Permit _. _IN' __f___-.• y q CITY OF. TIGARD M ASTER PERMIT
a : COMMUNITY DEVELOPMENT Permit #: MST2012 -00292
TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/16/2013
Parcel: 2S104DB05600
Jurisdiction: Tigard
Site address: 13231 SW MAPLECREST CT
'Subdivision: MAPLECREST Lot: 3
• Project: Maplecrest, Lot 3
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1287 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 30 Bathrooms: 3 Second 1666 sf Garage: 462 sf Front: 20 Smoke
' Detectors: Yes
Dwelling Units: 1 Third: 0 sf Right: 3
Total: 2953 sf Value: $335.154.24 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
Drains: 0
Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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
Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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 +ampNolt: 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 2953
Owner: Contractor: -
RICHARDS, M DALE WINDWOOD CONSTRUCTION INC Required Items and Reports (Conditions)
ADAMS, HEATHER M 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503 - 639 -4175
12655 SW NORTH DAKOTA TIGARD, OR 97223 2 geo tech report required prior
TIGARD, OR 97223 to footing inspection
PHONE: 503 - 780 -4375 PHONE: 503- 625 -6526
FAX: 590 -7606
Total Fees: $20,520.94
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don in accor. - - with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Or =.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 1 -0010 through OAR : 101 -019 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued : : • I Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date! •
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1,
.
Building Permit Application
Residential RECEIVE j FOR OFFICE USE ONLY
City of Tigard s I Permit No.
° 13125 SW Hall Blvd., Ti ard,OR 97223 NOV 2 9 2012 Plan Review (1 .. � � y p (2.... 451:4�01,Rel .1..n 60G)'R•��
Er
g Plan Ry ew �� ` '21I l O�Wr d 0, 2
Phone: 503.718.2439 Fax: 503.598.1960 n � // �� T � / � een eB : t � Other Permi ,. 0
I' I (; iA IL D
Inspection Line: 503.639.4175 CITY T OF I IfaARD Date Dat ReadyBy: �Ja : ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIMS Notifie thod: / / 1 i < p Supple egtal Information
TYPE OF WORK REQUIRED DA 1- AND 2- FAMILY DWELLING
)2-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.
/ 21: - a — nd 2- family dwelling ❑ Commercial/industrial Valuation: $ '3365 (54%
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ID Other: Number of bathrooms: ,�
JOB SITE INFORMATION AND LOCATION Total number of floors: 2-
Job site address: /3 231 .5 /-/ COLA 1.1 New dwelling area: z`tiSO square feet
City /State /ZIP: roar" drl.r. Q 2Zx) Garage /carport area: +Z square feet
Suite/bldg. /apt. no.: Project name: Covered porch area . square feet I kC
Cross street/directions to job site: Deck area: 6 square feet (28?
Other structure area: , 3A r] square feet 3O
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: A I Lot no.: 3 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.
Nt04-1 s` X Valuation: $
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
' b M CAI/0d 4 S�ahc
Name: Type of construction:
Address: /24 s � P.../ca / Occupancy groups:
City /State /ZIP: 77 9? �Z3 Existing:
Phone: ( ) 7 o -4 Fax: ( ) New:
[PPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
'
(Please refer to fee schedule)
Business name: �Structural plan review fee (or deposit):
Contact name: p4. fest_g - j FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City /State /ZIP:
Phone: ( ) F es:: ( ) Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Ifl Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City /State /ZIP: Permit Fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax:( ) o
State surcharge (12% of permit fee): $21.60
CCB lic.: I-a` Tom/
Total fee due upon application: $201.6
Authorized signature: - This permit application expires if a permit is not obt9'
within 180 days after it has been accepted as cor
Print name: 9 A ja Date:/f / /) / /L * Service Board set by Tri -County Building Inv 6
I:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440 -4613T(11 /02 /COM/WEB)
... .
Electrical Permit Aulication RECEIVE 1: -- - -()R OFFICE Us), ONIN
City of Tigard
I Ma rtn14-..- ...-
'''. 4 1 11411 - 4144 - NOV 2 9 20 ''" ---- ' ih'i:1117- (1199 ICI' Sr r' *Mt S°A1.1 '..C1t9- .‘?` #1..*°
8 ''
1 114
Platric, 507/S1-04 tax ( %et ! thavii.. i' sit„rems.r.De., gqL ,
1 f (... t „ : al , I/tape:titan Lint ;• 4,i, 0041;5 CITY OF TIGARD ), , - , 'e 7.47
,
letufmo sec4,..4m.g.4 , - ( 1 i .i Skappleatotal latotmok4n
LNG-DIVISION - -
TYPE OF W011 PIA? REVIEW
0 A dde 1 iAlfIlatiCfritiC4Vttp.thettileg ' Ifitia 4c eare. gi ltut mr94.y! i ,itt of rtaor.,.., ,f cic,3,4 4:4,, 4
. 13 ccgr RI 4041403 owlet mote attlitang or.c-t nom writ)
- 0 1)tnattlitioit 0 Othrr: ' . A 4sav do * at ktto ittilt tinivii 0 'Aitinti iNt t•Oatt x...1
_.„ ...,.„
CATEGORY OF CONS'FRUCTION • • et is-e;1/4 10,*);, amp; as t ket 144 re Ott-volt Ocii.icat-;
- - - - -- ; te-i4 to prorota...tre ft:twat ItiXt)
P•1 and 2-frutlib'41 0 rmitrwrc14:doizt lid - 0 Attes-c"-or • :Intik! ing nolo Sot ia illi.kir:.nr,,lingfis tuotaio
0 Mutli • fun ily 0 N1461Cf Wallet 0 Ottirr,
. 0 1 FOIV:y ri ilaraf 1,StirCi 34-tattlf.h elcz:s 4 oywrc
30R SITE INFORMATION AND LOCATION
.., -
Job :no.: I $errb $41C oddrcss; /32,/,5ti..)Aoe_L■ej.f„Lei . too-wt.:4)ot ,s.-,,,itu.s-,
:- - . .,____ ; ri &I cc VW* ectiinth ot Joni. 0 Ro.ccatatta: %clock paitt t
City;St7letIP'; ns_4,,,y......x.._._.g.2.i.:?...._._______._ , 0 ROJO -cur factittici, El Sq4)$1; 04,4•C fri ThOtf !W.I
... ■ - . ___ - ' 0 liazteilitot taentoon- 444v:14 netrt.tatI"
SUite.Ndg "nrrri.; no Project name; -1 05er.tice of &odd 61...‹. too ist mate
iii7ELE
-------.......
Cro it d iltN.1 gird Cnierb Site , ' OKI, Y
) ne,..1_
mush-atm' tanglic-or in ski:fa in ilr dtten'ing. era t.
i InclotIcs Attached garage.
$u;hdit ision
' riLt,___ i I.,04 i
I , LW) tc, ti. or lets
--- - 3 . 14314 ! 4
tor pOr tcr ' i
t timp no, .: - ...
DESCRIPTION OF WORK ._, , . weli atove It) r - ' ! i *
... ; Ii.intarn omit; • raukorartuy
....................... ---..
- "' - - • ' LSertiret or feeder, installation. altecatieri. 2 a(L'or reltit2tiiItt
I "•2.03 linjw Of uva.. 7 ' I Ir 70 ' - ----
•••1.1X,.... .-
j:}1 OWNER 0 TENANT
NA/11t7 eovrit --0.ac
, -
__12-,a..67.45_______C.,.:4_,22_,,ole,/44_... - (Nee Leet) *if efic oe , :ilis
,,,,_
_ ,- Z
. - - 'It mpitrari)ervice; at feeders in Italia lioo. A,trrrAtiOn. $ idor
C'k), S'iAir.'`Xf„ /-/ d 40
i, - - L 22-3 , telort non
lee a root Se 10,4 1: !...9 '.•.6 ..
Elt.)11C. I II t"XX 'I I )
- , " into; to 41C0 unps I S- 1; I Z
Owner instillation: 1 Iiii, striLiliston i$ be r4g 14.4<lc (u) ptc..pcny Ittol I ois it %%loth 1.1
it: nOt
.1,coot. la ..5 amps , ,i i 144 5.:
intcstdcil for !cut, rcoa, or c* li_ccorsi In to ORS 447. 449, 670. .".rxS - 701„
: WI nth tiretiit3 - ntvi ilfrnal ion:. or ettiation... per ot net
, $4,J1. - iltrte: Dae;
*bow servioe at Seo.ict (or,. !
p p„..AITLICANT 0 cave,tcr pests°.
- -- ortoti 4.tstell roma ' -
_ - -- i -
IIVAiit$M .? ,...a d/:: it ;
- n TM hu tg ONO 0.4 1. 04444!
464/4/ ••••
..,-0
COCA*: ft/sitt. 7 gf ;canes ciscroc ' cit. 1$
!! 1 ,. • - 1 -
: -
Addg's$-... Miscellaneous I str)ice ,or feeder no.1 lot-Ward i
En: h Otithigthaneard iit
1ti
d..Attl strton iuscSt.i III l ' ;
_ „ _ - - • . .._ __ -- - • •„....
PhON:', ( ) r*N ! ( ) P4C entiY
E-tiulai . ..: - ' .- ' ' - •'"' - i * -
cut* tat oattet*II.6%;*it I 67Se ! 1 :
CONTRACTOR Siva, -ormilltler I "cod -cocrol
c r
„ ...,. .
,_ pc r twat inor kJ ' Z = L
f 4r1.14 ` '04.1 - , ' . . c i- 1 - C -...,------ , rh2tbditiooal int pet non at te aillutt age in in,. of the atm))
Add.r ;),:) % e' ' t,.;• moc..-, in, e - • I •
mutt
46.111to.41 itec..-Ottirtel to i 1 ht '
3 . ---- - - ---,
- -,---- - - - Irmstittatice 41 ht meal 1 I titi .!
C. i* .S1.7.1t.q.IP"'. Pc,,,. IA 4,,v4 e 11 61.1?4,5 „,...., irA..,grapit....t,'(iNE-#1.0 L
glom '( stct : fp i il. . r4x.:(503) ( ,( 7 ,),- Ins fix .1.411 no lex es I
•
CO) 1., J4 j EiCCU teal Lic..; C , t,411 i Sirfirr t ic ; if....4,4) ..', ELECTRICAL PERS' IT FEES
-
SubtiotiL I,
3% trilev-4ieelfiei 3e1 signuar, rrttoized: / "W
' 7 ' , VIM en ) i7 st: lat ticcooll Ike), I
Print name; ela M
o
;t- . ,.
•!-.1- , r ot;tt• ci _
, _ .1
, Mt*: _
TOTAL PLRM i V: I- LI--
, A u;:tuctia ) tptilia re: Toth pri;ospicticatito raps 'Tr+ 'ea pert i■ ant p6tatetoed 11. oh Ert 1.;,..•
---,-_
eta,* Art it tri tors ace/pied at tocolicit.
Print ruunt; !I 0:At; -1 • nista; tolivoist7tsrhiont tlknired Ec's ivri
. - -, _ - - - - --
Mechanical Permit Applicati FOR OFFICE USE ONLY
City of Tigard RECEIV Dat i / /t3- Sr Permit No.LLs-r
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
0. Phone: 503.718.2439 Fax: 503.598.1960 NOV 2 9 2012 Date/By: Other Permit: ,-
TI 90 G A R D Inspection Line: 503.639 Date Ready/By: Suds: El See Page 2 for
Internet: www.tigard - or.gov G RD I
CITY OF Notified/Method: 1162 Supplemental Information
WLIDT�LIJJG DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
ew construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
Demolition ❑Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
r and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: / 32 Q s t, 1tt��( `. (requires site plan showing placement) 46.75
/ 6.-c Q ?3 Furnace 100,000 BTU (ducts/vents) + 46.75
City/State /ZIP: v
ei..e Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: i Lot no.: 3
v
Flue /vent for any of above 23.32
V CUB Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater i 23.32
� Gas fireplace/insert °� 33.39
c.a... 5 /" - /c_ 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
RTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: 1 i _` a_ ���� Cf ,, t _ � h C Environmental exhaust and ventilation:
W -11 �"_'���7 / / Range hood/other kitchen
Address:
/2(r 6-- (saki /�,f(r`h pw,( dc_ equipment ( 33.39
City/State/ZIP: / /] Q7 Clothes dryer exhaust 33.39
y r.L�U UZ �lZ�is r Y
� Fax: Single -duct exhaust (bathrooms,
Phone:
( ) 10 ......q 5 ( ) toilet compartments, utility rooms) ' 23.32
❑APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Other: 23.32
(5 .� Fuel piping:
Contact name: b...iC l c $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace 'L
E -mail:
Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
rR �� Other:
Address: / 3/ 5-o 5 C 4L ia."-tc kc,r! /�� �/ MECHANICAL PERMIT FEES*
City /State /ZIP: /�. q7a(�(� Subtotal
rim Cl '
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
7 q l l�l / Plan review (25% of permit fee)
CCB lic.: '7.2423 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Signature: days after it has been accepted as complete.
Print name: /74 Date: ////7//2, * Fee methodology set by Tri -County Building Industry Service Board
I:\Building\Perrnits'MEC- PermitApp.doc 03/07/12 440-46I7T (I /O2/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I
1:\Building\Permits\MEC- PermitApp.doc 03/07/12 2
Plumbing Permit Application
Building Fixtures
City of Tigard RECEIVED DateBea
Y: !(A I')' Permit No.: HST 00.OUS5
14 a 13125 SW Hall Blvd., Tigard,OR 97223
C Phone: 503.718.2439 Fax: 503.598.19 0OV 2 9 2012 Plan Review
Date/By: Other Permit No.:r'} - 0049"V/
T I G A R D Inspection Line: 503.639 Date Ready/By: J.77 ® See Page 2 for
Internet: www.tigard - or.gov C IT/OFTIGARD Notified/Method: I'' Supplemental Information
TYPE OF WO�Jfl D G D FEE* SCHEDULE
Iew construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
ja1`and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath r 500.32
❑ 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: t3 2 / .,'c.. /11 Catch basin or area drain 1 8.76
City /State /ZIP: ?7 � ZZ Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
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 ft.: ) Page 2
Subdivision: g "0 '' c I Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
ti� SW Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
- PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: it. " ° e �� ""<h Fixture /sewer cap 25.02
/�� //++
S4 /1 4 C/A- 51.11 Floor ge disposal sirir /hub 25.02
Address:
(. Garbage disposal 25.02
City /State /ZIP: r -zeO ' ',,,1� Hose bib 25.02
Phone: ( ) &d Fax: ( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: Medical gas (value: $ ) Page 2
Contact name: 9 irril Primer 12.51
Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 25.02
City /State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: /_' fie^ /0/A Water piping/DW V 56.29
Address: /gf2(1 AA" 4.41.1.0)e /-42n r Other: 25.02
City/State /ZIP: plea r 9 2 v / / Subtotal
Minimum permit fee: $72.50
Phone: ( ) -342 3 h 7") Fax: ( )
CCB Lic.: / B 3 ii Plumbing Lic. no.: 0 0 0 06. 9 4 Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: G._.cece________-d TOTAL PERMIT FEE
Print name: 4J 1,c, 0 441,411 Date:////77/2_ This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1:\ Building \Permirs\PLMU- PermitApp.doc 10 /01 /09 440 -4616T(10 /02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - 1' 100' 50.03 0 to 2,000 $121.90
Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer - 1st 100' 62.54 7,201 and greater $327.54
Sewer - each additional 100' 37.52
Water Service - 1st 100' 62.54 Medical Gas Systems:
Water Service - each additional 100' 37.52
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 62.54 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to
P and including $10,000.00.
Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to
(minimum charge- 1/2 hour) and including $25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to
Reinspection Fees 90.00/hr and including $50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
(minimum charge - 1/2 hour) each additional $100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? If "yes ",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees * . Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2" and
greater, except systems designed and stamped by licensed
Bath: - Tub /Shower
- Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918- 780 -0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918 -780 -0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: - 2"
3" Isometric or Riser Diagram
❑ Isometric or riser diagram is required for new buildings
- Car Wash Drain
Garbage Domestic non - food that meet the qualifications above.
Disposal: - Domestic food related
- Commercial food related
- Industrial food related
Ice Mach./Refrig. Drains Comments regarding fixture work:
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower: -Gang
-Stall
Sink: - Lav/Bar non -food related
- Bradley
- Com/Serv/Util food related
- Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs, a sewer permit will be issued and
Washer - Clothes fees assessed for the sewer increase must be aid before the
Water Extractor p
WaterCloset - Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I: \Building\Permits\PLMF- PermitApp.doc 08/04/2011 2
R
il3 .
NOV292012
CITY Of TIGARD
3U11.DING DIVISION
N 89 °53'48" E
60.00'
1
ado s� /T �� <<
I� . . N
�4 C, I ...` ,,,. E :5D8CK :I ..0 ....
'5 \ hi, MAIN D i _..._ 5�T�1'.. ... 5
�aA EL ._363.8" / II , F . . z4..
340 ,..,. I I `I
1
f •
klIVff-/1( . If \ /,
1 IL. - .. - LOWER FLOOR r, �I� I.. . .
// LL ,. I _. . . I \ . ..... .. EL =.3
{r a - .. 5 0
;n 7:4-- l. .. ;..�•., .... •. ......... �` . ........................ Tr ,�
V .................: ... - ....
O N m! } . ........................... . ..._. .. 4iN FLOOF? . ;,. „. •ol Q
rn 34�o...;1 EL,..- 364:0;, ,, ,K; ,,, ......_ .... .__._. :� a o
7 --t
\ 0 t \ .. , ...... ... .. . . ......... / ..... . ..... ,,.....
j l.... ...... -- ....GARAGE.. - ..I ... ,, 30
..........
1” - g' �
4 0 ' ` <a 4° CONC. No 4' -0 - •
o _ DRIVEWAY
Z. (3500 P.S.I.I ` O_ I': m
S 89 ° 51 ` .34 "
- W
,,,^ 4 4.36' '
5' SIDEWALK
EASEMENT
•
S.W. MAPLECREST COURT
13NOV2012 MRR SCALE • 1" _ 20' -0"
ALAN MASCORD ACCU ASSOCIATES• P IS NOT CITY OF TIGARD
...., LIA BLE FOR THE ACCUfIACY OF THE TOPOGRAPHY
MI ■ BOdDERTTO YERFYT LL SITE CONDRN ROF ,;,:,yam. REST
ms 1231
.I
ANY FLL PLACED ON THE SITE AND NOTIFY NE �
OWNERS OF ANY POTENTIAL FIELD MODIFICATIONS.
COLLECTION W8 DESIGN ASSOCIATES. NO. BY: WINDWOOD HOMES, INC
u0. M.• ..., A... Po°TLA:o ON .)2.9 ( 5,843 S0. FT)
90L22,.0. C.0 .0]/2],09]] n:mli...n..Cwn..n
III Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No.: Pi 5 DV
Site Address: (3 3-3 i Ad t &i e r-
Project Name & Lot No.: , /4 4/LeGteS1 .3
CWS Service Provider Letter — /
Required: Yes ❑ No I,d'
Received: Yes ❑ No ❑
Routed Plans: 1 /
Original Plan Submittal Date: I (/ ' l i e"
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only 'f approved.
Planning Review (contact / at 503 - 718 -2 or 4 @tigard- or.gov)
Land Use Cas Nola / 1 /
Zoning ,<-- z/. `i
L7 Setbacks: ! � � �
Front A61 , Rear Side Street Side N Garage --12 [Maximum Building Height: `3 t Actual Building Height •'S. 0
iff Visual Clearance
l Easements
❑ Sensitive Lands Type: dti
Id Street Trees /
Gd' Protected Trees G ( ( f
Notes: / /GtiU/ / 4red . �l�
31/ 7v J T f
, �� Ap in ii,
Original Plan: Approved Not Approved ❑ Date: /`_
Revision 1: Approved — Not Approved t� Date: 1 � �- 0 z-- i r'1Jv
Revision 2: Approved Id Not Approved ❑ Date: 1/ 7 / ` Z h ei 5
(Review Continues on Page 2)
Page 1 of 2
(
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: 3 61/ + %
Notes:
Original Plan: Approve Not Approved ❑ Date: P /
Revision 1: Approved ❑ Not Approved ❑ Date:
d
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: Ye No ❑
Date Routed to Building:
/")/3// Y
Page 2 of 2
RECEI V
ED
NOV 292012
Teragan & Associates, Inc. CITYOFTIGARD
13UILDtNG DV Consultants
Terrence P. Flanagan or
October 27, 2012
Dale Richards
Windwood Construction
12655 SW North Dakota St.
Tigard, OR 97223
Subject: Tree Protection Plan for Lot 3
On October 25, 2012 I inspected lot 3 in the Maplecrest development to access the current condition
of the two trees that were originally located on the lot.
Tree 11543, a 23 inch willow that consisted of three leaders that had a fungal conk on one of the
leaders and was rated in poor condition, that was located on the lot line between lots 2 and 3 is no
longer there. Tree 1543, a 13 inch alder is dead.
On the mitigation letter for Maplecrest there are 11 red alders that are 2 inches in caliper and 30
red alders that are 1 inch in diameter that were listed as mitigation trees. These 41 trees make up
52 inches of mitigation. The total mitigation currently in the development is 653.5 inches. The
required mitigation inches were 469 inches. With the loss of these inches if all of the new red alders
on the lot have to be removed, there will still be 601.5 inches of new tree caliper inches toward the
required 469 inches.
As such, unless some of the red alders are planned for retention there is no need for a tree protection
plan.
If you have any questions or concerns regarding the information contained in this letter, please call
or email.
Sincerely,
f
Terrence P. Flanagan
ISA Board Certified Master Arborist, #PN -0120 BMTL
PNW -ISA Certified Tree Risk Assessor, #PN -0152
Member, American Society of Consulting Arborists
3145 Westview Circle • Lake Oswego, OR 97034
• (503) 697 -1975 • Fax (503) 697 -1976 • E -mail: terry@teragan.com
ISA Board Certified Master Arborist, #PN -0120 BMTL
Member, American Society of Consulting Arborists
STREET TREE
113
T!h.GAPRD CERTIFICATION
I,
/4.774 , owner/ r agent o �� �7
g f
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert.ij 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.: "1ST - U GG 2
SI"1 E ADDRESS: r32- 3/ G-75;e1"-- (-7
SUBDIVISION• r LOT#:
SIGNATURE:
i (OWNER/AGENT)
RECEIVED & ® _ ✓
VERIFIED BY: DA 1 E: ZC)
(cTTY . CARD)
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
GREEN PLUMBING
14424 NW LENNOX LANE
PORTLAND OREGON 97231
CCB 103426
BPI ID 5020661
WINDWOOD CONSTRUCTION INC
12655 SW NORTH DAKOTA STREET
TIGARD OREGON 97223
BLOWER DOOR TEST AT 13231 SW MAPLECREST COURT TIGARD OREGON 97223
MST 2012-00292
TEST COMPLETED 6/18/12
RESULTS AS FOLLOWS:
CFM 50 WAS 1935 AND ACH IS 4.0
ERIK HOFF��
GREEN PLUMBING
■
1
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 5T —0 9 Jurisdiction:
Site Address: / / 6j GJ 171cw4?- C�
Subdivision/Lot#: �f J
and/or
Map and Tax Lot#:
By my signature below, I certify that a minimum of fifty (50)percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: / _� - Date: /o'2//jam
wner/Genera Contractor/Authorized Agent .�
Print Name: G(j/it c,i-aed a s/a/>7 c:-
'ORSC Section N1107.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per
input watt.
I:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
1 _
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner-builder
at the following address:
Site Address:
City: T����-/ C "
Permit#: , ST 2O/2 -66c2 9 2
Subdivision/Lot#: / J 3
Mapire-fe-57
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture-sensitive
wood framing members used in construction.have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature:
Date:
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09t25108
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
06/28/2013 00:00
MST2012-00292
PASS - C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
699 Mechanical final
06/21/2013 00:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
06/20/2013 00:00
MST2012-00292
FAIL
Provide a pan under water heater as per OPSC 508.4
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
06/27/2013 00:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
699 Mechanical final
06/21/2013 00:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
06/20/2013 00:00
MST2012-00292
FAIL
Provide a pan under water heater as per OPSC 508.4
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
04/04/2013 00:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
220 Slab
05/10/2013 09:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
242 Interior shear walls
03/19/2013 00:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
225 Post/beam structural
02/20/2013 00:00
MST2012-00292
PASS
Plywood left off for inspection of plumbing and mechanical underfloor.
Posts over 8 feet need 2directional braces
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
610 Gas Line
04/01/2013 00:00
MST2012-00292
PASS
Standard pressure verified 10 lbs 15 min
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
615 Mechanical rough-in
04/01/2013 00:00
MST2012-00292
FAIL
Gas fireplace not installed
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
280 Insulation
04/08/2013 00:00
MST2012-00292
FAIL
1. Not ready for inspection. No inspection made ORSC R110.5
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
120 Electrical rough-in
04/02/2013 00:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
280 Insulation
04/09/2013 00:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13231 SW MAPLECREST CT, TIGARD, OR,
97223
Residential - Master Permit
120 Electrical rough-in
04/02/2013 00:00
MST2012-00292
PASS
Violation Summary:
Inspector Contractor