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Permit iNev.; CITY OF TIGARD MASTER PERMIT ti I , q c COMMUNITY DEVELOPMENT Permit #: MST2010 -00024 T j G AR D. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/05/2010 ,,:,',.,;•;':. e Parcel: 2S109DD08800 Jurisdiction: Tigard Site address: 12717 SW DA VINCI LN Subdivision: BELLA VISTA Lot: 18 Project: Bella Vista . Project Description: New SFR. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1502 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1065 sf Garage: 451 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: of Value: $281,154.56 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 Furn <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 add9 500 sf: 5 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 addl 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) RIVERSIDE HOMES INC RIVERSIDE HOMES LLC 1 MST Ersn Cntrl 503 - 681 - 4444 1300 DEXTER AVE NORTH #500 17933 NW EVERGREEN PKWY 370 SEATTLE, WA 98109 Beaverton, OR 97006 PHONE: PHONE: 503 - 645 -0986 FAX: 503 - 690 -2942 Total Fees: $16,178.17 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. i ? 1 lIri!d1 Issued By: � � �� Permittee Signature: T M CITY OF TIGARD SEWER CONNECTION PERMIT ? a '; COMMUNITY DEVELOPMENT Permit #: SWR2010 -00024 TI+GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/05/2010 Parcel: 2S109DD08800 Jurisdiction: Tigard Site address: 12717 SW DA VINCI LN Subdivision: BELLA VISTA Lot: 18 Project: Bella Vista Project Description: Connect new SFR to sewer. FEES Owner: RIVERSIDE HOMES INC Description Date Amount 1300 DEXTER AVE NORTH #500 Sewer Connection Fee 05/05/2010 $3,600.00 SEATTLE, WA 98109 Sewer Inspection - Residential 05/05/2010 $35.00 PHONE: Contractor: PHONE: FAX: Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $3,635.00 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -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: ' � j � ` .. Permittee Signature: v. .............._ . _.._ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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 Application Dcriprq Residential y =A x"', B�' R „-- - FORfOFFICE' OI ' UShN W.,'''''' 7 _-" . )4A — ;4. ,- ^ ` 1 tial , , ` City of Tigard FEB 18 2010 Received , �,,,,, Nn�ry� ° 13125 SW Hull Blvd.. Tigard. OR 97223 Date'B} — "l�ao _mu Plan Review + - ! m I 5 39. 5 CITY OF T I G A RD (,,,� - i�7 t,tlte, Permit: 2A Phony: (13.6. ) 4171 Fax: (13.5971. (` Date ,. , l b 5W�2a 1 •'` °� Inspecliun Line 5(13 t �t Date Rcad��`- / hn ® See Pale 2 fur Aogiatid ?, r, D BUILDING DIVISION / U ///��� Internet: www.ligard•or.gov tvutificd Met hnd:�/ I I� � Supplemental Information TYPE OF WORK ! REQUIRED DATA: 1- .AND.2- FAMILY DWELLING [ ' New construction Pe rmit fees* are based on the value of the work performed. / ❑Demolition p Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement El Other: equipment, materials. labor. overhead. and the profit for the CATEGORY OF CONSTRUCTION _ work indicated on this application. Valuation:• 0 yI - and 2- family dwelling ❑ Commercial /industrial / ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: l . 1 , ' , . JOB SITE INFORMATION AND LOCATION • Total number of floors: 3 Job site address: / ?'7 / ' �.) ©4 Vafe./ Z4' New dwelling area: ,2 5'6 ? square feet City /State /ZIP: 77 .14cQ, Die .9'7021/ Garage /carport area: 5 / square feet 11-c0.2. Suite /bldg. /apt. no.: Project name: gguA l //" ' T711 Covered porch area: 00 square feet t `s- Cross street /directions to job site: ,e3FEF Zekl.� /O Deck area: 0 square feet Other structure area: square feet 1 e) REQUIRED DATA COMMERCIAL -USE CHECKLIST Subdivision: ege- Lt..;/ OS Tit_ Lot no.: /8 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 " DESCRIPTION,OF WORK • work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER ' - ❑ TENANT Number of stories: Name: ,e/v /oE /ii-n /� Type of construction: Address: / 913 A/) ,v 4 /fie. 39Q Occupancy groups: City /State /ZIP: /� tWVRie / C . 2 .1/24. ,/ Existing: Phone: ( So3 //�C'�5• C)1925?‘" Fax: (eX23 / (d Q 21.92_ New: Q] APPLICANT` ❑ CONTACT PERN SO NO Business name: //5 AA //' All contractors and subcontractors are required to be Contact name: G L '�� �� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt frpm licensing. the following reasons City /State /ZIP: apply: 0 u.DG'"i 0 r c 1 t {-v l U c-) Phone: ( ) Fax: : ( ) V 0 �® /^ k) (1 Z1- '. . Email: - EU) Q40 n� -,/ r/ 1/�c,1 / ) 6 . COCTOR Business name: OS A A „ BUILDING PERMIT FEES *.. Address: - (Please refer to fee schedule Structural plan review fee (or deposit): City /State /ZIP: . FLS plan review fee (if applicable): Phone: ( ) Fax:( 1 Total fees due upon application: CCB lic.: / c Am received: Authorized signature: This permit applicat expires res if a permit is not obtained I /� within 180 days after it has been accepted as complete. Print name: ,g/GL I��o�6� � Date: / 2 / * Fee methodology set by Tri- County Building Industry Service Board. I:ABuildingvPcnmits \BUP - RES PermitApp.doc 10/01/09 440 4613T( 1 I /02 /COM /WEB1 ,e Plumbing Permit Application I S: `.) s, , Building Fixtures r � � ` FOR OFFICE USE ONLY C City of Tigard I�CD D 1 10 Reed) ed Date 13): Permit No.:04 3k20K 11111 • 13125 SW Hall Blvd.. Tigard. OR 9 flan Review \ Phone: 503.6314171 Fax: 503 1 ‘ ..6 ±Px11 ' Date B): (ether Permit No.. - TIGARD Inspection Line: 503.639.4175 j L, Ji..,:i;Oil�t u 1 N Date Reach Bs: u.., i � ® See Page 2 for InterneC w w\v.tigat'd - or'.gtA y Notified Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE fiNe\x construction ❑Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 0. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 71- and 2- family dxx elling ❑ Commercial /industrial SFR ) bath 437.78 SFR (3) bath / 500.32 300 . ❑ Accessory building ❑ Multi- family Each additional bath kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: / 79/ 7 '‘e) AA Vale-/ / Catch basin or area drain 18.76 /� Drywell. leach line or trench drain 18.76 City /State /ZIP: /0° ' - AP D ZZ / Footing drain (no. linear It.: ) / Page 2 Suite /bldg. /apt. no.: l Project name: �'',, nn �Le.(� 0S rxi Manufactured home utilities 50.03 Cross street /directions to job site: Manholes 18.76 Rain drain connector / 18.76 Sanitary sewer (no. linear ft.: _) 1 Page 2 Stone sewer (no. linear ft.: ) ! Page 2 Water service (no. linear ft.: ) J Page 2 Subdivision: etaA V157"1- I Lot no.: /E5 Fixture or item: Tax map /parcel no.: Back flow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer / 25.02 Dishwasher / 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 Y PROPERTY OWNER l ❑ TENANT Expansion tank 12.51 Name. P , , vee5 /. 4 s hue- Fixture -sewer cap 25.02 ^, Floor drain /floor sink.'huh 25.02 /y Address: /'7133 /i i ,��,e" id, y 3 ,76 Garbage disposal 25.02 City /State /ZIP: 4 6x-4 Vbe764/ p e 4 4:e26' Hose bib Z 25.02 Phone: (50'3 4/5 �v t ! P O 6 Fax: 603 6094 .2 9�Z Ice maker / 12.51 APPLICANT / ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: "5 ' Medical gas (value: S ) Page 2 � ,4 v0 rimer 12.51 Contact name: � R "E/4-c_ Roof drain (commercial) 12.51 Address: Sink /basin /lavatory 1 t b 3 1 25.02 City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : 1 ) Tub/shower/shower pan 12.51 E -mail: Urinal 25.02 O NTRACTOR Water closet 25.02 Water heater 1 37.52 Business name: 4-/1 eL,4 IM j Zt (/ Water piping/DWV 56.29 Address: S 1; At/ / /4 Lw Other: 25.02 City /State /ZIP: )s Subtotal 500.3 Phone: (SOT Gi' 7.1 7'7 Fax: (SOY) �`- J•, L�j 7 et Minimum permit fee: S72.50 Plan review (25% of permit fee) CCB Lic.: / 7.a / L v Plumbing Lic. no.: '7/3 ei /L/ State surcharge ( 12% of permit fee) U Authorized signature � / TOTAL PERMIT FEE 56„0 - %`� This permit application expires if a permit is not obtained within 180 days Print name: , Date: / /r� /l �_r �� after it has been accepted as complete. e� *Fee methodology set by 'Fri-County Building Industn Service Board. I. Building Permits l'l.91t'- 1'ermiiApp. doc 1001 09 440- 4(1(111002 CC AI \\ TB) 12/10/2009 16:40 5036503898 CENTRAL AIR INC PAGE 02/02 From: 12/09/2009 09:25 #443 P.0021002 8 2 010 c • . ., ! pit 1) - � ' } , , f� " -_`; Mech anical Per A lies , 4.4.4.r.��.. ,aler �.. City of Tigard Rce rU��ry cily. Permit No I l S Z010 GCS Z 1 /�!°�� Y R D Dolt nr: I t ` ' -� ! �1l/ v` 1 �' 13125 SW Hall Blvd . Tigard. OR EYZS pp 3 yy (pOF� I I A i 1 (� / rt �n R ..i; ,, ' �L "" Phone: 50.619 4171 Fax: 5t L7x,t IL. 1 ./ I NG DIVISION ante l!• • __.. ()tl,arPan,i: 1 � . fi t I..I t : Inspection Lim:: 503.639 4173 qy Rerd> i; Jun: ® 1' Page ? for . 4xs�.>: Internet tva•,c,tigurd.nneu Nnl;rca M.d>,ul: Supplemental lnfnrm,Anon '$ , e � +';t'� w•�,. � P y�� h�' +q,��\ Nr'� r fv� iF �S;vy. �ei^� �� � is ,��,""a t r`-il � ""� .. i P`-:', � !I I'•q ^ + `v'•. v + wP!' , .w IE0Z ,S ' .ig ' 4..14:Fr:L;. � a G`s .. a:.�.s' c Yc .. u r ' ..3" t i,r +,a.,•. Mechn +nc01 It mtit Ica ate I+ased on the vnhte rf the work u Ner+ eon5tructi ❑ Addition,alteratiomreplacement performed. Indicate the value Imunded to the nearest dollar) of Oil ❑ Demolition ❑ Other: mechanical rnatcrials, equipment. Tabor. ov'etin:,J. and profit. t j h M1 ,r , - mo t • o t � c i ' ; � : r L x r i �+y�. t y },, I r X J L` `r 1 4 4 �'t t + T e rV'1Qt[k�';1. �t-1..y1,..�y,, �'}aK 3. N - : ,� ,"Kxh l,++'; d c r,Q�.s t r7'Mrs1L, ✓+ u tn,r_•>t'xrty�tµ. :r T H ; .q s , it t,v j�� } w * tU� t �3ic�:�'.�ks?..�i3 `yr +" }aai�l:�.,.. i Fr • and 2- family dwelling ❑ Cni mcrcial: indu$(r1Ut 0 Accessory building Fn , ' Trt•,ul irdu,vutuiun rot rhs r4 <t. ❑ Multi famil ❑ Matter builder ❑ Other: I Deuription Qty . En. Total *"+�- ' 1zS: IIU t+ Q r�� f" O i b Hearin eoolin . F„z:�t"'�a'ar�.�rr� .��1t..,.,au^w�,:>s.. �' _ R Air cnnditiorting Job site address: j �souins ■hc plan.howina 140:10400 `6.75 r0, y � i ty /St atel IP: 7f ^ f , / Q 9'l2-2. i Furnace 100.0(10 BTU Iiiuctx ,.nlsl 1 46.75 44 /t i Ftuttacc 1(10,000+ BTl! Ohm VOW) 34.91 Suile;bldg.!apt. no.: 1 Project name: 4I / 0i Heat Fume 61.0h Cross sired /directions to job site: _ I One! twirl. - 23.32 '" Ilydn hot water syrtau i 23.32 , Residential /toiler oncliator or -- I hytinnicl 23.32 _ ---�i thin heater (fuel -type. not electric). in -wail. fn -Jucl, suspended tic. 46.75 Flue'vemt I'nr any of uhoee 23.32 Subdivision: .1 Lot nn.: Other: 23.32 Tax mapiparcel no.: Other fuel appliances J ZM V!:':•'�9i + `ifil •G tr -fin Y- Vi ^' Water heater' 1 23 32 ,� 31. it ?t S,r q a .. f di Fit r `6 )�t . � ,, j 9 t; lit r��y `t;tz �*.d 1 ?u4. x1 iy Si tYs •.r1, L r 33.39 :..�.... r -_ , U•� k:. � Gas fin Jean Flue vent for water healer ur gas fin lace 23.32 Lm I'-htcr(:asl 23.32 . Woodlpellet to 33.39 Wood lir +lace'insen 23.32 q t , 1, Chimney/liner/Ow/vent 2 3.32 +` "�'n 1147 iitS , ` , r��7 , a F ( i "..Wr f A ;F:TE hI l r 2f +^s iq ,,di..•W?.u..,.c.w 1 • -. � : .4..,.,P3,e_eZ..w5441 trl; •hr i : r ._....._ te rs: -,��e s,. Other: 23.32 y g111e: './ .-/.?„5, ,St ..I+t� y / • Environmental exhaust and ventilation / ! 1 Nit) EV6� pay 3 R.mgr hcrod!o has' kitchen Z Address: ab • e [pent 33.39 ,73• tD6 �1 1� 33.39 ' rty.tstate.zlP: Al - 7b rR �'? ' q Single -duct exhaust (bathrooms. Phone t� 4/5 Q j , - i Fax' ( ! -3 , 9O .0 �•� / Z_ toile compartments. utility mums) 23'32 -6 1 �t,`r. y `+ o p , t `, 4 r i Y 7'tr r O rd " ii T` i ", " t e Attic;crou h •ace fans 23.32 � A, Other: 23.32 Business name: 1 Fuel pipinjz Contact name: /LL �4 .e.lg� SKIS for first four: $4.03 fOY lath Additional /�,_ Furnace. etc. 1CM Address: Gus heat •un 11111111M11111.1 City /State/ZIP: ( Wallisuapended unit hearer .. Fax: ) Water healer_ 1 - Phone:l ) Fir lace E-mail: Range i t g :o i Y 7 70 . ∎: �' r C +07, j h ;;Ti• i':i a7j'^i:j.: t 7 i.4; ,& JL } rf �C,`�I kr� }� Barbecue ., ;: �?.... _:e e, $x .ir ._e:F ...ia r ,,,.,. _ e4J tt_ r Clothes eitTer (ga pat T,, s) 11111111111111. Business name: ( o ug p.( ^ C.. Other -�� r.K 6 �• ;; 1 V t l� pf1 ii'1 ,` d� Address: '� L.. aw e. f .. ; sa ±, % _.....- ... ,:.. r, s :. Subtotal 444110111 City /SiateZIP: CAA • S dg- /101 p Muriutuni permit ice (590.001 Phone: (�3) 456 - 1gC8 Fax: (Se31 G$a -.ISIS Pun review 12391 ut'penult t'tt) CCB tic.: : 6.1 4 _.WM Slate surchar a (12oi of permit feel 3 (.o.1 TOTAL PERMIT FEE 33 .11 �� 1 This permit Appacmtun expires If a walk obtained unit' 1110 Authorized Signature: dolt ahcr h has been steepled ac complete. "" '+� Y ! Da te: Abate? ` h' nrri stn by Tri.C,anu) Buiktinc Wintry 5crvict Board Print name: - e m,nuirr Pumas )lx(.r.,, , n hAon.d , " 1u at u, 4.1t1-1(1111111 u] t 'Ox1 ts Electrical Pemit Applicat . , . t r,,. ■ ' FOR OFFIEf USEON .,.1", •,,--- ,..,1..",„ : ■ '.,. - ,:'+•.-, 1.4., '.. . ' - .' - ''' ' crio ' p 1 .- ..,.;.,,,.::.....!.,,..,, _,,..,:.. LY 'f 'I ' ".r.4 l , 1 , 1 1 0 ._,/,_;,', •-.--•., .'"., - ' 1 -- ,, : - •*, 1, 11 . ',-.,•-, . , „: . • ,^ . + , -- ' ,. ,,, > . ' t.: -.:';.)'-. 9 .., , 1 .' Received '1. City of Tigard Permit Nii.:nflUZ0 \ 0 . (30.2 Date By: •:, ' 7- - q 13125 SW Hall Blvd.. Tigard. OR 97223 Nall Review Phone: 503.639.4171 Fax: 503.598.19N 1. 8 2010 lis . 0;110 By: Date Readx,13y: Other Permit: Inspection Line: 503639.4175 .11111, 0 See Page 2 for laA_R•Di CITY OF TIGARD , 1 Internet: www.t igard Notilied•Nlethod: Supplemental information • TYPE OF v aDNG DIVISION . ' PLAN REVIEW • . • Nov construction / 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w'iteins checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demol it i 011 E Other: where the available fault current 0 Marinas and boaryards, , • . . • CATEGORY OF CONSTRUCTION .. : • • ": • exceeds 10.000 amps at 150 volts 01 0 Floating buildings . - less to ground. 01 exceeds 14.000 mm 0 Coercial-use agricultural pi - and 2-family dwelling 0 Commercialiindustrial 0 Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump, 0 installation (,t 75 K VA 01 0 I.1111.11 system. larger separately derived system. JOB, INFORMATION AND LOCATION • 0 Addition l/f 1100 111(001 load (11 0 - IC. - 1 1 - " . - 1-2 . . - 1-,' ,- . Job no.: 1 Job site address: i 27 /-2 s i 0,9 Votr6/ lomil or more. ocClIpiille \ . 0 or more identia units. 0 Recreational x chicle park Si+. resl City/State/ZIP: 7 7 6At7en , o R -7022 0 flealth-care facilities. 0 Hazardous locations. 0 Supply voltage fin 000 volt more 111;111 s nominal. Suite/bldg./apt. no.: 1 Project na me: 6e 0 . 5 7714 0 Service or feeder 000 amps OF more. .. , . .• :. .• FEE SCHEDULE - • , - Cross street/directions to job site: 6.F_Eic iS /ao. „scrip., 1 QtY. I Fee. 1 .1.1,1 1 * NOV residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: 6 eGe-.4 V/ STA Lot no.: / Q H000 sq. 0. or less 1 ...,___. 168.54 R,8 51 4 Ea. addI 500 sq. 0. or portion 5 33.92 10.0 1 Tax map/parcel no.: Limited energy. residential / 67.84 6,72 2 , . • : - • 'DESCRIPTION. OF WORK ' • . 1:' . - . :'. , • (with above sq. 11.) Limited energy. multi-family (7.84 residential (with above sq. ft.) - Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 1 _ .. .., .. . • . - '--. ' . PROPERTY OWNER: ..' .. r, - ' ' - ''- 0 TENANT: .•.-- -. • - :: - : . .], 201 amps to 400 amps 133.56 -) _ • - • • . : .. .• - - ... ... - - Name: X I/ 5 /0 g /4/115 4/ . 601 401 amps to 600 amps 200.34 i _ amps to 1.000 amps 301.04 , 1 _ Address. /7/33 A410 e ,.42tz)(732 Over 1.000 amps or volts 552.26 1 _ City/State/ZIP: 6 Ve 7 e 477e)o& Temporary services or feeders installation, alteration, and/or relocation . Phone: ( 5 0 3 ‘,,ys e),134„, 1 Fax: 60 . .29 /2 200 amps or less 59.36 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 25.08 1 ... intended for sale. lease, rent, ,Qr exchang . according to ORS 447. 449, 670. and d 701. 401 amps to 599 amps 168.54 1 Owner signature: _ _ Branch circuits - new, alteration, or extension, per panel 2- A. Fee for branch circuits with . - Date: ' ., ...... :,..; - . APPLICANT' . • - ' : :' - ': - - 0 CONTACT PERSON.: . -- . " :' X 1 above service or feeder fee. each branch circuit 7.42 Business name: /I 'S / " B. Fee for branch circuits withow service or feeder fee. Contact name: /G c._ /Mg Z..oxil6e....._ first branch circuit 56.18 2 Each add'I branch circuit 7.42 I Address: - Miscellaneous (service or feeder not included) City/State/ZIP: Each inanufactured or modular 67. _ 84 -) dwelling. service and/or feeder Phone: ( ) I Fax: ( ) , Reconnect only 67.84 i _ E-mail: Wa)a(e)x... f) ve-y-soleilorm..e. , 60 1 Pump or irrigation circle 67.84 i _ : • -.. .-• ' ' i-,t+ . : . .• - - ONTRACTOR - • , ' L •' . r - ' : ,.: . i.-;•: • o Sign or outline lighting 67.84 2 .------- Business name: tAi le,,in 0.,„ 2 . VCE 7 r i-C----- Signal circuit(s) or limited- energy panel. alteration. or Address: <6 r3 / --S IA) h1/ - 51 - ;.--/ extension. Describe: Page 2 1 _ City/State/ZIP: ( 1.41 9 1 4'rV 0 ( Z 13 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (93) 5-7i 1 ( . 9.?:9d0 Fax: ( cr-7) s .95-7. Investigation per hour (1 hr mini 66.25 CCB Lic.:/ 4/ / c Electrical Lic.:,3 Suprv. Lic.: 1 _ lndustnal plant per hour 78.18 .. " • ,-. ":: :ELECTRICAL rPERMIT. FEES: • : .• '-' ,: • : Suprv. Electrician signature. required: --------- _ _ Subtotal: /40G .-et....■ H - .....----* Print name: .,... did. Date: Plan review (25% of pennit fed: State surcharge 112% of permit fee: 48, 7 Authorized signature: - ' r____.-------- TOTAL PERMIT FEE: Asti , !h. .5C - (1/1-45.r Date: This permit application expires if a permit is not obtained within 180 Print name: days after it has been accepted as complete. Number of inspections allowed per permit. 1: Building Pc, mils EI.C-PcnintApp.cloc 1511 ((9 440-11151)11 coxi w111 JRR Engineering, Inc. REGFJVED 18609 76th Ave. W., Suite B FEB 1$ 2010 Lynnwood, WA 98037 -4149 (425) 697 -5108 CITY OF TIGARD I IN npmn fllt1ISIO Client: Riverside Homes, Inc. Project Location: Plan 2567- 00- B- L- 00- 03 -OR, Lot 18 B. Vista 17933 NW Evergreen Parkway, #370 Design calculations are for 110 mph (3 -sec. gust) wind exposure B, Beaverton, OR 97006 topographic factor, Kzt of 1.0 and 25 psf snow load. Do not use or (503) 645 -0986 Ph. depend upon these calculations for more severe wind exposure (503) 690 -2942 Fax or snow loading. Scope: Lateral & Vertical Design Code: ASCE 7 -05 / 2006 IBC (OSSC 2007) Lat. Des. Parameters: SDC & Site Class., D; (S 1.25 Dead Loads: Roof & Ceiling load 17 psf Wind Exposure: B Floor Toad 10 psf Windspeed (mph): 110 Exterior wall load 8 psf (surface area) Live Loads: Snow Load (psf): 25 Interior wall Toad 10 psf (floor area) Floor Load (psf): 40 Attic Lim. Sto. (psf): 20 Soil Values per GeoPacific Eng'g. Report: Soil Bearing: 2000 psf (Contractor shall notify Engineer if (Job # 02 -7801, June 15, 2005) testing indicates bearing capacity is lower than 2000 psf) Wind Design: Ps= Kzt 4 1*I,,, "P (Simplified Wind Load Method, Sec. 6.4, Eq. 6 -1) Where; X , Adjustment Factor varies over height & exposure (Fig. 6 -2) I = 1 Wind Importance Factor (Table 6 -1) Ps3o, Varies with roof pitch and building zone (Figure 6 -2) Kzt = 1 Topog. Factor (6.5.7, Fig. 6-4), equal to 1.0 for flat terrain 1 Roof rise in 12 ": 8 " Roof rise in 12 ": 0 " Horizontal Pressures Horizontal Pressures A B C D A B C D Ps30 21.6 14.8 17.2 11.8 Ps30 19.2 -10 12.7 -5.9 0 -15' PS 21.6 14.8 17.2 11.8 0 -15' P 19.2 -10 12.7 -5.9 15' -20' PS 21.6 14.8 17.2 11.8 15' -20' PS 19.2 -10 12.7 -5.9 20' -25' PS 21.6 14.8 17.2 11.8 20' -25' PS 19.2 -10 12.7 -5.9 25' -30' P 21.6 14.8 17.2 11.8 25' -30' PS 19.2 -10 12.7 -5.9 Roof rise in 12 ": 5 " Roof rise in 12 ": 6 " Horizontal Pressures Horizontal Pressures A B. C D A B C D Ps30 26.6 -7 _ 17.7 _ -3.9 Ps30 24.1 3.9 17.4 4 0 -15' P 26.6 -7 17.7 -3.9 0 -15' PS 24.1 3.9 17.4 4 15' -20' P 26.6 -7 17.7 -3.9 15' -20' PS 24.1 3.9 17.4 4 20' -25' P 26.6 -7 17.7 -3.9 20' -25' P 24.1 3.9 17.4 4 25' -30' PS 26.6 -7 17.7 -3.9 25' -30' PS 24.1 3.9 17.4 4 Seismic Design: V = Cs*W (Equivalent Lateral Force Des. per ASCE 7 -05, Sec. 12.8) F = 1 (Table 11.4 -1) Sps = Des. Spectral Resp. Accel. Param.(Sec. 1 • t'F� c 0 r' Sos = 0.833 (Eq. 11.4 -3) D = Site Classification (Section 11.4.2) I = 1 (Table 11.5 -1) Fa & Fv = Site Coeff. (Table 11.4 -1 &11.4 / R = 6.5 (Table 12.2 -1) V = Seismic Base Shear (Eq. 12.8 -1) �j� • .. %" � II Cs= IE" S /R (Eq. 12.8 -2) W = Effective Seismic Weight (Sec. 12: .2 MAI` p = Redundancy Factor [1.0 < p < 1.3] (Sec. 12.3.4.2) ; 1N'A Therefore; V = 0.128 pW Nd �. f Prepared by: JCM D K. 2 r0 Checked by: RKR Project Name: Riverside Homes Plan 2567 I EXPIRES: 1244,20 Project No.: 10 -03RB 2/8/2010 Page 1 of I'1 „/ lb ' i • _ _ CN\ S'V2-0\0- 0°02.9 _ _. .. / 2 7/ 5 •k j s_& . •2//' 6 /2- z•-) / .0 ' ' • . :, - , / 1 •,-. Of9 . (- , C 7 --- 11 i( 0 ''' 1 0 '. '. ! C i FEB 1 8 2 010 G:IY0,:'•;,:lf-v,10, 1 4 - .„,. ) . ?)S . 3 • II / ; .. L31-4 ---- ' • ----/-------, ---- --442_ 4.4, `-' ----- — r • - - ” * ,.‘'`,6' - , ,___: t -- - • , , _ CD / /1- _________________I ...- . //- --- II 1,, .3 -- ---.. / ,' / ,i i / c\, . , - v SUAD, , / /ix E \, i p kJ/Alf / 6 ---...„._ ,....) . a, . ..- - i ,.. . ff //----------- , 7 Ve Y ' 4Ir 4 r. ,.. is.., • ..._ 6 ....... , i * ob....dt* / --!• - 7 ' - 00 at A 4 3-S 2_ . - ... 7/9 S 0/ ir • ' /j ' : ,, • Ai , . t I , , "., 1 7, j i , ; 4 .% Li jalk IT--i II 8 B E L L A VI S-jALQIil:3SCALE: s 1' = 20' ENGINEERING & LAND SURVEYING i ). rie --"V".•■ DESIGNED: RAWN: RJ PREPARED FOR: b 8835 SW Can D yon Ln. A6T Ec x/: 4 2ESDO RIVERSIDE HOMES PKWY, SUITE 200 I AN IL. R A.. _ suit 402 OR 97225 SW BEAVERTON, OR 97006 : D / 0 3 t Tqf 11101 cu . 14100., '- ‘%,....,___„ ....„,... 3 (5o3) 291-9398 (Fox) 291-1613 CHE CKED. 1925 NW AMBER GLEN p or j a n d, (503) 645-0986 RJ (503) 690-2942 _____. .-_, --- CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: la -' 2 0 \ • lAC- -2 -- PLANNING DIVISION: Required SetbpX.s.. slra—eet sAlodp,cove.LL,n_dn 0 Not Approved Side: ,....- - 01) Rear: Vsua C ...i.. Provo ,..P--. ijar _______ 0 1 il :scarauc e: I(--' Not Approved Maximulii 13:1;Iding 1--Iel-iri.-:\12—/.. . 0 C , - N 0 No ,VV■: c,,Pr‘,1c,c l'rov 1, j:: Lettel ;),:.'..*1 WOO. 1 ,r.,p . e d — ..,...—.1% _ B : 4 . l',.... lb. A.....t Daits:. 4- 4 0 • ENGINEERING OEPARTMENT: Actual Slopel % it Approved 0 Not Approve) d 0 Not • pproved B : Site PlatEhL ___cl pprovDe g' Nows: VIL-0-Vse—et, fa.A., : te2- z---r 10 , ,y - CITY Of TIGARD - SITE PLAN RIEVIEW BUILDING PERMIT NO: El Approved ,i.. A , Street Trees: Date Protectel_Trees: El Apptoved Notes: r ---- - -- • .--- - ____... ..._ _ . _. _ . ._ _ ______. ---- - ..— ------- __— ---_.---------- - -____, - ___—___ - - _, , • STREET TREE CERTIFICATION ,d „,„„,,._„„,,,....„,„ 1-14,4,17,-.., ,, ,,, --, , „,,„,-----, a m _s 4 ' . ' u'` �" n pie 7 ', M I L CC SE t_gY iftt ~ ; , Owner /A ford R V L Rs p H o Yee s L LC S ' (PLEASE PRINT) tic ° '$ < iN " e i ; (PERMIT HOLDER) "= 0453 ` ku i- c t I 5; eg ,F ,,:F I fit' - r t � 6o,71'.1, "° Do hereby cer that gat they folloowin l ocat i on meets i " a Kz try --° r - * ` �' �`�,, City of Tig a #rda land.�us�e an development standards l� Y f r st - tr ,4inst " = iii- a fi r _ w sp a u . 0 ^^pp " `a... ;x �,_ a t t'''om F � .?�". -�� 4 I V 1 ' j 4- '6! , Prk i * 7 ` ` '". a A a, sa 'r0a0) "o 4 sJ a �` "' , yl 4 4 ' iri ADDRESS: Iz111 SW paV;r‘u L . /--/s7--,,2 •- ©'C 27 SUBDIVISION: be((a V i s LOT: 1 g ,s. SIGNATURE: DATE: 3 —4 _ Icy c (O ij N / AGENT) RECEIVED BY: DATE: c (CITY OF TIGARD) �t I: \Building \Forms \StreetTreeCertificate 01 /19/07 ,d(o Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, fiVEc.sio•C , am the general contractor or the owner - builder at the following address: Site Address: i21rt SU3 u&v La;Ae. City: i IAR rd Permit #: MST 20(O-- Ocoz-4 Subdivision/Lot #: ge_ [ fa V )S+ ( 8 • and /or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 - 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: C--" Date: — General Contra tor or Owne uilder l: \Building \Form\RES - MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: • /V\ 2-010 -- 0002_4 Site Address: 211 SVJ Da.) i 7 (,a he T in arr4 ) D� Subdivision/Lot #: [ l f ST G 1 c U t,2 and /or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: ECee Date: 8-4-- /0 Owner /General t ontractor /Aut orized Agent �tt%e s ■C1e f o v✓► eS LLC Print Name: Le-e- Se-t4 y ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08