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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2011 -00001 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2011 Parcel: 2S104AD06000 Jurisdiction: TIGARD Site address: 12932 SW SEVILLA AVE Subdivision: WALNUT CROSSING Lot: 7 Project: Walnut Crossing lot 7 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 2116 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 514 sf Garage: 517 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 2630 sf Value: $282,658.71 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add] 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 2630 Owner: Contractor: PAHLISCH HOMES INC PAHLISCH HOMES INC Required Items and Reports (Conditions) 63088 NE 18TH SUITE 100 63088 NE 18TH ST #100 1 Ersn Cntrl 503 681 - 4444 BEND, OR 97701 BEND, OR 97701 PHONE: 541- 385 -6762 PHONE: 541 - 385 -6762 FAX: Total Fees: $17,736.81 This permit i ' - • • • to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be don- accordance with -pproved 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 f r quires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 •01 -0010 through OAR 95 - 001 - 0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is- ed By: 42/ _ 4 1 (A/ I ' Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspect' n d te. 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 Residential n l i oiz of t tii tl'i v RECEIVED Received /� • - City of Tigard Date/B : i /�. Permit No.: v P _ 0000 13125 SW flail Blvd., Tigard, OR 97223 P lan Review u C � ,/ �� Phone: 503.639.4171 Fax: 503.598.1960 JAN r Da te/By 'y /1 Other Permit: J 1"'Y a U6,40 1 T i G A R U Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method . TI -4 Supplemental information 3UI DING DIVISION o`ta.tti f ,,ti3O , �i TYPE OF WORK REQUIRED DATA 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition t Permit fees* are based on the value of the work performed. I = 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/industri9l O( 1 Valuation: $302,450 ❑ Accessory building ❑ Multi- family vc O '�‘v SIN - . Number of bedrooms: 3 �1 Number of bathrooms: 3 ❑ Master builder ❑ Other: V JOB SITE INFORMATION AND LOCATION Total number of floors: 1.5 Job site address: 12932 SW Sevilla Ave New dwelling area: 2630 square feet City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: 517 square feet Suite/bldg. /apt. no.: Project name: Walnut Crossing Covered porch area: 64 square feet Cross street/directions to job site: Walnut & Sevilla Deck area: 239 square feet Other structure area: 51 / square feet REQUIRED DATA COMMERCIAL -USE CHECKLIST Subdivision: Walnut Crossing Lot no.: 7 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 2S104AD06000 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Construct new single family home on lot. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: — Name: Pahlisch Homes, Inc. Type of construction: Address: 63088 NE 18 STE 100 Occupancy groups: P Y 8r Ps: City/State/ZIP: Bend, OR 97701 Existing: Phone: (541)385 - 6762 Fax: (541)385 -6742 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Pahlisch Homes All contractors and subcontractors are required to be Contact name: Phillip Pahlisch licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 63088 NE 18 STE 100 jurisdiction in which work is being performed. If the City/ State/ZIP: Bend, OR 97701 applicant is exempt from licensing, the following reasons apply: Phone: (541) 385 -6762 x104 Fax: : (541) 385-6742 E - mail: phillippC,pahlischhomes.com CONTRACTOR Business name: Pahlisch Homes BUILDING PERMIT FEES* Address: 63088 NE 18 STE 100 (Please refer to fee schedule) Structural plan review fee (or deposit): $750.00 City/State/ZIP: Bend, Oregon 97701 FLS plan review fee (if applicable): Phone: (541) 385 -6762 Fax: (541) 385 -6742 CCB lie.: 42067 Total fees due upon application: $750.00 i � _ Amount receivers: Authorized signature �f�" This permit application expires if a permit is not obtained Print name: Phillip Pahlisch I Date: 2.2.10 * within 180 days after it has been accepted as complete. Fee methodology set by Tti - County Building Industry Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 10 /01/09 440- 4613T(11/02 /COM/WEB) Mechanical Permit A lication FOR OFFICE ESE ONI.\ City of Tigard RE CEIVED Received D Permit No.: • M) a - OdOe> 13125 SW Hall Blvd., Tigard, OR 97223 Plan an Rev Review = Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit: Inspection Line: 503.639.4175 JAN 04 r c 1 i TIGARD Date Ready/By: ions: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE OF AfiIl. /N I't1141 /1 14"±NI COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all 1 ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ ® 1 and 2 family dwelling El Commercial /industrial ❑ Accessory building _ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 12932 SW Sevilla Ave Air conditioning (requires site plan showing placement) 46.75 City /State/ZIP: Tigard OR 97223 Furnace 100,000 BTU (ducts/vents) I 46.75 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: I Project name: Walnut Crossing Heat pump 61.06 Cross street/directions to job site: Walnut St. & Sevilla Ave Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above . 1 23.32 23.32 Subdivision: Walnut Crossing Lot no.: 7 Other: 23.32 Tax map /parcel no.: 2S104AD06000 Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 23.32 Gas fireplace 1 3339 23.32 Install new service for new residential single family home Flue vent for water heater or gas fireplace 2 23.32 46.64 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 El PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 _ Other: 23.32 Name: Pahlisch Homes, Inc. Environmental exhaust and ventilation 18th Range hood/other kitchen Address: 63088 NE 18t equipment 1 33.39 33.39 City/ State/ZIP: Bend, OR 97701 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (541)3856762 Fax: (541)3856742 toilet compartments, utility rooms) 3 23.32 69.96 ® APPLICANT El CONTACT PERSON Attic /crawlspace fans 23.32 • Business name: Pahlisch Homes Other: 23.32 Fuel piping Contact name: Phillip Pahlisch $14.15 for first four; $4.03 for each additional Furnace, etc. 1 14.15 14.15 Address: 63088 NE 18th Gas heat pump City / State/ZIP: Bend, OR 97701 Wal Wall/suspended/unit heater _ Phone: (541) 385- 6762x101 Fax: : (541) 385-6742 Water heater 1 14.15 14.15 Fireplace 1 14.15 14.15 E - mail: phillippCpahlischhomes.com Range 1 14.15 14.15 CONTRACTOR Barbecue 1 4.03 4.03 Business name: Pahlisch Homes Clothes dryer (gas) Other: Address: 63088 NE 18th MECHANICAL PERMIT FEES* City/State/ZIP: Bend/ OR / 97701 Subtotal 360.72 Minimum permit fee ($90.00) Phone: (541) 3856762 Fax: (541) 3856742 Plan review (25% of permit fee) 90.18 CCB lie.: 42067 State surcharge (12% of permit fee) 43.29 TOTAL PERMIT FEE 494.19 This permit application expires if a permit is not obtained within 180 Authorized signature : days after it has been accepted as complete. Print name: Phillip ahlisch Date: 12.15.09 * Fee methodology set by Tri -County Building Industry Service Board I:\Building\Pennits\MEC- PennitApp.doc 10/01/09 4404617T (I 1 /02/COM/WEB) / Electrical Permit Application • l tti; t,rl lt r t si cal City of Tigard RECEIVE* Received ® / ," - Ipt.... nate/fr : ! �.. N 13125 SW Hall Blvd., Tigard, OR 97223 plan Review ' Phone: 503.639.4171 Fax: 503.598.19 t Date : Other Permit: t Inspection Line: 503.639.4175 1t V / . ' 1 /B Date Ready/By: Jude: PI Sea Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental information k -,:''' z 'trs:f Fii 71'X' a .:11. Lk' ?:0 . ',t IN?.V !,7. .� ,t a . t �'_ np„At',' "'> :F�S'i t "ZN ', ,m fi. '4: t y �.l }_ ¢. 1 t 1 �'.'„t � � la ' �� fI ' . ` a t b a f, `.S .,i "i: 4, ;Li. r . sz.z q,!1 ,t , lit 4 : 9 :11iG i t: :ti1i`litVW,1 Lktri7e1!i '4 � , t,Ti , t t lt:6_1se !.m d d � X -,N- t-.4, iiittia.,..A.:!= t Z. ® New construction Q Addition/a terahon/replaeetnent Please check all that apply (submit g sets of plans w /items checked , slow): Q Demolition Q Other ❑ Service or feeder 400 amps or more Cl Building over three stories. Karma T 44� fr ,,VP.iZ'fTts T'. x f ! ! °- pv" r t tie \ . to .. ; ^' Where the available fkult current • [] Marinas and boatyards. n rl .` . cttw.t `ti? i � , i +�a 4 0 ,i e s 5,, . :! ,C A) , k. c 4 , ` 1%. % r ; E hes e to ground, o t „ w ed, 14, ol 0 0 con Floating buildings .„a ® 1 - and 2 - family dwelling 0 Commercial/industrial lees to ground, other rose eda 14,000 © Commcrclat•uae agricultural ❑ Accessory building amps for all otter installatlona. buildings. Q Multifamily ■ Master builder 0 Other: ❑ Fire pump. Q installation of 75 KVA or E - 3 v x 5.i xi ,�r� �. �� t rs ,w n ri t r El Bmer n S atom, huger rate ` ez. ; i; ., ti k- 1 . ,, ,s h),' vs , k4,, itgol..'.j . i h a l 'l , Add ion anew motor load of 0 "AA ". .. "1-2", Ki -3.. derived system. Job no.: Job site address: 12932 SW Sevilla Ave 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parka. City /State/ZIP: Tigard, OR 97223 ❑ Heahh•care facilities. ❑ Supply voltage for more than ❑ Hazardous locations, 600 volts nominal. Suite/bldg./apt.no.: I Project name: Walnut Crossing 0 Service orfeder600 amps ormore. �xx. t r.� s �..� �'i a �.'' >6'�z1�' zs A fllaiNa„ MIIMET , li Cross street/directions to job site: Walnut St & Sevilla Ave. nesertades Qty. Fie. .. F ,R •' . Fie Total • New residential single- or multi- family dwelling unit. f includes attached garage. Subdivision: Walnut Crossing I Lot no.: 7 1,000 aq. ft. or less 1 168.54 168.54 4 Ea. add'l 500 sq. f. or portion 4 33.92 135.68 1 Tax map /parcel no.: 2S104AD06000 Limited ever 1 67.84 67.84 2 k k ;> a,4$ s! a w = " � 2f' e7Itt'i:: ys.�¢4'ilt p a. A na zr / ry�r -s � � 8Y residential �+'.t:.�, ".si`, 1. &i.s�s., k » i ,,.x.' ''_i'r� ,, % "'ct%+, a'+w� , t i.ir.el 2 . ° .11. a . N `�t4 TV,I ..ra i (wine aboY66q. A . ) . Limited energy, multi - family Install new service for single family residence residential (with above sq. ft.) 67.84 2 Services or feeders installation and/or relocation , 200 amps or leas 1 100.70 100.70 2 3 , 1 `i N � m ,,m a . a _, „, r,.A a, {" 5'l j' < t p s . o Fr 201 amps to 400 amps 133.56 2 FISH .�r x. #«.t ,.r :- , ',. .t� 1 h e. ik.: t tiYrf:m > ' :,-L w "dl .; � Name: Pahlisch Homes, Inc. 401 amps to 600 amps 200.34 2 tb 601 amps to .1,000 amps _ 301.04 2 Address: 63088 NE 18 Over 1,000 amps or volts 552.26 2 City /State/ZIP: Bend, OR 97701 Temporary services or feeders installation, alteration, and/or relocation Phone: (541)385 -6762 I Fax: (541)385 -6742 200 amps or less 1 59,36 '59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 _ 1 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel j A. Fee for branch circuits with ,LE v �`. { s7. A aFiy fS t "� : ?, ��5 t �`' � M 7, - i .4 , ' 1 3 , si. _�4 ,'. , I'kR) 4 , x : ` r abo ve service or feeder fee, Business name: Pahlisch Homes each branch circuit 7.42 2 B. Fee for branch circuits Contact name: Phillip Pahlisch withou service or feeder fee, 56.18 2 first branch circuit Address: 63088 NE 18th Each add'l branch circuit 7.42 2 Miscellaneous (service or feeder not included) _ City/State/ZIP: Bend, OR 97701 Each manufactured or modular 67'84 2 Phone: (541) 385- 67$2x101 Fax: : (541) 385-6742 dwelling, service and/or feeder Reconnect only 67.84 2 E -mail: phillipp@tr pahlischhomes.cam Pump or irrigation circle 67.84 2 ..'s O 9 q o o . 02-XlV` `r ..1 o• • , " Si or outline lighting 67.84 2 Business name: �y� K.1 N S e Le C'1 c u...C. Signal circuit(e) or limited - energy panel, alteration, or Address: ?tj (Q' ( S a £ a 6ho„ k1h S CACh -i CQLo'C MC+%! .coin \ extension. Describe: Page 2 2 City/State/ZIP: t3 NJ DI U f2 9-nag Each additional Inspection over allowable in an. of the above Per inspection 66.25 Phone: (St{ ` )61 S' - 5491 7 Fax: ( 7/1/ investigation per haurp hr min) 6b.25 CCB Lic.: 'C\ (a n� y O g ' I Electrical Lie.: C (, 5 I Suprv. Lie.: 5(�° S Ind ustrial plant ' hour 78.18 Suprv. Else icia .11. AEdr required ► I / %� 3 ` 477 i' - +� P s.. tlltii ./ ' kntg .'," , 1i Subtotal 53212 Print name: ++'' Date: Plan review (25 %ofpetmit fee): 133.03 111 &/ �sep atpj t r S a t e: , - • State surcharge (12% of permit fee): 63.85 Authorized signature: TOTAL PERMIT FEE: 729.00 p SC �ArAJ k ` S This permit application expires if a permit is not obtained within 180 Print name' Plr` 1 K I Date: 1 - - t) days after it has been accepted as complete. * Number of inspections allowed per permit. 1: 1BultdinsPennes■5LC- PeanitApp.doc 10/0149 440.46t5T(t I/OS/:OM/WEB " Plsipbing Pcrinit A i El "Vt 't - Building Fixtures City of Tigard 1 AN 0 4 ::1:111 .. , , Luwa . / 5 Psnrdt mE pi. R. Gil. p...,140.:cieo.e. loi i - 00 13125 SW Nall Blvd., Tigard, OR 97223 • Pbow 503.639.4171 Fax: 503.59M641 or TIGARD n .. I N Inspxdon Line; 503.639A173 Des Itearbies Intermit wwwAllitt-04or BUILDING D IVISK)N Notdbalistbut IiiiillEF!,z .-4.4„,..„44,144-,„,_..0.,,,,-...4.4.144 , a ria„„,....„,.,„.4, . _ . 4.4,4.. . a Q. a ...,,,. 1 4V;r44 0 AdditioWeitentionimplecentent 0 Oa= New 1 2- , , , . = includes 100 11. for cach ell ,, connection .' SFR (1)bath 312.70 SFR a) ' 437.78 1.• and 2-family dwelling 0 Common:nal/industrial bath • SF1t (3) bath I 500.32 500.32 0 Aceessory building 0 Mull-family Bach adeltistei beddlitehen 25.02 0 Manor builder 0 Other VI o sprinkler sq. ft.) , 2 t' , , , l • ''''''',1 ' .„ . ',1:1 ,,, I Catch basin or area drain 18,76 Job site adtkess: 12932 SW Seville Ave Drywel, kerb Hee, us. muck drabs 4., 18.74 Ciky/State Bend, OR 97223 Footing. drain (no. linear I: ......) % Page 2 Suitelbkigiapt. no.: I Project nantre And Creellillit Manuhetured home utilities 30.03 Cross street/directions to Job site Walnut & Sevilla Ave, Manholes 18.76 Rain drain =ter 18.76 Sanitary sewer (no. linear ft.: .....j Pig 2 Storm sewer (no. thiew ft.: _J 1 ! Pw 2 _ Wens service (no, linear ft... __) I I Page 2 1 Subdivision; Walnut Crossing I Lot no.: 7 _ - Fixture or Saw i Becidlow prerverstar 31.27 Tax map/patrol no.: 28104AD06000 --- 12.51 washer - 25.112 Instal new work in new single family residence 25.02 - - 1 Drinking fountain • 25.02 , . lijactonakairep 25.07 it. i t'S : iiifi.g E xpans i on t 1231 23.02 Fixtureltewor cap Name: Pahlizeh Homes, Inc. - Floor olnitailloor shdatub 25.02 Address: 63000 Nft til Owbsge &twat 25.02 • City/StatefZIP: Bend, OR 97701 Hess bib 25.02 Phone: (541)3850762 Fa: (541)3856742 Ice maker 12.51 ''''"' ''''.- - itc'T.T.7.erk.:441511;:i111.4.r441174Vitil:frMlite:4 intauPlcotAme ttlr 25. tite 4 ....0'. -1 ', ,41---Pr ro..t.1. .t.,4. .4!,,,, ..t. Al ...41,1;v1r.,,,,Ire ,e;.. nn,.:Ars . m 02 - Medical p a (value: $ / Page 2 Bohan MS= Paddiseh Rases - Contact name: Philip Pablisch Roof drain (cominerviai) 12.51 Mtinssiit 6301111 Ng lle al”Ititusivrasyssruy 2i Di [CityfStaterZTP: Bend, OR 97701 .. Solar tails (potable water} • 6234 (5 3956 ' 01 I /174", • r. • f 411 al 1 ) 104.-A1,11 Tithighowerishower mn 12 it 'Urinal 25.02 E -mail: phIllipp@pahlischbornee.wan 25.02 ",e ' .' !...- t Se: :, . : 7. 4 A ■ . 1 - ,:: 't ...,f ., . 8 Wasta brow 37.52 Business nem* LA PPO LC) P LtAiVe 1 tIG LI-X- Water ohling/DWV 56.29 Addrenr. - 2,5q33 X Surlahine \),U.s QA. Oilarr: I I Citv/SMterLIP: Ourritx4cuje c)?... iC/ ...... Subtotal 500.32 I Phoncr (5 ibl-i -c3 (07-4 Pak: 1 / NIA, Minimum permit &e: $7230 Plan review (25% of venni Sze) 125.08 CCD Liu.. I t CI C) 41. (1 ",...;,... ,,,,.. f>? it I \ State surcharge (12% of permit fee) --- 60.04 Authorized signature: .. a , ilk 4 • TOTAL PERMIT FEE , 6115.44 i P l i l i t glan AVg.t I - K . L P c) * - 1 -- &.: 1 . V- 1 i Thlipsrailt spracalloa opine Wii Is est obis/aid whiles ISO der Ales it his bees accepted se areiphea. *See methodology id by TS-County Building billowy Service Board. I 1BuitainertordleIMU.PeradtAppalisa te1,09 40-46141(t0/02.+COWNER) .11 q Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: rt,5TO I I 00 e.c. CWS Service Provider Letter Received: Yes ❑ No EV N /A ❑ Routed Plans: Original Plan Submittal Date: I Pt Revision Submittal Date: ; 11 ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (■) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact 1 er at 503-718,44 I or ___ @ tigard- or.gov) Lan Use Case No. 1 -1-6,)&09- at, Name WPr/- LI u'-1 -&)Z I kI G Zoning R 4 S G t 7 , l( Setbacks: Front -t Rear 15 Side 5 Street Side 1 5" arage Maximum Building Height 30 Actual Building Height _, /. X I;Y Clearance Eckasements Ate A/1 Sensitive Lands Type: Notes: Original Plan: Approved I2{ Not Approved ❑ Date: i j 7( GJ Revision 1: Approved IJ Not Approved ❑ Date: / /Oft( Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: Co Notes: Original Plan: Approved A., Not Approved ❑ Date: ifA � ' ( ,/, Revision 1: Approved] Not Approved ❑ Date: , Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Review (contact Todd Prager at 503- 718 -2700 or todd @ tigard - or.gov) S treet Trees Protected Trees Notes: ' is i" , c r t yi'f / / 911 "{. 3 'w 4k 0 ` ./ S � lev, , t, f2w4LC , Original Plan: Approved ❑ / Not Approved ® Date: OP ii Revision 1: Approved El Not Approved ❑ Date: 2,9 Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Or Okay to Issue Permit: Yes No %2. Date Routed to Building: d ' v 'D 1i Page 2 of 2 E ISED ..._... • ,,, _ ...,,,,,,„.■ a 'la ii.) --...zu---- — — '- .................• egisisim A a ....... o iv • ....,43,..... • .. . a) . >! ,,k b 0 0 LLJ v • ijj VI ■,, r II ..... — 1 1 ) ) 1641111.-11MMINI 1 Ilk ai (51-- -1 ir F IV .0 I Li , . 0S • : 1 0 2011 CA111141 \ --*, \ M co AL IOF TIGA9D .., . \ --- BUIL ' , Ii3 DIVISION \ .., ,, , \ , , , ii /, ---..._. \ . . L--........ (../) I 1,/ • 8 ,V) . tr. (17) X 1 i r --,----_,_ ----- 1 - \ hn Ari- I I NO\ • ,,, N ... \ I I ■ 1 - D TR EE , , ' 1 CD ' % \ \ 0 / 00 9 ' ■ ■ / ON 'I 8 1 /1\ , TYP. , 0 io , _ . A ,„ . / , . % 0 •.i 0 I OGT 1 'OL \ N- • ill . . voo I s . p . • a) I ' • 11 clikliry - J o v . i - -. ap.; • o . . . . I t rci t " . 1 ' +4 I ....„ co . ,...; -.set 00 _ , . v • • ■ "4 00 ! .c.f)v , „. • • co . N . v ■ 44 N .4 1 N • ° N —1.. —... ....- L. ; ° (r) - . • 0 43) 1 ,.. . ..._ p v , .‘ .‚V • 0 4. i If .0 v • . • • i .. . irt ik .. ........ ....,....._ . . . . • ./ L. .\• •., . 5 k E -.,,•,,..,,. • ..„, Ilk Du yer Dote Buyer Dote 1: 10 Lot Sq. FL . S352 sq. IL Foot Print Sq. FL= 2,928 sq. rt. Subdivision: Walnut Crossing % Lot Coverage = 48.00% Lot#: 7 il Total Impervious urfa� . 3.457 sq. ft. Add ress: 12932 Sevilla Ave OR 63088 NS 18TH STREET. SUIT11 100 Plan N Rutherford P - 2630 C.") 1111111111111141111M11, BBND, OREGON 97701 Date: 2 Ilim PH: (SC) 355-6762 PAX (541) 385-6742 I Scalc1"=20 i 0 • DINIMAY..ALK ANIMTIVrztra us rot IIIICULV AND MuTZT0134011C TIN MGT OCIICIIMI UP11 LAMM. Man' , --- Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS n � Permit No.: , V ` `� Jurisdiction: �011 —00(10 .1_m Site Address: A \'Z a3Z SeviIIoL A vtwk-- _ Subdivision/Lot #: W b..r\ CT OSS i and/or Map and Tax Lot #: \ fl 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: Date: 912111 O ner /General Contractor /Authorized Agent Print Name: i`J U.) 1041)S c, k 1 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- HighEfficiencyLightmg doc 07/01/08 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, \/\,1 �,�; cl� � ,`S , am the general contractor or the owner- builder at the following address: Site Address: \ 5 e. 1 t City: Permit #: On —0000 Subdivision/Lot #: 1 0.1 1.. v C'roS S t 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. fitA Signature: Date: 7/2-/ 1 / General Contractor or Owner- Builder l:\ Building\ Form\ RES- MoistureSensitiveWood.doc 09 /25/08 STREET TREE CER TIFICA TION j, - c\>\, , ,- \-e..; ,, �: t � owner/ agent for SuL)1/4A-ki t-10144-c,5 (PLE PRINT) (PERMIT HOLDER) do hereby certi that the following; location meets City of Tigard i land use and development standards for street tree installation and is consistent - with the approved site plan. PERMITNO.: 1011 — 01000.1 - - - -- SITE ADDRESS: \ 2K - 2 Sc u ► i /tJc,u. v--� S UBDI VISION: k-N oa N V (x os s LOT #: g SIGNATURE: DATE: q 2 II (OWNER /AGENT) RE CEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I \Building \Forms \StreetTreeCertificate 07/01/2010 Apr 07 2011 8:41AM RK- Electric, - Inc' 03.356.0513 p.2 E C EIV E7'El� ► . : - : a 1r lee City Per A licatlon f ■t IN l I ';: , ■ : I .1 C Tigard Tigard 'EN ►I)r • 4"d ,�� JI��,iJr/',l © 131258W Hall Blvd„ Turd, OR 91223 .�� �rrttt���:: Pilot Rwvlaw ' 503.639A171 Pint: 503,598.191w f t �� h -r oaleePennt lit ; It l CnapectIon Lino: 503.639.4175 „ ,` . ' {C ` Reed'/ Mir L PIO or Intorno www.tlgar - or.gov Netlfted(Melhore 9appieaurdot r.. 4 Tai„ - W 72'G 41%V.:0;:".;2.0.:^ .1 17 - ::7t�c, J^ %L" .z �i.. ,..- •,n^u• .r.aY.�: nay..11P' �t`i� '1.. - eY•i�r. 3i ;��^ y: 1.11 ah "� 1., . � . IPA .i . � .Yr ?;��' �h r 1'1:;'.r,�}'. };);'<� "!• " „Al•, i� { .: 1 , . 1. 74 'i .r ` A:i! ' ' _ ri'v:'i�,rtu •r , ., ' :1 0 • :' "' 5, t .:,/ `; . '' `, id1.h4.4- ,r,'I;Ir : �.. L.c.''aS „ `:'. I �r '� ,> } ':7!..,4r , ' •w : + � ' -. \1� 1 �' t ', w l .,e ,.•' VS,u ":!J. }!? tS...Oai.•7.r:,.:.�a.7." � � `��•Y:.S, ! ?a:,.,itiiL'r k:il ° :m• . ,�•• .. •)'l�Lt . f..al+rlih tl��`:�,I,I. �:C -. ,:� y ..['- '- 1a•,..i• �a .a wed s, r:i�5'4i: d.:�,.r`.�. � ® Now construction ❑ Addition/a • ° onhepaaement • all iritapply U. t tab of. aruw raruo • ai •• ow): ❑ Service or teeda 4t10 wept or more 12 HolldIng over Om !tonal. Demolition ❑ Other; urbane! ere nolo fault comic • 0 Merino tut 1:enyuds. ere 'ti -7'O7 l; •.r+> R v . • .,,, :. : iw :- I.. 4i ;. :, ; g •=' d 4 wawa. ] limps at 130 Volker ,'t "'n v1 . 1; +i c V;td cl' c , OAa4a Q Floetlne bUiidir,Qi. :�:.. 4t.:� .:ar.s�a :,r:,!"�,�4:.:,4..E;�v_�ti?...,:•: 4.,.�r: r' . �r. ;. '' around, >�eea , � Cl , , . ,'t ••f wr;}. : ;�`~ a . a�' ar •.r.,�,o liafto ore it 000 CotmneraGlusesQrlcultural i.i 1- ands- ihmily dwelling ■ Cammer0141/ttldustria1 ■ A0 0 sory build1218 amps tbr all odaititillation. belldlage, ❑Multi- family ■ Master builder • Other: ❑ ohs pump. C11hiaallitlonof?5KVAor �� •>;•. r , ^ ',-rw: •�J r ., an, ^e,. .' r ^•r:1s;•' 'T4T r eY " Blnersamoy{yataxl, terser wpirnoty derived syitae. :2i i1 1`" ` -, ... e e o 'i t i `ro : . 7- a "...7.. , , ∎C fry. 'r'.7. rr • ❑ u c�.�l'•'y:yii.v�!�.7. ski' J.#• I. .: �.. P^ � �`' ; �:: �a�sYr��,. s('. i:' al:. f.. :., . �; Yr��'. ��-: � :'.:>:r ?: 1 ' u , � . i.`';:!fi£1���•ttti: ' "4 ❑Addltbnet' new ma7ar Weld Or Q "14. Job no Job site address; 12932 SW Sevilla Ave 10011P orntsro. pooping, ❑ Nix or more rot Idamlel pelts. ;I t3eoaestIonal vehicle perks, ■ C1ty /Statd21 P: Tigard, OR 97$33 ❑ HesUh•oare Acllltles. 0 9opply V01265 fi r morn than ❑ Hearken loostioru, coo valid Bonin:al, Suite/bldg./apt.no.: P'rujeot name; Walnut Crossing M aarvtaoor&ado. eon • .m_aor moro. Cross atreet/direotione to job vita: Wal.mtt St d Sevilla Ave. i; z;ir.� : , „x'11•,,<. :� ■ iM1 , 1 T imis rif °. lir.Ti� 1811 ' ow ruldentlel single- or multi fanilly dwelling unit. Includes altaahed • ra • e. Subdivisl0la: Walnut Crossing Lot no.l 7 000 R, or loss EN 1613,54 Malin Tax map/parcel no.: 28104AD06000 ei. edd'l soot., ft. or •ortion KR 9192 135.68 a r, ar, r �. ; f : ; ,: ;•r..... •: nx s � l ; s, r v., i: p al rr : p v. uf Yf' 67 .8 4 CI � ki:it:: 't' r l ; ' :i t� er 1 i. .' ,Y4� 1 s., y .g44. l� I�i�''.,_35i..,;i,. = rti�;.4�1:, � .`:d,t- .t+... ...l �:,,: t,,. t�,.. i..,. i°�:.,�,.:'_��,ti'�':�;'�',s li� ., ,., .: ,,• .., (moan new servtee for single family residence he r ilen w ithO .a• • 67,84 -U yi or finders tnetallatlod • •, glom :r J.,. relocatlen Ping ;xCx• ' ::2:,: ;� BI a y p. 'f I • , . „� 200 .. Or less MI 100.70 100.70 EI .. yl r , 11. , .Y•- ::!;;`r. ;a •: 1y' dc f, � ;i>r A•�� ... A , S.•::r. r'4';t,'t,. %E f r :1 1 ,e fi. i 4 ,4 ;i., Y .., t aS( �.t ".�, t t, I, r,r 1x�y' i.�.,, ' �:t:�. J.,•. r' ;;! I ; ..; , ;:.•;� >�'���� �. t:,��� + +� � �';� sal .�.;:a. i,1t:.����� IF'a .1 .f �i :S ..G1. .7�.:..�'.�•. Jt�;`'__ .� I... �.'1�i11: I.dl,• .��I:�i�_'h:. :' X41. 401 a . to600 200.34 MUM AQdrosa:6J088N6161q 605 a' . • Iod,O 301.04 m Over 1,000 amps or voles _ 552.26 NEN City/State/ZIP Rend, OR 97701 Temporary services or teoden instillstlon, slteratton, andlor location Phone: (541)305 -6782 1,n) I or leu 59.36 H Owner nstaliatlon: Thia installation la being made on property that I own which is not 201 I to 4 00 IM _ 125.08 MIMEO intended for gale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 s • to s99 gin 168.34 !MORI Hr Owner Signature: Data: Inch a rem to -, ow aitoratlon or extenet., . "r • anal ,sr , 1 rir Lt. �,, t } • �, F ••.. c , " 1 a service IIIIIIIIII Mi' 7.} e1sL;.TIMM amnia ?� BIEHM ,x° +t4 ° r' e .BUN A. Roe above ibr service branch o Total!! with or feeder ha, **oh branch circuit Business names Fahlisch Homer B. Fee for branch Circuits Contact name; Phillip Pahilech willow Ionics or tbeder fee . 5e.ie first branch circuit Address; 63088 NE 18th Each add'l'braech circuit ' 7.42 Ma© Miscellaneous ravine or , not Include .1 City /State/Z.1p: Bend, OR 97701 Each manufactured or • , u ar imEn dwallin .... n, or feeder Phone: (541) 3858762x101 Fax: :(S41)365.6742 Reconnect on MI 67,84 - E -rneil: •h1IIIppapahlieahbomes.com P urn •or1 •.tioacircle 67.64 0 �i ''�' i ;s r" t ,... M .i .. ^: ' "a Res I ;7e, n "�C tt ,'' a;. 1 1 ; .fit 7�9 o oro ntliuel 67,64 - . ' . `,' 7 - �rS. aidki�lr{ �Fw' �t,Ar.r.:�'..�iY.ncll��t.�i'.�. .a� •a ��:���tud�,ll4:••• i %�, �'ir:4`fik3xr4:i Si• u�'D Business name: . g • anal of slier limit Of rUy panel r Address: a A 4 6 dl k D v extension. Describe: Pep 2 L. ���� b, ., 0 re 4 al Each addition . i .. e4llon over allowable :a, ', h ova Phora: ( s 3) , t;/(? 3 Fax' rc7t 3' } s;i:s .cotton Es 66.25 I. - � 3 ' G75/ Invea Nan • hour (11o.rdn) =I 66.25 MO haduitrial .Tani hour IMI 78.18 MEM rr ii7 i+ • ! 4 :1 1 1 tigiC : } 6 Irg,t 0 i 1 .51 ":'It •' t� air ' lCrf+ �: r Y " '�I K!+ � 1 � '.:.1l� ar.2 1. ..,t .,S ,t '�. .��_d.f: •t!•, /4 Suprv. Electrician signature, required: i� Subtotal: + r of • Plan % 144 : 199.09 -, i h sate. O ( � an review 39.09 gg a/ f_ L i"A TOTAL PERMIT FEB: 719,00 !Al. pools polio en ixplrww It I permit k not Obtained within 180 p .s . , Date: ‘74 days One R Mai been aatepled ee el epics. Number of Iiupearlooa ellowed per permit 1,45,„ arnPres++ion.c.hndupp. rcr0i0 444.46r57j!IYa54ordrwo0