Permit CITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: MST2014-00020
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �D� Date Issued: 03/26/2014
Parcel: 2S110BC11700
Jurisdiction: TIGARD
Site address: 12287 SW WINTERVIEW DR
Project: Troy Park,Lot 3 Subdivision: TROY PARK Lot: 3
Project Description: New SF. 5/6/14:Reprinted permit to include backflow for irrigation.
Contractor: TIMBERLAND HOMES INC Owner: TIMBERLAND HOMES INC
12670 SW 68TH AVE STE 300 12670 SW 68TH AVE#300
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-620-8860 PHONE: 503-620-8860
FAX: 503-598-9081
FEES
Quantity Description Date Amount
1 ea Building Permit-New 03/26/2014 $1,782.48
Specifics: Construction
1 Plan Review 03/26/2014 $751.34
Type of Use: SF 1 ea 12%State Surcharge- 03/26/2014 $213.90
Building
Class of Work: NEW 0 Plan Review 03/26/2014 $407.27
Type of Const: VB 1 ea DC Provision Review,SF- 03/26/2014 $70.00
Occupancy Grp: R-3 Ping
Stories: 2 1 ea DC Provision Review,SF- 03/26/2014 $10.00
LRP
14 ea Info Process/Archiving-Lg 03/26/2014 $28.00
$2.00(over 11x17)
64 ea Info Process/Archiving-Sm 03/26/2014 $32.00
$0.50(up to 11x17)
1 ea Metro Const.Excise Tax- 03/26/2014 $368.36
Residential Use
1 ea Tig-Tual School CET- 03/26/2014 $3,064.32
Residential
1 ea Park-SDC-SF Detached, 03/26/2014 $5,996.87
Duplex
Total $21,434.75
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.
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.
li 'y p CITY OF TIGARD MASTER PERMIT
g s COMMUNITY DEVELOPMENT Permit#: MST2014-00020
Date Issued: 03/26/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BC11700
Jurisdiction: TIGARD
Site address: 12287 SW WINTERVIEW DR
Subdivision: TROY PARK Lot: 3
Project: Troy Park, Lot 3
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1220 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1468 sf Garage: 420 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2688 sf Value: $306,963.06 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
Tubs/Showers: 4 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 Tvoes 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
Fumes=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 WI 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 2688
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: 503-620-8860 PHONE: 503-620-8860
FAX: 503-598-9081
Total Fees: $21,399.73
I
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. A TIO •regon law requires you to follow the rules adopted by the Oregon Utility Notificatio enter. Those rules are set forth in OAR
952-00 -0010 through O•- 9 • 1090. You may obtain a copy of the rules or direct questions to OUNC by calling 5.• • 987 or 1. 0.332.2344.
Issu=. By: • "--.6.6.411Ladd■111611‘...il Permittee Signature:
Call 503.539.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application
Site Utilities RE( E 'JED I (Ill OI I It I I Ci of Ti and Received / M
City g DateB : fo j ii .iii Permit No.: i'r 1 . ,i -
■
13125 SW Hall Blvd.,Tigard,OR 97n1.• O c 2014 0
ti 1'04 V Plan Review
Phone: 503.718.2439 Fax: 503.59 . Date/By: Other Permit No.:
I I c� \I'd-) Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD t_,. Notified/Method: •-$d Supplemental Information
TYPE opt NOIi=lufandG�^
'.. FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description I Qty. ( Ea. I Total
❑Addition/alteration/replacement ❑Other: 1 New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CON= t t SFR(1)bath 312.70
}.mss. 171
® 1-and 2-family dwelling ❑Comm• ial/ind u as 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
SOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:12287 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.: Project name:Troy Park Lot 3 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 Lot no.:3 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Single Family Residence
�-� � Dishwasher 25.02
a,__l''fiNj LC{C�CII^J .b AC✓/vr/7 $/�,/// /3'� Drinking fountain 25.02
fit// r_ ` Ejectors/sump 25.02
0 PROPERTY OWNER f El TENANT Expansion tank 12.51
Name:Timberland Homes,Inc. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 12670 SW 68th 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 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Timberland Homes,INe. Medical gas(value:S ) Page 2
Contact name:Laura Blake Primer 12.51
Roof drain(commercial) 12.51
Address: 12670 SW 68th 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@timberlandbomes.net Urinal 25.02
r
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 4.3/.
Phone:(503)631-3893 Fax:(503)631-4737 Minimum permit fee: $72.50
CCB Lie.: 4, 7 e7/. Plumbing Lic.no.: Plan review (25%of permit fee) 1p
( State surcharge(12%of permit fee) 3. 75
Authorized signature: ,1 TOTAL PERMIT FEE 35 OZ
This permit application expires if a permit is not obtained within 180 days
Print name: �'� Date:S/s /y after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-Pet-mitApp.doc 10/01/09 440-4616T(10/Ol/COM/WEB)
Building Permit Application
Residential BEGEFP FOR OFFICE l SE:ONLl
City of Tigard � mom Permit No.:H5 , ��0�
a 13125 SW Hall Blvd.,Tigard,OR 97223 c1 p�Review / �
' I Phone: 503.718.2439 Fax: 503.598.196¢EB 2 V 1,-!,- Date e: iA �.`= Other Permit:,c5.43,d6f y 640/
TI G.A R D Inspection Line: 503.639.4175 Date ReadyBy: kris. le See Page 2 for
Internet: www.tigard-or.gov CITY 0 TIGARU N ethod: /a / • Supplemental Information
1-111 'it•N;t;111-11 10/,' t t 1/iY1,lg/ ii— -f�ti . .a.L-c. ,
TYPE OF WORK REQUIRED DATA:I-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.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: S ��r ,
❑Accessory building ❑Multi-family Number of bedrooms:
3
❑Master builder ❑Other Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12287 SW Winterview Drive New dwelling area:Z d d square feet
l 0
City/State/ZIP:Tigard,OR 97224 Garage/carport area: ,4° > square feet
Suite/bldg./apt.no.: Project name:Troy Park Lot 3 _ Covered porch area: I 02 square feet (4.66
Cross street/directions to job site: Deck area: square feet (2.Zc)
Other structure area: ' i re) square feet ]
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Troy Park I Lot no.:3 Permit fees*are based on the value of the work performed.
L n Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: ,A 5' b�X- /zoo
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Single Family Residence Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ 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
FLS plan review fee(if applicable):
Address: 12670 SW 68th Ave.,Suite 300
Total fees due upon application:
City/State/ZIP:Tigard,OR 97223 .��( c--A:,,Phone:(503)620-8860 I Fax::(503)598-9081
Amount received: W 7'
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:lauraItimberlandhomes.net, 54ev -f1Yi4 be, javu(h O W1e-S 4 e,f
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel Sys - 1.
Business name:Timberland Homes,Inc. Submit two(2)sets of roof plan with conn-••on details
and fire department access,along wi , , e 2010 Oregon
Address: 12670 SW 68th Ave.,Suite 300 Soar new a is .•• laity C.•• ecklist.
City/State/ZIP:Tigard,OR 97223 Permit Fee(inclu.. :1 review $180.00
and :I istrative -.
Phone:(503)620-8860 Fax:(503)598-9081
State Burch..: (12%of permit fee): $21.60
CCB lic.:141715 :1 fee due upon application: $201.60
Authorized signature: Th 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
Print name:Laura Blake Date: Z /(i �ii Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4/613T( 1/02/COM/WEB)
Plumbing Permit ApplicationRECEI I iF
Building Fixtures FOR t 11 F IU F. 151 Otil.1
g FEB City of Tigard D 2 O p Date Received R y] permit No.:J 1y v
IN
• 13125 SW Hall Blvd.,Tigard,OR 97
Date/By: f�j, r�G� .2��Q
Phone: 503.7182439 Fax: 5035982 OF flGLYu' + Raw Other Permit No. de V-e }/�
/�, r7,1�/ Date/By:
I i 1 n Inspection Line: 503.639.4175 3UILDINP i 1 ! ��Ready/By: rue,: fa See Page 2 for
Internet: www.tigard-or.gov e!i/1,jn' Notifed/Method: - Supplemental Information
TYPE OF WORK Fll
®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 COPOTRUCI7ON SFR(1)bath 312.70
® m
1-and 2-family dwelling ❑Comercial/industriai SFR(2)bath 437.78
❑Accessory building SFR(3)bath r 50032
ry 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:12287 SW Winterview Drive Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Dryweil,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:Troy Park Lot 3 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 Lot no.:3 Fixture or ice:
Tax map/parcel no.: Backtlow preventer ( 3127 31 :L7
DESCRIPTION OF WORK
valve 1251
Clothes washer 25.02
Single Family Residence Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER I El TENANT Expansion tank 1251
Name:Timberland Homes,Inc. Fixture/sewer cap 25.02
Address:12670 SW 68th Ave.,Suite 300 Floor drain/floor sink/hub 25 A2
Garbage disposal 25.02
City/State/LIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 1251
El artucaPlT ❑ contract'PERSON Interceptor/grease trap 25.02
Business name:Timberland Homes,Inc. Medical gas(value:$ ) Page 2
Primer 1251
Contact name:Laura Blake
Roof drain(commercial) 1231
Address:12670 SW 68th Ave.,Suite 300
Sink/basin/lavatory 25.02
City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 6234
Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 1231
E-mail:laura®timberlandbomes.nett S-1-ti/Q.Q-f1 LIRA,/LfldhQ)yI{S. 1- Urinal 25.02
Water closet 25.02
C Water heater 3732
Business name:G&B Plumbing&Sons,Inc. Water piping/DWV 56.29
Address:P()Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(971)563-3268 Fax:(503)633-8378 Minimum permit fee: $7230
CCB Lie.:184372 Plumbing Lic.no.:PB634 Plan review (25%of permit fee)
I,` . State surcharge T(12%L of permit fee)
Authorized signature: ,11�1L1 `t9' TOTAL.PERMIT 1•h.b
Print name:Steve Fowler Date: Z/ / u
This Ana apptlaltion expires If a permit Is not obtained within 180 days
/ / niter it has born accepted as complete.
/// / 'Fee methodology set by Tri-County Building Industry Service Board.
1:1Bui ldingeenniu'PLMU-PermitAppdoc 1001/09 440.461 tT(10,02/COM/WEB)
Mechanical Permit ApplicationRECEI U
City of Tigard ived Q A/ Permit No.: ��yet —QL1G�b
13125 SW Hall Blvd.,Tigard,OR 97223 �i
FEB Cf� 2 0 2014 Plan Phone: 503.718.2439 Fax: 503 598.1960 C D Other Permit: ./.•1Q //
Inspection Line: 503.639.4175
Date/By: /�'� ��`t' 14:9/i-
,
1 c,,I:l) p Date iteeadyBy: runs: B See Page 2 for
Internet: www.tigard-or.gov CITYOF FIGARD � et : Supplemental Information
13IJILDING mimic} -
TYPE OF WORD. - >E 1>OS
AL FEE*SCHEDULE— 6 .IB1'
®New construction Mechanical permit fees*are based on the value of the work
❑Addition/alterat ion/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION ,EQUIPMENT alswaTB:91ms
-
® 1-and 2-family dwelling ❑Commercialindustrial ❑Accessory building For special ilrjonttatioa use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. Fa. I Total
JOE SITE INFORMATION AND LOCATION Heating/cooing:
Air conditioning 46.75
Job site address:12287 SW Winterview Drive
Furnace 100,000 BTU(ducts/vents) i 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 611)6
Suite/bldg./apt.no.: Project name:Troy Park Lot 3
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.:3 Other: 2332
Other fuel appliances:
Tax map/parcel no.: Water heater ) 2332
DESCRIPTION OF WORK Gas fireplace/insert , 3339
Flue vent for water heater or gas
Single Family Residence fireplace 2332
Log lighter(gas) 2332
Wood/pellet stove 3339
Wood fireplace/insert 2332
Chimney/liner/flue/vent 2332
® rsol irrY Owen i 0 MART Other: 2332
Environmental exhaust and ventilation:
Name:Timberland Homes,Inc. Range hood/other kitchen
equipment \ 3339
Address:12670 SW 68°Ave.,Suite 300 Clothes dryer exhaust I 33.39
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
® AFFUCANT ❑ CONTACT PERSON Other: _ _ 2332
Business name:Timberland Homes,Inc. Fuel piping:
$1415 for fiat four;$4.03 for each additional
Contact name:Laura Blake Furnace,etc. I
Address:12670 SW 68`a Ave.,Suite 300 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97223 Water heater I
Phone:(503)620-8860 Fax::(503)598-9081 Fireplace I
6) �"�� Range 1
E-mail:laura@timberlandhomes.net/ S-fe ve C 'f b.e t'/L 1101x(Li. f-- Barbecue •
(]ONTRACI'OR Clothes dryer(gas)
Business name:Central Air Other:
IIIRCHANICAL PERMIT FE/P
Address:PO Box 433 Subtotal
City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00)
Phone:(503)656-1908 Fax:(503)650-3898 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:178624 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
�jf /f _ days after it has been accepted as complete.
Authorized signature: Zle--,%/t.- * Fee methodology set by Tri-County Building Industry Service Board
Print name:Andrew Scheidt Date: 2 i j(1./
I:\Buildmguetmits/MBC_PermitApp_O4Ol l3doc 440 17T(11 OM/WEB)
• RECEIVED
Electrical Permit Application — 5 2014 FOR OFFICE USE ONLY
City of Tigard GARD L
Trcl, of r' ra:.
Phone:3437182439 Fra:503493.1 et I► �1 ' ,. ,:.• OtbstPermit:
s'lii t;❑ IaapocSon Lire:503b39.4375 r��,isi 3 �1 ! Dale Reatl My: tuna: RI Sa rage 2tor
tgtaaact:wsw.tiz'aa-ar gpv i t¢oi fick/Metho6; Supplemental Miasmatic.
rt,PZ O9 WORK PLAN REVIEW
®New construction ❑.hdditiottialtetatiottt t : PIMP as Mu apply(sal m/t a was claims>ims wretesa checked Wow):
Q Demolition Outer ❑s Met ai:Wet 470=pi or mane t7 atuk mg ever Outs r-ort -
j Otte the awil bk fa/Aram-mu M INarmas and hearyerde-
1 CATB.<aORY ail CONSTRUCTION o:wood:10F00 rape a 150 sots or 0 Plwill buildmy,,
1-and 2-Q1t7ii dwelling — 1.n co rand or exceed:14 pup CI Ceurunu to-nee agticultstrat
® Y g 0 Commercial/Industrial 0 Accessary building
afar:,bvaaphsr,-
Q Mlt1tiAmir 0 Master buil ge[ � Garr: ]rt.w.op. O? , Kv Of wo hud or
a °`T's 10th tam:apn aW Melva,FT:JOB ens INFORMATION Arca LOCATION LI McMinn or..make load or 0"A",-E,-t.r.-1.3^,
•
3001 or more. 04mmanq.ob Yno TP 3 rob site s a?8`� S v./ 1Jv , ❑s,
of man msidcatiai mitt. D ReeKAaa.al demean pairs.
aeyl3tata'a':Tigard,OR 97224 j ; C3 Ho.lOwcare r,alltkn, 0 Supply•tatage tar moue thwr
a liaradan aoe.s;aar. 600"Az momwat.
Seite/b dgiapt.no,: Project name:Troy Park Lot 3 Dserviac ar Mader 600 now or more.
Craw streerldireeROns to job site:
FM SCHEDULE
Fee 7... •
.-" ) New residential single.or multi-ham dwelling unit.
lachldec attached serape.
i
Subdivision;Troy Panic Lot no.34 1,13007.q-B-xkae J . ' tress-1 d
I Ea,add'151 l sq.rt.a patine 3192 1
'�� l? - -- I urine d energy-matte tdei ■
DESCRIPTION OF WORK (with above so.RI I 77,013 I 2
LmitW ctw y m Iu-faaily .
$ingle Family Residence 511 !
=items:(with above so.4?
-W a Remmvable> f 0 se.pan.2 �_
t--„ - I Serotasorfeeders -an alteration.,and/or roloce ton
PRC)PFRTY OWNER j 0 TENANT 12co gyp,or teas 100.70 2
Name:Timberland Homes,Inc. 201 m ao0 amps 13356 2
401 amps to 600 amps i 20034 l 2
• ,Address:12670 SW 68i1 Ave.,Suite 300 ' ; 6olnups to hAoo amts I I 301.04 2
City/Slate/2P:Tigard,OR 97213 wsr 1000 amps a voila i 55226 { 2
Ta sparaty services or laden R stallatioa,alteration,aadlor
I Phcoe:(503)620-M60 Fax;(503)598-9081 relocation
011-7-11e7.01.11-
l*aer tlastallatioa:This installation is made eta property 2ot1 amps a lest 5436 r ; l
bolus p. pcny that I own which is 1101 1201 em a to 400 acs 12sn8 2
t intended fbr sale,lease.mat,or encononge,according to ORS 447,445.670,and 701. 1 401> m
Owner signature; Bate: amps 36854 1 2
®� - I ;Minds&hot}-new,eharaogp,orexteinv9n2Tt-panto
a CONTACT PERSON A.Pus bur bane h cimulie with
1 - above/mice us feerimfre.
1
l BMillotis name:Timberland Homes,logy. each brxah cimot 7,42 7
ci
B.Foe tar branch tuns wrikew
Coot=name-Laura Blake s sysoe oefaodor foe,far.1 SGtB r 1
Address:126711 SW 615'2'Ave.,Satre 300 __branch eirrr,jt
Filth 444'1 bmich cacmh j 7A2 j 2
' CityistetdZlP:Tigard,OR 97223 �Miarenaneolhs{service of(ceder not 3adcd) -
Phoee:(503)6204860 I Fax:t(503)59S-9081 I j eL arsnaracwtrtl d/or feeder
�.
1 awetlimg,.crs�ice andMr f seder 67.64 2
— Reromaetoaly 6734' 2
E-mail:iaura@4ltlbarl.__- to—.— Pump Or irrigation Oak I 6714 7-
t
CONTRACTOR I Stop or°t3tlim llShtitlg 67& i 2
Busi:um l aute: Dreg w,iM t; [ 1 —.•,•. - � Sj�.tl euem 47 or lintiredane gy See ,
i S�� �! riC,t L.�.U Tavel,a3tm�on.or ctwmima• 2 j 2
Address: • G t'a,• r't (T Lf/c 1; i .1.401:300 mr pact aibw.hls ID anise above
Additional iRiacc0Oa(I br cmv) 56251 hr
( C lAtail1ZIP: p)rtt(kv4, t 0 0_ oil aa--5 — ;
, ac nvoatiguiam 0 Lrmta) 66ZS/hr
LPho e:-,.Cy'S!g(-1r2-7 11 I per'(503 4,48-47.23 --�Incium�-Nuot(t ttrmn) 7s.la/hr
'(.CB Lit -i4� Etoctrical I1c: A� y'q�uwu 'ace no fee 1s __±._./
�ci o�m�P d,t6 , Suprv.Lic� 115E0 S spodrr iimeotbrrein) 9000/3rr . j
S-oprv.Electrician signature,requited: ''
ELECTRICAL PERMIT FEES 1
_ —.1mar.ir,.af% 9ttbtoti3:
jPrint ttanur_ ],,,;S iNd�4 lDOW: Ind S Phareview(25%ofpennttxe}:
! Authorizet7��si.°��a��>asltte ! tart surcharge(121.of permit fat);
TOTAL PERMIT ge:
IPrint natnet J Dane d application ■ ts axaast within 18a
• !Auntie/of mmcienor4 allowed per permit.
f.+8rtrokramealaC rematonsun of oe RerAl2U3s) 43ar6l,Trolosocos M1V-43
Building Permit Number: H�-Tc t 1/-0x'..7-O
II I • Building Permit Review
1Ic,nxu
Residential Projects
Site Address: /cu&7 (Su lV,i/l '
DVerify site address is valid.
Project Name & Lot #: )roy prat 4
Clean Water Services—Servi ovider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No Received: Yes CI No CI
Si lan Elements: ��//
Sjte plan must be on 8-1/2"x 11"or 11"x 17"paper C�Three(3)copies of site plan
yawn to scale(standard architect or engineer scale) )orth arrow
,'Map and tax lot number,site address,project or subdivision ootprint of new structure(including decks)with finished
me,lot number,and zoning floor elevations
Applicant information(name and phone number) ,. t and building setback dimensions
)roperty corner elevations(2 foot contour lines if more than Lot area,building coverage area,percentage of coverage and
i foot differential) impervious area.
Utility locations ❑Location of wells/septic systems.
,I a�a,.
DExisting structures on site ❑Surface drainage /NX �
PI .eet names Otreet tree size,type and location Litli aria
Erosion control(including drainage-way protection,silt fence ❑Existing trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Planning Review
' Land Use Case Number: 1J8olori 7'Ca, 1/
❑ Zoning. R,.7'
❑ Setbacks: /
Front (3 Rear ( Side -'
/ Street Side F Garage CG
❑ Landscape Requirement: o).O
❑ Lot Coverage Maximum: fj % / /
❑ Building Height: Maximum Height 3-.S.—
Actual Height (L C
❑ V)stial Clearance U I/
a/Easements to r --
❑ Sensitive Lands: ❑ Yes Type
❑ U an Forestry Plan
Conditions Satisfied , !I ,(�
Approved by: ,-;-��L Date: "2v /�
Notes: is/
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
I:1 BuildinglForms\BldgPennitRvw_RES_123013.docx
Building Permit Submittal
Original Plan Submittal: Date: OZ '{//17/ B
Site Plans: # 3
Building Plans: # �
Create Case Record#: �Entercase#above for Building Permit Number.
Workflow Routing: Planning ❑-ngineering Ei'l'ermit Coordinator building
Workflow Sign-off: ign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: Engineering: (1)copy of permit application, (1) site plan, (1) building plan and
r
o gi'al plan review routing form.
ar Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Reviewed By: Date:
Notes:
Engineering Review—reviewed by: K4ki
Actual Slope: 1/
❑ Conditions Satisfied
Notes:
Approved by: Date:
Revisions (after Building Submittal only) z Reviewer Date
Revision 1 Approved P Not Approved ❑ ��� t-64E12 2
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
Conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applica
Revision Notice 3: Date Sent to Ap. .ar/
Okay to Issue Permit- �IL Date: 212-41/ 1
I:\Building\Fonns\BldgPermitRvw_RES_123013.docx
Mar. 5. 2014 5: 08PM No. 9965 P. 3
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Request Permit Action
T :,P,r) 13125 SW Hall Blvd. •Tigard, Oregon 97223 •503.718.2439 • l
TO: CITY OF TIGARD MAR -6 2014
Building Division Services Supervisor
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard or.WILDING DIVISION
FROM: 21 Owner ® Applicant ❑ Contractor ❑ City Staff
(check one)
REFUND OR Name: Timberland Homes,Inc.
INVOICE TO: (Bvsirlas or Individual)
Mailing Address: 12670 SW 68th Ave.,Ste_300
City/State/Zip: Tigard,OR 97223
Phone No.: 503-620-8860
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
❑ CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
IE REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit#: 2014-00020
Site Address or Parcel#: 12287 SW Winterview Dr.,Tigard
Project Name: Troy Park Lot 3
Subdivision Name: Troy Park Lot#: 3
EXPLANATION: We have a new electrician -DreamHouse Electric,LLC.Thep subnnitted
a new permit already,and no electrical inspections have taken place yet on this job.
Signature: Date: 3/5/2014
Laura B e
Print Name:
BafitaiZoligy
1. The Director or Building official may authorise the refund of
s) any fee which was erroneously paid or collected.
b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended-
c) not more than 80%of the land use app&cation fee for issued pennies
d) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has been expended
e) not more than 80%of the building permit fee for issued palms prior to any inspection requests.
2. Refunds will be returned to the original Payer in die same method in which payment was received. Please allow 2-4 weeks for processing refunds.
Rte to Sys Malin: Date (F /4 Rte to Bldg Admin.. Date By
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date By Parcel Tag Added: Date By
Receipt# Date Method Amount;
I\Building\Foam\ReciPeamr.A.ction.doc 'Icy 05/25/2012
■
REUFIVED
FEB 2 0 2014
SITE PLAN NOTEes — r IT o-j�GARO
Il
l ALL IDIOM 41MD/0 PI41..K TO A IIPGR1p TO AN APPROVED DISPOSAL ■ O noirtA►
LOCATION *L ALL � AR PI Ae�FLOOR mow.Dwv�4t ETC-m s 111 ELEV.! �S
ELEV.5mm�' 3$'31'W 5400 _:) ---
L.ISMS ILL NI A WRIT OVIRIDICAVATION TOM AIM COIO<TP Po1P*G 4U.
A1101R0 NISI PIRIGIIR
L
PRIOR PROMO EXCAVATION OOII 11111E OK PENCIO AACIID ENGVAISD AIWA
'� x X - X X
R PRD■'Ct COMYA7TT APPRDIio PTAIOLt»SRAYLED OC Inacnf.N emit=
''"°"'°°`"""°""D°°'I'"""°` 'yam CITY OF TIGARD HONE • DESiml
.PTOO?ILPO PROT S COMA 11114 PU. OR PLASTIC 111!7.0 Drum
1�APPL>� Approved by Planning
1 OONIILAC110R/1116G?IRAGIOL TO WWI'LOCATION?ALL I77L7IM PRIOR TO
EXCAVATION MD OL1I111111CDQ1
&=SCARY AND IOPOSRAPIR ISPORKSTION 140 MEIN PROVIDED TO OMNI HOP./
AND=NM NG MCTL!ICT!!AD CONK MARL MR EE SLD LL RLII VR, I Date: 20`iii/
AOGUAAC4 CP TN11 ISPOR ATIO4 R IS TI.W RIMIPC11411116.1Tf CP TIM COMPACTOR
/ODOR To MDT ALL WI 020111010 1C11D1O PLL PLACED ON MIL (G
S. TOpOSRSPIR ELEVATION/1.11.CO.0 IC,�RIM ACTUAL GM MPMY. Initials:
- LEVATION---- _ l
EE.DOPINS SPADE LEVATION F.U11
R•MAL GRAOS.iVAT1O1 L.AAIAI. Tl
MI.PROM PLO=11EiASTCN
W 111
L PROVOS A MNIY1 OIMV.RANI(PIPER ALL DP0/011 'AMA► q 1 •11 11 - 1111 .
1L PPIOVDE•4 PROM DRAM.w 1NO.t ALL 11DRwIx AND PATIO AR S&
■PIPE ALL ROR1 p I4 PROM fl.EIAD/0 TO A I TT TTT DISPOSAL 1 _A
PONT.CONOTIOL ("
14110.0111 KOMI CP CUM MD Pill TO EE RIO M/NOIVLNIAL TO O.N UJ
MEIRC.AL POR EIILDIRS.P1 T%IrR PONOMIQ11R MO MAIMS WALL I A R PPAOVCI Mb P TAN P IS4IMCf YTN P0/711ME O &I4 MAM P11RI h L P11AL0II ON ALL S 1 1170 A(LOPE OP Al'M IMI N I►-.0'. 111 `(xy,
ra
SD°D. Nr raw R O iL ii
ea.PT.
PPS.nD Q H
ER0610N CONTROL rLlaiN Z
9 11� COVERED STOCKPILES .�.., �� !� N Lx U
ill •A11IRXXI• �. H
X X X eEDa v'IT PETICE � �° --41--, E
j GOM81 RJGTION ENTRANCE tl ' k —��,
Alliii,,'
j# y
WO}s6C 6TAGN s/MATERIAL BTOR -F 1 e 0 S.PIM. 7
Y
PLAN No: 3110
It Na_.±2_23.1____38 ''''_.22----- 111 ELEV.5001D0' 3
NJ5. COVER ALL AREAS OP a.ARE ELEV.5�ID0' " -
DRAIW: TF.
IS PLACE LANDSCAPE X4T'P1e0AC11 , DATE: 1-21-2014
Q CATCH SAWN PROTECTION t —�_ 5 076 S F
--° 1 SCALE: I'E20'-0'
PLOT
WOODEN CURD RAMP O FrORIANr DMCLOA!!41 ..FLAW 1111116111111:0110 01011112
Dl-IC1ESE 1-I OLT.
same SOIRO/n IRA.10 RD
1-- MK 11111111 NAM=KIN MK 11111101110
LOT 7 rYR WTMV z PLAN
PLAN 011011110 XR011011110LO ANONM
W A11r1A'0PI'sw�sWPM KKK �-'
LOT AAA. Epla ea/� III R' Pg11 Lff 0.1100011/1011100 M Mr T
OILDNS AMA. L11P SO.PT POW aXCe�iaw
MIMS E t oMIN U.c TN w 81171-ldr lal
=CRIER AIWA. SW S0.lR. LEmIVRVarnAllowlrazaal Alr
RAC1P s �
O
X (Lc d S ‘'4-VIce..k Mi\e SW WINTE VIEW DRIVE
1 tit$
2" C..V* f.,v
I
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
12287 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
FAIL
MST2014-00020
Herb Stabenow
Job incomplete--not ready for a final
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
12287 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00020
Jeff Grove
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
12287 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
PASS
MST2014-00020
George Heimos
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
12287 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2014-00020
George Heimos
*Erosion Control approval. Pass
*Street Tree Certification, checked for trees. Received. signed/dated ok
*High-Efficiency Interior Lighting Systems Doc Received
*Moisture Content Acknowledgement Form. Received
*Insulation Certification checked. Checked
*Approach to Sidewalk Approval (if required). Passed
*Carbon monoxide Detector. Checked.
*Garage Vehicle Barrier Installed. Yes
*Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval ok
*Lawn Irrigation final with Backflow test results. (if required), received
* Ductwork pressure test documentation that ductwork meets ODOE duct performance
standards for radon gas testing. (crawl space only, for final inspection) Received,
Central Air Inc.
Violation Summary:
Inspector Contractor