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Permit ,� CITY OF TIGARD MASTER PERMIT . 1111- y °- COMMUNITY DEVELOPMENT Permit #: MST2010 -00076 13 125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/25/2010 T . �� AR Parcel: 2S 109AB 12900 Jurisdiction: Tigard Site address: 14204 SW STELLER'S JAY LN Subdivision: Alpine View Lot: 10 Project: Alpine View, Lot 10 Project Description: New SF. 12/10/10, Reprint to correct street name spelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1228 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1538 sf Garage: 465 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2766 sf Value: $294,724.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 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: 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: Y 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: 5 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'I 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 2766 Owner: Contractor: WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT Required Items and Reports (Conditions) 735 SW 158TH 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: $12,664.44 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 TION:,_,Oregon 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 You may I o � btain � a copy of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.800.332.2344. Issued : �) 62 --41 / U61--4 0‘ -4 ' �W Q--r Perm ittee Signature: . ': _ i _ !11 i 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. l ig CITY OF TIGARD MASTER PERMIT 11 '. COMMUNITY DEVELOPMENT Permit #: MST2010 -00076 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/25/2010 Parcel: 2S109AB12900 Jurisdiction: Tigard Site address: 14204 SW STELLARS JAY TER Subdivision: Alpine View Lot: 10 Project: Alpine View, Lot 10 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1228 sf Basement: 0 sf Left: 5 Parking Spaces: p Height: 27 Bathrooms: 3 Second: 1538 sf Garage: 465 sf • Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $294,724.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: Y 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: 5 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 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 add' 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 735 SW 158TH AVE BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 641 -7342 PHONE: 503- 641 -7342 FAX: 503- 641 -7661 Total Fees: $12,664.44 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- throug - 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. Iss ed By: k (' Cei Ad / Permittee Signature: . i /!9—A---_J • -),� Buildin , Per ►� � i� �J � ;,1 _ � +_ ,� 1 - ": - FOR OFFICE USE ONLY Ci I o igard Received AM � 1% , 0 p OGb 76, Da[e�Br: _ I 1 Permit Nn � 1312 : • • - . t lvd., Tigard, OR. 7 �v 1 . L her Permits. �{(�'G J �t/f^ /- ^ 9.� 0 Date/By: / �WIJCO i- II 0 Phone: 503.639.4171 Fax: 503.5 0 Date Read 77" __ © See Page 2 For Rms. Inspection Line: 503.639.4175 .. _ Notified/Method: M v Supplemental Information TIGARD . Internet: www.tigard-or.gov .. , TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING 2 New construction ❑ Demolition ''', t' +f . Permit fees* are based on the value of the work performed. 4 t _ - .2, i f. 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 .4 - work indicated on this application. • 4 Q 1- and 2- family dwelling ❑ Commercial /industrial v� Valuation 1? �� ) 7' , ❑ Accessory building ❑ Multi- family Number of bedrooms: 5 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 14204 SW STELLARS JAY TERRACE New dwelling area: 2766 square feet City /State /ZIP: TIGARD, OR. 97224 Garage /carport area: 465 square feet Suite/bldg. /apt. no.: I Project name: Covered porch area: 2 square feet l 5°3F Cross street/directions to job site: Deck area: la square feet ‘22t5 Other structure area: '3276 t square feet 27 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Plan No.: 2766 MORELAND AMERICAN Permit fees* are based on the value of the work performed. Subdivision: ALPINE VIEW I Lot no.: 10 Indicate the value (rounded to the nearest dollar) of all 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 I 0 TENANT Type of construction: Name: WEST HILLS DEVELOPMENT Occupancy groups: Address: 735 SW 158th AVE Existing: City /State /ZIP: BEAVERTON, OR 974006 New: Phone: ( 503) 641 -7342 Fax: ( 503) 641 -7661 NOTICE Q APPLICANT [✓f CONTACT PERSON All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Business name: WEST HILLS DEVELOPMENT under ORS 701 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 a ppl y _ City /State /ZIP: BEAVERTON, OR. 974006 Phone: ( 503 ) 726 -7041 I Fax: ( 503 ) 641 -7661 E -mail: spollard @arborhomes.com CONTRACTOR BUILDING PERMIT FEES* Business name: WEST HILLS DEVELOPMENT Please refer to fee schedule Address: 735 SW 158th AVE Structural plan review fee (or deposit): City /State /ZIP: BEAVERTON, OR. 974006 FLS plan review fee (if applicable): Phone: ( 503) 641- 42 Fax: ( 503) 641 -7661 'Total fees due upon application: CCB lic: 10484 Amount Received: 0 75) ,(.1.6 Authorized This permit application expires if a permit is not obtained i' signature: l � W� within 180 days after it has been accepted as complete. Print name: STE . POLLARRD Date: 7/21/2010 I * Fee methodology set by Tri- County Building Industry Service Board. I: Building'permits \BUP -RES PermitApp.doc 1 1/6/07 440- 4613T(1 1 /02 /COM /WEB) jj r � r-----),---' ' � 1 FOR OFFICE USE ONLY Electr5cal Permit Applic�pn, ;� .. / City of Tigard ��� . 7_23 2 Received 010 Date'By1 l�,♦ permit N°.' / i — MO 7e0 /� _ n ^ _- /a — 6 " 13125 SW Hall Blvd.. Tigar , Phone: 503.639.4171 Fad 53.598.1960 plan Review Date Re` Oilier Permits Qr(���� r _ Date Ready/By: l3 See Page 2 For TIGARD: Inspection Line: 503.639.447 Notified /Method: ° "s' Su plemental Information Intornrt• WWW tioarA_nn .. TYPE OF WORK ; 4 ir.- li, PLAN REVIEW Q New construction ❑ Addition /alteration/replacem:; t / Demolition ❑ Other: .. ' .` 7 Please check all that apply (submit 2 sets of plans w /items checked): El �,X �.7j 7 ❑ Service or feeder 400 amps ❑ Hazardous locations or more where the available ❑ Service /feeder 600 amps or more • CATEGORY OF CONSTRUCTION fault current exceeds ❑ Building over three stories 10,000 amps at 150 volts or ❑ Marinas and boatyards Q 1- and 2- family dwelling ❑ Commercial industrial ❑ Accessory building less to ground, or exceeds ❑ Floating buildings ❑ Multi- family Master builder Other: 14.000 am for all other ❑ Commercial -use agricultural ❑ ❑ installations. buildings JOB SITE INFORMATION AND LOCATION ❑ Installation of 75 KVA or larger ❑ Fire pump separately derived system Job no.: I Job address: 14204 SW STELLARS JAY TERRACI ❑ Emergency system ❑ "A ". "E ":'I -z "t -3" occumancy TIGARD, OR. 97224 ❑ Addition of new motor p arks e ❑ Recreational Toad of 100HP or vehicle Suite /bldg. /apt.no.: I Project name: ❑ Six or more residential units ❑ Supply voltage for more than ❑ Health -care facilities 600 volts nominal Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Fee I Total f . Subdivision: ALPINE VIEW I Lot no.: 10 New residential single- or multi-family dwelling unit. Includes attached garage. Tax map /parcel no.: 1,000 sq. ft. or less 1 (� T - 4 DESCRIPTION OF WORK Ea. add'1 500 sq. ft. or portion 5 '5"; `, ( ( a NEW CONSTRUCTION ( wittis above r) . ft.) residential ` 76, 75 _ ) 2 ( wth abov sq. ft 1 Limited energy. multi- family residential( with above sq. ft.) 75.00 2 El PROPERTY OWNER 1 ❑ TENANT Services or feeders installation, alteration, and /or relocation Name: WEST HILLS DEVELOPMENT 200 amps or less 80.30 2 Address: 735 SW 158th AVE 201 amps to 400 amps 106.85 401 amps to 600 amps 160.60 2 City /State /ZIP: BEAVERTON, OR. 97006 601 amps to 1.000 amps 240.60 2 Phone: ( 503) 641 -7342 I Fax: ( 503 ) 6414661 Over 1.000 amps or volts 454.65 2 Owner installation: T installation is being made on residential or farm property owned by me or a member of Temporary services or feeders inatallation,alteration.and /or relocation my immediate family. This property is not intended for sale, exhange or rent. (ORS 479.540(I) and 479.560(1). - 200 amps or less 66.85 2 Owner signature: Date: 201 amps to 400 amps (00.30 2 0 APPLICANT I 0 CONTACT PERSON 401 amps to 599 amps 133.75 2 Business Name: WEST HILLS DEVELOPMENT Branch circuits - new, alteration, or extension, per panel A Fee for branch circuits amth Contact Name: STEVE POLLARD above service or feeder fee, 6.65 2 Address: 735 SW 158th AVE B. Fee i VoTranct cUCaits without service or feeder 46.85 2 City /State /ZIP: BEAVERTON, OR. 97006 fee. first branch circuit Phone: 1 503 ) 726 -7041 I Fax: ( 503) 641 -7661 Each add't branch circuit 6.65 Miscellaneous ( service or feeder not included ) E -mail: spoltard @arborhomes.com Each manufactured or modular CONTRACTOR dwelling, service, and / or feeder 90.90 2 Reconnect only 66.85 1 Business Name: GARNER ELECTRIC Pump or irrigation circle 53.40 2 Address: 2920 S.E. BROOKWOOD AVE. Sign or outline lighting 53.40 2 City/State/ZIP: HILLSBORO OR. 97123 e panel, alteration, or tinned 2 2 } , enemy panel, alterarion, or Page 2 Phone: ( 503 ) 648 -4552 I Fax: ( 503 ) 642 -7925 extension Describe Each additional inspection over allowable in any of the above CCB Lic.: 121159 I Electrical Lic.: 34 -305C I Suprv. Lic.: 0615 Per inspection 62.50 Investigation per hour 11 hr min) 62.50 Suprv. Electrician / Industrial plant per hour 73.75 signature, required: '. ELECTRICAL PERMIT FEES Print name: ti HICK t' A' ' R I Date: 7/21/2010 Subtotal 4,. . fk Plan review (25% of permit fee) Authorized Signature: ...war/ State surcharge (12 of permit fee) 441 ; 53 TOTAL PERMIT F'EF. 4 t,,z. 7 z Print name: STEVE P 1 LARD I Date: 7/21/2010 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. lit. Building `•.Permits \ELC- PennitApp.doc 05/23/06 440- 4615T(11/05/COM/WEB) w Number of inspections allowed per permit. , I � \ 'J X11. ■ � I , ,) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard A 13 2010 DatelBy i to _ � WM Pe rmit No.: br a /Q coo . 13125 SW Hall Blvd.. 9 Tigard. OR. 223. Plan Review ��lO/O • Tigard. a 2..i.,e Date/By. Permits �C•�.(�J • 0 Phone: 503.6 39.4171 Fa : ,503.598111960 , n .,. ,,t Date Readyi(iy. 11♦ See Pale Z For Inspection Line: 503.639.4175 \ { .* :. .•'-' ' NotifiediMethod: ions Supplemental Information Internet: www.tigard- or.gov TYPE OF WORK , j a; I i rnR COMMERCIAL FEE SCHEDULE - USE CHECKLIST r i b 2 New construction ❑ Addition /alteration /re•,1 „: r Mechanical permit fees* are based on the value of the work performed, Im °• Indicate the value (rounded to the nearest dollar) of all mechanical ❑ Demolition ❑ Other: 4........ • ' materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ 0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. JOB SITE INFORMATION AND LOCATION Description I 0.n•. I Ea. I Total Job site address: 14204 SW STELLARS JAY TERRACE Heating /cooling Air conditioner or heat pump City /State /ZIP: TIGARD, OR. 97224 (requires site plan showing placement) ( I4 SuitePoldg. /apt.no.: I Project name: Furnace 100 BTU (ducts /vents) ( '41 x „1.3 Furnace 100,000 + BTU (ducts /vents) 17.90 Cross street/directions to job site: Gas heat pump 14.00 Duct work 10.00 Hvdronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), 14.00 Subdivision: ALPINE VIEW I Lot no.: 10 in - wall, in - duct, suspended. etc. Tax map /parcel no.: Flue /vent for any of above 6.80 Other: 10.00 DESCRIPTION OF WORK Other fuel appliances NEW CONSTRUCTION Water heater _i__ '297. Gas fireplace 3 ' CC, ' :76 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 El PROPERTY OWNER 1 ❑ TENANT Wood /fireplace. /insert 10.00 Name: WEST HILLS DEVELOPMENT Chimney /liner/flue /vent 10.00 Address: 735 SW 158th AVE Other: I0.00 Environmental exhaust and ventilation City /State /ZIP: BEAVERTON, OR 97006 Range hood /other kitchen equipment ' 3 Phone: ( 503 ) 641 -7342 Fax: ( 503) 641 -7661 Clothes dryer exhaust '3, E APPLICANT g CONTACT PERSON Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 6 I 1 4014 Business Name: WEST HILLS DEVELOPMENT Attic /crawlspace fans 10.00 Contact Name: STEVE POLLARD Other: 10.00 Address: 735 SW 158th AVE Fuel piping ($5.40 for first four; $1.00 for each additional Furnace, etc. 1 1 4.16 City /State /ZIP: BEAVERTON, OR. 97006 Gas heat pump 03 Phone: ( 503 ) 726 -7041 I Fax: ( 503 ) 641 -7661 Wall /suspended /unit heater E -mail: spollard(a�arborhomes.com Water heater 1 CONTRACTOR Fireplace Ranee Business Name: PYRAMID HEATING AND COOLING Barbecue Address: PO BOX 1502 Clothes dryer (gas) City /State /ZIP: SANDY, OR. 97055 Other: Phone: ( 503 ) 786 -9522 Fax: ( 503 ) 786 - 3432 MECHANICAL PERMIT FEES Subtotal $ 4 3F5, ( b CCB lic.: , 59382 City or metro lic.: Minimum permit fee ($7'_.50) Authorized / ` 4 Plan review (25% of penult feel $ signature: 'v State surchargc (12% of penait fee) $ 6,22 Print name: TAMI IIAGEMAN I Date: 7/21/2010 TOTAL PERMIT FEE $ 3 ( ` 3e) This permit application expires if a permit is not obtained within 180 1:'',3uilding\ Permits \•.MEC - Permit App.doc 01/19/07 440 -4617T (11,'02/('OM /WEB) days after it has been accepted as complete. Fee methodology set by Tri- County Building Industry Service Board Plumbing Permit Application; 1 '' .. - FOR OFFICE USE ONLY City of Tigard qA��� Date/By Received : ® 1 0 � � 13125 SW Hall Blvd., Tigard, OR./VALI 3 2010 Plan Review Other Permits. -11906 Date/By: gr. - ' 01 R Phone: 503.639.4171 Fax: 503.598.1960 Date Rea 13 See Page 2 For 'ill , . , a :furls TIGARD Inspection Line: 503.639.4175 _ . , N ot i fied/Method: Supplemental Information Internet: wwAv.tigard- or.gov " `: TYPE OF WORK FEE* SCHEDULE Q New construction ❑ Demolitio / , ' j For special information use checklist ❑ Addition/alteration/replacement ❑ Other: ,,, , r Description I Qry. I Ea. I Total New 1 - 2 family dwellings (includes 10011. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 Q 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350,00 ❑ Accessory building ❑ Multi - family SFR (3) bath ' , - ❑ Master builder Each additional bath /kitchen 45.00 ❑ O ther: Fire sprinkler (6 sq. 11.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 14204 SW STELLARS JAY TERRACE Catch basin or area drain 16.60 City /State /ZIP: TIGARD, OR. 97224 Dry'well, leach line, or trench drain 16.60 Suite/bldg. /apt.no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: 1 Page 2 Storm sewer (no. linear ft.: Page 2 Water service (no. linear ft.: Page 2 Subdivision: ALPINE VIEW I Lot no.: 10 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 NEW CONSTRUCTION Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 El PROPERTY OWNER 1 ❑ TENANT Ejectors /sump 16.60 Name: WEST HILLS DEVELOPMENT Expansion tank 16.60 Fixture /sewer cap 16.60 Address: 735 SW 158th AVE Floor drain /floor sink/hub 16.60 City /State /ZIP: BEAVERTON, OR. 97006 Garbage disposal 16.60 Phone: ( 503) 641 -7342 Fax: ( 503) 641 -7661 Hose bib 16.60 0 APPLICANT 0 CONTACT PERSON lee maker 16.60 interceptor /grease trap 16.60 Business Name: WEST HILLS DEVELOPMENT Medical gas (value: $ ) Page 2 Contact Name: STEVE POLLARD Primer 16.60 Address: 735 SW 158th AVE Roof drain (commercial) 16.60 City /State /ZIP: BEAVERTON, OR. 97006 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 Phone: ( 503) 726 - 7041 I Fax: ( 503 ) 641 - 7661 Urinal 16.60 E - mail: spollardta7.arborhomes.com Water closet 16.60 CONTRACTOR Water heater 16.60 Business Name: DEVELOPMENT NORTHWEST (WOLCOTT PLUMBING) tither. Subtotal 60aks2 Address: 1075 W. HISTORIC COLUMBIA RIVER HIGHWAY Minimum permit fee: $72.50 City /State /ZIP: TROUTDALE, OR. 97060 Residential backflow minimum permit fee: $36.25 Phone: ( 503 ) 667 - 1781 Fax: ( 503) 667 - 9891 Plan review (25% of permit fee) $ State surcharge (12% of permit fee) $ Q�(jk- CCB lic.: 112220 Plumbing Lic. no.: 26 - 824 PB ' &&it)41 TOTAL, PERMIT FEE t Authorized This permit application expires if a permit is not obtained within signature: 180 days after it has been accepted as complete. Print name: GARY LIPPOLD I Date: 7/21/2010 ` Fee methodology set by Tri- County Building Industry Service Board I Building \Permits\PLM- PermitApp.doc 12/27/06 440 -4616T (10 /02 /COM /WEB) W RF r'lafF 0 I . p •, AUG 1 13 2010 :� ,:_. g tr,3 ;o 1!11.1 -u-e_ iio. /1.4(ii. ., 4 ___ I® cv I if a 0 LANDSCAPE 552 i I ROCK WALL / ' 544 / — — 100.00 — — — ul II � : ]1A6i�10�./ I 47 a zr-o• h ' / --576. 1 r L 30'•P ■ ' E : • :a :':: :' :'t :'t :•r ::•: :•'r :i: I N i M!iH. '.':.'.': ::'' � > F c n::•:• i:•:•p•:::•::•::::• ::y'x::i:::'::::::::::-::':.':':: SAN. O - z 552 1 c1r :: : :: : : :• ::: ; ;.:: : 7° ,c LAT. (J .. 30'-0' Q il as ' . . ............................ : :;:' : ? :•• I 8 ........... . / 7O 1 Iii �""'� :� ::..... 2766 .. I �' r- K :: ,: : .:.: "MORELAND 2 CAR 'M 77- b rik :: WI DEN AMERICAN::::::::::::::::: ' a ' SF. I • : MAIN F R 553 0,� : : : `� c 1 / —I 1 \ '1¢i ..L ..... ......................... ............................... 31' ' 1 a :r e' MUE o 4 543 -I M vrsio _ ( M CLEARANCE �• s '• — — t� — M, EASEMENT / ;1:7'ci "' 73 N V 0 STREET TREE Nj in z• CAS TRACT "A" I PAC[FIC IT I Ia w i PRIVATE STREET I 543 /' / -- / V PM APPROVAL' .. — ........ ......g...........: :. swift woo '�i1A ak iM Ga . , , . a st D ,s ::. :sift OiIMys REVISED 01/21/10 JJG t - - -. --- - ITE P LAN ' PRAWN 03/30/10 DDR PRELIMINARY BUILDING SETBACK APPROVAL ALPINE VIEW PER TIGARD CITY PLANNING 03/30/10 DDR 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 plans and specifications shall be approved by 14204 S.W. STELLER'S JAY TERRACE local building authorities prior or 5 344 SQ. FT. start of construction. LOT 10 WEST HILLS MINIMUM SETBACK REQUIREMENTS: (FROM PROPERTY LINE) e DEVELOPMENT, INC. REAR YARD: 15' FRONT (HOUSE): 15' 735 SW 158th Ave. FRONT (PORCH): 15' SCALE BEAVERTON, OR 97006 5 DE:T (GARAGE): 20 1"=20° STREET SIDE: 10' (30' MAX. DRIVEWAY WIDTH) AI • CITY OF TIGARD • SITE PLAg REVIEW BUILDING PERMIT NO.: 9.00— ay.74' (r--. PLANNING DIVISION: Required Setbacks: [(Approved ❑ Not Approved Side: - Street Sine.: w Front. Gyage: Rear: Visual Clearance ;p ,� < ;: ? ❑ Not Approved 'I' Maximum Buildiiy CWS Service Pro "ider Lett -.'• ❑ ' ❑ No " ti) : I ,t . 013//b ENGIN ERING.,p PARTMLH h Actua Slope: CCSS % 6 Approved ❑ N Ap d Site an: -Approved ❑ of proved By: Date: 13 1 3 /0 Notes: "`y�x� pm_ CITY OF TIGARD- SITE PLAN ' VIEW 13 ' NG PERM] NO: *vett heat • a/4cm* id AoMwdr� �7,°d �■0 Notes: Ow 0 Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: IN _ Z � O ` M��k Jurisdiction: --, Ct Site Address: I W Subdivision/Lot #: 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: UY `}fin 0.10 Date: L Owner /General Contractor /Authorized Agent Print Name: 1 con b`(73 Giur ORSC Section N 1107.2. 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 fmal 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 Oregon Residential Specialty Code R318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, {�j�,r A . ) a--a v t pc S , am the general contractor or the owner - builder at the following address: Site Address: City: Permit #: 7 u1,0 , 0001 Subdivision/Lot #: �\ v,nu, \I e,L ) and/or Map and Tax Lot #: 1 � 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: ink civ\= , _ Date: L - 1 Gener.1 C ntrd ctor or Owner - Builder $ I:\Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE CERTIFICATION I, �, Ql) pro :Owner/ for Al(k)b-y- to \0wL G-��r► , (PLEASE PRINT) (PERMIT HOLDER) do hereby catifii that the 5ll0vin ;location meets . ' r Cit of Tigard; l and use and develo standards for street .tree - installation and'ris consistent /with the approved .s ite plan. ,,), � -� ' SITE ADDRESS: I-1 7_0(A \t SUBDIVISION: . \I I LOT #: SIGNATURE: DATE: 2, 1— \ RE CEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. N I:\ Building \Forms \StreetTreeCertificate 07/01/2010