/ v FT
\ ,DOU9 . _ \ F� ` 59 rT
• (5 � ,1 ` °o o • . • • • ' r . o
554 553.5 ••• -
.411/ C- ti4MERI :: •:;� / m m o
-• t l_ 17 , {-.{ LI.) NTROL N
..
STREET •
TREE Ina ...:•:::• ::•::•: :•r:• : :•i::•::•: :•.....: I 1
7 2 ° CALIPER :::: : • PACIFIC - I •: . c•� 1 . :..... SAN. : ARAGE ::::.: IN FLO
DOGWOOD: •01 . •. •4. .u- ' :::::::::::: :E .. • EV= 553.5:• SEWER /
/ 37'
�- 1 . • — — I 544
73 �a ! -
(I ; n 552 4{ 100.00'
I
0 a / LANDSCAPE ,4 .
m 1, TREE ROCK WALL
za'a• 2° C4LWER /
10
7p / PACIFIC / I I /
DOGWOOD
m - / 1 r r J
� I F II
• \111 I I II
R 1 [ . II
N \\� � Tr - JJ 4 u r- Ti II II 4 I
II I
L� J _
SITE PLAN
DRAWN DDR ALPINE VIEW
REVISED VISED 04!234/23 /10 SHG (ADD TREE INFO)
Contractor is responsible to check SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP '
site plans and notify designer of any 2- SOUTH, RANGE 1 -WEST OF THE WILLAMETTE MERIDIAN
errors or omissions prior to start of CITY OF TIGARD, WASHINGTON COUNTY, OREGON
construction. Also and
specifications shall be approved by 14196 S.W. STELLER'S JAY TERRACE
local building authorities prior or 5 292 SQ. FT.
start of construction.
LOT 8
WEST HILLS MINIMUM SETBACK REQUIREMENTS:
DEVELOPMENT, INC. ( LINE) e
REAR YARD: 15'
FRONT (HOUSE) 15'
735 SAP 158th Ave. FRONT (PORCH): 15' SCALE
FRONT (GARAGE): 20'
BEAVERTON, OR 97006 SIDE: 5' 1"=
STREET SIDE: 10'
(30' MAX. DRIVEWAY WIDTH)
L
CITY OF TIGARD • SITE PLAN REVIEW
BUILDING PERMIT NO.: /1S7 - i oO 1 e •
PLANNING DIVISION:
Required Setb cks: ['Approved ❑ Not Approved
Side: S Street Side:
Front. ( C Garage: Rear: iS
Visual Clearance: (".Approved ❑ Not Approved
Maximum Building Heigiti• 33 feet
UWS Service Provider Letter Required: ❑ Yes ❑ No
�",�� ❑ Received
l3 : 4 �IA.-a -. Date: 5/7h D
ENGINEERIIN DEPARTMENT:
Actual Slo e: JL % Approved ❑ Not Approved
Site Plan: [A pproved ❑ of A roved
By: , Date: 3 ? f°
Notes: a d. 1 /2x 4-L
CITY O TIGARD - SITE PLAN • VIEW
BUILDING PERMIT NO: /`9S .20/0 — 0006 Mil
Street Trees:
Protected s• pproved ❑ Not Approved
A pproved ■ No Approved
Notes-
'' ••,-. Date:
Todd Prager
From: Todd Prager
Sent: Wednesday, April 21, 2010 9:34 AM
To: 'Angie Cook'
Cc: Debbie Adamski; Dan Nelson; Mark VanDomelen
Subject: Lot 8, Alpine View in Tigard
Dear Angie,
I am reviewing your Lot 8, Alpine View building site plan for tree related issues. I will need the following prior to my
approval:
1. Please show the street tree size, species, and location per the approved subdivision for Lot 8 (2" caliper Pacific
Dogwood).
2. Condition 48 of the Alpine View Subdivision requires that you show the location of trees, and tree protection
fencing to scale on your building site plan. It also requires that your project arborist certify that the placement
of the fencing will protect the trees through the building phase. Please have your project arborist sign the site
plan and indicate that the trees will be adequately protected during the building phase. The arborist will also
need to verify that the fencing is currently located on site per plan. The project arborist is Kay Kinyon with Tree
Care and Landscapes Unlimited. His number is 503 - 635 -3165.
Once these items are taken care of, I will sign off on the tree related items for this permit. Please do not hesitate to
contact me with any questions.
Thanks,
Todd Prager
Associate Planner /Arborist
City of Tigard
503.718.2700
•
1
..1, .,
RECEIVED
APR 2 0 2010
•
CITY OF TIGARD
BUILDING DIVISION
lo in en l irT in in
/ / LANDSCAPE I / / /
559 j1OC�ALL 547 I, -16.-^9,1r. / 1 f )
....:. . „AILS. 'a _vary _
. 1 .4 --i. Jr •
EX a� wow.
/ N I •.. COVERED ENTRY ... . •. I O 5F. PATIO I /
cR / J . • Z3 54 Pr '� 6T. t; I lid RR Ox /
' .SQL
�� 1976 ...- -'
554 � 553.5 "MAYWOOD 2" : •:: :: :::::.: / i /
..........
. . ....... ... .....
.......... ..........................
,' .L . :' :' ..... AMERICAN ... �::: :: :::: E I m to g
L .:. T i 8 - /
i
/69
!P N .!; ., :: : : : :• ::.::::::::::::•.. : :: :: 1. : goof SAN.
::: :•GARAGE : : ••: SEWER •
(11 STOiUA
t ?':: .::: CAT. - 1113
U� 552 a .!, 100.00 1
ti U1 ' M 9
a _ / LANDSCAPE II '
M I. ROCK WALL II II
r:11)213 I •
—' I / 1 0 II /
T , , II
l' II
M
i I ,
I
1 r - =,
,I 1 r 1; . i
• I� I I 11
I
I
� Tr — = J; 1
kg& ii
II
II r'
II II
V. II II 1
LL
L - 1
PAR A4 -
.....
- 1
SITE PLAN
DRAWN 03/31/10 DOR ALPINE VIEW
Contractor is responsible to check SITUATED'IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP
site plans and notify designer. of any ' '2= SOUTH; RANGE 1-WEST OF THE WILLAMETTE MERIDIAN
errors or omissions prior to start of CITY OF TIGARD, WASHINGTON COUNTY, OREGON
construction. Also and
specifications shall be approved by 14196 S.W. STELLER'S JAY TERRACE
local building authorities prior or
start of construction. y
LOT 8
WEST HILLS MINIMUM SETBACK REQUIREMENTS:
(FROM PROPERTY LIPS) GI
DEVELOPMENT,
.. .. - .. . REAR YARD: IS
FRONT (HOUSE} IS
735 SW 158th Ave. FRONT (PORCH): 15' SCALE
BEAVERTON, OR 97006 S D oE T (GARAGE): 2 S' 1'
STREET SIDE: 10'
(30' MAX. DRIVEWAY WIDTH)
•
CITY OF TIGARD - SITE PLAN REVIEW
.BUILDI . ' ERMIT NO.:
PLANNING , ISION:
Required Setbacks: ❑ Approved
Side• 0 Not A. = oved
si . •i cici,:.• •
From
ispa: t: , ;trr>>.. • Rear: _____
Nit .:grail. :? Not Approved
' J No
Ye; i. ve.
_
� U11 Le
ENGINEERING PARTNMENT:
Actual Slope: %
❑ Approved ❑ Not Approved
Site Plan: ❑ Appro.ved
g : ❑Not Approved
•CITY OF TIGARD -SITE ALAI REVIEW .
BUILDING PERMIT 14O.: /`'lSTo20/0 — 6 400 ,P'
PLANNING DIVISION:
Required Setbacks: WApproved - ❑ Not Approved
Side: ',_ Street Side: 1
Front. l✓ Gya:Y+•• Rear: 15
Visual Clearance: [ app!• vcd l Not Approved
P/1 Maximum-Building Height. feel
CWS Service Provider•Lettet• Required: • 0 Yes ❑ No
•
0 Received
B,: da W �µ Date: ��� /r D . •
ENGINEERING D EPARTMENT;
Actual ope: /0 % r..1 Approved ❑ Not •Approved
Site PI p: / / rili • pproved of proved
By: A . Gr./�— Date: / ?�
Notes: a -cLPu- "X�y —
• : CITY Of TIGARD - SITE.PLAN R , ,.
' BUILDINO-PERMII NO: n - - 1 g . 7- / 0 — 40 0 -, ' . ,
Sleet Trees: ❑ Approved Not Approved
3itatectetTrecsi ❑ Approved Not Approved
. /bid I r' Date: o f /(1,....._ __,..
Notes:
/4.0 S c� �4J tre c r
• C
I
ieJ o(4D4 5-11. 01-4tihr"1
o . Community Development
T l c n Request for Permit Action
TO: CITY OF TIGARD
Building Division Services Coordinator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor Er City Staff _
(check one)
REF • I OR Name:
1 DICE 0: (Business or Individual) 3 f 4 / L s ��r ) �� /�� ` 1 ���
Mailing ANdress: 7 3 5 51..z 15) 'v
City/State /Zip: - Ne f}() ,2 rOIJ 012, 97ejap
Phone No.: 503 - eo (f ! - 734' .-
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): V ® 1
[T CANCEL PERMIT APPLICATION.
e o j / -
❑ REFUND PERMIT FEES (attach receipt, if available).
• INVOICE FOR FEES DUE (attach case fee schedule and explain below).
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: b:FAO/ a — COO & $ ' p a?O /O - coo 5
Site Address or Parcel #: / ij / 91p e t.0 ieLg2'5 Y LK)
Project Name: A Z P 1 r V i € LJ
1t tr
Subdivision Name: Lot #:
EXPLANATION: — 0 1 6e,12.. t,IJ l /40/16 OtQa S c . I' n L A- A) 6a/5111 7g 2 )
5 Ef- 11 41r ao1i- 000 /9 bu02 Aot!- 000/g.
Signature: t, _ / , / 4 / Date: ! Su e ///
Print Name: I e66( t /4 y /
Refund Policy
1. The Director or Building Official may authorize the refund of:
a) any fee which was erroneously paid or collected.
b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.
c) not more than 80% of the land use application fee for issued permits.
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended.
c) not more than 80% of the building permit fee for issued permits prior to any inspection requests.
2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to S s Admin: Date A _ rre' ` _7,�al Rte to Bld • Admin: Date a /1' p la
Refund Processed: Date .9 B ' '' Invoice Processed: Date _ �/' /J' B : ,,
Permit Canceled: Date _ /( /// By r fir:: Parcel Tag Added: Date By
Receipt # Date Method Amount $
1:\ Building \Forms \Regl'cmutAction.doc Rev 07/26/07
ROOT PROTECTION ZONE /1-7 ‘,57-c20 i O OeO �O/
BOUNDARY. ALL WORK
SEE ATTACHED WITHIN
ARB TTAC E WIT THIS AREA r; ., t? ,N. '1' RECEIVED
REQUIRES SUPERVISION BY
PROTECTION I.S.A. CERTIFIED ARBORIST -C-- 9 0
PLAN° — — — MAY - 7 2010
TREE
PROTECTION
— —
FENCE / �� N CITY OF TIGARD
- - / 7 t \ \ B DIVISION
/ _ �'
/(1698)10° ( 1697 ) / (183) � / (186) (187)12 °, � \ \ \ / /
DOUG FIR (1700)10° \ (1 15° / CED 16° CEDAR I
(SAVE) coup FIR D`5 F n inp s � 1 0 0 a (SAVE) \ \ 547
(SA ' j 7 c � — /— — 1
4* frig/ r I /
t 11K1P _____ ; / 14 7 .-4
y •� o o 0 0 0 I T WALL
/ I / ENTRY / L90 // SF .PA • / RE
I
(16 10° 1 �� �\ •r • ab A Ox /
/ v FT
\ ,DOU9 . _ \ F� ` 59 rT
• (5 � ,1 ` °o o • . • • • ' r . o
554 553.5 ••• -
.411/ C- ti4MERI :: •:;� / m m o
-• t l_ 17 , {-.{ LI.) NTROL N
..
STREET •
TREE Ina ...:•:::• ::•::•: :•r:• : :•i::•::•: :•.....: I 1
7 2 ° CALIPER :::: : • PACIFIC - I •: . c•� 1 . :..... SAN. : ARAGE ::::.: IN FLO
DOGWOOD: •01 . •. •4. .u- ' :::::::::::: :E .. • EV= 553.5:• SEWER /
/ 37'
�- 1 . • — — I 544
73 �a ! -
(I ; n 552 4{ 100.00'
I
0 a / LANDSCAPE ,4 .
m 1, TREE ROCK WALL
za'a• 2° C4LWER /
10
7p / PACIFIC / I I /
DOGWOOD
m - / 1 r r J
� I F II
• \111 I I II
R 1 [ . II
N \\� � Tr - JJ 4 u r- Ti II II 4 I
II I
L� J _
SITE PLAN
DRAWN DDR ALPINE VIEW
REVISED VISED 04!234/23 /10 SHG (ADD TREE INFO)
Contractor is responsible to check SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP '
site plans and notify designer of any 2- SOUTH, RANGE 1 -WEST OF THE WILLAMETTE MERIDIAN
errors or omissions prior to start of CITY OF TIGARD, WASHINGTON COUNTY, OREGON
construction. Also and
specifications shall be approved by 14196 S.W. STELLER'S JAY TERRACE
local building authorities prior or 5 292 SQ. FT.
start of construction.
LOT 8
WEST HILLS MINIMUM SETBACK REQUIREMENTS:
DEVELOPMENT, INC. ( LINE) e
REAR YARD: 15'
FRONT (HOUSE) 15'
735 SAP 158th Ave. FRONT (PORCH): 15' SCALE
FRONT (GARAGE): 20'
BEAVERTON, OR 97006 SIDE: 5' 1"=
STREET SIDE: 10'
(30' MAX. DRIVEWAY WIDTH)
L
CITY OF TIGARD • SITE PLAN REVIEW
BUILDING PERMIT NO.: /1S7 - i oO 1 e •
PLANNING DIVISION:
Required Setb cks: ['Approved ❑ Not Approved
Side: S Street Side:
Front. ( C Garage: Rear: iS
Visual Clearance: (".Approved ❑ Not Approved
Maximum Building Heigiti• 33 feet
UWS Service Provider Letter Required: ❑ Yes ❑ No
�",�� ❑ Received
l3 : 4 �IA.-a -. Date: 5/7h D
ENGINEERIIN DEPARTMENT:
Actual Slo e: JL % Approved ❑ Not Approved
Site Plan: [A pproved ❑ of A roved
By: , Date: 3 ? f°
Notes: a d. 1 /2x 4-L
CITY O TIGARD - SITE PLAN • VIEW
BUILDING PERMIT NO: /`9S .20/0 — 0006 Mil
Street Trees:
Protected s• pproved ❑ Not Approved
A pproved ■ No Approved
Notes-
'' ••,-. Date:
Todd Prager
From: Todd Prager
Sent: Wednesday, April 21, 2010 9:34 AM
To: 'Angie Cook'
Cc: Debbie Adamski; Dan Nelson; Mark VanDomelen
Subject: Lot 8, Alpine View in Tigard
Dear Angie,
I am reviewing your Lot 8, Alpine View building site plan for tree related issues. I will need the following prior to my
approval:
1. Please show the street tree size, species, and location per the approved subdivision for Lot 8 (2" caliper Pacific
Dogwood).
2. Condition 48 of the Alpine View Subdivision requires that you show the location of trees, and tree protection
fencing to scale on your building site plan. It also requires that your project arborist certify that the placement
of the fencing will protect the trees through the building phase. Please have your project arborist sign the site
plan and indicate that the trees will be adequately protected during the building phase. The arborist will also
need to verify that the fencing is currently located on site per plan. The project arborist is Kay Kinyon with Tree
Care and Landscapes Unlimited. His number is 503 - 635 -3165.
Once these items are taken care of, I will sign off on the tree related items for this permit. Please do not hesitate to
contact me with any questions.
Thanks,
Todd Prager
Associate Planner /Arborist
City of Tigard
503.718.2700
•
1