Permit Building Permit Application — -
Residential RECEIVED Received FOR OFFICE 1 SI 0\1.1
City of Tigard Date (o / 7 D$ �� Pennit No.: ,:kvg--/fir
13125 SW HaII Blvd.,Tigard,OR 97221 UN 17 2008 Plan Review ''•
I Phone: 503.639.4171 Fax: 503.598. 60 DateBy: Other Permit: O j/ J g'•-15197/20/
T I c.A P Ii Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
3
m =
ri
®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
;„., •.7 : c ,r -. work indicated on this application.
1-and 2-family dwelling ❑Commercial/industrial Valuation: $140,000
®
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder 0 Other: Number of bathrooms: 2.5
. q , `V � 1 Total number of floors: 3
x
Job site address: I 2 �. sky:, , 5 ,�- New dwelling area: 1449 square feet
City/State/ZIP:Tigard,OR Garage/carport area: 541 square feet
Suite/bldg./apt.no.: Project name:Village at Summer Creek Covered porch area: 20 square feet
Cross street/directions to job site: Deck area: 160 square feet
Other structure area: square feet
.:..-jM�S.s -_ #'ttf.d. _..!r:`.V N_ 3-°_i.:•.y p -N.:! :�
l'_.+#rt..aC•n;r.+-i 1 -nr.,a xr tr-.�:. -:e�a.:. --, -Y....
Subdivision: Lot no.: g, 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
a , 7('° "s_ , ' h work indicated on this application.
"-* - k ;-ff I�ifiP 11Z t�Ai WL� 4 r�s �r � *`..-r aPP
NSFR Valuation: S
Existing building area: square feet
New building area: square feet
t 46.-w► t= itto 3 .. 1 N " t Number of stories:
Name:JLS Custom Homes Type of construction:
Address:16280 NW Bethany et Occupancy groups:
City/State/ZIP:Beaverton,OR 97006 Existing:
Phone:(503)533-4006 Fax:(503)533-4306 New:
} f -,r1 y►-. - $ ` z�ik�U. 4,.r. ∎ : `�ir, � 118113I . *% v =',c
Business name:JLS Custom Homes All contractors and subcontractors are required to be
Contact name:Nicole Paulsen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:16280 NW Bethany ct jurisdiction in which work is being performed.If the
City/State/ZIP:Beaverton,OR 97006
applicant is exempt from licensing,the following reasons
apply:
Phone:(503)533-4006 Fax::(503)533-4306
it T/s ri tlA-v i..x&tt.:D A4113
E-mail nicole@jIscustomhomes.com
-1 t)t wt.t.-) Cft •
�'' '. . : ill .s,� ik " NHtit QR r .
Business name:JLS Custom Homes : - ,O + g*;
�'� o, errajeesakedMk)
Address:16280 NW Behthany ct �o
Structural plan review fee(or deposit): m)
City/State/ZIP:Beaverton,oR 97006
Phone:(503)533-4006 Fax:(503)533-4306 FLS plan review fee(if applicable):
Total fees due upon application: •
CCB lic.:139970 �'�
Amount received: 17 )
Authorized signature�(�% . 1R1A)/ C.J7J This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri-County Buildin_Industry
Service Board.
1:\Building\Permits\BUP-RES PermitApp.doc 11/6/07 440-4613T(l1/02/COM/WEB)
Mechanical Permit Application FOR OFFICE I'SI:O\1.1
City of Tigard ECEIVED Date/By: Ca /7 illME Permit No.: (fir/--0 6
1,1
13125 SW Hall Blvd.,Tigard,OR 2 0
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
Date/By: Other Permit:�,, 1L, io8l�
!CARD Inspection Line: 503.639.4175 JUN 17 2008 Date Read B Juris C�`w
Internet: www.ti d-or. ov Ready/By: S See Page l Information
CITY OFTIGAR�D�t
E=OB ING DIVISION COMMERCIAL:.:FEE*-SCHEDULE `-IJSE-CHECKLIST-
®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. _
OF 1-CONSTRUCTION ,;:' Value:$
4tESIDEN.TIAL EQUIPMENT-I-SYSTEMSiFEES*
❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. Total
4;7®B1STIIEIFORMATION'3xC DION Heating/cooling
{ �nn Air conditioning or heat pump
Job site address:
�� �� � � t r ( i t. \Y1 (requires site plan showing placement) I 14.00
City/State/ZIP:Tigard,OR Furnace 100,000 BTU(ducts/vents) I 14.00
Furnace 100,000+BTU(ducts/vents) 17.90
Suite/bldg./apt.no.: Project name:Village at Summer Creek Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00 .
Hydronic hot water system 14.00
Residential boiler(radiator or
hydronic) 14.00
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:a,
Other: 10.00
Tax map/parcel no.: Other fuel appliances
4IfE 6II'IONF: O Rj` Water heater I 10.00
Gas fireplace I 10.00
Flue vent for water heater or gas
fireplace 2- 10.00
Log lighter(gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
PROPERTY rOWNER ❑ TENANT
Chimney/liner/flue/vent 10.00
Other: 10.00
Name:JLS Custom Homes Environmental exhaust and ventilation
Range hood/other kitchen
Address:16280 NW Bethany et equipment ( 10.00
City/State/ZIP:Beaverton,OR 97006 Clothes dryer exhaust 10.00
Single-duct exhaust(bathrooms, , i
Phone:(503)533-4006 Fax:(503)533-4306 toilet compartments,utility rooms) 6.80
fAPI°J.ICAN3', • ❑'.00NTACT PERSON - Attic/crawlspace fans 10.00
Other: 10.00
Business name:JLS Custom HOmes
Fuel piping
Contact name:Nicole Paulsen $5.40 for first four;$1.00 for each additional
Address:16280 NW Bethany et Furnace,etc.
Gas heat pump
City/State/ZIP:Beaverton,OR 97006 Wall/suspended/unit heater
Phone:(503)533-4006 Fax::(503)533-4306 Water heater
Fireplace
E-mail:nicole@jlscustomhomes.com Range
_CONTRACTOR - - • Barbecue
Business name:TBD
Clothes dryer(gas)
Other:
Address: MECHANICAL PERMIT:FEES*
City/State/ZIP: Subtotal
Minimum permit fee($72.50)
me:( ) Fax:( )
Plan review(25%of permit fee)
CCB lic.: State surcharge(12%of permit fee)
TOTAL PERMIT FEE
f 1 )thorized signature: CO r n e I(J /�1 This permit application expires if a permit is not obtained within 180
w ,V 11 �(� W days after it has been accepted as complete.
•Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doc 01/19/07 440-4617T(11/02/COM/WEB)
Plumbing Permit ApplicatiRECEIVED
. Building Fixtures FOR OFFICE USE ONLV
City of Tigard JUN 1 7 2008 Received
Date/By: / /7 Oa p
Permit No.: y:p g2,665."
•1114 II 13125 h n 850 Hall Blvd.,Ti Fax: OR ��OF TIGARD Plan Review
Phone: 503.639.4171' Fax 50 5 Date/By: Other Permit No.:A,1 ��Od
TI c i A R D Inspection Line: 503.639.4175 IJ I LDING DIVISION Date Ready/By: Juris ® See PPagge�2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
'TYPE?OF'WORK }FEE*_ CHEDULE
❑New construction ❑Demolition For special information use checklist
Description I Qty. 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 249.20
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 350.00
❑Accessory building ❑Multi-family SFR(3)bath 399.00
❑Master builder Each additional bath/kitchen 45.00
❑Other: Fire sprinkler( sq.ft.) Page 2
.30B SITE INFORMATION ANDILOCATION Site utilities
Job site address: 1 f--- . SW aisicyvvw 4 Catch basin or area drain 16.60
City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 16.60
Suite/bldg./apt.no.: Project name:Village at Summer Creek Footing drain(no.linear ft.:_) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Subdivision: Lot no.: Water service(no.linear ft.:_) Page 2
Fixture or item
Tax map/parcel no.:
Absorption valve 16.60
I ESCR1PTH3N'OF 3VORK Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
"®;PROPERTY 4OWNER ' - ❑ TENANT
Ejectors/sump 16.60
Name:JLS Custom Homes Expansion tank 16.60
Address: 16280 NW Bethany et Fixture/sewer cap 16.60
City/State/ZIP:Beaverton,OR 97006 Floor drain/floor sink/hub 16.60
Phone:(503)533-4006 Fax:(503)533-4306 Garbage disposal 16.60
Hose bib 16.60
al_AP:ffiHCAN - n'CONTACT T-ERSON
` " Ice maker 16.60
Business name:JLS Custom Homes
Interceptor/grease trap 16.60
Contact name:Nicole Paulsen Medical gas(value:$ ) Page 2
Address:16280 NW Bethany ct Primer 16.60
City/State/ZIP:Beaverton,OR 97006 Roof drain(commercial) 16.60
Phone:(503)533-4006 Fax::(503)533-4306 Sink/basin/lavatory 16.60
Tub/shower/shower pan 16.60
E-mail:nicole@jlscustomhomes.com Urinal 16.60
CONTRACTOR - Water closet 16.60
Business name:TBD Water heater 16.60
Address: Other:
Subtotal
City/State/ZIP: Minimum permit fee: $72.50
phone:( ) Fax:( ) Residential backflow minimum permit fee: $36.25
CB Lic.: Plumbing Lic.no.:
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
i Authorized signature: l-u",,u■' _ _
l/ I , TOTAL PERMIT FEE
Print name: Date: 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\Permin\PLMF-PermitApp.da 12/27/06 440-4616T(10/02/COM/WEB)
Electrical Permit ApplicatiAECEIVED F(►li urFlcl. I'SF ONI.)
• City of Tigard JUN 1 7 2008 Receive •Rug-
Date/13 Permit No.:)1/< 1—pOD,9,f
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n �,,,,GI
' a Phone: 503.639.4171 Fax: 503.5e f OF TI Date/13 : Other Permit:�L4�/�4 o O�l�
1 c;A It D Inspection Line: 503.639.4175 BUILDING GARD Date Ready/By: Juris El See Page 2 for
Internet: www.tigard-or.gov DIVISION Notified/Method: Supplemental Information
DIVISION PL VJEW *;
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
,CA,I°EGORW tOF-CONSTRUCTION. exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of75 KVA or
" -5 -4fOB 1TIE 11?(RMt�180N 11TVD DCIATION -, Addition of new motor load of ❑ � r separately 2 y d1 3 ed system.
Emergency st
Job no.: Job site address: l?'�7 (-5(..) �-0� ky U Six or omore. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Village at Summer Creek ❑Service or feeder 600 amps or more.
SEE!SCHEDULE;._ _ _
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: Lot no.: 1,000 sq.ft.or less 1 145.15 4
Tax map/parcel no.: Ea.add'1 500 sq.ft.or portion 1 33.40 1
Limited energy,residential 75.00 2
. 4DESGRTPTION1OO F.WWOR1C -:- t :.:s't ; (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Services or feeders installation,alteration,and/or relocation
200 amps or less 80.30 2
_ r]_PROPERTY-OWNER - j_]=TENANT 201 amps to 400 amps 106.85 2
Name:JLS Custom Homes 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
idress: 16280 NW Bethany ct Over 1,000 amps or volts 454.65 2
City/State/ZIP:Beaverton,OR 97006 Temporary services or feeders installation,alteration,and/or
relocation
Phone:(503)533-4006 Fax:(503)533-4306 200 amps or less 66.85 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 133.75 2
Branch circuits-new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
z. CJ CE i J.CONTh.a RgoN - �.- above service or feeder fee,
each branch circuit 6.65 2
Business name:JLS Custom Homes B.Fee for branch circuits
Contact name:Nicole Paulsen without service or feeder fee, 46.85 2
q first branch circuit
Address: 16280 NW Bethany M Each add'l branch circuit 6.65 2
Miscellaneous(service or feeder not included)
City/State/ZIP:Beaverton,OR 97006 Each manufactured or modular 90.90 2
dwelling,service and/or feeder
Phone: (503)533-4006 Fax: :(503)533-4306 Reconnect only 66.85 2
E-mail: nicole @jIscustomhomes.com Pump or irrigation circle 53.40 2
r• COOR ,- Sign or outline lighting 53.40 2
Business name:TBD Signal circuit(s)or limited-
Business panel,alteration,or
Address: extension.Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above _
Per inspection 62.50
Phone:( ) Fax:( ) Investigation per hour(I hr min) 62.50
CCB Lic.: Electrical Lie.: Suprv.Lie.: Industrial plant per hour 73.75
I` -4,1ELEa tICAIL-_PERMIT TEES
tprv.Electrician signature.required: Subtotal:
Print name: Date: Plan review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 0 OLI jlW"V v TOTAL PERMIT FEE:
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:1Bui lding\Pennits\ELC-PermitApp.doe 05/23/06 4404615T(it/05/COM/WEB
Building Division
One & Two-Family Dwelling
FIGARD Fees Checklist
PERMIT INFORMATION:
Permit #: clST 2 008 • 00095 Plan #: Date: 7. 2 . 08
Site Address: I, 3 5-1 2 8.1,�� {R Q� Parcel #:
Subdivision: V I t‘co,e 08A c mQ�- Lot #: Zoning:
Jurisdiction: to, Setbacks: Front: Rear: Left: Right:
Class of Work: Aku) Stories: 3 First Floor: e
Type of Use: 1(1n V Height: 3C-). Second Floor: (OO
Construction: 5 Floor Load: SO Third Floor: -7 ` 8
Occupancy Group: 3 Dwelling Units: ' Bonus Room: Qf
Valuation: ISM, 433.23 Bedrooms: 3 Total Floors: 13 9 1,
Bathrooms: .2 Basement:
Decks: I '2,a, arage: 554
Z
Porches: Other: 0
FEES: Description: Fee Amount: Amount Paid: Balance Due:
Plan Check: Building: CA 1 .0(p 7 0.00 — Co 2-9,4-
Extra Set: f�
Permit: Building: •0
Tax: 4 4
Metro CET: ill
School CET: I 'S cap .00
Mechanical q .5�
Tax: 1. O. 8(0 •
Plumbing: ?]c i cj. C)O
Tax: L j,-1-$S
Electrical: 2_1 l . 9 S
Tax: 25,44�
Low Voltage:
Tax: 5
CDC: CDC Ping. Rev.: 46.0b
CDC LRP Fee: (Q . Op
SDC: Parks: _S2 X 5.00
9
TIF Res.: -2 • QQ
TIF MT: 240.0 0
Erosion Permit: �• 00
Erosion CWS: 20.SO
Erosion COT: 2c so
Water Quality:
S.
Water Quantity:
SUB-TOTAL: _ 13 S(, ..c to - - ) a gi9 O(0 —
Sewer: Permit:
Inspection:
SUB-TOTAL:
TOTAL MST & SWR: ‘
I:\Building\Forms\ResPlanCheckFees.doc 01/19/07 Page 1
PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems)
Description [Qty. I Fee(ea.) 1 Total Description I Qty L Fee(ea.) Total
New 1-&2-family dwellings Heating/Cooling ,
(includes 100 ft.for each utility connection) Air conditioning or heat pump* 1 14.00
SFR(1)bath _ 249.20 Furnace 100,000 BTU(ducts/vents) 14.00
_ SFR(2)bath 350.00 Furnace 100,000+BTU(ducts/vents) �, 17.90
SFR(3)bath l 399.00 . Gas heat pump 14.00
Each additional bath/kitchen 45.00 Duct work _ 10.00
Rain Drain,single famil dwelling_ 65.25 Hydronic hot water system 14.00
Fire_sprinkler-sq.ft. 0 to 2,000 115.00 Residential boiler
Fire sprinkler-sq.ft. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00
Fire sprinkler-sq.ft. 3,601 to 7,200 220.00 Unit heaters(fuel,not electric)
Fire sprinkler-sq.ft. 7,200 and greater _ 309.00 (in wall,in-duct,suspended,etc.) 14.00
Site Utilities Flue/vent(for any of above) 6.80 .
Catch basin/area drain 16.60 Repair units 12.15
Drywell/leach line/trench drain _ 16.60, Other Fuel Appliances
Footing drain- i"100' _ 55.00 Water heater 10.00 ,
Footing drain-each additional 100' 46,40 Gas fireplace l 10.00
Manufactured home utilities 110.00 Flue vent(water heater/gas fireplace) 10.00 _
- Log lighter(gas) 10.00
Manholes 16.60 Wood/Pellet stove 10.00
Rain drain connector 16.60 Wood fireplace/insert 10.00
Sanitary sewer- in 100' 1 55.00 Chimney/liner/flue/vent 10.00
Sanitary sewer-each additional 100' 46.40 Other: 10.00
Storm sewer- 1st 100' I 55.00 Environmental Exhaust&Ventilation
Storm sewer-each additional 100' 46.40 Range hood/other kitchen equipment 1 10.00
Water service- l'100' ° 55.00
+ Clothes dryer exhaust 1 10.00
Water service-each additional 100' 46.40
Fixture or Item Single duct exhaust
Absorption valve 16.60 (bathrooms,toilet compartments,
Backflow preventer 27.55 utility rooms) 6.80
Backwater valve ) 16.60 Attic/crawl space fans 10.00
Other: 10.00
Clothes washer b 16.60
Fuel Piping
Dishwasher ,, 16.60 **($5.40 for first 4,S1.00 each additional)
Drinking fountain 16.60 Furnace,etc. I *
Ejectors/sump 16.60 Gas heat pump **
Expansion tank 16.60 Wall/suspended/unit heater **
Fixture/sewer cap 16.60 Water heater I **
Floor drain/floor sink/hub 16.60 Fireplace I **
Garbage disposal 16.60 Range j **
Hose bib 16.60 BBQ **
Ice maker I 16.60 Clothes dryer(gas) **
Interceptor/grease trap 16.60 _Other: *
Primer 16.60 Total:
Roof drain(commercial) 16.60 Mechanical Permit Fees
Sink/basin/lavatory 1 IC) /I- , E., 16.60 _ Subtotal: $ 40•so
Tub/shower/shower_pan 2. 16.60 Minimum Permit Fee$72.50 $
Urinal 16.60 Plan Review Fee(25%of Permit Fee) $
Water closet 3 16.60 State Surcharge(12%of Permit Fee) $ '1 0.tE,ko
Water heater I 16.60 , TOTAL PERMIT FEE $
Other: ,
Other:
Plumbing Permit Fees ELECTRICAL FEES (residential single-or multi-family)
Subtotal $ Description Qty. Fee Total Insp
• 1,000 sq.ft.or less 145.15 4
Minimum Permit Fee$72.50 $ 1 I
Plan Review(25%of Permit Fee) $ Ea.add 1500 sq.ft.or portion 33.40 , 2
State Surcharge(12%of Permit Fee) $ Limited energy,residential 75.00
TOTAL PERMIT FEE $ Each manufactured or modular 2
dwelling,service and/or feeder 90.90
Electrical Permit Fees
Subtotal: $ ? 1 1 • `I CI
Plan review(25%of permit fee) $
State surcharge(12%of permit fee) $ 2,5,t4 3
TOTAL PERMIT FEE $ ,
I:\Building\Forms\ResPlanCheckFees.doc 01/19/07 Page 2
1111 CITY OF TIGARD FEE AND PAYMENT HISTORY
: .r
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
MST2008-00095 - 13572 SW ROSEMARY LN
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
[BUPPLN] Pin Rv Deposit 245-0000-433000 $750.00 $750.00 $750.00 6/17/08 Check 2720080000 $0.00
0000002095
[CDCPLN]CDC Pln Rev 100-0000-433060 $46.00 $46.00 $46.00
[LRPF] LR Planning Surcharge 100-0000-438050 $6.00 $6.00 $6.00
[BUPPLN] Pin Rv Balance 245-0000-433000 $687.06 $687.06 $687.06
[BUILD] Bldg Permit 245-0000-432000 $1,057.02 $1,057.02 $1,057.02
[TAX) Build 12% State Surchrge 100-0000-207020 $126.84 $126.84 $126.84
[METCET]Metro Const Excise Tx 245-0000-229202 $188.92 $188.92 $188.92
[BEACET]Beaverton School CET 245-0000-229204 $1.396.00 $1,396.00 $1,396.00
[MECH]MEC Permit 245-0000-431010 $90.50 $90.50 $90.50
[TAX]MEC 12% State Surcharge 100-0000-207020 $10.86 $10.86 $10.86
[PLUMB] PLM Prmt 3Bth 245-0000-431000 $399.00 $399.00 $399.00
[TAX] PLM 12% State Surcharge 100-0000-207020 $47.88 $47.88 $47.88
[ELPRMT] ELC Permit 220-0000-431510 $211.95 $211.95 $211.95
[TAX]ELC 12%State Surcharge 100-0000-207020 $25.43 $25.43 $25.43
[PKSDC]SF Park SDC 270-0000-450000 $5,215.00 $5,215.00 $5,215.00
[TIF-R]TIF Resident 210-0000-448001 $2,960.00 $2,960.00 $2,960.00
[TIF-MT]TIF Mass Tr 210-0000-448005 $240.00 $240.00 $240.00
[ERPRMT] Erosion Control 100-0000-207307 $64.00 $64.00 $64.00
[ERPLN] Erosn Pln Rv CWS 100-0000-207308 $20.80 $20.80 $20.80
[EROSN]Erosn Pln Rv COT 245-0000-433010 $20.80 $20.80 $20.80
Totals for Fees $13,564.06 $13,564.06 $750.00 $12,814.06
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
27200800000000002095 Check 912179 06/17/2008 $750.00
Total Payments: $750.00
Balance Due: $12.814.06
_ CITY OF TIGARD-SITE PLAN REVIEW
BUILDING PERMIT NO.: H',f204�S
Summer PLANNING DIVISION:
r ` /,/ eJ t Cree& Required Setba Ics: 0/Approved ❑ Not Approved
1111'"' l/i V !llt 4' SANITARY' SEWER 4' SA ITA Y • 3' 0
R SEWER Side. —Tr- Street Side:
4' SA ITARY SEWER
Front. Garage: "� Rear: iD
REJUN1 ; zoos CCwE� 4' SANITARY clearance: �Apved ❑ Not Approved
1� Maximum Building Height feet
&di(anG� Plan; c' 12' STORMLINE. _� .CWS Service Provider Letter Required: ❑ Yes ❑ No
J QF TIGARD � � ❑ Received
CITY G DIVISION � S W R�� +� � .�.�. . ..._ . ,�., Date: 4 eP(�8'
ots ; 1 2 BUILDIN I2 WATER LINE SEMA .Y ENGINEERIN EPARTMENT:
.L 3, lirommlanimm_Iiiiir ' AfititRfilb . /o Approved ❑ Not Approved
4' SANITARY Site Plan: Approved ❑ N• ' ,roved
rj - ARY SEWER(/ n tS, 1`l k � B . Date:
�� � Notes: r� B- /',+�- Qom'`'"`"° .-- I--___ - 4. . r, ' ■_ ELI ■ i
____ ____ ____ ______ _______:_________ r : ' 0 '`,....isr,--74411*
4' STORML INE. -- - _
1. PROVIDE A MINIMUM 8' DEEP GRAVEL BASE FOR ALL <l s.1 Ea-tern Redbud lee _I
DRIVEWAY AREAS. 2' Eastern Redbu-=�� ! - R r ,
\ ��.
2. MAXIMUM DRIVEWAY SLOPE SHOULD BE VERIFIED WITH
rata W THE BUILDING DEPARTMENT PRIOR TO CONSTRUCTION. e.o- 9 E
•3. PROVIDE A MINIMUM 4' DEEP GRAVEL BASE FOR ALL r W SIDEWALK AND PATIO AREAS. d' v ;_4. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A A DISPOSAL POINT APPROVED BY THE BUILDING Q C�DEPARTMENT. Unit A 1 00 i 5. PROVIDE AND MAINTAIN POSITIVE DRAINAGE AWAY � ' U FROM BUILDING ON ALL SIDES. I W
i I � I- •
'. NON-STABILIZED FILL MUST NOT EXCEED 2:1 SLOPE '1 Z
•
T. NO CUTTING OR FILLING SHALL TAKE PLACE WITHIN TRACT "BI' C----,
THE DRIP LINE OF AN EXISTING TREE UNLESS THE
EXCEPTION IS APPROVED BY THE BUILDING DEPT. 0
CITY OF' A e
8. AFTER COMPLETION OF CONSTRUCTION, THE CONTRACTOR , ` , `< <,
® •
SEED THE EXPOSED SOILS.
-
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- :._ _' o -SITE PIrAN RE VIEW.. . .CO PROTECT STOCK PILES FROM OCTOBER 1st THRU ,_ __,__ , , R—• ,� B ILDING PERMIT NO:
APRIL 30th PER THE EROSION CONTROL HANDBOOK. W TRACT IIAII L ' '
0 I 0 , 4 -s
,. Trees: g� PProved PProved
CO Q Z L__----- ---- Protect, - App eg N*A:is A•PProved
a 2 Notes: Date: v
O ir — 6.4
CO W ,s-297.2.
r NORTH �
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DATE
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
•
N
July 9, 2008
Nicole Paulsen T I G A R D
JLS Custom Homes
16280 NW Bethany Ct.
Beaverton, OR 97006
Building Permit: MST2008-00095 Construction Type: 5B
Address: 13572 SW Rosemary Ln. Occupancy Type: R3
Area: 1396 Sq. Ft. Stories: 3
The plan review was performed under the 2005 Oregon Residential Specialty Code. The review of
the submitted plans will be completed when the following information is provided.
1. The elevation shows crickets of 5'. Details 1/8, 2/8, and the plan sheet 6 show a cricket
less than 30". Correct the discrepancy and provide two copies of revised plan sheets.
2. The mechanical permit applications show heat pumps are to be installed, please clarify if
they are exterior, in which case they need to be shown on the site plan also.
3. All general notes at the cover sheet reference codes not used, change all references to the
2005 ORSC.
4. No manufactured floor framing is provided with this submittal. Provide two copies of
manufactured floor framing showing the beams in the same locations as the engineered
design.
5. When responding, provide an itemized letter stating in what way each issue has been
addressed in the revision.
When submitting revised drawings or additional information, please attach a copy of the enclosed
City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking
and processing the documents.
Respectfully,
Loraine Sellers
Plans Examiner
to raine@tigard-o r.gov
Phone: 503.718.2708
Fax: 503.624.3681
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard-or.gov • TTY Relay: 503.684.2772
Post-Its Fax Note
A 7671 Date 9 h� pagges■
To , 1ledl4 laujsul Froldrj/ly SQIlPrS
Co./Dept,L s O n\\ s Co.• (4.$ a.
Phone 4 .k.533.Li 066 Phone*
n03-21%2.108
Fax# sca -5,,a13- 0ts Fax 3 /0234342 kg1
RECEIVED
Jeremy Krueger
2 8
Jkru Design AUG
8217 SW Seminole Tr CITY OF TIGARD
Tualatin, OR 97062 BUILDING DIVISION
(503)-577-8781
Loraine Sellers, Plans Examiner
loraine @tigard-or.gov
Phone: 503.718.2708
Fax: 503.624.3681
Ms. Sellers:
This letter is intended to address the issues in the recent plan check for JLS Custom
Homes Village at Summer Creek Lot 1, located at 13572 SW Rosemary Ln. Permit
number MST2008-00095 .
Item 1 - The elevation shows crickets of 5'. Details 1/8, 2/8, and the plan sheet 6 show a
cricket less than 30". Correct the discrepancy and provide two copies of revised plan
sheets.
Details 1/8 & 2/8 revised to show cricket greater than 30"tall.
Item 2- The mechanical permit applications show heat pumps are to be installed,please
clarify if they are exterior, in which case they need to be shown on the site plan also.
Not addressed by Jkru Design
Item 3-All general notes at the cover sheet reference codes not used, change all
references to the 2005 ORSC.
Notes updated to reflect current code usage.
Item 4 -No manufactured floor framing is provided with this submittal. Provide two
copies of manufactured floor framing showing the beams in the same locations as the
engineered design
Not addressed by Jkru Design
Sincerely,
ri■
Jeremy Krueger
RESIDENTIAL PERMIT APPLICATION REVIEW
Permit No.: MST2008 -00095
Site Address: 13572 SW Rosemary
Subdivision: Village @ Summer Creek
Lot No.: 2
Contact Name: Nicole Paulsen
Business: JLS Custom Homes
Street: 16280 NW Bethany Ct.
City: Beaverton State: OR Zip: 97006
As required by the 1999 Legislative action (Senate Bill 587), your residential permit application and
plans have been reviewed to determine if it is complete and if the plans are deemed "simple" or
"complex" as defined in ORS 455.467 and 455.469.
• The application is complete.
❑ The application is incomplete for the following reason:
❑ The submitted plans will be reviewed; however, a permit cannot be issued until the above
information is reviewed and /or approved.
❑ The submitted plans cannot be reviewed until the above information has been submitted
and /or approved.
❑ The plans are deemed "simple ".
❑ The plans are deemed "complex ".
Signature: � j� �U �1 ✓ r� O e
Name: Brandon Shaw Date
Tide: Plans Examiner
Phone: 503 - 718 -2425
E -Mail: BrandonS @tigard - or.gov
I:A Building \Forms \RES- PermitAppRevw- Blank.doc 1/18/07
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.
;I ■ BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
TO: LW-V.-0-WL3-- DATE
DEPT: BUILDING DIVISION D
AUG 2 8 20(
FROM: ). \_( CITY OF TIGARD
BUILDING DIVISION
COMPANY:-RS LOScz ek\--tV QS
PHONE: SOS • -\ 5 fib (-----By:Is
RE: ✓<.-\J i Ur)S .."4'1, -o y -( [
MJ
(Site Address) a'ernvt/se umber)
t �rn V Mme. 1�
ro dCt n or b vi on nam�t
J e and lot numl3er)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: 1 Copies: Description:
Additional set(s)of plans. Nin Revisions: 1r. U.QS
Cross section(s)and details. Wall bracing andifair later analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
$
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 4/4/07