Permit , . ,
._ ,
. ipii , r1 CITY OF TIGARD MASTER PERMIT
a : COMMUNITY DEVELOPMENT Permit #: MST2013 -00023
T R
IG'AD. 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 03/11/2013
• Parcel: 1 S133CA06900
Jurisdiction: Tigard
Site address: 11340 SW HALLMARK TER
Subdivision: BARROWS ROAD ESTATES Lot: 18
Project: Barrows Road Estates, Lot 18
Project Description: Building 3 - New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories 3 Bedrooms 3 First 648 sf Basement 0 sf Left 0 Parking Spaces 0
Height 34 Bathrooms 3 Second 888 sf Garage 200 sf Front 8 Smoke
Dwelling Units 1 Third 288 sf Right' 0
Detectors Yes
Total 1824 sf Value $197,438 08 Rear 15
PLUMBING
Sinks 1 Water Closets. 3 Washing Mach 1 Laundry Trays 0 Rain Drain 1 Urinals 0
Lavatories. 4 Dishwashers 1 Floor Drains 0 Sewer Lines 100 SF Rain Storm Sewer 100
Tubs /Showers 3 Garbage Disp 1 Water Heaters 1 Water Lines 100 Drains' 0 Catch Basins' 0
Bckflw Prevntr 0
Footing Drain 0 Ice Maker 1 Hose Bib 2 Backwater Value. 1
Drywell- Trench Drain 0 Other Fixtures 0
Other Fixture Units
MECHANICAL
Fuel Types Air Conditioning N Vent Fans 5 Clothes Dryers 1
Natural Gas Heat Pump N Hoods 1 Other Units 0
Furn <100K. 1 Vents 0 Woodstoves 0 Gas Outlets' 4 .
Furn > =100K 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less' 1 0 -200 amp: 0 0 -200 amp 0 W/ Svc or Fdr 0
Ea add'I 500 sf. 3 201 -400 amp 0 201 -400 amp 0 W/O Svc/Fdr. 0
Mfd Home /Feeder /Svc 0 401 -600 amp 0 401 -600 amp 0
601 -1000 amp 0 601 +amp -1000v 0
1000 +amp /volt 0
ELECTRICAL - RESTRICTED ENERGY .
SF Residential
Audio & Stereo' N HVAC N Secunty Alarm N Vaccuum System- N Garage Opener N All
Other N Other Descnption Ecompasing Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R -3 1824 '
Owner: Contractor:
HALLMARK TERRACE LLC MARNELLA HOMES LLC Required Items and Reports (Conditions)
18318 SE ABERNETHY LN 18318 SE ABERNETHY LANE 1 Ersn Cntrl 503 - 639 -4175
MILWAUKIE, OR 97267 MILWAUKIE, OR 97267
PHONE. 503 - 654 -6642 PHONE' 503 -654 -6642
FAX.
Total Fees: $14,994.28
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 done in accordance 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 Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rule rre > forth in OAR
952- 001 -00 hroug a • R 952 - 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 • r 1 800 332 23'
Issued B • ' / i ! �`�.___- �, Permittee Signature: -�`�
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 1 tii •, I 4 /
•
This permit card shall be kept in a conspicuous place on the job site until completion of the p .ject. I
Approved plans are required on the job site at the time of each inspection.
_ Perm Application RECEIVE
Residential FOR OFFICE USE ONLY
JAN 3 0 2 013 Received Sl � 1- �
City of Tigard Date/By 1/30/l Permit No J
u 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 2
Phone: 503.718.2439 Fax: 503.598.1960 C ITYOFTIGARD Date/By
f �C` J Other Permit � o�(�(3- �C)J�
TIGARD Inspection Line: 503.639 BUILDING DIVISIO Date ReadyBy. 2 t ^- n Sun El See Page 2 for
Internet: www.tigard- or.gov Notified/Metho J� / 7/�/ ✓ 1d.J 7� Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
-
® Valuation: l 9 , 50 1 -and 2- family dwelling ❑ Commercial/industrial 91,4-33•60 0 Accessory building ❑ Multi - family Number o bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 11340 SW Hallmark Terrace New dwelling area: iez'C square feet
City/State /ZIP: Tigard, Oregon 97223 Garage /carport area: 200 square feet -Zg(�
Suite/bldg. /apt. no.: Bld # 3 Project name: Barrows Road Estates Covered porch area: square feet Uepj
r Cross street/directions to job site: Barrows road south of Scholls Ferry. Deck area: square feet LAS
Left on SW Merritt Lane to Hallmark Terrace Other structure area: 202A- square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Barrows Road Estates Lot no.: 18 Permit fees* are based on the value of the work performed.
3 3 C4 Q t� Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 1S- 1W- 33 -SW -NE (S
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Construct a 6 unit wood structure townhome building Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Hallmark Terrace, LLC Type of construction:
Address: 18318 SE Abernethy Lane _ Occupancy groups:
City /State /ZIP: Milwaukie, Oregon 97267 Existing:
Phone: (503)654 -6642 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Marnella Homes, LLC
Structural plan review fee (or deposit):
Contact name: Tony Marnella
FLS plan review fee (if applicable):
Address: 18318 SE Abernethy Lane
City/State /ZIP: Milwaukie, Oregon 97267 Total fees due upon application:
Phone: (503) 709 -3900 Fax:: ( ) Amount received:
E -mail: tony @marnellahomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Marnella Homes, LLC Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 18318 SE Abernethy Lane Solar Installation Specialty Code checklist.
City/State /ZIP: Milwaukie, Oregon 97267 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (503) 654 -6642 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB tic.: 144166 n Total fee due upon application: $201.60
Authorized signature: , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Tony Marnella Date: 1.20.13 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(l 1/02 /COM/WEB)
A, RE o ,f
Plumbing Permit Application Wig/
Building Fixtures --------,-, 3 0 201 �` ' j �' „, , z , �r -,- ,,.
° F I)SE ONLY 7 -- - - -
'=' City of Tigard cc
Y CIT OF TIGAR te,B et+ed r (� p 3 Permit Na.: X013 000=13 1312 SW Hall Bh d., F
Tigard OR 97 �
oe: ..2439 ax: 503.593.1960 DIVISI 1b/fly: ,-` Phn 503718 y ie Other Permit Na.:
GA[tD Inspection Line: 503.639.4175 Date Ready/By:
- y th -.-- See Pn c 2 for
« .x: «_ Internet www.heard or.gov d/Mo C („ g
Notified/Method: Th YY ' Information
Supplemental Inform
- - -_ - = , _ :_=_TYPE OP. -WORK _" '- . - -_ _ _., - _ _ -,- _ : _ -_ FEE" "SCHEDULE -= -- - - _ _-_
® New construction ❑ Demolition Far special infornrorion use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other. Newt- 2- family dwellings (includes 100 ft. for each utility connection)
__- _- - - __ CAT EGORY OF- C ON STRUCTION _ -_ SFR (1) bath 312.70
❑ I- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437
❑ Accessory building ® Multi - family SFR (3) bath 500.32
❑ Master builder Each additional bath/kitchen 25.02
❑Other: _ Fire sprinkler ( sq. ft.) Pose 2
1. JOB _SITE INFORMATION AND LOCATION =
_ _ --- - '`_- -- Site utilities:
Job site address: 11340SW Hallmark Terrace Catch basin or area drain 18.76
D rn +ell, leach line, or trench drain 18.76
City /Slate /ZIP: Tigard, OR 97223
Fooling drain (no. linear ft.: ) Page 2
Suite/bldg. /apL no.: 3 I Project name: Barrows Rd Estates Manufactured home utilities 50.03
Cross street/directions to job site: Barrows Rd. South of Schools Ferry Manholes 18
Lell on Merril Lane Rain drain connector 18.76
To Hallmark Terrace Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear fL: ) Page 2
Water service (no. linear IL: ) Page 2
Subdivision: Barrows Rd. Estates I Lot no.: 18 Fixture or item:
Tax map /parcel no.: 1S-1W-33-SW-NE Backtlow prcventer 31.27
=_- _ __ _ - °= DESCRIPTION OFT:IVORIC= -= __ = __ - , - _ _ _ __ Backwater valve 12.51
Clothes washer 25.02
Construct 6 unit wood framed townhome building Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
_ - ®- P1tOPERTIEOIIT'F.R -- - ;. TE - - • Expansion tank
. .; - -,=. - 7:_:-.: _ - °= -- - -_�_ , f:: '= P 12.51
Name: Hallmark Terrace, LLC. Fixture /sewer cap 28,07
Floor drain/floor sink/hub 25.02
Address: 18318 SE Abernethy Lane _
Garbage disposal 25,02
City/State/ZIP: Milwaultie, OR. 97267 Hose bib 25.02
Phone: (503)654 -6642 Fax: ( ) Ice maker 12.51
-_ = - - -_
e _ ,. _ �PCLIGANT - - _ ; - : __ ,. ❑ == CONTr1CT :PERSON: = -: _ Interceptor/grease trap 25.02
Business name: Marnella Homes, LLC. Medical gas (value: $ _ ) Pane 2
Contact name: Tony Marnella
Primer 12
Roof drain (commercial) 12.51
Address: 18318 SE Abernethy Lane Sink/basin/lavatory 25.02
City /State/ZIP: Milwaukie OR. 97267 Solar units (potable water) 62.54
Phone: (503) 709 -3900 I Fax: : ( ) Tub/shower/shower pan 12.51
E -mail: tony@marncllahomes.com Urinal 25.02
.- _ _ _ _ - _ == = C ONTR;ICTOR = :° = = u = = ` -_ Water closet 25.02
_
- .7, _ _- _ _,. - - -_ - - - _ _ _ -- ,... _ " Water heater 37.52
Business name: Ek Plumbing
Water pipintJJDWV 56.29
Address: PO Box 1898 Other. 25.02
City/State/ZIP: Battle Ground, IVA. 98604 Subtotal
Phone: (360) 687 -1648 Fax: (360) 687-6473 Minimum permit fee: $72.50
CCB Lie.: 129363 Plumbing Lic. no.: 37- .130PB Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: f TOTAL PERMIT FEE
Print name: "R (... / •� /� I Date: / - 2.3....t.? This permit application e:pirin ir a permit is nol obtained within 180 days
after It has been accepted as complete.
"Fee methodology set by Tri- County Building Industry Service Board.
I:U Building \PermitslPLAMU•PermitAppdnc I0 /01/09 440 -46I 6T(10/02/COMAVE3)
A ma RPCE
..
Mechanical Permit Application 3 0 2013 FOR OFFICE USE ONLY
City of Tigard :.. y : 30 1 3 Permit No.: AA 5-1- a�I.�- C�ona.3
a 13125 SW Hall Blvd., Tigard, OR 9722. ` '' .;�
J'� ii� G irk i, ,+ view .
Phone: 503.718.2439 Fax: 503.598. �.y - a Other Permit:
Ins Line: 503.639.4175
TI GARn
MID ��'� l �' '� IV 1/ 1 D a te Ready/By: 3 See Pa g e 2 for
?
Internet www.tigard-or.gov Notified/Method: 1' 0 Supplemental Information
gl, ft-f ,_,.i: _� igls ?- 7Ap -- - • sf" . FRirA_ _irua:.?,Erjcn�Y #iFrr IEn.v.. _ r -r ::- .u.;-'si ^.�w..ry'�..!1�.•., ttl:
frA,a4gilC= -. r Eii i Tifil �• _n - - . p p4•.G >....,l.crtf.P- i tiga ---_.. C12a.'S t .'' .> QiY F •i
•�'v�3�:• = `.��:' �`��: >s�T �1:: _ �. .: _ ���'s_Ir €���= == iN. � .�:!�r,- 3°o.�`s4;�;� "ix„st'_;�` ����'.- - -_ , Ak.;�� }
Mechanical permit fees* are based on the value of the work
® 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
'
�.: - :.__ _�.. , v c Value: $
�:•:� 1F.F4 er�iN3 4:.4?• _ �v_z__„i LS�iRrt.'.^3 L iJ9_ ...i .a-". ....r': _ �4k.. _ __ �(c - = y . rY _. - ,- n'1`lni
• (GUr ,7 aO r -- s,.= ..e,..L l,., -- - ilif ti:= :>d' = t a __x 11 . EQ ' ir.+_ $ 7Ms..n -. RE.
�.isr" �",n'�!il,a�e u �•`st�= ` h....�•1,�,a; m•= • Y' � `.' m 5�`L zin a l
❑ 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. rm
® Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
Heating/cooling:
y .: -zv c . F.C'a t _ . g . _ sTOT vi er ^rc �- i .dS'rc7 `� = s`_- -__' qii
- +�� .. .Sl.•Y � C�y:IS .s1r GO=L':b'StlS 1u.
Air conditioning
Job site address: 113q(SW Hallmark Terrace (requires site plan showing placement) 46.75
City/ State/ZIP: Tigard, OR. 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 3 Project name: Barrows Rd. Estates Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Barrows Rd. South of Schools Ferry, Duct work 23.32
Left on SW Merrit Lane Hydronic hot water system 23.32
Residential boiler (radiator or
To Hallmark Terrace hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Barrows Rd. Estates Lot no.: 18 Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: 1S- 1W- 33 -SW -NE Other fuel appliances:
,�?.,,: _ ,- nu � ES Q Q$ T3. r- -tai - ;'y l -' Water heater 23.32
Gas fi
Construct 6 unit wood framed townhome building f wa 33.39
water Flue vent nt for wer heater or gas
fireplace 23.32
4-1 VAC Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
i r x __ 4• as �� � -': Chimney /liner /fl nsert t 23.32
_ � --'='� "° Other. 23.32
Name: Hallmark Terrace, LLC Environmental exhaust and ventilation:
Address: 18318 SE Abernethy Lane Range hood/other kitchen
equipment I 33.39
City/State/ZIP: Milwaukie, OR. 97267 Clothes dryer exhaust I 33.39
Single-duct exhaust (bathrooms,
Phone: (503)654 -6642 Fax: ( ) toilet compartments, utility rooms) _ , 23.32
. . n ? ma M t5rb;r 1 rZ r`.e �,d- ;
rna iil 1 _ Q h. pi$ ; ,4 a nib_ Attic/crawls I 2332
= � �r'. Ax= zr� � ._w- _- .., . - .._ r
�r ;•A ? 4�n ' �_ ' �_ - ' fi -
Business name: Marnella Homes ,LLC Other. 23.32
-
Fuel piping:
Contact name: Tony Marnella $I4.15 for first four; $4.03 for each additional
Address: 18318 SE Abernethy Lane Furnace, etc.
Gas heat pump
City/State/ZIP: Milwaukie, OR 97267 Wall/suspended/unit heater
Phone: (503) 709 -3900 Fax: : ( ) Water heater 1
Fireplace I
E -mail: tony @marneBahomes.com Range I
_ uW .. i P 'rd:i3 •a' ! - .'�^. =.`1;. !' . Sn- r _°" a _ =
per . __ _ � ` �' -...yry r• N 5 c w =X= • Barbecue
^:r�ixiT'�•_ -si =iF7'i ..F�^„in3��:�- °�= icr''. 'r.`== =i."r.',= oz= a'3��E�i� '761x.- .: •J S�°7.4ia'litt°T�� �iiL. °a.. -c:,
Business name: Pyramid Heating Pyramid Heating & Cooliinq Clothes dryer (gas)
Other. _
Address: 9409 NE Colfax St. •aa �,a, Ai,s. O•
City/ State/ZIP: Portland OR 97220 Subtotal
� Minimum permit fee ($90.00)
Phone: (506)1s6 QS22. Fax: J `� Ory pf_ D M ? ,2 _ Plan review (25% of permit fee) _
CCB lie.: 5 Q ? Z State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Thls p ermit application expires If a permit Is not obtained within 180
Authorized signature: days after it has been accepted as complete.
I Print name: r ` \ 3 ` Date: 11
22 13 ' Fee methodology set by Tri-County Building Industry Service Board
, 1:\Building ermits\MEC- amitApp .doe 03/07/12 440- 4617i(I1/02/COWWEB)
REC8VED
Electrical Permit Application JAN 3 0 201 FOR OFFICE USE ONLY
R eceiv ed
City of Tigard /� �.a te/B , (� 3 Pcrmil No.: Pt a013• DoO
° 13125 SW Hall Blvd., Ti g ard, OR 97223 CITY OF T IGA - Ian Review
C Phone: 503.718.2439 Fax: 503.598.1960 EUIL ®IIV �p� G DI V ff/ IS �d e/B ; Other Permit:
'TIGARD
Inspection Line: 503.639.4175 ° l a te Ready /By: tar' ' El See Page 2 for
Internet: www.ligard or.gov Notified /Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction El Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
' CATEGORY OF CONSTRUCTION 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 other installations. buildings.
® Multi- family ❑ Master builder ❑ Other: ❑ Firc pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I- 2', "I -3
Job no.: Job site address: 11390SW Hallmark Terrace l(IOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR. 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Bldg #3 Project name: Barrows Rd Estates ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street /directions to job site: Barrows Rd. south of Schools Ferry Description I Qtv. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Barrows Rd Estates Lot no.: 18 _ 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. R or portion 33.92 1
Tax map /parcel no.: 1S - 1W - 33 - - Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75'00 2
Limited energy, multi- family
75.00
Construct a 6 unit wood framed townhome building. residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Hallmark Terrace LLC 401 amps to 60(1 amps 200 34 2
601 amps to 1,000 amps 301.04 2
Address: 18318 SE Abernethy Lane Over 1,000 amps or volts 552 26 2
Temporary services or feeders installation, alteration, and /or
City /State /ZIP: Milwaukie OR. 97267 relocation
Phone: (503)654 -6642 Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner i nstallation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: Marnella Homes, LLC B. Fee for branch circuits without
service or feeder fee, first
56 .18 2
Contact name: Tony Marnella branch circuit
Each add'l branch circuit 7.42 2
Address: 18318 SE Abernethy Lane Miscellaneous (service or feeder not included)
City /State/ZIP: Milwaukie, OR. 97267 Each manufactured or modular 67.84 2
dwelling, service and /or feeder
Phone: (503) 709 -3900 Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail: tony @marnellahomes.com
Sign or outline lighting 67.84 2 1
CONTRACTOR' Signal circuit(s) or limited - energy
Business name: Portland Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 1915 East 5 St. Ste. D Additional inspection (1 hr min) 66.25/ hr
City /State/ZIP: Vancouver, WA. 98661 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (360) 258 - 0070 Fax: (360) 314 - 4945 Inspections for which no fee is 90.00 / hr
/� specifically listed ('/- hr min)
CCB Lie.: 194066 Electrical Lic.: C S . Lic.: L! 'C $ ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
r ..---- ,,
Plan review (25% of permit fee):
Print name: Shalya Alex 492 Date: State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature: r.... ---q. This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
I:llluilding \Permits \I:I.C- 1'crmilApp doe 07101 /111 44(1.4515111 1/05/COM/WEll
1,1 ° Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No.: tL15 � l 4 9-6 / 3 " DOD
Site Address: ( (3 4 U �l[J Nj4tp 4- Z erkYL,2-
Project Name & Lot No.: i faQW.S. SST. !.c»" 1 v
CWS Service Provider Letter
Required: Yes ❑ No ❑
Received: Yes ❑ No ❑
Routed Plans:
Original Plan Submittal Date:
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 if approved.
Planning Review (contact tk K(7 via U2- at 503 - 718 - 2 AV or ao nes @tigard- or.gov)
Land Use Case No. p .4P — o21 PDDL C DS
Zoning — 2 (P .DJ
111 Setbacks: 1 ' 1
ront e Rear ide _ Street Side N Garage S
Maximum Building Height: 'j- Actual Building Height P4-1.'
Visual Clearance
C�VEasements
t. � nsitive Lands Type: iJ
L Street Trees
❑ Protected Trees
Notes: • rer VM11 'Vint A /J. -- • A 1! '_' \ ee.- 11A
1 (M CAW. — 1D ' 'v1J tour 1(a i n V-& ra r iv\ Ivue YY 1D 2nts -cooz7.
'VG 1 a kA • I Yl � � _ : q 1D V S AL
Original Plan: Approved Not Approved ❑ Date: 2 4 5 11
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(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:
Notes:
Original Plan: Approved ,21' Not Approved ❑ Date: Z/
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes a No ❑
Date Routed to Building: /i
42 / r
Page 2 of 2
// 3
FOR OFFICE USE ONLY — SITE ADDRESS: Aelq, Lit( 6- 2 1 L / €c2 '
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T I G 1 R D) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: DATE ;.__
DEPT: BUILDING DIVISION
MAR 6 2013
FROM: l o� T z-*a c L—�- ,r te , CITY OF TIGARD
BUILDING DIVISION
COMPANY: -- 1a- Q..r, -._%_ A k „--,.,
PHONE: 0 3. r--Pt . 3 °t o o By
RE: . �� —,— >1 5 T c 1'I f'a013- e-Mga .'t.3 aqf ;S A
(Site Address) (Permit Number
/t 5o -- / / 35'9, t ltn, --e
k '. /`e7 -e
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: n e-,-._ ,A,¢,c)teiv— __ ,¢.��a�
FOR FFICE USE ONLY •
Routed to Permit Technician Date: '7 (' Initials:0" ,
Fees Due: ❑ Yes [ Fee Description: Amount Nue:
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I \Building\ Forms \TransmittalLetter - Revisions doc 05/25/2012
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
242 Interior shear walls
06/06/2013 00:00
MST2013-00023
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
235 Shear walls/anchors
04/29/2013 00:00
MST2013-00023
FAIL
Missing straps and Blk'g and nailing at A/1 walls front of structure and south end. Not as
per engineering ORSC R106
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
115 Electrical service
05/21/2013 00:00
MST2013-00023
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
05/22/2013 00:00
MST2013-00023
FAIL
No inspection made
Construction documents to be on site R106.3.1
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
05/24/2013 00:00
MST2013-00023
FAIL
H clips on trusses not installed
Work shall be installed in accordance with the approved construction documents per
ORSC R106.4
Squash Block needed above triple 2x6 in garage
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
135 Low voltage
05/22/2013 00:00
MST2013-00023
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
615 Mechanical rough-in
05/22/2013 00:00
MST2013-00023
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
610 Gas Line
05/20/2013 00:00
MST2013-00023
FAIL
Gauge bad call for reinspection
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
615 Mechanical rough-in
05/20/2013 00:00
MST2013-00023
FAIL
All ok, gas line approval needed
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
280 Insulation
06/03/2013 00:00
MST2013-00023
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
11340 SW HALLMARK TER, TIGARD, OR,
97223
Residential - Master Permit
120 Electrical rough-in
05/20/2013 00:00
MST2013-00023
FAIL
Electrical rough approval needed
Low voltage not done at this time
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY — SITE ADDRESS:
P
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting \information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
. _ Transmittal s tal Lette r
T I GA }t D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: I _D ct`_,,,_ D • _ ' CEIVED:
DEPT: BUILDING DIVISION;
1
MAY 28 2013
FROM: /W4 ! j CITY OF TIGARD
COMPANY: p.47 , / ,7 , g oynes C)�1G DIVISION
PHONE: Sp?
;' 7— 5733 B�
RE: l /3oI� 5,, 44. /(,1 C K I t - i ,P0/ S- 00039- 7 35 2 I
(Site Address) (Permit Number)
/ 1 a3 1 13d-f o
• i aita6r�6 /2-0/1 TES . , • _. 3 ;7 a? 1133 4 "
'roject name or su • •'vision n. +e an• of num.er ,1 / � S I t 3 2_0 II
II "
�7 '• II 11302- "
ATTACHED ARE THE FOLLOW NG TEMS:
Copies: Description: opies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other explain):
� � � �r 1
REMARKS: _ > �, �, I "_``� ' 0 66
fa pia • ( o A- 42 —.'4 -- G0A .o 4 .yin ozce_.L 5,.1 .
,I U .
1
1
\ FOR OF ICE JJSE ONLY
Routed to Permit hnician: Date: Z� V*3 Initial
Fees Due: es ❑ No Fee Descri tion: Amount Due:
1 IN 3 $ Q. Co -
$
. ' $
Special 1
Instructions:
Re.rint Permit .er PE : ❑ Yes ►:k, o ❑ Done
Applicant Notified: I D2te: 7AM:,,_ , Ai aA ' M'
,
1:\ Building \Forms \TransmittalLetter - Revisions.doc 05/25/2012
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