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Permit • n CITY OF TIGARD MASTER PERMIT . COMMUNITY DEVELOPMENT Permit #: MST2013 -00024 Date Issued: 03/11/2013 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 1S133CA07000 Jurisdiction: Tigard Site address: 11334 SW HALLMARK TER Subdivision: BARROWS ROAD ESTATES Lot: 19 Project: Barrows Road Estates, Lot 19 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, 0 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 0 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! 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 rules - - s- '•rth in OAR 952- 001 -0010 AR 952- 01 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 'r 1 800 332 234 Issued By: • te- 4 /k_iV.-/t Permittee Signature: ' `� Call 503.639.4175 by 7:00 a.m. for the next available inspection dat - 1 6 A �' , ( This permit card shall be kept in a conspicuous place on the Job site until completion of the pr• ect. Approved plans are required on the job site at the time of each Inspection. Buildinv Permit Application Residential RECEIVE.' FOR OFFICE USE ONLY Cl of and Received p ermit No City Ti g JAN 3 0 2 013 Date/By. I f . / k;o 3o i 3-604)024 a 13125 SW Hall Blvd , Tigard, OR 97223 NI C Phone. 503.718.2439 Fax: 503.598 1960 Plan DateB Review , / 7 '5 Other Permit 0/ 3.-00 1�. TIGARD Inspection Line: 503.639 CITY OF TIGARD D ate ReadyBy . .. See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/me obt / /, 11 ( 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. (s- 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 indicat on s application. lP ® 1- and 2- family dwelling El Commercial /industrial Valuation:. ` $ , 0 1 �,¢ ,3,a ❑ Accessory building El Multi-family Number of bedrooms: 3 ❑ Master builder El Other: Number of bathrooms: ' r JOB SITE INFORMATION AND LOCATION Total number of floors: 3 +� Job site address: 11334 SW Hallmark Terrace New dwelling area: 15 24._ square feet City/State /ZIP: Tigard, Oregon 97223 Garage /carport area: 200 square feet 23 Suite/bldg. /apt. no.: Bld # 3 Project name: Barrows Road Estates Covered porch area: square feet See Cross street/directions to job site: Barrows road south of Scholls Ferry. Deck area: square feet iJ'Ce) Left on SW Merritt Lane to Hallmark Terrace Other structure area: _ square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Barrows Road Estates Lot no.: 19 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1S-1W-33-SW-NE s 3 3 C 4 O 000 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. 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* Business name: Marnella Homes, LLC (Please refer to fee schedule) 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 PhotoVoltaic 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 lic.: 144166 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 Marne! a 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(11/02 /COM/WEB) Plumbing Permit Application RECEIVED _ Building Fixtures JAN 3 0 Z 01 3 44 ` FOR O .IGG U j LY r 1- _� ? r �. _ .� , 1 y� " ` Cif of Tigard Received �' g Date/By: � 3U / 3 •"1'..." Penni(No.:,(,( s r- .3 - OcDa.Y r, gar 13125 SW Hull Blvd., Tigard, OR 97223 CITY OF TIGARC ,: t „ ; ia Ian Review it 1 C Phone: 503.718.2439 Fax: 503.598.19 DIVISI I ate/t1y: Other Permit No.: 'r t�i A - - = =r Ins ection Line: 503.639.417 rT p Date Ready /By: l s. See Page 2 for --.1, - -r. Internet: www.tigard-or.eav Notified/Metlrod: j D Supplemental Information - _ - = _ __ = _= _ f t . .1- - TYPE or - WORK _ _ -_- - - ._'_- -_ 1 -- ,. __ - _ - _ - = -FEG" SCHEDULE : ' - . °_ - - ® New construction ❑ Demolition For special ll /'orntalion 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-__ - _ f.:: - SFR (1) bath 312.70 ❑ 1- and 2- family dwelling ❑ Concncercialfindustrial SFR (2) bath 437,78 Accessory building SFR (3) bade 500.32 ❑ Acc ry g ® Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Pie 2 • _ _ _ -_ __ - JOB SI'I'I, 1N FORMATION - D LOC A'I10N - c__ ` _ - - =- Site utilities: Job site address: 11334 SW hallmark Terrace Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City / State/ZIP: Tigard, OR 97223 Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. 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 18.76 Left on Merrit Lane Rain drain connector 18.76 To Hallmark Terrace Sanitary sewer (no. linear ft.: ) Pane 2 Storm sewer (no. linear IL: ) Page 2 Water service (no. linear R.: ) Page 2 Subdivision: Barrows Rd. Estates Lot no.: 19 Fixture or item: Tax map /parcel no.: 1S-1W-33-SW-NE Backllow preventer 31.27 - _ =; =_ - - _ - 1 - - -_ - _ - _ Backwater valve 12.51 _= _ -_ _ : _ -. _. �: _ -__ _ _ -�ESCItIPTION =0T 1VORh= - - ; = = - - - -. _ = - - = - � - •_ Clothes washer 25.02 Construct 6 unit wood framed townhome building Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 -__- -- _® PIZOPER7Y= Q]YNER- ` _ - - _ ?_= _ :❑-TENr1NT _,- _- Expansion 12.51 Name: Hallmark Terrace, LLC. Fixture /sewcrcap 25.02 Floor drain/floor sink 25.02 Address: 18318 SE Abernethy Lane Garbage disposal 25.02 City /State/ZIP: Milwaukie, OR. 97267 Hose bib 25.02 Phone: (503)654 -6642 Fax: ( ) lee maker 12.51 =- ----- ® =A rmiCAIN T- _ ===° El :-IC PER_SO_N_ = ]nterceptor /grease trap 25.02 Business name: Marnella Homes, LLC. _ Medical gas (value: S ) Page 2 Contact name: Tony Marnella Primer 12.51 Roof drain (commercial) 12.51 Address: 18318 SE Abernethy Lane Sink/basin/lavatory 25.02 City / State/ZIP: Milwaulcie OR. 97267 Solar units (potable water) 62.54 Phone: (503) 709 -3900 Fax:: ( ) Tub /shower /shower pan 12.51 E -mail: tony@marncllahomcs.com Urinal 25.02 ` =- - - ,_ -_ _ _ - - -_ ;;-,'12---- = -- Water closet 25.02 _ s - - �' _= - = = '7-_, - ;_= ' - - Water heater __. - - -- � -- == W t 37.52 Business name: Elc Plumbing Water piping/DWV 56.29 Address: PO Box 1898 Other. 25.02 City /State/ZIP: Battle Ground, WA. 98604 Subtotal Phone: (360) 687 -4648 Fax: (360) 687 -6473 Minimum permit fee: $72.50 CCB Lie.: 129363 Plumbing Lic. no.: 37 -430PB Plan review (25% of permit fee) • State surcharge (12% of permit fee) Authorized signature: �. `.... / TOTAL PERMIT FEE A Print name: pH �� / &._ F/ Date. / _ Z 8 - 3 This permit application expires if a permit Is not obtained within ISO days eL � after it has been accepted as complete. "Fee methodology sct by Tri- County Building Industry Service Board. 1: 18ui ]ding\Pcrmits\PLAMU- PamhApp.doc 10101/O9 4.0- 1616T(10102/COAtAVEB) Ec - Mechanical Permit Application FOR OFFICE USE ONLY Cl of Tigard 2 � eceived permit No.: II City g JAN 3 0 L ( • Ms ?0013_000D q 13125 SW Hall Blvd., Tigard, OR 97223 O * � • n Review Other Permit: Phone: 503.7182439 Fax: 503.598.1960 i ,; � ; e/B Inspection Line: 503.639.4175 CITY TIGA I: D g g BUILDING D VI �� ce etho lids: See Page l for T I G A Internet www.ti and -or. ov i.ta d/Method: -ii Co Supplemental Information '" R n- :•,1`�-- ye.F4tif,`'e P. ; -s� ._4�. w t u t- y_ ..... _ • '• ro ii n - ac z�n a m^T g i � �� 4 ;= a cn o • .rt4:_g . =- : _1 -. �.. ___- J v- ;rorc eS``i ,� per-• '.a• - e.-.=.1 2 .- -. � y-- `��' �„''„�i- s,ar�• =L- ��(,`ct �3.acc'f•.;���:_r..11..._ .: �3: �iyicur' �?ap?__'. �`=_j`�.�`f.°Cl$,.'�Y- .6:.:� %=' ..� ,��,..-- ,r<•... .�___._.,�..u±'Y�..__. ,. -� - «- „ -.,- �-[c^,rs" �' 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. i s- ic��, �.w : ,.b•: a �s� °sow, _ : may Value: $ o • �• ta.ra -_. - c. ,s:: -, •s` T ORYa'- Ew` e)NaTT C C 3 � .- = z t J ` 3•,', M . may _ .. •••• - - - --.- , - i .•a,. �v,• =.- .. . -- ,- .. •�. ,. a.,,:,a.�._K.. ,.� _ i! �,�r�4'a�l;_ .�•�.�- c pm� �Q����G�'� � . - -a` ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For spedal information use checklist ® Multi- family ❑ Master builder ❑ Other. Description I Qty. I Ea I Total -_. ._. _... .. _- .. ....nL. �:i. np irf61: ....c.A .. i,y ..." "xc c:x�:. : - - -,.•. _ Sccarzi -' Heating,/cooling: q F k , # g ,- > m • t o g/cooling: :F ±- -• _ t r l_ fr ©$ lS ra iiilPmtt _ �• � : - a •` AV: ..n w`-_n. i'-"n ,_ -,..� . � -- ?l � _ .. - _ • ". _ � -,� �M'�' Air conditioning Job site address: 113 34 SW Hallmark Terrace (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) 1 46.75 City/State/ZIP: Tigard, OR. 97223 Furnace 100,000+ BTU (duets/vents) 54.91 Suite/bldg. /apt. no.: 3 I 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 Metrit 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 I Lot no.: 19 Flue/vent for any of above 23.32 Other: 23.32 • Tax map /parcel no.: 1S-1W-33-SW-NE Other fuel appliances: - v-, = - } ter t_olk9m -_E. - niW �,- :� �'` =r'-' -ms - �• -_ ._�(f�� _.� - i I � �� Water heater 23.32 Construct 6 unit wood framed townhome building Gas vent f ce/inse e r 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 1 - k Vim Wood/pellet stove , 33.39 Wood fireplace/insert 23.32 Nrg a•. �ti ti : sA, r s - all -T ,i Chimney/liner /flue/vent 23.32 .. • =`kc ' ' P ` O - . 1 = 1 E .. s.. ELY w ; ""i - �`"� Other. 23.32 Name: Hallmark Terrace, LLC Environmental exhaust and ventilation: Address: 18318 SE Abernethy Lane Range hood/other kitchen I equipment 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 s-c?t g.1 iic i .,� .�9.�_74.:y:'" , ter, = ,t �•- p O i- ,� Attic/crawlspace fans 23.32 p is ; n'�7i 4�'i x�•;A e:2�� ..,. ?��'F�''�.*zF'.:ii?.fr`::.c =Eo'�� c. - �.'a • - -a .... mil- �� -rnr. �..... - Business name: Marnella Homes ,LLC Other _ 23.32 1. Fuel piping: Contact name: Tony Marnella $14.15 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 I Fax: : ( ) Water heater 1 Fireplace E -mail: tony @marnellahomes.com Range I g at---7.14,,,._ x : A r ; u _ - ,err• : ;044 - tggag- 2ii • ix.��r��'�.: -,�- ,��� n`! �t ���GIU,� �;�?; ? Q �� ; �„n.. Sri :a:�r<9��.�..�_r Y.�>r�. Barbecue Clothes dryer (gas) Business name: Pyramid Heating Pyramid Heating & Cooling Other. Address: 9409 NE Colfax St. U a _ CO .a; ,.T:'. "° , .. : :1 age City/ State/ZIP: Portland, OH 97220 Subtotal ,�_ Minimum permit fee ($90.00) Phone: (5 03) 1& .3 y ? Fax: ( 5051si a a6Z2 plan review (25% of permit fee) CCB tic.: 5 q 3 8 2 State surcharge (12% of permit fee) TOTAL PERMIT FEE application expires If a permit is not obtained within 180 Authorized signature: r � , A -- T his permi days after It has been accepted as complete. • I , / �li• � Fee methodology set by T ri -CCounty Building Industry Service Board r���� T r Date: � I s y ty � ny I:\Buildinecrmits\MEC- • e mitApp.doa 03/07/12 440.4:17r (I1 /02/COM/WEB) RECEP/El ... . Electrical Permit Application FOR OFFICE USE ONLY JAN 3 0 2013 Received - City of Tigard Date /13 : t _ 3 sr- Permit No s7 Q(3 -0003 lig 0 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGARD Plan Review Phone: 503.7182439 Fax: 503.598.19 B Datc : Other Permit: TIGA Inspection L ine: 503.639.4175 ` BU ILDING DIVISID' Dale R /By: EMI El See Page 2 for Internet: www.ligard- or.gov Noticed /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 4(0 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF ,CONSTRUCTION exceeds 10,(100 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,00(1 ❑ Commercial -use agricultural 121- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ® Multi- family ❑ Master builder ❑ Other: ❑ Fire 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: 11334 SW Hallmark Terrace 10011P or more. occupancy. ['Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR. 97223 ❑ l lealth -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 Qty. I Fee. I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Barrows Rd Estates Lot no.: 19 1,000 sq. ft. or less t 168.54 4 Ea. add'I 500 sq. fl. or portion 33.92 1 Tax map /parcel no.: 1S - 1W - 33 - - Limited energy, residential DESCRIPTION OF , WORK (with above sq. ft.) I 75.00 2 Limited energy, multi - family 75.00 2 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 6(10 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 City/State/ZIP: /State /ZIP: Milwaukie OR. 97267 Temporary services or feeders installation, alteration, and /or y relocation Phone: (503)654 -6642 I Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: 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 El CONTACT PERSON above service or feeder fcc 7.42 2 each branch circuit Business name: Marnella Homes, LLC B. Fee for branch circuits without service or feeder fee, first Contact name: Tony Marnella branch circuit 56.I8 2 Each add'I 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 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 (I 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 (alt hr min) CCB Lie.: 194066 Electrical Lie.: C76 ` Su Lie.: Llq� S ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: / Subtotal: !!! e.....----. Plan review (25% of permit fee): • Print name: Shalya Alex 4920 S Dale: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: . Number of inspections allowed per permit. I:U iuilding \l'ermii\iIC- t'crmitApp.doc U7 /01 /10 440- 46151(1I/05 /CQM/Wtdt • 1 111 Building Division Development Code Provision Review r1cAR° Residential Projects Building Permit No.: 'To 01 3 - oc D -- Site Address: f 1 3.3 q- ) f`(14L -L..M l e2 Project Name & Lot No.: e s b T z T 1 `� CWS Service Provider Letter Required: Yes ❑ No Er Received: Yes ❑ No ❑ Routed Plans: / i 3 Original Plan Submittal Date: 1st Revision Submittal Date: ❑ Site Plan Only 2°d 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 A i) ' IUD @NQ [L at 503-718-2-4i/ or hC @ti or. Land Use Case No. , act) a 12 jPPQ2CCS- Q Zonin Q -25 ( c "J G Setbacks: t 1 e Front 8 Rear k S Side d Street Side N'Pc Garage IIKMaximum Building Height: 4 Actual Building Height 34' ®lisual Clearance LN asements I ' ensitive Lands Type: 1J I 'R I ' Street Trees ❑ Protected Trees Notes: pl IClil/14 v.A 1I � 1l Pn'� 1 v► 0� OI1 -1-�/� 10ccdh i 111.Q. Wed- rilree T " 1/\INlS �I tein add v\J ' lo . t ier tro 1 a �a -;vin Iv\'Mz_ PIYv1�1 77 IS 1YY eP, wa.c r4=7. ∎ I�rQ� 11 �tVL t 6 I V1011 cC1n1n (i 1 v I SCI Original Plan: Approved Not Approved ❑ Date: Z S t 5 Revision 1: Approved 0 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) . Slope: S Notes: Original Plan: Approved 12r Not Approved ❑ Date: 2 r SJ 1 3 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 VA No ❑ Date Routed to Building: I P • ■ Page 2 of 2 FOR OFFICE USE ONLY - SITE ADDRESS: Aikt,t_A (4/ / 272_, 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 III Transmittal Letter T l G, A It n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DATE RE '.�V NED DEPT: BUILDING DIVISION MAR 6 2013 FROM: 1 c »- c t_t BUILDING DIVISION COMPANY: "C- - )� _ A k PHONE: �a o 3 . _ r . 3 °+ 0: B RE: rf a. -r- 5 tc14 Igrolor 3 -eroaa a3 46 (Site Address) (Permit Null . (1 rmeorsubdvisn f� name and lot number) ( ( 5 % gO 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): 12-0_0e..4 REMARKS: 61,...._ ✓t- c.JtlZ.u}- FOR 9FFICE USE ONLY . Routed to Permit Technician Date: `7 c- Initials: Fees Due: ❑ Yes [ to Fee Description: Amount ue: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ['Done Applicant Notified: Date: Initials: 1 \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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 610 Gas Line 05/28/2013 00:00 MST2013-00024 FAIL Need protected sleeve at fireplace entrance through metal housing per G2422.1.1 ORSC Pressure 2lb gas verified at gauge 60 lbs 30 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 615 Mechanical rough-in 05/28/2013 00:00 MST2013-00024 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 135 Low voltage 05/30/2013 00:00 MST2013-00024 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 320 Plumbing rough-in 05/30/2013 00:00 MST2013-00024 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 610 Gas Line 05/28/2013 00:00 MST2013-00024 FAIL Need protected sleeve at fireplace entrance through metal housing per G2422.1.1 ORSC Pressure 2lb gas verified at gauge 60 lbs 30 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 240 Exterior sheathing 04/19/2013 00:00 MST2013-00024 PART First-floor shear brace walls only inspected at this time 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in 05/30/2013 00:00 MST2013-00024 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 275 Framing 05/30/2013 00:00 MST2013-00024 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 245 Firewall 06/07/2013 00:00 MST2013-00024 FAIL Not complete at this time Work shall be installed in accordance with the approved construction documents per ORSC R106.4 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 11334 SW HALLMARK TER, TIGARD, OR, 97223 Residential - Master Permit 240 Exterior sheathing 04/19/2013 00:00 MST2013-00024 PART First-floor shear brace walls only inspected at this time Violation Summary: Inspector Contractor Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, /D M44,1/02- , am the general contractor or the owner-builder at the following address: Site Address: // City: 2a Permit#: M.547– z0/3—D'D -Y Subdivision/Lot#: 1i p19 G 1A-/9 and/or (R{,r)VulSa.k3) 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 1 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: -�I∎N a Date: 4. J,1-L, G"' Con :ctor or Owner-Builder �IM • -*mac -e , C 1:\Building\Fonn\RES-MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: — 3-13‘90 -/ Jurisdiction: ���✓ • Site Address: 1133,/ mteiryi Subdivision/Lot#: • and/or 7 ?nztS ,, E 71PB 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 i Signature: 1 Date: 4.1.13 O e en; al nt ctor/Authorize¢ gent w► • r �C Print Name: `-/r93 r `/Gl44t,d%��i 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 m 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-High Efficiency Light ing.doc 07/01/08 "111 . STREET TREE . TIGARD TI FI CER CATION I, i h1 a , owner/agent for 17144vja r ) s Zt., , (P 'SE PRINT) (PERMIT HOLDER) do hereby certify 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.: /4757- Z9/37 " STl E ADDRESS: //35V SG)) e/YY 7A 7crJ�tl SUBDIVISION: t LOT#: /9 SIGNATURE: 1 DATE: (OI NVER/AGENT) RECEIVED d� VERIFIED BY DA'I E: 3 (CITY O' .- D) ❑ Tree location verified per approved site plan. I:\Building\Forms\Strcctl'rccCcrtificatc 05/30/2012 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 l