Loading...
Permit Building Permit Application _ E.' Residential �CEn1E� /� FOR OFFICE uSE ONLY City Tigard �� nat�B a �f' % , Permit No aD .! III - Ci of Ti and 5Tr2aog- ■ 13125 SW Hall Blvd.,Tigard,OR 97223 QO$ Plan Review Phone: 503.639.4171 Fax: 503.598.1\� 1 '2 DateBy: Other Permit: Ale, g /O Ti G A RD Inspection Line: 503.639.4175 CARD Date Ready/By: lu ^ ® See Page 2 for (00 Internet: www.tigard-or.gov CI'I�OFTI ION Notified/Method: �[9 Supplemental Information 11L► Ci Di TYPE OrwORK REQU RED DATA:1-AND 2-FAMILYBWELLING ®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: $190,000 ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑ Master builder ID Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 1/MO 5L ma.1 iOw i/ New dwelling area: 2029 square feet City/State/ZIP:Tigard,OR Garage/carport area: 498 square feet Suite/bldg./apt.no.: Project name:Village at Summer Creek Covered porch area: 48 square feet Cross street/directions to job site: Deck area: 160 square feet Other structure area: square feet — REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:�9 Permit fees*are based on the value of the work performed. Tax map/parcel no.: / Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. ti } E_(,_) $ Valuation: S N f r Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:JLS Custom Homes Type of construction: Address:16280 NW Bethany ct Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)533-4006 Fax:(503)533-4306 New: ® APPLICANT .❑ -CONTACT PERSON NOTICE 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 E-mail:nicole @jlscustomhomes.com A? ,, r - -" n4�r CONTRACTOR - Business name:JLS Custom Homes BUILDING Mechanical Permit Applicati 0'COVED FOR OFFICE ISE ONLY AN-LI Received City of Tigard Dam/By: 5/70• , Permit No.:ik-/ r•?..el,0 g-evo ,/ 13125 SW Hal Blvd.,Tigard,OR 97223 ,v 1 2 Z R OOB Plan eview 111 I Phone: 503.639.4171 Fax: 503.598.196A) Other Permit:.5,,,0 „26,0 9_6 CV dog Date/By: Inspection Line: 503.639.4175 TIGARD Dale Ready/By: June: el See Page 2 for Internet: www.tigard-or.gov CITY O1 TIGAiltsroN Notified/Method' --(To, Supplemental Information ''4'"' 'E'r'l-tl';''44:411641i4 -' :IWI' 191W.90:0Wa._541:"IitiiMeti ecowittotibiailigattaircuilie New construction Addition/alteration/replacement Mechanical permit fees*are based on the value of the work El 0 performed.Indicate the value(rounded to the nearest dollar)of all D Demolition 1:1 Other: mechanical materials,equipment,labor,overhead,and profit. •:"..;L',7074F,R)1('':::rni0H;I: 7.2.00-1414§M - Value:S 0 1-and 2-family dwelling D Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: , Description Qty Ea. Total ' ,-,i':::.;•-',-714, -: .: .':-1.; •-•;t'!:-.:'7.!i :f:::,0,.O„.tt111iii.,_..,, IiiillTik- A.."444--",: =7' 4-.A.' " Heating/cooling Air conditioning or heat pump Job site address: 1\CliaS Li. MOANU. .-7...(V?y (requires site plan showing placement) I 14.00 City/State/ZIP:Tigard,OR Furnace 100.000 BTU(ducts/vents) 4' 14.00 Furnace 100,000+BTU(ductsivents) 1 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 Hvdronic 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: 9e-1 : Lot no.: ( Other: 10.00 Tax map/parcel no.: Other fuel appliances 1;TigW-L-trWONI*140*----simtppff17-'itifiti****04111attAftt Water h eater 1 10.00 Gas fireplace i 10.00 Flue vent for water heater or gas firenlace 10.00 Log lighter(gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ir&re,o-a.:grao::::: tortweiotoaci.;-_,,.,._, A,0 wijawiwitilp3v Chimney/liner/flue/vent 10.00 10.00 Name:JLS Custom Homes Environmental exhaust and ventilation Range hood/other kitchen Address:16280 NW Bethany ct equipment 10.00 City/State/ZIP:Beaverton,OR 97006 Clothes dryer exhaust I 10.00 • Single-duct exhaust(bathrooms, Phone:(503)533-4006 Fax:(503)533-4306 toilet compartments.utility rooms) I-4 6.80 plittplitt*St40.:4g6,-#41 -- .0Nir4tiii- 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:nicolerirjlscustomhomes.com , Range !OREPatj.M.SWEEtilitCf,titt#9**,:tigHTS.,.,;4„',,,W4W.Lteae VOW*.:.:, Barbecue Clothes dryer(gas) Business name:TBD Other: Address: City/State/Z1P: Subtotal Minimum permit fee($72.50) Phone:( ) Fax:( ) Plan review(25%of permit fee CCB lie.: State surcharge(12%of permit fee) TOTAL PERMIT FEE I Authorized signature: 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 Building Industry Service Board 1 1.Buililinu\PermiteMEC-Permit Ann Mr n/1 our A Afl,44.17,111 011,1,1,“/IlICI, Plumbing Permit Applicatia4CEWED Building Fixtures NAY 12 2008 City of Tigard " 5 l� p� Permit No. � g-( 0�/ IIIII 13125 SW Hall Blvd.,Tigard,OR 9 pp TIGARD p�Review sa Phone: 503.639.4171 Fax: 503.548 nN Other Permit No t Pali S inspection Line: 503.639.4175 gU1L 1NG DIVISION Date/13y. v T1 Ci A RD Date Ready/Sy ions BI See Page 2 for Internet: www.tigard-or.gov ±Notifed/Method: Supplemental Information lifilil ,-:1?...,.. Yl A. 7 _r>.: ,, "a' -. > � 1'*t HZII EE a> . .i 'a-. -_:... ❑New construction ❑Demolition I For special information use checklist j Description I Qty. I Ea I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) Y ,41.0 .,4 t s : ,vc ti' pY,,,..e n(l) *," '.. SFR(1)bath 249.20 ❑ 1-and 2-family dwelling r ❑Commercial/industrial SFR(2)bath 350.00 ❑Accessory building 11 Multi-family SFR(3)bath 399.00 ❑Master builder ❑Other: Each additional bath/kitchen 45.00 �_�_ Fire sprinkler( sq.ft.) Page 2 B TZ`'* f $$0 3Lt9C3 -,, ,...: Site utilities - Job site address: i I Dg(l-) S 3 ' ' CAJ..\l ± )/ / 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 j 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.: �r C9 Water service(no linear f:.:_) Page 2 Fixture or item Tax map/parcel no Absorption valve 16.60 *`L'f ^'°. tF *+%" ,` Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 is s a : ` 1 Drinking fountain 16.60 „ 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 � {., a *� Hose bib 16.60 tirrain ,A . „ ,,m, � 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 et 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@jIscustomhomes.com Urinal 16.60 I 16.60 Business name:TBD Water heater 16.60 Address: Other: City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone:( ) Fax:( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) Authorized signature: State surcharge(12%of permit fee) 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 Tn-County Building Industry Service Board. I.\Bulldmg\PermrtsWLMF-PermdApp doe 12/27/06 440-4616T(I5IO2/COM/WEB) Electrical Permit A lication7 CEIVED Received City of Tigard 7 l;� p g Permit No.:, t5/&6- z l Date/Bev: • 13125 SW Hall Blvd.,Tigard,OR 97223 Q Plan Review III C Phone: 503.639.4171 Fax: 503.598.19,40,, 1 2 2000 DatelBv: Other Permit 640,241,008-640�p T I G n It n Inspection Line: 503.639.4175 1-k Date Ready/By: luris ® See Page 2 for Internet www tigard-or gov F'Tio R' Notified/Method Supplemental Information '; i 11iRP17i,±e0 .s or . h; a e °r � ra:Wg wS* W h _ ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w'e checked below): ❑Service or feeder 400 amps or more ❑Building over three stories ❑Demolition ❑Other: , where the available fault current ❑Marinas and boatyards. 3[�A76t�tUL�iilB ,fir exceeds 10,000 amps at 150 volts or ❑Floating buildings.• - '"'°° "" "°"' °" '° "' less to ound,or exceeds 14,000 6r ❑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 of 75 KVA or x .,: 5 ❑Emergency system, larger senarately derived system. -„ ,• � - 0,��,, -��^. >�.:.�..., ❑Addition of new motor load of ❑"A""E""1-�" "1-3" Job no.: Job site address: }I 1 '�/a \O-1),:_.) IQ Six or or more. occupancy vv.. `„ ❑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. e w r SEE^6OHEDULE ',l_ ' :Cross street/directions to job site: Description i Qty, I Fee. I Total • New residential single-or multi-family dwelling unit. includes attached garage. Subdivision: Lot no.:(99 1,000 sq.ft.or less l I 145.15 i 4 Ea.add']500 sq ft.or portion t I 33.40 1 Tax map/parcel no.: Limited energy,residential .. e , 75 00 l 4. IK " with above s .ft.) 2 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 �, nR ; A'1'Y1S1�]I2 h,v - ,f�,.:-sf 11ENA'N'Ir:a �; y 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 1 2 Address: 16280 NW Bethany ct Over 1,000 amps or volts 454.65 I 2 City/State/ZIP:Beaverton,OR 97006 Temporary services or feeders installation,alteration,and/or relocation I Phone: (503)533-4006 I 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 wrrh r . i& 'am_*g•` C=,-.4: . -f .GpN c �p - - above service or feeder fee, 6.65 2 each branch circuit Business name:JLS Custom Homes B.Fee for branch circuits without service or feeder fee, Contact name:Nicole Paulsenq first branch circuit 46.85 2 Address: 16280 NW Bethany et Each add'l branch circuit 6.65 2 Miscellaneous(service or feeder not included) City/State/ZIP:Beaverton,OR 97006 Each manufactured or modular dwelling,service and/or feeder 90.90 2 Phone: (503)533-4006 I Fax: :(503)533-4306 Reconnect only 66.85 2 E-mail: nicole @jiscustomhomes.com Pump or irrigation circle 53.40 2 t :,$ > 7;LWQ©N ., 44!),-4,,,a', ,, e q Sign or outline lighting I 53.40 2 Business name:TBD Signal circuit(s)or limited- energy panel,alteration,or Address: extension.Describe: I 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(1 hr mm) 62.50 CCB Lic.: Electrical Lic.: Suprv.Lic.: industrial plant per hour 73,75 )o qs -" EDEC i13iiJgrittI'.liiRMITsIIIEES ;4k,'7'': ,.r Suprv.Electrician signature,required: Subtotal: Print name: Date: Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 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. 1:1Building■Permits\ELC-PermitApp.doc 0503/06 440-4615T(1 l/05/COM/WEB Building Division One & Two-Family Dwelling TIGARD Fees Checklist PERMIT INFORMATIOS::. Permit#: rnST,Dcs • C�tp 1 Plan #: �.ks* M Date: B• 2 •.O , Site Address: 11Olelc St) II\uk1nt,a Ttir0.Ce Parcel#: Subdivision: Vt. \\0 p,e o. 5u ,,M r Crn e Lot#: (49 Cr Zoning: q Jurisdiction: T '"sletbacks: Front: Rear: Left: Right: Class of Work: •1 Aleto Stories: First Floor: 3 O b. Type of Use: mE Height: til Second Floor: q 5 Construction: 5j I Floor Load: Third Floor: 3 I ur Occupancy Group: 'R3 Dwelling Units: `� Bonus Room: f5 Valuation: at(0co.72 Bedrooms: Total Floors: at•i24' Bathrooms: 3 Basement: QS Decks: 1 (p 0 4' Garage: I-Vi2-IP Porches: - 4, la Other: TEES:, .Desch a0n . Fee Amo u:pt:-' . Amount Paid: 1�ala�iee Ike;. per:., _ , Plan Check Building: 9Aca•S Z. 750,cr) CI 43.52. Extra Set: Permit Building: 1 r Tax: 1.ea Metro CET: c2(:00 .30 aQcz,v. School CET: to 3 2 , Mechanical 9"7.-3(5 Tax: k l , 68 Plumbing: 3`i,q • C.0 Tax: Li-/ 88 Electrical: 2/S,-7 Tax: 3.'-1'S Low Voltage: Qs Tax: 0 CDC: CDC Ping. Rev.: • tt CDC LRP Fee: a'l_ r SDC: Parks: 21 .G(_ TIF Res.: - 9 , • , •• TIF MT: Igre Erosion Permit: `• • 6 Erosion CWS: -fiiiii 0 Erosion COT: _ / S • Water Quality: a. Water Quantity: ,d; SUB-TOTAL: Sewer: Permit: Inspection: SUB-TOTAL: TOTAL MST & SWR: 1:\Building\Forms\ResPlanCheckFees.doc 01/19/07 Page 1 rkJulvIDllliv r r t..3(tor special information use checklist) 1vlMtt,1-1/11rt11-t11., r L'r 3 (residential equlpmenvsystems) Description I Qty. I Fee(ea.) I Total Description 1 Qty 1 Fee(ea.) I Total • New 1-&`2-family dwellings _ Heating/Cooling .. (includes 100 ft.for each.utility connection) _Air conditioning or heat pump* _ 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) 1 17.90 SFR(3)bath ( 399.00 Gas heat pump _ 14.00 Each additional bath/kitchen 45.00 _Duct work _ 10.00 Rain Drain,single family 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-1st 100' 55.00 Water heater 10.00 Footing drain-each additional 100' 46.40 Gas fireplace 10.00 Manufactured home utilities 1 10.00 Flue vent(water heater/gas fireplace) 10.00 Manholes 16.60 Log lighter(gas) 10.00 Rain drain connector 16.60 Wood/Pellet stove 10.00 ` „ Wood fireplace/insert 10.00 Sanitary sewer- 1' 100' 55.00 Sanitary sewer-each additional 100' 46.40 O Ott her:her: /liner/flue/vent 10.00 10.00 Storm sewer- l 100' _ _ 55.00 Environmental Exhaust&Ventilation _ Storm sewer-each additional 100' 46.40 Range hood/other kitchen equipment i 10.00 Water service- 151 100' 55.00 Clothes dryer exhaust ) 10.00 Water service-each additional 100' 46.40 Fixture or Item Single duct exhaust Absorption valve 16.60 (bathrooms,toilet compartments, 5 Backflow preventer 27.55 utility rooms) 6.80 Backwater valve it 16.60 Attic/crawl space fans 10.00 Clothes washer 1 16.60 Other: 10.00 Fuel Piping Dishwasher 1 16.60 **($5.40 for first 4,$1.00 each additional) Drinking fountain 16.60 Furnace,etc. I a* 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 1 16.60 Range I ** Hose bib 16.60 BBQ ** Ice maker E 16.60 Clothes dryer(gas) ** Interceptor/grease trap 16.60 Other: ** Primer 16.60 Total: Roof dram(commercial) 16.60 Mechanical Permit Fees Sink/basin/lavatory 1/0 /14 16.60 Subtotal: $ C(1. 3C) Tub/shower/shower pan 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) $ 11 .(e Water heater I 16.60 TOTAL PERMIT FEE $ Other: Other: ELECTRICAL FEES (residential single-or multi-family) - . •Plumbing Permit Fees Description Qty. Fee Total Insp Subtotal $ 319'. (�� 1,000 sq.ft.or less 145.15 4 Minimum Permit Fee$72.50 $ Plan Review(25%of Permit Fee) $ Ea.add'l 500 sq.ft.or portion _ 33.40 1 State Surcharge(12%of Permit Fee) $ 4-7. a Limited energy,residential 75.00 2 TOTAL PERMIT FEE $ Each manufactured or modular dwelling,service and/or feeder 90.90 2 Electrical Permit Fees Subtotal: $ 7:2 13.-2 S Plan review(25%of permit fee) $ State surcharge(12%of permit fee) $ S 3 •1_f TOTAL PERMIT FEE $ I:\Building\Forms\ResPlanCheckFees doc 01/19/07 Page 2 RESIDENTIAL PERMIT APPLICATION REVIEW Permit No.: MST2008-00061 Site Address: 11086 SW Mallow Terrace Subdivision: Village at Summer Creek Lot No.: 69 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: 1. There is no floor framing plan,or beam calculations for floor beams. 2. The "Code Summary" on the front of the plan states"Project designed per the 2007 Oregon Structural Specialty Code (OSSC). Based on the 2007 International Residential Code with Oregon amendments (ORSC)." Is this plan to be reviewed under the 2007 OSSC,the 2005 ORSC,or the 2008 ORSC? ❑ 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". W 5- { 50 Loraine Sellers Date Plans Examiner 503.718.2708 loraine@tigard-or.gov I:\Building\Forms\RES-PennitAppRevw-LW-T.doc 1/18/07 CITY OF TIGARD FEE AND PAYMENT HISTORY : I1 i 13125 SW Hall Blvd..Tigard OR 97223 503.639.4171 TIGARD MST2008-00061 - 11086 SW MALLOW TER 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 S750.00 5/13/08 Check 2720080000 $0.00 0000001630 [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]Pln Rv Balance 245-0000-433000 $98.52 $98.52 $98.52 [BUILD]Bldg Permit 245-0000-432000 $1,305.41 $1,305.41 $1,305.41 [TAX] Build 12% State Surchrge 100-0000-207020 $156.65 $156.65 $156.65 [METCET] Metro Const Excise Tx 245-0000-229202 $260.30 $260.30 $260.30 [BEACET] Beaverton School CET 245-0000-229204 $2,032.00 $2,032.00 $2,032.00 [MECH] MEC Permit 245-0000-431010 $97.30 $97.30 $97.30 [TAX] MEC 12% State Surcharge 100-0000-207020 $11.68 $11.68 $11.68 [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 $278.75 $278.75 $278.75 [TAX] ELC 12% State Surcharge 100-0000-207020 $33.45 $33.45 $33.45 [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 [ERPLN] Erosn Pin Rv CWS 100-0000-207308 $28.60 $28.60 $28.60 [EROSN] Erosn Pin Rv COT 245-0000-433010 $28.60 $28.60 $28.60 [ERPRMT] Erosion Control 100-0000-207307 $88.00 $88.00 $88.00 Totals for Fees $14,083.14 $14,083.14 $750.00 $13,333.14 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 27200800000000001630 Check 912156 JLS CUSTOM HOMES 05/13/2008 $750.00 Total Payments: $750.00 Balance Due: $13.333.14 Creek 4" STORMLINE."Viik ye 7 WATER METER t � ummev� 0� 2" Paper Birch Tree RECEIVED 4,44 4" SANITARY SEWER "), 4 uiIG61Yj Plain; 9 MAY 12 2008 k .,,, I• • 'L CITY OFTIGARD 4" SANITARY SEWER.------ `' 2. ' PUE .Cats : 69, 70, 72B1DIV!SION ///r''�(/ CO #11 ° ` ` 2" Paper Birch Tree Unity �' off`, ,. Unit B a;,$'J 4" SANITARY SEWER. .� • . < , �� % Unit E =.r / ■ 1. PROVIDE A MINIMUM 8" DEEP GRAVEL BASE FOR ALL DRIVEWAY AREAS. 4" SANITARY SEWER. • .Q i�',i'.. • " • 2" Paper Birch Tree 0 2. MAXIMUM DRIVEWAY SLOPE SHOULD BE VERIFIED WITH 0 k • Unit E - '� eft'. ..-''', =_J e THE BUILDING DEPARTMENT PRIOR TO CONSTRUCTION. I d 6 A. / . � � 8 3. PROVIDE A MINIMUM 4" DEEP GRAVEL BASE FOR ALL �� � i �`� • ■ •� �'o, \ SIDEWALK AND PATIO AREAS. �. �- \ N `� • '' 4. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A 4" SANITARY SEWER. 0 / Unit E \ ,,,. �t� DISPOSAL POINT APPROVED BY THE BUILDING // << /---- � Q ,�/ 74.., DEPARTMENT. /Aa .• .., %\ 2" Paper Birch Tree 2 r 4" STORMLINE. L. r 5. PROVIDE AND MAINTAIN POSITIVE DRAINAGE AWAY r /` ` `/ \ _ 4 �i z FROM BUILDING ON ALL SIDES. 10" Water line , Unit 6\_ c.... i 6. NON—STABILIZED FILL MUST NOT EXCEED 2:1 SLOPE c " z;,„. 2" Paper Birch Tree h • 7. NO CUTTING OR FILLING SHALL TAKE PLACE WITHIN THE DRIP LINE OF AN EXISTING TREE UNLESS THE ' - _ EXCEPTION IS APPROVED BY THE BUILDING DEPT. 27 ' Q CITY OF TIGARD-SITE PLA .. . I �,.a,. 8. AFTER COMPLETION OF CONSTRUCTION, THE CONTRACTOR - --.-----_ BUILDING PERMI NO.: y .A! • L• ! M MUST EITHER LANDSCAPE THE SOILS, MULCH THE SOIL OR ~`J = ''� ION: c3 • SEED THE EXPOSED SOILS. . : • -- II_ ti m .`' G DIVIS P $c,{-ba►�l• ` `_,! L -- ;' 'equired Setbacks: Approved ❑ Not Approvr� 9. PROTECT STOCK PILES FROM OCTOBER 1st THRU E • Street Side: APRIL 30th PER THE EROSION CONTROL HANDBOOK. 2" Eastern Redbud Y_' Side: Rear: l Front. Garage: SW RASE 4 `I Visual Clearance: Iv ❑ Approved feet ❑ Not Approved MARY LADE Maximum Building Height 5' .iIdWi IRervice Provider Letter Required: ❑ Yes No CITY OF TIG ❑ Received BUILDING PERMIT AID-SITE PLAN REVIEW a. ,i,,- Date: 5-a7rv� r ��l —"� ENGINEE IN DEPARTMENT: Street Trees: LET Approved ❑ Not Approved Actual SI•pe: % Approved ❑ Not Approved Trees: Approved • Site Plan ''Approved ❑ N t A. oved B . A SgTE Notes: / Date` • , -45 O J 'LA N Date: NORTH 1" = itv8:� DATE 4/8/08