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Permit
CITY OF TIGARD MASTER PERMIT o . - COMMUNITY DEVELOPMENT Permit #: MST2010 00146 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/21/2010 Parcel: 2S110CB08800 Jurisdiction: Tigard Site address: 12446 SW ST ANDREWS LN Subdivision: MOUNTAIN VIEW ESTATES Lot: 13 Project: Mountain View Estates Lot 13 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 904 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 34 Bathrooms: 4 Second: 1673 sf Garage: 660 sf Front: 20 Smoke Dwelling Units: 1 Third: 1318 sf Right: 5 Detectors: Yes Total: sf Value: $420,487.85 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs/Showers: 4 Garbage Disp: 2 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 1 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: 8 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 l 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) WESTLAKE HOMES INC WESTLAKE HOMES INC 1 MST Geo-Tech Approval 17313 BLUE HERON RD 17313 BLUE HERON RD 2 MST Ersn Cntrl 503- 681 -4444 LAKE OSWEGO, OR 97224 Lake Oswego, OR 97034 PHONE: 503 - 675 -0495 PHONE: 503- 675 -0495 FAX: 503- 675 -0773 Total Fees: $19,018.39 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 Permittee Signature: Bujlding Permit Application I r e � I . 1 - , . •i �: Residential i I O OI I ICEIUS J O�NIt I City of Tigard Da ed a 2'/ /40 1 Permit No.: i15��40 �! ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie� IN a Phone: 503.639.4171 Fax: 503.598.1960 Date/By: 7 (5 i © Other Permit: t-001/b i Inspection Line: 503.639.4175 Date Read lori ®See Page 2 for Internet: www.tigard or.gov Notified/Method: 'I y a in" (L i Supplemental Information TYPE 01? WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING al 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. ® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: S ) tlt '7-8s ❑ Accessory building ❑ Multi - family Number of bedrooms: 4. ❑ Master builder ❑ Other. Number of bathrooms: VA JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 12446 SW SAINT ANDREWS LANE New dwelling area: 3139 S square feet City/State/ZIP: T IGARD, OR 97224 Garage/carport area: c " square feet (3 Suite/bldg. /apt. no.: Project name: MOUNTAIN VIEW ESTATE 3 Covered porch area: 5 square feet (G7 3 Cross street/directions to job site: 122nd & BEEF BEND RD Deck area: ") 0Gr square feet 904 - Other structure area: 4,s5-5- square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: MOUNTAIN VIEW ESTATES I Lot no.: 1 3 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. NEW SFR Valuation: S Existing building area: square feet New building area: square feet ti PROPERTY OWNER I ❑ TENANT Number of stories: Name: WESTLAKE HOMES INC Type of construction: Address: 17313 BLUE HERON RD Occupancy groups: City/ State/ZIP: LAKE OSWEGO, OR 97034 Existing: Phone:( 503- 675 -0495 Fax :( 503 - 675 -0773 New: C APPLICANT lil CONTACT PERSON NOTICE Business name: WESTLAKE HOMES INC All contractors and subcontractors are required to be Contact name: KEN NELSON licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 17313 BLUE HERON RD jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City / State/ZIP: LAKE OSWEGO, OR 97034 apply: Phone:( 5 03 - 675 - 0495 I Fax::(503) - 0773 E-mail: we stlakehomes @comcast. net CONTRACTOR Business name: WESTLAKE HOMES INC BUILDING PERMIT FEES* Address: 17313 BLUE HERON RD (Plearereje.to(eeschedul) Structural plan review fee (or deposit): City /State/ZIP: LAKE OSWEGO, OR 97034 F es: ( I FLS plan review fee (if applicable): Phone: ( 501- 675 -0495 503 675 -0773 CCB lic.: G Total fees due upon application: _il 6 5 3 2 4 '� T Amount received: f 7 ' 41° Authorized signature: !'� ature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: KEN NELSON I Date: AI1(• 24 , 2 01 0 * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits \BUP -RES PermitApp.doc 11/6/07 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling i•I 0 1 I I LST ONLY 11111 City of Tigard Received , SW Hall Blvd., Tigard, OR 97223 • 131 Date/By: Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: Permit No.: 24- Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical i A it D Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITE v1S ARE REQUIREI) FOR PLAN REVIE\1' I'; � 11 1 iN es � d NSA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size • sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 1 X16) Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ '- -' prescriptive path analysis provide specifications and calculations to engineering standards. % 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." C 1 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ Energy Code compliance. Identify the prescriptive path or provide calculations. A gas piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore Ion and shall be shown to be : • • licable to the . ro'ect under review. JURISDICTIONAL SPECIFICS 1 I 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions. ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\ BuildinePe nnitslBUP- RES- PemitApp.doc 0321 /06 4404613T(OI/02/COM/WEB) ' .FROM : CANBY ELECTRIC INC PHONE NO. : 5032665543 Au9. 23 2010 02:05PM P1 �g 23 10 09:25:^ " F<l l2 ut f ICE Est :�ov�ti Electrical Permit :"� ?iicazi - n,/ /./ OtY 10 _ ∎ _ Can" 't.r• r ' � We City of Tig m at r il _ 15125 �' 11o!l lily:: . I p..A. OR c.'7"..23 AU G 2 4 2 PIO Reci:v■ i : 4i..:: • r ' 'dW --- o , - oo /! 417' •. S'- 1 ::nli.190 DotaBY: . ,._ - - it1 Scrvae._ro moue: 10,1.639. Dstc Rui et h: le maM +l Information l inspection lire : n:' , : r i Notified/Method — — • -- - — — INFE OF :a• WOR K _. ------ ease cheek at4 i �3c apyw t s yet. :f pima , • :itc mc checked belowk i 0 Sery rev or r,sdce 4CG :mcf r.r -nor: 0 BW' •g, 0%0 twice poets New 00 n:ctiurt -- `� :� i :fon %;titcrotion't+cCiace -• Ma �1 girds. .-) , ahem :he :Ruu^_bte d: crent ur 0 BMs 1.1a boat. apttlLQLIl0n J �illcr: 1 ' ezxed: l : t. r0 : l yr.._r ir ISO .d:tor 0 fiosting holdings. Cn't't :GORI' OF CONSTRUCTION Ices to yrcund. Jr e.ce -e:. '+. =ti .3 t:crome.:.ar -ute ayi:tdtvnt • gg r Accessory budding .• amps for 311 Other :r_,tJ3t')n tm•W-�bt ). and 2-family tlHellina :7 � It :toner : :a i!induslriai 0 ohm o,tnp v t- swtlar :s•� ert3 xvA r. Q Multi - family _' �t :cttet bt ;! Other p Emerge: er ,•'•:6-n• larger matt 7 tlni system. JOB SITE INFORMATION ANTI LOCATION ] Addition of nc..:rrc:or !OM c f." ' _ :;LNpa rnrttr: i Job site t dcrcss: 1 2 4 4 6 SW ST ANDREWS LN Q Ree ea:lcnal eettic:e Paws. Jeb no.: Six or worm :asiden:nl sr:ru - - I O Hgt:h•rse :aei4tie.. 0 Supply volrap tbr.wtae:elua •: ._ Ci4vlStalelZiP: 'P IGAR D t O c'Z 9 7 2 2 4 Russeou :000tier$ boo vol-s nooxnal.' t no.: • Project name: M OUNTAIN VIEW ESTATES )]SauCor der 6OC amps Oc WOIe• .. SuiorJbldg/ap FEE 501EDU1.1s rI tro _ [ p tr . : r � 11111i711161116 •: Cross s4rceudirections to lob site: 1 2nd & BEEF BEND RD . New residential single. or multi 0 g . • dwelling unit • includes attached garage. 1..� R..eas _ r lGS 5a roi� Subdivision: MOUNTAIN VIEW ESTATES tor no,: 13 En. 0 'q SJO or portion 6 1-71.340 Tu. no.: 1 Lin cod mart. r :siEenrai 71.00 7� � . i1: • (vrith cbove sc. R DESCRtPI'IUY OF WORK - _ ---. —i Lim :xd enemy. mail ; -I : :n Eh h,Or, • ' - .. I — resideatta; iwith stove sc.:t� I, . NEW SFR Services or feeders inn:Mat alteration. andlor rddation '• . - 200 amps ex l t I . 1 00.7C (' . . • • '.I X]. PROPERTY OWNER 1 0 TENANT 30 t > saps to a0r1 amps _ _. I "'56 : '� ' : "^' • 401 corps to 600 amps 200.3.1 1 i= Aarlle:. WESTLAKE 50( I NC t01 amps:o;. 0O anp4 3 ' .. . . 3 { Over :.000 amps ar welts 1 eZ 26 i t p d . •. 1 ; 31 3 BLUE HERON RD _ _ 4 - • Temporary servic or [ceders iastallation, slreratlod. relocation __ : . C ;,tv/StatcalP: LAKE OSWEGO , OR 9 _ s4.3o t • '` 37Q wont of less ' e •, ! Pltonc_.(503))-675 -0495 1 Far ( 5O3}•675 -0773 201 im ps or amps 135.0$ :3' 1. • eviller Installation: Tnis installation is being made on ptopetty that I own which' is not o01 t tap :0 579 amps • 168.54 • ' ' x' intended•$prsale. :cute. rcpt. or exchange, according to ORS 447, 449. 670, and 701. Braaeh,dreuits- �cw. alteration. or cY ►etr , ° ael • Date: A. rue for brazen c:rwils with QUVtlt7 BiP�Qatltfe .w...... • •• -- " above service in Ccct ft.:. 7.42 i • ' . I APPI1CANT 1 CONTACT p N 1 each b r:Ch deceit -- 'I '• � �' t [3 Fee for branch circuits ni;horn • Busittesf n a m e : WESTLAKE HOMES INC service or t e e n ~ r % ti . ftts+ — 5618 i . - l rarc cir ttdt .. Contact acne KEN NELSON Each tai'' trunch circuit 7 42 Address 17 31 3 BLUE HERON RD Miscellaneous (scr•ite or feeder not included) • .. Eadvmemst of ;nodular 6 Z � I City/3tate+'Z]P: LAKE OS w E GO , OR 9160 3 4 dael'•inpl, se vice a drop fader I 61. 8.1 $4 1 • —_ RecpatteelOni Pbo:tc Y503? -6 7 5 -0495 Fax: :�503a675 -0 ?,73 poma;nigs:toncrcie 6 Viiiejj: - • west1aketi'lomes @comcast.net stgntroutl inn 1.gh: ice ( 67 34 CONTRACTOR Signal eir- ei't(s) o: iirdind -energ I !' • ` Pa!rral.dcencion 42_12,1) • _ Pagc3 �� •Bt mess ;sale: CANBY ELECTRIC INC , £ach ad d i donal iosaectiof over !O Rble any of the above . - Additional inspccticn(1 ;-0 min) I - 66.28/hr: • • ? I s:. 7 90 S IVY ST I it hr min) W r ' 661ilhr tr/SCatefLlP CANBY, OR 97 01 3 irdu ¢trial aunt t► lir Min) 73.1B/11r • • . • . : FIX' 3 -) 6 6 — 5 5 4 3 i espec:ions .'or .v: ic`: no fee is 90 C.Or hr . MI' •Pl!eaec (. 5-0.j- 2 6 6 — 7 6 7 8 C: 6 0 • • - . mar& cued :, hr Rein.) : • a tit : C ELECTRICAL PERMIT FEES :. .11:03141c1:. .,26 0 71 I alecmmi Lit.: 3_ 1. 2 C �' Lie 7/17, 3 ^•� subtotal `7 S .90 t• , • P r .-- = r . • . • _ signstur:. re I Pl revia�• (2S °ibof permit fee) 1 /R/Yt u/1 U. I Date: g 23,J� State surcnargc (12% of permit fee) I � $ , 'Print riama U. O 'n , in -. 1 t � j • This permit spent., ( o ' • es don expires it • permit is nor obtained within 180 • : 1 /1{]thfJEl7+Od signature: TOTAL PERMIT FEE 7 days -tier it etas been accepted os contpktC • Dart: • l Cu abet o: tnspeclioos dlt roe oar perms. • - I Pr4.•tt Atunc: Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for as residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918 - 309 - 0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations 1. doe 07101/10 ,-.. iu It.t.ciu t\6fl N 6160(1 503.675-0773 a p.1 Mechanical Permit Application AUG2 I or: . u . Flo tc �� t. u,M . 4 N-i City of Tigard • y le . _ Permit 1Nra>r NT, , , 100 13t _5 sw Hall SIvd., rgard. oR 97223 Pherre: 503.633.4171 Fate 503.59E 1960 • °1v Other Porsol : It . 0 n o E i i . , Inspection Line: 503.439.4175 Dom Ready/Br orb: fa Soo Pogo s for Internee www.tigard•or.gov NotiniediModrod Supplemental rotorm■rioa TYPE of WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST a New construction ❑ Addition/alteration/replacement � > fees•'ate lamed on the Value of the worn performed. Indicate the value (rounded to the smarm dollar) Oa ❑ DemoWton ❑ Other: meehanieal nmlcrials, minimum Tahoe. overhead. and groat CATEGORY 06 CON Value: $ I- and 2 - family dwelling 0 Comerelal/indastrial ❑ Accessory building RRESIDENTIAL �M ! SYSTEMS FEW m ❑ Multi- family [] Master builds ❑Outer Farspeclol i tfar,aarion use checklist. Description. ( 1 Ea. J Total 3Ob SITE IIVFORMATION AND LOCA?ION Heaney/coon= • - Job site uddress 1244 SW ST ANDREWS LN Aroortdlaonsng (rrnuirns siw Wan thimble yaca tm ` 46.75 4b Cihy)Stato/Z19: T IGARD , OR 97224 Ftarnace 100.000 BTU (d•etunont) 46.75 Funeaee 100.000+ BTU (d■ctrfveuts) 1 54.91 1 Suitdbldgiapt. no: Poljectmar: MOUNTAIN VIEW ESTATES liras 111,06 Cross sueeUdirecdons to job site: Day work 23.32 122nd & BEEF BEND RD Hydroaie hot watersystem 23.32 , Residential boiler (radiator or Wreck) 23.32 — Unit halms (furl -type. not electric), in -wa11. io.duct. aus(>vtded. etc. 46.75 _ — Subdivision: MOUNTAIN VIEW ESTATES I Lotpo.; 13 FitulveatLoranyof above • 2332 Other 23,32 Tax maptpanlol no.: Other Menu aliances DESCRIPTION OF WORK Waxer heater 1 23.32 121'32- __ NEW SFR Gas finT ace 1 33.39 �3 ' Flee vent for wetter heater or gas taeplace 2132 Lan lighter (pass) 23.32 Waal/pellet stove 33.39 Wood fienkcefinsert 2332 Chimeeyi4ncr/uuNvcm 23.32 $J PROPERTY OWNER ©Tf;NANT Other: 23.32 N+unc WESTLAKE HOMES INC • Havironmcntal tubules and ventilation Address: 17 313 BLUE HERON RD Ra haod/ouxr kitchen 4p t 33.39 33.5/ Ci(y/5ude?.lA LAKE OSWEGO_ , OR 97034 Clothes dryer exhaust 3139 Single •duce exhaust (bash:rocans. Phone:( 503 - 675 --0495 Fox: 6034.675 -0773 toiletcomoartmertts tmt utility . 23.32 i - _ • Di APPLICANT ® CONTACT PERSON AttitYtaawl:peer fans 23.32 Other . 2332 Business namc WESTLAKE HOMES INC Fuel caring Contact name: KEN NELSON _ S14.1S far first four. S4.113 for cads addidoaal Address: 1 7 31 3 BLUE HERON RD FW1 Gas heat pump City/5tatdZIP: LAKE OSWEGO, O R 97034 wa w heater Phase: ( 503- 675 -0495 Fax:: (503)-675-0773 Waar heater - - } - Fire ltux E-maa: westlakehomes@comcast.net R,, ( CONTRACTOR Barbecue Business Saint; MHC HEATING AND COOLING Clothe ref) Other. Addves 4 NE 202 nd ME,C ANICAL i City/Statc/21R PORTLAND , OR 97230 Subtotal _'? 7/. 27___ Phone ( 503- 317 -3321 Fapt:( 503-492 -2193 minimum await the 090.00) Then review (25�/■ of penult fee) _ CC?Iic_ 162828 State surcharge (12%ofpt / mitfee) .5,,5 TOTAL PERMIT FEE .1 '3 Authorized signature: This permit application expires if a Varga is not 0btaiatd width 180 ys. dap atter it hey ham accepted as eompk� Print name; i p i - i ( A . 14-(i n 0 J n v ( Daft g -z_ -- p • P.. mMh•adoay •w by sr+.Ceuar layaway s■rvula Bawd Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi -Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00; $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • 1:\Building\Permits .NEC- PermitAPP.doc 10/01/09 2 Aug ZU 1U 1U :18a Ken Nelson 503.675-0T13 p.1 • . - - Plumbing Permit Application Building Fixtures AUG 2 4 2010 i'(,1, denier t <1 ::L1 Tigard 11 ° w ,fie, Ora 97223 I' 0 ` 4 1 /10 III Pe Na: tirVeia /14 , II - 11125 Plan Review r Phone: 503.639.71 Fax: 503.598.1960 Our Pas.il la': j /L a'jpt0'G10/ /5' 1 r Inspection 503.639.4!75 Date g gy, inn= I EaDas Page 2far Internet www.tigard.orgvv NoriacdlMrdme; ! Seopkranusl torero aeon TYPE OF WOK FEE* SCHEDULE ili New coostnrction 0 Demolition For void iwlara•atiorr we efter2Gs& Description 1 Qtv. j 6a l Total ❑ Add3tion/alteralion/nplaccmcat ❑ Other New 1- 2- f4•i ghwilioPCoeludes 1410 R rror'cads may connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 gl 1 • and 2 family dwelling 0 CooenereieGfndustriel SFR (2) burry 43718 D Accessory buiI CI hfuld.flmily SFR (3) bath ^ 500)32 ��R?�Z Each additional bath/kitchen , 25.02 25.02. ❑ M a s t e r builder ❑ Other Are spi okl r L sq. R) Page 2 JOB SITEINFORMATION AND LOCATION She.tdiole: , lob she address 12446 SW ST ANDREWS LN Catch basin or arca drain _ 1 &76 City/State/ZIP: TIGARD, OR 9 7 2 2 4 Dryrvell, leash line, a mach drain 16 76 Pooling drabs (no. linear R.: Page 2 Saitdb)dg/ept no.: I Projectname: MOUNTAIN VIEW ESTATE Meawtadwsd home 00!)0!1= 50.0.3 Goss sued/directions to job she: Manhole 18 76 • 122nd & BEEF , BEND RD Rain drain connector 11176 Sanitary sewer (no. frosts A.: ,_–) Rage 2 Storm sewer (no. linear R: _ ) tic 2 Water service (no. linear 11.: , ) Page 2 Subdivision: MOUNTAIN VIEW ESTATES Lot no.: 13 Fhtlurearitem: _ Tat map/parcel no_ Backllow Prot + 31-27 DESCRIPTION OP WORK 6actvr.tayslve 12.51 Clotho washer 1 25.02 NEW SFR Dishwasher ___:_i__, 25.02 Molting Fountain 25.02 Electors/sump 25.02 at PROPERTY OWNER 0 TENANT Expansion tank 12.51 WBSTLAKE HOMES INC Nagle: Ftxnnersa.or 23.02 Floar drain/Boor sinbhub . 25.02 Address: 17 313 BLUE HERON RD Garbage dispose, • f 25.02 Ci>9/Saaear LAKE OS • OR 97034 Hose bib -4 25.02 Phone: (503- 675 -0495 Faic6034675 -0773 Ice mater I 1251 II AP?LUCArtx 12 comm m. mama lnowooplodstoom 1 . 25.02 j i wags rraten: WESTLAKE HOMES INC Medical gas (valve: _ ) Page t Mau 12.51 Contain rune: REEr. 61EBEON . Roof duds (co n irercial) 1251 Address: 1 731 3.. B UE '•ON RD . Slak/beeiefavatery g 25.02 City/5ttae!Z1P: LAKE OSWEGO OR 97034 Soles units (potable water) 625 Phone:( 0 —,7 —0495 Fez: :(503)-675 -41773 Tablshowar /shower pan J _12.51 E westlakehomes @comcast.net Waal 25.02 Water closet 25.02 CONTRACTOR _ Walerbeater 1 3752 Ba EXPRESS PLUMBING waterpipiagmwv 56,29 Address: 1420 SE EASTWOOD CT Otlla. _ 25.02 CitiIStat: MILWAUKIE, OR 97267 Subtotal 6'IF,— note! ( 503 -380 -6323 Fa=603 +653 -3950 Minim= yamit /72.50 CCs Lic.- 75:65 Plumbing Lie. no.: 3 — 2 5 8 — PJB Plan review (2396 of permit fa) State surcharge (12% of awash Re) ( , I~ Authorized signature �� atzeix TOTAL PERMIT FEE i 1, V w I Print name: ? Lis wail appfiea t r ss i• d within May; ! - � Al 1v Dig 7J e v 1 ' v ^ 2 3 7 14 � T •rwr air ) !acne ■ peewit b not notabe acc t as coo�l "Fee nrrhodolo y •et by Tri.Cbonry HmSd>I lathenV Service aced ere tan=A9 Ma•el•11terantQtp1M69) • , Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1' 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 Valuation: Permit Fee: Storm &Rain Drain - 1st 100' 62.54 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge -1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge - 1/2 hour) each additional $100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees * . Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font ❑ New exterior plumbing site utilities for any complex structure Bath - Tub /Shower as defined in OAR918- 780 -0040. - Jacuzzi/Whirlpool Car Wash -Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive Thru ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings - 3" q that meet the qualifications above. Car Wash Drain Garbage - Domestic Disposal - Commercial - Industrial Comments regarding fixture work: Ice MachiRefrig. Drains . Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang . -Stall Sink - Bar/Lavatory - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Washer - Clothes P Water Extractor plumbing permit can be issued. Water Closet - Toilet Urinal Other Fixtures: I:\ Building \Permits\PLMF - PermitApp.doc 2 RECEW Oregon Residential Specialty Code N1107.2 APR 13 2011 CITY OF TIGARD BUILDING DIVISION HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: MST 2010-00146 Jurisdiction: Site Address: 12446 SW SAINT - ANDREWS LN TIGARD, OR 97224 Subdivision/Lot #: MOUNTAIN VIEW ESTATES LOT #13 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 Ni 107.2) Signature: Date: MAR 1 , 2011 Owner /General Contractor orized Agent KEN NELSON Print Name: KEN NELSON ' 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 RECEIVED APR 1 3 2011 Oregon Residential Specialty Code R318.2 CITY OF TIGARD BUILDING DIVISION MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, KEN NELSON , am the general contractor or the owner - builder at the following address: Site Address: 12446 SW SAINT ANDREWS LN TIGARD, OR 97224 City: TIGARD Permit #: MST 2010 -00146 Subdivision/Lot #: MOUNTAIN VIEW LOT 1 3 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: Date: MAR 1 , 2011 General Contractor or Owne - 'Ider KEN NELSON 1:1Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 11/07/2011 07:12 5036390162 MILL 1NnUL " ""' -- 67._S" 0 Pte; Ala -cot INSULATION DIVISION CERTIFICATE OF COMPLIANCE Date 06/01/11 . Builders Name: WESTLAKE HOMES Job Address: 12446 SW ANDREWS COURT City: TIGARD, OR Job Number 22551 Dept. Type of Application Material Tvoe R- Factor 0UF 9.5 CAPS Fiberglass R -3 12 CAPS Fiberglass R-38UF FB 5.5 EXT. WALL Fiberglass R -21 5.5 Fib R-21K EXT. WALL R -19K 6.5 GARAGE WALLS Fiberglass 9 GARAGE CEILING Fiber9l� R -30 UF UF 9.5 GARAGE CEILING Fiberglass R -30 KNEE WALLS 5.5 R-8UF Fiberglass R -21 FB 2.5 OVER/HEADER Fiberglass RIM JOIST 3.5 Fiberglass R21 PF .5 SKYLIGHTS R - 11QZ 3 SOUND WALLS Fiberglass 3 .5 Fiber R-21K 0UF 9.5 UNDERFLOOR Fiberglass R -3 9.5 VOIDS Fiberglass R -30 UF Cj);1 Authorized Signature 7 STREET TREE : .,.41, . .... TIGARD; CERTIFICATION I, 1K (ce --i , owner/ agent for &_., $�?.,tc�- )--s,o�.- , (PLEASE PRIN) (PERMIT HOLDER) do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: /22 S`7- Z c - o SITE ADDRESS: 1 Z9-4-C- 5 w S Ar�' �w s (..-tS SUBDIVISION. �1 mss , ` ,.p�- LOT #: \- SIGNATURE: DALE: 1\ -4 _ ). ER /AGENT) RECEIVED & VERIFIED BY: l( S i( /--� - / 6( DATE: /V7% ( ' OF TIGARD) Tree location verified per approved site plan. 1: \ Building \Forms \Street 1 reeCertificate 04/01/2011