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Permit MASTER PERMIT w CITY OF TIGARD ph COMMUNITY DEVELOPMENT Permit #: MST2010 00132 T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/25/2010 Parcel: 2S109AB13600 Jurisdiction: Tigard Site address: 14443 SW FORAN TER Subdivision: Alpine View Lot: 17 Project: Alpine View, Lot 17 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First. 1063 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1237 sf Garage: 456 sf • Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $244,770.04 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 Tubs /Showers: 3 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 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 add! 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 735 SW 158TH AVE BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503- 641 -7342 PHONE: 503- 641 -7342 FAX: 503- 641 -7661 Total Fees: $11,667.07 - 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. A ," • •. •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0r -0010 through 0� ing r01 -0100. You may obtain a copy of the rules or direct questions to OUNC by call, 503.246.6699 or 1.800.332.2344. Iss •d By: _ ' r 0-4..... Permittee Signature: ( l � BuildiniPermit Application FOR OFFICE USE ONLY City of Tigard FffiffierfiZrea Permit No. M It,, , -,(JO/ 3 Plan e Review 13125 SW Hall Blvd., `I'i No Re G / - (� Other Permits. ��d /O U PI Dat A Phone: 503.639. ax • ' ' 60 Date ReadvBy �'Q © See Page 2 For I Earl R11 Inspection Line: 5ALP .4175 Notified/Method: Supplemental Information Internet: www.tigard-or.gov TYPE OF WO REQUIRED DATA: 1- AND 2- FAMILY DWELLING [l New construction Ci` '1 i fot7� J Permit fees* are based on the value of the work performed. j}f r+cttll indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement BUI LLLLLLJJJ Other: equipment, materials, labor. overhead. and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q 1- and 2- family dwelling ❑ Commercial /industrial Valuation Z4 1 10 o4 ❑ Accessory building ❑ Multi- family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: ,3er 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 14443 S.W. FORAN TERRACE New dwelling area: 2300 square feet City /State /ZIP: TIGARD, OR. 97224 Garage /carport area: 456 square feet Suite/bldg. /apt. no.: I Project name: A i Li r, r 01 3 Covered porch area: ('A square feet 1'Z`7 Cross street/directions to job site: Deck area: square feet 10403 Other structure area: 2,.? square feet u ..) REQUIRED DATA: COMMERCIAL -USE CHECKLIST Plan No.: 2296 LAURELHURST FRENCH Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Subdivision: ALPINE VIEW I Lot no.: 17 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: O 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 O APPLICANT Q 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 apply: 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: NEST HILLS DEVELOPMENT Please refer to fee schedule Address: 735 SW 1.58th AVE Structural plan review fee (or deposit): City /State /ZIP: BEAVERTON, OR. 974006 FLS plan review fee (if applicable): Phone: ( 503 ) 641 -73 ' Fax: ( 503 ) 641 -7661 Total fees due upon application: p CCB Iic: 104847 Amount Received: 1D' QV Authorized This permit application expires if a permit is not obtained signature: /1 i _ within 180 days after it has been accepted as complete. I Print name: STEVE POLLA ' I Date: 6/29/2010 I * Fee methodology set by Tri- County Building Industry Service Board. 1 :\Buildinglpermits \B1JP -RES PermitApp.doc 11/6107 440- 4613T(11 /02 /COM /WEB) _, - -;k, Electricfll Permit 1 1 � A plicatio 010 FOR OFFICE USE ONLY P Received P ermit No.: IN City of Tigard ... - , DateBy- f 11 10 MI t-'65 __, � —00 .2 . - t Pl an Review 13125 SW W Hall Blvd., Tigard;� 932.2 ,rt+ f Other Pem t s 5 ','t�t(J .(,d �� s Dateiv: pry Phone: 503.639.4171 Fax: L A . .5p3.59 `1960 -+ Date Ready/By: se Page z Far TIGARD f Inspection Line: 503.639.41 /5 No Juns. supplemental Information Internet WWW tioarrl_nr onv TYPE OF WORK PLAN REVIEW [( New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked): Q Demolition Other: ❑ Service or feeder 400 amps ❑ Hazardous locations or more where the available P ❑ 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 O 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building less to ground, or exceeds ❑ Floating buildings 14,000 amps for all other ❑ Commercial -use agricultural ❑ Multi- family ❑ Master builder ❑ Other: buildings installations. JOB SITE INFORMATION AND LOCATION ❑ Installation of 75 KVA or larger ❑ Fire pump separately derived system Job no.: I Job address: 14443 S.W. FORAN TERRACE ❑ Emergency system ❑ 'A'' ,"E"."1-2",”1-3" vcownatrcy City/State/ZIP: TIGARD, OR. 97224 ❑ Addition of new motor load of 100HP or more ❑ Recreational vehicle P arks 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 I * Subdivision: ALPINE VIEW I Lot no.: 17 Nee' residential single or multi dwelling wait. Includes attached garage. 1 _ Tax map /parcel no.: 1,000 sq. ft. or less ( Ic DESCRIPTION OF WORK Ea. add'l 500 sq. ft. or portion ke gr92- 1' -(.8 NEW CONSTRUCTION ( w a above sq. ft.) energy, residential I 75.00 7 2 ( with ove sq Limited energy. multi - family residential ( with above sq. ft.) 75.00 2 El PROPERTY OWNER i ❑ 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 2 401 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 ) 641 -7661 Over 1.000 amps or volts 454.65 2 Owner installation: This installation is being made on residential or farm property owned by me or a member of Temporary services or feeders installation,alteration.and /or relocation my immediate family. This property is not intended for sale, exhange or rent (ORS 479.540(1) and 479.560(1), 200 amps or less 66.85 2 Owner signature: Date: 201 amps to 400 amps 100.30 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 with Contact Name: STEVE POLLARD above service or feeder fee, 6.65 2 e circ Address: 735 SW 158th AVE B Fee for � cb etrc uits without service or feeder 46.85 2 City /State /ZiP: BEAVERTON, OR. 97006 fee first branch circuit Each add'l branch circuit 6.65 Phone: ( 503) 726 -7041 I Fax: ( 503) 641 -7661 - Miscellaneous ( service or feeder not included ) E -mail: spollard @arborhomes.com Each manufactured or modular CONTRACTOR dwelling, service, and or feeder 90 40 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 Cit ' /State /ZIP: HILLSBORO OR. 97123 enemy pan alte lamed- s aner��� paftd, alteration, or Page 2 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 Lie.: 34 -305C Suprv. Lic.: , 7 Per inspection 62.50 - Investigation per hour (1 hr min) 62.50 Suprv. Electrician Industrial plant per hour 73.75 signature, required: ELECTRICAL PERMIT FEES Print name: CI 1JCK GARNER 1 Date: 6/29/2010 Subtotal 'J � 7q , L2 Authorized Plan review (25% of permit fee) Signature: State surcharge (12%ofpermit fee) 4 , r__ TO'T'AL, PERMIT FEE 4_2 4 , i 2 Print name: STEVE POLLARD Date: 6/29/2010 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I:\ Building \Permits.ELC - PennitApp.doc 05 /23/06 440- 4615T(11 /05/COM/WEB) * Number of inspections allowed per penult. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received , nyngrippm Permit No.. 5 o O., Do 52. Plan Review / 711 ® 1 3125 SW Hall Blvd., 'Tigard, OR. 97223 Date By. Other Pc mitt r G Phone: 503.639.4171 Fax: 503.598.1960 o?Ol0 Date Ready +By. t. See Page 2 For Inspection Line: 503.639.4175 Notified /Method: Jutis Supplemental Information TIGd'Id.I Internet: w<vw.tigard- or.gov TYPE OF WORK COMMERCIAL FEE SCHEDULE - USE CHECKLIST Q New construction ❑ Addition /alteration /replace Mechanical permit fees* are based on the value of the work performed, Indicate the value (rounded to the nearest dollar) of all mechanical ❑ Demolition ❑ Other: materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ El I- 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 Qty. I Ea. I Total Job site address: 14443 S.W. FORAN TERRACE Heating/cooling Air conditioner or heat pump Qf - yam City /State /ZIP: TIGARD, OR. 97224 (requires site plan showing placement) `C'7' t Suite/bldg./apt.no.: Project name: Furnace 100.000 BTU (ducts /vents) 1 � 7. j ?-; 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 Lot no.: 17 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 1 77',o'— z3• -- Gas fireplace 1 9 ,' Flue vent for water heater or gas fireplace 10.00 - Log lighter (gas) 10.00 Wood /pellet stove 10.00 El PROPERTY OWNER ❑ TENANT Wood /fireplace; insert 10.00 Name: WEST HILLS DEVELOPMENT Chimney /liner /flue /vent 10.00 - Other: 10.00 Address: '735 SW 158th AVE Environmental exhaust and ventilation City /State /ZIP: BEAVERTON, OR. 97006 Range hood /other kitchen equipment 1 k I 7 : Phone: ( 503) 641 -7342 Fax: ( 503) 641 -7661 Clothes dryer exhaust 1 ' - 3x`3,3 `/ 21 APPLICANT 0 CONTACT PERSON Single -duct exhaust (bathrooms, toilet Z Z ��� (SO compartments, utility rooms) Business Name: WEST HILLS DEVELOPMENT Anic /crawlspace fans 10.00 Contact Name: STEVE POLLARD Other: 10.00 Address: 735 SW 158th AVE Fuel piping Furnace, etc. 1 14 l . S City /State /ZIP: BEAVERTON, OR. 97006 Gas heat pump Phone: ( 503 ) 726 -7041 I Fax: ( 503 ) 641 -7661 Wall /suspended /unit heater E -mail: spollard @.arborhomes.com Water heater I CONTRACTOR Fireplace Range 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 $ 347 -7at - CCB lic.: 59382 City or metro Iic.: Minimum permit fee (572.50) • .Authorized /` 4 Plan review (25% of pennit fee) $ signature: Q State surcharge (12° 0 of permit fee) $ ' , - I Print name: TAMI HAGEMAN Date: 6/29/2010 TOTAL PERMIT FEE e 1, e This permit application expires if a permit is not obtained within 180 1:' \ Permits \MEC - Permit App.doc 01/19/07 440-4617T (11 /02 /COM; WEB) days after it has been accepted as complete. * Fee methodology set by T6- County Building Industry Service Board Plumliing Permit Applicat i, ti , ,-~ t "- :� - ;. FOR OFFICE' USE ONLY City of Tigard Permit No. j7 7 Pfo —e0132 V 13125 SW Hall Blvd., Tigard, ((�(� ff��9 2 Plan Review Other Permts. �j� t //� /, FC CJU .l, �O�O Date/By: O'W/2_I4)w —co/6 if, i e_ - Phone: 503.639.4171 Fax: 503.598. l9 0 Date Ready/By: © See Page 2 For TIGARD Inspection Line: 503.639.4! NotitiedP,Nethod: Supplemental �. i ? )uric: Su lemental lntonnation Internet: www.tigard- or.go1 .•,, ° ar.l '' " TYPE OF WORK FEE* SCHEDULE O New construction ❑ Demolition For special information use checklist ❑ Addition/alteration/replacement ❑ Other: Description I Qty. I Ea. 1 Total New 1 - 2 family dwellings (includes 100ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 2 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath I j C►©o L : Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler (# sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 14443 S.W. FORAN TERRACE Catch basin or area drain 16,60 City /State /ZIP: TIGARD, OR. 97224 Drywell, 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.: ) Page 2 Storm sewer (no. linear ft.: _I Page 2 Water service (no. linear ft.: _ Page 2 Subdivision: ALPINE VIEW I Lot no.: 17 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backllow preventer Page 2 NEW CONSTRUCTION Backwater valve 1660 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 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/iloor sink /hub 16.60 City /State /ZIP: BEAVERTON, OR. 97006 Crarbage disposal 16.60 Phone: ( 503) 641 -7342 Fax: ( 503) 641 -7661 Hose bib 16.60 El APPLICANT El CONTACT PERSON Ice 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: spollardearborhomes.eom Water closet 16.60 CONTRACTOR Water heater 16.60 Business Name: DEVELOPMENT NORTHWEST (WOLCOTT PLUMBING) Other: Subtotal ..03". Address: 1075 W. HISTORIC COLUMBIA RIVER HiGHWAY Minimum permit fee: $72.50 City /State /ZIP: TROUTDALE, OR. 97060 Residential backtlow minimum permit fee: 536.25 Phone: ( 503) 667 -1781 Fax: ( 503) 667 -9891 Plan review (25% of permit fee) $ CCB lic.: 112220 Plumbing Lic. no.: 26 -824 PB State surcharge (12 °/n of permit fee) o f TOTAL. PERMIT FEE r Authorized &61/24? This permit application expires if a permit is not obtained within signature: 1 80 days after it has been accepted as complete. Print name: GARY LIPPOLD I Date: 6/29/2010 ' Fee methodology set by Tri- County Building Industry Service Board t+.Bui d]ng' /Permits \PLM- PermitApp.doc 12/27/06 440 -4616T (10/02/R:'ONI WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received ear MI Permit No. _ 00 -'5 2 4 13125 SW Hall Blvd.. Tigard, OR. 97223 Plan Review Other Permits: O/^ • Phone: 503.639.4171 Fax: 503.598.1960 Date Ready /By: © S - 'age 2 For 11 GARD' Inspection Line: 503.639.4175 Notified /Method: June'. Supplemental Information Internet' ivww tioard_nr onv TYPE OF WORK PLAN REVIEW ✓❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked): ❑ Service or feeder 400 amps ❑ Hazardous locations 0 Demolition ❑ OtheI: 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 Tess to ground, or exceeds ❑ Floating buildings 14,000 amps for all other ❑ Commercial -use agricultural El Multi-family ❑ Master builder ❑ Other: buildings installations. JOB SITE INFORMATION AND LOCATION ❑ Installation of 75 KVA or larger ❑ Fire pump separately derived system Job no.: I Job address: 14443 S.W. FORAN TERRACE ❑ Emergency system ❑ "A "E ", "1- 2 ","1 -3" oceutnancy City/State/ZIP: TIGARD, OR. 97224 ❑ Addition of new motor ❑ Recreational vehicle parks n' State /Zi load of I00HP or more Suite/bIdg./apt.no.: t.no.: I Project name: ❑ Six or more residential units ❑ Supply voltage for more than 600 volts nominal ❑ Health -care facilities Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Fee I Total Subdivision: ALPINE VIEW I Lot no.: 17 New residential single- or multi- family dwelling unit. Includes attached garage. Tax map /parcel no.: 1.000 sq. ft. or less 145.15 4 DESCRIPTION OF WORK Ea. add'l 500 sq. ft. or portion 33.40 Limited energy. residential 75 110 2 NEW CONSTRUCTION ( with above sq. ft.) Limited energy. multi - faintly 75.00 2 residential ( with above sq. ft.) 0 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 ro400amps 106.85 2 401 amps to 600 amps 160.60 2 City /State /ZIP: BEAVERTON, OR. 97006 601 amps to 1.000 amps 240.60 _ Phone: ( 503 ) 641 -7342 i Fax: ( 503 ) 641 -7661 Over 1,000 amps or volts 454.65 2 Owner installation: This installation is being made on residential or farm property owned by me or a member of Temporary services or feeders installation, alteration, and /or relocation my immediate family. This property is not intended for sale, exhange or rem. (ORS 479.540(1) and 479.560(1). 200 amps or less 66.85 2 Owner signature: Date: 201 amps to 400 amps 100.30 _ E APPLICANT I 0 CONTACT PERSON 401 amps to 999 amps 133.75 2 Business Name: WEST HILLS DEVELOPMENT Branch circuits - new, alteration, or extension, per panel A Fee for branch cvcuits with Contact Name: STEVE POLLARD above service or feeder fee. 6.65 2 Address: 735 SW 158th AVE B ee for b ancii without service or feeder 46.85 2 City /State /ZiP: BEAVERTON, OR. 97006 fee first branch circuit Each addl branch circuit 6.65 Phone: ( 503) 726 -7041 I Fax: ( 503 ) 641 -7661 Miscellaneous ( service or feeder not included ) E -mail: spollard@arborhomes.com Each manufactured or modular 90.90 2 CONTRACTOR dwelling, service, and I or feeder Reconnect only 66.85 1 Business Name: WEST HILLS DEVELOPMENT Pump or irrigation circle 53.40 2 Address: 735 SW 158th AVE Sign or outline lighting 53.40 2 OR. 97006 Signal p ane . a or tinned- C ity /State /ZIP: BEAVERTON, �/ .) Page 2 2 , energy panel, alteration, or V extension. Describe: / Phone: (503) 641 -7342 I Fax. ( 503 ) 641 -7661 Each additional inspection over allowable in any of the above CCB Lic.: 104847 I Electrical Lic.: I Suprv•. Lic.: Per inspection 62.50 investigation per hour (1 hr min) 62.50 Suprv. Electrician Industrial plant per hour _ 73.75 signature, required: \ ELECTRICAL PERMIT FEES Print name: I Date: Subtotal Plan review (25% of permit fee) Authorized Signature: J /C/ State surcharge (12 °rb of permit fee) TOTAL PERMIT FEL Print name: STEVE P .LARD I Date: 6/29/2010 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. L\Ruilding`• Permits \ELC- PennitApp.doc 05/23/06 440- 4615T(11/05/COM/WEB) * Number of inspections allowed per pemut. • 1 1 , I 1 c : -, "a' 33'-0 51'-6` 26'-0' 1 AUG 1 'q1 \\ 1 9 i 1 566 566 I 3' ALLAN EROSION CONTRO SAN. STORM BLOCK FENCING ' R SEWER 568.5 568 55.51 WAIT- 55.0 LAT. LAT. PACIFI r _ �.�� , u 4 o OPTIONAL ^ 1e. ��: 11 1ra�— . r GWO. , ,, � i � O LOCATION ' ' . ; ' -' ` ... F \� , ? ;{ 5 6: COURT • • ,� 2296 '� 1 :.........: i ll _ 26'-0' I 7 " LAURELHURST ' l . 1 ... O ....... FRENCH ..... ................ A� t AY WALK 572 ....... ..... ............................... TO3, v 150 5Q °c PATIO in 572 EXIS T '.',..1 • . GRADE :IAAAIN FLOOR' ::: :: .: :N . ; ,,i : r,: • .,...: ': ,... 574 ..+ :1063 Q. FT. :•�• SH :456 SQ. FT " rsLOpp FOi�' ' .;0; f ;. •t GRADE �j, �•�f GW •- 7 T R , .... .......................... ::... ' 1 .1 .. f • {; ' PROTECTION El FENCE •M��� '. M 33.30 h 3' ALLAN 77.47 576 v: BLOCK 33' -3` h WALL 17 6' } 30'-0` J 13" SPRUCE - ! TREE / N. `PROTECT)/ f RO P ROTECTION ZONE ' BOUNDARY. ALL WORK WITHIN THIS AREA REQUIRES SUPERVISION BY I.SA. CERTIFIED ARBORIST SEE ATTACHED ARBORIST'S "TREE PROTECTION PLAN" 4R 0v14/ • '' DRAWN 0S /04/10 SHG SIT PEArsi REVISED 06/28 /I0 SHG REVISED 01/01/10 SHG ALPIIVS*14TsI�VN REVISED 01/22/10 SHG ,„* _ Contractor is responsible to check SITUATED IN THE N.E. 1/4.,DFatC TION 9, TOWNSHIP site plans and notify designer of any 2-SOUTH, RANGE'1 -WEST OF TH MERIDIAN errors or omissions prior to start of CITY OF TIGARD, WASHINGTON COUNTY, OREGON construction. Also plans and specifications shall be approved by 14443 S.W. FORAN TERRACE local building authorities prior or 5,535 SQ. FT. start of construction. LOT 17 WEST HILLS SETBACK REQUIREMENTS: (0 N . DEVf LbPktEN I, INC. REAR YARD: 15' (FROM FL.) _. . FRONT (HOUSE): IS' (FROM FL.) FRONT (PORCH): 15' (FROM FL.) 735 SW 158th Ave. FRONT (GARAGE): 20' (FROM FL.) SCALE BEAVERTON, OR 97006 STREET E SIDE: l5' ( PFL.)) 1 '1=20' CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: Ai � ,�� b - in VI PLANNING DIVISION: Required Setbacks: Approved ❑ Not Approved Side: Street Side: _ill,. J Front. C, Gage c9 Rear: ❑ Not Approved Maximum Buildin-! Height. ..3> f .el e 1 C W S Service Pro ■ • Letter R .1 . .i. 0 Yes ❑ No /, k�y%:eived t33 : . ai/Lt_. Date: git 3116 ENGINEERINp, EPARTMENT: Actual 'lopL e• % Approved ❑ N t Approved Site PI : Approved XIII of Ap roved By: Date: 13 it) Notes: wiLD CITY O TIGARD • SITE ': • - ..al 0: • ❑ Not APProved pprovod Swat il p ed rJ Fro � ►.te: ` b ?° shoec ie. Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS • Permit No.: M _ i c ` � h to _ Jurdiction: „c to C� Site Address: LI /-1 fi0ra)i --� e.Y Subdivision/Lot #: l \ �l CO. and/or v Map and Tax Lot #: 1 -1 , I 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: ■ICIII■ • tr/A11.= _ Date: — 'l— l I O OM:en ral ontractor /Autholi-d Agei Print Name: -> Ck. Y1 &'( U C( '�e/`�� ' 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 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. 1:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 v It .r Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, A ,vc,,, vl , am the general contractor or the owner- builder at the following address: Site Address: -—�� 1 y y �) LA) t o YT), Y1 i City: 1 1 e U..r0( Permit #: Mb - ZO - 0o 1 32 Subdivision/Lot #: j'41 ? Ina' \(1 e'U'— and/or Map and Tax Lot #: 17 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: �e y -0,- �/ Date: I _ I General C tractor or Owner -Build i y I: \Buildin Form \RES- MoistureSensitiveWood.doc 09/25/08 N STREET TREE CER TIFICA TION &rn owner/ agent for (PLEASE PRINT) (PERMIT HOLDER) do hereby cert6 that the foi1�wingibcation meets City of T gardH land use a' nd development standards for street tree -- installation andhis consistent 1 the approved ".site plan. SITE ADDRESS: 1 ' - C =t p S UBDI VISION. 1 I l LOT #: \ 7 SIGNATURE: C • DATE: (OWNER /A A ) RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. A I: \Building \Forms \StreetTreeCertificate 07/01/2010