Permit y p CITY OF TIGARD MASTER PERMIT
''1 1 . COMMUNITY DEVELOPMENT Q Permit#: MST2013 00161
I LGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013
rcel: 2S110BC11800
Jurisdiaction: TIGARD
Site address: 12273 SW WINTERVIEW DR
Subdivision: TROY PARK Lot: 4
Project: Troy Park, Lot 4
Project Description: New SF. 5/6/14: Reprinted to add backflow.7/2/14, REPRINTED to correct parcel number from
2S110BC01201 to 2S110BC11800&to correct owner information. —�-
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1106 sf Basement 0 sf Left: 5 Parking Spaces 0
Height: 23 Bathrooms: 3 Second: 1524 sf Garage: 533 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2630 sf Value: $309,221.69 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains. 0 Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 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
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=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 addl 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601;amp-1000v: 0
1000+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 2630
Owner: Contractor:
TIMBERLAND HOMES INC TIMBERLAND HOMES INC Required Items and Reports(Conditions)
12670 SW 68TH AVE#300 12670 SW 68TH AVE STE 300 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: PHONE: 503-620-8860
FAX: 503-598-9081
Total Fees: $19,910.99
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 •ug •R 9 r01-0090. You may obtain a copy of the rules or direct questions to OUNC by calline937232.1987 or 1.800.332.2344.
te....„4:t4 j,
Issued By: eC i k. i Permittee Signature: 41"6
Call 503.639.4175 by 7:00 a.m.for the next available inspection da .
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.
CITY OF TIGARD .D PLUMBING PERMIT
COMMUNITY DEVELOPMENT S!LlPy Permit#: MST2013 00161
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013
Parcel: 2S110BC01201
Jurisdiction: TIGARD
Site address: 12273 SW WINTERVIEW DR
Project: Troy Park,Lot 4 Subdivision: AMES ORCHARD Lot: 5
Project Description: New SF. 5/6/14:Reprinted permit to include backflow for irrigation.
Contractor: TIMBERLAND HOMES INC Owner: PRESTIGE INVESTORS LLC
12670 SW 68TH AVE STE 300 12670 SW 68TH AVE#300
TIGARD,OR 97223 TIGARD, OR 97223
PHONE: 503-620-8860 PHONE:
FAX: 503-598-9081
FEES
Quantity Description Date Amount
1 ea Building Permit-New 09/26/2013 $1,795.74
Specifics: Construction
1 Plan Review 09/26/2013 $751.34
Type of Use: SF 1 ea 12%State Surcharge- 09/26/2013 $215.49
Building
Class of Work: NEW 0 Plan Review 09/26/2013 $415.89
Type of Const: VB 1 ea DC Provision Review,SF- 09/26/2013 $70.00
Occupancy Grp: R-3 Ping
Stories: 2 1 ea DC Provision Review,SF- 09/26/2013 $10.00
LRP
12 ea Info Process/Archiving-Lg 09/26/2013 $24.00
$2.00(over 11x17)
62 ea Info Process/Archiving-Sm 09/26/2013 $31.00
$0.50(up to 11x17)
1 ea Metro Const.Excise Tax- 09/26/2013 $371.07
Residential Use
1 ea Tig-Tual School CET- 09/26/2013 $2,919.30
Residential
1 ea TDT-Trans Dev Tax-SF 09/26/2013 $6,665.00
Detached
Total $19,910.99
Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
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 OAR 952-001-0090. 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: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. C+�
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.
Plumbint Permit Application
Site Utilities I ()I I It I l ',I ()NI
City of Tigard e.i, R'a'1 t 11111292111 Permit No.: V �r r l-
11111 II 13125 SW Hall Blvd.,Tigard,OR 972Ft
Phone: 503.718.2439 Fax: 503.598. ``�fP°" Date/Ely: W Other Permit No.:
Inspection Line: 503.639.4175 Date Read B June: 0 Page iti SRI) Ready/By: age2for
Internet: www.tigard-or.gov ,A p� 0 h' ZQI4 Notified/Method: rpm. Supplemental Information
®New 1'YPE OF WORK FW
construction ❑DemoliebTY Q ' TIC' 'E For special information use checklist
r,� ANNINQ TIC' Description Qty. Ea. I Total
❑Addition/alteration/replacement ❑OA New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CCDISTRIX SFR(1)bath 312.70
® 1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78
❑Accessory building SFR(3)bath 500.32
ry g ❑Multi-f: •v ,
Each additional bath/kitchen 25.02
❑Master builder ❑Other: 1�'1''I n1.4 • Fire sprinkler(-sq.ft.)i1 B . Page 2
JOB SITE INFORMATION AND t 1 t t Site utilities:
Job site address:12273 SW Winterview Drive 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:Troy Park Lot 4 Manufactured home utilities 50.03
Cross street/directions to job site:Bull Mountain Rd. 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:Troy Park I Lot no.:4 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
DESCRIPTION OF W Backwater valve 12.51
Clothes washer 25.02
Single Family Residence ) / Dishwasher 25.02
•tad r) C.4 ) / 2Jf S,4//i /rT Drinking fountain 25.02
r s ` Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Timberland Homes,Inc. Fixture/sewer cap 25.02
Address: 12670 SW 68d'Ave.,Suite 300 Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Timberland Homes,INc. Medical gas(value:$ ) Page 2
Contact name:Laura Blake Primer 12.51
Roof drain(commercial) 12.51
Address: 12670 SW 68"Ave.,Suite 300 Sink/basin/lavatory 25.02
City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 62.54
Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 12.51
E-mail:laura @timberlandhomes.net Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:Trademark Landscapes,Inc. Water piping/DWV 56.29
Address:PO Box 2410 Other: 25.02
City/State/ZIP:Oregon City,OR 97045-4545 Subtotal 3/ . a7
Phone:(503)631-3893 Fax:(503)631-4737 Minimum permit fee: $72.50( (
CCB Lic.: 6-7 1D Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee)7 -75--
Authorized signature:
TOTAL PERMIT FEE��;�-
Print name: /+� h Jo Date: /,s1/y This permit application expires if a permit is not obtained w�i to 180 days
/1 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02JCOM/WEB)
u CITY OF TIGARD MASTER PERMIT
m COMMUNITY DEVELOPMENT Permit#: MST2013 00161
T(GARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013
Parcel: 2S110BC01201
Jurisdiction: TIGARD
Site address: 12273 SW WINTERVIEW DR
Subdivision: AMES ORCHARD Lot: 5
Project: Troy Park, Lot 4
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1106 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1524 sf Garage: 533 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2630 sf Value: $309,221.69 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 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: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+ampNolt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio 8 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 2630
Owner: Contractor:
PRESTIGE INVESTORS LLC TIMBERLAND HOMES INC Required Items and Reports(Conditions)
12670 SW 68TH AVE#300 12670 SW 68TH AVE STE 300 1 Ersn Cntrl 503-639-4175
TIGARD.OR 97223 TIGARD,OR 97223
PHONE: PHONE: 503-620-8860
FAX: 503-598-9081
Total Fees: $19,875.97
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= rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 87 or 1.88, ..2344.
Issued B �i— Permittee Signature: -Q9 ..
1 � 4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application D VEt Residential BCE FOIL 01.1.1(.1.: LSE ON1.1
City of Tigard JUN 2 6 2013 Received o7G � ��= No yy /3 GEO/6/
° 13125 SW Hall Blvd.,Tigard,OR 97223 DatcJB
Plan Review;►!'_ �'
It. Phone: 503.718.2439 Fax: 503.598.1960 CITY pOF TIGARD\' �teB e���► � other Pe"tut���j�/—�� OQ�s�
-I_I G`I,u Inspection Line: SOg�3 63 8.4175 BUILDING DIVISION Date Rey �• ®p See Page 2 for
Internet: www.ti -or. ov Notifted/Method: / Supplemental information
v4 -ra -
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ r ' ,
❑Accessory building ❑Multi-family Number of bedrooms: LL
El Master builder ❑Other:_ ___ _ Number of bathrooms: 1
JOB SITE INFORMATION AND LOCATION Total number of floors: 2..
lob site address: /Z 2.73 S kt/ Wiey ,-v/..4/ ,(��'I ve. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 5 33 square feet
Suite/bldg./apt.no.: I Project name:Troy Park Lot 4 Covered porch ar Zed�, square feet (5-2 4t...
Cross street/directions to job site: Deck area: 1L l . square feet 1 U 06
Other structure art 31,65 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Troy Park I Lot no.:4 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Single Family Residence Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name:Timberland Homes,Inc. Type of construction:
Address:12670 SW 68th Ave.,Suite 300 Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing:
Phone:(503)620-8860 Fax:(503)598-9081 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Timberland Homes,Inc.
Structural plan review fee(or deposit):
Contact name:Laura Blake -
Address:12670 SW 68th Ave.,Suite 300 FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97223 Total fees due upon application:
hone:(503)620-8860 I Fax::(503)598-9081 Amount received:
E-mail:laura(atimberlandhomes.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Timberland Homes,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:12670 SW 68th Ave.,Suite 300 Solar Installation Specially Code checklist.
City/State/ZIP:Tigard,OR 97223 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)620-8860 I Fax:(503)598-9081 State surcharge(12%of permit fee): $21.60
CCB lie.:141715
J�l 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: / k �(l / I Date: /z 1t( // 2 I •Fee methodology set by Tri-County Building Industry
�uzA al ge ( ! Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
me
.r
Plumbing Permit Applicati i i l�EC . E J
Site Utilities FOR OFFICE USE ONLY
City ofTi and JUN 2013 /yS7 , /3 049/4/o�
Received
Date/By: Permit No:
e 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
: 2 Phone: 503.718.2439 Fax: 50359 OF TIGARD DawBy. Other Permit No.:
Inspection Line: 503.639.4175 BUILDING DIVISION Dale�yBy: ms: Si See Page 2 for T I G n t D Internet www.tigard-or.gov
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
®1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building SFR(3)bath , 50032
g ❑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:12273 SW Winterview Drive Catch basin or area dram 1 R.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:Troy Park Lot 4 Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Troy Park 1 Lot no.:4 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 3127 31.27
DESCRIPTION OF WORK Backwater valve 1251
Clothes washer 25.02
Single Family Residence
Dishwasher 251)2
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER l ❑ TENANT Expansion tank 1251
Name:Timberland Homes,Inc. Future/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:12670 SW 68t'Ave.,Suite 300
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 1251
• 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Timberland Homes,Inc. Medical gas(value:$ ) Page 2
Contact name:Laura Blake Primer 1251
Roof drain(commercial) 1251
Address:12670 SW 68°3 Ave.,Suite 300 Sink/basin/lavatory 25.02
City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 6254
Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 1231
E-mail:laura @timberlandbomesset Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 3752
Business name:G&B Plumbing&Sons,Inc.
Water piping/DWV 56.29
Address:PO Box 92 Other 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(971)563-3268 Fax:(503)633-8378 Minimum permit fee: $7250
CCB Lic.:184372 Plumbing Lic.no.:PB634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Slev��D kli/e,l/ Date:61/2.A/4.3 T�permit app after it if accepted as complete.
within 180 days
'Fee methodology set by Tri.County Building Industry Service Board.
IABuildinePermiu\PLMU"PermitAppdoc ION1i09 440.4616T(10402/COM/WEB)
Mechanical Permit ApplicattACE /F, FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
h' g Date/By: ittS�2O/3
11 ° 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 6 2013 Plan Review
C Phone: 503.7182439 Fax: 503598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris: ®See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING
TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHECKLIST
®New construction Mechanical permit fees*are based on the value of the work
❑Addit ion/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other. Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION , Heating/cooling:
Air conditioning 46.75
Job site address: 12273 SW Winterview Drive
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/7IP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldgJapt.no.: Project name:Troy Park Lot 4 Duct work 2332
Cross street/directions to job site: Hydronic hot water system 2332
Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 2332
Subdivision:Troy Park Lot no.:4 Other. 2332
Other fuel appliances:
Tax map/parcel no.: Water heater t 2332
DESCRIPTION OF WORK Gas firep�nsert 1l 3339
Single Family Residence
Flue�t for water heater or gas 2332
fireplace
lighter(gas) 2332
Wood/pellet stove 3339
Wood fireplace/insert 2332
Chimney/linermue/vent 2332
® PROPERTY OWNER ❑ TENANT Other. _ 2332
Environmental exhaust and ventilation:
Name:Timberland Homes,Inc. Range hood/other kitchen
equipment ( 3339
Address:12670 SW 68th Ave.,Suite 300 Clothes dryer exhaust 3339
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2332
Phone:(503)620-8860 Fax:(503)598-9081 Attic/crawlspace fans 2332
APPLICANT ❑ CONTACT PERSON Other. _ 2332
Business name:Timberland Homes,Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Laura Blake Furnace,etc.
Address:12670 SW 68th Ave.,Suite 300 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97223
Water heater
Phone:(503)620-8860 Fax::(503)598-9081 Fireplace I
Range
E-mail:laura @timberlandbomes.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Central Other
MECHANICAL PERMIT FEES*
Address:PO Box 433 Subtotal
City/State/LIP:Clackamas,OR 97015 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)656.1908 Fax:(503)650-3898 State surcharge(12'&of permit fee)
CCB lic.:178624 TOTAL PERMIT FEE
This permit application expires If a permit is not obtained within 1811
Authorized signature: �..�i days after it has been accepted as complete.
!;n '(' • Fee methodology set by Tri-County Building Industry Service Board
Print name: AA/bow ut-pr Date: /40 7�'i�
t:)BuiIdingWemitsuvdc_t tApp_o4ot u.eoc t7r(It )
r.'EcENE.1
. , . ,.,
Electrical Permit Applicati o l FOR OFFICE USE ONLY
City of Tigard JUN 2 6 2013 Received
II q Date/By: Permit No./7s7177oi 2 - oo/t /
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
• C Phone:
Inspection Line: 503.639.4173598.1 OF TIGARD Ready/By: f Wit:
®See Page 2 for
I'I G A R 11 Internet www.tigardor.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked below):
❑Demolition; ❑Service or feeder 400 amps or more ❑Building over three stories.
❑ where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 101000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building am to ground,of or exceeds ons. ❑Commercial-use agricultural
my g amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A^,"E","l-2 "1-3
Job no.:TP4 Job site address:12273 SW Winterview Drive t or more. occupancy.
❑Six c or or more residential units. ❑Recreational vehicle parka.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg/apt.no.: - Project name:Troy Park Lot 4 ❑Service or feeder 600 amps or more.
FEE SC
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Troy Park Lot no.:4 1,000 sq.ft.or less 16854 4
Tax map/parcel no.: Ea.add'I 500 sq.ft.or portion 33.92 1
Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) I 75 00 2
• Limited energy,multi-family 751)0 2
Single Family Residence residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 13356 2
Name:Timberland Homes,Inc. 401 amps to 600 amps 200.34 2
Address:12670 SW 68th Ave.,Suite 300 601 amps to I loo amps 301.04 _ 2
City/State/ZIP:Tigard,OR 97223 Over 1 x)00 amps or volts 55226 2
Temporary services or feeders installation,alteration,and/or
Phone:(503)620-8860 Fax:(503)598-9081 relocation
200 amps or less 5936 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 16854 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
® APPLICANT 1 ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name:Timberland Homes,Inc. each branch circuit
B.Fee for branch circuits without
Contact name:Laura Blake service or feeder fee,first
branch circuit 56.18 2
Address:12670 SW 68th Ave.,Suite 300 Each add'l branch circuit 7.42 2
City/State/ZIP:Tigard,OR 97223 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)620-8860 Fax::(503)598-9081 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:!aura @timberlandhomes.net Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:Ned Electric,Inc. Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 ' 2
Address:2931 Redfir Ct.NW Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 6625/hr
City/StatelZlP:Salem,OR 97304 Investigation(I hr min) 6625/hr
Phone:(503)701-6257 I Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 194105 slag/ Electrical Lic.: C747 ,1 I III Suprv.Lic.: a 9e..3 s specifically listed(1/2 hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: /L4 do /� \ /0////3 Subtotal:
Print name: Mike //,t ( I` Date: ` /L y /[3 Plan review(25%of permit fee):
1p 1, / ( State surcharge TOTAL of permit fee):
Authorized signature: TOTAL,PERMIT FEE:
Print name: pixe � Date: L 9 (f/,3 permit application expires if a permit is not obtained within 180
2 days after It has been accepted as complete.
• Number of inspections allowed per permit.
L•\BuitdmgPemist\ELC_PenaitApp_E1R-EREdoc Rev 05/21/2013 440.4615T(I I,D5/COM/w®
I Building Division
Development Code Provision Review ,
T i G A iz Residential Projects
Building Permit No.: /`1�7P0/3 — 04/ 7
Project/Subdivision Name: 7207 1' I'- , Lot #: Y
Site Address: /07,2 7 3 SW W',/7 72-IS/Ea() 1SJ-- -
CWS Service Provider Letter:
Required:Yes ❑ Non
Received:Yes ❑ - No -
Plans Routed:
Original Plan Submittal Date: 6/e /3 Routed By:`R ( '
1" 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. ,I
Planning Review(contact A(Vye' Ko�'IGaC.2 at(503) 718-Z Li 2-1 or ��YL/S�- @tigard-
or.gov) ��JJ
Land Use C e No. SAB)2001 -00011
Zoning g-`1
❑ Setbacks:
I
Front I S1 Rear 151 Side S Street Side 1 d Garage ��
❑ Maximum Building Height: '3S-' Actual Building Height
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands Type: NONE
❑ Street Trees
❑ Protected Trees L(
Notes: C,�d lt1wlS of Olp pAkt g hlj-E ono. - ,/WI I
Original Plan: Approved ❑ Not Approved Date: I I
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)
.13' Actual Slope: 6,
Notes:
MU-T 3S £ 3 9 FIKE ST Pc L C�7
SH&iJ UTIt-17'( 1.-De-A-77 H2_0 55/ f(n)
Original Plan: Approved ❑ Not Approved lir Date: 7 !/ 13
Revision 1: Approved,' Not Approved,❑ Date: / /r3
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 Applica
l
Okay to Issue Permit: Yes o ram 91/6' 13
Date Routed to Building:
•
M
•
Page 2 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR RES.doc Rev.01/16/13
•
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2. � /- �- � 1 V-. � D� � ' 'A0°~oaR4 smawmL aave�+YA erg To a _� { ,I. .J:-. '. J
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•PROVIDE OOSRY.CRY APPROVED•EDSLIT PACK%.AICIFO EXCAVATED AMA
PROP TO EXCAVATION MO COISTRCT ON. .: ELEV.50�Ja0'
ELEV.500.00' _ HOSE + DESIGN
S.PROVIDE DO AVATI APF•ISOV®sTAeL®aRArs®caelwrTlwl e+mnca 1 6
PROP TO EXC AYATp1 Al D CGMSTRGIIOR
A•OOOORES Na?SE COVERED MU PALM OR PLASTIC S18flO MUM
i X
OCTOBER I AM AMA.IA �/ y -
1 CONTRACTOR/SS-OOARACTOR TO VONT LOCATION O ALL MLLIIN•PRIOR TO .
EXCAVATION NO CO ETACTION 4
•MADAM MD tOPOORM�IT NIORMT1OI MS®1 PROVDED TO SCTUS ACAS ' ,
NO DO M• .SCYL•U NOM ND Oe (NC.001 NOT IN 180 LIMA-POR M
/GONER R TO Q Nam FIOIlMTIONC R E TIE SOLE 1RA,OFPLA EY Or OA DcNTIrrlcTal ® rJ,469 S F
,D WNW ALL WE=MOM NCLIDW R1 PLACED ON«TE.
•TCPOOR4 IY ELEVATIONS III•a COLLECTED RCM ACTUAL W SURVEY. 16.4 21132'
O ELEVATION LEGEND.
®.mOM111 SAVE ELEVATION ' 01 0
I.FINAL GRADE ER VATON MOOD ROGI ATION PAT O •
6 PROVIDE A P O1M GRAVEL DAME omen ALL DRq'JdAY ARI A L ��1'�
C PROVOS A P MAIM SRAM.EASE ISDE!ALL•DEwuc NO PATIO ARRA& 5'9' - V
Ti
0 PPE ALL COl1 GRAMME FROM TIE CADDIS TO A COIMYM7TY DISPOSAL v'
PCNTA70NiCTIOI
K MA101M SLOPE O CUTS NO RLL6 TO E•TOID PC IDI®ORAL.TO ONE N 'j�1B aGL FT•
VERTICAL FOR E10.DPp4 STRCI RES PGOCATIO S.NO FIQTANFO OWLS pp 4 � PO
D.PROVIDE AND MAINTAIN►NON GRADE 11114 P IT1 PRANCE AmAY FROM j( Z9 BATH r
M
iii li
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BROWN CONTROL.PLAN O 9
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tit
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, �j CONSTRJCTION ENTRANCE ■0 — El
WORK STAGING/MATERIAL STORAGE ca-Ic• ,r I PLAN NOS 3081•
• DRIVE DRAIN:
•
N COVER ALL AREAS OP BARE •.
NIL .�1 DATE:05-11-1013
SOIL UNTIL PERMANENT LANDSCAPE , J_ ��� ELEV.5m0�'
IS W PLACE •,I NBbD .� SCALE: 11x201-0'
ELEV.5�:.,, - "■��T�
CATCH BASIN PROTECTION ,r'. PLOT
V,APPROACH
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PLAN
-PLEASE READ.
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12273 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
June 3, 2014 at 11:58:54 AM
MST2013-00161
Jeff Grove
Violation Summary:
Inspector Contractor