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Permit
It EXPIR ,0'.,,l' is 7e :.1i Buildi P ermit Application 1 i„ FOR OFFICE USE ONLY • City of Tigard ' •1E , . <„. Permit No , 1,,,, e - O a0 93 13125 SW Hall )3Ivd., Tigard, OR. 97223 6� ��� A Other Permits C .`t Phone. 503.639.4171 Fax: 503.598.1960 MAY B 8 �S, d�� �a / 4MM ' op 7 . Dote Ready #Qd�� ✓1 © See Page 2 Fur rm inspection Line: 503.639.4175 n , No c..feth od r Supplemental Information MI.GA, d•^ iD1 �. CITY OF TIG l -, j Internet: w��w.tieard- or.gov / ��� BOLD! DIVICI(J Ca-cl/ ' TYPE OF WORK REQUIRED DATA: DWELLING Q 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 Q 1- and 2- family dwelling ❑ Commercial /industrial Valuation 4 17 ( 1 WIOq - q4- ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 1 ❑ Master builder ❑ Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 13348 SW ALPINE VIEW New dwelling area: 1556 square feet City /State /ZIP: TIGARD, OR. 97224 Garage /carport area: 402 -ts(pare feetq Suite/bldg. /apt. no.: I Project name Covered porch area: Z square feet at (.!! Cross street/directions to job site: Deck area: square feet &A Other structure area: '1C). A • • square feet 2A_ REQUIRED DATA: COMMERCIAL -USE CHECKLIST Plan No.: 1557 MELROSE AMERICAN Permit fees' are based on the value of the work performed Subdivision: ALPINE VIEW I Lot no.: 31 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the Tax map /parcel no.• work indicated on this application DESCRIPTION OF WORK Valuation NEW CONSTRUCTION Existing building area: square feet New dwelling area: square feet Number of stories: Q PROPERTY OWNER I Q TENANT Type of construction: Name: WEST HILLS DEVELOPMENT Occupancy groups: Address: 735 SW 158th AVE Existing: City /State / /_1P: BEAVERTON, OR. 0- 9 760 6 New: Phone' ( 503) 641 -7342 Fax: ( 503) 641 -7661 NOTICE 0 APPLICANT 0 CONTACT PERSON All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Business name: WEST HILLS DEVELOPMENT under ORS 701 and may he required to be licensed in the Contact name: STEVE POLLARD jurisdiction in which work is being performed If the applicant is exempt from licensing, the following reasons Address: 735 SW 158th AVE apply City /State /ZIP: BEAVERTON, OR.y.7401V 97006 Phone: ( 503 ) 726 -7041 I Fax: ( 503) 641 -7661 E -mail: spollard @arborhoroes.coro CONTRACTOR BUILDING PERMIT FEES* Business name: NEST HILLS DEVELOPMENT Please refer to fee schedule Address. 735 SW 158th AVE Structural plan review fcc (or deposit): City /State /ZIP: BEAVERTON, OR. 9 m q 70 0 t FLS plan review fee (if applicable): Phone: ( 503 ) 641 -7 x: ( 503 ) 641 -7661 Total fees due upon application: CCB lie: 10484 Amount Received: Authorized This permit application expires if a permit is not obtained signature' i within 180 days after it has been accepted as complete. Print name: STEVE POL • • D I Date: 4/29/2010 I * Fee methodology set by Tri- County Building Industry Service Board. I \Building`.permits \I3U1' -RES PcrmitAppdoc I I /6/07 440- 7613T(1 I /02 /COWM'EB) • RECF ' Electrical Permit Application MAY 2 8 201 FOR OFFICE USE ONLY . • - City of Tigard CITY OF T IG A °° fed Permit No.:/./.01.0/19 / _ ! / I II ar a 13125 SW Hall Blvd., Tigard, OR 97223 p� Plan Review Other Permit Phone: 503.639.4171 Fax. 503.598.1960 BUILDING DIif :.. Date/ : Other Pi See Pa c3 for l:. T I G A It D Inspection Line: 503.639.4175 Date Ready/By. P Internet: www.tigard - or.gov Notified/Method: Supplemental Information ` ` , y 3't�' -s l t�.l f91:� OLD- "IjPJ`.'�nt�i•fi(' -. �i '� e. `trr' -'." ';Ilia'..! 47: t, 1..,': t' &f€..�'••i ', a 1 ,1- 5 - *:: -..! . . }1 -. . • ...Itql ❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans vv /items checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: �y r where the available fault current ❑ Mannas and boatyards. 4 �sJh,-�tJ '°4 P"i tcE 1 0 15. it;,}a i '811 01 { �tti g; il!5. � ttf ; ''-'' / exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all oilier installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or � 7 T . : ..,_ ,_ _ __ Ti'X _.__._ ` �, ` ❑ Emergency system larger separately denved system. �, ^- vtt -- e sof6)11i ji i"b)N/,i j j(o)t(/h,li)JLrofc,'.. ,(5)-61,.1 Lta`Y f c . 0 Addition of new motor load of ❑ 'A E t_r L3 , 100HP or more. occupancy. Job no.: Job site address: 13348 SW Alpine View ❑ R ecreational vehicle parks ❑ Six or more residential units P City/ State/ZIP: ❑ Health-care facilities. ❑ Supply voltage for more than Tigard, OR 97/24 ❑Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more. Cross street/directions to job site: Dmcrtpttoo I Otv. I Fee. I Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Alpine View I Lot no.: 31 1,000 sq. n. or less 168.54 (6b,r' 4 Ea. add'I 500 sq IL or portion 33.92 (0(:7 I Tax map /parcel no _ _ __;� - Limited energy, residential 1 67.84 ( 2 • c , t'? s ",i71 .. T- r � 7. �. •(Ct ti -:R D.l`j�0l..�r1it. {r 1-i' it ^, ` ' +. ujA1, st1 1-1 (with above sq ft.) 1 - Limited energy, multi - family 67 84 2 New Construction residential (with above sq. (l.) Services or feeders Installation, alteration, and/or relocation 200 amps or less 100.70 2 i r3c5 p rl • o5 t l ' r i r'AIt r �`' f7 it is lj o1i ; f'4t ru 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200 34 2 Name: West Hills Development 601 amps to 1,000 amps 301 04 2 Address: 735 SW 158th Ave Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City/ State/ZIP: Beaverton, OR 97006 relocation Phone: ( 503 ) 641 -7342 I Fax: ( 503 ) 641 -7661 200 amps or less 59 36 1 201 amps to 400 amps 125 08 I 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. Fee for branch circuits ivir/r ; % 1J ; -iitTr :I'.', `' ', r i;Y ^�?` •�i EI 7 .' a 'I. o `�1 st k above service or feeder fee, 7.42 2 each branch circuit Business name. West Hills Development B Fee for branch circuits without P service or feeder fee, first 56 18 2 Contact name: Angie Cook branch circuit Each add'l branch circuit 7 42 2 Address: 735 SW 1 58th Ave Miscellaneous (service or feeder not Included) Each manufactured or modular 67.84 2 City /State/ZIP: Beaverton OR 97006 dwelling, service and/or feeder Phone: ( ) 726-7042 I Fax: : ( 503 ) 641 -7661 Reconnect only 67.84 2 503 726 704 Pump or irrigation circle 67 84 2 E-mail: S /Jl •' ,• , _ II" Sign or outline lighting 67 84 2 1 ,,,tu ;r r,! , :.,.w ri S4writi..t . 1, !isi ?litvi .1 . (14; `` . =t -.k IA Signal circuit(s) or limited-energy Business name: Gamer Electric panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the abov Address: 2920 SE Brookwood Ave Additional inspection (1 hr min) 66 25/ hr City/State/ZIP: Investigation (I hr min) 66.25/ hr h Hillsboro, illsboro, OR 97123 Industrial plant (1 hr min) 78 18/ hr Phone: ( 503 ) 648 - 4552 I Fax: ( 503 ) 642 - 7925 Inspections for which no fee is 90.00/ hr s i ificolly listed (% hr min) CCB Lic.: 121159 Electrical ' .. 4 - ; 5' Suprv. Lic.: 3707S x=x' u;r C IIlF' 'i` Diu f (S 11 'ES'-.:.'' lit ' - Suprv. Electrician signature, requir. a , ' a Subtotal: �. I q— ,/ . Plan review (25 /o of permit fee) i Print name: Chuck Gamer Date: 5/20/10 Slate surcharge (12% of permit fee): ,'5 Authorized signature: TOTAL PERMIT FEE: 3 .1 - A g nature: This permit application expires if n permit is not obtained within 180 days after It has been accepted as complete. Print name: Angie Cook Date: • Number of inspections allowed per permit. t \Building\Pcemite ELC- PennitApp.doe 10/0I/09 440- 7615T(I I/OS/COM/WED Mechanical Permit Applicatito , A ;, i t I relit citric �: t'ti� cl 1.1 . , City of Tigard R Received Permit No.: / ys j 4 , , /0 r 9_. 1 ,1 • 13125 SW Hell Blvd., Tigard, OR 97223 MAY 2 8 2010 P� Review C ` Phone: 503.639.4171 Fax: 503.598.1960 DatdBy: Other Pantie T I G A It D Inspection Line: 503.639.4175 CITY OF TI G A R D °ate Ready /BT. Ark RI See Page 2 for Internet: www.tignrd or.gov Notified/Method: Sapplemeatallnformation BUILDING DIVISION OF- n f�'-; lr�w 1 1 • _ Fir C +. �'''~� " '5 ' '' 1`ri - -: CO Mi R _ `6CJH �SF C? 1b7F� Mechanical permit fees' are based on the value of the work �I �' isfclt:sri..�.a �'�.ar4. ' • -- -- ® 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. itt _ .1 4 rr _ & T GeR• . 0.e . ' ' II '- ut>c -s '' Value: S ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building 1 ` '�'� � � '� For special Information use checklist. ❑ Multi- family ❑ Master builder ❑ Other, Description I Q I Ea. I Total clai Ni %'' 'tluj;EEfi r ORIylAtPIO A LA i , • Headop/eoollnR Job site address: 13348 SW Alpine View Air conditioning (requites site plan showing placement) 46.75 City /State/ZIP: Tigard OR 97224 Furnace 100.000 BTU (ducta/veats) ' 46.75 g rG76" Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronle 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: Alpine View I Lot no.: 31 Flue/vent for any of above 23.32 Other. 23.32 Tax map /parcel no.: Other fuel appliances - yy- - a rn `Z r1: r,,.�,_ -• f s . •: 1rr.7... :;..- , . . :.14 ra- Water heater ? 2332 2..�• JG •:'rL GrL•T.S�.1�1i:K.:' -. .♦::�l_I��DES( 110N.O :�V�ORKi:;•:....-- a._ -.�.s: �t�:l.:...-1.b:,; Gas 1 31 fireplace 3339 New Construction Flue vent for water healer or gas fireplace 23.32 - Log lighter (gas) 23.32 Wood/pclict stove 33.39 Wood fireplace/insert ' 23.32 /+: 1 r 1 1. i �" Chimney/liner/flue/vent 23.32 : � ®ROR RLL :.�^ t om :. . ' °� :7:. = .1 O .Ii�LL2t 1<s'Lii j Other. 23.32 Name: West Hills Development Environmental exhaust and ventilation - Address: 735 SW 158 Ave Range hood/other kitchen equipment 1 33.39 2 9 ✓ /� City/State2TP: Beaverton OR 97006 • Clothes dryer exhaust ( 33.39 :i. Single -duct exhaust (bathrooms, Phone: (503)641 -7342 Fax: (503)641 -7661 toilet compartments, utility rooms) 23.32 Attic/crawlspace fans 23.32 93• (�y� ,:g: y :+}:: -° , ":i" '• �'�Cl.� WIT v ;1a.: ,:: 47.�rPrRr� 1;CU�7'1���ER30IY Y " x;; Other 23.32 Business name: West Hills Development Fuel piping Contact name: Angie Cook S14.15 for first four, 54.03 for each additional Address: 735 SW 15e Ave Furnace eta �Q• ( � Gas heat pump City/State/ZIP: Beaverton OR 97006 Wall/suspended/unit heater - Phone: (503) 726 -7042 I Fax: : (503) 641 -7661 Water heater 1 Fireplace ( E -mail: acook©arborhomis.com . Range I i N ,r rr V - t 7 ,:',:;S:vCONfRACT.OR`, - :i:. %:7 - .za_ ,i' v=h.. `.:g' :: Barbecue Clothes dryer (gas) Business name: Pyramid Heating & Cooling . Other. Address: 5699 SE International Way Suite 19 t "'" 1'_`: q - r�� ri�t�FiAlvl�(?AIg City/State/ZIP: Mllwaukle, OR 97222 Subtotal 77 .(.j1 Phone: (503) 786 -9522 Fox: (503) 786 -3432 Minimum permit fee ($90.00) ( ) I ) Plan review (25% of permit fee) CCB lio.: 59382 State surcharge (12% of permit feel , TOTAL PERMIT FEE 6 0. . Authorized signature: ./ /de/4/9 permit application o I t s lras beta eeeeped m rn stn; ed within ISO I Print name: Greg Phillips l Date: 5/7/10 • Fee methodology set by Tri- County Building industry Service Board LWu11dkpAranlltsIMEC- PamltApp doc 10/01009 440 -4617T ( 11/a2/COM/Wt>B) Plumbing Permit Application REcrpi S� p Building Fixtures FOR OFFICE USE ONLY . , MAY 2 8 2010 City of Tigard Date/By Permit No /151,20/0 .. 00,993 III 01 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review C Phone 503 639 4171 Fax 503 598 1960.../ {O' OF TIGARD Date/By Other Permit No TI G A R D Inspection Line 503 639 4175 BUILDING DIVISIOI 4 Date Ready /By loos 0 See Page 2 for Internet www tigard - gov Notified/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description I Qty I Ea I Total ❑ Addition/alteration/replacement ❑ Other New 1- 2- family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312 70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437 78 SFR (3) bath 1 500 32 52__ ❑ Accessory building ❑ 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 13348 SW Alpine View Catch basin or area drain 18 76 Drvwcll, leach line, or trench drain 18 76 City /State /"LIP Tigard OR 97224 Footing drain (no linear ft _) Page Suite /bldg /apt no I Project name Manufactured home utilities 50 03 Cross street/directions to job site. 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 tl _) Page 2 Subdivision Alpine View l Lot no.. 31 Fixture or item: fax map /parcel no Backflow preventer 31 27 Backwater valve 12 51 DESCRIPTION OF WORK Clothes washer 25 02 New Construction Dishwasher 25 02 Drinking fountain 25 02 Ejectors /sump 25 02 ® PROPERTY OWNER • I ❑ TENANT Expansion tank 12 51 Fixture /sewer cap 25 02 Name West Hills Development Floor drain/floor sink /hub 25 02 Address 735 SW 158 Ave Garbage disposal 25 02 City /State /ZIP Beaverton OR 97006 1 -lose bib 25 02 Phone (503)641 -7342 Fax (503)641 -7661 Ice maker 12 51 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25 02 Business name West Hills Development Medical gas (value: $ ) Page 2 Primer 12 51 Contact name. Angie Cook Root'drain (commercial) 12 51 Address 735 SW 158 Ave. Sink/basin/lavatory 25 02 City /State /ZIP Beaverton OR 97006 Solar units (potable water) 62 54 Phone (503) 641 -7342 Fax (503) 641 -7661 Tub /shower /shower pan 12 51 E -mail acook@arborhomcs.com Urinal 25 02 Water closet 25 02 - CONTRACTOR - Water heater 37 52 Business name Development Northwest (Wolcott Plumbing) Water pipmg/DWV 56 29 Address. 1075 W Historic Columbia River Hwy Other 25 02 City /State /ZIP Troutdale, OR 97060 Subtotal•' Phone (503) 667 -1781 Fax. (503) 667 -9891 Minimum permit fee $72 50 Plan review (25% of permit fee) CUB Lic • 112220 Plumbing Lic no.. 26 -824PB State surcharge (12% of permit fie) . 4 Authorized signature. i3„-,,...... TOTAL l'ERMIT FEE I * Print name Cliff Bowman Date 5/27/10 This permit application expires if a permit is not obtained %ithin 180 days after it has been accepted as complete. "Fee methodology set by In-County Building Industry Service Board I \Building■Pernurs'PLMU PermitApp doe 10/01/09 440 - 4616'x( I 0 /02 /COM!WEB) �RS EXPIRED 42/7d /�i� . - - 4.- to 1131111111a, - ALPNE VIE DRIVE R � / CURB / SANITAERI I AMt___ — A — -+ • WATER R ;T • 1, • P . • F 1 � 1 � • l STREET cryil F j fig!' f :1 . >• • 582 : :' 2° CA R PACIFIC � t ; `.: •.' F. '' e' 579.5 DO WOOD kr y i :.. , .. AY •• �I I LANDSCAPE f=' ': •• • ` ...: ' -r• STORM 1` / ROCK WALL aI I. .� .. _ i SERER r L :.. 11 . i � I / / BETA , J L To© 5 8 • 25* : :M: ' ;•' / LESS THAN 4'-1Y M 1 ' .. GARAGE:::::: ' :•ri : I I / • :. • / • TALL •v o :• :: 40 2 SQ. FT.;; ::::: ap:: . S . • �. �':• . / 3 n" 7 17:7:7:7:::::iFf: INCORPORATE • ro •: : I " � n 3 CONCRETE M : - • 1556 • z `• RETAINING W i n Qi:• I 'r ATHOU MELROS : ;.:,.;;. I I �' LESS THAN '-0° : AMERICAN 'i :• : :•: :• . TALL , 1.• MAIN FLOOR::.: :• :• :• : :• :: • 5 ' : 908 ... . _ ... 16:4' I I I . !:1-50.5Qtt,; \ \__ ___ ./ I o `— ems t :, Y +J..cli :T I I ' r m I 1 / / a ° / • 22.00• JI, E : • I I 583 582.5 J I I I I / I I 'o SW OUZEL / I / / / LANE L I / I I • i ----- - - -- •I / 5.2 �� / . - l , ''y' I jar 2A5' 7 8.5. : ; . / r— . I. / I • . . DRALLPI 04/15/10 DDR SITE PLAN • REVISE 06/03/10 ADD STREET TREE SHG Contractor is responsible to check ALPINE VIEW site plans and notify designer of any SITUATED IN THE N.E. 1/4 OF SECTION 0, TOWNSHIP errors or omissions prior to start of 2- S0UTH, RANGE 1-WEST OF THE WILLAMETTE MERIDIAN construction. Also plans and CITY OF TIGARD, WASHINGTON COUNTY, OREGON specifications shall be approved by 13348 S.W. ALPINE VIEW local building authorities prior or start of construction. 4,745 SQ. FT. LOT 31 WEST H I L L S S ETBACK REQUJREMENTS: ' REAR YARD: I5' (122011 PL) e DEVELOPMENT INC_ _.•..._..,- ...- ....... FRONT (HOUSE): 15' (FROM PL) . FRONT (POR s- 15' (FROM PL.) 735 SW 158th Ave. FRONT (GARAGE): 20' (FROM PL.) SCALE BEAVERTON, OR 97006 5TReET SIDE: 10' (FROM FL) SIDE: 5' (FROM PLC 1 " =20' • , . c=1 • • ► • TIGARD •. . - . • s1It'PLAN RIVJEW 4 .: Tr`TT_ , • r • • ,Ls h --: c_ ... _ SlitA'heat`• ir. Approved 0 Not Approved notated - 2 ApprOved ,,yViot rtoved , B 1,1 4176( f... 1 ci Date:.. 4, do/ , Notes: • • CITY Ol►TIGARDD•SITE PLAN REVIEW . >. IR LNG PERMIT NO (Mr 7-d f r) — r)„nq 3 /57 - PLA*IING DIVISION: Required Setbacks:. Approved ❑ Not Approved Side: __ Street Side: _.1.12_ From. 1.5"..._. Garay,.; • Re r . JCS Visual Clearance: 17 Approv cl ❑ Not Approved Maximum Building Hei±;111• _..1 ± =t =t CWS Se Provider i..eit:'r Rectz„ red: 0 Ye; r Nil ENGINEERINV DEPARTMENT: Actual Slo e:44_% - Approved ❑ Noi Approved Site Plan LAPPrOVed OcI o Approved B Date: ` . Notes: .