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Permit I n 'IIOF TIGARD 1 LPMEM MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MST2013-00081 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2013 Parcel: 2S111AD21500 Jurisdiction: Tigard Site address: 8605 SW PINEBROOK ST Subdivision: 2015-021 PARTITION PLAT Lot: 2 Project: Brittany Home Inc Project Description: New SF. 8/21/2013: REPRINT permit to add plan review of foundation and pin piling plans. 5/6/15: Reprinted permit to include(1)irrigation back check valve and(1)A/C unit. Placement of (�_ �f�- BUILDING Le/AS' /s t 74 (` ee_,V t / r�'"'� Floor Areas 1 Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1622 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 2 Second: 0 sf Garage: 430 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1622 sf Value: $201,122.57 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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: 4 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: 3 Ea add.]500 sf: 3 201-400 amp: 1 201-400 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 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 1622 Owner: Contractor: BARE LLC BRITTANY HOMES INC. Required Items and Reports(Conditions) 22275 SW SCHOLLS-SHERWOOD 22275 SW SCHOLLS-SHERWOOD RD. 1 Ersn Cntrl 503-639-4175 RD SHERWOOD,OR 97140 SHERWOOD,OR 97140 PHONE: 503-628-3518 PHONE: 503-628-3518 FAX: 503-628-5421 Total Fees: $17,821.79 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 are set forth in OAR 952-001-00 ■ hrou• OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by - • 03.232.1987 or 1.800.332.2344.. Issued B • AL A . 4` _ Permittee Signatu j ' ' I1/�u•./r,�f ,'lJ--�� - Call 503.639.4175 by 7:00 a.m.for the next available inspect o i late. V 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. ■ ' a " CITY OF TIGARD MASTER PERMIT Permit COMMUNITY DEVELOPMENT #: MST2013 00081 Wig/ Date Issued: 04/29/2013 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111AD00401 Jurisdiction: Tigard Site address: 8605 SW PINEBROOK ST Subdivision: PINEBROOK TERRACE Lot: 1 Project: Brittany Home Inc Project Description: New SF. 8/21/2013: REPRINT permit to add plan review of foundation and pin piling plans. 5/6/15: Reprinted permit to include(1)irrigation back check valve and(1)A/C unit. Placement of BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1622 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 2 Second: 0 sf Garage: 430 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1622 sf Value: $201,122.57 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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: 4 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: 3 Ea add/500 sf: 3 201-400 amp: 1 201-400 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 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 1622 Owner: Contractor: BARE LLC BRITTANY HOMES INC. Required Items and Reports(Conditions) 22275 SW SCHOLLS-SHERWOOD 22275 SW SCHOLLS-SHERWOOD RD. 1 Ersn Cntrl 503-639-4175 RD SHERWOOD,OR 97140 SHERWOOD,OR 97140 PHONE: 503-628-3518 PHONE: 503-628-3518 FAX: 503-628-5421 Total Fees: $17,821.79 This permit is -- -• subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do.- n accordance • 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 d- ATTENTION: Oregon r-• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR .52-001-0010 thr•ugh OAR 952-•s -009,, You may obtain a copy of the rules or direct questions to OUNC by callin• •3.232.1987 or 1.800.332.2344. f' r • Issued By: G �:� ::-.-4 Permittee Signet L 1(' (----se.- (--_-n Call 503.639.4175 by 7:00 a.m.for the next available inspectio• date. 0 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. Plumbing Permit Application �Site Utilities W611.'44' wiz OFtl( I I ',1: ONI.1 City of Tigard aC(1 Received r •7 g Permit No.: Y S 7`,.....40 1 1 • 13125 SW Hall Blvd.,Tigard,OR 97223 6 2015 Dan Review Review Other Permit No.: • Phone: 503.718.2439 Fax: 503.59H.196(1�IQ Date/By: TI G:A R I Inspection Line: 503.639.4175 1 Iii pi j Date Read /By: Juris ® See Page 2 for Internet: www.tigard-or.gov (3'.111�� 1j otified/Method: _ Supplemental Information TYPE OF WO' ., , G p1�1 l Y` FEE* SCHEDULE ❑New construction ❑ i emolition For s,'cial in ormation use checklist Description Qty. Ea. 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 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 building SFR(3)bath 500.32 ❑Accesso ry g ❑Multi-family Each additional bath/kitchen 25.02 El Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:8605 SW Pinebrook Dr Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 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:Hall Blvd.and Bonita 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:Pinebrook Terrace l Lot no.: Fixture or item: Tax map/parcel no.: - 31.27 DESCRIPTION OF WORK 12.51 Clothes washer 25.02 New construction `/ Dishwasher 25.02 CA T-jI UCj ___.w )l L�T�O/$- '44;11 inking fountain 25.02 /7- Q t/ 1 Ejectors/sump 25.02 ® PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name:BARE LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:22275 SW Scholls Sherwood Road Garbage disposal 25.02 City/State/ZIP:Sherwood,OR 97140 Hose bib 25.02 Phone:(503)628-3518 Fax:(503)5421 Ice maker 12.51 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Brittany Homes,Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Jeff Luedloff Roof drain(commercial) 12.51 Address:22275 SW Scholls Sherwood Road Sink/basin/lavatory 25.02 City/State/ZIP:Sherwood,OR 97140 Solar units(potable water) 62.54 Phone:(503)628-3518 Fax::(503)628-5421 Tub/shower/shower pan 12.51 E-mail:info @brittanyhomesinc.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 , Business name:Gravity Plumbing Water piping/DWV 56.29 Address: 14935 S.Greentree Drive Other: at • i 25.02 S0- City/State/ZIP:Oregon City,OR 97045 g Vit-We Subtotal MI Phone:(503) 440-07 b 3 Fax:( ) Minimum permit fee: $72.51 irr45-L Plan review (25%of permit fee) CCB Lic.: i9441o5 Plumbing Lic.no.: P 8 i 73 State surcharge(12%of permit fee) Y ()I; Authorized signature: TOTAL PERMIT FEE _ Print name: / NIII !� Date: s This permit application expires if a permit is not obtained within 180 d -. �t� ©� after it has been accepted as complete. .0/ p A tael -Thig" 'Tee methodology set by Tri-County Building Industry Service Board 1.Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/021COM/WEB) 71 Mechanical Permit Application NV Received FOR OFFICE LSE ONI.1 City of Tigard ( Date/By. mit No 79-5 �D 3 Lx.1...0 • IIII 13125 SW Hall Blvd.,Tigard, Plan Review a Phone: 503.718.2439 Fax: 50 1960 15 Other Permit: DateBy: TI G A R t) Inspection Line: 503.639.4175 ,A P b' �� Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov `+` Notified/Method: Supplemental Information TYPE OFD, U �.„,,xs„, COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ��!G Mechanical permit fees*are based on the value of the work ®New construction Z Addition/a .O replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Z 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special Information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: •Air conditioning i 46.75 44.75 Job site address:8605 SW Pinebrook Drive Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site:Hall Blvd.and Bonita 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 Flue/vent for any of above 23.32 Subdivision:Pinebrook Terrace Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater _ 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas new construction fireplace 23.32 0c. U �{v c�c I ,r'f/167-io/3 cxxaf' Log Wood/pellet t sto 23.32 Wood/pellet stove 33.39 5/(/l5— 6 T Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:BARE LLC Range hood/other kitchen equipment 33.39 Address:22275 SW Scholls-Sherwood Road Clothes dryer exhaust 33.39 City/State/ZIP:Sherwood,OR 97140 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)628-3518 Fax:(503)628-5421 Attic/crawlspace fans 23.32 0 APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name:Brittany Homes,INc. $14.15 for first four;$4.03 for each additional Contact name:Jeff Luedloff Furnace,etc. _ Address:22275 SW Scholls-Sherwood Road Gas heat pump Wall/suspended/unit heater City/State/ZIP:Sherwood,OR 97140 Water heater Phone:(503-)628-3518 Fax::(503)628-5421 Fireplace Range E-mail:info @brittanyhomesinc.coin Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: ---E/�2 I./09-7-0,16 d �Q u/�(i MECHANICAL PERMIT FEES* Address: P o, 50y_ i 0 ZS Subtotal ti,,. n7[.� City/State/ZIP: SF02t�00 oe 4 7140 Minimum permit fee($90.00).-,--*, Cot,•1 i Plan review(25%of permit fee) Phone:(503 `2.5.. 1 440 Fax:( ) State surcharge(12%of permit fee)`—� CCB lic.: /0 Z 8"31 / TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 3�r days after it has been accepted as complete. r Authorized signs • Fee methodology set by Tri-County Building Industry Service Board Print name: Date: 5/5/26/5 l'\Building\Permits\MEC_PermitApp_040113.doe 44 2/COM/WEB) 14 u CITY OF TIGARD ' Evil Sj I MASTER PERMIT COMMUNITY DEVELOPMENT / 7^t Permit#: MST2013 00081 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2013 Parcel: 2S 111 AD00401 Jurisdiction: Tigard Site address: 8605 SW PINEBROOK ST Subdivision: PINEBROOK TERRACE Lot: 1 Project: Brittany Home Inc Project Description: New SF. 8/21/2013: REPRINT permit to add plan review of foundation and pin piling plans. BUILDING Floor Areas Required Setbacks Required . Stories: 1 Bedrooms: 3 First: 1622 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 2 Second: 0 sf Garage: 430 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1622 sf Value: $201,122.57 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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: 3 Ea add9 500 sf: 3 201-400 amp: 1 201-400 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 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 1622 Owner: Contractor: BARE LLC BRITTANY HOMES INC. Required Items and Reports(Conditions) 22275 SW SCHOLLS-SHERWOOD 22275 SW SCHOLLS-SHERWOOD RD. 1 Ersn Cntrl 503-639-4175 RD SHERWOOD,OR 97140 SHERWOOD,OR 97140 PHONE: 503-628-3518 PHONE: 503-628-3518 FAX: 503-628-5421 Total Fees: $17,741.41 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. Thos -s are set forth in OAR 952-001-0010 through OAR 1-009D. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.23 987 or . .Nolo Issued By: Permittee Signature: ., 4111111140/ Call 603.639.4176 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. FOR OFFICE USE ONLY-SITE ADDRESS: "Z. OS. SA) /%i/ /Lo D,e___ 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 -r I c;A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: _n - v DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AUG 19 2013 FROM: S Lw o4,::, - CITY OFTIGARD COMPANY: Y/-4A-461A2% („6..G BUILDINGDIVISION PHONE: SD? — 42 0-,7 Sl -- P‘,�3 ..fry-Y3Z By:____, RE: ce l 6 5 s<,) /0in/E.82o o/4_ /157,2073 - (Site Address) (Permit Number) .. JI (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 3 hee,Additional set(s) of plans. Ps Revisions: p ,,b.4-77 o,,-) Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. —X- \ Engineer's calculations. Other(explain): /' REMARKS: /-ow,.�d�� /��c...-v ,1? ..,-- /0,„,/, y „NS 1Cca..-L `r`30/ �� ,/1-d.l�� ;LLC� Iii I FO1tO" WIC USE ONLY er Routed to Pmit hnician: Date: 2zA ts Initial j iiir Fees Due: es ❑No Fee Description: • ount sue: I\t m mo t, ' Al.) ` ,:ill0 _ $ Pi . -, $ /rfr/ Special Instructions: . Reprint Permit (per PE): es ❑No ❑ Done Applicant Notified: Date: Initials: (:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 n CITY OF TIGARD MASTER PERMIT a' COMMUNITY DEVELOPMENT Permit #: MST2013 -00081 T t G A R L3 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/29/2013 Parcel: 2S 111 AD00401 Jurisdiction: Tigard Site address: 8605 SW PINEBROOK ST Subdivision: PINEBROOK TERRACE Lot: 1 Project: Brittany Home Inc Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1622 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 2 Second: 0 sf Garage: 430 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1622 sf Value: $201,122.57 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 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: 4 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: 3 Ea add! 500 sf: 3 201 -400 amp: 1 201 -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 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 1622 Owner: Contractor: BARE LLC BRITTANY HOMES INC. Required Items and Reports (Conditions) 22275 SW SCROLLS- SHERWOOD 22275 SW SCHOLLS- SHERWOOD RD. 1 Ersn Cntrl 503 - 639 - 4175 RD SHERWOOD, OR 97140 SHERWOOD, OR 97140 PHONE: 503 -628 -3518 PHONE: 503 -628 -3518 FAX: 503 -628 -5421 Total Fees: $17,471.41 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 are set forth in OAR 952 - 001 -0010 through 0' R • 52- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: =4 / `L1 ..._.■ Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available Inspection • '. 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. • Building Permit Application RECEIVED Residential FOR OFFICE USE ONLY City of Tigard APR 0 32013 DateB T ...v ...v PermitNo.. � � � �� 13125 SW Hall Blvd., Tigard, OR 97223 ��CC Plan Revie�l Phone: 503.718.2439 Fax: 503.598.196 OF TIGARD Date/13 : . I A . Other Permit p map I 5, - y:31 p 7e Inspection Line: 503.639.4175 Date Read Juris. ® See Page 2 for I IGARD Intenet: www.tigard- or.gov BUILDING DIVISION Notified/Metho 3 � ( � p �� Supplemental Information SvlJt 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 (rotnded 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. igi Valuation:( ( fi r -� a 1 -and 2- family dwelling ❑ Commercial/industrial / ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION ' Total number of floors: I Job site address: 8'6 05 ) P/ kie 6 i 0016 Del .1 1 6- New dwelling area: /4„ 2_2, square feet City /State /ZIP: 776, ff_ie.,0 oz. ' 7 2,7,4 Garage /carport area: 4.3 0 square feet Suite/bldg. /apt. no.: Project name: � �' .92E L-1— Covered porch area 3 7 square feet Cross street/directions to job site: Deck area: 1 . 74. square feet 19 - td& 5 u/0 f P` ) ( e i 3&)o4 Other structure area: v Z ?5 z square feet t REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: ©, d�1C 7 )O i Lot no.: pr' / Permit fees* are based on the value of the work performed. Tax map /parcel no.: �� L� f Z Indicate the value (rotnded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. /V /e� .5 Fe At-u,-, JN � Valuation: $ V < 0 /L.. ". - Existing building area square feet .5' -A7T° * - New building area: square feet %PROPERTY ❑ TENANT Number of stories: Name: g az, Type of construction: Address: ZZz 75 .5 4A...) .5eioti,5 -SJ fi24JO /e49. Occupancy groups: City /State /ZIP: 4= 5• j �D / oz. 4 7 0 ,/ Existing: Phone:603 4 �� gi Fax:� f0 3) [� - £4 2 / New: tjt APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: ie,t r i n c ti j / ! s7 j` . (Please refer to fee deposit): schedule) / Structural plan review fee (or deposit): Contact name: „.../e1::: .../e lG pfroLo o Fr /� ,� FLS plan review fee (if applicable): Address: 2225 1 L ./ - t - ( O GU Total fees due upon application: City /State /ZIP: � ,� � ,�1 V t () t- ,97/40 F 753 . �^ r 1 Amount received: mil/ Phone : 503 ) 6 31 a -s4.Z f E -mail: J�P. e Off, rr�7x/y mvi.c / , . l� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installs • . . f roof -top mo :r PhotoVoltaic Solar Pane : stem. Business name: 13 -r' 7,) y girmAts v / ! r C . Submit two (2) set, • roof plan with .. ection details f and fire department ace- . alo _ ith the 2010 Oregon Address: ' Solar Installation Special - •,. • checklist. Permit Fee (in , . es lan rev City /State /ZIP: . • (admi fees): $180.00 Phone: ( ) , ,/ Fax: ( ) Stat arge (12% of permit fee): $21.60 CCB lic.: 3.824- g' Total fee due upon application: .60 Authorized signature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print nam e. Date: A * Fee methodology set by Tri -County Building Industry LL�$�1� 4' / ' �C ^ /�.� Service Board I: Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440- 613T(11 /02/COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY ° Ci of Tigard Received III `7 g Permit No.: q 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: C Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: I' I C. A R D 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. El ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . El ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ El ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ El there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size El ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non El ❑ El prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore:on and shall be shown to be a , u licable to the Iro'ect under review. JURISDICTIONAL SPECIFICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. El El ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ El ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ El 27 "Drawn to scale" indicates standard architect or engineer scale. El ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ El ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, El El ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP - RESPermitApp.doc 02/24/2011 440 -4613T(1 I /02 /COM/WEB) Plumbing Permit Application RECEIV Building Fixtures um OI I I( I I til 01.) City of Tigard Received Per mit No.: • 13125 SW Hall Blvd., Tigard,OR 97223 APR 0 3 2013 Date/By: Y /3 A- /,roge/3 - fie ' / Phone: 503.718.2439 Fax: 503.598.196 Plan Review CI OF TIGARD Date/By: Other Permit No.: � j/ 3 -t�o7b Inspection Line: 503.639.4175 Date Ready/By: Ju ne See Pa S I i �':� It l) dr B Internet: www.ti g g ardor. ov BIJILDtNG DIVISK» Notified/Method: Supplemental . n for 2 Information TYPE OF WORK FEE* SCHEDULE IECNew 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 312.70 161- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath / 437.78 SFR (3) bath 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: 8 474/ P /l�l Catch basin or area drain 18.76 City /State /ZIP: �L� !J O� 4 7 2-24 v Footing 1, leach line, or trench drain 18.76 �7 / Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 _ e�"� �) I Pi e , / L / Rain drain connector 18.76 / // „ 7j.i Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: thil) s • Page 2 ,}�. Water service (no. linear 11.104 ) : • Page 2 Subdivision: P 1oez 7 1 7 Lot no.: ,S Fixture or item: Tax map /parcel no.: ` 4.4 124 L Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 fki S F _ .] r Dishwasher 25.02 - / . - _ - Cr- Drinking fountain 25.02 Ejectors /sump 25.02 (PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: e.g u.c Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 2.-2.i-7.S _ e u - _s (� � 46 �' l " , J Garbage disposal 25.02 City /State /ZIP: S' DO D i oe 17/40 Hose bib 25.02 Phone: 5) G 1t -351 Q" Fax: ) 6 Z-- 54 2.4 Ice maker 12.51 [APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: B I fv p, a g , Medical gas (value: $ ) Page 2 " 7 �� ""� Primer 12.51 Contact name: olC L4,1,6-19 / L. ZZZ7S as._ s D Roof drain (commercial) 12.51 Address: J efo Sink/basin/lavatory s 25.02 City /State /ZIP: S*1(1.,K/ q � 1 Solar units (potable water) 62.54 Phone: (603) 6 vD 35 1 g i. 504-341 341 -- 4- l u Tub /shower /shower pan 12.51 Q B J I , 7 , , Urinal 25.02 E -mail: �•�� Sit [ � tvK,? aid tem CONTRACTOR Water closet s / 25.02 Water heater 37.52 Business name: - 7 / �"� �` / a/„ Water piping/DWV 56.29 Address: /4935 S. L InuG r, - re p av e . Other: 25.02 City /State /ZIP: °fee G �2 97 0r/5 Subtotal Phone:150 4.7 d - 0 763 Fax: 5 Soy Lic. - 38'�v4e _ Minimum permit fee: $72.50 CCB Lic.: Plumbing no.: Plan review (25% of permit fee) - State surcharge (12% of permit fee) Authorized signature: /J TOTAL PERMIT FEE Print name: C • Lubo 4.o Date: y/3//3 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 \Permits\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 Storm & Rain Drain - 1st 100' 62.54 Valuation: Permit Fee: $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 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 ❑ Any new commercial building with water service 2" and Baptistry/Font greater, except systems designed and stamped by licensed Bath: - Tub /Shower - Jacuzzi/Whirlpool engineer. -Each ❑ New exterior plumbing site utilities for any complex structure Car Wash: ch Stall Ea as defined in OAR918- 780 -0040. -Drive Stall 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 paid before the Water Extractor Closet plumbing permit can be issued. Water Closet - Toilet p g p Urinal Other Fixtures: I:\Building\Permits\PLMF- PermitApp.doc 08/04/2011 2 r Mechanical Permit Applicati FOR Of I R 1, t SI: (>\ 1.1 lig Cit of Ti B Date/By: Permit No.: , 3 G� W 13125 SW Hall Blvd., Tigard, OR 97 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 APR 0 3 2013 D Other Permit: J e pj, 3‘. (,N. r I . A k [) Inspection Line: 503.639 Date Ready/By: Juri s ® See Page 2 for Internet: www.tigard-or.gov C ITY OF TIGARD Notified/Method: Supplemental Information TYPE OF W -DEG DIV SIO�' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees° are based on the value of the work VNew 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* l -and 2- family dwelling ❑ Commercial /industrial ❑A ccessory 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: O 40 o5 S-w P11,16504:0,4 00 V6 (requires site plan showing placement) 46.75 City/State /ZIP: II C ti - 9 7 2 � Furnace 100,000 BTU (du cts ve nt 46.75 � r + .— ,� i 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 l � / r / Q _ /�,�, -,,/ Hydronic hot water system 23.32 iL �/W / E%�1LC.tJ/c� Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: P/�J�G 67/2 1 -�7d a.�r ` Lot no.: P' Flue /vent for any of above 23.32 `� ''� t ` "� Other: _ 23.32 Tax map /parcel no.: '�¢� Zl 2- Other fuel appliances: DESCRIPTION OF WORK Water heater ( 23.32 4J ,4 .. 5 F n Gas fireplace/insert vent water 33.39 1� ent fr water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 tiii PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 23.32 Other: 23.32 Name: &thee Ltd._ Environmental exhaust and ventilation: Address: 22 Pit D Q Range hood/other kitchen ( 33.39 -f...- it i ■ +� equipment ment City /State /ZIP: .5,q,Erlio CO AD4 i 7/`1 3 Clothes dryer exhaust ( 33.39 f _ 0 �+ 3 I g `_ 3) 6 2 G . 54 � I c Single-duct exhaust (bathrooms, Phone: Fax: !� 1 toilet compartments, utility lity rooms) 23.32 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 �e/ y /. / _ _ e$ / , ! Other: 23.32 Business name: fy ��. J /� /�,`/(� , Y - Fuel piping: Contact name: v.J.G L..iA, -,-Ao ii, r1C $14.15 for first four; $4.03 for each additional Address: 2-2275 Stich _el v us _ Furnace, etc. I '�,/ Gas heat pump City/State /ZIP: /7 I to g_ 2140 Wall /suspended/unit heater Phone:) 6 at - 35 ! g Fax: : (,93 624 - 54.2.1 Water heater ( /� 1 �/1 Fireplace E-mail: � -Fr �1� QQ 't 1-/-7�-IQ_ A A„/ /4t7 Yt 4J A. . � l Range I CONTRACTOR ( Barbecue Business name: -- " / �6 Clothes dryer (gas) ,/� Other: Address: . V r 60 / ZS MECHANICAL PERMIT FEES* City/State /ZIP: .SfteYLW OOE) v e 17/4o Subtotal ,��y, Minimum permit fee ($90.00) f� z Phone: *3) . C � 6,-7, 7 $ 1 Fax: 503) 6 , q `f'I v Plan review (25% of permit fee) CCB lic.: /O2 $)3 I I ! (; t 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 �4 Gu6f0 off Date: t / • Fee methodology set by Tri -County Building Industry Service Board I:\ Building \PermitsV�C- PermitApp.doc 03 /07/12 440-4617T 1 (II /02/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:\Building\Permits\MEC- PermitApp.doc 03/07/12 2 Apr 03 13''09,12e Britteny Nomes, tl 5036285421 p,1 Electrical Permit Application APR 0 3 2013 �C F( ►It 017.1( h: l •Sl: ( }N1.1 City of Tigard - � "' 13123 3W Hail Blvd., TigllPayd,503.59OR 9I2 C ITY OF TIGARD lnatem,:. v® �' i Permit No. C ' ' g Phone: $03,718.2434 x: >2. p0ILDING DIVISION Plan Rev,pw 1 ,,,,„,,, Inspection Line: 503.639.417 5 Date R Other Permi d . . / 5'? on e Ready/By: . loll: Internet: www.tigsud or.gov NotiftedtMethod :: - See Pen for . pplemenal Information - TYPE OF WORK PLAN REVIEW s ‘ New conStruction 0 Addition/alteration/replacement Please check all that apply (submit i sets of plans w/items checked below): ' "De I ) em011tion ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stones: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION eviceeds 1000 amps at 15 ❑ Floating buildings. 1= and 2- family dwelli 0 ConItnercial/industrial 0 Accessory building less to bd, ar exere,t: )4,000 ©Casrtmercial.uea ogricultuMl ] fatnil amps ftxall dhe fnstalbltione. buildings. !- Y 0 builder ❑ Other 0 Fire porno. 0Iratalla•,ion of 75 KVA or J011 SFIE INFORMATION AND LOCATION (]Emergency system. Iargersepatateiy derived System no.: - ° Additi of new motor load of 1:1"A", " E ", "1-2", '`1 -3" Job site address: p� e, ar rno e. t ra'...S , #0 /MI�t J� °a °paacy. . a ,y • i ❑ Six or m ore r units, 0 3ecreational vehicle parka: City/State/ZIP: 77 ,[ /J d7 �i G�lr 1 °Heath -care facilities. ❑ Supply voltage for more then r(•� �i 0 Hazardous loader's. 600 volts nominal. ! Suite/bldg. {apt. no.: Project name: I ❑Service or feeder 600 amps or more. , . Cres3 street/directions to job site: nt t FEE SCHEDULE - - p ai .. _ . rat. , i . r I rood I • d/e / 4/3 i f . a i New residential single- or ntnit I i -fag en._ dwelling malt. I r Sub i w lsion: A , . _ j includes attack garage . 1 tr ,g• L : ot no / 1, aq. . or lets � - .:c..._s . / / 000 ft l : i ' ... 168:34 4 Tax map /parcel no.: j e , 4 - Z, Ea. add'I 500 s4. n. or portion �j a . 33.52 1 Limited energy. residential DESCRIPTION OF. WORT[ - with above sg. ft.) 75. 110 2 i 1" R. ` Limited energy, multi family _.... residentiai (with 'shove sq. it.) ; , • 7500 2 i • Services or feeders installation, alteration, atrdtor relocation . • . . 200 amps or less 100.70 • ► PROPERTY OWNER TEhiAiVT _ . 201 amps to 400 amps 133.56 • Z • Name: 401 amps to 600 am 200.34 - 2 • • 60 1 a o 1,000 . � t 301.04 2 • Address: • - 1 _ .1 " jib 0 ! / • Over 1,000 amps or volts; 5 5226 2 City/State/ZIP: 4 1 WO 6t- d t �r /WC) re) Temporary gel^v{ces or feeders installation. alteration. and/or Phone 60) b Z,P'- s i f'ax:. 0,3 6t?.f ' -542,1 2o OM PS ps or :ems 59.36 n 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 123,08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 168,54 2 Owner signature:. Branch — w, ration, or extension, per panel • Date: A . Fee for branc circuits h circuits ne with alte r APPLICANT .. . 0 CONTACT PERSON above service or feeder fee, each branch circuit • 7.42 2 Business name: n rSigei Th A .ci !rS„iid,.. B. Pee for branch circuits witkoirr . . Contact name: // ,, �� service or feeder tee, first b.-i�t rC% D1d) �" branch circuit 56. i 8 2 Address: 214 MM Each add'! brnncke (service 7 2 24 "'l �,�. ,, r ��'�' � ,� . - 4 0 0 a . Miscellaneous (servile or feeder not inctudtd) 2 City /State /ZIP: ..' � J ' ff C/ c f7,/� 7 I i Each manufactured era odular 67.84 2 t j t! f! /4/ dwelling, service and/or feeder _ Phone: (5 24., 25 i 'Fax: • 7 0,., i Reconnect only . - . .�� "' _ 6784 i:- lltail: �- 6r �` / s � I Pum or 67.84 2 CONTRACTOR ' [�S/ 7rr' Sign or outline lighting 67.84 'r Signal tarettiKs) or limited - energy - Business name: 6 �yy j ,•t/ . � ,� 'r' , al , pastel alterati or exteisio Page 2 2 _ _ t n r T u�i.► f 1S,.i 4s Address: I) f V t Y 1 Each additional inspection over allowable in any of the above • . Additional inspection (t hr min) wv . 6635/hr ClhiState'ZIP: � � l Investigation (1 hr min) 66.25/hr Phone:. t:?3 244 _ tl s■- £So h u P usitialplaxn(I hr min) 78.18/hr • �WF i plot: .� � •. �� lens for which no fee is � CCB Lie.: Electrical ic.: �" 3 _ spec; ficailvt-stied (% hr arm) 5+O :DOJ hr Zr410 7 / 24 ( Lie - , ELECTRICAL PERMrr FEES , Suprv. Electrician signature, required: / Subtotal: Print name: f f: tom. - `•....,,___ Pan review (25%of permit fee): V ll � . , Do Sta testu 1� , 1'1 v>J t� 2123 (12Yoafpertlsitfte): Authorized signature: TOTAL PERMIT PEE: P Th is permit applicatione s ifa permitistotobtainedwithin 180 . rent n' me: I Date' days silen been accepted as complete. --_ "` ._.° • Number of inspections allowed per permit, t:'guildiri i :is• tc- PertnitAcp.dac 07/01/10 440r•615T(IL'CS/C0MJWP8 1 1 III Building Division Development Code Provision Review T 1 G A 1. D Residential Projects Building Permit No.: AfSi - 020/ 3 — ° ° D g/ // Project /Subdivision Name: "2 LL C.. , Lot #: N /r?' Site Address: J'( © .5 r-c> /iit/E -GO /< .62 , CWS Service Provider Letter: Required: Yes No ❑ Received: Yes , No ❑ Plans Routed: //�� Original Plan Submittal Date: �//-3/i3 7 /0 ) -Q-- 1 0 Routed By: 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: 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 thrg KOVJ 222_ at (503) 718 -2.421 or tries lL @tigard- or.gov) Land Use Case No. Zoning 4Z L1- S I tbacks: , t i Front 2.1) Rear I s Side S Street Side NI) Pr Garage 2 0 0 'Maximum Building Height: 30' Actual Building Height I S' ❑ Visual Clearance N I it- Ig LAY Sensitive Lands Type: mL1 • \J M./ t L tM f Q tV VS V- W —' ❑ Street Trees Nip p ❑ Protected Trees AA �� "� Notes: �I )WTI C'W Ap iVa.Q fr i��'Cl�Y1ld..LI�- Original Plan: Approved Not Approved ❑ Date: 4 hi t 3 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) 1r Actual Slope: 04124 4 cyo Notes: eYl dam• d ' N G t.vs S QL , / Original Plan: Approved Er Not Approved ❑ Date: 9 1 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 o ❑ Date Routed to Building: 4 'l' Page 2 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 RECEIVED -,°- APR 0 3 2013 CleanWater Services CITY OF TIGARD CWS File Number Our commitment is clear. Service Provider iti P rIllil l 13- 000399 I This form and the attached conditions will serve as your Service Provider Letter in accordance with Clean Water Services Design and Construction Standards (R &O 07 -20). Jurisdiction: Washington County Review Type: No Impact Site Address 8605 SW Pinebrook ST SPL Issue Date: March 22, 2013 / Location: Tigard, OR 97224 SPL Expiration Date: March 22, 2015 • Applicant Information: Owner Information: Name JEFF & REBECCA LUEDLOFF Name Company BARE LLC Company BARE LLC Address 22275 SW SCHOLLS SHERWOOD RD Address 22275 SW SCHOLLS SHERWOOD RD SHERWOOD OR 97140 SHERWOOD OR 97140 Phone /Fax (503) 628-3518 Phone /Fax (503) 628-3518 E -mail: rebecca @brittanyhomesinc.com E -mail: rebecca @brittanyhomesinc.com Tax lot ID Development Activity 2S111AD00401 New Single Family Dwelling Pre - Development Site Conditions: Post Development Site Conditions: Sensitive Area Present: On -Site X Off -Site Sensitive Area Present: LI On -Site X I Off -Site Vegetated Corridor Width: 50 Vegetated Corridor Width: 50 Vegetated Corridor Condition: Degraded Enhancement of Remaining Vegetated Corridor Required: I �, � I Square Footage to be enhanced: 3,750 Encroachments into Pre - Development Vegetated Corridor: Type and location of Encroachment: Square Footage: none 0 Mitigation Requirements: Type /Location Sq. Ft. /Ratio /Cost none 0 IX Conditions Attached X Development Figures Attached (3) IX I Planting Plan Attached Geotech Report Required This Service Provider Letter does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered on your property. Page 1 03 CWS File Number 113- 900399 In order to comply with Clean Water Services water quality protection requirements the project must comply with the following conditions: 1. No structures, development, construction activities, gardens, lawns, application of chemicals, uncontained areas of hazardous materials as defined by Oregon Department of Environmental Quality, pet wastes, dumping of materials of any kind, or other activities shall be permitted within the sensitive area or Vegetated Corridor which may negatively impact water quality, except those allowed in R &O 07 -20, Chapter 3. 2. Prior to any site clearing, grading or construction the Vegetated Corridor and water quality sensitive areas shall be surveyed, staked, and temporarily fenced per approved plan. During construction the Vegetated Corridor shall remain fenced and undisturbed except as allowed by R &O 07 -20, Section 3.06.1 and per approved plans. 3. If there is any activity within the Sensitive Area, the applicant shall gain authorization for the project from the Oregon Department of State Lands (DSL) and US Army Corps of Engineers (USACE). The applicant shall provide Clean Water Services or its designee (appropriate city) with copies of all DSL and USAGE project authorization permits. 4. An approved Oregon Department of Forestry Notification is required for one or more trees harvested for sale, trade, or barter, on any non - federal lands within the State of Oregon. 5. Prior to any ground disturbance an Erosion Control Permit is required from the City of Tigard. Appropriate Best Management Practices (BMP's) for Erosion Control, in accordance with Clean Water Services' Erosion Prevention and Sediment Control Planning and Design Manual, shall be used prior to, during, and following earth disturbing activities. 6. Prior to construction, a Stormwater Connection Permit from the City of Tigard is required pursuant to Ordinance 27, Section 4.B. 7. Activities located within the 100 -year floodplain shall comply with R &O 07 -20, Section 5.10. 8. Removal of native, woody vegetation shall be limited to the greatest extent practicable. 9. Should final development plans differ significantly from those submitted for review by Clean Water Services, the applicant shall provide updated drawings, and if necessary, obtain a revised Service Provider Letter. SPECIAL CONDITIONS 10. For Vegetated Corridors up to 50 feet wide, the applicant shall enhance the entire Vegetated Corridor to meet or exceed good corridor condition as defined in R&O 07 -20, Section 3.14.2, Table 3- 3.3,750 sq. ft. of Vegetated Corridor to be enhanced. 11. Prior to any site clearing, grading or construction, the applicant shall provide Clean Water Services with a Vegetated Corridor enhancement/restoration plan. Enhancement/restoration of the Vegetated Corridor shall be provided in accordance with R &O 07 -20, Appendix A, and shall include planting specifications for all Vegetated Corridor, including any cleared areas larger than 25 square feet in Vegetated Corridor rated "good." See SPL Attachment 3 of 3 12. Prior to installation of plant materials, all invasive vegetation within the Vegetated Corridor shall be removed per methods described in Clean Water Services' Integrated Vegetation and Animal Management Guidance, 2003. During removal of invasive vegetation care shall be taken to minimize impacts to existing native tree and shrub species. 13. Clean Water Services shall be notified 72 hours prior to the start and completion of enhancement/restoration activities. Enhancement/restoration activities shall comply with the guidelines provided in Landscape Requirements (R &0 07 -20, Appendix A). 14. Maintenance and monitoring requirements shall comply with R &O 07 -20, Section 2.11.2. If at any time during the warranty period the landscaping falls below the 80% survival level, the owner shall reinstall all deficient planting at the next appropriate planting opportunity and the two year maintenance period shall begin again from the date of replanting. 15. Performance assurances for the Vegetated Corridor shall comply with R &O 07 -20, Section 2.06.2, Table 2 -1 and Section 2.10, Table 2 -2. Page 2 of 3 J CWS File Number 1 13-000399 16. Clean Water Services may require an easement over the Vegetated Corridor conveying storm and surface water management to Clean Water Services or the City that would prevent the owner of the Vegetated Corridor from activities and uses inconsistent with the purpose of the corridor and any easements therein. 17. Final construction plans shall clearly depict the location and dimensions of the sensitive area and the Vegetated Corridor. 18. If appropriate protection of the Vegetated Corridors and associated sensitive areas shall be provided by the installation of permanent fencing and signage between the development and the outer limits of the Vegetated Corridors. This Service Provider Letter Is not valid unless CWS- approved site plan is attached. Please call (503) 681 -3639 with any questions. Laurie Harris Environmental Plan Review Attachments ( 3 ) Page 3 of 3 enter.cfm http : / /tiggisiw /mox6 /enter.cfm I _ iiir Y f 1104 ... ..,, _, it. ir . . 4 r /I Y { r ' / '' ' , . I t / ,Az , ipar 4* ':14 , -0 ..„,,,,.., _ et 440 ' 1 of 1 4/4/2013 10:10 AM . . RECEIV • APR 0 3 2013 CleanWateer Services CITYOFTIGA Our commitment is clear. �! "‘ r i'' F 7 DIVISI CWS File Number Service Provider L e t ter 13- 000399 I This form and the attached conditions will serve as your Service Provider Letter in accordance with Clean Water Services Design and Construction Standards (R &O 07 -20). Jurisdiction: Washington County Review Type: No Impact Site Address 8605 SW Pinebrook ST SPL Issue Date: March 22, 2013 I 1 / Location: Tigard, OR 97224 SPL Expiration Date: March 22, 2015 Applicant Information: Owner Information: Name JEFF & REBECCA LUEDLOFF Name Company BARE LLC Company BARE LLC Address 22275 SW SCHOLLS SHERWOOD RD Address 22275 SW SCHOLLS SHERWOOD RD SHERWOOD OR 97140 SHERWOOD OR 97140 Phone /Fax (503) 628-3518 Phone /Fax (503) 628-3518 E -mail: rebecca @brittanyhomesinc.com E -mail: rebecca @brittanyhomesinc.com Tax lot ID Development Activity 2S111AD00401 New Single Family Dwelling Pre - Development Site Conditions: Post Development Site Conditions: Sensitive Area Present: L I On -Site x I Off -Site Sensitive Area Present: I I On -Site X Off -Site Vegetated Corridor Width: 50 Vegetated Corridor Width: 50 Vegetated Corridor Condition: Degraded Enhancement of Remaining Vegetated Corridor Required: IX Square Footage to be enhanced: 3,750 i Encroachments into Pre - Development Vegetated Corridor: Type and location of Encroachment: Square Footage: none 0 Mitigation Requirements: Type /Location Sq. Ft. /Ratio /Cost none 0 X Conditions Attached X Development Figures Attached (3) X I Planting Plan Attached Geotech Report Required This Service Provider Letter does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered on your property. Page 1 of 3 CWS File Number 1 13- 000399 In order to comply with Clean Water Services water quality protection requirements the project must comply with the following conditions: 1. No structures, development, construction activities, gardens, lawns, application of chemicals, uncontained areas of hazardous materials as defined by Oregon Department of Environmental Quality, pet wastes, dumping of materials of any kind, or other activities shall be permitted within the sensitive area or Vegetated Corridor which may negatively impact water quality, except those allowed in R &O 07 -20, Chapter 3. 2. Prior to any site clearing, grading or construction the Vegetated Corridor and water quality sensitive areas shall be surveyed, staked, and temporarily fenced per approved plan. During construction the Vegetated Corridor shall remain fenced and undisturbed except as allowed by R &O 07 -20, Section 3.06.1 and per approved plans. 3. If there is any activity within the Sensitive Area, the applicant shall gain authorization for the project from the Oregon Department of State Lands (DSL) and US Army Corps of Engineers (USAGE). The applicant shall provide Clean Water Services or its designee (appropriate city) with copies of all DSL and USACE project authorization permits. 4. An approved Oregon Department of Forestry Notification is required for one or more trees harvested for sale, trade, or barter, on any non - federal lands within the State of Oregon. 5. Prior to any ground disturbance an Erosion Control Permit Is required from the City of Tigard. Appropriate Best Management Practices (BMP's) for Erosion Control, in accordance with Clean Water Services' Erosion Prevention and Sediment Control Planning and Design Manual, shall be used prior to, during, and following earth disturbing activities. 6. Prior to construction, a Stormwater Connection Permit from the City of Tigard Is required pursuant to Ordinance 27, Section 4.B. 7. Activities located within the 100 -year floodplain shall comply with R &O 07 -20, Section 5.10. 8. Removal of native, woody vegetation shall be limited to the greatest extent practicable. 9. Should final development plans differ significantly from those submitted for review by Clean Water Services, the applicant shall provide updated drawings, and if necessary, obtain a revised Service Provider Letter. SPECIAL CONDITIONS 10. For Vegetated Corridors up to 50 feet wide, the applicant shall enhance the entire Vegetated Corridor to meet or exceed good corridor condition as defined In R &O 07 -20, Section 3.14.2, Table 3- 3.3,750 sq. ft. of Vegetated Corridor to be enhanced. 11. Prior to any site clearing, grading or construction, the applicant shall provide Clean Water Services with a Vegetated Corridor enhancement/restoration plan. Enhancement/restoration of the Vegetated Corridor shall be provided in accordance with R &O 07 -20, Appendix A, and shall include planting specifications for all Vegetated Corridor, including any cleared areas larger than 25 square feet in Vegetated Corridor rated "good." See SPL Attachment 3 of 3 12. Prior to installation of plant materials, all invasive vegetation within the Vegetated Corridor shall be removed per methods described in Clean Water Services' Integrated Vegetation and Animal Management Guidance, 2003. During removal of invasive vegetation care shall be taken to minimize impacts to existing native tree and shrub species. 13. Clean Water Services shall be notified 72 hours prior to the start and completion of enhancement/restoration activities. Enhancement/restoration activities shall comply with the guidelines provided in Landscape Requirements (R &0 07 -20, Appendix A). 14. Maintenance and monitoring requirements shall comply with R &O 07 -20, Section 2.11.2. If at any time during the warranty period the landscaping falls below the 80% survival level, the owner shall reinstall all deficient planting at the next appropriate planting opportunity and the two year maintenance period shall begin again from the date of replanting. 15. Performance assurances for the Vegetated Corridor shall comply with R &O 07 -20, Section 2.06.2, Table 2 -1 and Section 2.10, Table 2 -2. Page 2 of 3 CWS File Number 113 -000388 16. Clean Water Services may require an easement over the Vegetated Corridor conveying storm and surface water management to Clean Water Services or the City that would prevent the owner of the Vegetated Corridor from activities and uses inconsistent with the purpose of the corridor and any easements therein. 17. Final construction plans shall clearly depict the location and dimensions of the sensitive area and the Vegetated Corridor. 18. If appropriate protection of the Vegetated Corridors and associated sensitive areas shall be provided by the installation of permanent fencing and signage between the development and the outer limits of the Vegetated Corridors. This Service Provider Letter Is not valid unless CWS- approved site elan Is attached. Please call (503) 681 -3639 with any questions. Laurie Harris • Environmental Plan Review Attachments (3 ) Page 3 of 3 . .. . . . . . . . - • i3 RITTANY •. t ep . 10 1) : - qi ,:„..e • ORCCB#38248 JOB NAME • CilkkiCt in . . • - HOMES, iAlc.. 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Le-ts.+Lt 411d. •-iL•174 1 1 , 5 I l__i_at / .71.1 I Li 1 LLD . 1 1 Li "1 i -- 1 1 [ 1 .__ r ___4_ , ..._..„._____...__,___, , _.; L....L.i..__I 1._L __1 ..4L. ..LL__Li_l_i_i_j____L_L_LJ____L___LI__L_L i 1 r ) T-.--- • t._...!..._ J _1 , _1 J ..____..l.........,__L.L.f„..t ,. I 1- 1. 1 1 1 . t. i___ , i i L Li 1 _Li 1 I.. i I 1 - 1 i . __ L. ...1._j__ IILLA 1 1____I___LL_,LIL1 I .1_1I 1.„1_____I__.1_1 1 F T . "CRAFTSMANSHIP YOU WILL BE PROUD OF" 22275 SW Scholls-ShdrwOod Road • Sherwood, OR 97140 503-628-3518 • 503-628-5421 Fax • brittanyhomesinc@verizon.net .. • • • • • U p0 e, . • �� 0 \ i � , C--4-1 . 2,...n..5: . • • . \ 9 I • v o 0- _ , • \ \ : ( .. ' • • • • r �4M L' Yn 1 yL ' eS \ // 4 �i:14: G. d � / ' • // ; -,�=_ - g� / (a0 { ir _ XS Kg5 . . I 1 ' - — liettitAtv146 . ft : • / ., ... . 1, \\\ i . _r_....... _____________. .. . ... ...:, „ ..,1\74............... 1 ., ‘• LAtc...., „! _ ., ,.. , / ...o. • d . / .\. il l'' . -- . - . t.-E-4- a4 pat_ , 375"CA y • try, y t ! • 1 \ / �. e Kc c.✓ 1, ..,4: .. S . . _ j. ems. /77 t � _ 1tvY� p.e -1. < • } taA . ti V r cc >f�t c �� F 1 • ..a r m J •, p c OK .(t• • • F . f ' • • 51 ta.. IF- • r 1y;�..1 e. gf 75 - z... /77 1 . �� • i `, 1.v • r V . 8605 SW Pinebrook Drive Vegetated Corridor Enhancement Plan G w 3 /G ki'D . l 3--000 3`i 9 Approved Clean Water Services Enhancement Activities 1. Remove existing sheds By 1,1s,A ii _Date_ o3/2-27.43. 2. Remove existing gravel and replace with amended soils 5 Pt_ A t ac. ttimk-e 3 ' f 3 3. Remove Himalayan blackberry by hand or mechanically with small machinery. Refer to Integrated Pest Management Guide for low impact methods. 4. Plant the Vegetated Corridor with native trees and shrubs (see R &O 07 -20, Appendix A for methods) a. Quantity of native trees: 38 j b. Quantity of native shrubs & groundcovers: 188 I 5. Trees, shrubs and groundcovers in upland areas shall be mulched a minimum of three inches in depth and 18 inches in diameter. Seed bare ground with native seed mix (such as ProTime 400 from Hobbs & Hopkins) to achieve 100% areal coverage Plant Types & Quantity Qty Scientific Name Common Name Plant Type Light Spacing 38 Thuja plicate Western red cedar Tree Shade Single 12 Acer circinatum Vine Maple Shrub Part sun Single 12 Symphoricarpus albus Snowberry Shrub Part sun Cluster 12 Cornus stolonifera Red -osier dogwood Shrub Part sun Cluster 12 Physocarpus capitatus Pacific ninebark Shrub Shade Single 12 Rosa gymnocarpa Baldhip rose Shrub Part Cluster 12 Sambucus racemosa Red elderberry Shrub Part sun Single 12 Ribes sanguineum Red- flowering current Shrub Sun Cluster 12 Oemleria cerasiformis Indian plum Shrub Shade Cluster 12 Philadelphus lewisii Mock Orange Shrub Part sun Cluster 20 Mahonia aquifolium Tall Oregon grape Shrub Sun Single 20 Mahonia repens Low Oregon grape Shrub Part sun Cluster or M. nervosa 20 Polystichum munitum Sword fern Shrub Shade Cluster 20 Gaultheria shallon Salal Herb Part sun Cluster Additional Notes f i • Deep rooting trees and shrubs (e.g. willow) shall not be planted within the existing sanitary sewer easement. • Substitutions with other native plants are allowed • For more information about individual plants, refer to the Native Plant Finder and Appendix A (R &O 07 -20) Native Plant Finder: http : / /www.cleanwaterservices.org/ Residents /ToolsAndTips /NativePlantFinder / I • Do not plant invasive plant species. A Ilst of Invasive plant species Is on -line: http: / /www. cl ea nwaterservices.org/ Residents /Tool sAndTi ps /InvasivePlants /defau lt. aspx • Resources for Streamside Property Owners: http: / /www. clea nwaterservices. org /Residents /Get l nvolved/TreeforAll /Homeowne rs. aspx RECEIVED s /4 A/ APR 0 3 2013 i ii ---; CITY OF TIGARD ID BUILDINUISSpolg , 4,/, • 0 4 . \ /38•39 Z ' ' ry, i ; \ k" ,,;(f ,,1.1.,,,??..!1,thr e l, , , ------------- -- 3‘itAcriotiAv h‘eus. . • Merv-rrt AXCIV p mcre g, &IA's', . , EL 'leo.. , 1 N. \ 1/4 ,,, \-- zz t 6Li --a-eLSZ '' — \.... . ,. : 1 if30.5 ‘ . EL --- . ..,..- 1 1 ' ... . i , i I . , - ",/ -- 644 , - / l c / ...."-. , - ' . • , e / .....- t.. .-- - .„.„-:::-)...--- )\7.5 -- \---------- , . . , P.. , 4 i Penod r ii•Ac t. , t ", • ■S t ' -. ' -7 Os 0 .... ; C .. --- 4 1 ..,.. collate 4,• I 13 7 ' Ps›.....44 1 ■1 ; ; t / t slIve.e,. ___— . 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I 1 I , 1 i 1 1 11 ......- - 1.— , ..--4' idivtrit-Ari•- CITY OF TIGARD PERMIT #: rtis .o(3- 00O9 BUILDING DIVISION DATE ISSUED: , 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5 4 _ 3 TIME: PAGE: SITE ADDRESS: s 5,41, P; \jo-cak .S ' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: I i,Sck (k U , G a 24 DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 5 - - aO13 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 ..S a \ Corrections /Comments /Instructions: Q 3ka%, S -QcAs4, kJ/1•1 — ok_ /`--'' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR REINSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: S , Date: 5- 4 )4 -013 Phone #: (503) 718 - i:\Building\IVRUVR- InspWorksheet - BlankForm.doc 03/02/2005 CITY OF TIGARD BUILDING DIVISION PERMIT#:/rlSl"g-°13-0°°631 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ihg_ttig''IL. INSPECTION WORKSHEET FOR DATE: I j //..3 TIME: 2,'C/7 PAGE: SITE ADDRESS: 9,O,'5+i/ CLASS OF WORK: SUBDIVISION: LOT#: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE#: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message o27( ,P-1:79pv,tfr Corrections/Comments/Instructions: PriV/OL, Ch.,/ LeP.,(- 17 tit /dye:61,69-01 , • • • • • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 2] FAIL ❑ CALL FOR INSPECTIONS ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 11/61/3 Phone#: (503).718- 077121 FOR OFFICE USE ONLY—SITE ADDRESS: 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 c A R D 125-SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED 18 2:313 FROM: ` AISA —a „ASO _411 CITY OF TIGARD COMPANY: 1/�, ,(�� BUILDING D .! PHONE: ---61 Zf 351 k_1503-341-4.3 24, : . RE: %LQO6- ept _ 19.__A ) 1S/ 0/5—Dag/ (Site Address) (Permit Number) C: 14t1L-7AA- (Project name or subs} Sion name and lot numb/ ATTACHED ARE THE FOLLOWING(ITE Copies: Description: r- I�� I Copies: Description: Additional set(s) P 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: 1 ,-, sf.. id-z.;— .4,2_,1JC A-R- 0 lu q_4 FOR OFFICE USE ONLY Routed to 'ermit ic�i '' ate: q 124-1 1 Initials: i$',, Fees Du, : ❑ s Ly•NO ee Description: Amount Du • Special Instructions: Reprint Permit(per PE): ❑ Yes I 76No Do Applicant Notified: Date: 979,4(/3 1,904, , iul6j _, nitia : 9� 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8605 SW PINEBROOK ST, TIGARD, OR, 97224 May 20, 2015 at 11 :03:57 AM Record Type: Record ID: Residential - Master Permit MST2013-00081 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Correction done. Street tree certification received. Moisture content form received. High efficiency lighting form received. Back flow test report received. 3/4" Wilkins serial # 3942954 Insulation certification checked. Radon report checked, Matt & Mel's sewer scoping services. Receipt 1879. Final erosion control approved. C of 0 left on site. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2013-00081 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide final inspection for Open PFI permit. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2013-00081 David Young Correct non functioning bath fan switch in main bath. Cap and label dryer duct length per code. M1502.4.5,6 Provide permit for ac unit and tamper proof access port caps. M1411.6 Seal line set penetration in foundation vent. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2013-00081 David Young Corrections complete. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2013-00081 David Young Corrections done. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2013-00081 David Young Back ﬂow devise for lawn irrigation to be 24" deep and 12" clear space under devise clear of 1 to 1 ratio of footing. Freeze protect water supply pipe in garage in unconditioned space on exterior wall. 316.6 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2013-00081 David Young Seal line set penetration thru foundation vent, SEAL around AC line-set at foundation vent and/or siding. R408.2 and/or 1104.8. Locking access port caps. Refrigerant circuit access ports located outdoors shall be ﬁtted with locking-type tamper-resistant caps. M1411.6 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2013-00081 Jeff Grove Violation Summary: Inspector Contractor