Permit 1171 CITY OF TIGARD MASTER PERMIT
:- COMMUNITY DEVELOPMENT Permit #: MST2010 -00019
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/26/2010
TIGARD Parcel: 2S109AB13200
Jurisdiction: Tigard
Site address: 14274 SW STELLER'S JAY LN
Subdivision: Lot: 0
Project: Alpine View
Project Description: New SF. 12/10/10, Reprint to correct street name spelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 979 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1205 sf Garage: 434 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2184 sf Value: $244,722.80 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 4 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
Other Fixtures: 0
Drywell- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
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: 4 201 -400 amp: 0 201 -400 amp: 0 W/O Svc /Fdr: 0
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
•
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 2184
Owner: Contractor:
WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT Required Items and Reports (Conditions)
735 SW 158TH AVE 735 SW 158TH AVE 1 Ersn Cntrl 503 - 681 - 4444
BEAVERTON, OR 97006 BEAVERTON, OR 97006
PHONE: 503 - 641 -7342 PHONE: 503 - 641 -7342
FAX: 503- 641 -7661
Total Fees: $15,148.64
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. ATT ON: on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001- 10 through OAR • - -081-1690. You may obtain a copy of the rules or direct questions to DUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: K / � ,, „• f / . Permittee Signature: _ _. �lut[Cl��/
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.
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2010-00019
p 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/26/2010
Parcel: 2S109AB13200
Jurisdiction: Tigard
Site address: 14274 SW STELLARS JAY TER
Subdivision: Lot: 0
Project: Alpine View
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 979 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1205 sf Garage: 434 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $244,722.80 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 4 20 1-400 amp: 0 201-400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401-600 amp: 0 401-600 amp: 0 Ea add'I Br Cir:
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:
Owner: Contractor: Required Items and Reports (Conditions)
WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT 1 MST Ersn Cntrl 503-681-4444
735 SW 158TH AVE 735 SW 158TH AVE
BEAVERTON, OR 97006 BEAVERTON, OR 97006
PHONE: 503-641-7342 PHONE: 503-641-7342
FAX: 503-641-7661
Total Fees: $15,148.64
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 9952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ~1 L Q Permittee Signature: .4 Y /A/~~ j~
Building Permit Appl' PIVF OFFICE USE ONLY
Received , 'l Permit No.. ~O/O ~ ~Ol
City of Tig , . ~ _0 Date/ y: V
OeO QQQ~~
13125 SW Hall Blvd.." Q~~~JJJd.01 Date/Br OtherPemvts: *09
~ ~ ~~~~,()t Date/By:
Z For
D Phone: 503.639.4171 UI~tMhO Date Readyrny. J~ X See Page
v Duns: Supplemental ntal Information
Inspection Line: 5033..639.4175 t~ ?dotifiel h1etlwd: l
® Internet: %v'vw.tigarG6TYo0F TiGARD
TYPE OF.WORK REQUIRED DATA: 1-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.
I- and 2- family dwelling. ❑ CottmSercialiindustrial Valuation 44 - 22- 0
❑ Accessory building ❑ Multi-family Number of bedrooms: 4
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION . Total number of floors: 2
i
Job site address: ' 7_74 S Y New dwelling area: 2184 square feet
City/State/ZII': TIGARD, OR. 97224 Garage/carport area: 434 square feet
Suite/bldg./apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet 1~Q
Other structure area: square feet 2,-1
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Plan No.: 2155 ALAMEDA AMERICAN Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Subdivision: ALPINE VIEW Lot no.: equipment, materials, labor, overhead. and the profit for the
Tax map/parcel no.: work indicated on this application.
DESCRIPTION OF WORK Valuation
NEW CONSTRUCTION Existing building area: square feet
New dwelling area: square feet
Number of stories:
Q PROPERTY OWNER Q TENANT Type of construction:
Name: 'VEST HILLS DEVELOPMENT Occupancy groups:
Address: 735 SW 158th AVE Existing:
City/Slate/ZIP: BEAVERTON, OR. 9740116 New:
Phone: (503) 641-7342 Fax: { 503) 641-7661 NOTICE
APPLICANT. [1 CONTACT PERSON All contractors and subcontractors are required to be
licensed with the Orepon Construction Contractors Board
Business name: 'VEST HILLS DEVELOPMENT under ORS 70t and may be required to be licensed in the
Contact name: STEVE POLLARD jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
Address: 735 SW 158th AVE apply:
City/Slate/ZII': BEAVERTON, OR. 974006
11hone: (503 ) 726-7041 Fax: ( 503) 641-7661
E-mail: spollard@arborhomes.com
.CONTRACTOR BUILDING PERMIT FEES*
Business name: WEST HILLS DEVELOPMENT Please re/er to fee schedule
Address: 735 SW 158th AVE Structural plan review fee (or deposit):
City/Slate/ZII': BEAVERTON, OR. 974006 FLS plan review fee (if applicable):
Phone: (503 } 6 -7342 ( 503) 641-7661 •fotal fees due upon application:
Amount Received: All
CC'B tic: 1048X7
Authorized This permit application expires if a permit is not obtained
signature: within 180 days after it has been accepted as complete.
Print name: S'I'EN E POI A D Date: 1/2 .1/201.0 * Fee methodology set by Tri-County Building lndustry
Service Board.
l:\Buildint tpennits\BUP-RES PennitApp.doc 11/6/07 440-4613'1'(11/021COWWEB)
Electrical Permit Applicatio>rt o Boa s t
rr
l: 1LY o T i.,41 l-U - r; ~~dlvlQ
uate,n,.
13125 S1V I-lull Blvd Tigard. OR 1)7 ~ )I ~ Puna ltr,•rrw•
Uatc/Hy Uther 1'~ rn.r•. ~ev~ 8Q ~ Q
Phone: 501639.4171 Fax' Fig I tale se d)rh)• x See l"ec - ro, V
a , ® I t Icnlanml hd0luratlan
Inspection Line 503.639 417501® F:mrGul/Alerhnd lioi' Su, 1 _j
1 Intl:mef W'Wx.ulnlyd-or~J y~-•.-
rY~rq PLAN REVIEW
Q New cnnstnlcuon ❑ Addition!alteuation iA Please check all th:,t apply (submit 2 sets ol'plans w/units checked)
❑ Set-vice or feeder 400 aulps ❑ Hvarrims lucuumrs
Demolition ❑ Other: or Intoe Miele the avadnide ❑ Sea ice ticder 600,rngts nr allot
CATEGORY OF CONSTRUCTION lauh cutrcm cxccads ❑ Building over duce sidnes
I0,h(10 amp, at 150 volts nr ❑ )vtartnns and ho:nyard,
❑ 1- and 2-fltnlil) dwelling ❑ Coinnlercial/industrial ❑ Accessun• building less lu e,otuul, m c,cued, ❑ Floanne budding,
Cuuunercral-u,c agncultutal
14.0110 amps for a1) other 13
❑ Mul[i-Tamil) [1 Mastct builder El Oilier: Itdldn.gs
installations
JOB SITE' INFORMATION AND LOCATION ❑ inslallatton of75 KVA or target
❑ for pttrn{' scpruuci5 deri,ed ry,trm
iuh no. 1 1oh address: t +Z74 svN ❑ Eumrgcnrp syslcnt ❑ r^ -r- ^I 2" ")-i nccunnanrv
Ctl):'tihlle;ll]': TIGARD, OR. 97224 C3 Addmunof new mutol
load of I OUI P , of mole ❑ Rra,:aumrol vehicle purls
Sullc/bldg. ilp[ 11(1. I'miccl name: ❑ Six or lone IC,r11mull amts ❑ Supph whale fm mnrc lino
❑ Hcalih-talc facilities ('On %011.1 o0mmal
ClUSS slfectijirectioil~ to job site:
FEE SCHEDULE
Description Qq. Fcr Total
tinb(h1'1_r'IUII: :1LPI~L• ~'IEF1' Ln( I1C).: ' New midentiai dnpir•ar .nnlll•fnmll) dnellin;; unit.
Include, nttnehed onram
Tax map/parcel nu.: 1 u0O sq. li or less 4
DESCRIPTION OF WORK Fit, wid'I 500 sq ti of pnnino
NEW CONSTRUCTION Li n led energy. tnsidrunal
J .,•ith ahnvc ,q fi )
Lumicd crovigy, tnolti•Caiialy '7500
residential ( ,vilb at.ove sq. fr.l
0 PROPERTY OWNER ❑ TENANT Scrvice4 or reederx Installation, ulterulian, andhlr rclucution
None: NVEST JULIA DENTI..OPAiENT 200 narps or less No.30 2
Addicss: 735 SW 158ihAVE 2UIatolls in x00amps 106.85 2
40 1 ntnps in 601) mops I60.61) 2
CilvlStale%2111: BEAITRTON, OR. 97006
III) I amps Ill I.Oau amps 240.60 2
Phone ( 503 1 641-7342 fax ( 503 1 641-7661 Over 1,000 amps nr,nlis 45465 2
owner inaatlo,lon: Th" ms1a11auon c lmrnr. nradc,an msidcnunl m fnm property ou:wd h) mt.n n mcmbr, of II empurtlry icrvicc, ur feeders ItIStAlIlllltrn,IdtCfUtlnlt,lllid/or relocution
my nnoredmte farad) I hi: Properly o not iaternled rat W,, cxiamile or rear IUItS.17!+ 540(1) and 4711 Sho(U
21111 amps or less 66185 ?
Owner signature: Dalei
201 mops In AtIU mops I(IU.lO ?
123 APPLICANT CONTACT PERSON
AIII ;unps lu 3')11 mops 13i.75 2
Business Name: WEST 1JLLLS DEVELOPMENT Branch circuits.- nelv.:0teration. nr extension, per panel
A Fcr for manes rucao, s0lit
Cullum None: STEVE POLLARD ahovc,erv.c..,fe,•d„fee, 6.65 2
each hr 1.'m t
Address: 735 SW 158111 AVE n rec fu, branch cncam
'014""t ,e-ro, or fccdo, 46 N5 2
C115:'Sude;21P. BEAITR7.ON, 6)12.970116 1e, bra onnccnru..
Phone: ( 503 1 726-7041 I Fax• ( 503) 641-7661 Eacb adurt ht:ardr circuit (46
R• Ewelltincims ( service ur feeder ndl included I
E-mail: sooIlardCa)arborhomes.com
Loch ma0ufactwod or modular 9090
CONTRACTOR dtvcifing, service, and! ur feeds,
Reconnect onh 66 85 I
BUSII ~ Name: GARNER EL FCTRIC Poop no wigaunn circle 53 40 2
rlddies,%. 2920 S.E. BROOKWOOD AVE. Sip ra moms hghting 53.40 2
Cit)1StaterL11": HILLSBORO, OR. 97123 5rgrraleueau(s,orI acrd -
eraanq panel. 411-1 nn. w Page 2
Phonc. ( 503, ) 648-4552 I Fax ( 503 1 642-7925 v,t.n,ma n.•,,dhv
Each additional Inspection over rillownble in any of the nbove
CCB Lic.'. 121159 Electrical Lic.: 34-305(- Supn', Lie,: Pennspcctton 6150
la%vaigation pcr floor (I hr Iran) 62.50
Snprl I-Icctrlcian Industrial plant per hour 73 75
Signature, required: ELECTRICAL PERMIT FEES
Prue name: C OCI- GARNE Date: 1/21/2010 Suhioml
Authorized flan review (25% of pernul rte)
Signatire Suite surcharge (12%of permit fee) ,
TOTAL PI' R-M I.6 FEE a
PrInt noble STEVE PO :I ART) Date 1/21/2010 Tbis prnnit uppliwtinn cspirea if u permit is nut nhminrd
within I fill days after ii has been accepted as rmnpletr.
IlllnddinRJ'cnnnsfLCi'cuult:lppJu. 0523 Of, 440-46157(111051COMIWEB) Lum6crutm,Lecuw "Ou"dpcrpcnmr
ion e e 1i r''
Mechanical Permit .4 > >lical
p nrcriscd aZ /D Q
City of Tigal-d I~~~ Halal,} 1'e nut n a0/D ~GLV~/
;a ~~3 ~41k•-va l• I'Inn lirl~e,v ~tf.~K/K~l~~~~0
` I ~ I''S ti~V Hall Lilvd., •i(.,Ird; C 12'97.:_ oumt Pcnnicc
~(h ualdn>.
Phone: 5(13.639.=!171 Fa 5611.dp`/LU ~O nalC Iteadlvny. ILJ Set Page 11:
Inspection Line: 503.639. 11 L I NutilicJlrattnid OnF Supplrmcnlal lnliumalim,
Internet: lvwlc. H Bard-nr."nv OF TIGARD
mi
COMMERCIAL-FEE SCHEDULE - USE CHECKLIST
TY
ION
Q New eonsttuctiuu ❑ Additiorlr`altcratiun/replace N•Iechanlcul pcnurt Ices' are based on the value of the ,earl: perfomred,
Indicate the value(rounded to the nearest dollar) of all mechanical
❑ Demolition ❑ Other: materials, equipment, labor, overhead, and profit.
CATEGORY. OF. CONSTRUCTION Value S
❑ I- and 2-famih dwelling ❑ Commercialiindustrial ❑ Accesso-N building RESIDENTIAL EQUIPMENT ISYSTEMS. FEES!
❑ hlttlti-(anti!)' ❑ Master builder ❑ Other: I "nr special infiwo ition tree clrecklmi.
JOB SITE INFORMATION.'AND LOCATION be.scrilmo n Qrc ISO. Intel
licalinp/cocifilig
.lob site address: 4-7 J Ate conditioner or brat pump Id,(1G
CilvdStalc/7IP: TIGARD, OR. 97224 (err unres site Ian shnwin' placement)
Suite/hldg./apt.ua.: Project name: Furnace 100.000 BTU (duclsiventsl
I'umac: I0001(t 11' FU (duce/vents) 1790
Cross sircet'tlirectinos to job sitc: Gus heat pump 14,00
Duct w irk 10 00
H dronic hot water system 14.00
Residential boiler (radiator or hydronic) 14.00
Unit henters (Ibel-tvpe.. not electric), 14,00
Subdivision: ALPINE VIEW Lot no.: in-hull. in-duct. sus ended, etc
F•luelvem for enc of above G.SO
Tax mupipart el no.:
Other: 10.00
DESCRIPTION OF WORK
Other fuel nppliallces
NEW CONSTRUCTION Water licater
Cias fireplace
Flue vent for v::itcr heater of gas fireplace 10.00
l.og lighter (gas) 10.00
Wood/pellet stove 10.00
R] :PROPERTY OWNER . ❑ TENANT Wood/frleplace/nnserl 10.00
';'amc; WEST HILLS DFVEl.0PNTF:NT Chimnrq/lunrr/(lueivcnt 10:00
OtheT I U.00
Address: 735 SW 158th AVE
Luvironmcutnl exhaust and venlilaliou
City/state/7111: Rh.AVERTON, OR. 97006 Rnnee hood/other kitchen equipment
Phone: ( 503) 641-7342 Fax: ( 503) 641-7661 Clothes dryer exhaust 33t
. _ Smdc-duct exlumst (bathrooms, toilet
LEI APPLICANT 0. CONTACT PERSON
compartments, utihtl rooms) I
Business Natcc: NVCST III LLS DEVELOPMENT Auidcraw•lspace fans 1000
Contact Namc: STFVF POLLARD Other 10,00
Address: 735 SW 158th :IVli Fuel pipin t ~r,~'~ 1 ~t~T 1 D( hiroacc, etc. A,. I
CitylStntu7:IP: Bh.A1'FRTON, OR. 9711016 Gas heat pump
Phone: ( 503) 726-7041 Fax: ( 503) 641-7061 WulUauspended/unit heater
F-mail: spollardParborhomes.com Water hunter
CONTRACTOR % Fireplace
Range
Business Nance: III- RANilD HEATING AND COOLING tlarbecuc
Address- 110110\ 1502 Clothes diyar(eas)
Cilvlslale/-Ell': SA1DY, Olt. 97055 Uthcr
Phone: ( 503 1 786-9522 Fa),: (.503) 786-3432 MECHANICAL PERMIT FEES
tiuhtoud 'F ~
CCB lic.: "9382 City or metro lic.: Minimum penult fee ($72.50)
Authorized Plan ievnew (25°0 of permit fee)
Si gna IINV: 'v Stair surcharge (12% nl permit fee) $ ~j r
Print Haute; TANII IIA(;L,.NI:\h Dale 1/21/2010 TOTAL PL:K)11'F PF L ! `j .
7'In> pe mil appliraliun rlpins If a prrmil it not uNlainel uilliurl Ntl
I''IImldnin4'enIII[ s~\IEC-Pcunn App (In..Olr17'Ui 140-4617*1 if I'02:0)MAV1:1ti Ila,'t after it Ims l rot 0tceplei at cum pit it.
Fee methodology set by Tri-County Building Industry Service Board
Plumbing Permit Appi
Ci-n^ i~^~ o e e
~i 11
1 Recelred nn ^
~t9 Pcunn Nu' Sao 0~Q ` ~t✓~
}J`(r of~Ti4bat•d T
I3I_- ~ r I'Inn hnm\e ~~A ~~OrO~/
q ~ Sll 1-1it11 Blvd,. EBd.S)1gOther l'cmuu L~
IhnrUv
ez Phone: 503.639.4171 Pax: 5((3,7 Umc RadyrUy % se~ rag a rn,
a ~3 huiC
Inspection Line: 51~(1`~f Y !r KluificJ~brrl hlul Suppluncmal Ynlul msllun
Internet: rvww.trilntgY~~ P
r
TYPE OF WORK t FEE` SCHEDULE
New cunsiruciiun ❑ Demolition Furspetial injnrnwrion ucecheckfisl
Qtp. .
❑ Additionlaltcratirnt/replacement r-1 Other: Descnpuon Ea Total
Nero 1-2 family dwellings (includes 1(RrG for such utih(v connection)
CATEGORY OF CONSTRUCTION SFf: 1 I t bath 219.20
Q I-and family dwelling ❑ Commercial/industrial SFR (2t hath 310.00
❑ Accessotp building ❑ Multi-family SFR (3) bath"
❑ Master builder ❑ Oilier: Each additional halh/kitchen 45.00
Fire sprinkler (Il sy ft.) Pa~c 2
JOB SITE INFORMATION AND LOCATION
Site alilitics
Job site address: 1,-~,7 5W j Y E Catch hasm or iuca drain 16 60
City/Slate/LII': TIGAR.D, OR. 97224 T ELL E ~ Drywell, lcitch line. or trench ditnn 16.60
Suitelhldg./apt.no,: Project name: Footing drain (nu. linear fl.. 1 Page 2
Manufactured home utilities 1 MhO
Cross slreetidirections to job site: Manholes 16 60
Rain drain connector )6.60
Samtarv sewer (no linear 11.: _ Page 2
Storm sewer (no bricat 1't. Page 2
Water service (nc5 Imcur ti Page 2
Subdivision: ALPINE '(Ell' Lot no.: Fixture or item
Tax map/parcel no.: Absorption valve M16.60
DESCRIPTION OF WORK Dackllow preventer page NEW CONSTRUCTION Duckwater valve Clothes washer Dishwasher Drinking fountain 16.60
Q PROPERTY OWNER O TENANT E,ieciors,sump )6.60
Name W EST HILLS DEVELOPMENT Expansion tank 16 60
Fixtutefscwer cap 160
Address: 73:5 SAN' 158 U1 AYL•' Floordr:nN(loa sin):/huh 16.60
City/State/ZIP: BEAITRTON, OR. 97006 Garbage disposal 1660
Phone: (503) 641-7342 Fax: ( 503 ) 641-7661 Hose bib Z. 16.60
O APPLICANT O CONTACT PERSON Ice marker 16.60
Interccptorgfease trap 16.60
Business Name: "TS'T HILLS DEVELOPMENT Medical gas (value $ ) - Pahc 2
Contact Name: S'1'RYE POLLARD Pnnna 16 60
Address: 735 SW 158th ANL' Roofdranr(commercial) 16.60
Cil\':'S1ulc/7.IP: BEAVERTON, OR. 97006 Sinlvhuin4uvatory 16 GU
Tuh/shower/showcr pan 16.60
Phone: ( 503) 726-71141 Fax: ( 503 j 641-7661
Urinal 10.60
G-mail: spollard(a)arborhomes.com )Yale, closet 1660
CONTRACTOR Water heater 16.60
Business Name: DI?lTI.01'\IENT NOIII'Hll'EST (NVOLCOTI' P1.,UMBING) Othu
Subtotal
Atkhss: 1075 NV. IIIS'1'0121(' COLUMBIA RIl'ER 111GIIVPAl'
Ivltnimtun permit 1'cc $72.50
Ci11'1Stutci7.IP: TROVI'D.AIX, OR. 97060 Residential backflow minimum permit fec. $3(1.2.5
Phone: ( 503) 667-1781 Fax: ( 503 ) 667-9891 Plan review (25% of pcM,it fue) F
C CD Iia: 112220 Plumbing Uc. no.. 26-824 I'B State surcharge (12 %of pert (cc) F
TOTAL I'ERMIT FEE 6S
Authnrizcd
This permit application expires if a pvM111 is not obtained within
si.atature: 180 days alle, it has been accepted as cumplcte
feint flame: GAUZY LI1'POLD Date: 1/21/2010 ' Fce melttoJolopc xi by Tn-Cnunl} DuilJum tnduvey Service Uwnl
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SITE PLAN
DRAWN 0I/2b
/02 /1 0
REVISED 02 S ALPINE VIEW
/m20 SHG
Contractor is responsible to check SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP
site plans and notify designer of any 2 -SOUTH, RANGE 1 -WEST OF THE WILLAMETTE MERIDIAN
errors or omissions prior to start of CITY OF TIGARD, WASHINGTON COUNTY, OREGON
construction. Also and
specifications shall by 14274 S.W. STELLER'S JAY TERRACE
local building authorities prior or L� 724 SQ. FT.
start of construction.
LOT 13
WEST HILLS MINIMUM SETBACK REQUIREMENTS:
(FROM P.L. OR BACK OF SIDEWALK, NEAREST TO HOUSE)
DEVELOPMENT, INC. REAR YARD: 15'
FRONT (HOUSE) IS
FRONT (PORCH ): IS' SCALE
735 SW 158th Ave. FRONT (GARAGE) 20'
BEAVERTON, OR 97006 SIDE: 5' 1"=20'
STREET SIDE: ID'
(30' MAX. DRIVEWAY WIDTH)
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: 1.-) ST 10 -- O I
PLANNING DIVISION:
Required Setbacks: �J Approved ❑ Not Approved
Side: . Street Side: /y
Front. G rage: eD Rear:
Visual Clearance: PI Appr :d ❑ Not Approved
Maximum Building Height..S feet
('WS Service Provider Letter Required• ❑ Yes ❑ No
❑ Received
S-et Date: v' -,//v
ENGINEERIN DEPARTMENT:
Actual Slope: 1S % Approved ❑ Not Approved
Site Plan/ Lf: Approved ❑ of pproved
By: (lei Date: 9 5 10
Notes: f b
0��
CITY Of TIGARD- SITE PLAN RiVLEW
BUILDING PERMIT NO:
Street Trees: C‘ Approved ❑ Not Approved
Protected Trees: 0 Approved ❑ Not Approved
By: /6 4,1Ptyv Date: 3/ *///() Notes: /