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Permit CITY OF TIGARD MASTER PERMIT �`! N COMMUNITY DEVELOPMENT Permit#: MST2014 00151 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2015 ..iiiieb Parcel: 2S109DD12600 h. to Jurisdiction: Site address: 12678 SW REMBRANDT LN 1 � Subdivision: 2011-041 PARTITION PLAT ot: 3 Project: Cross Partition, Lot 3 Project Description: New SF. 10/13/15, REPRINTED to revise plumbing fixtures. 2/8/16: Reprinted permit to include A/C unit. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: First: 827 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 31 Bathrooms: 4 Second: 1106 sf Garage: 459 sf Front: 15 Smoke Dwelling Units: 1 Third: 1367 sf Right: 5 Detectors: Yes Total: 3300 sf Value: $346,546.28 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains. 0 Tubs/Showers: 2 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: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+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 3300 Owner: Contractor: CROSS.DONALD L&DEBORA LEE EVEN BETTER HOMES Required Items and Reports(Conditions) PMB 725 PO BOX 2021 1 Ersn Cntrl 503-639-4175 18160 COTTONWOOD RD GRESHAM,OR 97030 2 Geo tech report required prior BEND,OR 97707 to footing inspection PHONE. PHONE: 503-348-5602 FAX: Total Fees: $22,855.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Thos- .ules 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 503.2 2.1987 or 8/0.,4 3.•. 'Mi Issued By: Permittee Signature: ��,� Call 5 . . 5 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. I Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD t MASTER PERMIT IIIIII I • COMMUNITY DEVELOPMENT /a Permit#: MST2014-00151 /�� Date Issued: 2015 04/20/ TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 4/ 0/2015 00 Jurisdiction: Site address: 12678 SW REMBRANDT LN Subdivision: 2011-041 PARTITION PLAT Lot: 3 Project: Cross Partition, Lot 3 Project Description: New SF. 10/13/15, REPRINTED to revise plumbing fixtures. BUILDING Floor Areas Required Setbacks Required Stones: 3 Bedrooms: 4 First 827 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 31 Bathrooms: 4 Second 1106 sf Garage: 459 sf Front: 15 Smoke Detectors: Yes Dwelling Units: 1 Third 1367 sf Right: 5 Total: 3300 sf Value: $346,546.28 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump N Hoods: 1 Other Units 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Fender Temp SrvcfFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3300 Owner: Contractor: CROSS,DONALD L&DEBORA LEE EVEN BETTER HOMES Required Items and Reports(Conditions) PMB 725 PO BOX 2021 1 Geo tech report required prior 18160 COTTONWOOD RD GRESHAM,OR 97030 to footing inspection BEND,OR 97707 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 503-348-5602 FAX: Total Fees: $22,757.65 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. ATTENTI n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 rough OAR 2-001- 09) . 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: K. — r Permittee Signature: ale/ 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. y q CITY OF TIGARD MASTER PERMIT ' i 1 COMMUNITY DEVELOPMENT Permit#: MST2014-00151 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2015 Parcel: 2S109DD12600 Jurisdiction: Site address: 12678 SW REMBRANDT LN Subdivision: 2011-041 PARTITION PLAT Lot: 3 Project: Cross Partition, Lot 3 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Reauired Stories: 3 Bedrooms: 4 First: 827 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 31 Bathrooms: 4 Second: 1076 sf Garage: 459 sf Front: 15 Smoke Dwelling Units: 1 Third: 1367 sf Right: 5 Detectors: Yes Total: 3270 sf Value: $346,546.28 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+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 3270 Owner: Contractor: CROSS,DONALD L&DEBORA LEE EVEN BETTER HOMES Required Items and Reports(Conditions) PMB 725 PO BOX 2021 1 Ersn Cntrl 503-639-4175 18160 COTTONWOOD RD GRESHAM,OR 97030 2 Geo tech report required prior BEND,OR 97707 to footing inspection PHONE: PHONE: 503-348-5602 FAX: Total Fees: $22,667.65 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 - - - • - 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. i ENTION: Ore.• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 101-0010 through OAR 9 •r -00.0. You may obtain a copy of the rules or direct questions to OUNC by calling 50503.2�32.1987� or/1.800.332.2344. I sued By: f ��' i� . ,.4 _ Permittee Signature: /C l G— 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. . . Building Permit Applicatio Residential ( EIti ED , ,),. t), , , , , ., (0,, , Si City Tigard SW Tigard,OR 97zz23SSEP 9 2014 9 /� �:�►- t .: ' o/ -oois/ Phone: 503.718.2439 Fax: 503.598.1 � Plan 3 3 .. r" "' , Inspection line 503.639.4175 C' OF U Dale a BR Internet: www.tigard-or.gov-0r. c7 ligatd tier 7U�LL7t��,-''�I`"I" ' Neetheadehee: /1/' `NIE - ►. New construction ❑Donation Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement 0 Other Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicat-. on this application. D I-and 2-family dwelling 0 �h�;al Valuation:A 11 s `S 3Qb)54b . ❑Accessory building ❑Multi-family Nu .. -Ir... •• : 4 ❑Master builder O Other: Number of bathrooms: 3 Ili- . Total number of floors: Job site address: S k.A., 1 ikk‘o c.d `^ New dwelling area: 9 12. square feet City/State/ZIP: ■ Garage/carport area: ai-eff square feet F 6.7 Suite/bldg./apt.no.: Project name: D C P— , Covered porch area: square feet (076 Cross street/directions to job site: i, : . 1 R _ ■ Deck area: 2.77 square feel eZ7 i ' 1 •- Other structure area: ? square feet ' , siiiiiiiiimiimirrryna a, Lot no.: 3 Permit fees*are based on the value of the work performed. 2 CQ U 0 Indicate the value(rounded to the mina dollar)of all —_.--_ equipment,materials,labor,overhead,and the profit for the work indicated on this application. Ili .,UIIMIIIIIIMIIIIIINININIIIIINIIEIIIIENNEI Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: B'.. `ss `, '. v ch ter e* 1c4 rs _____ - Contact name: V Structural plan review fee(or deposit): Address: ' Q '. FLS plan review fee(if applicable): Clty/State/ZIP: Total fees due upon application: Phone:(SO) 3 %.. Fax::( ) Amount received: -- ..- -- - Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: r Submit two(2)sets of roof plan with connection details and Address: Soar a department t access,along with the 2010 Oregon City/State/ZIP: ,eci�'Code checklist. Permit Fee(includes plan review Phone:( ) Fax:( ) and administrative fees): sumo CCB tic.: State surcharge(12%of permit fix): 521.60 Taal fee due upon application: $201.60 Authorized signature: This permit application expires if a permit Is not obtained within 180 days after it has beta accepted as complete. I Print name: AG V.,/6v% [Date: *Fee methodology set by Tri-County Building Industry Service Boast. 1:\BuildinQ Pnmirs1BUP-RESPenmitApp.doc 02/24,201I 440.46137(I 1ro2ACOM/WEB) Electrical Permit Applicat f IEFIvED City of Tigard n,�pa i5� Permit -On/S I 111111 8- 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review Phone: 503.718.2439 Fax 503.5982 �P 9 2014 1.)3103s JBy Oar Permit t Z ( a{i%V Inspection Lane: 503.639.4175 Date Ready/By. eta'* f 55 See Page 2 for interne: www.tigan5-or.gov i A■Y Of IIGARD NM Stud/Method: Supplemental Information ❑New construction ❑Addition>'alteratiotl/replacement — Please cheek all that apply(submit jnets of pies srrau checked below) ❑Same or feeder 400 amps or more ❑Building over three stories. 0 Demolition ❑Other —— where the avaibble fault current ❑Marinas and boatyards- CATEGORY OF CONFIRli(`i7ON exceeds 10,000 amps at 150 volts or Q Floating buildings _. less to ground.or exceeds 14,000 ❑Commercial-use',motional ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all ocher installations buildings ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ❑Emergency system larger neparntel.derived system MR St11 INFORMATIM AND /Loam ❑Addition anew moist load of ❑"A" "l:""I.2""1•?^. Job no.: lob site address: 100HP or tee' 0Ctaip.e,cy I Z(,?7� S C�rn�c( �'\ ❑six or more nsidential units Q Recrealiorat vehicle party City/State/ZIP: T 1 (t..( ' ` Q Healthcare facilities 0 Hazardous locations ❑Supply voltage for more than eons 600 volts nominal. Suite ibldg./api no.: Project name: + Q wales or tbeder 600 amps or more Coss as- � t : c, , Cross street/directions to job site: 1vc ec- C\ Q� ' osalpaau- - -4 Q7. Yea. -T_-iZi°"171, New residential&Ingle-or nmIf-fuadly dwelling unit. G re t c�\ e�C\ l Y-\ \ - G S. -e w\-qc-a.�C�� includes attached garage, Subdivision: Lot no.: 1,000 aq.fl.or less .1 168.54 4 Ea.add'{500 sq.R.or portion Yj 33.92 1 Tax map/parcel rw.., 51 ( , j Vj) �{ c-(' .__ _ Limited energy,residential I (with above sq.R) 75.00 2 l- - - - - - - - -- - - limited energy,r ulti-farnihi 75.00 2 residential(with above sot.s,) _ Renewable Enero i 0 See Page 2 Services or feeders Installs tionialteradoa,and/or relocation >r o T 200 amps or less 100 70 , 2 ------j 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 ! 2 Over 1,000 amps or votes 55226 2 City/State/ZIP: Tengaorary services or feeders installation,alteration,and/or relocation Phone:( ) Fax:( ) 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 maps 125 08 2 _ intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ` 401 maps to 599 amps 168.54 2 Owner signature: _�_ Date: __ Branch circuits-new,altmtioa�or extension,per panel - inutur - _ _+�� 2� A.Fee for branch circuits with _ . , above service or feeder fee, 7.42 2 Business name: U t(N, -V--\-C c \--\(1 e S each branch circuit _ B.Fee for broach circuits without Contact name: iC.s\fQ( ) service or feeder fee,firs 56.18 2 Manch circuit Address: U x 2.C) \ Each add'1 branch circuit 7.42 2 Miscellaneous(service feeder rot included)City/Stat&ZP:G c C S\NC�� O Q 1 0 2- 6) Each manufactured a modular I 67.84-T_ 2 Phone:( )3y 8 -S7 03 Fax::( ) lwdtiag.service for feeder , 1 Reconnect only 67.84 2 E-mail: to • C) of\NU « cc U�- -- Pomp or irrigarion circk 67.84 _ 2 __ Sign or outline lighting 67.84 2 Business name: S/r yt c `Mt ' • ei i_tyl -- Signal circoit(s)or limited-teeny See - . ''" —,/ pond&Renting or extension. Page 2 2 Address: ) 61„..:,.. 5 - Each additional Inspection over allowable In any of the above l•' po�, / "p31 Additional v d i(1 hr m )hr min) 66.25/hr City/State/ZIP: l(�,AA investigation(1 hr aria) 66.25/hr Phone: )�3 e-/_ 1 I Fax: )23 q-0-13/ Industrial pant(I Mullis) 78.18/hr CCB Lic.: V. 0$s all i 5 31 specs stns for which no _.00,hr — Electrical Lic. Suprv.Lic.: specifically listed %i tmac, Suprv.Electrician signature,required: ), -----__. Subtotal: __ y Print name: Levi t l Date: $12.2/0/ Plan review(25a/o of permit fee): State surcharge(12%of permit fee): 4 Authorized signature: _`; TOTAL PERMIT FEE: ,w� TMs permit appltdadon expire.If a permit it not ebtalated within ago Print name: �,/-� '/4f---- Date:o 2 i LI dots afar H has been accepted as complete. • Number of inspect ions allowed per penult_ I Bmra,ag•Pmn.•Et C PermeApp-ELR_ERF doe Rea 05 21.2013 440-4e 15Th 1 1+03 COMtwEa Mechanical Permit App • : .t. • • City of Tigard itiEr, g - i,,{ Panto Ho. /�/hT�/ —DO/5 N . 13125 SW Hall Blvd.,Tigard, a Plan Review t. Phone. 503 718.2439 Fax: 503.598 1•,, DawrBy Other Perw't LbZL'/Y `r V C /,+ t Inspection Line: 503.639.4175 Dale Reedy'Dy row la Ste Pape 2 far Internet: www.tigard-or.gov 1 (�(��y� Notilied'Melhod: Soppkmeaul lnferaatba CITY 1lii 1V — — r --- — — , c 1 UAL Ill .SEIRIVIS -.. . . --- — r Mechanical permit fees'are based on the value of the work i ❑New construction ❑Addition/alteratitmlreplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:5 CATEGORY OF COMOTC:1110, _ _ lowagnAuttutragninsumsnir ❑ 1-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building For specialitfarmotiem use checklist ❑Multi-family ❑Master builder ❑Other Description I Qty. J Ea. I Total ---- ,� _ — Heating/tooling:Atm __ Air conditioning 1 46.75 Job site address: \ 2_6 7C:z?) c-)U j Q e i..13I- ca A \ l N Furnace 100,000 BTU(dacu'vents) i 46.75 City/State/ZIP: k \G a� (,, Furnace 1(10,000+BTU(ducwvents) 54.91 J Hot pump 61.06 Suite/bldg./apt.no.: I Project name: Duct wort 23.32 Cross street/directions to job site: .1x 12c ,,,(\ Q A -1,-j Hydronic hot water sstan 23.32 (� Residential boiler(radiator or C) t(e ��\ e.\d \�--■ �� 6 \-N hydronic) 23.32 1 1 Unit healers(fuel-type,not electric), '(mil\% • � in-wall,in-duct,suspended.etc. 46.75 Flue/vent for any of above 2332 Other _ 23.32 SubdivisionC c() f 4�� \' Lot no.: Other fuel appllaaces: Tax map/parcel no.: Z 5 \ U 11(r C O Water(eater , 1 _ 23.32 "—'� Gus fireplace/insert I 33.39 — - Flue vent for water beater or gas fireplace 23.32 Log lighter(gas) 23.32 Woodipellet stove 33.39 Wood fireplace'inse t 23.32 Chimney/liner/flue/vent 23.32 �.y Other 23.32 ;1 n Environmental exhaust and ventilation: Name: Range hoed/other kitchen equipment y 3339 Address: Clothes dryer exhaust ` 33.39 5ingleduci exhaust(bathrooms, City/StatdZlP: toilet compartments,utility moms) ,k 2332 Phone:( ) Fax:( ) _= Atticicrawlspace fans 23.32 ACTT— Other 23.32 — A �AN/ Fuel pipings Business name: L(j e ire---\--\ec \ �( ) 514a5 for nrn four;54.03 for each addltlnrtal Contact name: 1 \c( u€ Furnace,etc. I , 2 U \ �s heat pump Address: Q 2 Walt/suspended/unit heats City/State/ZIP)c-e \NGc 0Q__ CL—I0 J Water heater t �7� ` Fireplace ( Phone:(Y)1-) } g- O Fax::( ) Range E-mail: (\\i-) C AsNec. `c V Barbecue commerce Clothes dryer(gas) Business name: Si Se4- h(l 11th ,Otbtr—_ -__�1 WES/ — Addrese: 0(461 S(,J 1■0 S J Subtotal I City/State/ZIP: Pa)6416).4 1 OIL 1-7 3 Minimum permit fee($90.00) � / Plan review(25%of permit fee) Phone. 3)-2-3`T-U If l 1 Fax:663 23 I1-()Loci State surcharge(12%of permit fee) CCB tic.: j 1`04i S' TOTAL PERMIT FEE This permit apptkatlon expires If a permit Is not obtained within 1!!(I 1 days after U has been accepted as complete. Authorized signature: .,! • Fee methodology set by Tn-County Building Industry Service timed Print name: �At'��/�'`'_� �L. _ Date:'6/72{111 J I:Buddiag•PamarS EC-Perms Apr+0101Is,dnc 44u-16171(11 W COM WE8) Plumbing Permit ADDlica CEIUF[ Site Utilities City of Tigard S E P 9 L(��:numb 77. • eirtftjj1 t'� ..` IN N 13 SW 503.711.2439 T Fax: 503 f'talltllJ D.w �r/l��i Peat No.: , p f ii'.. )repeodon Liae. 503.639.4175 BU kw Nino Don Re ersr: hift p Oohs.i tar Ineemet: www.tiipdougov _ NodMttatodtd: Ulae�aMM TYPE New construction 0 Iition —_ _ For rpeda Informailen we c*ft*I? ❑ _�. 1)erchiptithn i Qty. I Ea. I Taal ❑Addition'elterationheplacement ❑Other: lien 1-2-.sadly dyeing,(include 100 R.for each u(Ii* connaglon)•CA1fl iO1Y OF tourmucnoN SPR(I)bid► 31230 0 1-and 2-family swelling D Cotrate►eielRaduWisl Sitit(2)bath 437.78 Mt(3)boon l soo.32 0 Accessory bnildin$ 0 MuM-family Emit additional I011Achehen 15.02 D Master builder D Ohs fine spook a (_.r sq.IL) Page 2 47-1 bas.: «._-4' �j ' ..: .. ;,- S11r ., Cana basin orals drain 18.76 �.Imp. al l Dowd,huh Sim or ranch drain 11.76 CityVStata/Z1P: T� c- Roods;meta(ra.linear R.:_) Page 2 Suitelbld.Japt.no.: [ Project n ( r GSS GC�`-1�,-VC Ma ctuead home rdlitie _ 50.03 Crass itmsi kecdons to job site: 'I-ec (3c, l�C\ (\ 1 l.J Marboloo 11.76 • wa drain aolntetor 11.76 • ti 8dsay sen(era l a:_J Page Stows aewer(aa Haw L:___) Page 2 Mier aerobe(era Sam R.:.,...) Pate 1 Pear woes! >laokllow pot waster 3137 :: 1ratwtar valve 1251 - Cloths maw 2502 Wettwadar 25.02 thidelrg Leask 25.02 tljeasts 4anp 25.02 k, ""�- , . , - >mtlwteioa weak 12.51 PlatanVaewar asp 25.02 Nom` Pimdehri sors(drAxA 25.02 Address: ' - Owitspolipoed 25.02 City/StalslDP. Nom* 25.02 Fist:( ) be umber 12.51 Thaw( ) 2515? `` tt , ) ' Page 2 Sudeten mate: 1e, t\ e'C'T,e c- NU l`i\es Mead pledge S, Pthaer 12.51 Contact aune: `m(L C U(' (-\ Roofed'looerswaial) 12.51 Addles:PO U 7()2J SMMAr Wail+ aeory 1302 City/State/ZIP: _ \L t 4 j ' Sohr oaks(penlie water) 62.54 • r, Fax::( ) Tablelunnothower pan 12.51 Urinal 25.02 iloV (i rim NA• Waeerdosal , 23.02 `_.. r Water Mrttx 37.52 Business name:T 4Grr3TRA Lana//' LLCc_ vwte,�Gt�D�ry 5659 Address: (p f Sc 1 1t IV - 25.02 C1151Sl !rat 7401 NO o 7 7 5 6 Subtotal ?bone:ej 0's),9 7-' "000 Fu:( 3 Minimumpaendt fee: $72.50 ccsUc.: / n 7 c 61/ 8::::ing Lk.no.: Pa 370 Pleateview (25%apnoea tee) Sate aueberge(12%of permit tee) Authorized signature: TOTAL PERMIT PEE 'Mk penult aABaaea errhes to a prim*Y Nt Naalad wtttda IM days 1 Prim name aL'oR NG L La e11BS 14 I ruse:041_124 .art s tw t+n.nern.vtne a•uevr•+r. *Fee a similebpy no by Wooly Huang,ta,Mlry Sent.Beard 1 Sedan Tasman Mt'-PS Arran IS 0109 4094■M7 1 1 0:COM0/11.01 I/I City of Tigard ■ ■ li COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: Hijr?o, Do ice/ Site Address: 1267 SW Rernbro,nc* Lri, Project Name: Cross Lot #: 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: nevi SF NJ Verify site address/suite#exists and active in permit system. Si JPlan Elements: ree(3)copies of site plan $Existing structures on site lJStte plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rawn to scale (standard architect or engineer scale) �oor elevations V orth arrow Utility locations(required for new,may apply for additions) LT7Site address,project or subdivision name and lot number ocation of wells/septic systems 2/ pplicant information(name and phone number) NJ Erosion control(including drainage-way protection,silt fence [ 'Jot dimensions and building setback dimensions esign,location of catch basin,etc.) LYJLot area,building coverage area,percentage of coverage and )Street names )pervious area(applicable if R-7,R-12,R-25&R-40) �treet tree size,type and location IY1Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—S rvice Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes — Received: ❑ Yes ❑ No ,P:(/Land Use Case#: M LQ 2001-O0�2 U/Zoning: R- 1 LJ Setbacks: Front 33' S')Rear37' (.1 S') Side 5' (5'}Street Side — Garage 3g'(2.0) Landscape Requirement: 20 le Lot Coverage Maximum: O 0 i ❑,/Building Height: Maximum Height 35 Actual Height 3 1 Lid Visual Clearance /Easements [ Sensitive Lands: ❑ Yes lINo Type rban Forestry Plan Conditions Met Notes: t Approved By Planning: ti - pi All Date: q[I ly Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Bui!ding\Forms\BldgPermitRvw_RES_042914.docx Building Permit Submitta Original Submittal Date: 9 9// Site Plans: # 5 Building Plans: #�� ) Building Permit#: � Enter building permit#above. Workflow Routing: Cunning D`ngineering Permit Coordinator uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan,(1)building plan and original plan review routing form. Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: R -- Date: 9/ r Engineering Review V Actual Slope: 1 7 eX PA...113e Fey".P AT-t rv�t��1t7'QeiA.Arr BY CJecv TEtc ❑ Conditions Met Notes: Approved by Engineering:�� Date: `/ I1 - J �} Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ArOK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BIdgPermitRvw_RES 042914.docx FOR OFFICE USE ONLY–SITE ADDRESS: 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 11 TO: � (�� IAT ),.r!: ;� �A P DEPT: BUILDING DIVISION SF 2 2015 FROM: CITY OF U'IGARD COMPANY: ,ll BUILDING DIVISION l \e -� PHONE: ` C� �� g' SAD�•- RE: /94.4, ? : /'.�.^�:�/T,...►.1_ AS r�3*' 01 –�d I rte • .s ess (Permit Number) pa i ) L�$ 3 V jec name or.ubdivision name and lot number) ATTACHED ARE TH ^ FOLLOW ING ITEMS: Copies: Description \ Co .: Description: Additional .et(s) of s. Revisions: Cross sec on(s) and de i1s. Wall bracing and/or lateral analysis. Floor/roo framing. Basement and retaining walls. Beam ca culations. Engineer's calculations. Other(e plain): r REMARKS: � �.,,� �.,,� 4 j?.. fthc9--o--e- 1 u4 /NBC "1 -1444E /Vr i-if 14.30214,Fcc.42 FOR OFFICE USE ONLY Routed to Permit Technician: Date: 9 ./ 2 - 1 I s Initials: -7'N Fees Due: !4 Yes ❑No Fee Description: e.X%rc p/aa re,ti e W Amount Due: , $ 90 $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes I ❑No ❑ Done Applicant Notified: plea Date: IP-3/15— Initials: e , I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 L 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 12678 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00151 David Young Provide permit for AC and approved inspection. Provide duct seal test report or whole house blower door test for ductwork in crawl space, per radon mitigation requirements. 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 12678 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00151 David Young Seal wall penetrations in mechanical room, will check at ﬁnal inspection. 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 12678 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00151 David Young Corrections complete. 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 12678 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00151 David Young Final erosion control approved. Street tree certiﬁcation to be supplied on Tuesday 2/16/16. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Duct seal test report checked. C of O left on site with contractor. Violation Summary: Inspector Contractor Field Report Project: 12678 SW Rembrandt Lane Date: 6 May 2015 Location: Tigard, Oregon Permit#: MST2014-00151 Rapid Soil Solutions (RSS) conducted an foundation check on May 6th, 2015 of the above new house. RSS tested the exposed grade with a half inch carbon fiber probe. RSS found the exposed grade to be firm and non- yielding. Good to pour. Bearing capacity is 1,500psf. See below site photo. • >�r \it\ tt .0°." a" ,.iNE, `0 C �r e 19244 - . OREGON �a�- A/4 A. Rapid !EXPIRES/1—)/— Z—Crl iD . Soil Sot IlonSLLc 503-816-3689 mia @rapidsoilsolutions.com FOR OFFICE USE ONLY—SITE ADDRESS: //a6 7? 5" 3 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 3 Transmittal Letter T I G A R 1 1 all Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: DING DIVISION ita,tt E n MAY 27 2015 FROM: _ fae2Ak- CITY OFTiUARll COMPANY: ,fz1s).,,_ 4_,../t - BUILDING DIV .:..;_ , - PHONE: 5Z 3418 — 5-70o -, �l RE: ( 7 ;, j, ,,,�t-. H�o�i -OO/ -1 (Site Address (Permit Number) e. ttnJ 11441177--• 3 �wber roject name or subdivision � � e and � � ber) ATTACHED ARE THE FOLL►. ING I N MS: Copies: ! Description: . / I Copies: Description: Additional set(s)o'plans. / Revisions: Cross section(s) d details Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: E..��p I Gc al.� ys ze__ - dam--, . g FOR_OFFICE USE ONLY - _Routed to Permit Technicia • Date: V : Initials: Fees Due: ❑ Yes E Fee Description: Amount ue: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done /. Applicant Notified: Date: .,J,/,� Initials: '3-7-77- I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012