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Permit CITY OF TIGARD MASTER PERMIT ' s COMMUNITY DEVELOPMENT Permit #: MST2013 -00247 Tigard OR 97223 503.718.2439 1 3125 SW Hall Blvd., Ti Date Issued: 12/17/2013 T I 6 � �1 R n 9 Parcel: 2S112BD06500 Jurisdiction: Tigard Site address: 14786 SW 80TH AVE Subdivision: BRITTANY MEADOWS Lot: 1 Project: Brittany Meadows, Lot 1 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Reauired Stories: 2 Bedrooms: 4 First 1365 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1178 sf Garage: 380 sf Front. 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2543 sf Value: $290,014.76 Rear 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 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 add'I 500 sf: 4 201 -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 2543 Owner: Contractor: PACIFIC EVERGREEN HOMES LLC ALAN NATHANIEL GOFFMOORE Required Items and Reports (Conditions) 7410 SW OLESON RD #133 13950 SW BARLOW RD 1 Ersn Cntrl 503 - 639 - 4175 PORTLAND, OR 97223 BEAVERTON, OR 97008 2 geo tech report required prior to footing inspection PHONE: 503- 664 -6423 PHONE 503- 664 -6423 FAX: Total Fees: $20,958.42 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and ther 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. if w rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce er. ys les e et fo OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a e r direct questions to OUNC by calling 503.232. 98 / / Issued By: Permittee Signature: i / Call 5 5 by 7:00 a.m. for the next available inspection dat This permit card shall be kept in a conspicuous place on the Job site until comple on of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD SEWER CONNECTION PERMIT • a. COMMUNITY DEVELOPMENT Permit #: SWR2013 00208 T 1(3 AR. O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2013 Parcel: 2S 112 BD06500 Jurisdiction: Tigard Site address: 14786 SW 80TH AVE Project: Brittany Meadows, Lot 1 Subdivision: BRITTANY MEADOWS Lot: 1 Project Description: Sewer connection for new SF Contractor: Owner: PACIFIC EVERGREEN HOMES LLC 7410 SW OLESON RD #133 PORTLAND, OR 97223 PHONE: PHONE: 503 -664 -6423 FAX: • FEES Description Date Amount Specifics: Sewer Connection Fee 12/17/2013 $4,800.00 Sewer Inspection - Residential 12/17/2013 $35.00 Type of Use: Class of Work: Install Type: Fixture Units: Number of Dwelling Units: Total $4,835.00 • Required Items and Reports (Conditions) 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 w - .n 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopt-. 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 opy .f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: � •er :a � - Call 503.6 311111 7:00 a.m. for the next available inspection This permit card shall be kept in a conspicuous place on the job site until com • tion of the project. Approved plans are required on the job site at the time of each inspection. itioilding Permit Application ‘_ olll niet dal RECF'JE FOR OFFICE LSE ONLY b /7 / b City Of Tigard Dale, r ,- /� rennet Nn.. tit/ /`15r . - ley ' 13125 SW Ila11 t3hd.- I ward, OR 97223 DEC 4 2013 Plan RevieII � e1 Perm": D n� II oe� ' B Phone: 503.718.2439 Fax: 503.598.1960 DateiBv Lim i 03.I 3 4175 CITY OF FIGARO Date ReadyiB �i% hots. Ci?1 See Page 2 for if PSi`c`Ctiol! Line 9 4 i S i 4 ='1 P t7 t No cdiMethod. Supplemental Information 1' Internet: nww.tixtud- , 1r.LO% . -i 1.i -,IC it - ;4 - i' �,0 -- -- :. 'TYPE OF WORli �, "fi its �.: r / , REQUIRED DATA: ! -AND 2-FAMILY DWELLING 12,:l !.1t-• . insle teiion ❑ Demolition Permit fees* are based on the value of the work performed. - - -- -- Indicate the value Hounded to the nearest dollar) of all r j ...;Iditionitdt.:ration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the — — `— — — - -- work indicated on this application. I CATEGORY OF ('ONSTRUCTION Valuation: $ 2-90 o 14-.% 1- and 2-tiumily dwelling ❑ Commercial /industrial -- — Number of bedrooms. 4 ❑ Accessory building ❑ Multi- family 13 Master builder Number of bathrooms. 2.5 ❑ Other: i:•a+ `` JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 14786 SW 80 Ave New dwelling area: 2543 square feet city /State /ZIP: Tigard, OK Garage /carport area: 380 square feet Pro r..uitc,b1dg.tart. no . ject name: &-i-i---4 t, I � i \, t l 'LA* 0 C" Covered porch area: 72 square feet I ( - 1 1. ross street /directions to job site: Bonita Deck area: 46 square feet 1 i3&5 -- Other structure area: VI 2. square feet 1 REQUIRED DATA: COMMERCIAL -USE CHECKLIST �- fidivi• =ion: Brittany Meadows Lot no.: 1 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. Valuation: $ New Home Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANI Number of stories: Name: Pacific Evergreen Homess LLC Type of construction: :Address: 7410 SW Olseon RI), STE 133 Occupancy groups: 1 City / State/ZIP: Portland, OR 97223 Existing: Thane: ( 503 ) 66 y 46423 l aT t __ ! New: 1 i�51 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to scbedide) 3nsine name Same As Above Structural plan review fee (or deposit): I Contact name: FLS plan review fee (if applicable): I Address. - Total fees due upon application: i _ity'State1113 Amount received: -7 Phone:( ) Fax::( ) - mail: alangoffmoore o goat/ coo ' — — — PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* — Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. Business name: Alan GoffMoore Construction Submit two (2) sets o oof plan with connection • •ils and fire department ace , along with the : I Oregon Address: 13950 SW Barlow Rd Solar Installation Specialty "ode c. ' t st. City /State/ZIP: Beaverton, OR. 97008 Permit fee (includes • review $180.00 and : . - - istrativ - es): Phone (503) 6646423 4 F ) _ State sur - ge (12% of permit f • $21.60 CCB lie.: 187268 __ , Total fee due upon application: $201.60 F -�� -This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. } Print name: Alan Gofl'Moore Date: 12/3/13 * Fee methodology set by Tri- County Building Industry Service Board. I \iBuildingil'ermits \BUP -COM PermitApp.doe 02/24/2011 440 4613T(I 1 /02 /COM/WEB) A Plumbing Perrnit Application Building Fixtures _ i • Pity of T i a rd /a 4< / 3 Ninth tie .. grget/ 3 `A? • t ` `,.'WI trivtt,. S *M l OR 9722.4 y �7 �yy i - .!Z :'' - - - Dal Review jK. ge /3' �4d 1 . � iih`rtC. je) ?.'� :d�9 4 AN = ti',:, }'i$19t.t) '. � � t)a,crl)r� CkMrPermitNo. - get /5 i r t '4' •3G It 7:. One Beatty Rr r nen 0 See Page 2 tar I tt., th.t) W tularemiaa r r , 1 ,;,11', k x,hed•tilethod � t "a' i k ..iN.,,o.....•g,;/ .; . e a 4, a : ,,. 1' '',4' ,: „ :.,• . .4 .. .•;x 1 j Nt v. Q Demolition For. da(! untr*mtcn we checklist TMaI _._ _ Description u' t 11)1+ r l i t I'M ur�Ftn •..a nt ❑ ()titer New I- 2- family dwellings (include, 100 (I. far cacti utility connection) - :alv(t r +.miemic :ou t -.. .d a ._ ,;) "'Y'c -+w SFR (1 bath 1 31170 r El 1- and 2-family dwelling ❑ Commercial/ industrial SFR (2 bath 437 78 SFR (3) bath 500.32 1 ,1 Accessory building - _ - ©Multi - family Eatdt addiurrtal bath/kitchen - I 25 02 0 Master builder ❑ ()leer Fire sprinkle t. ssit 11.) Page 2 CC�,' : _ - 1 Site utilities:_... -.w__ [ " ' J , Catch basin or area drain 18.76 lob site address: y fir` �t� �' VC - r" Drywall, leach litre, or trench drain 18.76 City/State/ZIP: TIGARD, OR i Footing drain (no. linear R.. ) Page 2 Suit /bldg. /apt. no.: I Pmject name: BB ITANY MEADOWS j . Manufactured home utilities 50.03 Cross street/directions to job site: % 60 ki..te A # Manholes t 18.76 ! 1 Rain drain connector ' 18.76 - - - - 1..- Sanitary sewer (no. !mess f : .1 Page Page 2 --- -- - - -- - Storm sewer linear fl.' ) Page 2 1 -' - ----------___ .._.__._....._..____._.__.._ -- Water service ino. linear fl . 1 Page 2 Subyiv0;19n. BRITI AN)" MEADOWS 1 l..ot no.: f Future or item: I Tax imp/parcel no Backtlow preventer 1 31.27 a µ r.a , � - .�`_' ;. :I Backwater valve 12.51 - - - Clothes washer 25.02 i NEW HOME Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 , �/ r Fixture/sewer cap I 25.02 Nitric: 1 QA1.�FC. Gr UC( �7 C Floor draio/foor sink/hub 25.02 Address: "] (t) S v✓ v L� /2..o 5 f� 133 carnage disposal 25.02 City/State/ r(jyt-rGi }r 0 . a C f 7Z,Z� Hose bib 25.02 Phor (p(06 / 3 � Fax. ( ) to maker 12.51 V` '4 ,: } ' r t ; g Inter cpter /grease: trap 25.02 / Business name. PACIFIC EVERGREEN HOMES LLC Medical gas *value: S _ 1 Page 2 - - - -- 1 Primer 12.51 Contact name: ALAN GOFFMOORE - Roof drain (commercial) 12.51 Address: 7410 SW OLESON RI) STE 133 Sink/basin/lavatory 25.02 '- --- ----- - City/State"L1P: PORTLAND. OR. 97223 Solar units (potable water) 62.54 . Phone: (503 - 1664-6423 I Fax: : ( ) Tub/shower /shower pan 12.51 E -mail. AI NGOFFMOORE,a GMAIL.COM Urinal 25.02 Water closet 25.02 .. v. k , ∎ . �.' , a, 'fi : 5 '', , t 36 1:' ° ' ' ' ' ' ' .1' '' ' .... 4 Water heater 37.52 Business name. EDWARD MULLEN PLUMBING WaterpipingioWV 56.29 Address: 1601 SE RIVER ROAD Other: 25.02 City /SiateflZlP: HILLSBORO. OREGON 97123 Subtotal Phone: (503) 640-0113 Fax. (503) 640 -1483 Minimum permit foe: 572.50 Plan review (25% of permit fee) CCB Lic.: 92689 Plumbing Lic. no.: 34 -260PB Stale surcharge (12% of permit fee) Authorized signature: ` l.1 . - /� - TOTAL PERMIT FEE Print name: RAY MULE: ' Date.+++�� This permit application *spires if a permit is net obtained within 150 days K. ,,,„„..../7_, J after it has been accepted es complete. �J *Foe methudolc y set by Iri- County Building Industry Servi,x Bond. 1lknicknglPanaastPt MI.I.Pe 14tInRV 00- 46161(1 trtIi.^COWIvta) _ -. A 1 . : . l'9itchtlaiicali —P-P--it A. lication km orf tut: USE ON.L.N . A • • Ot) of Tigard , ... ...... a tt,scer,er 1 , A i„, j 3 25sw Hall B. lvd... '1 igard. OR 97.-er23 , 1 111 ' Phone. 503.718.243 Fa: 503.598.3960 ..t, GA it ty Inspection line: 503.6-19,at 75 : Doty ReadyiBy: huis: Fa See Page 2 for . !,-- Kt: -,, v- - .• lig,11, qtr. Notiticd-tylethod Supplemental Information .- - - - - - -- - --- ---- — - -- — - -- - ------- -- - --- - -- - .......-'-' -- - ..- COSINIIIICINL FEY* St 'HEW IX - HER afraliSt TYPE Of WOR1-4 . - . ' ....-., . ,. .,-.. .1 i----- --- ---------------- - - - -----4 ' —. ------- Mechanical pennit fees* are based on the value of the work ,......,,,,..to.-ei•or F1 Additionialterationlreplatxment • performed. Indicate the value (rounded to the nearest dollar) of all t.i.1:1 ..,.• Lj other: mechanical materials, equipment. labor, overhead, and profit. ,----- -- --------- ------------ --- --- Value. S ___, ..,.:19 OF c-OlS . -•-". .ei".. - '' ,..-; .: ' ' ;,-.. . ity,IDENTIAL Egtari4KN %.. 1- and 2-tamily dwelling 0 Commercialiindustrial 0 Accessory building For special information use checklist fl /,..101i-familv 0 Master builder 0 Other: Description I Qty. 1 Ea. 1 Total SITE DiFORMATIO 7 N AND, i,,11)40410,4, .- , „,„"t;' Heating/cooling: - - , - - - ' "L ' ''''' ''' ' ''' - ' ' ' Air conditionin 46.75 1 , 1 — I / 1 * 4, 1 , ...... 4 A .• L---- _____L. , 46.75 Job site address: 1 . 7 I C 50 fiVe Furnace 100,000 BTU tductsivents) f ' t -------------- 1. City/State/MP: "4. A (1,0 Furnace 100,000+ BTU (duets/vents) 54.91 Heat pump ._ 61.06 Suite/bldg./apt no.: , Project name: 6assf1aij1 61,(.19 CV/,/ Duet work 23.32 Cross street/directions to job site. Hydronic hot water system 23.32 — — Residential boiler (radiator or - hydmnic) 1 23.32 1 —_.-------_—_. _ _ _ • Unit heaters (fuel-t)pe, not clectic). • — .__ — in-wall, in-dukt. suspendeel etc. 46.75 Flue-vent for any of above 23.32 Other fuel appliances: 23.32 1 Subdivision: 4f/ es: _ : Tax map/parcel no.: Water heater 23.32 Gas fireplace 'DEsPurPT cCtY91 .,.•.....,,, ,e,.::: 4: ‘,. ' .,,'. ' 3339 ' -' - - Flue vent for water heater or gas jcia 1\-)tlik) fireplace 23.32 _ _ i Log lighter (gas) 23.32 1- -- Wood/pellet stove 33.39 - i Wood fireplace/insert 23.32 r---' . Chimneylliner/flueivent 23.32 1 ,••-,;1``:-3-'*14P-4.141'"*.li1.- : 1315490: 6 1411 F :-. -' ,41; - .---: 23.32 . 444 , r - ' . Environmental exhaust and ventilation: M _ Marne: : , A . aa ( '''. ' ,Ali, 5 c Range hood/other kitchen A ' equipment 33.39 I Address: - 7q10 StA 046 W-0 S 1 )33 Clothes dryer exhaust _ L C i t y /State/ZIP: p 44,2 A A 0.0411 C/It. C L7 2 Single-duct exhaust (bathrooms. . _ ..._.. ) , toilet com.artments, utility rooms) 6 _ 23.32 I Phone: ( 0 ■ ,,.., , 2 3 Pax: ( ) Anicecnnylo.ace fans I 23.32 i '-" ,.-*-‘ APPIACANT - ca, CONTACT PERSON . - - °ther: I 1 23.32 Fuel piping: Business name: Furnace erc 53 . 4.15 fur first four $4.03 for each additional Contact name: _ Gas heat pump i I t Address: G 1 0 ( 1) -- A P° WallisuspendedAmit heater City/State; ZIP: - Water heater _-- Phone ( 1 I Fax: : ( ) Fireplace .1..alst e , Clothes dryer (gas) 1 , ' • • ''' ' Oth ,...______, Business name: Central Air, inc. , , Address: Po Box 433 Subtotal p ..._ City/State/ZIP: Clackamas, OR 97015 Minimum ermit fee (590.00) Plan review (25% of permit fee) Phone: (503) 656-1908 1-- Fax: (503) 650-3898 • State surcharge (12% of permit fee) CCB lic.: 178624 L TOTAL PERMIT FEE (..? This permit application expires If a permit is not obtained within 130 ■IA,1. days after It has been accepted as complete. Authorized signature: • Fee methodology set by Tri-Ccmnty Building Industry Service Board . i Print name: Andrew .Scheidt 1 Date: i 1.135adastPermits4411C..rn-rnitApp.0.10113.doc 440461 I T (1 ,321COM.V38) s • t. t' ('C T'1 cw4 Permit A141$P4 i3 (311 +b ax' t.'' . !viA. -.*.�, . si :,..e > ` , Y S t ., Received Permit Nn.. m T 4, 7 i. City o #' Tigard nn [� ((`` 4 2013 tkttdnr /A _ y [3-�, _lyP'G1 i:7'F// .. L j • ° 13123 SW } {aillSl•d..T 1172 I Plan Re.icu i'Ixric 503.710.2. Fax: 503.5911.1400 Dataily: (niterl'cKaRt. P. -aJapg t f ° ^ Moe Readyll3y: !urn t?f are page! far i. TiC u t? Inspection line: 303.03 ). G ay or lu p Sop eenteatat Information s.yat:, ,t_.; Inirnier www.tigard-ur.gov - - No ini:if/ (eshed. _ __._. ______ _. 1t1.rt REVIEW T7 Pt. OF `3'Olbi Please check an tint Apply ttuttmit a,,i:I5 of plant r•:'itcmc checked «viii r �) New construction 0 A< Irlltl (Mfal[CTahoit;rCpiat:e111Cg1 f3sei'in feeder Mu;u!+es;nr'u . 0 Building mei three male.. Demolil ion 0 Other: tvit;rc rise available lank s: orent 0 ).taritus and boatyards. escools ai ii 41111A At L n tad 0 F'vating baifdingi. CATEGORY OF CONSTRUCTION _ i ....... - 11 'II ground. m .cta i •S!! {Y? (] Caninicr.ial -our aprirnhutai k F 1. i. M1LI :i faintly dwelling ❑ (,'rn urrert:iai(indu ttial ❑ Accessory building angri:'vi JO11 r:ui.n.0 tuna civil {lips. , 1 CNN: i. i utttib 0 instatlatu n 47s 1:a• ; a or ' +ln!1 ? -1:+ 11! 1. "lJ iiC' budder ❑ ()l i,L`I _ `_�..T..___... t f iI.Ito •lc` - r.$Cp::+.+tcl_ a{CtlrCti ° :Ct1 JOB Sill: iN1t'R't:�1IO\ tit) LOCATION 1 ! I: dti +n,:.t,...'s r.0 t,.,,t, [} i_ "t•3" "i• ". r r_ y t v_ , Q //fir t s / p % 514 g * �1�� (a `t n ,t. t at„ au•t, 0 i {" National chtiie ;ta: i., i 4, 1 i ns� .i...,._........._ ._.._..._.. —_ _ . _..____ _.___.. -�._.. ,......._._. .. : ❑ Supine ,s Mr r ar e tt•aa --ll tR,� • rs t •• it Sts, =.c•i'.i '1 igttrd. OR. 172.2 1 —._._ ,_. . [3liarantnna i:t:auuus WO c nlu nominal. i I . uit � ❑ &:r: ice n: (tcJce rate amps w mow. mow. St. ?b ldg. : apt. • no. Proj n • Br it t a n y N teadotts SCHEDULE s irect lireel ions to job site. gQ - FEE 5CHE -,�__ _..... - -- n,�yq. umrio 1 Qt+, I Fee. I rusai 1 I --. . - New residential single- or nut Ili-family dwelling unit j Includes attached garage. _ Subdivision: Brittany Meadows Lot no.: ono 00 sq. Il. or less 1.3., . + 4 Ea. ails'. 311 sq. n. to portion A., 33. f Tax map/parcel no.: Limited energy. resideni;al ?S.OU 2 DESCRIPTION OF WORK (with above sq li•} f Limited energy. multi- family / 75.00 3 1 HE `•�,.�r) j tesidemiali with above sq. 'i.) I J k / l rL . _ —. - -- Services or fee . ders installation. alteration, and/or relocation 1 10(1.70 2 1 200 amps or lass TENANT 201 amps tU nisi) ;I'" E 133.56 ® PROPERTY OWNER _ T r. __..__._� 4 +) i on:( in G '!ts amp :ii0.3 t — ( � A e.. }- �,, / n(( 1 ! . 1 Name: P - ze- £V 7 e�� /1 / �_ 0 �— u01 anrta to 1 +1tH) amps f 3U1.t1» Z + 1 i , ,- • �� dC8 / /� O,er l.O 0amps or vnlis 1 I 552.2(1 Address: x A, / Q 1.-- Temporary services or feeders installation, alteration. anrUor CityiStatetZIP P�� ?(4r,/.) (/►Z. 1.17413 � i rctacalion phone: �d 3 Q 7 G7 Z -- Fax ( i t- --- = _.�._.._.__... i '� j"' ;t L� - ; 20i amps to -101I amps t >.G "� ^ Owner ins« 1llntiun: 1 h is installation is being made on property that I own to hit h is not "- � V'- -.. dt) tJ snips 1 l aryls, to i�ps I 163.?4 ± { intended for safe, lease, rent, or exchange. according to ORS 447, 4+19, 670, and 701. Branch circuits, new. alteration, or extension, tier panel Owner signature: ______ Date: _ A lee fin branch Omens with 1 2 above scrvitx: to feeder tire, 7.d3 ® APPLICANT ©CON CONTACT PERSON each branch cocuit . B. FCC for branch circuits without Business name: Pacifiee Evergreen Homes service or feeder Icc. first 56.18 ? branch circuit Contact name: Alan GotlMoore Each atkl'i branch circuit 7,42 2 Address: 7410 SW Oleson Rd Ste 133 Miscellaneous (service or feeder nut included) Each manufsettdcd or modular _ 67.iS4 � City/State/ZIP: Portland, OR. 97223 dwelling. service andtur feeler ) Phone: (503) 66 4-6423 — I Fax:: ( ) ! Reconnect only G7.S 3 Pump or irrigation circle 1 67.g: E -mail: atangoffmoorc ) ;mai).com r 4ien or ink ine lighting 1 6 j 2 CONTRACTOR _ Signal vitcutt(:s) or limited - energy }sAncl, alteration. t 2 , or extension. i page? t Business name: Garner ClcctrHc Each additional inspection over allowable in any of the above Address: 2920 SE Brookwood Ave Ste A Additional inspection t 1 hr min) I 1,0.2511w 1 Investigation (I hr min) L 66.25/ hr I CitylStatciZiP: Hillsboro, OR 97123 Indusht:ol plant t I hr min) 7$ ig/ 1w s -5 i" : (503- )(,' 3 -7 _ - y, htstxe. o tin which no '¢ Is 9 hr Phone: (503) _. _.^ _._ -___. • -_ 1 x, +ci':.i +:lumini t r Lit. (' 1LL(:1'RICAL PERM! t' FEES C C'[3 Lie.. i 2_'59 — Elect' ..- :_t . 4 0 3t. ,' t1 I ,te .: 3 ?07-5 (__,_ Suhtutat: 1 Suprv. Electrician signature, tequire : /7 /./ it // r , plan review (25 % o1 permit Ice): ` +f/ Dal e: (Z - 3 3 State surcharge i 12% of permit la:): Print name: Chuck Carne r �� A(j n Jl a j „ _ TOTAL PERM I'(' FEE: Authorized signature: 'This permit Application eapires irn permit is not obtained within ISO days after it has been accepted as c plate. Print name: Date: - Number of nulxctiutis allowed per permit. I w.ikletlt`,rettn:. +111.c••1'es mi„1ty+S.: mxst''n .1.10.461Y1111109( ONI %ti9 Building Division Development Code Provision Review T t c A h Residential Projects Building Permit No.: f 6`rc> - 60,07 Project /Subdivision Name: &( w N f /41)o L i , Lot #: Site Address: ) /7e4 & $0 .41)4 CWS Service Provider Letter: Required: Yes ❑ No pi Received: Yes ❑ No Plans Routed: Original Plan Submittal Date: /P- / / 3 Routed By: `�' 1St Revision Submittal Date: / P- ®/ .3 Site Plan Only Routed By: C T Revision Submittal Date: ❑ Site Plan Only Routed By: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked ( ■) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact 641 ‘5 P ev-5 +e�+� -t at (503) 718- z `1 3 7 or 'art p @tigard- or.gov) Land Use Case No. 5 ( 00 0 13 Zoning R -1 1, S etbacks: Front 2_I) Rear /5 Side 5 Street Side 45— Garage ,0'' Maximum Building Height: 3 U Actual Building Height Z b ....E1 Clearance ,ID j-$ Sensitive Lands Type: /" 4 - Ei Trees PAErTrotected Trees Notes: Original Plan: Approved, ' Not Approved ❑ Date: " 5-- (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) ,EKActual Slope: Notes: '� a/ )v GJ /i . � (� i h� �7Z/L�L_ Lnrr C F g cj ��'►✓� - (uc (() 'J Original Plan: Approved ❑ Not Approved Date: /2. 13 Revision 1: Approved Not Approved ❑ Date: / 2- ( < (3 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 No 11 / L� //3 Date Routed to Building: /A/Ili /1 Page 2 of 2 1: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 H S r?o/ - x "7 TROXEL 'S HOME DESIGN c 1778 S.W. 26TH CT. GRESHAM, OR 97080 DEC 1 0 20/3 ELEV: 52 78� 96.E 1 1M / Ar • T rCA R fl LOT # I D/ 7,456 5Q FT I YlSlpry I r - /, /0 / 3 I I I 1 030.0' STORM DRAIN EA`EMENT I j I I I I i I I I I I I / / I - I PORC I I I r I I I I I I i I I I � I j - - - - -1 I PROPOSED I j RESIDENCE I I k PLAN # 1 : ; 3 0 - A I s 4 F.F.E. = IGLOO' 0 — d _. • 7 E R 0911.MJ I I I I 514.1" �r.F r G.F.E. —100.50' 5'f+ 'S+ I J � • - ' I C. NC. WALK ? I 4" FK 6) YJ I - ! _. — . -. r— LEGEND SIDEWA 52 .50' 6 Aik....i 6 3" SEWER TE — — — • 1 "WATER ��— ® GAS — — _ -- RAWER SW 80th AVE. - -- RAIN DRAIN NAME: _ &3.Zsf$A✓ _rizC r.621_ _ SITE PLAN DATE: 11 -25-13 SCALE: _ /-= 20 _— PLAN: PLAN 8133" DRAWN BY: DENNIS TROXEL ADDRESS: _ $G S _ id AvG - a4Aiz,D _ Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14786 SW 80TH AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal 2014-04-14 00:00:00 MST2013-00247 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14786 SW 80TH AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal 2014-04-11 00:00:00 MST2013-00247 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14786 SW 80TH AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal 2014-04-09 00:00:00 MST2013-00247 FAIL 1. Correct top of left front rain drain riser (leader/down spout), below grade, extend above grade 4". 306.1 2. water pressure exceeds maximum of 80 PSI, PRV required. 608.2 3. expansion tank needed, on the closed loop water piping. properly size the tank 608.3 4. Re-inspection required. 103.5.6.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14786 SW 80TH AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal 2014-04-11 00:00:00 MST2013-00247 FAIL 1. Corrections 2 and 3 from inspection dated 4/9/14 not done, recall when completed. Violation Summary: Inspector Contractor